Treatment FAQ

root canal treatment when is it necessary

by Travis Erdman Published 2 years ago Updated 1 year ago
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Patients typically need a root canal when there is inflammation or infection in the roots of a tooth. During root canal treatment, an endodontist

Endodontics

Endodontics (from the Greek roots endo- "inside" and odont- "tooth") is the dental specialty concerned with the study and treatment of the dental pulp. Endodontists perform a variety of procedures including endodontic therapy (commonly known as "root canal therapy"), endo…

who specializes in such treatment carefully removes the pulp inside the tooth, cleans, disinfects and shapes the root canals, and places a filling to seal the space.

Root canal therapy is necessary when oral bacteria invade the pulp inside of your tooth. This usually happens when a cavity is left untreated for a long time. It can also occur if your tooth becomes cracked or damaged due to trauma.Sep 7, 2021

Full Answer

How long does it take to recover from a root canal?

Typically, patients with mild cases can recover from root canal treatment within a few days. However, for those who have complicated cases, it may take a bit longer. Longer healing times are often caused by an infection that was present before or after the treatment.

What to do when waiting for a root canal?

Part 1 Part 1 of 3: Treating Pain at Home Download Article

  1. Take pain medication. Your dentist may prescribe a pain reliever for you to take after the root canal.
  2. Use ice to relieve pain. Ice can temporarily numb the pain from your tooth. ...
  3. Use a saltwater solution. ...
  4. Bite down on a fruit or vegetable. ...
  5. Make a tea compress. ...
  6. Apply an asafetida paste. ...
  7. Use a heat pack. ...
  8. Know when to contact your dentist. ...

What should I expect when getting a root canal?

  • Severe pain or pressure lasting more than a few days
  • Visible swelling inside or outside your mouth
  • An allergic reaction to medication (rash, hives or itching)
  • Your bite feels uneven
  • The temporary crown or filling, if one was put in place, comes out (losing a thin layer is normal)
  • Symptoms you experienced prior to treatment return

What happens when you undergo a root canal treatment?

When you undergo a root canal or other endodontic treatment, the inflamed or infected pulp is removed and the inside of the tooth is carefully cleaned and disinfected, then filled and sealed with a rubber-like material called gutta-percha.

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When is a root canal necessary?

Root canals are needed for a cracked tooth from injury or genetics, a deep cavity, or issues from a previous filling. Patients generally need a root canal when they notice their teeth are sensitive, particularly to hot and cold sensations.

Is root canal treatment always necessary?

Root canal treatment is needed when dental X-rays show that the pulp has been damaged by a bacterial infection. The pulp may become inflamed if it's infected by bacteria, allowing the bacteria to multiply and spread. The symptoms of a pulp infection include: pain when eating or drinking hot or cold food and drink.

What are the indications for root canal treatment?

What are the signs of needing a root canal?Severe pain while chewing or biting.Pimples on the gums.A chipped or cracked tooth.Lingering sensitivity to hot or cold, even after the sensation has been removed.Swollen or tender gums.Deep decay or darkening of the gums.

What happens if I don't have root canal treatment?

The only option apart from a root canal is extraction of the tooth. If you do not undergo treatment or get the tooth removed, then the consequences can be severe. If left untreated, the bacterial infection can spread to the jaw, brain, blood and rest of the body.

What is the alternative to a root canal?

An alternative to a root canal is a tooth extraction, in which your dentist can replace a damaged tooth with a bridge, partial denture, or implant. This can be an expensive treatment and usually requires several visits to your doctor. If you're a candidate for a root canal, you'll likely experience less pain over time.

Can you heal a root canal naturally?

The short answer is no, a tooth that needs a root canal cannot heal itself. The long answer is fairly straightforward. The infected tissue inside a tooth cannot heal by itself and will only get worse over time if left untreated. Even if you experience no pain, you should still seek treatment.

How long does a root canal last?

According to this report, 98 percent of root canals last one year, 92 percent last five years, and 86 percent last ten years or longer. Molars treated by endodontists had a 10 year survival rate, significantly higher than that of molars treated by general dentists.

What are the 3 stages of root canal treatment?

