Keep your Natural Teeth by removing root of the tooth

At Highland Oak Dental, Dr. George DDS is here to take care of any pain due to a decay in the root of a tooth. Endodontic treatment, also known as root canal therapy, is a fantastic option for preserving a severely infected (and painful) tooth from extraction. An endodontist, according to American Association of Endodontists is a specialist at saving teeth. The good news – even just a part of the procedure can give you notable relief from unendurable tooth pain.

Contents: What is a root canal? | Reasons for it? | Symptoms | Procedure | do I need Crown placement? | How to care after? | How much it costs? | Appointment | FAQ

What is a Root Canal?

The noticeable portion of your natural tooth or crown is guarded by dental enamel below the gums. Protection is also available to the tooth right down to the tip of the root by dentine which also is a hard substance, somewhat less hard than the enamel. Within this enclosed cage and along the length of the tooth root exists a long cavity which is called the canal. It is saturated with the dental pulp and is also identified as the pulp chamber. This is an important chamber as the pulp contains nerve tissue and blood vessels apart from other substances which feed the tooth. However, if the pulp becomes infected the formation of bacterial products and debris result in excessive pressure inside the pulp. This condition results in significant discomfort, and sometimes unbearable pain, eventually leading to tooth loss. The procedure ensures the infected pulp is eliminated from the tooth to provide relief to the patient, instantly in most cases. This is also the primary procedure recommended by your dentist in order to save your natural tooth from further decay or from being extracted. The procedure of root canal is safe even when you are suffering from other dental conditions or are wearing braces. If you are going through extreme dental pain or discomfort, the relief provided makes the procedure well worth it because the effects are long-lasting.

How can a Tooth’s Root get Infected?

Are you wondering “how can the pulp inside the tooth get infected despite having all the protection it needs?” The reasons for the infection are simple. The food that you have regularly can attack the enamel. You may believe you have a choice in the food you want to eat. However, you must understand some food particles can stick onto the teeth long after you have finished eating. They stay in the spaces between the teeth and on the chewing surfaces of the molars which are also known as the rear teeth. If you are regularly ignoring brushing and flossing, the bacteria present in your mouth begins to convert the sugar and carbohydrate content within the particles into acid. The acid has the potential to reduce the shielding effect of saliva on the enamel which in turn can begin to erode the tooth. The erosion of the tooth results in cavities which if not appropriately filled up leads to the puncture of the enamel, sometimes causing the infection to affect the pulp. The bacteria in the mouth can also infect the gums. The loosening gums begin to expose and puncture the dentin layer below the gum. This provides a route for the infection to reach the pulp. Regardless of the route taken by the infection, the pulp needs to be eliminated to prevent infections repeatedly. In the absence of this procedure, abscesses can develop which could eventually necessitate extraction of the tooth. The pulp could also be infected by other reasons which include untreated dental injury, a chip or a crack in the tooth, root fracture, and repeated repair of the tooth.

When is Endodontic therapy needed?

Root canal therapy is helpful for treating multiple issues such as inflamed nerves, dying nerves, dead nerves, a cracked or even a dead tooth. The procedure can also be repeated following an RCT that failed. On some occasions, it may be necessary even to remove nerves or teeth. The final decision whether to go for this procedure or not should be made by yourself after consultation with one of our expert dentists who will listen to your concerns and examine you thoroughly. Below are other reasons you need endodontic therapy:

  • Toothache
  • Infection
  • Swelling
  • Extreme sensitivity to cold and heat
  • Fix Severe Cavity

Step by Step procedure


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.


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 infected tooth and removing root

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. Similarly, a pulpotomy removes the pulp tissue from the tooth chamber, but from a baby tooth instead of a permanent one.


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 resin sealing solution to ensure empty spaces are not present inside.

Filling and Temporary Crown

As the mouth heals, the new hole will be covered with a temporary restoration. The small filling may be planted to seal the end of the root canal and a few sutures or stitches are placed to help the tissue to heal.

Permanent Seal and Smile

If the procedure goes smoothly, and the patient has no complaints about the procedure a temporary filling is placed with a permanent filling on the next appointment.

Why is Crown placement necessary after Root Canal 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 one right away and dispatch the impressions to the lab to have a permanent one made. Another visit will be essential for fitting it. Additional work may be needed in some cases where the tooth is weak or broken to prepare it. Discover how a dental crown works. We are nearby and can’t wait to meet you.

  • The location of the pain and/or swelling
  • Duration of the pain
  • Onset
  • Type of pain — whether it’s continuous or pulsed


Pain Relief

  • 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.

Root canal treatment cost

This restorative treatment can range in price, typically based on the condition of the tooth, skill of the endodontist, and possible additional services needed (i.e. after-hours appointment). As it can save a tooth from falling out or being pulled, and can restore your smile with a crown, the price for this procedure is more than worth it. That being said, if you are spending the money you should spend it wisely on an experienced specialist who has good reviews, is close to you, and has a variety of financing options that fit your needs. Our office accepts most PPOs, works with lenders like CareCredit, and offers interest-free, in-house payment plans. Get more Root Canal Treatment Cost information and find out the best way to pay for this treatment.

How much does a Root canal cost?

The cost can depend on several factors, one of which is where the damaged tooth is located. Here are estimated price ranges that you might expect to see for an average Root Canal Cost treatment:

  • Front (anterior) – $600 - $900
  • Bicuspid – $700 - $1,000
  • Molar – $1,000 up to $2,000

Root Canal Therapy Near Frisco, TX

Committed to a Custom Endodontic Experience at Highland Oak Dental

We can help with pain relief emergency root canal. If you are near Frisco, Schedule an Appointment with us and let us help you save your tooth.

Endodontic Therapy Near Me

Contact Us to make an appointment with our office in Frisco, Texas 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 office is conveniently located near you in Frisco.

FAQs on how to save your natural teeth

Is getting an endodontic treatment painful?

According to the American Association of Endodontics, most patients who have undergone this treatment feel slight to no amount of pain during the treatment. Dentists will use a local anesthesia to numb the area; therefore, the procedure is not that painful. Needing a root canal, on the other hand, causes some pain and discomfort. Read more About Our Office in Texas.

How long does it take?

Thanks to the advancements in modern dentistry, a root canal treatment can be completed in two visits. A normal root canal procedure can take from 30 to 60 minutes. While a more complex case can take more than 90 minutes. Meet Dr. Shiney George DDS

Why does it take 2 visits?

A standard root canal can take two visits. At your first appointment, the infected nerve and tissue are removed and the tooth is dressed. This usually helps to get rid of the pain in the tooth. On the second visit, the root canal is disinfected, cleaned, shaped, and measured to prevent further infection.

Request a Complimentary appointment to understand saving your original teeth

Root canals. (2014).
Root canals. American Association of Endodontists.

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