Posts for tag: root canal
Advanced decay doesn't necessarily mean it's curtains for an infected tooth. Millions of teeth in that condition have been saved by a tried and true procedure called root canal therapy.
Although they may vary according to the complexity of a case, all root canal procedures share some similarities. After numbing the tooth and gum areas with local anesthesia, the procedure begins with a small hole drilled into the tooth to access the infected pulp and root canals, tiny passageways inside the root.
The dentist then uses special instruments to clear out infected tissue from the pulp and canals, followed by thoroughly sanitizing the resulting empty spaces. This is followed with filling the pulp chamber and root canals with a rubber-like substance (gutta percha) to seal the interior of the tooth from further infection. Later, the dentist typically crowns the tooth for further protection and support.
Root canals have become the standard treatment for teeth with advanced decay. There are, however, some circumstances where performing a root canal isn't a good idea. For example, a previously root-canaled tooth with a crown and supporting post. A dentist would need to fully disassemble the restoration to gain access into the tooth, which could significantly weaken it.
But there may be another option if a standard root canal is out of the picture: a surgical procedure performed by an endodontist (a specialist in interior tooth treatment) called an apicoectomy. Instead of drilling through the tooth crown, the endodontist accesses the tooth root through the adjacent gum tissue.
Like a traditional root canal, the procedure begins by anesthetizing the tooth and surrounding gums. The endodontist then makes a small incision through the gums to expose the diseased tissues at the tooth's root. After removing the infected tissue and a few millimeters of the root tip, they place a small filling to seal the end of the root canal against infection and suture the gum incision.
This is a specialized procedure that requires the state-of-the-art equipment and advanced techniques of an endodontist. But it does provide another possible option for saving a diseased tooth that might otherwise be lost.
If you would like more information on treatments for tooth decay, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Apicoectomy: A surgical Option When Root Canal Treatment Fails.”
"Debit or credit?" "Buy or rent?" "Paper or plastic?" Decisions, decisions. It's great to have more than one good option, but it can also provoke a lot of thought in making the right choice. Here's another decision you may one day have to face: "Save my tooth or replace it?"
It's hard to pass up replacing a tooth causing you misery, especially when the alternative is a functional and attractive dental implant. But before you do, consider this important message the American Association of Endodontists relay during Save Your Tooth Month in May: Before you part with a tooth, consider saving it as the best option for your oral health.
Even an implant, the closest dental prosthetic we now have to a real tooth, doesn't have all the advantages of the original. That's because your teeth, gums and supporting bone all make up an integrated oral system: Each component supports the other in dental function, and they all work together to fight disease.
Now, there are situations where a tooth is simply beyond help, and thus replacing it with an implant is the better course of action. But if a tooth isn't quite to that point, making the effort to preserve it is worth it for your long-term health.
A typical tooth in peril is one with advanced tooth decay. Decay begins when acid softens tooth enamel and creates a cavity. At this stage, we can often fill it with a tooth-colored filling. But if it isn't caught early, the decay can advance into the tooth's interior pulp, well below the enamel and dentin layers.
This is where things get dicey. As decay infects the pulp, it can move on through the root canals to infect the underlying bone. If this happens, you're well on your way to losing the tooth. But even if the pulp and root canals have become infected, we may still be able to save the tooth with root canal therapy.
Here's how it works: We first drill a tiny access hole into the infected tooth. Using special instruments, we remove all of the infected tissue from within the pulp chamber and root canals. After a bit of canal reshaping, we fill the now empty spaces with a rubber-like substance called gutta percha. After it sets, it protects the tooth from any more infection.
Contrary to what you might think, root canals aren't painful, as your tooth and the surrounding tissue are completely anesthetized. In fact, if your tooth has been hurting, a root canal will stop the pain. Better yet, it could save a tooth that would otherwise be lost—a satisfying outcome to a wise decision.
If you would like more information about tooth decay treatments, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “A Step-By-Step Guide to Root Canal Treatment.”
How root canal treatment from your dentist in Batavia can save your tooth
Tooth pain can drive you crazy. Fortunately, there are ways to eliminate tooth pain, like getting a filling. But what happens if you have a new filling and your tooth still hurts? What do you do now? The answer may be root canal therapy. John C. Koechley, D.D.S. in Batavia, IL wants to share the signs you may need a root canal.
Root canal therapy is the state-of-the-art way to eliminate tooth pain and still let you keep your tooth. There are some definite recognizable signs and symptoms you may need a root canal. You need to watch out for:
- Pain that continues even after a filling is placed
- Increasing pain when you eat or drink hot or cold foods and beverages
- Radiating pain that moves into your face, head, and jaws
- Chronic or increasing aching or stabbing tooth pain
- A white or red bump on your gums near the root of a tooth
- Bleeding or drainage near a tooth
Root canal treatment works by removing the diseased and dying tissue from inside of your tooth. The dentist will create a small opening in the top of your tooth and draw out the infected tissue using ultra-thin instruments called files. He will place a sedative material inside your tooth to reduce inflammation and heal your tooth.
