FAQ

Will the procedure hurt

Local anesthetics make the procedure comfortable. Of course, you may feel some discomfort or experience slight swelling while the incision heals.
This is normal for any surgical procedure. Your endodontist will recommend appropriate pain medication to alleviate your discomfort.
Your endodontist will give you specific post-operative instructions to follow.
If you have questions after your procedure, or if you have pain that does not respond to medication, call your endodontist.

Is it Possible to Repeat Root Canal Treatment if there’s a Problem in the Old Treatment

Occasionally, a tooth may not heal as expected after initial endodontic treatment for a variety of reasons.
These could include complicated canal anatomy or additional canals that weren’t located in the first root canal procedure, the delay in placement of a crown or other restoration, or an insufficient restoration.
Sometimes new problems may jeopardize a tooth that was already treated, such as new decay, a loose, cracked or broken filling, or a tooth fracture. In these cases, revision of the previous treatment may be performed to save the tooth.
Always consult your doctor before extracting infected tooth!

Root Canal Treatment always fail and must be repeated or the tooth will eventually be extracted?

Root Canal Treatment with a specialist (Endodontist) has a successful rate is 95%, and the treated teeth are expected to live many years later.
With proper care, most teeth that have undergone endodontic treatment—a root canal—can last as long as other natural teeth.

Will my Tooth Change Color after Root Canal Treatment

Teeth sometimes turn grey after root canal treatment. This is often a result of the medicated pastes that the dentist uses to clear the infection inside the tooth. For many back teeth, this is not a problem as they are not very visible. For a front tooth, turning grey may not match other front teeth. Ask your dentist about internal bleaching to help restore the tooth’s natural colour. Otherwise, a crown or veneer may be needed to mask the color and match the other teeth.

Does Root Canal Weaken The Tooth

A root canal is an essential procedure that can eliminate infection and save your teeth. But it involves extensive work on the tooth, and some people are concerned that the result might not be strong enough to give long-lasting results.
Although a tooth that is treated in a root canal are weakened by decay and by treatment, they are also reinforced so they’re usually strong enough to last for a long time, possibly decades.
This doesn’t mean that the tooth is dangerously weakened: the cavity can be narrow and deep, leaving most of the enamel and dentin intact. Other times, though, the tooth might have much of the enamel and dentin removed, putting the tooth at risk for failure.
But we don’t leave your tooth weakened. If a significant amount of tooth material had to be removed, we will reinforce the tooth with a metal post. Then the addition of a dental crown will not only protect the tooth from wear, but also brace it against bite forces.
The result is a tooth that is as strong or stronger than it was before we began treatment.

Is it Better to Pull a Tooth than have Root Canal Treatment

Saving your natural teeth, if possible, is always the best option. Nothing artificial can replace the look or function of a natural tooth so it’s important to always consider root canal treatment as an option. Endodontic treatment has a high success rate and many root canal-treated teeth last a lifetime. Replacing an extracted tooth with a bridge or implant requires more time in treatment and may result in further procedures to neighboring teeth and supporting tissue.

Pregnancy And Dental Work

Emergency dental work, such as a root canal or tooth extraction, is necessary.
X-rays are necessary to perform many dental procedures, especially emergencies. According to the American College of Radiology, no single diagnostic x-ray has a radiation dose significant enough to cause adverse effects in a developing embryo or fetus.
According to the American Dental Association, having dental X-rays during your pregnancy is considered safe with appropriate shielding.
Some women may elect to avoid dental work during the first trimester knowing this is the most vulnerable time of development. However, there is no evidence suggesting harm to the baby for those electing to visit the dentist during this time frame.
Also, if non-emergency dental work is needed during the third trimester, it is usually postponed until after the birth. This is to avoid the risk of premature labor and prolonged time lying on your back.

Taking Antibiotic for Tooth Infection

An untreated cavity is a common cause of tooth infection. As the cavity erodes the enamel, it works its way into the nerve center of the tooth. Once the nerve becomes infected, a root canal treatment is the only way to remove the infected nerve and save the tooth.
Infections inside the teeth do not respond to antibiotic treatment! Nerve inflammation caused by the infection restricts the tooth’s blood supply, so antibiotics can’t easily reach the infected area. When ignored, the infection spreads to the surrounding jawbone and can then travel to other parts of the body. This can overtax your immune system and can be potentially life-threatening. Routine 6-month exams can help prevent dental infections from happening in the first place!

What are the Signs of Pulp Inflammation

Signs of pulp damage include pain, prolonged sensitivity to heat or cold, discoloration of the tooth, and swelling and tenderness in the nearby gums. Sometimes, there are no symptoms.

What is Tooth Pulp

Inside the tooth, under the white enamel and a hard layer called the dentin, is a soft tissue called the pulp. The pulp contains blood vessels, nerves and connective tissues. The pulp extends from the crown of the tooth to the tip of the roots where it connects to the tissues surrounding the root. The pulp is important during a tooth’s growth and development. However, once a tooth is fully mature it can survive without the pulp because the tooth continues to be nourished by the tissues surrounding it.

Can all teeth be treated endodontically

Most teeth can be treated. Occasionally, a tooth can’t be saved because the root canals are not accessible, the root is severely fractured, the tooth doesn’t have adequate bone support, or the tooth cannot be restored.
However, advances in endodontics are making it possible to save teeth that even a few years ago would have been lost. And, when endodontic treatment is not effective, endodontic surgery may be able to save the tooth.

Will I feel pain during or after the procedure

Many endodontic procedures are performed to relieve the pain of toothaches caused by pulp inflammation or infection. With modern techniques and anesthetics, most patients report that they are comfortable during the procedure.
For the first few days after treatment, your tooth may feel sensitive, especially if there was pain or infection before the procedure. This discomfort can be relieved with over-the-counter or prescription medications.
Follow your endodontist’s instructions carefully. Your tooth may continue to feel slightly different from your other teeth for some time after your endodontic treatment is completed. However, if you have severe pain or pressure or pain that lasts more than a few days, call your endodontist.