Learn About - Dental Pain

The Endodontist and a Successful Root Canal Treatment

Many international scientific studies demonstrate that root canal treatment is generally successful and provides an excellent long-term prognosis when the dental surgery is properly performed utilizing sound biological and mechanical concepts. As with any clinical situation, there are factors that must be considered when discussing root canal procedure outcomes with your dentist or endodontist:

1. Root canal treatment has not always been as successful as it is today. Fortunately, the guiding principles of modern endodontics can now be utilized to deliver very predictable results over a patient's lifetime. Some of these principles were unknown or misunderstood in the past and, consequently, many teeth have had endodontics treatment based on concepts, techniques, and materials that are not considered optimal by today's standards. Even so, some of these teeth have given, and will continue to give, additional years of good service. In other instances, previously treated teeth exhibit bacterial leakage that may or may not be accompanied by clinical symptoms. Failing endodontically treated teeth can generally be successfully retreated by an endodontist using modern biological concepts, technologies, and techniques.
2. Root canal treatment can be successful even if a tooth is severely damaged by decay, trauma, or other destructive events. In cases such as this, it may be necessary to reinforce the tooth by placing a post into the root before a crown can be placed. In these situations, the root canal dentist must weigh risks versus benefits during the treatment planning process.
3. The success of root canal treatment is greatly enhanced when the tooth receives a protective restoration after completion of the treatment. When a protective crown is not placed, the root canal filling may leak or the tooth may develop additional decay or even fracture. Once a root fracture has occurred, there is generally no predictable treatment or dental surgery to save the tooth.
4. For an endodontic treatment to be successful, the periodontal supporting structures of the tooth must be healthy or capable of being returned to a state of health with periodontal treatment. Other specialty consultations may also be necessary depending on the findings in a particular situation.
5. To insure that root canal treatment is working, the particular tooth should be evaluated over time. Teeth are subject to enormous shifts in temperature (such as hot coffee vs. ice cream), tremendous mechanical loads (in pounds per square inch), and constant exposure to the bacteria in saliva. Periodic re-evaluation allows the dentist to examine the results of past treatments and to intervene early if new damage or breakdown is occurring.

As with any human endeavor, there are certain clinical situations in which dental surgery does not work even with the best efforts that modern dentistry can offer. Fortunately, these cases are infrequent and, if they occur, many of the teeth can be successfully retreated by an endodontist. A root canal procedure, when appropriately planned and well-performed by your dentist or endodontist, is the most cost-effective and predictable treatment alternative in most clinical situations.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Abscess Tooth Pain Means It's Time To See the Dentist

A tooth abscess, sometimes called a root abscess, is a pus-filled bacterial infection located at the point where the root of a tooth meets the jawbone. Sounds gross, right? Well, it totally is. It's also very painful, and can lead to serious health complications, up to and including death.

An abscessed tooth is one dental accessory you can definitely do without. The best way to avoid dental abscesses is to practice good oral hygiene all of the time. Many tooth abscesses begin with simple tooth decay or gum disease. Over time, these dental problems let bacteria reach deep within teeth and other parts of the mouth.

Teeth Abscesses Can Have Dangerous Consequences

Abscessed teeth can happen any time bacteria can reach inside of the teeth or gums. This can be because of untreated dental decay, periodontal disease, cracked dental work, or unsuccessful root canal treatment. Even a tooth injury can leave a tooth cracked and vulnerable to bacteria.

If you don't treat an abscessed tooth, tooth damage will become more severe, and the infection can spread. In the worst-case scenario, a dental infection can actually spread to your brain and kill you. (Maybe remembering that your teeth are so close to your brain will help motivate you to take better care of them!)

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.