make a small hole in the back of the tooth and we access that area where the nerve and the blood vessel live up in the top part of the tooth here in the crown. once we’re in there, we use some tiny skinny little instruments that work their way down through the root of the tooth and clean that area out. then we fill that part of the tooth in with some specialized material that’s specifically made for filling in root canals. once that’s done, we come back up to the crown of the tooth and in the case of a front tooth like this, many times we can 