Dealing With Pain Following Root Canal Therapy

Dealing With Pain Following Root Canal Therapy

Root canal treatments are specifically designed to relieve the tooth pain associated with an infected tooth root. Patients come in with pain, and often leave the procedure with less discomfort than before. However, if you’ve recently had a root canal treatment on one or more of your teeth, you might be experiencing discomfort following the procedure. Fortunately, there are things you can do at home to take care of it.

Are your gums sore, tender or swollen surrounding the affected tooth? This is likely the result of the tiny metal clips that affix a rubber dam around the tooth, protecting it and protecting your mouth. The clips are attached along the gum line, and can leave tiny bruises or sometimes small cuts in the soft gum tissue. This pain should alleviate within two days of the treatment.

Is the tooth itself sore? This is a common occurrence and is typically the result of an inflammation of the mouth tissues that encase the tooth root. The tools used by the endodontist to perform the procedure can irritate the tissues.

Both of these types of pain can be dealt with by several over-the-counter analgesics. The ones that are most recommended to treat dental pain are those that possess anti-inflammatory agents: naproxen sodium, ibuprofen or aspirin, etc. If you are also taking narcotics prescribed by your dentist, do not take any further medication, over-the-counter or prescription, until you have checked with your dentist. Dangerous reactions can occur.

If you have been prescribed antibiotics, do not stop until you have completed each recommended dose. This ensures that your tooth remains free of infection and can heal thoroughly.

Ask your endodontist if you have other concerns about treating your post-root canal treatment pain.


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How to Know You Need Root Canal Therapy

How to Know You Need Root Canal Therapy

Tooth decay that is allowed to become severe can cause extensive damage to your tooth, even resulting in tooth loss if not treated. Sometimes symptoms are present that cause you to visit your dentist, but other times it’s just a regular checkup that catches a problem.

The source of trouble usually begins with a small area of tooth decay that goes unnoticed. Bacteria attacks, decay thrives, a cavity may form, and infection can spread. Cavities may be filled to repair the tooth and eradicate infection, but advanced cases of decay can reach the tooth’s interior. Once it gets to the pulp, serious damage can set in. This is when symptoms often appear, sometimes becoming severe.

Once damage reaches your tooth’s pulp, some common symptoms that will prompt you to call your dentist may include:

  • Slight to severe pain when biting, chewing, or even putting slight pressure on the tooth
  • Minor to extreme sensitivity when your tooth comes into contact with anything hot or cold
  • Inflammation or swelling near the gum line surrounding the affected tooth
  • Ongoing aches in the general area of the damaged tooth, including headaches, neck aches, or earaches
  • Ulcers or bumps near the damaged tooth
  • Difficulty performing normal mouth functions like eating

If you experience any of these symptoms, it’s time to visit your dentist for an evaluation. Root canal therapy might be recommended to restore your tooth’s health and regain comfort and functionality. Root canal treatment involves cleaning the damaged areas of the tooth pulp to remove infection and bacteria, filling the open space, and sealing it to prevent future damage. Sometimes a crown is placed on top to complete the process.

When a tooth is severely damaged, root canal therapy provides your best chance for restoration and optimum oral health. Your dentist will effectively and safely perform the procedure, and at the same time relieve the related symptoms that you may be experiencing.


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Choosing Root Canal Treatment Over Tooth Extraction

Choosing Root Canal Treatment Over Tooth Extraction

Pain, sensitivity, and trouble eating or sleeping are only a few of the uncomfortable symptoms of a damaged tooth. Sometimes the inside portion of a tooth, or its pulp, becomes so damaged that action must be taken. It could come in the form of extracting the tooth or it might be able to be saved through root canal treatment.

Virtually every dentist recommends root canal therapy over tooth extraction. It’s almost always better to save your natural tooth. Otherwise, you’ll end up with a hole in your smile and the problems that accompany it.

A tooth can be damaged for a variety of reasons such as severe decay, trauma, or deep cavities. The damaged pulp contains nerves, which is one reason that many patients experience severe pain. Although dental fillings can remedy some cavities or decay, when the situation advances to the extent of harming the tooth pulp, fillings are not enough. Root canal treatment is usually the best way to repair the tooth without having to pull it.

A root canal procedure involves drilling into the tooth so that the pulp can be completely removed and the canal thoroughly cleaned. Then the area is filled with special material and sealed to prevent future damage. Often, a dental crown is placed on top of the restored tooth to provide added protection. This process alleviates any symptoms and give you back your fully functional, natural tooth.

If you were to opt for tooth extraction instead of root canal treatment, you’d be choosing a more invasive approach. The procedure can be intrusive, time consuming and costly. Recovery from tooth extraction can be uncomfortable and take longer than root canal therapy. Careful oral hygiene is necessary after extraction to avoid infection or complications. You’ll also be left with an unappealing hole in your smile that can make eating and speaking more difficult, and your other teeth will likely start moving into that empty space.

To determine the best treatment for you, consult a reputable dentist. You’ll learn about the options and how root canal therapy may be the best choice in restoring your oral health and your smile.


