Root Canal Procedure

Table of contents

    A root canal is a restorative dentistry treatment for a severe tooth infection. Root canal therapy is extremely common and typically painless. It can save an infected tooth from extraction, allowing us to restore it so you can bite and chew without discomfort or pain.

    This guide explains when you might need root canal treatment, what to expect, and the benefits of this procedure. 

    What is Root Canal Treatment?

    Root canal treatment, also called endodontic therapy, treats the dental pulp right in the center of each tooth. The pulp is housed in the pulp chamber and is a collection of soft tissues, including connective tissues, blood vessels, and the tooth nerve.

    If you need root canal therapy, this treatment removes the dental pulp and all the tissues extending from the pulp into your tooth roots, called root canals. Afterward, the tooth is disinfected, permanently sealed, and restored.

    Why Would I Need a Root Canal?

    Usually, in a healthy tooth, the pulp is protected by the tooth structure surrounding it, which includes the dentin and an outer layer of tough tooth enamel.

    If your tooth becomes damaged, such as a deep cavity in a tooth, the dental pulp can become infected and inflamed. The infection occurs when bacteria found in dental plaque can penetrate deep inside the tooth.

    A pulp can also become inflamed if you take a blow to the mouth, which damages it. The inflamed dental pulp will swell, creating pressure inside your tooth and causing a nasty toothache.

    What Are the Signs That I Need a Root Canal Treatment?

    Several symptoms that can indicate a tooth infection include:

    • Persistent toothache that can spread into your jaws or to other teeth.
    • Feeling pain or discomfort when you touch the tooth or try to bite or chew on it.
    • Swollen gum around the affected tooth.
    • A pimple on the gum nearest the infected tooth that is caused by pus buildup.
    • Tooth discoloration as a tooth infection prevents blood from getting to the tooth, making it look darker.
    • A loose tooth, as a severe infection can destroy the structures supporting the tooth, including your jawbone.
    • Swollen jaw caused by pus building up around the infected tooth.

    When to See Your Dentist?

    If you experience any form of dental pain or feel something isn’t quite right with the tooth, it’s a sign that you need to see a dentist, and we urge you to contact Broadway Mall Dental as soon as possible.

    A tooth infection can be painful, and we try to see someone in pain as quickly as possible, preferably on the same day. We can soon diagnose the problem and provide pain relief.

    Diagnosing a Tooth Infection

    When you see our dentist, we will gently examine the tooth and want to take a dental X-ray to see the extent of the infection and inflammation. Other tests may include:

    • Gently tapping on your tooth or testing it with a cold substance for discomfort and sensitivity.
    • Checking for signs of swelling around the tooth.
    • Looking for signs of discoloration in a tooth.
    • Asking about your symptoms, such as whether it hurts when you bite down.

    After examining your tooth, we can confirm if it is infected and if root canal treatment is appropriate.

    How Much Does a Root Canal Cost?

    The cost of root canal therapy varies depending on the tooth that needs treatment and the extent of the infection.

    Factors Affecting the Cost of Root Canal Therapy

    1. The location of the tooth. For example, if you have a front tooth requiring root canal therapy, it will cost less than a back tooth. This is because a front tooth only has one tooth root, but a back tooth has several that must be cleaned thoroughly and filled.
    2. Tooth restoration. A tooth that has received root canal therapy normally requires a dental crown to restore it afterward. This is because teeth that are severely infected have usually lost much of their original structure through decay or trauma.

    An ordinary filling wouldn’t be enough to restore structure and strength to the tooth. Instead, covering it with a crown helps protect it fully and restores its appearance.

    We can give you a more precise cost after examining the tooth and discussing suitable types of crowns to restore the tooth afterward.

    Will Dental Insurance Cover the Cost of Root Canal Therapy?

    Your dental insurance should cover at least part of the cost of root canal therapy since this is a restorative procedure. Therefore, treatment is necessary to save and preserve an infected tooth.

