Sometimes a tooth is so severely damaged that the only way to save it is with root canal treatment. There is no reason to turn and run if your dentist advises this procedure. The treatment has advanced to the point that it’s often compared to getting a filling. There are certain steps that will be performed as part of nearly every root canal procedure.
Preparation
X-rays may be taken as part of the diagnosis process or to determine the extent of damage. Once the dentist is ready to begin treatment, a local anesthetic will be used to numb the area throughout the procedure.
Pulp removal
A rubber dam will be placed around the tooth to separate the area from the rest of the mouth, and to keep it dry from saliva. The tooth will be opened, often using a small dental drill, to gain access to the pulp inside the tooth. The damaged pulp will be removed, and if there is an abscess it will be drained.
Cleaning and filling
After the pulp is eliminated, the dentist will thoroughly clean the area. The root canal will be widened if needed to create an adequate space for the filling. Depending on the extent of the damage, this step of the process can take up to several hours to complete or it can be spread over more than one visit. A temporary filling is sometimes used to seal the area between visits. If infection is present, the dentist may prescribe antibiotics.
Sealing
The temporary filling will be removed and the permanent filling placed to fully seal the tooth and prevent future infection. If the tooth has been filled at the root, the risk of breaking is higher so a crown may be recommended for protection.
Crown placement
Crowns help prevent further damage or fracturing. If needed, the tooth will be reduced somewhat to allow space for the crown. It will be held in place securely with dental cement.
Recovery
After root canal treatment, the tooth should survive for many years. The procedure may be repeated if re-infection occurs.
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The goal of root canal therapy is to relieve pain, not cause it. The pain you experience before a root canal is the result of damage to the tissues in the tooth. Root canal therapy removes that damaged tissue, therefore relieving the discomfort you feel. If you are still experiencing tooth pain after undergoing a root canal procedure, it could be an indication of a problem with the treatment.
While mild discomfort is to be expected during the root canal healing process, if the pain continues or becomes more severe, it is likely an indication of a problem. There are several reasons for tooth pain after root canal treatment:
The tooth has an extra canal that was not cleaned and filled, meaning there is an extra physical root.
The tooth has a small, tight accessory canal that is difficult to locate on x-rays or hard to access with the necessary tools.
The tooth is fractured due to the damage and weakened state caused by the original decay and the access cavity that is created to begin the root canal treatment.
The root canal has become reinfected.
The small files used by your dentist to clean out the pulp of the tooth sometimes break, resulting in a failed root canal treatment.
In the days immediately following root canal therapy, it is normal to experience some tenderness of the tooth or surrounding gum. This discomfort should be easily managed with over-the-counter painkillers and should subside in a few days. If the pain does not ease in a few days or becomes more severe, contact your dental professional immediately to access your symptoms and determine if you are having root canal complications.
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Millions of root canal treatments are performed every year, and it is an effective and safe way to save a damaged tooth. Unlike its reputation over the years, modern dentistry allows this procedure to be practically painless and to provide relief from symptoms right away.
Anatomy
The first thing to understand is the anatomy of the tooth. Under the hard enamel on the outside of the tooth and the dentin below that, the interior of a tooth contains pulp. It houses the nerves, blood vessels, and connective tissues that all nourish the tooth. This allows it to grow properly and contributes to good oral health. After the tooth is fully developed, the tooth can get its nourishment from surrounding tissues and the pulp is not as necessary.
Necessity
The pulp can become infected, inflamed, or damaged by problems like decay, injury, repeated dental procedures, or a bad crown. If the damaged pulp is not treated, an abscess can develop or severe pain can result. Often, root canal treatment is the only way to save the tooth instead of having to extract it. Dentists advise that saving a tooth is almost always a better option, providing the most natural appearance, efficient function, and protection of oral health.
Procedure
Many patients report that root canal treatment is not much different for them than having a regular filling done. X-rays are taken and a local anesthetic is administered. Once numb, a dental dam is placed to protect the area during the procedure. Then the pulp is removed, the area is thoroughly cleaned, and then it is filled with special material for this purpose. The tooth is sealed for protection, and finally a crown is placed on top to protect the tooth. Most patients are able to return to normal activities immediately following treatment, and the procedure is permanent in most cases.
If you need a root canal dentist in Sicklerville, contact our office today.
If you are dealing with ongoing tooth pain, you may be too fearful to go to the dentist to find out what’s going on. It’s important that you do, however, as you may need root canal therapy. Your dentist will need to evaluate you to see if that procedure is necessary, and will closely examine several factors: the signs the dentist can see personally, the results of any tests performed during your visit, and the symptoms you have been experiencing with the problematic tooth.
