Do you suffer root canal pain ?
There are a number of reasons why we do root canal therapy.
- cracked tooth gives sensitivity to hot/cold
- abscess gives pain on biting
- decay contaminates the nerve causing as it dies sensitivity to hot/cold/biting
- in order to restore a tooth where there is inadequate tooth above the gum line for a crown or bridge
Normal Problems/ Post treatment complications
- It may take from three days up to three weeks before you can comfortably bite on the tooth
- Remember it was sensitive and infected for a long time, it may take some time for the jaw bone around the tooth to heal.
- Not every tooth can be saved, sometimes a tooth needs to be extracted if it does not respond to treatment, the tooth has a vertical crack or the patient's health is being adversely affected.
- Some root therapies are impossible or extremely challenging due to anatomy and canals which are unnegotiable
- Often antibiotic treatment is indicated to help your own immune system to beat the infection
Surgical procedures and Root Canal Therapy
This is done when a tooth needs to be retained but one of the roots is unable to be saved. Rather than extracting the whole tooth, we cut one of the roots of the tooth out, after the completion of the root therapy.
When an abscess on a tooth persists despite all efforts to resolve it in a conservative fashion such as using root canal therapy and antibiotic an apicoectomy may be done.
This is a surgical procedure where a small incision is made near the end of the tooth root.
The abscess and any infection is curetted out, and part of the end of the root may be removed and sealed off.
Endodontic procedures or root canal therapy is time-consuming, complex and exacting. The cost will vary depending on the type of tooth and the difficulty of treatment. In general back teeth such as molars are more difficult to treat than front teeth. This is because they are harder to get to and have more root canals.
Endodontic treatment is usually less expensive than extracting a tooth and replacing it with an artificial tooth.
How the pulp becomes diseased
Deep tooth decay is the most common cause, allowing bacteria to invade the pulp or nerve. The pulp then becomes inflamed and infected.
These infected contents of the nerve make their way down the root canal out via the narrow ends of root tips into the surrounding bone. This may develop into an abscess, and if not treated quickly enough, can lead to swelling and pain.
The acute inflammatory response is what happens as the dead and dying nerve contents invade the surrounding tissue and the body walls off the pulpal remnants for protection.
Other causes of the pulpal damage include trauma to the teeth such as a fall or a punch; old loose and leaky fillings, excessive tooth wear, cracked teeth and advanced gum disease.
The Dental Pulp
The dental pulp is the name given to the soft tissue contents of the root canal or channel that runs through the root of your teeth. Another name for this is the Pulp Chamber. It consists of nerve, blood vessels and some tissue fibres.
The main function of the dental pulp is to regulate growth and development of the tooth during childhood. Once the tooth is fully formed, nutrition comes to the tooth from tissues surrounding the root
Therefore, a tooth can function without its pulp and, in the majority of cases, can be kept indefinitely.