Instructions for Endodontic Treatment

Why do we perform endodontic treatment?

The goal of endodontic treatment, also known as a root canal, is to preserve the tooth and avoid extraction, which is the only alternative when the tooth’s nerve is infected or has died.

When can the nerve (pulp) of a tooth become infected or necrotic?

The nerve of a tooth can become infected or inflamed due to bacteria, leading to necrosis (death of the nerve tissue) and possibly forming an abscess in the surrounding bone. Common causes include advanced decay, deep fillings, traumatic injury, tooth cracks, and periodontal (gum) disease.

What are the symptoms of an infected nerve (pulp)?

Symptoms vary widely. You might experience sudden or prolonged pain, sensitivity to hot or cold, pain while chewing or biting, or no symptoms at all.

How is the treatment done?

Endodontic treatment is performed in two main stages. First, we remove all bacteria and infected pulp tissue inside the tooth. In the second stage, we seal the roots with a solid material to prevent future issues. Once treatment is complete, the inflammation can heal, and the tooth can be preserved.

Will it be painful?

The treatment is painless, as it is always performed under local anesthesia. After certain stages of treatment, you may experience mild to moderate discomfort, and the tooth might feel sensitive to chewing or touching with your tongue. This is temporary and can be managed with anti-inflammatory medications and warm saltwater rinses. In rare cases, some bleeding may occur, and if so, please contact your dentist, as antibiotics or further evaluation may be needed.

I’ve heard that root canal-treated teeth can break easily. Is that true?

Yes, teeth that have undergone root canal treatment are often weakened due to prior damage and are more prone to breaking. To protect the remaining tooth structure, a crown (or cap) is typically recommended, which acts like a helmet, reinforcing and protecting the tooth. In cases where the damage is extensive, metal posts may need to be placed in the roots to support the crown. It is essential to restore the tooth as soon as possible after endodontic treatment to minimize the risk of fracture.

Is the cost of endodontic treatment separate from the cost of restoring the tooth?

Yes, the cost of building up the tooth and placing a crown is separate from the cost of the root canal. All these procedures require time, patience, and skilled attention to detail. While the initial cost of saving the tooth may seem high, it can be more economical in the long run compared to extracting the tooth, which may require grinding down two adjacent healthy teeth to support a bridge. Saving your natural tooth, whenever possible, is typically the better option both biologically and financially.