Your dentist may observe:
A tooth that is discolored
X-rays that reveal a tooth problem
A fistulous tract, or persistent or recurring gum pimple
Additional testing done by your dentist:
X-rays provide an extremely clear picture of the health of the tooth
Thermal testing can evaluate sensitivity through a careful application of hot or cold temperatures
Percussion testing evaluates pain response through gentle tapping
You may have been noticing:
A broken or cracked tooth obviously decayed or damaged
A discolored tooth, especially a grey tooth
A “bubble” in your gums, like a pimple. It may or may not have ruptured, leaking pus that smells or tastes awful
Pain that shoots out from one tooth to your jaw or ear, leading to earache symptoms
Pain that prevents you from living your life without painkillers
Pain, sensitivity or swelling on one certain tooth
Extreme sensitivity to hot or cold liquids that lingers and is very painful
In some cases, an infected tooth that requires a root canal treatment has no symptoms at all that could be discerned by you. Only a dental professional can confirm the need to undergo root canal therapies. If you are experiencing pain that disrupts your life, talk to your dentist or endodontist immediately. Root canal treatments are designed to relieve the pain you’re experiencing now and to restore your tooth to full form and function. Don’t wait to get your life and smile back!
Having tooth pain or problems can be one of the most uncomfortable experiences possible. It is hard to ignore because it makes your whole quality of life worse. When infection or decay reaches the inner parts of your tooth, it can cause many miserable symptoms. Often the key is getting root canal treatment to save your tooth and alleviate your symptoms. Here are some warning signs that indicate you might need this type of treatment.
Severe pain: Although not always present, severe pain sometimes occurs with a tooth that needs root canal therapy. It may be sharp, intense pain or a dull ache that won’t subside. If you experience tooth pain that is severe or lasts for several days, see your dentist for an evaluation. If root canal treatment is necessary, any pain you may have will likely disappear after a successful procedure.
Sensitivity to hot or cold: Discomfort when consuming hot or cold items is another sign of a problem. Mild sensitivity is usually not a big deal, but actual pain when your tooth hits these temperatures may mean the tooth is in an advanced stage of trouble.
Gum tenderness or inflammation: Swelling or tenderness is often associated with infection, although it doesn’t always mean infection is present. Your dentist can determine the seriousness of the issues and whether root canal treatment is advised. Watch for tenderness, swelling, or even a lump in the affected area.
Darkened tooth: Discoloration is a sign that the nerves of a tooth are damaged. The tooth may become gray, black or dark yellow. Tooth discoloration is also related to trauma, damaged fillings or severe decay, so visiting your dentist for a checkup is recommended.
Gum boils: If lesions similar to a pimple form in the gum tissues, it is called a gum boil. It is usually an accumulation of pus, which can be linked to infection. The boil may be larger or smaller at certain times, depending on the activity of the infection in your mouth. It will feel tender and can cause swelling in the area, and you may notice a bad taste in your mouth.
If you have symptoms such as these, see your dentist to learn if root canal treatment is the solution.
A toothache can make everything seem terrible. Your mouth hurts, your head aches, you can’t eat what you want, you can’t sleep comfortably – in general, you feel awful! Your tooth pain may be a result of decay that has caused an infection in your tooth pulp, calling for root canal therapy.
What does that mean exactly? When the inside of your tooth or the pulp becomes infected, it causes the tooth to deteriorate and cause pain and sensitivity. Action is needed to eliminate the infection and protect the tooth from worse damage. Root canal treatment is the best solution because the damaged pulp is removed and the inside of the tooth is thoroughly cleaned and restored.
To accomplish a root canal procedure, your dentist will drill a small hole in your tooth to access the pulp and expertly remove it. Once the area is cleaned and disinfected, your tooth will be filled with a special material and sealed for protection. Finally, a dental crown is usually placed on top to complete the root canal procedure. You are left with a fully repaired and protected tooth.
What benefits does root canal treatment provide?
Pain is eliminated with the repair of your tooth and removal of infection.
Your ability to chew and bite foods will return to normal.
You will no longer experience tooth sensitivity to hot or cold items.
The damaged tooth will be restored so that it looks natural in your smile.
Your other teeth won’t have excessive wear to make up for the damaged tooth.
With the advances in dentistry making root canal therapy faster and less painful, your procedure may be completed in as little as one trip to the dentist. Once the process is complete, you can expect your fully restored tooth to last as long as the rest of your teeth.
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