Root Canal San Rafael, CA
What you need to know about root canals.
Are you experiencing pain from a toothache?
If it’s painful when biting down, chewing, or applying hot or cold foods and drinks, then it may be the symptom of a decayed or infected root.
Root canals are a way for us to treat the inside of an infected tooth and remove the problem. Often times, the structure and appearance of the tooth are mostly intact, but the pain associated with a toothache is caused by pressure from a decayed root within. It takes a trained eye or even X-rays to find the cavity or crack. That’s why it is so hard to see any problems at home.
The good news is that with treatment comes immediate relief. We remove the infected material and replace it with a biocompatible filling, and then place a dental crown to seal and strengthen the tooth. Please contact us immediately if you are experiencing pain from a toothache.
Root Canal FAQ
It’s understandable that you might feel a bit anxious when you hear “root canal,” but with modern anesthetics you’ll rarely be in any pain and it is a necessary procedure to save your tooth. Below we answer some of the frequently asked questions associated with root canals.
Underneath your tooth’s outer enamel and within the dentin is an area of soft tissue called the pulp, which carries the tooth’s nerves, veins, arteries and lymph vessels. Root canals are very small, thin divisions that branch off from the top pulp chamber down to the tip of the root. A tooth has at least one but no more than four root canals.
When the pulp becomes infected due to a deep cavity or fracture that allows bacteria to seep in, or injury due to trauma, it can die. Damaged or dead pulp causes increased blood flow, and this pressure cannot be relieved from inside the tooth. Pain in the tooth is commonly felt when biting down, chewing, or applying hot or cold foods and drinks.
Because the tooth will not heal by itself. Without treatment, the infection will spread, bone around the tooth will begin to degenerate, and the tooth may fall out. Pain usually worsens until one is forced to seek emergency dental attention. The only alternative is usually extraction of the tooth, which can cause surrounding teeth to shift crookedly, resulting in a bad bite. Though an extraction is cheaper, the space left behind will require an implant or a bridge, which can be more expensive than root canal therapy. If you have the choice, it’s always best to keep your original teeth.
First, you will probably be given a local anesthetic to numb the area. A rubber sheet is then placed around the tooth to isolate it. Next, a gap is drilled from the crown and any affected tissue is cleaned and reshaped. Medication may be inserted into the area to help fight bacteria. Depending on the condition of the tooth, the crown may then be sealed temporarily to guard against recontamination, or the tooth may be left open to drain, or we may go right ahead and fill the canals. If you’re given a temporary filling, it’s usually removed at the next visit and the canal(s) are filled. Once filled, the area is permanently sealed and a gold or porcelain crown is placed over the tooth to strengthen its structure and improve appearance.
The root canal system inside your tooth has been thoroughly cleaned, and the irritated tissue and bacteria that have caused you to need root canal treatment are gone.
It is normal to feel some tenderness in the area over the next few days as your body undergoes the natural healing process. You may also feel some tenderness in your jaw from keeping it open for an extended period of time.
These symptoms are temporary and usually respond very well to over-the-counter pain medications. It is important for you to follow the instructions on how to take these medications. Remember that narcotic medications, if prescribed, may make you drowsy, and caution should be exercised in operating dangerous machinery or driving a car after taking them.
Your tooth may continue to feel slightly different from your other teeth for some time after your root canal treatment has been completed. However, if you have severe pain or pressure that lasts more than a few days, contact our office.
- Do not eat anything until the numbness in your mouth wears off. This will prevent you from biting your cheek or tongue.
- Do not chew or bite on the treated tooth until you have had it restored by your dentist.
- Be sure to brush and floss your teeth as you normally would.
- If the opening in your tooth was restored with a temporary filling material, it is not unusual for a thin layer to wear off in-between appointments. However, if you think the entire filling has come out, contact our office.
Contact our office right away if you develop any of the following:
- a visible swelling inside or outside of your mouth;
- an allergic reaction to medication, including rash, hives or itching (nausea is not an allergic reaction);
- a return of original symptoms;
- your bite feels uneven.
Root canal treatment is only one step in returning your tooth to full function. A proper final restoration of the tooth is extremely important in ensuring long-term success.
Contact our office within two weeks to arrange your next appointment. If your tooth is being treated in more than one visit by an endodontist, do not return to your dentist for the final restoration until the root canal treatment is completed.
The tooth that has had appropriate endodontic treatment followed by a proper restoration can last as long as your other natural teeth. After the tooth has been restored, you need only practice good oral hygiene, including brushing, flossing, regular checkups and cleanings.
We may periodically X-ray the tooth to ensure that healing has occurred. Occasionally, a tooth that has undergone endodontic treatment does not heal or pain continues. At times, the tooth may become painful or diseased months or even years after successful treatment. Often when this occurs, repeating the endodontic procedure can save the tooth.