Signs Your Dentist Will Be Looking for:
Chances of you not being aware of the problem developing in the pulp until it’s too late are high. However, some indications to the trained eye of your dentist may seem obvious that the problem has infected you for quite some time. They are:
- The color of your teeth.
- Signs of pus discharge.
- Obvious changes in soft tissue and asymmetry
The signs by themselves may not be significant for a precise and accurate diagnosis. Therefore you may have to undergo additional tests which may be advised. The tests which are available for identifying the defective tooth include x-rays, percussion, thermal sensation, and electronic pulp testing.
Root Canal Procedure
- Imaging — the initial steps of this procedure is to assess the condition of the tooth concerned. We use an x-ray image to determine the damage as well as the roots configuration. Rear teeth generally have multiple roots and many among them could be contaminated. The dentist needs to have information beforehand about the orientation of the root as well as identify the root which is infected.
- Anesthesia — surgery is always a requirement for root canal therapy. Therefore the administration of local anesthesia is a common feature before an operation.
- Opening the canal — some patients need to be sedated before anesthesia is administered. After the administration of local anesthesia, a hole is drilled through the enamel to expose the ailing areas. It instantly frees the pressure inside and the patient doesn’t feel any pain even after the anesthesia wears away. The drilling is accomplished in the crown for the molars, and from the lingual side in the event of it being a front tooth.
- Cleaning — the tooth undergoing the root canal therapy will be entirely vacated by removing nerve tissue and any other pulp matter. Thereafter the canal is cleaned thoroughly and dried.
- Sealing — the space cleaned must not be left unfilled because of the risk of abscesses and infections. We will saturate the empty canal with a rubber-like material known as gutta percha along with a sealing solution to ensure empty spaces are not present inside.
- Temporary filling — as the mouth begins to heal the new hole is overlaid with a temporary filling.
- Permanent seal — all things going well and no complaints being received from the patient the temporary filling is superseded with a permanent filling during the next appointment.
Why Is Crown Placement Necessary After Surgery?
The procedure leaves a tooth with slimmer walls making them vulnerable. We, therefore, recommend that the tooth should be reinforced with help from a dental crown after the healing process is completed. If you decide to opt for a crown we can give you a temporary crown right away and dispatch the impressions to the lab to have a permanent crown made. Another visit will be essential for fitting the crown. Additional work may be needed in some cases where the tooth is weak or broken to prepare it for the crown.
How Many Visits Does This Procedure Need?
The procedure is generally completed in approximately two visits. The patient and the dentist get an opportunity to view the progress to understand whether further work is needed during the second visit. On occasion, our dentists may do away with the temporary filling and opt instead to fit a permanent filling during the first visit. In such cases, the recovery time will be highly minimized.
- Over-the-counter nonsteroidal anti-inflammatory drugs [NSAID] such as ibuprofen can be used if the pain is experienced in the tooth.
- Patients that are sensitive to NSAID or aspirin can utilize acetaminophen [Tylenol].
- Prescription medications can be used if the pain persists. The possibility of remnant contamination must be checked.
The possibilities of infection after a successful procedure are rare. However, if an infection is speculated:
- Antibiotics may be used to kill the remnant infection.
- The root canal may be reopened, cleaned and sealed again during the retreatment.
In some cases, driving is considered safe after undergoing a root canal procedure. However, the strength of the sedation used during the treatment will determine whether or not a patient can begin driving and therefore it is suggested that help is sought for the ride back home.
Root Canal Therapy During Pregnancy
While it is true that during pregnancy a woman has two lives to be concerned for, herself and the life of the baby. However, this is not to say that every procedure you may need is to be avoided during this time. Undergoing a root canal procedure during pregnancy involves three concerns for the safety of the baby.
- X-rays are essential to assess the condition and the orientation of the roots of the tooth. X-rays have the potential to harm the fetus. Your baby will, however, be unaffected by this procedure when the x-ray energy is directed into your jaw and not the abdomen.
- A common concern is that the stress of being operated upon may be harmful to the baby. Fortunately, no stress which affects the baby in any way can be anticipated.
- The patient may need some antibiotics after the treatment but these are often rare occasions and in any case, antibiotics that are safe to use for pregnant women are always available.
Our dental team is fully capable of taking care of you and your baby during any procedure. We take the following specific precautionary measures to avoid any complications during your pregnancy:
- We avoid performing a root canal treatment in the first trimester unless it is extremely essential. This is the time when the baby is most susceptible. If needed the root can be opened and drained.
- A root canal in the second trimester is possible if needed and the procedure does not pose any risk to the unborn baby.
- Careful consideration is required for a root canal during the third trimester. Questions must be asked whether the procedure can be postponed until after the arrival of the baby which may not be far. The procedure should be postponed when seven months pregnant and the operation must be postponed if the woman is eight months pregnant.
Root Canal in Frisco, TX – Our Staff and Office
Make an appointment with our dental office Frisco, Tx and we can determine if a root canal is a proper procedure for your specific situation or case. Our dental care specialists will ensure your questions are fully answered to make sure you are confident in your decision. Our practice is located in the greater DFW metro area close to The Colony and Prosper, Texas.