Root Canal Treatment

Once upon a time, if you had a tooth with a diseased nerve, you'd probably lose that tooth. Today, with a special dental procedure called a root canal therapy you may save that tooth. Inside each tooth is the pulp which provides nutrients and nerves to the tooth, it runs like a thread down through the root. When the pulp is diseased or injured, the pulp tissue dies. If you don't remove it, your tooth gets infected and you could lose it. After the dentist removes the pulp, the root canal is cleaned and sealed off to protect it. Then your dentist places a crown over the tooth to help make it stronger. Most of the time, a root canal is a relatively simple procedure with little or no discomfort involving one to three visits. Best of all, it can save your tooth and your smile.

Is root canal treatment painful?

Local anaesthetic and modern painkillers are used to provide comfortable treatment. Usually painful symptoms improve once treatment is started.

How is a tooth restored following root canal treatment?

It is very important that any restoration adequately seals the root filling from infection by bacteria from the mouth. Teeth requiring root canal treatment often have large fillings or extensive damage and will require a crown to restore them properly. These teeth are also weaker and the added protection of a crown is recommended.

How successful is root canal treatment?

If the root canals are able to be fully cleaned and sealed and the tooth properly restored then treatment has a very high success rate. The treatment may take several visits to complete with temporary fillings and dressings placed in the tooth between visits. Antibiotics are sometimes prescribed when an infection is present.

What complications can occur during root canal treatment?

Because the root canals are very fine and curved in some teeth it may be difficult to clean the canals completely. Occasionally a piece of a file may break off in the root canal due to the strain placed on these fine instruments. Sometimes these are retrievable but they may also be sealed in the root canal as part of the filling.

Pain or discomfort may occur between appointments due to ongoing tenderness of the tissues around the tooth or a flare up of an abscess, or a hair-line crack in the root.

An abscess or ongoing pain will rarely persist following root canal treatment. If this occurs the tooth will require some further treatment. Occasionally a surgical procedure may be required if discomfort persists.

What is the cost?

Your dentist will be able to give you an estimate after a thorough examination. The cost will depend on the difficulty and the time spent treating the tooth.