    Root Canal Procedure

    There are several stages of root canal treatment, which are outlined below.

    First Visit

    1. Your tooth is numbed with a local anesthetic before we begin treatment. There is no need to worry that root canal therapy will be painful. Although it takes longer, it shouldn’t feel any worse than an ordinary filling.
    2. We isolate the tooth with a rubber dam, a thin rubber sheet that helps keep your tooth dry during treatment.
    3. Our dentist will make a small opening in the tooth crown to expose the tooth pulp.
    4. We use special instruments to remove the tooth pulp and all the tissues extending into your root canals. We may use microscopic dentistry to see the area more clearly during this stage.
    5. Special files are used to shape the root canals, and once the pulp chamber and root canals are empty, they are cleaned and disinfected.
    6. At this stage, we may insert topical antibiotics into the tooth. This may be necessary if the tooth infection is severe.
    7. A temporary filling material is inserted into the tooth, and we leave it to settle for a week or two to ensure the infection is eliminated.

    Root Canal Recovery

    After you have a root canal, your recovery should be quick and uneventful. Once the anesthetic wears off, you may experience mild tooth sensitivity or discomfort until the tooth settles down.

    If you previously had a severe toothache, root canal treatment should have eliminated this pain. If you experience pain after root canal therapy, please get in touch with us for further help and advice.

    We may prescribe antibiotics for a severe tooth infection, and if this is the case, please complete the course even if the tooth seems pain-free. You must return to our dental office for a second and possibly third visit later.

    Second Visit

    1. Once we are sure your tooth is infection-free, it will be filled permanently with a material called gutta-percha.
    2. We then take a dental impression of the tooth to custom-make your new crown.

    It may be possible for us to make this crown while you wait using CADCAM technology. Otherwise, you will need a third visit so we can fit the crown. If this is the case, your tooth will be protected with a temporary crown until your new crown is ready.

    What Are the Benefits of Root Canal Therapy?

    Prompt root canal therapy can save a tooth and eliminate a painful and nasty infection. Without this treatment, you would need to have the tooth removed.

    Treatment also prevents the infection from spreading to other teeth and damaging your jawbone. A nasty tooth infection can develop into a dental abscess that can even impact your overall health and may, in rare circumstances, become life-threatening.

    Caring for Your Mouth after Root Canal Therapy

    After you have root canal therapy, ensure you practice good oral hygiene. If you don’t already, get into a routine of brushing your teeth twice daily and flossing once a day. This simple routine will help avoid any further tooth infections.

    Visit us regularly for checkups so we can check the condition of your teeth. Any problems like a small cavity can be quickly treated before they develop into a tooth infection that would need root canal treatment.

    Professional dental cleanings help remove plaque and tartar buildup, removing bacteria that could otherwise cause problems like a tooth infection.

    How Long Will a Root Canal Last?

    Some root canal treatments will last for years or even for life and remain entirely trouble-free. Unfortunately, this isn’t always the case, and sometimes, a tooth that has received root canal therapy will become reinfected right down at the tip of the tooth root.

    If a tooth does become reinfected, we can look at root canal retreatment. Sometimes, this can be a good option, but the outcome may be less certain. Root canal retreatment may also be more expensive.

    At this stage, we will discuss all possible options with you, including removing the tooth and replacing it with a dental bridge or dental implant. Although we always strive to protect and preserve natural teeth, spending the money on a different treatment with a more predictable long-term outcome can occasionally be better.

    Contact Us If a Tooth Has Begun to Twinge

    Have you noticed a tooth has begun to feel sensitive when you eat and drink anything hot or cold or that it twinges occasionally?

    Contact us to schedule a checkup, in case it is infected. A tooth infection cannot heal on its own and will likely become more painful. The sooner we treat an infected tooth, the better the long-term outcome will be, and we can quickly ensure your tooth feels more comfortable and pain-free.