Root Canal Therapy

Root Canal Treatment

When the nerve of your tooth becomes infected, a successful root canal treatment lets you keep the tooth rather than having to pull it out. Keeping your tooth helps to prevent your other teeth from drifting out of line and causing jaw problems. Saving a natural tooth avoids having to replace it with an artificial tooth.

What is root canal treatment?

Root canal treatment, also known as endodontic treatment, is the process of removing infected, injured or dead pulp from your tooth. The space inside the hard layers of each tooth is called the root canal system. This system is filled with soft dental pulp made up of nerves and blood vessels that help your tooth grow and develop.

When bacteria (germs) enter your tooth through deep cavities, cracks or flawed fillings, your tooth can become abscessed. An abscessed tooth is a tooth with an infection in the pulp. If pulp becomes infected, it needs to be removed. An abscessed tooth may cause pain and/or swelling. Your dentist may notice the infection from a dental x-ray or from other changes with the tooth. If left untreated, an abscessed tooth can cause serious oral health problems.

Who does this procedure?

Dr Ghai performs most root canal treatment – front or back teeth. She may also refer you to an endodontist for surgical root canal or retreatment. Endodontics is a specialty of dentistry concerned with the treatment of the dental pulp or nerve of the tooth.

If your child’s primary (baby) tooth has infection or damaged nerve,, Dr. Ghai performs a baby root canal, also called pulpotomy before placing a filling or stainless steel crown on the tooth. She may also refer you to a pediatric dentist for this procedure for children who are simply too young and uncooperative for treatment in chair. Dr. Ghai is amazing with children and adults who are nervous or scared of receiving dental treatment. All children love to come to our practice because of the gentle treatment performed by Dr. Ghai and caring staff who looks after them and not to mention the prize(s) given to the children for being cooperative in the chair!

root canal

How is a root canal treatment done?

Dr Ghai will give a local anesthetic (freezing). To protect your tooth from bacteria in your saliva during the treatment, Dr. Ghai places a rubber dam around the tooth being treated. Dr. Ghai makes an opening in the tooth to reach the root canal system and the damaged pulp. Using very fine dental instruments, pulp or nerve tissue is removed by cleaning and enlarging the root canal system. After the canal(s) in the root(s) has been cleaned and shaped, they are filled and sealed. The opening of the tooth is then sealed with either a temporary or permanent filling.

After a root canal treatment, your tooth should be restored with a cap or crown to prevent cracks/fractures which can compromise the integrity or success of the root canal. A crown is recommended after a tooth receives a root canal to increase the longevity of the tooth. If an endodontist performed your root canal treatment, he or she will fill the opening of the tooth with a temporary filling and send you back to your dentist or prosthodontist for tooth restoration.

What else should I know?

Root canal treatment may be done in 1 or 2 appointments. After root canal treatment, your tooth may be tender for the first week or two. Bad pain or swelling are NOT common. If this happens, call your dentist or endodontist.

You can still get a cavity or gum disease after a root canal treatment. Root canal treatment does not protect your tooth from other types of damage. With proper care and regular dental visits, the tooth could last as long as your other teeth. Most of the time, a tooth that has had a root canal treatment can be saved. However, there are cases where everything possible has been done to save a tooth and still the tooth must be extracted (pulled).

Root Canal Retreatment

Most root canal treatments are successful. But in some rare cases, a second root canal treatment is needed. This is called retreatment. When retreating a tooth, the root canal filling material is taken out, and the canal is recleaned, reshaped and refilled.

Root Canal Surgery

Sometimes root canal surgery is needed when a regular root canal treatment cannot be done or when it has not worked. Surgery is done to:

* Check the end of the root for fractures (cracks).
* Remove parts of the root that could not be cleaned during regular root canal treatment.
* Clear up an infection that did not heal after regular treatment.

Derry Village Dental Care’s After Endodontic Treatment Instructions

1. Should I feel pain/discomfort afterwards?

In the majority of cases there is a minimal discomfort, which may be relieved with the pain medication prescribed or recommended by the doctor.

2. What kind of pain medication should I take, if pain exists?

The medication we recommend the most is ADVIL. It is a very good anti-inflammatory and is good for pain relief.

If you have ulcers or an allergy to Aspirin, do not take this medication. Use Extra Strength Tylenol as an alternative.

Please remember to take the medication as soon as possible before the freezing has worn off to allow the properties of the medication to take effect. Repeat this in about 5 hours and then again before you go to sleep if it is 4 to 5 hours later.

It is much easier to prevent discomfort than it is to relieve it.

The following day you should take the pain medication at a 5-hour interval again. The medication does not work if you don’t take it.

3. Should I take all the antibiotics even thought I’m okay?

YES!!! If antibiotics have been prescribed for you then you must complete the entire course of the medication.

Only stop if you develop a rash, allergy, diarrhea, or any other complications. If this occurs, please contact the office immediately .If you stop taking the antibiotics before they are finished the pain may have disappeared but the infection will still linger and can get worse in the future.

4. Can I use the tooth like before?

No, not right after the treatment is completed. It is normal for the tooth to be tender to chew on after the procedure.

Please avoid it as much as possible for at least a week or so. Once you have allowed the tooth to settle, you may then, go about things normally.

Again please do not hesitate to call the office if you have any questions or concerns.

Our goal is to help you understand any treatment that you receive

Why Choose Us?

  • New and Modern Clinic
  • Personalized Service
  • Friendly and Inviting Staff
  • Insurance is Directly Billed
  • Flexible Hours