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Root Canal Therapy

Root canal therapy is needed when the nerve of a tooth is affected by decay or infection.  In order to save the tooth, the pulp (the living tissue inside the tooth), nerves, bacteria, and any decay are removed and the resulting space is filled with special, medicated, dental materials, which restore the tooth to its full function.

Having a root canal done on a tooth is the treatment of choice to save a tooth that otherwise would die and have to be removed.  Many patients believe that removing a tooth that has problems is the solution, but what is not realized is that extracting (pulling) a tooth will ultimately be more costly and cause significant problems for adjacent teeth.

Root canal treatment is highly successful and usually lasts a lifetime, although on occasion, a tooth will have to be retreated due to new infections.

Signs and symptoms for possible root canal therapy:

  • An abscess (or pimple) on the gums.
  • Sensitivity to hot and cold.
  • Severe toothache pain.
  • Sometimes no symptoms are present.
  • Swelling and/or tenderness.

Reasons for root canal therapy:

  • Decay has reached the tooth pulp (the living tissue inside the tooth).
  • Infection or abscess have developed inside the tooth or at the root tip.
  • Injury or trauma to the tooth.

What does root canal therapy involve?

A root canal procedure requires one or more appointments and can be performed by a dentist or endodontist (a root canal specialist).

While the tooth is numb, a rubber dam (a sheet of rubber) will be placed around the tooth to keep it dry and free of saliva.  An access opening is made on top of the tooth and a series of root canal files are placed into the opening, one at a time, removing the pulp, nerve tissue, and bacteria.  If tooth decay is present, it will also be removed with special dental instruments.

Once the tooth is thoroughly cleaned, it will be sealed with either a permanent filling or, if additional appointments are needed, a temporary filling will be placed.

At the next appointment, usually a week later, the roots and the inside cavity of the tooth will be filled and sealed with special dental materials.  A filling will be placed to cover the opening on top of the tooth.  In addition, all teeth that have root canal treatment should have a crown (cap) placed.  This will protect the tooth and prevent it from breaking, and restore it to its full function.

After treatment, your tooth may still be sensitive, but this will subside as the inflammation diminishes and the tooth has healed.

You will be given care instructions after each appointment.  Good oral hygiene practices and regular dental visits will aid in the life of your root canal treatment.

 

Post-Operative Instructions for Root Canal Therapy

Immediate Care:

  • Avoid Eating Until Numbness Wears Off:

    • Do not eat or drink until the numbness from the anesthesia has completely worn off to prevent accidentally biting your tongue or cheek.

  • Be Gentle with the Treated Tooth:

    • Avoid chewing or biting on the treated tooth until it is fully restored with a crown or filling to prevent damage.

Pain Management:

  • Medications:

    • Take any prescribed pain medications as directed. Over-the-counter pain relievers like ibuprofen or acetaminophen can also be used to manage discomfort.

    • If antibiotics are prescribed, complete the full course as directed to prevent infection.

  • Cold Compress and Rinse:

    • If there is any swelling, apply an ice pack to the outside of your face over the treated area for 15-20 minutes every hour as needed. Also, rinse with warm saltwater solution (1/2 teaspoon of salt in a glass of warm water) after meals and before bed for one week

Diet and Hydration:

  • Soft Diet:

    • Stick to a soft diet for the first few days. Avoid hard, crunchy, or sticky foods that could irritate the treated tooth.

Oral Hygiene:

  • Regular Brushing and Flossing:

    • Maintain your normal oral hygiene routine by brushing and flossing gently around the treated area. Keeping your mouth clean helps prevent infection and aids in healing.

Activity and Lifestyle Considerations:

  • Rest:

    • Rest and avoid strenuous activities for the first 24 hours to help your body recover.

  • Alcohol Consumption:

    • Avoid alcohol for at least 24 hours after the procedure, as it can interact with medications and delay healing. Alcohol can also contribute to dehydration and complicate blood sugar management in diabetics.

  • Smoking:

    • Avoid smoking for at least 48 hours post-procedure, as smoking can delay healing, increase the risk of infection, and negatively impact overall oral health.

    • Smoking cessation is highly recommended for optimal recovery and long-term dental health.

Monitoring and Follow-Up:

  • Watch for Complications:

    • Monitor for any signs of infection or complications, such as severe pain, swelling, or fever. Contact your dentist immediately if these occur.

    • Slight discomfort and sensitivity are normal for a few days, but if it persists or worsens, consult your dentist.

  • Follow-Up Appointment:

    • Attend your scheduled follow-up appointment to ensure proper healing and to complete the permanent restoration of your tooth.

Additional Tips:

  • Temporary Filling Care:

    • If a temporary filling was placed, avoid chewing on the treated side until the permanent restoration is completed. Be cautious not to dislodge the temporary filling.

  • Permanent Restoration:

    • It is crucial to return to your dentist for the permanent crown or filling to protect the tooth and restore its full function. Delaying this could result in damage or reinfection.

By adhering to these post-operative instructions, you can help ensure a smooth recovery and the long-term success of your root canal therapy. If you have any questions or concerns, do not hesitate to contact your dentist at (301)265-5292.



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