Everything You Need to Know About Root Canals
Hello, Dr. Virginia Ellis here. Today, we are going to talk about root canals.
What is a root canal treatment?
A root canal treatment is when you have a tooth that is infected, cracked, or damaged, and the nerve is dead or very inflamed to the point where it won't heal. You need to go in and clean the tooth out. There's an infection of a tooth cavity that went into the nerve. Once that happens, the bacteria goes all the way down to the ends of the roots, and then you get an abscess. That's when a root canal would be recommended, or when you have a cracked tooth. Sometimes people come in with a crack, saying, "Oh, my tooth really hurts," or they break off the tooth. When a tooth has a crack, sometimes you'll get certain symptoms that indicate the crack has reached the nerve and there's an irreversible non-healing inflammation of the tooth. When that happens, you need a root canal.
The specialist, called an endodontist, works on the inside of the tooth. Their job is to try to save the tooth. They will make a small hole to access the roots. The infected or inflamed material is taken out, cleaned, shaped, disinfected, and then filled with something called gutta-percha. Once that's done, you're going to need a crown. I'll explain why, in many cases, you will need a crown on back teeth.
Can a root canal save a cracked tooth?
Yes, it can. If a tooth is cracked, a root canal will be done, and then a crown will be placed, saving the tooth.
When is it too late for a root canal?
When the infection has spread. If you come in with a high temperature and the infection has spread to the rest of your body, the source of the infection, which would be the tooth, has to be removed immediately.
Will I need a dental crown after a root canal?
The answer is yes, especially for back teeth. On front teeth, sometimes you do, but often you don't. It's case by case. On back teeth or premolars, you will always need a crown afterward.
What type of anesthesia will be used during a root canal procedure?
It depends on your needs and how badly you're infected. For a normal root canal, local anesthesia should be enough. If your infection is severe and local shots don't work, then you'll need IV in combination with the shots. They might use IV oral sedation pills or IV intravenous sedation. Sometimes nitrous is enough, but if it's really infected, general anesthesia might be necessary. It depends on the type of infection you have, and that's something you can discuss with the doctor.
How safe is a root canal?
It's pretty safe, especially when done by a well-trained doctor. Generally safe for damaged or infected teeth.
How do I prepare for a root canal?
Go to the office, attend the consultation, and follow the doctor's directions, especially afterward. It's important to communicate if you have a fear of dentistry, don't numb well, or are taking any drugs. Be honest about your medical conditions and emotions towards dentistry. If you have anxiety or discomfort during the procedure, raise your hand and communicate with the staff. Our assistants are here to help and ensure your experience is comfortable.
How will I feel after a root canal?
Generally, you're pretty good. You'll be tender, but it's usually tolerable. If you have a root canal and go on a flight the same day, you might experience pain due to pressure changes. It's not unbearable, but something to be aware of.
Will my tooth be sensitive after a root canal?
Yes, it's normal and tolerable most of the time.
How long does it take to recover from a root canal?
Recovery can take between a few days to a week. Most people are fine the next day. If you experience discomfort, contact the office for guidance.
Root canal versus dental implants. What are the pros and cons of each?
I tell my patients to save their natural tooth if possible, as nothing is as good as real teeth. Implants are great, but aren't a perfect substitute for natural teeth. Implants lack ligaments, which provide sensation and absorb shock. Over time, implants might appear shorter compared to natural teeth due to skeletal changes. Anytime you can keep your teeth, do so, as what Mother Nature gave you is the best option.
Why are dental crowns recommended after a root canal?
On back molars and premolars, a crown is necessary after a root canal because the pulp, which provides nourishment and hydration, is removed, making the tooth brittle. Without a crown, the tooth may eventually break, leading to tooth loss. An implant is more expensive, so it's healthier and more cost-effective to place a crown on your natural tooth.
How much does a root canal treatment cost?
The cost varies. Front teeth are generally cheaper than back teeth, as back teeth have more canals. The cost also depends on your location and whether you see a specialist or general dentist. Prices are higher in areas like California and San Francisco compared to places like Louisiana or Texas. Choose a provider who will do the best job. While general dentists can perform root canals, I prefer specialists unless the general dentist has extensive experience. Endodontists have the equipment and expertise to handle complications effectively.
At Virginia H. Ellis, DDS Dental Corp., your dental health is our priority. If you have any questions, don't hesitate to call our team at (925) 272-2698, or you can email us at [email protected]. Our staff would love to talk with you!