Expert Answers from Lucent Orthodontics & Dental Specialists in Dallas, TX

Root canal therapy is a dental procedure designed to remove infected or inflamed pulp tissue from inside a tooth. The pulp contains nerves and blood vessels that help the tooth develop but are not essential once the tooth is fully grown.

Necessity:

• Infection or Inflammation: Caused by deep decay, repeated dental procedures, cracks, or trauma.
• Prevent Spread of Infection: Eliminates bacteria from the infected root canal, preventing reinfection and saving the natural tooth.
• Pain Relief: Alleviates severe toothache caused by pulp infection.

With modern anesthesia and advanced techniques, root canal therapy is generally no more painful than getting a filling. Our priority is your comfort:

• Local Anesthesia: Numbs the tooth and surrounding area.
• Sedation Options: Available for anxious patients.
• Post-Treatment Discomfort: Mild soreness may occur but can be managed with over-the-counter pain relievers.

Common symptoms indicating the need for root canal therapy include:

• Severe Toothache: Especially when chewing or applying pressure.
• Prolonged Sensitivity: Lingering pain to hot or cold temperatures.
• Discoloration: Darkening of the tooth.
• Swelling or Tenderness: In nearby gums.
• Pimple on the Gums: Indicates an abscess.

Note: Sometimes, no symptoms are present, which is why regular dental check-ups are crucial.

Step-by-Step Overview:

• Assessment and Diagnosis:
• Digital X-rays and examination.
• Anesthesia:
• Local anesthesia to numb the area.
• Access Opening:
• A small opening is made in the tooth.
• Pulp Removal:
• Infected pulp is carefully removed.
• Cleaning and Shaping:
• Canals are disinfected and shaped.
• Filling and Sealing:
• Canals are filled with gutta-percha.
• Restoration:
• A crown or filling is placed to protect the tooth.

-Duration per Visit: Typically 60 to 90 minutes.

-Number of Visits: Most root canals can be completed in one or two appointments.

Factors Affecting Time:

• Complexity of the tooth's root canal system.
• Level of infection.

Post-Treatment Care:

• Temporary Discomfort: Mild soreness for a few days.
• Pain Management: Over-the-counter pain relievers as recommended.
• Eating Habits: Avoid chewing on the treated side until fully restored.
• Oral Hygiene: Continue regular brushing and flossing.
• Follow-Up Visit: Necessary for permanent restoration (crown or filling).

The primary alternative is tooth extraction, which has drawbacks:

Consequences of Extraction:

• Misalignment of adjacent teeth.
• Difficulty chewing.
• Need for replacement options (implants, bridges, dentures).

Benefits of Root Canal:

• Preserves natural tooth.
• Maintains normal biting force and sensation.
• More cost-effective in the long term.

Post-Treatment Care:

• Permanent Restoration: A crown is often recommended to protect the tooth.
• Oral Hygiene: Maintain regular brushing, flossing, and dental visits.
• Avoid Hard Foods: Prevent damage to the restored tooth.
• Monitoring: Regular exams to ensure ongoing health of the tooth.

• Insurance Coverage: Many dental insurance plans cover a portion of root canal treatment.

Accepted Insurances at Our Office:

• Medicaid
• CHIP
• Most PPO Dental Insurance Plans

Financial Options:

• Flexible Payment Plans: Available to accommodate your budget.
• Insurance Assistance: Our staff will help you understand and maximize your benefits.