Visit our Blog for a comprehensive, 13 page discussion on diagnosis and treatment of a painful tooth.

Pulpotomy – an emergency root canal treatment – in an upper right first molar tooth for a patient who had a painful tooth and radiating jaw pain. 1) Initial photo of the molar. A huge carious lesion – tooth decay – was visible in the x-ray. 2) Initial preparation for tooth cavity removal. 3) Pulpotomy performed within the pulp chamber. 4) Nerve tissue being removed (arrows). How to pictures.

A combination of different sources of oral pain in an emergency patient who had ignored prior symptoms and was now having a lot of mouth pain. The impacted wisdom tooth was the source of jaw pain and gum pain. The adjacent second molar was also the source of the painful tooth and gum pain even though it previously received root canal therapy; it was percussion sensitive. 1) Pre-op x-ray. 2) Tooth #31 had a temporary dental filling in it. 3) – 4) After removal of the tooth crown of #32 showing the residual empty tooth socket. Pictures 5) – 6) Minimal gum flap reflected to show exposure of the tooth roots of #32 with sectioning – cutting. 7) Removal of first root. 8) Second root brought forward in socket and ready for removal and stitches.