ROOT CANALS
Dentists are in agreement: there is no better substitute for natural, healthy teeth. Many restorative procedures on the market, such as implants, bridges, and crowns, have come quite far in substituting for missing teeth. But dental literature supports maintaining your natural teeth as long as possible.
WHAT IS ENDODONTIC TREATMENT?
Endodontic treatment is a specialty area of dentistry focusing on the inside of the tooth or nerve area. Though appearing to be simple in structure, teeth have a complex makeup of tissue that keeps them strong and healthy. Professionals in endodontics have not only completed dental school, but also additional education focused on performing procedures pertaining to the insides of the teeth. Endodontic treatment or a root canal is a dental procedure performed to remove disease or damage affecting the internal portion of the tooth (the pulp). It is the most common endodontic procedure, performed an average of 14 million times a year.
WHY A TOOTH REQUIRES ENDODONTIC TREATMENT
Endodontic treatment can be used to remove disease or save an injured tooth, preventing the need for removal. Some of the most common instances for needing endodontic treatment include:
Tooth Fractures or Chips:
When the pulp of the tooth is exposed due to a cracked tooth or failed crown, the exposed insides can cause stabbing pain and pose a high risk of infection.
Bacteria:
Bacterial buildup is the prevailing cause of dental concerns and endodontic issues. When the tooth pulp is invaded by bacteria, severe damage to the area is imminent if not removed. Inflammation is the first sign of a bacterial infection and can destroy the tooth if not removed by endodontic treatments such as root canal therapy.
Unintentional Removal Avulsion:
There are some cases where a tooth is unintentionally removed by force to the mouth. In these instances, it's critical for the patient to keep the tooth and space wet, placing the tooth directly back into the mouth until a dentist can be seen for an emergency procedure. A root canal can be effective in replacing the tooth in its original socket without the need for an implant.
Injury:
Patients who have sustained injuries to their teeth, such as direct hits to the mouth or face, can be at increased risk of endodontic infection if the tooth comes loose. Root canals can help stabilize the tooth if the tooth is severely injured, to prevent having to extract the tooth as an alternative.
ENDODONTIC TREATMENT PROCESS
In the case of root canal therapy, the length of time and number of appointments will vary based on the level of treatment needed. In common cases, it can take up to two visits for a full restoration, while other procedures may only take one.
When arriving for your root canal appointment, your dentist will offer a local anesthetic to ease discomfort during the procedure. A protective appliance called a ‘dental dam’ will be used to keep saliva and bacteria away from the area where the root canal will take place. By creating an opening in the top of the tooth, your dentist will remove the infected pulp.
After the tooth pulp has been removed, the newly created space will need to be filled to prevent further infection or decay. Using a biocompatible material called ‘gutta-percha’, the area where the tooth pulp was will be completely filled. This rubbery material will protect the tooth and is then covered in sealant for a tight seal.
The final step in the root canal process is the placement of the restorative product, which could be a crown or other restoration, depending on the tooth and the amount of remaining tooth. If your dentist decides a crown would be the best fit, your dentist will temporarily fill the tooth to protect it while the crown is being created. The crown is designed to fit directly on top of the treated tooth and will match the shape, size, and tint of the original/surrounding teeth as closely as possible. Once the crown is completed, you will make an appointment to return for the placement of the crown, completing the restoration process.
SIGNS OR SYMPTOMS TO WATCH FOR
When teeth are infected on the inside, it may not always be visible enough for you to catch in the mirror during your daily oral hygiene routine. However, there are typical signs and symptoms that may indicate a hidden endodontic concern:
- Discoloration of a tooth/teeth
- Experiencing tenderness while biting or chewing
- Unidentified pain in the lymph nodes near the infection
- Gums appear inflamed and tender to the touch
- Tooth sensitivity when eating/drinking cold or hot substances
Once you notice any of the following symptoms, it’s critical to make an appointment with your dentist as soon as possible to monitor the problem in case endodontic treatment can be used to restore your teeth.
ENDODONTIC TREATMENT EXPENSE
Endodontic procedures, though very common, are not all the same. The degree in which your tooth is damaged, the number of teeth involved in the damage, the final restoration option, and your insurance plan will all play a part in the ending cost of your procedure. Consulting with your dentist about the best treatment options available will help you decide what route to take when calling your insurance company regarding your coverage. With the combined experience of your dental team, you will be sure to find a solution that works best for your oral health and budget.
HOW TO PREVENT FROM NEEDING ENDODONTIC TREATMENT
Endodontic treatment can be quite helpful for patients who need it. But preventing the need for these procedures is highly recommended in protecting the health of your teeth. Some of the best ways to prevent the need for endodontic treatment:
- Following your daily oral hygiene routine (brushing, flossing, rinsing)
- Attend check-up appointments with your dentist at least twice a year
- Wear a mouthguard if playing high-impact sports
- Make sure to have all cavities filled as soon as possible to prevent enlargement
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