Do I Really Need a Root Canal??

Do I really need a root canal? Sounds painful! What is it all about?

First, let's review the basic anatomy of a tooth..

Teeth are "tough" on the outside. The outer enamel layer is to thank for this! Enamel is considered the hardest substance in the human body. With the constant chewing and daily acid attacks, this layer protects our teeth from wear and erosion. Inside the tooth is a soft core called a nerve chamber. The pulp chamber is made up of nerves and blood vessels that feed the tooth. Essentially, our teeth are considered a living thing, and, as with all living things, our teeth can "die". A tooth's nerve and pulp can become inflamed, irritated or infected due to deep decay, large fillings, a crack or chip in the tooth or trauma to the tooth. Tooth trauma includes: grinding, clenching or facial trauma. Sometimes, a tooth can die for no apparent reason. This is usually a chronic process that occurs over several years.

In most cases, the patient is faced with two options; a root canal therapy or extraction. A root canal is considered a therapy and not a treatment and usually, this is the last ditch effort to save the tooth. A tooth treated with a root canal can last several years. However, sometimes a tooth can become re-infected and extraction is needed. If extraction is needed, an implant can be placed to restore form and function to the mouth. 

Upon diagnosing the need for a root canal, a radiograph (x-ray) is taken. The Dentist or Endodontist is looking for several things including; an abscess, inflamed periodontal ligament, deep decay, or a crack/fracture. 

Abscess formed at apex of root

Deep decay

Inflamed Periodontal Ligament

What are the signs that a Root Canal is needed?

• Severe tooth pain when chewing or pressure is applied
• Prolonged sensitivity/pain to hot or cold, even when the source is removed
• Discoloration or darkening of the tooth
• A persistent, recurring "pimple" near the pained tooth
• A dull ache that lasts several minutes to hours, or pain the persists throughout the night
• Swelling and tenderness in the nearby gums
• Facial swelling in the affected area

What does the Root Canal procedure consist of?

During the root canal, the diseased pulp is removed, cleaned and then sealed. The final step involves further restoration of the tooth. Because a tooth that needed a root canal is often times one that had a large filling or deep decay, a crown needs to be placed on the tooth to protect it, prevent it from breaking, and restore it to full function. The first few days after the root canal, the tooth may feel sensitive due to inflammation, especially if there was pain or infection before the procedure. Over-the-counter medications like Tylenol or Ibuprofen can help soothe any pain. Most patients can return to their normal activities the next day, and state that the root canal itself was no more painful than getting a cavity filled. 

Saving your natural tooth is always the best option. Our dental staff can help discuss your options; we are always here to help you make the best educated decision for yourself!

-A Healthy Body Starts With a Healthy Smile-