In the case of a severely damaged or decayed tooth, the ideal solution is to save your natural tooth through root canal therapy and restoration. Contrary to popular belief, a root canal procedure is no more uncomfortable than having a filling placed in a cavity, and can have enormous benefits to your long-term oral health. Consult with your dental professional to get answers to any other questions or concerns you may have regarding root canal therapy so you can alleviate your fears and return to your healthy smile.
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Decay:
The primary cause for root canal procedures is decay that has entered the tooth pulp chamber and progressed to the point of causing infection or abscesses. Pain and tooth sensitivity often accompanies severe decay. Root canal treatment is the best way to avoid tooth extraction and restore oral health.
Trauma:
If a tooth endures strong force such as from a sports injury, car accident or fall, the trauma can damage the tooth so badly that root canal treatment is needed. Even if trauma isn’t completely evident at first, a severed nerve to the tooth can cause it to die over time.
Genetics:
Traits of teeth like their strength are passed along through genes. Some people inherit soft teeth that are more prone to decay, making it difficult to avoid decay even with diligent oral hygiene.
Tooth fracture:
A tooth can be fractured through chewing hard foods or ice, teeth grinding or clenching, or habits like nail biting. Even hairline fractures may allow bacteria to enter the tooth’s pulp and cause infections. Once the bacteria takes hold, root canal treatment may become necessary.
Deep cavity:
Deep cavities within teeth can allow infections to thrive, eventually causing the tooth to become inflamed or die. A deep cavity isn’t necessarily painful, so patients may not even realize they have an infection. Regular dental checkups help catch cavities early, before they are able to become so deep and serious.
Previous dental work:
Extensive or repeated dental work can cause trauma to teeth nerves and associated inflammation, making root canal therapy an important solution.
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There are some common myths that circulate about root canal therapy. Instead of avoiding treatment, learn the truth about this procedure that may be the most effective way to save a damaged tooth.
Myth: Root canal treatment is very painful.
Truth: This procedure often serves to relieve pain instead of creating it. With the anesthetics and sedation dentistry available today, in most cases the procedure feels like simply getting a filling.
Myth: You don’t need root canal treatment unless you are experiencing severe tooth pain.
Fact: Pain is not always present when root canal therapy is advised by your dentist. A tooth that has died may no longer trigger pain, but treatment is necessary to eliminate infection and save the tooth. Diagnostic tests are available to help your dentist diagnose tooth problems even when pain is not present.
Myth: The benefits of root canal treatment are short-lived.
Fact: This treatment provides durable and long-lasting results, potentially for a lifetime. Since the tooth is usually topped with a crown, it can be protected indefinitely.
Myth: Root canal treatment causes illnesses.
Fact: This is one of the most common misconceptions you might run across on the internet. Based on very old research that has been proven to be wrong, the myth still exists that root canal therapy might cause various diseases. Instead, root canal treatment is safe and only improves your oral and overall health.
Myth: Tooth extraction is an adequate alternative to root canal therapy.
Fact: Dentists agree that saving your natural tooth is almost always preferred over a traumatic procedure like tooth extraction. The benefits of keeping your restored real tooth are better than having a hole in your smile or requiring tooth replacement solutions.
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Pulp capping can help patients whose root infections have not yet reached the tooth’s nerve. Root infections begin when bacteria enters the pulp of the tooth through a crack or a large cavity. In a standard root canal procedure, the pulp and nerve of the tooth is hollowed out, cleaned and sealed, typically with a crown restoration.
With pulp capping, the nerve is preserved and the tooth is often repaired with a filling instead of a crown. Pulp capping allows the dentist to clean and protect the pulp, defending it from infection with medicine. With a successful pulp cap, the dentin of the tooth begins to regrow over the pulp cap. Advancements in the sealants used during these types of procedures has allowed for a greater percentage of success.
If you have a toothache, it’s important to see your dentist immediately. Pulp capping has a narrow window in which it can be performed. If your tooth is too infected, the pulp and nerve of your tooth may already be infected, and it’s too late for pulp capping to be effective.
A pulp cap is a far less invasive procedure than a root canal treatment or a tooth extraction, and there is less recovery time and tooth sensitivity following the treatment.
If you suspect you may have a tooth in trouble, talk to your dentist now. You might be able to save yourself a root canal treatment.
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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.
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What is the procedure?:
Root canal treatment focuses on the pulp cavity, which is the inside of the tooth. When the pulp is infected or inflamed, it needs to be completely removed from the tooth in order for it to heal. It doesn’t matter if the damage to the pulp results from severe decay, tooth fracture, faulty crown, repeated dental procedures, or trauma. Even if the damage isn’t visible or causing unbearable pain, the bottom line is that the interior of the tooth must be cleaned out, disinfected and sealed to prevent future infection. A crown is typically placed on top of the tooth to protect it and complete the procedure.
Why is it necessary?:
If left untreated, an infected pulp can lead to intense pain or spread to other parts of the body. Root canal treatment is the best way to save the tooth and restore its function. Other benefits of the procedure are maintaining the tooth’s natural look, protecting other teeth from excessive wear, restoring normal chewing ability, and allowing normal sensation and biting force.
How long does it take?:
The procedure is more routine than you might think. An experienced dental professional can complete the process is one or two appointments, depending on your specific case. Once the procedure is complete, your repaired tooth should last as long as the rest of your teeth.
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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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What is root canal therapy? Although it has gotten a bad reputation over the years, it is the best way to save your tooth once infection has set in. The cause for the problem can vary, including deep tooth decay, a faulty crown, trauma, or repeated dental procedures. Once the inside of the tooth called the pulp becomes damaged, root canal treatment is the ideal solution. If you don’t seek treatment, severe pain and possible tooth loss may be in your future.
During root canal therapy, the damaged tooth pulp is carefully removed so that the interior of the tooth can be thoroughly cleaned and disinfected. Then the tooth is filled and sealed using a special material. Finally, the tooth is fully restored with a crown or filling to offer protection from future damage.
What are the positive outcomes of root canal treatment? First, it gives you back the complete function and natural appearance of your real tooth. You avoid getting a hole in your smile or needing a procedure like a dental implant. Root canal treatment restores your normal sensation and biting force, providing for efficient and painless chewing. This treatment also protects other teeth from receiving excessive wear, since your real tooth remains in place and able to take its fair share of tooth wear. Of course, treatment will also relieve the pain and other symptoms associated with your damaged tooth.
Root canal treatment is usually quite simple when performed by a qualified dental professional. Modern techniques allow the process to be as comfortable as just getting a normal filling. The procedure may be completed in only a couple of appointments and the end result will be a long-lasting, healthy tooth.
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