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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.

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Dental Visits - The Endodontic Examination Appointment

On most occasions, the endodontic examination and the endodontic consultation take place at the same visit. Most dentists prefer this. This section will look at each process separately.

What Is the Purpose of the Endodontic Examination?

The purpose of the endodontic examination is to determine the state of health of the pulpal tissues of a tooth or group of teeth. The dentist hopes to collect specific information to assist in diagnosis and treatment planning. During the examination portion of the visit, the dentist will:

• Review the patient's medical history and evaluate the patient's current medical status and in order to determine how it might influence the dental diagnosis and/or treatment plan.
• Review the patient's dental history and, in particular, its relationship to the specific reason for the visit, also called the "chief complaint."
• Perform a thorough clinical examination.
• Perform certain endodontic tooth tests to help establish an accurate diagnosis of the condition of the pulpal tissue.
• Perform a radiographic examination. Two or three different radiographic angles of the same area are often required to adequately visualize the various teeth, the root canal spaces within each tooth, and the surrounding bone and structures. Since a single radiograph is a two-dimensional picture of a three-dimensional object, two or more radiographs with different angulations can provide important additional information. Radiographs reveal many things that the dentist is unable to see with the clinical examination alone.

What Is the Purpose of the Endodontic Consultation?

The purpose of the endodontic consultation is to present a root canal treatment plan to the patient. Once the dentist has collected and evaluated all of the diagnostic information, the goals of the consultation visit are to:

• Share the examination findings and the resultant diagnosis with the patient.
• Discuss the prognosis.
• Discuss the treatment recommendations and any perceived complications.
• Discuss the treatment alternatives and their respective ramifications.
• Discuss the number and length of appointments necessary to complete the recommended treatment.
• Review the cost of the recommended treatment and the various treatment options.
• Answer questions that the patient may have regarding the diagnosis and various treatment options.

On occasion, the dentist may need to consult with other professionals or obtain additional information before all of the goals listed above can be accomplished.

By Clifford J. Ruddle, DDS, in collaboration with Philip M. Smith, DDS