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An Overview of Root Canal Treatment

An Overview of Root Canal Treatment

Sometimes a tooth is so severely damaged that the only way to save it is with root canal treatment. There is no reason to turn and run if your dentist advises this procedure. The treatment has advanced to the point that it’s often compared to getting a filling. There are certain steps that will be performed as part of nearly every root canal procedure.

Preparation

X-rays may be taken as part of the diagnosis process or to determine the extent of damage. Once the dentist is ready to begin treatment, a local anesthetic will be used to numb the area throughout the procedure.

Pulp removal

A rubber dam will be placed around the tooth to separate the area from the rest of the mouth, and to keep it dry from saliva. The tooth will be opened, often using a small dental drill, to gain access to the pulp inside the tooth. The damaged pulp will be removed, and if there is an abscess it will be drained.

Cleaning and filling

After the pulp is eliminated, the dentist will thoroughly clean the area. The root canal will be widened if needed to create an adequate space for the filling. Depending on the extent of the damage, this step of the process can take up to several hours to complete or it can be spread over more than one visit. A temporary filling is sometimes used to seal the area between visits. If infection is present, the dentist may prescribe antibiotics.

Sealing

The temporary filling will be removed and the permanent filling placed to fully seal the tooth and prevent future infection. If the tooth has been filled at the root, the risk of breaking is higher so a crown may be recommended for protection.

Crown placement

Crowns help prevent further damage or fracturing. If needed, the tooth will be reduced somewhat to allow space for the crown. It will be held in place securely with dental cement.

Recovery

After root canal treatment, the tooth should survive for many years. The procedure may be repeated if re-infection occurs.

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Why Do I Need Root Canal Treatment?

Why Do I Need Root Canal Treatment?

Even though regular checkups and proper dental hygiene greatly decrease the need for root canal treatment, the fact remains that it is one of the most common procedures performed by dentists today. What are some of the most common reasons you might need this dental solution?

Decay:
The primary cause for root canal procedures is decay that has entered the tooth pulp chamber and progressed to the point of causing infection or abscesses. Pain and tooth sensitivity often accompanies severe decay. Root canal treatment is the best way to avoid tooth extraction and restore oral health.

Trauma:
If a tooth endures strong force such as from a sports injury, car accident or fall, the trauma can damage the tooth so badly that root canal treatment is needed. Even if trauma isn’t completely evident at first, a severed nerve to the tooth can cause it to die over time.

Genetics:
Traits of teeth like their strength are passed along through genes. Some people inherit soft teeth that are more prone to decay, making it difficult to avoid decay even with diligent oral hygiene.

Tooth fracture:
A tooth can be fractured through chewing hard foods or ice, teeth grinding or clenching, or habits like nail biting. Even hairline fractures may allow bacteria to enter the tooth’s pulp and cause infections. Once the bacteria takes hold, root canal treatment may become necessary.

Deep cavity:
Deep cavities within teeth can allow infections to thrive, eventually causing the tooth to become inflamed or die. A deep cavity isn’t necessarily painful, so patients may not even realize they have an infection. Regular dental checkups help catch cavities early, before they are able to become so deep and serious.

Previous dental work:
Extensive or repeated dental work can cause trauma to teeth nerves and associated inflammation, making root canal therapy an important solution.

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Signs You May Need a Root Canal Therapy

Signs You May Need a Root Canal Therapy

If you are dealing with ongoing tooth pain, you may be too fearful to go to the dentist to find out what’s going on. It’s important that you do, however, as you may need root canal therapy. Your dentist will need to evaluate you to see if that procedure is necessary, and will closely examine several factors: the signs the dentist can see personally, the results of any tests performed during your visit, and the symptoms you have been experiencing with the problematic tooth.

Your dentist may observe:

  • A tooth that is discolored
  • X-rays that reveal a tooth problem
  • A fistulous tract, or persistent or recurring gum pimple

Additional testing done by your dentist:

  • X-rays provide an extremely clear picture of the health of the tooth
  • Thermal testing can evaluate sensitivity through a careful application of hot or cold temperatures
  • Percussion testing evaluates pain response through gentle tapping

You may have been noticing:

  • A broken or cracked tooth obviously decayed or damaged
  • A discolored tooth, especially a grey tooth
  • A “bubble” in your gums, like a pimple. It may or may not have ruptured, leaking pus that smells or tastes awful
  • Pain that shoots out from one tooth to your jaw or ear, leading to earache symptoms
  • Pain that prevents you from living your life without painkillers
  • Pain, sensitivity or swelling on one certain tooth
  • Extreme sensitivity to hot or cold liquids that lingers and is very painful

In some cases, an infected tooth that requires a root canal treatment has no symptoms at all that could be discerned by you. Only a dental professional can confirm the need to undergo root canal therapies. If you are experiencing pain that disrupts your life, talk to your dentist or endodontist immediately. Root canal treatments are designed to relieve the pain you’re experiencing now and to restore your tooth to full form and function. Don’t wait to get your life and smile back!

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