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Posts for tag: root canal

By Convery Dental Associates
February 17, 2016
Category: Dental Procedures
Tags: root canal  
ASecondRootCanalTreatmentMayHelpSaveanEndangeredTooth

When decay spreads to the tooth’s inner pulp, a root canal treatment may be necessary to save it. It’s a common procedure: after removing all tissue from the pulp, the pulp chamber and root canals are filled with a special filling. The tooth is then sealed and a crown installed to protect the tooth from re-infection and/or fracture, possibly extending the tooth’s life for many years.

Sometimes, however, the tooth doesn’t respond and heal as expected: the number, size and shape of the patient’s root canals may have complicated the procedure; there may have been a delay before installing the final crown or restoration or the restoration didn’t seal the tooth as it should have, both occurrences giving rise to re-infection. It’s also possible for a second, separate occurrence of decay or injury to the tooth or crown to undo the effects of successful treatment.

It may be necessary in these cases to conduct a second root canal treatment, one that may be more complicated or challenging than the first one. For one thing, if the tooth has been covered by a crown or other restorative materials, these will most likely need to be removed beforehand. In cases where the root canal network and anatomy are challenging, it may require the expertise of an endodontist, a dental specialist in root canal treatments. Using advanced techniques with microscopic equipment, an endodontist can locate and fill unusually narrow or blocked root canals.

Because of these and other possible complications, a root canal retreatment may be more costly than a first-time procedure. Additionally, if you have dental insurance, your particular benefit package may or may not cover the full cost or impose limitations on repeated procedures within a certain length of time. The alternative to retreatment, though, is the removal of the tooth and replacement with a dental implant, bridge or partial denture with their own set of costs and considerations.

The complications and costs of a repeated procedure, though, may be well worth it, if it results in a longer life for the tooth. Preserving your natural tooth is in most cases the most desired outcome for maintaining a healthy mouth.

If you would like more information on root canal treatments, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Root Canal Treatment.”

By Convery Dental Associates
September 04, 2015
Category: Dental Procedures
Tags: root canal  
ARootCanalTreatmentmaybeYourBestChancetoSaveaTooth

“You need a root canal,” isn’t something you want to hear during a dental visit. But whatever your preconceptions about it may be, the fact is root canal treatments don’t cause pain — they alleviate it. What’s more, it may be your best chance to save a tooth that’s at high risk for loss.

First of all, root canal treatments address a serious problem that may be occurring inside a tooth — tooth decay that’s infiltrated the pulp chamber. If it’s not stopped, the decay will continue to advance through the root canals to the bone and weaken the tooth’s attachment. To access the pulp and root canals we first administer a local anesthesia and then create an opening in the tooth, typically in the biting surface.

After accessing the pulp chamber, we then remove all the pulp tissue and clean out any infection.  We then fill the empty pulp chamber and root canals with a special filling and seal the opening we first created. The procedure is often followed some weeks later with a laboratory made crown that permanently covers the tooth for extra protection against another occurrence of decay and protects the tooth from fracturing years later.

Besides stopping the infection from continuing beyond the roots and saving the tooth from loss, root canal treatments also alleviate the symptoms caused by decay, including tenderness and swelling of surrounding gum tissue and sensitivity to hot and cold foods or pressure when biting down. And, it reduces pain — the dull ache or sometimes acute pain from the tooth that may have brought you to our office in the first place.

General dentists commonly perform root canal treatments; in more complicated cases they’re performed by an endodontist, a specialist in root canal treatments. Afterward, any discomfort is usually managed with non-steroidal anti-inflammatory drugs (NSAID) such as ibuprofen or aspirin.

Root canal treatments are a common procedure with a high rate of success. Undergoing one will end the pain and discomfort your infected tooth has caused you; more importantly, your tooth will gain a new lease on life.

If you would like more information on root canal treatments, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Common Concerns about Root Canal Treatment.”

By Convery Dental Associates
August 14, 2013
Category: Dental Procedures
Tags: root canal   endodontics  
NeedaRootCanalFearNot

Perhaps you or someone you know has been told they will need root canal treatment. Maybe you're experiencing some unexplained tooth pain, and you think you might need to have this procedure done. Nervous? You shouldn't be! A good understanding of this common and relatively pain-free dental treatment can go a long way toward relieving your anxiety.

What's a root canal? It's the small, branching hollow space or canal, deep within the root of the tooth. Like an iceberg in the ocean, a tooth shows only part of its structure above the gum line: That's the part you see when you smile. But about two-thirds of the tooth — the part called the root — lies below the gum. A healthy root canal is filled with living pulp tissue, which contains tiny blood vessels, nerves and more.

A “root canal” is also shorthand for the endodontic treatment that's called for when problems develop with this tissue. For a variety of reasons — deep tooth decay or impact trauma, for example — the pulp tissue may become inflamed or infected. When this happens, the best solution is to remove the dead and dying tissue, disinfect the canals, and seal them up to prevent future infection.

