Posts for: June, 2016
If you’re undergoing your first root canal treatment, it’s understandable if you’re apprehensive. So, let’s cut to the chase about your biggest fear: a root canal treatment doesn’t cause pain, it relieves it — and saves your tooth too.
You need this procedure because decay has spread deep into your tooth’s inner pulp. The infection has already attacked the nerves bundled within the pulp chamber, the source of the pain that led you to us in the first place.
The real concern, though, is the infection continuing to travel through the canals of the tooth root. If that happens, you’re in danger of not only losing the tooth, but also losing surrounding bone, adjacent teeth or damaging other important structures close by. Our goal is simple: remove the infected pulp tissue and seal the empty chamber and root canals from further infection with a special filling.
We begin by numbing the tooth with local anesthesia — you won’t feel anything but slight pressure as we work. After placing a dental dam — a thin sheet of rubber or vinyl — around the affected tooth to maintain a clean work area, we drill a small hole through the biting surface of a back tooth or in the rear surface of a front tooth. We’ll use this hole to access the pulp, where we’ll first remove all the dead and diseased tissue from the chamber. We’ll then disinfect the chamber and root canals with antiseptic and antibacterial solutions.
After some shaping, we’ll fill the chamber and canals, usually with gutta-percha that’s malleable when heated and can be compressed into and against the walls of the root canals to completely seal them. We’ll then seal the access hole.
You may have a few days of mild discomfort afterward, which can be managed generally with pain relievers like aspirin or ibuprofen. Later, we’ll permanently restore the tooth using filling to seal the root canal inside the tooth followed by a custom crown that’s fit over and bonded to the tooth. This will further minimize chances of a re-infection.
If we’ve recommended a root canal, then we think your tooth should be saved instead of extracted. The procedure will end the pain you’ve been suffering and give your tooth a new lease on life.
If you would like more information on root canal treatment, 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 “A Step-By-Step Guide to Root Canal Treatment.”
Want to know the exact wrong way to pry open a stubborn lid? Just ask Jimmy Fallon, host of NBC-TV’s popular “Tonight Show.” When the 40-year-old funnyman had trouble opening a tube of scar tissue repair gel with his hands, he decided to try using his teeth.
What happened next wasn’t funny: Attempting to remove the cap, Fallon chipped his front tooth, adding another medical problem to the serious finger injury he suffered a few weeks before (the same wound he was trying to take care of with the gel). If there’s a moral to this story, it might be this: Use the right tool for the job… and that tool isn’t your teeth!
Yet Fallon is hardly alone in his dilemma. According to the American Association of Endodontists, chipped teeth account for the majority of dental injuries. Fortunately, modern dentistry offers a number of great ways to restore damaged teeth.
If the chip is relatively small, it’s often possible to fix it with cosmetic bonding. In this procedure, tough, natural-looking resin is used to fill in the part of the tooth that has been lost. Built up layer by layer, the composite resin is cured with a special light until it’s hard, shiny… and difficult to tell from your natural teeth. Best of all, cosmetic bonding can often be done in one office visit, with little or no discomfort. It can last for up to ten years, so it’s great for kids who may be getting more permanent repairs later.
For larger chips or cracks, veneers or crowns may be suggested. Veneers are wafer-thin porcelain coverings that go over the entire front surface of one or more teeth. They can be used to repair minor to moderate defects, such as chips, discolorations, or spacing irregularities. They can also give you the “Hollywood white” smile you’ve seen on many celebrities.
Veneers are generally custom-made in a lab, and require more than one office visit. Because a small amount of tooth structure must be removed in order to put them in place, veneers are considered an irreversible treatment. But durable and long-lasting veneers are the restorations of choice for many people.
Crowns (also called caps) are used when even more of the tooth structure is missing. They can replace the entire visible part of the tooth, as long as the tooth’s roots remain viable. Crowns, like veneers, are custom-fabricated to match your teeth in size, shape and color; they are generally made in a dental lab and require more than one office visit. However, teeth restored with crowns function well, look natural, and can last for many years.
So what happened to Jimmy Fallon? We aren’t sure which restoration he received… but we do know that he was back on TV the same night, flashing a big smile.
If you would like more information about tooth restorations, please contact us or schedule a consultation. You can learn more in the Dear Doctor magazine articles “Porcelain Crowns & Veneers” and “Artistic Repair Of Front Teeth With Composite Resin.”