When a nerve inside a tooth is inflamed or infected, it can cause a deep ache inside the tooth or sensitivity that lingers long after a hot drink. That is why our endodontist in Cape Town offers timely care to restore comfort and function.
What is endodontics?
Endodontics focuses on the inside of the tooth, specifically the pulp and root canals. When bacteria reach this space through decay, cracks, or trauma, the nerve tissue becomes inflamed or infected. Root canal treatments clean and shape the canals, disinfect the area, and seal it to prevent reinfection. Root canal treatment cleans and shapes the canals, disinfects the area, and seals it to prevent reinfection. The aim is straightforward: relieve pain and keep your natural tooth working in your bite.
When might I need a root canal treatment?
Book an assessment if you notice:
- Throbbing pain or pain that disturbs sleep
- Sensitivity to heat or cold that lingers
- Tenderness when chewing or touching the tooth
- Swelling of the gum near a tooth
- Darkening of a tooth after an injury
- A pimple-like spot on the gum that comes and goes
Early attention often means a more straightforward procedure and a shorter recovery.
What happens during the procedure?
Your appointment follows a clear sequence, so you always know the next step:
- A local anaesthetic to make the tooth numb
- A small opening in the tooth to access the canals
- Careful cleaning and shaping using rotary endodontics to improve precision and efficiency
- Disinfection of the canal space
- Sealing of the canals and placement of a temporary or permanent restoration
- A plan for final coverage, which may include a crown for strength if the tooth is heavily filled or cracked
You will receive guidance on what to expect over the next few days and how to manage any tenderness.
Which teeth can be treated?
TSB Dental and Facial Aesthetics provides root canal treatment for anterior, premolar, and molar teeth. Front teeth usually have a single canal. Premolars and molars may have multiple canals with curves that require careful shaping. The goal is always the same: a clean, sealed root system and a restoration that supports your bite.
What if a previous root canal has failed?
Sometimes symptoms return months or years later, or a new infection appears on an X-ray. Retreatment of failed root canals removes the old filling material, re-cleans the canals, and reseals them. Updated imaging and modern instruments can improve access in curved or narrow canals. A calm, staged plan helps you understand timeframes and steps.
How is dental trauma managed?
A fall, a sports injury, or a sudden impact can damage a tooth and its nerve. Management depends on the type of dental trauma you experience:
- Chipped or fractured teeth may need bonding or a crown
- Knocked-out teeth require urgent care and specific handling
- Dislodged teeth are repositioned and stabilised, with follow-up pulp care if needed
- Colour changes after injury are assessed for nerve involvement and monitored
Quick contact after an injury improves options, so call the practice as soon as possible.
How can I prepare and recover well?
A few simple steps make a visible difference:
- Eat a light meal before the appointment unless advised otherwise
- Take recommended medicines exactly as directed
- Avoid chewing hard foods on the treated tooth until the final restoration is placed
- Maintain gentle brushing and use a fluoride toothpaste
- Attend the scheduled review to confirm healing
When should you see a dentist in Cape Town?
If you have persistent tooth pain, swelling, or sensitivity that does not settle, book an appointment with us. You will receive a clear plan for endodontics, from initial root canal treatment to final restoration, and guidance for protecting your result long-term.