Root canal therapy treats the interior of the tooth. The final step in root canal treatment is placing a permanent restoration to protect the tooth and restore it to full form and function. This procedure should be performed within one month of your root canal treatment to decrease the risk of re-contamination or breakage of the treated tooth. Having a permanent dental restoration placed will extend the success of root canal treatment by preventing damaging leakage or fracture.
The general condition of the treated tooth and the amount of tooth structure lost will determine if the tooth would be best restored with a permanent composite filling or a dental crown. For small cavities in front teeth with insignificant tooth structure loss, your dental professional may place a tooth-colored filling after a root canal procedure.
More often, your dentist will recommend the placement of a dental crown to restore a root canal treated tooth. Teeth that have had root canal therapy can be fragile, and a dental crown provides the best protection against future bacterial contamination and fracture. A dental crown is made in a laboratory and custom fit your tooth. Crowns are made of porcelain, metal, or a combination of the two. Dental crowns can be placed on front or back teeth, and are especially appropriate for molars that must withstand heavy chewing forces.
Having a root canal treated tooth restored with a dental crown or permanent filling will extend the success of your treatment. If you are showing symptoms of a damaged or diseased tooth, a properly performed root canal treatment and permanent restoration can save your tooth and extend its function for a lifetime.
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If you have tooth pain or another issue, you might wonder what a visit to the dentist may reveal. You may need a root canal procedure. In order to properly evaluate your issue and to confirm the need for a procedure, a dentist will examine several factors. These typically include the symptoms you are experiencing, the signs observed, and any additional testing required to confirm an initial theory.
You may have noticed:
- You experience average to severe pain that lingers, during or immediately after drinking hot liquids or food, or very cold liquids or foods.
- You have pain, swelling, or sensitivity when biting or chewing on a certain tooth.
- Your tooth pain disrupts your life, preventing you from sleeping through the night or conducting your daily business without taking an over-the-counter pain reliever.
- You have a “bubble” on your gum, similar to a pimple. When irritated, it may release blood or pus that can smell or taste bad.
- You have pain that radiates out from one tooth to other areas of your head or jaw. For example, a tooth pain can lead to a pain behind the eye like a headache or to the ear, resulting in earache symptoms.
- You have a discolored tooth that is darker than the surrounding teeth. A grey tooth can indicate a “dead” tooth.
- You have a broken or cracked tooth with obvious signs of damage or decay.
Your dentist may have noticed:
- A tooth problem revealed by x-rays
- A recurring or persistent gum pimple (also called “fistulous tracts”)
- A tooth that has changed color
- X-ray examination – if x-rays did not reveal the problem, they can provide an extremely clear picture of tooth health
- Percussion testing – a gentle tapping on the teeth to evaluate pain response
- Thermal testing – a careful application of a hot or cold stimulus to evaluate sensitivity
Sometimes, teeth needing to undergo a root canal procedure have no symptoms discernible to the patient. It is important to visit your dentist regularly to ensure the proper diagnosis and treatment needed to maintain life-long oral health.
If you need root canal treatment in the Longview area, contact our office today to schedule a consultation.
The goal of root canal therapy is to relieve pain, not cause it. The pain you experience before a root canal is the result of damage to the tissues in the tooth. Root canal therapy removes that damaged tissue, therefore relieving the discomfort you feel. If you are still experiencing tooth pain after undergoing a root canal procedure, it could be an indication of a problem with the treatment.
While mild discomfort is to be expected during the root canal healing process, if the pain continues or becomes more severe, it is likely an indication of a problem. There are several reasons for tooth pain after root canal treatment:
- The tooth has an extra canal that was not cleaned and filled, meaning there is an extra physical root.
- The tooth has a small, tight accessory canal that is difficult to locate on x-rays or hard to access with the necessary tools.
- The tooth is fractured due to the damage and weakened state caused by the original decay and the access cavity that is created to begin the root canal treatment.
- The root canal has become reinfected.
- The small files used by your dentist to clean out the pulp of the tooth sometimes break, resulting in a failed root canal treatment.
In the days immediately following root canal therapy, it is normal to experience some tenderness of the tooth or surrounding gum. This discomfort should be easily managed with over-the-counter painkillers and should subside in a few days. If the pain does not ease in a few days or becomes more severe, contact your dental professional immediately to access your symptoms and determine if you are having root canal complications.
