How many root canals can you have




















Many times with severe furcation, it might be too late for a root canal and the tooth would need to be extracted. You can eat normally before a root canal treatment, and most endodontists even allow patients to eat up to 1 hour before a procedure. However, as with all oral procedures, most endodontists prefer that you brush your teeth prior to the appointment.

It is always better to maintain a healthy, natural smile whenever possible, and root canals allow for just that. Extracting and then replacing a tooth results in more treatments and procedures, and could even impact neighboring teeth and supporting gums.

Generally speaking, most endodontists choose local anesthesia for a root canal, meaning they are only numbing the area that needs to be operated upon. After a root canal procedure, you can eat and drink normally, including alcohol, once the numbness wears off. View endodontic treatment information in French, Japanese, Portuguese or Spanish. Find My Endodontist. What is a root canal?

How to know if you need a root canal? What are the signs of needing a root canal? There are a few symptoms that mean you might need a root canal— Severe pain while chewing or biting Pimples on the gums A chipped or cracked tooth Lingering sensitivity to hot or cold, even after the sensation has been removed Swollen or tender gums Deep decay or darkening of the gums.

How does endodontic treatment save the tooth? Will I feel pain during or after the root canal? Step-by-Step Endodontic Procedure Expand. Endodontic treatment can often be performed in one or two visits and involves the following steps: The endodontist examines and takes a radiograph of the tooth using x-rays, then administers local anesthetic.

The endodontist makes an opening in the crown of the tooth. Very small instruments are used to clean the pulp from the pulp chamber and root canals and to shape the space for filling.

After space is cleaned and shaped, the endodontist fills the root canals with a biocompatible material, usually a rubber-like material called gutta-percha.

The gutta-percha is placed with an adhesive cement to ensure complete sealing of the root canals. In most cases, a temporary filling is placed to close the opening. The temporary filling will be removed by your dentist before the tooth is restored. After the final visit with your endodontist, you must return to your dentist to have a crown or other restoration placed on the tooth to protect and restore it to full function.

How much will the root canal procedure cost? Will the tooth need any special care or additional treatment after endodontic treatment? What causes an endodontically treated tooth to need additional treatment?

Can all teeth be treated endodontically? What can I eat after a root canal? How is a root canal done? What to expect after a root canal? Tobacco products — Dry the mouth, causing bad breath. Dieting — Certain chemicals called ketones are released in the breath as the body burns fat.

Dehydration, hunger, and missed meals — Drinking water and chewing food increases saliva flow and washes bacteria away. Certain medical conditions and illnesses — Diabetes, liver and kidney problems, chronic sinus infections, bronchitis, and pneumonia are several conditions that may contribute to bad breath. Practice good oral hygiene — Brush at least twice a day with an ADA approved fluoride toothpaste and toothbrush.

Floss daily to remove food debris and plaque from in between the teeth and under the gumline. Brush or use a tongue scraper to clean the tongue and reach the back areas. Replace your toothbrush every 2 to 3 months.

If you wear dentures or removable bridges, clean them thoroughly and place them back in your mouth in the morning.

See your dentist regularly — Get a check-up and cleaning at least twice a year. If you have or have had periodontal disease, your dentist will recommend more frequent visits. Drink water frequently — Water will help keep your mouth moist and wash away bacteria. Ask your dentist about antiseptic rinses that not only alleviate bad breath but also kill the germs that cause the problem.

Q: How often should I brush and floss? A: Brushing and flossing help control the plaque and bacteria that cause dental disease. Brush at a 45 degree angle to the gums, gently using a small, circular motion, ensuring that you always feel the bristles on the gums. Take inches cm of dental floss and wrap it around your middle fingers, leaving about 2 inches 5cm of floss between the hands. Using your thumbs and forefingers to guide the floss, gently insert the floss between teeth using a sawing motion.

Gently move the floss up and down, cleaning the side of each tooth. Q: Are amalgam silver fillings safe? A: Over the years, there has been some concern about the safety of amalgam silver fillings.

