Removal of the nerve of the tooth

/ Removal of the nerve of the tooth

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For what reasons may you need to remove the nerve of the tooth

The most common cause that serves to remove the nerve is a neglected dental disease, most often it is pulpitis (inflammation formed as a complication of deep untreated caries). Also, caries appears as a result of improper therapy or dental filling, which leads to the pulling out of the dental unit.

When it is imperative to remove the nerve: the main indications

In some situations, depulpation of the nerve is an optional operation: it is possible to keep the tooth “alive”, or the patient is not at all concerned about this organ. There are also a number of contraindications, in which it is not possible to carry out the procedure at the moment and in the future.

However, there are a number of reasons when nerve removal is inevitable:

  • Prosthetics. If you plan to install crowns or bridges and fix them, then it is necessary to carry out the procedure, since this is one of the main preparatory stages.
  • Unprofessional treatment. Often, the patient's ignoring the recommendations for treatment given by the doctor, as well as outdated therapy, are the reasons for removing the nerve.
  • Launched inflammatory process. Inflammations are also the result of an untreated cyst, granuloma, or periodontitis. The disease progresses, causing pain and depulpation of the nerves.

What are the methods of treatment

In total, dentistry resorts to 2 main depulpation methods: removal with arsenic or with the help of a pulp extractor tool. The first method is considered already more outdated, and is used quite rarely. The second version of the procedure is modern and fastest.

Nerve depulpation with arsenic

The stages of this operation are divided into:

  • Tooth preparation with a drill.
  • Root canal expansion.
  • Placing arsenic in the cavity.
  • Installation of a temporary filling for 3 days.
  • Removal of fillings and removal of dead tissue.

Since arsenic is a poison, the remedy has a negative effect on the nerve and dental tissues, which soon destroys them. Therefore, in the application of this technique, with the advent of the latest technology, there is no need.

Removal of the nerve through the pulp extractor

The pulp extractor is a special tool in the form of a rod with teeth. The design, due to its shape and size, allows you to penetrate into specific areas of the root canals and determine their depth, which can significantly reduce the risk of injury.

After the procedure, a temporary or permanent filling is also laid (determined taking into account the occurrence of complications).


As a rule, after depulpation there are no discomfort or pain. However, if for a long time (a week or more) pain is felt, an unpleasant pulsation when pressing on the tooth, or there is a strong painful reaction to cold / hot, then you should immediately visit the dentist.


  • Removal of the nerve of the tooth
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