Root Canals

Root canal treatment, also known as endodontic therapy, is a procedure that treats infection or damage deep within the tooth's root canal system. This treatment becomes necessary when the pulp tissue, which contains nerves and blood vessels, becomes inflamed or infected due to severe decay, repeated dental procedures on the tooth, cracks or chips in the tooth, or trauma to the face. 

Who Would Need Root Canal Treatment? 

Patients With Decay or Deep Cavities 

When tooth decay progresses untreated, it can reach the innermost layer of the tooth called the pulp. The pulp contains nerves, blood vessels, and connective tissue. Once decay or bacteria reach this area, they can cause inflammation and infection of the pulp, leading to symptoms such as severe toothache, sensitivity to hot or cold, or swelling around the affected tooth. 

Patients Who Suffered Trauma or Injury 

A tooth that has been injured due to trauma, such as a sports injury or accident, can develop damage to the pulp. Even if there are no visible cracks or chips in the tooth, the impact can cause internal damage to the pulp tissue, resulting in infection or inflammation. 

Patients Who Underwent Repeated Dental Procedures 

Teeth that have undergone multiple dental procedures, such as fillings or crowns, may eventually require root canal treatment. These procedures can weaken the tooth's structure over time, making it more susceptible to infection or inflammation within the pulp. 

Cracked or Fractured Teeth 

Cracks or fractures in teeth can create pathways for bacteria to enter the pulp and cause infection. Depending on the severity and location of the crack or fracture, root canal treatment may be necessary to save the tooth. 

Abscess or Infection 

If the pulp becomes infected or inflamed, it can lead to the formation of an abscess. An abscess is a pus-filled pocket that forms at the root tip of the tooth and can cause significant pain and swelling. Root canal treatment is often required to remove the infection and prevent it from spreading further. 

Persistent Tooth Pain 

Persistent or severe tooth pain, especially when biting or applying pressure, can indicate that the pulp tissue is inflamed or infected. Root canal treatment can alleviate the pain by removing the source of infection and restoring the tooth's health. 

Darkening or Discoloration of the Tooth 

Changes in the color of a tooth, such as darkening or discoloration, may indicate that the pulp tissue has been damaged or is dying. Root canal treatment can be necessary to address the underlying issue and prevent further discoloration. 

The Root Canal Treatment Process 

The root canal treatment process, also known as endodontic therapy, is a dental procedure performed to treat infection or damage within the root canal system of a tooth. Here is what to expect during a root canal treatment: 

Initial Consultation and Examination 

The process begins with an initial consultation with your dentist, during which your dental history is reviewed, and you discuss any symptoms you may be experiencing, such as tooth pain or sensitivity. The dentist will perform a thorough examination of the affected tooth, including taking X-rays, to assess the extent of damage to the tooth and surrounding bone. This helps in determining whether root canal treatment is necessary and feasible. 

Local Anesthesia 

Before the procedure begins, local anesthesia is administered to numb the tooth and the surrounding area. This ensures that you remain comfortable and pain-free throughout the treatment. 

Accessing the Root Canal 

Once the tooth is numb, the dentist will create a small access hole in the crown (top) of the tooth. This access hole allows access to the pulp chamber and root canals. 

Cleaning and Shaping 

Using specialized instruments called files and irrigating solutions, the dentist carefully removes the infected or inflamed pulp tissue from the pulp chamber and root canals. The canals are cleaned thoroughly to remove any debris, bacteria, and remaining pulp tissue. The canals are also shaped to prepare them for filling. 

Medication (if necessary) 

In some cases, medication may be placed inside the pulp chamber and root canals to help eliminate any remaining bacteria and reduce inflammation. This medication is typically left in place for a week or two before the canals are filled. 

Filling the Root Canals 

Once the canals are thoroughly cleaned and shaped, they are filled with a biocompatible material called gutta-percha. Gutta-percha is a rubber-like material that seals the canals to prevent bacteria from re-entering and causing further infection. The canals are usually filled to the tip of the root. 

Sealing the Access Hole 

After the root canals are filled, the access hole in the crown of the tooth is sealed with a temporary or permanent filling material. This seals off the tooth and prevents contamination of the newly treated root canals. 

Restoration of the Tooth 

Depending on the extent of tooth structure lost to decay or damage, a crown or filling may be placed on the tooth to restore its function and appearance. A crown is often recommended for posterior teeth (molars and premolars) to provide additional strength and protection. 

Follow-up Visit 

After the root canal treatment, you may need to schedule a follow-up visit with your dentist. During this visit, the dentist will evaluate the tooth to ensure that the infection has been removed and that the tooth is healing properly. If a temporary filling was placed, it may be replaced with a permanent restoration. Call us to learn more. 

Post-Treatment Care 

After your root canal treatment at Premium Smile Care in Riverside, CA, it is essential to follow the post-treatment care instructions provided by our team. This typically includes: 

• Taking any prescribed medications to manage discomfort and prevent infection. 

• Avoid chewing on the treated tooth until it is fully restored. 

• Maintaining good oral hygiene practices, including brushing and flossing regularly. 

 At Premium Smile Care in Riverside, CA, we are committed to providing you with exceptional root canal treatment in a comfortable and caring environment. With our skilled team of professionals, state-of-the-art technology, and personalized patient care, your journey to optimal dental health begins here. Schedule your consultation today and discover why so many patients trust Premium Smile Care for their dental needs. Your smile deserves nothing less than the best. 

Discover top-notch dental care at Premium Smile Care, conveniently located in Riverside at 9825 County Farm Rd., Bldg. B. Contact us today at (951) 324-1212 to book your visit!