When the inside of a tooth has died, root canal treatment is the only option to avoid having to remove it. But what can cause the pulp to die in the first place? Unfortunately, there are several ways this can happen. Most often, advanced and untreated tooth decay is behind it, which often leads to pulpitis. Pulpitis is nothing more than the inflammation of the part of the dental pulp containing blood vessels and nerves. In addition, inflammation developing from the root apex can also cause this condition.
A tooth can also die as a result of an impact or accident. The destruction of the tooth’s interior can be stopped if detected and treated in an early stage. In these cases, a tooth filling may be sufficient. However, if the pulp is beyond saving, whatever the cause, root canal treatment is always the only help.
If the coronal part of the tooth and the surrounding tissues are in good condition, tooth extraction can often be avoided with root canal treatment. During the procedure, infected or dead tissues are removed, and after cleaning and sealing the root canals, the tooth can function again.
If we are talking about a dead tooth due to advanced tooth decay, then in most cases, severe pain and increased tooth sensitivity – to cold or heat – accompany our daily lives. It is also a very telling sign if our tooth hurts more at night than during the day. If it is one of the front teeth, a typical symptom can be that the tooth turns gray.
The symptoms of a dead tooth can be varied. Severe, throbbing pain, sensitivity to cold or heat, and worsening complaints at night are common. Discoloration, pain when biting, swelling, or a feeling of pressure may also occur.
An immediate examination is recommended if the pain intensifies, the gums swell, the tooth becomes sensitive to pressure, or signs of inflammation appear. In such cases, it is not advisable to delay treatment.
Many people postpone root canal treatment because they consider it a painful procedure. However, thanks to modern anesthesia techniques, the treatment can usually be performed painlessly. Most discomfort is caused not by the procedure itself, but by untreated inflammation.
Before root canal treatment, local anesthesia is administered, making the treated area numb. The patient typically experiences pressure or a slight feeling of tension, but no sharp pain.
After treatment, mild sensitivity or pressure may occur for a few days, especially when chewing. If the pain intensifies or does not subside, it is advisable to attend a follow-up examination.
The treatment is always preceded by an assessment, and a panoramic X-ray is also necessary to establish a correct diagnosis.
The first step of the treatment is to establish a diagnosis and create an appropriate treatment plan.
The first step of the treatment is anesthesia, which ensures that the procedure is completely painless. Then, we open the tooth by drilling through its crown and access the pulp chamber.
This allows for thorough cleaning and disinfection of the canals located in the roots of the damaged tooth. After this, only healthy tissue remains in the root canal.
Subsequently, the tooth receives a temporary filling, which is later replaced by a permanent filling, or a crown may be placed on the tooth if necessary. With microscopic root canal treatment, even greater success can be achieved in cases of branched and complex canal systems.
The duration of root canal treatment depends on which tooth is affected, how complex the root canal system is, and the extent of the inflammation.
In simpler cases, a single session may be sufficient, while more complex cases require multiple treatments. The length of the treatment(s) is influenced by the type of tooth, the number of canals, and the extent of the inflammation.
If you experience pain after the treatment, it is completely natural for a while. In such cases, it is advisable to take your usual painkillers. However, if the pain persists or the success of the procedure becomes questionable, the question of whether the tooth can be saved or not arises again.
A root-treated tooth may be sensitive for a few days, especially when chewing. Mild pain is natural, but intensifying discomfort is not.
After treatment, do not put unnecessary strain on the affected tooth; try to chew elsewhere. Avoid hard, seedy, overly cold, or hot foods. If possible, stop smoking and pay attention to proper oral hygiene.
Successful root canal treatment provides a very durable result, as your treated tooth can remain for your entire life. Before the treatment, a panoramic X-ray is taken, and it is also advisable to check the result after root canal treatment. Since a root-treated tooth can still decay, maintaining proper oral hygiene is important.
In cases of extensive damage, a crown is recommended to strengthen the tooth.
An untreated dead tooth can not only cause pain, but the inflammation can also spread to surrounding tissues. Timely treatment often helps avoid tooth extraction.
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Budapest, 7th district
Rottenbiller u. 5/b.