Q: How often should I have a dental exam and cleaning? A: You should have your teeth checked and cleaned at least twice a year , though your dentist or dental hygienist may recommend more frequent visits. These include: Medical history review: Knowing the status of any current medical conditions, new medications, and illnesses, gives us insight to your overall health and also your dental health.

Examination of diagnostic X-rays radiographs : Essential for detection of decay, tumors, cysts, and bone loss. X-rays also help determine tooth and root positions. Oral cancer screening: Check the face, neck, lips, tongue, throat, tissues, and gums for any signs of oral cancer. Gum disease evaluation: Check the gums and bone around the teeth for any signs of periodontal disease.

Examination of tooth decay: All tooth surfaces will be checked for decay with special dental instruments. Examination of existing restorations: Check current fillings, crowns, etc.

Removal of calculus tartar : Calculus is hardened plaque that has been left on the tooth for sometime and is now firmly attached to the tooth surface. Calculus forms above and below the gum line, and can only be removed with special dental instruments. Removal of plaque: Plaque is a sticky, almost invisible film that forms on the teeth.

The bacteria produce toxins poisons that inflame the gums. This inflammation is the start of periodontal disease! Teeth polishing : Removes stain and plaque that is not otherwise removed during toothbrushing and scaling. Oral hygiene recommendations : Review and recommend oral hygiene aids as needed electric dental toothbrushes, special cleaning aids, fluorides, rinses, etc. Review dietary habits : Your eating habits play a very important role in your dental health.

Q: How can I tell if I have gingivitis or periodontitis gum disease? Other than poor oral hygiene, there are several other factors that may increase the risk of developing periodontal disease: Smoking or chewing tobacco — Tobacco users are more likely than non-users to form plaque and tartar on their teeth. Certain tooth or appliance conditions — Bridges that no longer fit properly, crowded teeth, or defective fillings that may trap plaque and bacteria. Many medications — Steroids, cancer therapy drugs, blood pressure meds, oral contraceptives.

Some medications have side affects that reduce saliva, making the mouth dry and plaque easier to adhere to the teeth and gums. Pregnancy, oral contraceptives, and puberty — Can cause changes in hormone levels, causing gum tissue to become more sensitive to bacteria toxins.

Genetics may play role — Some patients may be predisposed to a more aggressive type of periodontitis. Patients with a family history of tooth loss should pay particular attention to their gums. Red and puffy gums — Gums should never be red or swollen. Bleeding gums — Gums should never bleed, even when you brush vigorously or use dental floss.

Persistent bad breath — Caused by bacteria in the mouth. New spacing between teeth — Caused by bone loss. Loose teeth — Also caused by bone loss or weakened periodontal fibers fibers that support the tooth to the bone. Pus around the teeth and gums — Sign that there is an infection present.

Receding gums — Loss of gum around a tooth. Tenderness or Discomfort — Plaque, calculus, and bacteria irritate the gums and teeth.

Q: Why is it important to use dental floss? A: Brushing our teeth removes food particles, plaque, and bacteria from all tooth surfaces, except in between the teeth. After that, your tooth will be prepped so that the canals can be cleaned of all the infected matter. Next the canals are dried, treated with medication to heal them and sealed off to protect them during healing.

Anti-inflammatory tablets will help reduce discomfort after the treatment. At your next appointment another local anaesthetic will be used so that the canals can be opened and filled with a special material to retain their structure. Provided you are meticulous with your oral hygiene and have regular checkups, your root canal can last for many years.

Your dentist may also want to check for ongoing infection in or around the tooth with X-rays. After the bacteria have been removed, the root canal is filled and the tooth sealed with a filling or crown. Before having root canal treatment, you'll usually be given a local anaesthetic.

Root canal treatment is usually successful. In about 9 out of 10 cases a tooth can survive for up to 10 years after root canal treatment. Find out how root canal treatment is done.

After your final treatment, your restored tooth should no longer be painful, although it may feel sensitive for a few days. You can take over-the-counter painkillers, such as paracetamol or ibuprofen , to relieve any discomfort. Find out more about dental health. Page last reviewed: 18 June Next review due: 18 June Overview - Root canal treatment Contents Overview How it is performed.



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