How is this done? The start of the procedure is not unlike getting a filling. A local anesthetic is administered to numb the tooth and the nearby area. Then, a small opening is made through the chewing surface of the tooth, giving access to the pulp. A set of tiny instruments is used to remove the diseased tissue, and to re-shape and clean out the canals. Finally, the cleared canals are filled with a biocompatible material and sealed with strong adhesive cement.

After root canal treatment, it's important to get a final restoration or crown on the tooth. This will bring your tooth back to its full function, and protect it from further injury such as fracture. A tooth that has had a root canal followed by a proper restoration can last just as long as any other natural tooth. And that's a long time.

If you would like more information about root canals, please contact us to schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine articles “Common Concerns About Root Canal Treatment” and “Signs and Symptoms of a Future Root Canal.”

By Convery Dental Associates
July 31, 2012
Category: Dental Procedures
Tags: root canal   oral health   tooth decay  
HowToothDecayCanCauseARootCanalProblem

While some people associate the need for root canal treatment with an injury or trauma to a tooth (which is a valid cause), it can also most commonly be caused by tooth decay that is left untreated. This is the reason why we have put together this brief guide to explain the three common stages of tooth decay that lead up to the need for a root canal.

Stage 1: During this stage, decay begins to form in the tiny grooves on the biting surface of a tooth or where the teeth contact each other. The result is loss of the surface enamel of the tooth.

Stage 2: Left untreated, the disease progresses through the enamel and into the dentin, which forms the body of the tooth. Once in the dentin, it progresses more rapidly until it reaches the pulp — the living tissue within the root canals of the tooth. The decay infects the pulp tissues, which contain the nerves of the teeth, causing pain. The end result of inflammation and infection of the pulp is that it dies.

Stage 3: As the nerve dies an infection results, which causes pain and swelling. For some people who do not regularly visit our office, this may be the first physical sign that they have a problem. But all is not lost, a successful root canal treatment, whereby the infected pulpal tissue is removed and the root canals are cleaned and sealed will not only relieve the pain, but save your tooth. So the good news is that once a tooth has had the appropriate endodontic treatment (“endo” – inside; “dont” – tooth) followed by a proper restoration, the tooth can last as long as your other teeth. The key is to take proper care of your teeth, have routine cleanings, and visit our office as soon as you feel you have a problem with a tooth.

If you are having pain or symptoms from a tooth or teeth, check it out with us — you may or may not need a root canal treatment. Contact our office to schedule an appointment and find out. Don't wait until it's too late. And to learn more about the signs, symptoms, and treatments for a root canal, read the article “I'd Rather Have A Root Canal....”

By Convery Dental Associates
July 01, 2012
Category: Dental Procedures
Tags: root canal   oral health  
QuizYourselfonRootCanalTreatmentHowMuchDoYouKnow

Test yourself on your knowledge of this dental procedure.

  1. A root canal is
    1. A canal shaped structure in the root of your tooth
    2. A blood vessel carrying blood from your gum to your tooth
    3. An instrument used by your dentist in performing dental surgery
  2. Which of these are symptoms of root canal infection?
    1. Sharp, acute and intense pain, which is difficult to pinpoint
    2. Sharp pain when biting down on your tooth or on food
    3. Lingering pain after eating hot or cold foods
    4. Dull ache and pressure
    5. Tenderness (accompanied by swelling) in the nearby gums
    6. All the above
  3. If you don't feel any pain you do not have a root canal infection.
    1. True
    2. False
  4. Root canal treatment is a very painful experience.
    1. True
    2. False
  5. Root canal treatment is called endodontic therapy. What does this word mean?
    1. Bringing the end of your problems
    2. Inside your tooth
    3. Fighting gum disease
  6. You need root canal treatment if
    1. The inside or pulp of your tooth becomes inflamed or infected
    2. Your tooth needs to be gently moved in order to correct your bite
    3. Acid erosion is damaging your tooth
  7. During root canal treatment the canals in your teeth are cleaned out and sealed off.
    1. True
    2. False
  8. Who is qualified to perform root canal treatment?
    1. General dentists
    2. Endodontists
    3. Both of the above
Answers
  1. a. A root canal is a canal shaped space within the root of a tooth that holds the tooth's pulp — which contains the tooth's nerves and blood vessels.
  2. f. — all of the above
  3. False. It is possible to have an infection that has stopped hurting but is still present and causing damage.
  4. False. Root canal treatment doesn't cause pain, it relieves it.
  5. b. The word comes from roots meaning “inside” and “tooth.”
  6. a.
  7. True. A small opening is made in the chewing surface of your tooth to gain access to the pulp. Dead and dying tissue is removed and the pulp is cleaned and disinfected. The canals are shaped and then sealed with filling materials to prevent future infection.
  8. c. All general dentists have received training in endodontic treatment and can perform most endodontic procedures. They often refer people needing complicated root canal treatment to endodontists, who have had specialized training in endodontic diagnosis and treatment.
Contact us today to schedule an appointment to discuss your questions about root canal treatment. You can also learn more by reading the Dear Doctor magazine article “Common Concerns about Root Canal Treatment.”


Dr. Robert Antmann

Dr. Sandy Goldstein

Dr. Marty Jablow

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