Ouch — Do I Need A Root Canal
Many people have heard about root canals vaguely, but if you have never had one, they may still be a mystery. One of the downfalls to typically learning about root canals, is that the education comes while you are already in pain, which can be difficult to process. Let’s explore the common symptoms that may indicate you need this procedure and the process of completing it.
The road to a root canal usually begins with a large cavity or hole in the tooth that moves closer and closer to the nerve. The symptoms of this will include hot and cold sensitivity that is very pronounced and lingers for a while even after the offending food or drink is removed from the tooth. The nerve will eventually die and become infected if treatment is not rendered. This will present as pain on biting, throbbing pain that is spontaneous and will usually wake you up at night. If still left untreated, an abscess can occur and will present as a bump, or pimple on the gum adjacent to the infected tooth. The dentist will also be able to see a darkening on the radiograph indicating an infection at the tip of the root of the tooth.
The process of the root canal procedure involves removing the infected nerve tissue from the root(s) of the tooth. You will be numbed prior to starting this procedure, and a rubber dam will be placed to isolate your tooth. The nerve tissue will be removed with thin files that fit down into the roots of the tooth. Medicine is used to kill all bacteria in the nerve canals of the root(s) to lessen the chance of re-infection. Once all nerve tissue is removed and the canals are disinfected, the tooth is dried, and fillings are placed in the canals to seal off the root all the way to the tip. After the treatment is completed, antibiotics may be needed to clear up any residual infection, and other medications may be used to control soreness after the procedure.
On posterior teeth, a crown is typically recommended to restore the tooth after a root canal has been completed, especially if there was a large cavity. These teeth typically become brittle over time due to losing their internal blood supply. They are more prone to fracturing or breaking and thus need protection with a crown. Anterior teeth may need a filling or crown, depending on how much tooth structure is remaining.
While this may not be the most exciting topic, understanding what is involved will help tremendously if you ever need to make an informed decision on treatment. Remember — the best way to prevent dental issues is by good home care, and regular visits to the dentist.
To make an appointment please call 803-736-9991 or email us at indigo@indigodentistrycolumbia.com