Hey, I'm Dr. Bryan DiMarco here at Renew Dental. We get a lot of questions from our patients about root canals. I'm here today to answer a few of the most common ones that we get and hopefully give you a better understanding of the root canal procedure.
What is root canal treatment?
A root canal generally involves treating the inside part or the nerve of a tooth. Generally, what's happened is that through either a cavity or a crack in the tooth, bacteria have gotten into the inside nerve of the tooth and have started to cause an infection. What the root canal involves is that we will go into that area, disinfect it to try to remove as much of the bacteria as we can, and then fill it up so that the bacteria have a harder time reinfecting that area in the future.
What are the signs that I might need a root canal?
Believe it or not, the signs for a root canal can vary quite widely. What people often think about is that they have a really large toothache, possibly an abscess, and that's a sign they need a root canal. There can also be more chronic infections where patients actually don't have any pain at all, but there is still bacteria underneath the tooth eating away the bone that we need to remove. We generally diagnose this through an X-ray where we see that there's a large dark area at the bottom of the tooth. The main thing is that if the nerve has died and there's bacteria just sitting in the tooth, we need to treat it and get it out of there. The best way to do that is through doing a root canal.
What could happen if I don't get a root canal?
There are a few things that can happen, but if we don't treat the infection that's in there, bacteria will just continue to eat away at the bone under the tooth. As that infection gets bigger, it can start to affect the teeth next to it, causing an infection in them. The other issue is that bacteria now have access to the bloodstream that supplies the blood to the tooth, allowing bacteria to get into that bloodstream. Some studies show that the bacteria can go through the body and put you at a higher risk of having issues with your heart, such as having a heart attack or developing heart disease if this chronic infection isn't addressed.
What type of dentist performs root canals?
In our office, we are general dentists and we perform almost all root canals. At our office, all of the dentists perform root canals on any type of tooth. When it comes to more challenging root canals, for example, if you have some very strange anatomy with the tooth where maybe you have some very small root canals or your root is very curved, or for root canals that have already been done but may have failed for whatever reason and need to be redone, those we would send out to an endodontist which is a root canal specialist.
Do dentists prefer root canals or implants?
When it comes to root canals versus implants, it really depends on the situation of the tooth and what is currently going on with it. In my opinion, if we're able to save a tooth and do a root canal and not have to extract it and replace it with an implant, that is generally the best option. One of the main reasons I like doing that is because if we can preserve your natural tooth, it then gives us more options in the future if something happens and it fails. We can always go to a dental implant if we need to. If we're just extracting teeth all the time and replacing them with implants, it really limits our options in the future of what we can do if we have issues with that treatment.
Can a root canal treatment help save a tooth?
Yes, it can. If a tooth has a chronic infection and a patient is having pain, a lot of the time by doing a root canal we can get rid of those symptoms and allow us to keep that tooth long-term.
What are the stages of root canal treatment?
There are a few main stages to the appointment. First, we're going to numb up your tooth so that it's completely frozen and you're not feeling any pain during the procedure. Next, we would make a small hole in the tooth in that nerve area, which gives us access to start cleaning. We then spend a thorough amount of time cleaning the tooth to remove as much of the bacteria as we can from the inside. Once we've finished that, we then start the procedure of filling up that root space or that nerve space with a material that will help to complete the root canal and hopefully resist infection in the future.
Is sedation available during a root canal treatment?
Yes, absolutely it is. At our office, we have two main options. The first option would be that we can prescribe you medication to help you feel more relaxed. The second option, which we like doing because it's a safer form of sedation, would be nitrous oxide or laughing gas sedation. That's a gas that you would breathe in during the appointment. You would have a little nose covering on. The gas is going to help you feel a lot more relaxed and cheerful and help make the procedure more comfortable.
Are root canals dangerous?
Root canals are a very common procedure that has been around for quite a while. In terms of the risk of the procedure, they're quite minimal as the treatment is just done within the tooth. Generally, we don't have issues outside of that. There are rare cases where there can be some rare complications, but most of the time it's nothing that is permanent and generally reversible.
What are possible side effects of a root canal?
Generally, when we do a root canal, there are a couple of things to be aware of. Because the procedure involves cleaning out the nerve of the tooth, there can sometimes be some tenderness after the treatment that usually lasts for a few days but should get better. When we do the procedure, because it involves cleaning out the inside of the tooth, there can be some debris and bacteria that goes out the end of the tooth and that can cause a bit of discomfort. Generally, patients after a root canal procedure can experience some tenderness for a few days, but that can usually be controlled with some Advil or Tylenol. The other thing that can happen sometimes with root canals is when we have more of a chronic infection that hasn't been treated for a while, sometimes with us going in there and doing the root canal, it can irritate that infection and we can have some swelling that happens under the tooth. Generally, this is quite rare, but again, we can control it with some pain medication and some antibiotics and it will usually clear up after a week or two.
Should I get a crown or a permanent filling after a root canal?
