In the situation that a tooth is considered so threatened (because of decay, cracking, and so forth.) that future infection is considered likely or inevitable, advisable to avoid such infection. Usually, some inflammation and/or infection is already present within or underneath the tooth. Tooth slooth (this is the place the patient is asked to clamp down upon a plastic instrument; helpful if the patient complains of pain on biting as this can be utilized to localize the tooth). To fix the infection and save the tooth, the dentist drills into the pulp chamber and evacuates the infected pulp and then bores the nerve out of the root canal(s) with long needle-shaped hand instruments known as documents. The endodontist makes an opening through the enamel and dentin tissues of the tooth, usually using a dental drill fitted with a dental burr.
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