Treatment FAQ

when would you not do a root canal treatment

by Lindsey Gislason II Published 3 years ago Updated 2 years ago
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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.

Full Answer

When is a root canal not necessary?

If the infection responds well to these measures, then a root canal is not needed. Lack of symptoms. 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.

What happens if you wait too long for a root canal?

Root canals give the dentist a chance to save the natural tooth and better preserve the structure of a patient’s natural smile. If a root canal is delayed for too long, the bacterial infection can spread to other areas of the mouth, putting the patient at risk for serious dental problems and other medical conditions.

Should I be honest with my dentist about my root canal pain?

Since root canals aren't so scary anymore, there's no need to be afraid of being honest with the dentist. 1. Severe Pain Any pain in your mouth is unpleasant and should be mentioned to your dentist, but certain types of pain may signify root canal pain.

What happens during root canal treatment?

Root canal treatment is a dental procedure that relieves pain caused by an infected or abscessed tooth. During the root canal process, the inflamed pulp is removed. The surfaces inside the tooth are then cleaned and disinfected, and a filling is placed to seal the space. Cleveland Clinic is a non-profit academic medical center.

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When can they not do a root canal?

Root canal treatment may not be performed if a tooth has cracked or is poorly embedded in the jawbone.

Why root canal is not recommended?

It will get a lot worse. An infection does not just disappear when treatment is not administered. It can travel through the tooth's root to the jawbone and create abscesses. An abscess leads to more pain and inflammation throughout the body.

What are the risks of not getting a root canal?

If a root canal is delayed for too long, the bacterial infection can spread to other areas of the mouth, putting the patient at risk for serious dental problems and other medical conditions. The infection can cause something called a dental abscess, which is a pus filled sac that requires immediate medical attention.

What happens if you wait too long to get 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.

Is it better to have root canal or extraction?

In most cases, root canal therapy is a better way to treat an infected tooth than an extraction. However, there are exceptions, such as if the tooth has suffered extreme damage. Your dentist will carefully analyze your oral health before making a treatment recommendation.

Can teeth heal without root canal?

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.

What can be done instead of a root canal?

Dental treatment alternatives to a root canal include direct pulp capping, pulpotomy, pulpectomy, endodontic retreatment, endodontic surgery, tooth extraction, dental implants, bridges, or dentures.

Can I wait 6 months to get a root canal?

It takes time for an infection to become evident – Some dental schools teach dentist to wait six months after root canal treatment before crowning a tooth. But a dentist doesn't always wait that long because each patient's case is different. Waiting to place the crown allows time for problems to surface.

How long can you delay root canal?

Early Treatment Is Essential While one patient might develop an abscess within a week, it may take another patient 3 weeks to develop an abscess. Only an endodontist or an appropriately trained general dentist can advise you in this matter.

What are the signs you need a root canal?

Root canal symptomsPersistent pain. Persistent tooth pain is one of the signs that you may need a root canal. ... Sensitivity to heat and cold. ... Tooth discoloration. ... Swollen gums. ... Pain when you eat or touch the tooth. ... A chipped or cracked tooth. ... Tooth mobility.

Why do dentists always want to do root canals?

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.

How quickly should you get a root canal?

In most cases, simple root canals require just one appointment lasting between 30 minutes to just over an hour. However, severe cases may demand 90 minutes or more, or even a second appointment if the dentist or endodontist recommends a permanent filling or crown for the tooth.

What happens if you have a root canal?

If you are recommended a root canal the pulp within your tooth is certainly infected. Left by itself it has the freedom to expand its wings from the tooth to the gum and the jawbone surrounding the infected pulp. If the infection is concerning and left untreated it can cause you to lose your tooth or part of your jaw or even lead to dental abscesses or a life-threatening stroke, sepsis, or heart attack. As the infection progresses so will the pain which will be excruciating.

What Is a Root Canal?

A root canal is an endodontic treatment provided to repair and save a badly infected tooth. The dentist will be cleaning the canals inside the tooth’s root. The damaged pulp within the tooth will be removed by the dentist before cleaning and disinfecting it and filling it gutta-percha. The tooth will be sealed after the procedure to protect it. As you are fearful about the procedure let us inform you that local anesthesia will be administered to the tooth undergoing the procedure to make you comfortable.

What happens if you wait too long for a root canal?

If a root canal is delayed for too long, the bacterial infection can spread to other areas of the mouth, putting the patient at risk for serious dental problems and other medical conditions. The infection can cause something called a dental abscess, which is a pus filled sac that requires immediate medical attention.

Why do you need a root canal?

A root canal is the treatment needed when the pulp, or the soft tissue inside of the tooth containing blood vessels, nerves, and connective tissue deep inside of the root of the tooth, becomes infected. Infections usually occurs due to an injury, a chip or crack in the tooth, or a severe, untreated cavity. The root canal consists of creating an opening in the tooth to remove the infected pulp and then sealing the tooth to prevent against future infection.

Why do dentists do root canals?

Root canals give the dentist a chance to save the natural tooth and better preserve the structure of a patient’s natural smile.

What is the purpose of a root canal?

The root canal consists of creating an opening in the tooth to remove the infected pulp and then sealing the tooth to prevent against future infection.

Why do dentists want to keep teeth?

Not only is it more comfortable, but teeth help stimulate the jawbone and keep it from deteriorating.

Can a tooth infection heal on its own?

