Learn About - Periodontics

Root Canals: Everything You Ever Wanted to Know

Why are root canals done?

Root canal therapy is required when the nerve of the tooth becomes irreversibly damaged. This damage can occur from decay, trauma, or a crack in the tooth.

What is a common root canal symptom?

Pain, swelling, and sensitivity to hot or cold. Another indication of nerve damage is the tooth becoming darker in color. Sometimes, it can only be diagnosed with an x-ray or other tests by an endodontist.

What is done during a root canal procedure?

The purpose of root canal therapy is to clean out the infected tooth pulp tissue within the roots. After all the nerve has been removed, the canals are filled with a sealer.

How long will the procedure take?

Generally, root canals take one or two appointments for a front tooth (anterior), and two or three appointments for a back tooth (posterior). A tooth can have from one to four roots; all of the roots must be treated. Difficult cases may require even more visits.

Will the tooth need any more work after the treatment is finished?

Yes, the tooth will require a permanent restoration. This could range from a simple filling to a large build-up with posts and pins. The tooth is more brittle after a root canal treatment and therefore is more susceptible to fracture. If the filling is large, the tooth may need a crown as well. A crown protects the tooth from breaking.

Isn't it simpler to take out the tooth?

It may seem simpler to have the damaged tooth removed; however, it is really much healthier and more economical to save it. If the extracted tooth is not replaced, the teeth next to it can drift into the empty space. Replacing an extracted tooth involves either expensive bridgework or a partial denture.

Will the root canal procedure hurt?

During the actual treatment, your tooth will be numb as it would be for simply filling a cavity. The treatment is usually started because the tooth is sensitive; it may take a day or two for the tooth to get back to normal. Generally a mild painkiller is enough to keep you comfortable during this time. If something stronger is needed, your endodontist will prescribe it. If the tooth is badly infected, an antibiotic may be needed as well.

How much will it cost?

The cost of root canal treatment and therapy varies with the number of canals which need to be treated. There will be a separate charge for the restoration, depending on the extent of the procedure. Your dentist will be glad to discuss the charges with you for all the expected treatment.

+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.

Tooth Pain Can Drive a Sane Person Mad

Tooth pain is one of the most unpleasant sensations the human body can produce. But dental pain serves an important purpose: it's your body's way of telling you that there is a problem with your oral health.

Teeth pain can indicate all sorts of dental maladies. Painful teeth can be a result of tooth decay and dental cavities. Swollen and painful gums suggest gingivitis or periodontal disease. Jaw pain may come from TMJ disorder. Sensitive teeth could be a result of crooked teeth that need braces or orthodontics.

Your general or family dentist can help you discover the source of your oral pain, decide on a course of treatment, and recommend a dental specialist if you need one.

If Your Tooth Hurts, You May Need a Root Canal

A tooth abscess is a bacterial infection inside of your tooth and oral tissues, and it's a common cause of oral pain and swelling. It happens when bacteria are able to creep inside the tooth as a result of injury, decay, gum disease, or damaged dental work.

Once the inside of a tooth -- the "tooth pulp" -- gets infected, it needs to be removed so the infection does not spread further. This is the goal of root canal therapy.

During root canal treatment, a root canal dentist or endodontist opens up the infected tooth, exposing the pulp within. The infected tissue is manually removed. The inside of the tooth is then filled with endodontic material that cannot get infected.

Once a dental crown is attached to the top of the tooth, your tooth is almost as good as new! It will look and feel like the rest of your teeth, and it's still totally attached. You'll just need to practice good oral hygiene to prevent any future dental infections.

+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.