When it comes to a root canal, unfortunately, because the nerve and the blood supply of the tooth has been damaged and lost, the tooth becomes very brittle and it can break in the future. Anytime we do a root canal on a back tooth, it is required that we do a crown on that tooth. If we don't, very often that tooth will end up breaking or fracturing, and then we'll end up having to take the tooth out, which makes the root canal useless. With front teeth, because they aren't exposed to the same force as our back teeth with chewing, if there isn't too much tooth structure that's missing, we generally can just do a small filling to seal up the root canal. If the tooth has more extensive damage, then we may also recommend a crown on those teeth.
What should be done after undergoing root canal treatment?
Right after the root canal is done, I'm generally going to recommend that you take some painkillers so that you can control the bit of tenderness that is common for a few days after a root canal. You would also want to get in as soon as possible to get a crown on that tooth if it is a back tooth so that you don't end up chewing on it, breaking the tooth, and then we end up having to take it out, essentially wasting the root canal that we just did.
What if my tooth hurts after a root canal?
It is common that you will have some tenderness directly after the root canal for a few days. If the tooth is still hurting after that, sometimes there can be a bit of a chronic infection that is just taking some time to go away. In these cases, we would probably look at getting you an antibiotic to help with those symptoms. It's pretty uncommon that we have that pain last after the root canal unless there's something else going on like potentially a crack in the tooth or a break in the tooth. It's usually pretty uncommon that we have lasting symptoms after a root canal.
Can a root canal treatment be covered under insurance?
With a root canal, it's considered a basic treatment. Just like fillings or extractions, a root canal falls into the same category. Generally, patients will have anywhere from 80 to 100% coverage for root canals, depending on their yearly limit. What we would do if we need to do a root canal is we would go through that with you and try to give you the most accurate out-of-pocket cost as we possibly can.
I hope I was able to answer some of your questions about root canals. If you have any further questions or you think you might need a root canal and would like to talk to one of our dentists, please feel free to reach out either by email or by giving us a call at (204) 817-6768 and we'd be happy to help.
At Renew Dental, we understand that navigating the recovery process after a root canal can raise many questions and concerns. We pride ourselves on being a patient-centered dental practice that prioritizes your comfort and well-being. In this comprehensive guide, we will walk you through essential root canal aftercare, ensuring a smooth recovery while keeping your oral health in perfect shape.
Understanding Sedation Dentistry and Recovery Practices
If you underwent sedation dentistry during your root canal procedure, it’s vital to arrange for someone to drive you home afterward. Sedation can leave you feeling drowsy, so having a friend or family member to support you is key. Prior to your procedure, discussing any medications you take with our compassionate dental team is crucial to ensure your safety and the best possible outcome.
Root Canal Aftercare: What to Expect
After your root canal, you may wonder about the best practices for recovery. It's important to wait until the numbness from the anesthesia has fully worn off before attempting to eat. This precaution helps prevent accidental injuries to your cheeks or tongue. Once you start to feel normal sensations return, you can resume eating—just remember to choose softer foods. Meals that are gentle on the mouth will support your recovery as your tooth may still be tender.
Post-Root Canal Care: Pain Management and Healing
In the hours and days following your procedure, it's normal to experience some tenderness or discomfort in the treated tooth. Managing dental pain effectively is essential for a smooth transition back to your usual routine. We recommend using over-the-counter pain relievers as directed, keeping your comfort in mind. Additionally, our dedicated dental team will provide personalized aftercare instructions tailored to your needs, covering important aspects such as eating, brushing, and any prescribed medications.
Maintaining Oral Hygiene After Treatment
Following a root canal, it’s crucial to maintain excellent oral hygiene to support your recovery. This includes continuing your routine oral hygiene practices, such as gentle brushing and flossing, while being mindful of the healing tooth. Our oral hygiene tips can help you protect your tooth and overall oral health. Avoid hard, crunchy, or sticky foods that could jeopardize your recovery and always follow our advice regarding your oral health maintenance.
Long-Term Care: Durability of Your Root Canal Treatment
Many patients wonder how long their tooth will last after a root canal. With a commitment to preventive dental care and regular check-ups, your treated tooth can remain healthy and functional for many years, potentially even a lifetime. Our family dental care philosophy emphasizes routine visits and proactive measures to maintain the integrity of your tooth and surrounding gums. We strongly encourage you to stay on top of your scheduled preventive dental checkups to ensure ongoing success.
Nurturing Your Smile: The Link Between Cosmetic Dentistry and Structural Integrity
At Renew Dental, we recognize that a healthy smile is often complemented by aesthetic concerns. After your root canal recovery, if you feel that your smile could benefit from cosmetic dental treatments, don’t hesitate to ask us about our options. Whether it’s teeth whitening or veneers, we offer comprehensive cosmetic dentistry solutions designed to boost your confidence and enhance your smile's appearance.
