Endodontics (Root Canals)

What is a Root Canal?

When the nerve in a tooth dies, the infected tissue must be removed by either extracting the tooth or performing a root canal. Removing the infection from the tooth and filling the canal where the nerve was removed is called a root canal.

The nerve in a tooth can become infected for many reasons. For example, an area of deep decay could involve the nerve or the accidental fracture of part of the tooth could expose the nerve. Sometimes, just a blow to the tooth can cause the nerve to die and become infected. In any case, when the nerve becomes infected, the nerve tissue must be removed by either extracting the tooth or performing a root canal (endodontic treatment). Ideally, the root canal should be done before the infection has a chance to get into the bone, before the area develops extreme swelling and pain. Periodic dental examinations and having your tooth checked by Dr. Patel when it first begins to hurt will usually help avoid severe complications.

What are some warning signs that endodontic treatment might be needed?

• Severe toothache
• Darkening/discoloration of the tooth
• Swelling or pain in the gums around the tooth
• Persistent sensitivity to cold or hot
• Tenderness in the lymph nodes or jaw bone

After endodontic treatment will I ever have trouble with that tooth again?

This should be a permanent solution for the tooth. Since the nerve is dead and all the material has been removed, you’ll no longer feel any pain or sensitivity. Keep in mind that you’ll still need to keep up with your oral hygiene, as the gums still need to be well cared for.

What is the procedure for endodontic treatment?

Most root canals can be performed in a single visit. First, Dr. Patel will numb the entire area with local anesthesia. Next, the tooth is isolated with a sheet of rubber, which also serves to keep the tooth dry and sterile during the procedure. Dr. Patel then accesses the tooth and thoroughly removes the decayed nerve tissue. The debris is flushed away with fluids. After the tooth is cleaned, Dr. Patel will seal the canal with a special sealer paste compound. Most teeth that have undergone a root canal will need further restoration, which typically involves the placement of a permanent crown.

Are root canals painful?

Most people would say it’s no more painful than a regular filling. You’re fully numb so you won’t feel Dr. Patel accessing the tooth or any of the instrumentation during the procedure.

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