What is a Root Canal?

The procedure of a root canal is the process of removing inflamed or necrotic (dead) tissue from the space within the tooth. During this process it is disinfected to reduce the number of bacteria as much as possible. After the canal space is cleaned and dried, it is filled with a root canal filling material to minimize the re-entry of bacteria.

Do you remove the roots?

The roots of your tooth are not removed. The inside of the roots are cleaned and the rest of the root is left to support the tooth.

Will the treatment be painful

We will take every measure to ensure that your procedure is not uncomfortable or painful. If treatment is needed, we will inject a small amount of anesthesia to gently numb a concentrated area of your mouth. For most patients, the feeling of numbness usually subsides after 2-3 hours. Nitrous oxide available upon request.

Is the tooth dead?

Your tooth will no longer be sensitive to hot or cold, but it will still have feeling due to the bone and ligament that hold your tooth in the jaw.

The tooth is still uncomfortable a week later. Is that normal?

Teeth are often uncomfortable after a root canal, and discomfort usually peaks about two days after treatment. It is common for the tooth to still be a little uncomfortable for a week or so. It is important that the tooth is getting better over time.

Can I go back to work after my root canal?

Your jaw may be sore and your lip may be numb, but you should be in good shape to continue your regular schedule.

What pain medication is best?

Unless there are contraindications (ask your physician) I usually recommend 600-800 mg of ibuprofen (Advil, Motrin, or generic) about every 6 hours. If you are still uncomfortable despite the ibuprofen, then take about 1000mg of Tylenol (acetaminophen) along with the ibuprofen. If you have been given a prescription for either Vicodin or Percocet, then you may take that with the ibuprofen instead of the Tylenol.

Will it take more than one visit?

More than half of the root canals done in this office are done in one visit. Many are done in two visits due to severe pain, swelling, persistent drainage or complex anatomy. A second or third visit does not mean you will need to pay more. It just means that we want to give you the best quality root canal regardless of the number of visits it will require.

Will I need more dental work after my root canal?

In most cases, you will be referred back to your general dentist who will assure the tooth has an adequate permanent restoration. Most back teeth will require a crown if there is not already one in place. In this office, a permanent filling is often placed (instead of a temporary) to assure the tooth is adequately sealed. We will assure that you are informed of the next step in your dental treatment.

Can I chew on my tooth after a root canal?

I do not recommend chewing on the tooth until it has received a permanent restoration. The risk of tooth fracture is very high in root canal treated teeth that have not been permanently restored.

Will I need a new crown?

If you already have a crown, most of the time the root canal will be done through a small opening in the top. Your dentist will need to repair the opening after your root canal is completed. A new crown may be indicated if there are imperfections that do not lead to predictable dental health.

Crowns with porcelain (tooth colored crowns) are susceptible to fracture of the porcelain (happens less than 5% of the time). If the porcelain fractures in a way that the crown is no longer functional or esthetic, then replacing the crown may be necessary.

If you have received a temporary in our office, and your root canal is completed, I recommend getting the permanent filling within three weeks.

Why do root canals cost so much?

The fees in our office are on par with those throughout the Texarkana area. The cost of treatment is due to the high cost of dental supplies, the cost of running a small business (including taxes!), and the years of training it took to gain a mastery of the procedure.

If the cumulative cost of your dental treatment is not financially feasible, consult with our financial manager who will familiarize you with some programs to help finance the cost of your dental care.

Are implants better than root canals?

Maintaining your natural teeth is one of our priorities, but if we feel that root canal treatment is not predictable then a dental implant may be indicated. Implants are great for replacing missing teeth, and will be recommended if it is believed that they will be a better long-term investment in your health. The use of the dental operating microscope helps in predicting the outcome of treatment.

Why do you use a microscope?

Use of a microscope adds superior lighting and magnification while treating your tooth. From the time I started my endodontic training, I have considered the microscope a necessary adjunct in providing top-quality care.

I was supposed to get my temporary 6 months ago and now my tooth hurts. Now what?

If you have not had your tooth permanently restored in a timely manner, the canal system may have become re-infected with bacteria. In this case a re-treatment may restore your tooth to health. In most cases you will need to pay for the cost of re-treatment, so getting the tooth restored early is a wise use of resources.

The rate of fracture for an unrestored root canal treated tooth is very high. If the tooth has cracked then it may not be restorable, and you will lose what you have invested.

I can’t afford the crown after my root canal. What should I do?

If you are unable to afford the restorative phase of treatment at this time, please discuss this with your dentist. At a minimum, the tooth should get a permanent filling and receive a temporary crown or be removed from occlusion (shaved down so you can’t bite down on it).