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An endodontist is a dentist who has undergone additional training specializing in saving teeth through treatments that involve the pulp and root of teeth. If you have been diagnosed by your family dentist with an infected tooth that requires root canal therapy, it would be logical to seek treatment by a dental professional who is specifically trained in root canal procedures. To find a qualified endodontist for your root canal treatment, consider the following:
- Ask for a referral from your family dentist to an accredited diplomate of the American Board of Endodontics. You may also consider asking friends and family members who have undergone root canal therapy for recommendations of endodontists.
- Inquire about the extent of the endodontist’s education and training as well as the number of root canal procedures they have performed. You will want to look for a doctor with an established practice and extensive track record of root canal experience.
- Find out what type of equipment the doctor utilizes to ensure they are up-to-date on the most recent advances in endodontic therapy and dental technology.
- Ask about the sedation and pain-relief options the endodontist provides for root canal patients.
- Evaluate the endodontist and staff to determine if they make you feel comfortable, welcome, and are able and available to answer your questions.
Root canal treatment can be a stress-free and painless experience when performed by the right dental professional. Taking the time and effort to identify a qualified endodontist will help to ensure the ease and success of your procedure, and soon have you back on the road to a healthy smile.
Root canal dentist in Longview
Endodontics is a dental term often linked to a more common dental procedure you’ve probably already heard of called root canal treatment. Endodontics focuses on the pulp of your tooth, which holds nerves and blood vessels supplying nutrients and oxygen to your tooth. When the pulp is infected or injured, endodontic treatment may be performed to save the tooth.
During endodontic treatment, the hollow part inside your tooth is cleaned, disinfected, and filled. It is often the best way to save a tooth that has been damaged by decay, trauma, or other causes. Common symptoms that endodontic treatment is necessary include pain, tooth sensitivity, or exposure of the pulp due to tooth fracture.
After examining your tooth and X-ray results, your dentist will recommend the kind of endodontic treatment you need based on how seriously the pulp is impacted. One type is called vital pulp therapy, which has a goal of preserving and protecting your tooth’s pulp. This procedure involves removing only the pulp from the crown of your tooth and not from the root. It is only advised when there is no swelling or abscess present, and the tooth is secure.
Another type of endodontic treatment is non-vital pulp therapy, which is known as root canal treatment. It is performed when there is no chance of saving the pulp of your tooth. The whole pulp will be removed from inside your tooth, and the canals will be cleaned and filled with a special material. Then a stainless steel crown will be placed on the tooth.
Sometimes endodontic treatment is not recommended, and the tooth needs to be extracted instead. This choice depends on factors such as tooth location, age of the tooth, extent of damage, and the patient’s overall health. Your dentist will be able to advise you on the best treatment for your condition.
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When a tooth is seriously decayed or has become infected, a root canal procedure can be done to repair the tooth and save it. During the procedure, the nerve and pulp are removed, while the remainder of the center of the tooth is thoroughly cleaned and then carefully sealed to prevent infection.
“Root canal” is the term for the natural space within the tooth’s center. The tooth’s nerve is in the root canal, as is the pulp (or pulp chamber), which is the soft area within the root canal. Because the tooth’s nerve isn’t vital to a tooth’s health, removing it doesn’t prevent the normal functioning of the tooth.
Removing the nerve and the pulp is necessary in some cases to address irritation, inflammation and infection stemming from severe decay, damaged or deep fillings, cracked or chipped teeth or facial trauma. When the nerve tissue and pulp become damaged, bacteria begin to form within the pulp chamber. This can lead to a serious infection or abscessed tooth. An abscess can form when the infection spreads past the ends of the tooth roots.
Additionally, severe infections can lead to bone loss around the tip of the root or holes in the tooth that drain the infection into the gums or through the cheek into the skin. It can cause swelling that spreads to the face, head, or neck.
Sometimes, the only signs you need a root canal procedure are more minor. They can include tooth pain when applying pressure or chewing, discoloration (darkening) of the tooth, tenderness and/or swelling of the gum tissue, or a pimple or blemish on the gums that is recurring. Acute sensitivity to cold or hot temperatures that does not abate with time can also be a sign.
Talk to your dentist or endodontist (a dentist whose specialty is the cause, diagnosis, prevention, and treatment of diseases and trauma to the dental pulp or nerve of the tooth) about your concerns. Your dentist will know what to do so you may make the best decisions for your long-term tooth health.
If you live in the Longview area and you need a root canal, contact our dental office today.