Comprehensive Support from Our Compassionate Dental Team
It’s essential to know that you are not alone in your recovery journey. Our compassionate dental team is dedicated to being with you every step of the way, providing support and guidance through your root canal recovery process. If you experience any unusual symptoms or have concerns about your healing, please reach out to us. Our emergency dental services are available should you need immediate assistance, as we value your health and comfort greatly.
Building Long-Lasting Relationships Through Family Dental Services
Our community-centric approach ensures that patients of all ages receive the attention and care they deserve. Families looking for a reliable dental practice will find a welcoming environment at Renew Dental, where your oral health is our priority. We strive to offer a nurturing space where patients feel valued, understood, and empowered in their journey to optimal oral health.
Conclusion: Embracing a New Smile
In conclusion, root canal aftercare is an essential part of your overall dental experience. By following our guidelines and maintaining open communication with our dental team, you can ensure a smooth recovery process. We encourage you to adopt preventive dental care practices moving forward, as they play a crucial role in your long-term oral health and comfort.
If you have any further questions about your recovery or other aspects of dental care, don’t hesitate to contact us. At Renew Dental, we’re here to help you every step of the way, ensuring your smile remains bright, healthy, and confident for years to come.
The Difference Between an Endodontist and a General Dentist
Endodontics is the specialized field of dentistry dedicated to diagnosing and treating conditions related to the dental pulp and surrounding tissues, with root canal treatment being a primary focus. This procedure is essential for restoring the health of a tooth that has become infected, usually due to deep decay or a significant crack. The tooth’s inner chamber, where the nerve and blood supply reside, can become compromised by bacteria, leading to painful symptoms and, if left untreated, further complications. By opting for endodontic therapy, you can effectively eliminate bacterial infection and save your natural tooth, allowing you to enjoy its function for years to come.
At Renew Dental, we understand that the decision to pursue root canal treatment can be daunting for many patients. That's why we strive to provide compassionate dental services that ease your anxiety and ensure your comfort throughout the process. Many patients inquire why they might need to see an endodontist for their root canal. While general dentists are equipped to handle a variety of dental issues, certain cases necessitate specialist intervention, particularly when complexity arises.
Molar root canals, for example, can often involve three or four intricate canals, which can be challenging to navigate without the appropriate experience and specialized tools. Additionally, if a tooth has previously undergone root canal treatment and develops a new infection, the retreatment of the root canal is often best handled by an endodontist. These specialists are adept at addressing complications like cracked teeth treatment, utilizing advanced techniques and equipment, such as high-powered microscopes, to visualize and treat conditions effectively.
The expertise of an endodontist extends beyond routine procedures to encompass a wide range of treatment options, from performing a root canal for the first time to executing complex retreatment procedures. Their extensive training typically includes an additional three years of education focused exclusively on endodontics, allowing them to tackle even the most difficult scenarios with confidence. This specialized knowledge is crucial when treating children whose teeth may not have fully developed or in cases involving severe infections that require urgent attention.
What procedures are done in endodontics?
Usually, at an endodontist's office, they perform very similar procedures to what we do here but usually more difficult ones. This includes doing a root canal for the first time, redoing a failed root canal (called a retreat), and performing surgical root canals. They also treat more complicated cases, such as when a child's tooth has broken and the root hasn't completely formed, which we wouldn't typically handle at a general office.
When would a dentist refer me to an endodontist?
A dentist would refer you to an endodontist for complex procedures that require specialist attention. Examples include a cracked tooth, deep infection, or internal damage.
How does an endodontist determine if you need a root canal?
They conduct very similar tests to what we do here at a general dentist office. A common one is the cold test, which involves applying a cold temperature to the tooth. If you can feel the cold and it goes away, that's usually a good sign. If it causes intense, lingering pain, it indicates the nerve is starting to die and is infected. Other tests include tapping on the teeth to check for pain, which can indicate an infection. Endodontists may also use a CBCT x-ray, which is a 3D x-ray, to get detailed information about the tooth.
Why did my dentist refer me to an endodontist?
Some root canals are more challenging than others. Certain teeth, such as molars, usually have three or four canals and can be more challenging to complete.
Another reason for a specialist referral is if a root canal has already been done and needs to be redone due to a new infection. Cracked teeth are also often referred to specialists because they have specific instruments, such as large microscopes, that allow them to better see and treat the crack.
Can an endodontist pull a tooth?
Usually, no, they are not going to be pulling your teeth out because they specialize in doing root canals. Anything outside of root canals would be referred back to your general dentist, who can remove the tooth if needed.
Does insurance cover endodontic procedures?
Yes, insurance covers most endodontic procedures. I hope I have been able to answer most of your questions regarding endodontic therapy. If you still have any questions, we are here to help. Please give us a call at (204) 817-6768.
You’re never alone in caring for your dental health. At Renew Dental, our team is here to support and meet you where you are in your dental journey. Call (204) 817-6768 or email [email protected] to connect with us today.