How is it done?...

Nerve pulling is one of the common medical procedures that many people undergo. What are the cases that necessitate nerve pulling? Are there side effects? Nerve aspiration is a semi-routine procedure and does not cause concern. We will review the most important information that you need to know about this medical procedure: What is nerve aspiration? Nerve pulling is one of the therapeutic medical procedures in the world of dentistry, and this type of treatment is used to save a tooth that is about to be eroded by decay, or to save a tooth that has been exposed to inflammation or severe damage, and this treatment targets the core of the dental nerve that is located inside the root canal of the tooth, It consists of a mixture of nerves and blood vessels.

During the nerve pulling process, the following is done

Excision of the pulp of the dental nerve (The pulp) that has been damaged or completely inflamed from inside the tooth.

Cleaning the area around it inside the tooth cavity.

Fill the tooth and close it well.

Although the nerve pulling operation may seem frightening and painful, most of the people who underwent it found that the actual suffering was in the period prior to the nerve pulling operation, which may include a lot of procrastination and endurance before the patient decides to undergo the operation. As for the nerve pulling process itself, it is Very similar to regular dental fillings.

Did not resort to pull the nerve?

When the nerve of the tooth is damaged and inflamed, the resulting inflammation may cause serious complications if it is not treated and controlled in a timely manner, such as:

They are painful, infected bumps that contain pus outside the root area of the tooth.

Swelling that may extend and spread to the face, neck, and head.

Bone erosion in the area around the affected tooth.

Blisters that may get out of control and spread to the skin.

In some cases, dentists prefer to pull the nerve and keep the dead tooth instead of extracting the entire tooth for the following reasons:

Facilitate chewing.

Maintaining proper occlusion.

Maintain a natural and beautiful smile.

Protect the remaining teeth from any additional pressure.

Symptoms mean you have to do a nerve pull

When x-ray images of the tooth reveal that the core of the dental nerve has been damaged, this may mean that the nerve must be pulled, and with the onset of contamination and inflammation of the tooth nerve, these are the expected symptoms to appear:

Pain in the affected tooth when eating hot or cold food or drink.

The affected tooth loosened.

Pain in the affected tooth when the jaws are closed or when trying to chew food.

But in the later stages of neuritis, the aforementioned symptoms often disappear, so the patient thinks that the tooth has recovered, but what actually happened was the spread of bacteria to the extent that it was able to kill the nerve of the tooth, and then the symptoms begin to appear:

Pain when closing the jaws or chewing.

Swelling of the gums in the area around the affected tooth.

facial swelling

Darkening of the tooth over time.

Pus and pus coming out from the infected tooth area.

A dentist should also be consulted when feeling any tooth pain to avoid exacerbating the condition and worsening symptoms. It is worth noting that antibiotics do not work when it comes to treating bacterial infections of the dental root canal.

Steps in the process of pulling the nerve

Nerve aspiration may not require more than one session, and it may require a maximum of 3 sessions, depending on the condition of the tooth. These are the steps that are usually followed before and during the nerve aspiration process:

Preparing for a nerve pull

Before starting the process, it is well prepared by following these steps

The affected tooth is X-rayed, to determine the shape of the root canal and to see if there is inflammation inside the tooth or the area around it.

The patient undergoes local anesthesia (which may not be needed by all patients, especially those whose dental nerve has died).

A special rubber tool is placed around the tooth to isolate it from the rest of the jaw and protect it from exposure to saliva that may contain bacteria, in order to protect the tooth from any contamination during the process of pulling and cleaning the nerve.

Nerve pulling process

After the doctor completes the previous preparations, the actual nerve removal process begins, which includes the following steps:

The doctor opens the tooth with a special drill to reach the root canal and the damaged nerve pulp.

The doctor removes the nerve pulp from the inside and cleans the root canal thoroughly using special tools.

A special filling with a rubber-like texture is prepared to fill the cavity of the root canal, before the root canals that have been treated with a special material are closed, after taking all the necessary internal measurements of the root canal.

A crown is installed for the tooth, especially in cases where the tooth has been completely eroded, and the manufacture and installation of the tooth crown may take several days or weeks until the laboratory technician prepares the tooth after taking its measurements.

Complications and problems of nerve pulling

Like any medical procedure, nerve retraction may involve a set of complications or complications, here is a list of the most important of them:

Not all canals may be treated properly, or the root canals may be exposed to unintentional contamination, or the filling may not enter all the root canal spaces as it should be. These things will cause the return of pain and inflammation again, and the nerve will be pulled again.

The tools used during the nerve pulling process may cause an incision in the root of the tooth, or these tools may break during the process of digging and cleaning the root canal, which will make the nerve pulling process more complicated.

Sometimes the doctor may have to turn a simple nerve pull into a somewhat complicated surgery.

The color of the tooth that has undergone nerve extraction may change gradually to become dark with time, which may happen after the death of the nerve and before undergoing nerve extraction treatment, or it may occur after undergoing treatment.

Prevention before nerve pull treatment

To protect the tooth and the nerve of the tooth from damage that necessitates undergoing the nerve extraction process, care must be taken to follow the following preventive measures:

Brushing teeth with a suitable brush and fluoride toothpaste at least twice a day.

Use dental floss and medical mouthwash at least once a day.

Visit the dentist regularly, at least twice a year.

Undergoing a dental cleaning at the doctor''s office at least once a year.

Follow a diet that is almost free of sugars and processed foods.