Endodontic Therapy

Endodontic therapy, also known as a root canal, is a relatively painless treatment of the tooth aimed at clearing infection as well as protecting the tooth from subsequent infections.

When a tooth is cracked or has a deep cavity, bacteria can enter the pulp tissue and germs can cause an infection inside the tooth. If left untreated, an abscess may form. If the infected tissue is not removed, pain and swelling can result. This can not only injure your jawbones, but is detrimental to your overall health as well. Without the proper treatment, your tooth may have to be removed.

Teeth that require endodontic therapy are not always painful. However, signs you may need a root canal include:

• Severe toothache
• Pain upon chewing or application of pressure
• Prolonged sensitivity to heat or cold
• Dark discoloration of the tooth
• Swelling and tenderness in the nearby gums

What happens during endodontic therapy?

Root canal treatment involves one to three visits during which your endodontist removes the effected tissue. After the tissue is removed, the interior of the tooth will be cleaned and sealed.

Finally, the tooth is filled with a dental composite. If your tooth had extensive decay, your doctor may suggest placing a crown to strengthen and protect the tooth from breaking. As long as you continue to care for your teeth and gums with regular brushing, flossing, and checkups, your restored tooth can last a lifetime.

Most teeth can be saved by endodontic therapy, however, tooth extraction may be necessary if:

• Roots are severely fractured
• The tooth does not have adequate bone support
• The tooth cannot be restored
• Root canals are not accessible

Endodontic therapy is intended to help save your tooth from extraction. Missing teeth can make you self-conscious, affect your ability to bite and chew, cause other healthy teeth to shift, and have a negative impact on your overall health. By choosing to receive endodontic therapy, you are choosing to keep your smile healthy and beautiful for years to come.

Myths About Root Canals and Root Canal Pain

There are many misconceptions surrounding root canal (endodontic) treatment and whether patients experience root canal pain. The American Association of Endodontists wants you to have accurate information. As always, when considering any medical procedure, you should get as much information as you can about all of your options. 

Myth 1: Root canal treatment is painful.

Truth: Root canal treatment doesn’t cause pain, it relieves it.

The perception of root canals being painful began decades ago but with modern technologies and anesthetics, root canal treatment today is no more uncomfortable than having a filling placed. In fact, a recent survey showed that patients who have experienced root canal treatment are six times more likely to describe it as “painless” than patients who have not had root canal treatment.

Most patients see their dentist or endodontist when they have a severe toothache. The toothache can be caused by damaged tissues in the tooth. Root canal treatment removes this damaged tissue from the tooth, thereby relieving the pain you feel.

Myth 2: A good alternative to root canal treatment is extraction (pulling the tooth).

Truth: Saving your natural teeth, if possible, is the very best option.

Nothing can completely replace your natural tooth. An artificial tooth can sometimes cause you to avoid certain foods. Keeping your own teeth is important so that you can continue to enjoy the wide variety of foods necessary to maintain the proper nutrient balance in your diet. If your dentist recommends extraction, ask whether root canal treatment is an option.

Endodontic treatment, along with appropriate restoration, is a cost-effective way to treat teeth with damaged pulp and is usually less expensive than extraction and placement of a bridge or an implant.

Endodontic treatment also has a very high success rate. Many root canal-treated teeth last a lifetime. Placement of a bridge or an implant will require significantly more time in treatment and may result in further procedures to adjacent teeth and supporting tissues.