Posts for tag: root canal
Here's the bad news: One of your teeth has tooth decay. But here's even worse news: The decay has entered the pulp and root canals in the heart of the tooth. You're well on your way to losing that tooth.
But cheer up—root canal therapy might save your decayed tooth. We use root canal therapy to remove the infection from within a tooth and then fill the resulting empty spaces to prevent further infection. This routine procedure has saved millions of teeth.
But alas, along the way root canals somehow became a cultural symbol for unpleasantness. In reality, there's nothing further from the truth—the procedure itself is painless, and may even stop any pain caused by tooth decay.
So, let's take the mystery out of root canal therapy—the more you know, the less wary you'll feel. Here's what to expect if you undergo this tooth-saving procedure.
Preparation. We start by numbing the tooth and surrounding gums with local anesthesia. While we're waiting for the anesthesia to take full effect, we isolate the tooth with a dental dam to prevent cross-contamination to other teeth.
Access. Next, we drill a small opening into the tooth to access the pulp and root canals. If it's one of the large back teeth, we drill the hole in the tooth's biting surface; in a narrower front tooth, we make the access opening in the rear surface.
Removal. We remove tissue from the pulp and root canals using special instruments. Afterward, we thoroughly disinfect the pulp and canal interiors with an antibacterial solution to ensure we've stopped the infection.
Filling. After re-shaping the root canals, we fill them and the pulp chamber with gutta percha, a rubber-like material ideal for this type of dental situation. We then fill and seal the access hole. In a few weeks, you'll return to have a permanent crown installed to further protect the tooth.
You may have some minor discomfort that's usually manageable with mild pain relievers, and should dissipate over a few days. The good news, though, is that we've more than likely saved a tooth that might have otherwise been lost.
If you would like more information on treating a decayed tooth, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “A Step-By-Step Guide to Root Canal Treatment.”
If the words “root canal” frighten you, what you probably don't know is that “root canal treatment” doesn't cause pain, it alleviates it — by treating infection deep in the root of your tooth.
- What is a root canal? The central chamber of a tooth contains the living vital tissues comprising the pulp including its nerves and blood vessels. The interior of the tooth's roots containing the pulp make up its root canals.
- How do I know if a tooth has a root canal infection? Symptoms of root canal infection may include sharp, intense pain when you bite down, a dull ache or pressure, or tenderness and swelling in gums near an infected tooth. There may be lingering pain after eating cold or hot foods. However, sometimes an infected tooth may stop hurting and you no longer feel pain. This doesn't mean the infection has gone, only that the nerve may have died. Make an appointment if you suspect that you have any or some of these symptoms.
- Why would a tooth need root canal treatment? If the tissues in the root canal/s become infected or inflamed because of deep decay or trauma to a tooth, root canal treatment is needed to treat the infection and save the tooth. If left untreated, root canal infection can spread into the bone immediately around the root.
- What takes place in a root canal procedure? After a local anesthetic is administered to numb the tooth and surrounding area, a small opening is made in the biting surface for a back tooth, or behind a front tooth. Dead and/or dying tissue is removed from the pulp chamber and the root canals are cleaned, disinfected, and sealed to prevent future infection.
- What can I expect afterwards? Your tooth may feel tender or sensitive for a few days. You can take over-the-counter non-steroidal anti-inflammatory medication, aspirin or ibuprofen, for example, to relieve pain or discomfort. Contact us if you have pain that lasts more than a few days. A crown is usually needed to protect the tooth following root canal treatment. Further arrangements need to be made for this stage of the procedure. Don't chew on the affected tooth until symptoms subside and the tooth has been restored as necessary.
- Who performs root canal treatment? While all general dentists have received training in endodontic treatment and can perform most endodontic procedures, in complicated situations you may be referred to an endodontist, a specialist in root canal diagnosis and treatment.
Contact us today to schedule an appointment to discuss your questions about root canal treatment. You can learn more by reading the Dear Doctor magazine article “Common Concerns About Root Canal Treatment.”