At times, the nerve under a tooth can be subjected to decay or infection. When this happens, a root canal procedure is necessary to correct the situation. To ensure tooth survival, along with the damaged nerve, the pulp (living tissue) inside the tooth must also be removed. The empty space is then filled with medicated dental materials, designed to restore the tooth to perfect functionality.
A root canal procedure is the best treatment for saving an infected tooth that would otherwise die and fall out on its own. Many patients believe that removing an infected tooth is the best way to stop it. This is not true because the underlying infection can easily spread to adjacent teeth, with the end result being multiple root canal procedures having to be done instead. Root canals are almost always successful and most last a lifetime. If for any reason a new infection begins to form, the tooth can easily be retreated.
1. What is a Root Infection and How Do I Know If I Have One?
When the bottom section (below the gum) of a tooth develops a cavity, either through decay or a fracture, this gap quickly fills up with nasty bacteria. This is very bad for the health of teeth and gums and puts a great strain on surrounding tissues. If left untreated, it can cause tooth loss, bone degeneration, and gum disease.
The symptoms of a root infection can sometimes be very easy to spot and a little trickier at other times. In fact, you really do not want the symptoms to be too obvious because if they are, you likely have an abscess. This is a very painful condition and it only occurs if a dental problem has been allowed to deteriorate.
In some cases, root infections may present mild pain, but to make sure that they are spotted early, keep up with regular dentist appointments. That way, a root canal can be scheduled before any irreversible damage is done to the pulp inside the affected tooth. This will give you a very high chance of being able to keep it. On the other hand, if the infection has been allowed to fester for too long, the tooth may need to be extracted.
2. Is it expensive?
Saving your tooth through endodontic treatment is less expensive and less invasive than an extraction and replacement with a bridge or implant. Cost will depend on your dental insurance coverage. Our staff will help with getting your insurance information and let you know the cost of your root canal.
3. How long does the repaired tooth last?
Potentially, the repaired tooth lasts a lifetime! If the patient has a good oral care routine and visits the dentist twice a year for cleanings and exams, the restored tooth should have a long life.
4. What is a root canal procedure?
During root canal treatment, the tooth pulp and tooth roots are cleaned to remove microbes that cause infection, and a filling material is placed in the roots.
The procedure is performed when the tooth pulp has become infected (a condition known as pulpitis) or when the infection has spread to the roots or jawbone.
Microbes and infected tissue are removed from the pulp and roots using special needles and chemical rinsing substances. After the tooth has been disinfected, a filling material is placed in the root canal.
5. What problems and pain can occur due to the root canal procedure?
Root canal treatment usually requires multiple relatively long visits (30-90 minutes per visit). The mouth has to be kept open during the treatment, and as a result, jaw joints and the muscles that keep the mouth open often get tired.
Local anesthesia used in dental procedures is effective in preventing root canal pain during the treatment. It may not work properly in rare cases, such as when the infection has spread widely and caused changes in the acidity of the surrounding tissue.
Sometimes, teeth become discolored and turn dark or grey following a root canal treatment. This discoloration is caused by bleeding inside the tooth or by the filling material used in the procedure. Discolored teeth can be whitened.
6. What can I do if root canal therapy doesn’t work?
At times, a root canal won’t be able to save your tooth. One of the best alternatives to root canal therapy is a tooth extraction. If your dentist recommends this dental procedure, you will also need a tooth implant or dental bridge in order to restore full functionality of your mouth and smile.
7. Should I be worried about X-rays?
No. While x-rays will be necessary during your endodontic treatment, we use an advanced non-film computerized system called digital radiography that produces radiation levels up to 90 percent lower than those of already low dose conventional dental x-ray machinery.
8. Is there any other method to reduce my anxiety besides local anesthesia?
We are very sensitive to the fact that, no matter how well-informed you are about the procedure, you may still experience anxiety. Protecting your oral health is our top priority, and we don’t want you to forgo treatment because you’re fearful about the procedure. In that case we offer sedation options that will calm you so that you can get the treatment you need.
9. How will I feel after a root canal?
Your tooth may feel a little sensitive after the procedure, but you’ll finally be out of pain! If you’re experiencing soreness or sensitivity, you can take over-the-counter medications.
10. Will the tooth need any special care or additional treatment?
After your root canal procedure, you should be careful not to bite or chew on the treated tooth until it has recovered. We encourage all patients to practice good daily oral care that includes flossing and brushing.