Have you been told that you may need a root canal treatment? Are you worried because of things you’ve heard in the media about how “awful” a root canal is? Don’t worry about what you’ve heard; endodontic therapy isn’t at all what you’d think. Let’s debunk some myths!
- Myth #1: Root canal treatment is very painful. This isn’t true! In fact, a root canal treatment is performed specifically to relieve a patient’s pain, not to cause more. After a root canal treatment, you might feel some tenderness, but the pain you felt when the damaged tissue and infection was still inside the tooth will be completely gone. Once the swelling from the procedure has gone down, you will be able to use your new tooth exactly the way you could use your natural tooth when it was completely healthy.
- Myth #2: Root canal therapy or other endodontic work can lead to disease elsewhere in the body. Another falsehood! Root canal treatments don’t spread disease to the rest of the body, rather, they remove infected tissue and bacteria from the body, preventing the affected tooth from becoming re-infected.
- Myth #3: Extraction is better than root canal treatment. Extraction is not preferred to root canal treatment! Whenever possible, it’s preferred to keep your natural tooth. Your natural tooth’s roots stimulate and preserve the bone of your jaw, as well as providing adequate support to the surrounding teeth. Dental implants or dental bridges can be problematic, both in function and in dietary restrictions. In fact, an extraction can lead to several prolonged appointments to perform replacement procedures, treatments that are far more involved than a root canal treatment.
Endodontic treatment is an extremely common dental procedure that can provide durable, long-lasting restorations that will function as your natural tooth did. If you believe you may need a root canal treatment, talk to your endodontist or dentist today to see how this successfully proven treatment can help you and your smile needs.
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If you are about to undergo root canal treatment to save a compromised tooth, your oral surgeon or dentist will likely provide you with a list of aftercare instructions. It is vitally important that you follow these recommendations to avoid complications and ensure the success of your endodontic treatment.
There are a few tips you can follow to speed up your recovery time, promote healing, and prevent serious dental problems and infections following root canal treatment:
- Do not chew on the treated side of your mouth until all of the numbness from the anesthetic has worn off completely.
- To manage swelling, apply an ice pack or bag of frozen peas on the treated area for thirty minutes. Repeat once an hour for about fifteen minutes each time until swelling subsides.
- For several nights after treatment, keep your head elevated while sleeping.
- Gently rinse your mouth with warm salt water regularly for the first few days after root canal treatment.
- Refrain from smoking for a minimum of 24 hours and try to curb tobacco usage as much as possible during the healing period.
- Avoid strenuous physical activity or exercise for 48 hours after your root canal procedure.
Contact your dentist immediately if you experience any excessive swelling or pain, the appearance of a rash or hives, or a return of original symptoms. By listening to the recommendations of your dentist, and following these extra tips, you can assure yourself the best chance of a rapid and complication-free recovery from root canal treatment.
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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!
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