A Proven Way to Avoid Tooth Extraction
Root canal therapy is needed when the nerve of a tooth is affected by decay or infection. In order to save the tooth, the pulp (the living tissue inside the tooth), nerves, bacteria, and any decay are removed and the resulting space is filled with special, medicated, dental materials, which restore the tooth to its full function.
Having a root canal done on a tooth is the treatment of choice to save a tooth that otherwise would die and have to be removed. Many patients believe that removing a tooth that has problems is the solution, but what is not realized is that extracting (pulling) a tooth will ultimately be more costly and cause significant problems for adjacent teeth.
Root canal treatment is highly successful and usually lasts a lifetime, although on occasion, a tooth will have to be retreated due to new infections.
Signs and symptoms for possible root canal therapy
- An abscess (or pimple) on the gums.
- Sensitivity to hot and cold.
- Severe toothache pain.
- Sometimes no symptoms are present.
- Swelling and/or tenderness.
Reasons for root canal therapy
- Decay has reached the tooth pulp (the living tissue inside the tooth).
- Infection or abscess have developed inside the tooth or at the root tip.
- Injury or trauma to the tooth.
What does root canal therapy involve?
A root canal procedure requires one or more appointments and can be performed by a dentist or endodontist (a root canal specialist).
While the tooth is numb, a rubber dam (a sheet of rubber) will be placed around the tooth to keep it dry and free of saliva. An access opening is made on top of the tooth and a series of root canal files are placed into the opening, one at a time, removing the pulp, nerve tissue, and bacteria. If tooth decay is present, it will also be removed with special dental instruments.
Once the tooth is thoroughly cleaned, it will be sealed with either a permanent filling or, if additional appointments are needed, a temporary filling will be placed.
At the next appointment, usually a week later, the roots and the inside cavity of the tooth will be filled and sealed with special dental materials. A filling will be placed to cover the opening on top of the tooth. In addition, all teeth that have root canal treatment should have a crown (cap) placed. This will protect the tooth and prevent it from breaking, and restore it to its full function.
After treatment, your tooth may still be sensitive, but this will subside as the inflammation diminishes and the tooth has healed.
You will be given care instructions after each appointment. Good oral hygiene practices and regular dental visits will aid in the life of your root canal treatment.
Frequently Asked Questions
Q.
Is root canal therapy painful?
Root canal therapy is typically no more uncomfortable than getting a filling. The tooth is numbed during treatment, and most patients experience relief from pain caused by infection soon after the procedure.
Q.
How long does a root canal-treated tooth last?
Root canal treatment is highly successful and often lasts a lifetime when followed by proper restoration, such as a crown. Regular dental visits at Lakeside Family & Cosmetic Dentistry help ensure long-term success.
Q.
Why is a crown recommended after root canal therapy?
After root canal treatment, the tooth can become more fragile. Placing a crown helps protect the tooth from breaking and restores full chewing function.
Q.
What happens if I delay root canal treatment?
Delaying treatment can allow infection to worsen, potentially leading to abscess formation or tooth loss. Early treatment helps preserve the tooth and prevent more complex dental issues.
Q.
How many appointments are needed for root canal therapy?
Root canal therapy usually requires one or two appointments, depending on the severity of infection and the tooth involved. Your dentist will determine the best treatment timeline for your situation.
Q.
Will my tooth feel normal after root canal treatment?
Some mild sensitivity is normal after treatment and typically fades as healing occurs. Once restored with a filling or crown, the tooth should function like your natural teeth.