by Dr. Jacqueline S. Allen | May 28, 2019 | Blog, Endodontics, Endodontist, Phoenix Endodontic Group, Root Canal
Determining whether you need a root canal or another type of dental treatment is usually handled by your general dentist or endodontist. You can avoid many complications by knowing the signs and symptoms indicating a root canal may be needed, and making an appointment to have your tooth examined.
Signs You May Need A Root Canal
Root canals are often the treatment of choice when a tooth has become injured or infected at a level impacting your dental pulp – the part of your tooth beneath the enamel and dentin layers, made up of blood vessels, nerves, and connective tissue.
There are many ways this part of the tooth can be injured:
- A chip or crack in the tooth lets bacteria into the pulp, causing infection
- Severe, untreated tooth decay or cavities
- Trauma to the face resulting in damage to your tooth’s structure
Sometimes teeth needing root canals show few symptoms and require diagnosis through careful examination by a dental professional using radiographs or other imaging techniques. It’s often apparent, though, when something is wrong with your tooth. Some of the symptoms that may call for a root canal include:
- A severe toothache that gets worse when you chew or apply pressure near the tooth
- Swelling and tenderness of the gums near the tooth
- Discoloration (usually darkening) of the tooth
- The tooth is sensitive to hot or cold temperatures, and discomfort remains after the source of the temperature change is gone
- A pimple on the gums that persists or keeps reappearing
If you experience any of these symptoms, call your general dentist or endodontist immediately.
“Recognizing the signs of damaged or infected teeth can save patients extra discomfort and ensure their root canal treatment begins early,” says Dr. Allen, an endodontist who practices with the Phoenix Endodontic Group.
by Dr. Jacqueline S. Allen | Apr 24, 2019 | Blog, Endodontics, Featured, Root Canal, Save Your Tooth Month
If you have a natural tooth compromised by infection or injury, you may believe that extraction is your only solution. However, many compromised teeth can be saved by endodontic treatments such as root canals or other more complex procedures. Endodontic practice groups across the nation will be celebrating Save Your Tooth Month in May. The event is sponsored by the American Association of Endodontists and is aimed at making people aware of their endodontic treatment options.
How Endodontic Treatment Can Save Your Teeth
Endodontic treatment can save natural teeth that might otherwise face extraction. Endodontists are well qualified to save your natural teeth because:
- They receive two extra years of specialty training after receiving their degree as a dentist.
- They learn how to perform root canals, apicoectomies, and other endodontic treatments.
- They focus their practice exclusively on endodontic treatment, performing as many as 25 root canals per week.
- They use techniques and special tools that are especially effective at saving natural teeth.
- They work closely with general dentists, so it is easy to get a consultation and referral if your tooth needs endodontic treatment to preserve it.
“Endodontists’ combination of advanced training, access to unique tools and techniques, and the frequency with which we deal with root canals and other forms of endodontic treatment provide our patients with comfort and peace of mind,” says Dr. Allen, who practices with the Phoenix Endodontic Group.
by Dr. Jacqueline S. Allen | Feb 18, 2019 | Blog, Endodontist, Root Canal
For many years, root canals were portrayed in popular culture as uncomfortable, complicated dental treatments. Advancements in technology and technique have enabled endodontic specialists to streamline the root canal process and reduce discomfort during and after the procedure.
How Long Will My Root Canal Take?
Most root canals can be completed in one or two appointments with the endodontist. The steps involved in performing the root canal include:
- The endodontist examines your tooth and makes a radiograph of it using X-rays.
- The area around the tooth to be treated receives a local anesthetic.
- A rubber dental dam is placed around the tooth to keep it clean and saliva-free.
- The endodontist accesses the roots of your tooth by making an opening in the crown.
- The tooth root canals are cleaned using special instruments.
- After the cleaning, the pulp in the canals is replaced with a biocompatible material.
- A temporary filling is placed on top of the canals near the top of the tooth.
There are several important things to note about the general timeline for your root canal.
- You will need to visit your general dentist for an additional appointment to have a permanent crown placed over the root canal.
- The endodontist may need additional time if they need to place a post in the tooth to shore up its structure during the root canal.
- The root canal may need to be retreated later if there is an undetected crack in the tooth, or if a canal is missed during the initial cleaning procedure.
“Root canals are cost-effective treatments for injured or infected teeth, and the time commitment needed to have one is minimal,” says Dr. Allen, who practices with the Phoenix Endodontic Group. “If you have questions about how long your root canal might take, please contact our office.”
by Dr. Jacqueline S. Allen | Dec 26, 2018 | Blog, Endodontics, Root Canal
By the time your endodontist says you need a root canal, you may not care about the details of the procedure – you may simply want the pain in your mouth to stop. However, understanding what happens when a root canal is performed can lead to a better outcome.