Unfortunately, the infected pulp of the tooth will not heal on its own and requires a root canal to properly be treated. Sometimes, patients may think a tooth infection has healed itself once they no longer feel pain in their tooth, but this just signals that the nerves inside of the tooth have died. While the patient may no longer feel pain, the ...

Can you have IV sedation at Dansville Dental?

If fear of the dentist is keeping you from getting proper treatment, ask your dentist about sedation dentistry. Two of our dentists at Dansville Dental Professional are licensed in IV sedation. Sedation dentistry allows patients to be relaxed and comfortable, and they will not remember the treatment. Most IV sedation patients feel like they slept through the entire procedure.

What is root canal treatment?

Root canal treatment is a dental procedure that relieves pain caused by an infected or abscessed tooth. During the root canal process, the inflamed pulp is removed. The surfaces inside the tooth are then cleaned and disinfected, and a filling is placed to seal the space.

How long do root canals last?

As with all dental procedures, results are not guaranteed. However, when root canal therapy is performed correctly, results can last a long time — even the rest of your life.

What is a dental dam?

Before beginning root canal treatment, a small rubber dam is placed over the area. This isolates the tooth and keeps it dry during the procedure.

What is the best treatment for an infected tooth?

Anesthesia. First, local anesthesia is given to numb the infected tooth and the surrounding gums. There are also medications used in dentistry to help you relax, such as nitrous oxide, oral sedatives or intravenous (IV) sedation. Your healthcare provider may recommend sedation if you struggle with dental anxiety.

Why do you need a root canal?

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.

Why does my tooth look dark?

Tooth discoloration: When the pulp of a tooth becomes infected, it can cause your tooth to look darker. This occurs because of poor blood supply to the tooth.

How long does it take for root canal pain to go away?

In most instances, side effects lessen within one to two weeks.

How do you know if you need a root canal?

This is a telltale sign that you may need a root canal. 6. Chipped or Cracked Tooth. A chipped or cracked tooth is a two-fold sign of a tooth that may need a root canal. For one, perhaps there was trauma on the tooth that created the chip or crack and has now caused inflamed or infected pulp. Secondly, the tooth may be so far decayed ...

How long does it take for a root canal to heal?

Root canal pain is normal to experience for a bit, but if it extends beyond a week or so you should contact your dentist . After the root canal treatment, you should get a crown to go on top of your tooth to best protect it.

What Is a Root Canal?

A root canal is a procedure to remove the inflamed or infected pulp from the inside of the tooth.

What does it mean when your gums are tender?

If your gums are tender to the touch, or even without touch, you may have root canal pain. When at the dentist, be sure to mention your tender gums. 8. An Abscess. An abscess is something that will be seen on an x-ray as a dark spot. It is basically a hole in the jawbone because bone won't grow around an infection.

What is the layer of the tooth that is affected by the cold?

Under the enamel is the dentin layer. When the enamel is damaged, the cold or heat will enter pathways on the dentin layer into the tooth, causing pain. The pulp is below the dentin layer and contains blood vessels and nerves. Finally, the cementum is at the base of the root and is used to connect the tooth to the gums.

What is the treatment for a bad tooth pulp?

An endodontic treatment will be done to remove the bad pulp, clean the root canal, and fill and seal the space. After the root canal is done, your dentist will place a crown or other restoration to protect the tooth. It is important to address the root canal as the infection can spread, causing health issues beyond your mouth.

How many root canals are performed in a year?

With more than 15 million root canals performed a year, you're definitely not alone if your dentist says you should consider a root canal treatment.

Why Would a Dentist Prescribe Antibiotics Before a Root Canal?

For patients with certain conditions, this is recommended before undergoing dental treatment that poses a risk of bacteria entering the bloodstream. When oral bacteria enter the bloodstream, it can put patients with compromised health at risk of developing an infection elsewhere in the body.

Why do you need a root canal?

Root canals are often necessary after a tooth's nerve suffers damage, such as from: Deep cavities or fillings causing pulp irritation. Cracked teeth.

Why do endodontists use prophylaxis?

Because endodontists need to disinfect and use dental instruments around the roots of the teeth during a root canal, prophylaxis may be recommended to reduce the chance of introducing bacteria from inside the tooth to the bloodstream.

Why is prophylaxis important for dental patients?

Because endodontists need to disinfect and use dental instruments around the roots of the teeth during a root canal, prophylaxis may be recommended to reduce the chance of introducing bacteria from inside the tooth to the bloodstream.

Is a dental exam a substitute for professional advice?

It is not intended to be a substitute for professional advice, diagnosis or treatment. Always seek the advice of your dentist or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment.

Can antibiotics be given for endocarditis?

According to an article published in The Journal of the American Dental Association, dentists may recommend antibiotic prophylaxis for patients who are at risk of infective endocarditis (IE), which is an infection of the lining of the heart or heart valves.

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What Is A Root Canal?

The Consequences of Avoiding A Root Canal

  • If you are recommended a root canal the pulp within your tooth is certainly infected. Left by itself it has the freedom to expand its wings from the tooth to the gum and the jawbone surrounding the infected pulp. If the infection is concerning and left untreated it can cause you to lose your tooth or part of your jaw or even lead to dental abscesse...
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How Painful Is The Procedure?

  • Despite having acquired a notorious reputation of being painful modern-day dentistry has ensured that root canals are no more painful than having a dental filling placed. You must understand that local anesthesia will be administered to you before the procedure begins. The endodontic surgeon performing the treatment will ensure you are fully comfortable before drilling a tiny hole on the s…
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