Posts for tag: root canal

By Beltsville Dental Care
May 15, 2015
Category: Dental Procedures
Tags: root canal  
ASecondRootCanalTreatmentMayHelpSaveanEndangeredTooth

When decay spreads to the tooth’s inner pulp, a root canal treatment may be necessary to save it. It’s a common procedure: after removing all tissue from the pulp, the pulp chamber and root canals are filled with a special filling. The tooth is then sealed and a crown installed to protect the tooth from re-infection and/or fracture, possibly extending the tooth’s life for many years.

Sometimes, however, the tooth doesn’t respond and heal as expected: the number, size and shape of the patient’s root canals may have complicated the procedure; there may have been a delay before installing the final crown or restoration or the restoration didn’t seal the tooth as it should have, both occurrences giving rise to re-infection. It’s also possible for a second, separate occurrence of decay or injury to the tooth or crown to undo the effects of successful treatment.

It may be necessary in these cases to conduct a second root canal treatment, one that may be more complicated or challenging than the first one. For one thing, if the tooth has been covered by a crown or other restorative materials, these will most likely need to be removed beforehand. In cases where the root canal network and anatomy are challenging, it may require the expertise of an endodontist, a dental specialist in root canal treatments. Using advanced techniques with microscopic equipment, an endodontist can locate and fill unusually narrow or blocked root canals.

Because of these and other possible complications, a root canal retreatment may be more costly than a first-time procedure. Additionally, if you have dental insurance, your particular benefit package may or may not cover the full cost or impose limitations on repeated procedures within a certain length of time. The alternative to retreatment, though, is the removal of the tooth and replacement with a dental implant, bridge or partial denture with their own set of costs and considerations.

The complications and costs of a repeated procedure, though, may be well worth it, if it results in a longer life for the tooth. Preserving your natural tooth is in most cases the most desired outcome for maintaining a healthy mouth.

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 “Root Canal Treatment.”

By Beltsville Dental Care
December 11, 2014
Category: Dental Procedures
KellyClarksonGetstotheRootoftheProblem

Now that celebrities can communicate directly with their fans through social media, we’ve started to see dispatches from some surprising locations — the dental chair, for example! Take singer Kelly Clarkson, who was the first winner of American Idol, and perhaps one of the first to seek moral support via social media before having an emergency root canal procedure.

“Emergency root canal — I’ve had better days,” Kelly posted on her Facebook page, along with a photo of herself looking… well, pretty nervous. But is a root canal procedure really something to be scared about? It’s time to clear up some misconceptions about this very common dental procedure.

First of all, root canal treatment is done to save a tooth that might otherwise be lost to an infection deep inside it. So while it’s often looked upon with apprehension, it’s a very positive step to take if you want to keep your teeth as long as possible. Secondly, tooth infections can be painful — but it’s the root canal procedure that stops the pain. What, actually, is done during this tooth-saving treatment?

First, a local anesthetic is administered to keep you from feeling any pain. Then, a small opening is made through the chewing surface of the infected tooth, giving access to the central space inside, which is called the “pulp chamber.” A set of tiny instruments is used to remove the diseased pulp (nerve) tissue in the chamber, and to clean out the root canals: branching tunnel-like spaces that run from the pulp chamber through the root (or roots) of the tooth. The cleared canals are then filled and sealed.

At a later appointment, we will give you a more permanent filling or, more likely, a crown, to restore your tooth’s full function and protect it from further injury. A tooth that has had a root canal followed by a proper restoration can last as long as any other natural tooth — a very long time indeed.

If you have any questions about root canal treatment, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine article “A Step by Step Guide to Root Canal Treatment.”