Root Canals, Step By Step
- Your dentist or endodontist determines a root canal is needed. Root canals may be performed if your tooth pulp has become infected due to decay, a cracked tooth, or other reasons. You may have symptoms such as a severe toothache, long-lasting sensitivity to hot or cold (long after the stimulus is removed), discoloration of the tooth, pain in the gums surrounding the tooth, or a reoccurring pimple on the gums near the tooth.
- The tooth is X-rayed and the gums surrounding it are numbed. As part of the procedure, your endodontist will also place a dental dam around the tooth to protect it from saliva.
- A small hole is drilled in the crown of the tooth. This allows the endodontist to access the infected tooth pulp and/or the abcess.
- Your endodontist uses specialized tools to clean your tooth roots. These small tools do an important job: removing all infected pulp. They can also be used to shape the canals, preparing them for the next step.
- The cleaned root canals are filled with a special material to prevent additional infection. Most of the time, the biocompatible material used is a rubber-like compound called gutta-percha. An adhesive material ensures the canal is completely sealed.
- If the affected tooth has weak internal structure, a post may be added to strengthen it. This ensures the restoration will remain in place permanently.
- A temporary filling is placed on the tooth. This protects the root canal until your follow-up visit.
- Several weeks later, a permanent crown is placed on the tooth. This last step is crucial, providing durable protection for the root canal treatment.
“Each step in the root canal process serves an important function,” says Allen, an endodontist in practice with the Phoenix Endodontic Group. “Our staff is happy to explain what you will experience during a root canal, and respond to any concerns you may have.”
by Dr. Jacqueline S. Allen | Oct 22, 2018 | Blog, Endodontics, Endodontist, Phoenix Endodontic Group, Root Canal
Your experience after a root canal may be as unique as the circumstances that led to your need for the procedure. After your root canal, your endodontist will likely send you home with instructions for how to care for your teeth until a permanent crown can be placed. These instructions might cover pain management, brushing and flossing, and tips for retaining your temporary crown.
One of the post-procedural questions that may be at the top of your mind is when you can go back to work. The simple answer is usually, “the day after your procedure.” However, several factors can influence this time estimate.
3 Post-Root Canal Questions To Answer Before You Return To Work
- How much post-procedure pain are you experiencing? You may experience discomfort after the root canal, but often it can be managed with over-the-counter painkillers. Serious pain can indicate that you may need to follow up with your endodontist.
- Is your temporary crown still in place? You will need to have the crown replaced if it falls out.
- Does your work situation allow you to control what you eat? You’ll want to eat soft, cool, bland foods and chew on the side of the mouth opposite the root canal.
“Most adults can go back to work within a day of their root canal,” says Dr. Allen an endodontist who practices with the Phoenix Endodontic Group, “However, it’s crucial not to rush that return so much that you miss a symptom your endodontist needs to know about.”
by Dr. Jacqueline S. Allen | Sep 25, 2018 | Blog, Endodontics, Endodontist, Phoenix Endodontic Group, Root Canal
Modern root canals are very effective treatments for natural teeth endangered by injury, decay or disease. The procedure has a success rate well above 90 percent. In those first few days after a root canal, though, your attention may be drawn to more immediate concerns, including what to eat as your mouth heals.
How you eat and what you eat are two key pieces of your root canal aftercare. Following the guidelines below can help ensure your recovery goes smoothly.
Foods To Avoid After Your Root Canal
- Raw vegetables. Normally health enhancing, crunchy snacks such as carrots and celery should be temporarily taken off your menu.
- Nuts. Again, this category of food is usually on the health friendly list, but they are simply too hard for your newly treated tooth to handle.
- Hard candy. Even if your intention is to suck on these sweet treats instead of chew them, there is always the risk that the candy could shatter or put too much pressure on the treated area.
- Chewing gum. The main danger of using chewing gum after a root canal is that it could pull out your temporary filling, which is essential to preventing infection until a permanent crown can be placed.
- Excessively hot foods or drinks. Items such as hot coffee, soup or tea may cause painful sensitivity during the healing period.
Foods that are generally safe to eat after a root canal include ice cream, soft fruits such as bananas and mangoes, yogurt, milkshakes, oatmeal and soft cereals free of any nuts. It is also very important to chew on the side of the mouth opposite your tooth receiving root canal treatment, and to eat slowly.
“The healing period for a root canal is not especially lengthy, but it is important to eat with care during that time to avoid damaging the work your endodontist has done,” says Dr. Allen, who practices with the Phoenix Endodontic Group.