Root canal treatment is done in 3 stages:Stage 1: involves removal of the dead nerve and the gross infection. ... Stage 2: this involves further cleaning and shaping of the canals. ... Stage 3: this is the last stage in the completion of treatment which involves filling the canals with an inert filling material.

What are the symptoms of a root canal infection?

The signs of root canal infection are:Persistent pain. Some people have persistent pain in their teeth. ... Extreme sensitivity. ... Swollen gums. ... Loose teeth. ... Foul taste in your mouth. ... Tender teeth and gums. ... Swollen glands or face pain. ... Pus around the root.More items...•

Can I wait 6 months to get a root canal?

If you enroll in a dental insurance policy that includes waiting periods, you may be waiting 6 to 12 months to receive coverage for major services. If you are in urgent need of a root canal, you can reduce your out-of-pocket expenses by buying dental insurance with no waiting period.

Can I wait a month for a root canal?

If you wait a long time to undergo a root canal, bacteria will attack the tip of the tooth's root, causing serious bone loss. Such bone loss can result in tooth loss.

Can I avoid a root canal?

Root canals are performed when bacteria, introduced through a cavity or crack, compromise the nerves located inside the tooth. The bacteria cause an infection, which eventually kills the nerves. But root canals can be avoided, Teitelbaum says, in cases where the nerves are not yet infected.

What happens if you wait too long to get a root canal?

Pus coming from a tooth While an infected tooth can be easily treated in its early stages, waiting too long to treat it can have horrible consequences. The infection can lead to the loss of the tooth as well as spread to other areas of the body like the heart and brain.

What happens if you delay a root canal?

If you delay root canal treatment, the oral infection continues to get worse, and it can even lead to a very serious condition called septicemia — when the localized infection from your tooth spreads through your body. This can quickly become a dangerous health situation that you want to avoid at all costs.

What is the root canal?

What is in the Root Canal? All teeth have roots. It is the part of a tooth that holds it in place in the gum, much like a root holds a plant in the ground. The root canal is at the center of the root known as the pulp chamber. Blood vessels and nerves run through the canal, bringing nutrients up into the tooth.

How does a root canal work?

The basic steps of a root canal procedure are as follows: The dentist or endodontist administers a local anesthetic to numb the tooth and surrounding area. A hole is drilled into the tooth down to the pulp chamber. The infected tissue is cleaned out of the pulp chamber and an antibiotic is applied.

Why do people shy away from root canals?

One of the biggest reasons people shy away from the root canal procedure because of its reputation for being extremely painful. This is not really the case (read Does a Root Canal Hurt as Much as They Say? ). Root canal treatments are usually no more painful than other dental procedures. And many patients feel the pain endured while their tooth is infected is worse. Not only will the procedure give the patient relief from the pain, but it is also the only way to save the tooth.

How does a cracked tooth get bacteria?

First, a cracked or broken tooth can give bacteria a way to slip in. The most common way is through tooth decay. Tooth decay is caused by plaque—a buildup of bacteria and acids on the teeth. No matter how healthy a person’s diet, plaque will form when the mouth’s bacteria mixes with their saliva.

What happens when a cavity is not filled?

When Cavities Aren’t Filled. When a cavity is left untreated, it will spread and get deeper. Eventually, all of the enamel in that spot will be eaten away down to the dentin. Dentin is softer than enamel, so the bacteria will travel faster, working its way through to the pulp chamber.

What happens when you don't clean your teeth?

When plaque isn’t cleaned off the teeth with brushing and flossing, it starts to eat away at the enamel. These spots where the enamel is worn away are cavities. Regular dental visits can detect cavities when they are small so they can be treated before they reach the dentin beneath the enamel.

What is a temporary crown?

The hole is filled with a rubbery compound. A temporary crown is fitted over the tooth, capping it off. In a lab, technicians will fashion a permanent crown that will look and feel like the natural tooth. The patient will return to the dentist to have the temporary crown removed and the permanent affixed to the tooth.