After your tooth has healed completely and is no longer painful, we will fill the tooth with an inert material and your tooth will be sealed up permanently with a small filling. Your tooth pain is gone, and your tooth is saved! Root canal treatment typically takes at least two or three appointments, depending on how infected the tooth is.
During a root canal, the blood supply and nerves are removed which can make the tooth brittle and prone to breakage. That’s why it is recommended to place a crown on a tooth that has had a root canal. The crown protects the tooth like a suit-of-armor.
If you have a tooth that hurts, think about root canal therapy. It’s the safe, effective way to eliminate tooth pain while still keeping your tooth. For more information about root canal therapy and other restorative and cosmetic dental procedures call John C. Koechley, D.D.S. in Batavia, IL today!
If there was an “Unsung Hero” award for dental procedures, the root canal treatment would win hands-down. Much aligned in popular culture, today’s root canal treatment is actually a valuable tool for saving teeth that would otherwise be lost. And contrary to popular belief, root canal treatments don’t cause pain — they relieve it.
To help you understand its true worth, here are some common questions and answers about the root canal treatment.
What problem does a root canal treatment fix?
A root canal treatment stops a bacterial infection that has invaded the innermost part of a tooth — the pulp — and is advancing toward the end of the root through small passageways known as root canals. Most people first notice the problem as a sharp pain in the affected tooth that may suddenly dissipate in a few days. The infection has attacked the inner pulp tissue, rich in nerve fibers; when the nerve fibers die they stop sending pain signals. The infection, however, hasn’t died: as it advances, you may then begin to experience pain when you bite down or when you encounter hot foods. You may also notice tenderness and swelling in nearby gums.
How does the procedure stop the infection?
A root canal treatment removes all the infected or dead tissue and cleanses the pulp chamber. We enter the pulp chamber through a small access hole created in the tooth’s biting surface. After tissue removal, we then “shape” and prepare the empty chamber and root canals (often with the aid of microscopic equipment) to be filled with a special filling. After filling, the tooth is then sealed to prevent re-infection (most often, we need to install a permanent crown at a subsequent visit for maximum protection).
How much pain can I expect during and after the procedure?
During the procedure, none — the tooth and surrounding gums are fully anesthetized before we begin the procedure. Afterward, you may experience mild discomfort for a few days that can be relieved with over-the-counter medications like aspirin or ibuprofen.
What’s the ultimate value for a root canal treatment?
The procedure can save a tooth severely damaged by the infection. Even covered by an artificial crown, a living tooth continuing to exist and function normally within the mouth is usually more conducive for optimum oral health than an artificial tooth replacement.
If you would like more information on root canal treatments, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Common Concerns About Root Canal Treatment.”
Don't keep ignoring your toothache. This is important advice from Batavia, IL dentist, Dr. John C. Koechley, who has seen patients suffer needlessly from dental pain. Here are the sources of toothache discomfort and how he often treats them at his dental practice.
Why Your Tooth Hurts
The American Association of Endodontists, dentists highly skilled in dental implant placement and root canal therapy, say that sensitivity to hot and cold foods and beverages causes tooth pain in children and adults.Why are teeth sensitive to temperature extremes? A small cavity, hairline crack or deteriorating filling may be allowing hot or cold to transfer through tooth enamel and dentin and into the innervated soft tooth pulp. Also, receded gums and thin enamel which expose tooth roots give the same painful effect.
Another common cause is a dental abscess or infection. Resulting from periodontitis (advanced gum disease) or deep decay, abscesses destroy tooth pulp and can even travel out the root into surrounding jaw bone. Redness, swelling, pus around the tooth, bad breath and serious discomfort should alert you to call Dr. Koechley immediately for information on how to proceed.
Root canal therapy, also called endodontics, is a reliable way to treat a dental abscess and save a sick tooth from extraction. This procedure is comfortable and takes just two dental visits. A root canal removes infected pulp and caps the tooth, strengthening it and keeping it from additional decay or injury.
Jaw injury, TMJ (temporomandibular joint) Dysfunction and teeth grinding, or bruxism, cause toothaches as well. A fractured jaw requires a trip to the local ER. TMJ and bruxism are often treated and pain relieved with customized mouth guards that cushion teeth and rightly align top and bottom jaws for a better functioning joint.
Finally, your tooth may hurt because it has been partially knocked out or evulsed. Dr. Koechley recommends replacing it in the socket, if possible, and holding it in place while travelling to his office. The American Dental Association and other professional dental entities state that if a tooth is evulsed, it may be completely restored if seen by a dentist within an hour of injury.
The Moral of the Story
When it comes to dental pain, Dr. Koechley, your Batavia, IL dentist, wants you to act at the first sign of discomfort. Quick action relieves pain and preserves your tooth. Additionally, good oral hygiene at home and regular dental check-ups and cleanings go a long way to keeping teeth and gums healthy. Plus, when you see Dr. Koechley every six months, he will spot small problems and treat them before they become painful and expensive.
Do You Have a Toothache?
Don't ignore it. Call the offices of John C. Koechley DDS for an appointment, and schedule your routine exam and cleaning, too.