Root Canals Explained

Root canals are one of the most common dental procedures, yet they are often misunderstood. Many people feel anxious or fearful when they hear they need a root canal, but it is an effective treatment that can save a tooth and prevent further complications. At Romans & Soltani Dentistry in Camillus, NY, Dr. Anna Romans and Dr. Sheila Soltani are dedicated to providing patients with clear information about root canals so they feel comfortable and informed.

What is a Root Canal?

A root canal is a dental procedure designed to treat infection or damage inside the pulp of a tooth. The pulp is the soft tissue inside the tooth that contains nerves, blood vessels, and connective tissue. When the pulp becomes infected or inflamed due to deep decay, trauma, or cracks, a root canal is necessary to remove the infected tissue and prevent the infection from spreading to the surrounding bone and teeth.

The procedure involves cleaning out the infected pulp, disinfecting the inside of the tooth, and then sealing it with a special filling material. In many cases, the tooth is further protected with a crown to restore its strength and functionality.

Why Would You Need a Root Canal?

There are several reasons why a root canal may be necessary. The most common reasons include:

• Severe Tooth Decay: When cavities reach the pulp, bacteria can cause infection and inflammation, leading to pain.
• Trauma or Injury: A tooth that has been cracked or broken may allow bacteria to enter the pulp, requiring a root canal to prevent infection.
• Repeated Dental Procedures: Multiple fillings or other dental treatments can irritate the pulp, increasing the risk of infection.
• Sensitivity and Pain: Prolonged tooth pain, especially when chewing or touching the affected tooth, is a common sign that a root canal may be needed.

By addressing these issues early with a root canal, you can save the tooth and avoid the need for extraction, which could lead to further complications and the need for more extensive dental work.

The Root Canal Procedure: What to Expect

While a root canal procedure may sound intimidating, it is typically no more uncomfortable than a routine filling, thanks to modern anesthesia and techniques. Here’s a general overview of the steps involved:

1. Anesthesia: Local anesthesia is applied to numb the affected area, ensuring that the patient feels little to no pain during the procedure.
2. Accessing the Pulp: The dentist creates a small opening in the crown of the tooth to access the pulp chamber.
3. Removing Infected Tissue: The infected or damaged pulp is carefully removed, and the inside of the tooth is thoroughly cleaned and disinfected.
4. Filling the Tooth: After cleaning, the tooth is sealed with a biocompatible material to prevent further infection.
5. Restoration: If necessary, a crown or other restoration is placed on the tooth to restore its strength and functionality.

The entire procedure typically takes one or two visits to the dentist, depending on the complexity of the case. Many patients report minimal discomfort afterward, and the tooth continues to function normally after healing.

Benefits of Root Canals

Root canals offer several important benefits, including:

• Pain Relief: A root canal removes the source of pain and infection, providing relief from severe toothache and discomfort.
• Tooth Preservation: Rather than removing the tooth, a root canal allows you to keep your natural tooth, preserving its function and appearance.
• Preventing Further Infection: By removing infected tissue and sealing the tooth, a root canal prevents the infection from spreading to the surrounding teeth and bone.
• Long-Term Solution: With proper care, a tooth that has undergone a root canal can last many years, providing a durable solution to dental issues.

Aftercare and Recovery

After a root canal, most patients experience minimal pain or discomfort, which can usually be managed with over-the-counter pain relievers. It’s important to follow proper aftercare instructions to ensure optimal healing:

• Avoid chewing on the treated tooth until it is fully restored, as it may be temporarily fragile.
• Practice good oral hygiene, including brushing and flossing around the treated tooth.
• Avoid hot or cold foods that may cause sensitivity during the healing process.

Your dentist will schedule a follow-up appointment to check on the healing process and place a permanent crown, if necessary, to ensure the tooth remains protected.

Root Canal Myths and Facts

There are many myths surrounding root canal procedures that can lead to unnecessary fear and anxiety. Here are a few common misconceptions debunked:

• Myth: Root canals are extremely painful. Fact: With modern anesthesia and techniques, root canals are typically no more painful than a routine filling.
• Myth: A root canal can cause illness. Fact: Root canals are a safe, effective procedure, and there is no scientific evidence linking root canals to systemic illness.
• Myth: It’s better to just pull the tooth instead of getting a root canal. Fact: Saving the natural tooth through a root canal is always preferred over extraction, as it helps maintain proper alignment and function in the mouth.

When to Consider a Root Canal

If you’re experiencing persistent tooth pain, swelling around a tooth, or sensitivity to temperature, it’s important to schedule a visit with your dentist. Early intervention can prevent the need for more complex treatments and help preserve your natural teeth. At Romans & Soltani Dentistry, we work with each patient to determine the best course of action for their dental health.

Sources:

1. Friedman, S., & Mor, C. (2004). The success of root canal therapy. Journal of Endodontics.
2. Ruddle, C. J. (2015). Endodontic therapy: principles and practice. Journal of the American Dental Association.
3. Goldstein, G. R., & Loushine, R. J. (2017). Root canal treatment: A review of the procedure and the science behind it. Journal of Clinical Dentistry.