Understanding Root Canal Treatment

During a root canal treatment, infected pulp from the inside of your tooth is extracted. Then, your dentist will fill the suitable material and seal it. This process also involves disconnecting the nerve from tooth roots that prevent you from feeling sensation in your teeth.

Root Canal vs Tooth Extraction

If you are like many patients, you probably want to save your natural teeth as much as possible. You never want to lose a tooth. However, you need to think about the benefits of root canal treatment against the disadvantages of tooth extraction.

What is a root canal?

Share on Pinterest. A root canal is the name of the dental procedure that cleans out the decay in your tooth’s pulp and root. Your teeth have an enamel layer on the outside, a second layer of dentin, and a soft inside core that extends into the root in your jawbone. The core contains the dental pulp, which consists of nerves, blood vessels, ...

What to take for sore mouth after root canal?

Your dentist may suggest that you take an over-the-counter pain medication such as acetaminophen (Tylenol) or ibuprofen (Advil). A 2011 review of 72 studies of root canal patients looked at pre-treatment, treatment, and post-treatment pain.

How do you know if you need a root canal?

Persistent pain. Persistent tooth pain is one of the signs that you may need a root canal. The pain in your tooth might bother you all the time, or it might go away from time to time but always return. You may feel the pain deep in the bone of your tooth.

How to get rid of decay in a tooth?

extract bacteria and decay from the tooth pulp, root, and nerve. disinfect the area with antibiotics. fill the empty roots. seal the area to prevent new decay. A root canal can be done by your general dentist or a specialist known as an endodontist.

What happens if you chew on a tooth that is cracked?

A chipped or cracked tooth. If you’ve chipped or cracked your tooth in an accident, in a contact sport, or by chewing on something hard, bacteria can set in and lead to inflammation and infection. Even if you injure a tooth, but it doesn’t chip or crack, the injury may still damage the nerves of the tooth.

Can a root canal cause swelling?

If you need a root canal and have facial swelling or a fever, your dentist may give you antibiotics beforehand to kill the infection. This may also help reduce your pain. The root canal procedure itself is similar to getting a large filling, but it’ll take longer.

Can a tooth hurt after a root canal?

Yes, it’s possible to have pain in a tooth that’s had a prior root canal. Some causes of this pain may be due to: your root canal not healing properly. your root canal not being completely disinfected because of complicated root anatomy. new decay can infect the root canal filling material, causing a new infection.

Why do we need a root canal?

A root canal is performed to preserve a tooth; it does not restore a tooth to perfect condition. As such, root canals are performed when either a severely deep cavity or an infection cause the tooth, in a sense, to die. Symptoms that indicate the need for root canal therapy:

How many root canals are performed in a year?

It’s no surprise then that dentists perform almost 15 million root canals each year. When suffering from tooth decay, pain, and infections, a root canal may seem like the only solution; however, a root canal is not necessarily a one-size-fits-all solution.

How to treat swollen gums?

When pain and swelling occur in your mouth, it prompts an immediate trip to the dentist. However, discovering the cause of the swelling can dictate what type of treatment is needed. Swelling due to a nerve abscess can be treated with a root canal; however, if your swollen gums are caused by a gum abscess, then you do not need a root canal. Treat gum infections with: 1 Antibiotics 2 Flushing out the gums 3 Warm salt water rinses

What happens if a tooth is fractured?

While this process preserves the tooth and relieves pain, the process does render the tooth itself more fragile. If your tooth is fractured, it will not be strong enough to stand up to the process of being prepped for a root canal.

Do you need a root canal for a swollen gum?

Swelling due to a nerve abscess can be treated with a root canal; however, if your swollen gums are caused by a gum abscess, then you do not need a root canal.

Can a tooth fracture cause swelling?

When tooth pain and swelling occur, consult your dentist immediately to rule out the various causes of pain and swelling. While not every toothache requires a root canal, only your dentist can make that diagnosis.

Can a fractured tooth be a root canal?

If your tooth is fractured, it will not be strong enough to stand up to the process of being prepped for a root canal. Fractures are visible on x-rays, but sometimes the smallest fractures do not appear in the x-rays. A close exam of the tooth should help reveal any small fractures. In this situation, a root canal is not ideal.

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