5 Key Facts About Root Canals and Endodontics

Root Canals

A Root Canal Treatment is a process that removes infected or damaged tooth pulp, cleans out the infection and seals the area to prevent future bacteria from entering. The procedure is performed by a specialist called an endodontist and can save your natural teeth, while eliminating pain and allowing you to chew properly again.

Your Root Canal Treatment Will Be Painless

During the procedure, your dentist will numb the tooth and surrounding gums with a local anesthetic before drilling an opening into the tooth. The infected pulp, bacteria and decayed nerve tissue are removed. The hole is filled with a biocompatible material, called gutta percha. This is shaped and disinfected with special tools, and then the cavity is sealed with a filling.

Your Tooth May Need a Crown Following the Root Canal

When your root canal is completed, you will need to return for a final appointment. Here, the empty root canals are filled with a biocompatible material, usually a rubber-like compound called gutta percha, and an adhesive cement is added to help seal the canals shut.

Your Tooth May Need Surgical Treatment

If you have severe tooth damage or extensive decay, your endodontist may recommend a root canal followed by a crown. This option is often preferable to having the tooth removed, as a crown can provide protection from further damage and prevent breakage of your tooth.

Your Tooth Will Need Additional Dental Work

Because your root canal is designed to save a tooth, it may be necessary to place a crown, crown and post or other restoration to protect the tooth and restore its function. Your dentist will talk to you about the need for these restorative treatments and discuss your options with you before performing the root canal.

Your Tooth Will Need X-rays After the Root Canal

Once the root canal is complete, your dentist will take X-rays of your tooth. The X-rays will show the location of the infection and the amount of decay in your tooth. Your dentist will also look for any signs of bone loss or other problems.

Your Tooth Will Need a Crown After the Root Canal

Once your endodontist removes all the infected pulp, bacteria and decayed tissue, they will place a rubber dam to keep saliva from entering your tooth. This will prevent further bacterial growth and stop medications from being swallowed.

Your Tooth Will Need Surgical Treatment

If you have severe damage or extensive decay, your endodontist might recommend a surgical treatment called a pulpectomy to remove the infected pulp. This can be done during the same appointment as your root canal.

Your Tooth Will Become Sensitive After the Root Canal

Your tooth will likely be sensitive for several days following your root canal. During this time, you should avoid biting or chewing on the treated tooth and try to chew on the opposite side of your mouth. You can also use a soft toothbrush and floss to help remove plaque.