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.
Root Canal Dentist, Tooth Pain and Endodontic Disease
What Are the Most Common Symptoms of Endodontic Disease?
Endodontic disease can manifest itself with a wide variety and combination of symptoms. Common symptoms of endodontic disease include:
- Lingering tooth sensitivity to cold liquids.
- Lingering tooth sensitivity to hot liquids.
- Tooth sensitivity to sweets.
- Tooth pain to biting pressure.
- Tooth pain that is referred from a tooth to another area, such as the neck, temple, or the ear.
- Spontaneous toothache, such as that experienced while reading a magazine, watching television, etc.
- Constant or intermittent tooth pain.
- Severe tooth pain.
- Throbbing tooth pain.
- Tooth pain that may occur in response to atmospheric pressure changes, such as when flying or scuba diving.
- Tooth pain that may occur in response to postural changes, such as when going from a standing to a reclining position.
- Tooth Swelling.
If you have any of these symptoms, it would be wise to see your dentist because you might have root canal disease or another dental problem.
Some of these endodontic disease symptoms may also be attributable to decay, defective fillings, periodontal diseases, cracked teeth, or other tooth or bite-related problems.
On other occasions, the symptoms may even be caused by disorders that are not related to the teeth.
Why May Endodontic Disease Cause Swelling?
When the pulpal tissue becomes severely diseased and necrotic, the resultant infection can spread from inside the tooth into the adjacent bone and soft tissues. As a result, swelling can occur in the tissues immediately surrounding the tooth.
If this situation is not treated and the endodontic disease process is not kept under control by the body's defenses, the infection can begin to spread into other tissue spaces, such as those around the eye or in the neck. In some situations, this can become a serious medical emergency.
By Clifford J. Ruddle, DDS, in collaboration with Philip M. Smith, DDS
+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.