Endodontic treatment is necessary when the pulp, the soft tissue inside the root canal, becomes inflamed or infected. The inflammation or infection can have a variety of causes: deep decay, repeated dental procedures on the tooth, or a crack or chip in the tooth.

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When people are told that they need a root canal treatment, they usually think about pain. However, the pain they feel is caused by an infection in the tooth, not by root canal treatment. … The root canal procedure itself is painless. A local anesthetic numbs the tooth and the surrounding area.

Pulp and nerve is good because small cavities can recalcify and solve themsleves but only if the tooth is alive and has not had a root canal. Pulp can become inflamed or infected from deep decay, repeated dental procedures on the same tooth, or a crack or chip in the tooth.

When a tooth’s nerve and pulp becomes infected, a dentist and patient must make a choice of whether to attempt to save the tooth by performing a root canal or to extract the tooth.

There are several factors that influence this decision. These include whether there is infection in the surrounding bone, the amount and condition of the remaining tooth structure, the strength of the supporting bone, and the presence of periodontal disease.

Root canal therapy is done to remove the nerves and tissues from the inside of the tooth. At the same time, the dentist will clean, sanitize, fill, and seal off the root canal system within the tooth.

There are many reasons a tooth may need root canal therapy. The main reason patients undergo root canal therapy is due to deep areas of decay and bacteria which affect the dental pulp. If decay affects the enamel and dentin, it can be addressed with fillings. However, the deeper it reaches when left untreated, the more likely it is to require root canal therapy. Other reasons patients may need root canal therapy is due to trauma of a tooth, or anything that causes inflammation within the natural tooth. Root canal therapy is the best way to maintain the structure of a natural tooth and avoid extraction, which requires additional restoration and cosmetic treatment.

A dental implant is an artificial tooth root that is placed into your jaw to hold a replacement tooth or bridge.  Dental implants may be an option for people who have lost a tooth or teeth due to periodontal disease, an injury, or some other reason.

Dental implants are typically made of titanium, a biocompatible material that is accepted by the body and serves as a strong and sturdy foundation for replacement teeth. Your natural bone locks the implant into place by fusing, or attaching itself, to the implant.

Considering dental implant surgery to replace missing or damaged teeth, but concerned about how bad it will hurt or the pain afterwards? These are common fears. However, most dental implant patients say the procedure doesn’t hurt and the discomfort is minimal.

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Neglecting a tooth with decay can lead to necessary treatment via root canal therapy. During this treatment, the dentist will remove the dental pulp, and address the bacteria and decay at the same time. This procedure is done under proper anesthetics for the comfort of the patient.

 

During a root canal procedure, the nerve and pulp of the tooth is removed.

This tissue contains veins, arteries and lymph vessels. The dentist or endodontist uses files of various sizes to clean out the canals. Once the roots are cleaned out and widened, they are filled with a special rubber material that seals them off.

A root canal is usually the most conservative treatment when a root is infected or a tooth has severe decay or damage. Root canals have been performed with success for generations and have a very low failure rate. But there is always a slight possibility that a tooth with a root canal can have complications down the road. If there was a tiny crack in the treated tooth, it can become re-infected. Teeth with curved roots are more difficult to fill and they can also become re-infected. Occasionally, the tip of a file can break off in a root during the procedure and cause problems.

Because there is always a slight risk that a root canal can fail and eventually require extraction, some patients wonder if they should just get a dental implant in the first place. This is not a black and white decision. Like root canals, dental implants have a high success rate. But there are risks with dental implants, as well.

If you have been told that a root canal or a dental implant is necessary, talk with your dentist about the pros and cons of each procedure. Dental implants are the best tooth replacement option out there, and Dr. Andrea Patterson, prosthodontist, specializes in placing and restoring dental implants.