Root Canal (Nerve Removal) — modern, painless endodontic care to save your tooth
Why a root canal is performed and how it preserves the tooth
Endodontic treatment removes the dental pulp (soft tissue with nerves and vessels), disinfects the root-canal system, and seals it hermetically. It is indicated for deep caries, pulpitis and apical periodontitis, and occasionally for prosthetic reasons. Unlike outdated approaches, contemporary endodontics aims to preserve the natural tooth with full function and esthetics.
Anesthesia and comfort
Modern local anesthetics (e.g., articaine) provide reliable infiltration and nerve-block anesthesia, enabling pain-free care. Reviews suggest articaine is comparable or superior to lidocaine in certain indications (PubMed; Cochrane). At Diplomat Med Center we use state-of-the-art cartridges and, when needed, sedation; arsenic-based devitalizers are not used as they conflict with current safety standards.
Diagnosis and planning: imaging matters
Assessment includes pulp vitality tests, percussion/palpation, periapical radiography and, for complex anatomy, 3D CBCT. The European Society of Endodontology recommends radiographic confirmation of diagnosis and image-guided control of key steps.
How root-canal therapy is performed today
After rubber-dam isolation, an access cavity is prepared; canal orifices are located under magnification, a glide path is created, and rotary NiTi instrumentation is used. Disinfection combines sodium hypochlorite and EDTA with ultrasonic/sonic activation for enhanced biofilm control. Working length is established with an apex locator and radiographs. Calcium hydroxide may be placed between visits when indicated. Obturation is completed with gutta-percha and bioceramic sealers (lateral compaction or warm vertical). The tooth is restored adhesively and, when substantial structure is lost, protected with a full-coverage crown.
Outcomes and long-term survival
Systematic reviews report high success for primary root-canal therapy: clinical and radiographic healing occurs in 86–93% when protocols and coronal seal are adequate (Ng et al.; Ng et al.). Full-coverage crowns significantly improve long-term survival of root-treated teeth (Aquilino & Caplan). The AAE similarly cites >90% predictability under proper standards.
When it’s indicated — and when vital pulp therapy may suffice
Indications include irreversible pulpitis, pulp necrosis, apical periodontitis, traumatic pulp exposures, and certain prosthetic needs. For early lesions and reversible pulpitis, biologic approaches (indirect/direct pulp capping with calcium-based materials) can maintain vitality per ESE guidance (ESE Vital Pulp Therapy).
Safety and aftercare
Mild biting discomfort for 1–3 days is common and managed with NSAIDs. You’ll receive instructions on chewing load until the final restoration, hygiene, and follow-up intervals. Persistent symptoms warrant reassessment and, if needed, retreatment.
Endodontic treatment at Diplomat Med Center
At Diplomat Med Center we follow international protocols using rubber dam isolation, magnification, apex location, rotary instrumentation, and activated irrigation. A precise plan follows digital diagnostics. After canal obturation we provide adhesive build-ups and, where indicated, full-coverage crowns in collaboration with restorative and prosthetic specialists. For soft-tissue inflammation we coordinate with periodontal care and support long-term stability with professional hygiene and remineralization.
Book your root-canal treatment at Diplomat Med Center today — we’ll relieve pain, save your natural tooth, and restore confident chewing with durable, predictable outcomes.