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Once infection or crack line extends deep into the tooth, the nerve tissue (pulp) can become involved, causing discomfort such as night pain, unusual sensitivity to temperature change, throbbing pain, and/or pain upon chewing requiring root canal treatment. Typically, the procedure is pain free as we get the tooth totally numb by advanced techniques.
In small number of cases apical surgery would be required after root canal treatment to eliminate the infection. It happens in long-lasting infections and that is why root canal treatment is highly recommended at the early stages of disease. We save your teeth!
Teeth can become stained from the foods we eat and drink. Also, teeth tend to get discoloured after a root canal therapy. A great way to bring back the brilliance and radiance of your smile is with teeth whitening treatments. In-office bleach treatments and at-home whitening custom trays are available options.
Perforations - pathologic or iatrogenic communications between the root canal space and the surrounding area - can be due to root resorption or excessive removal of tooth material when doing root canal treatments. These allow leakage of bacteria in to the canal which can result in inflammation and infection. An endodontist will have to close the perforation and follow this therapy with RCT.
It often takes around 3 years after tooth eruption for the root ends to meet. With pulpal involvement of an immature tooth, RCT is extremely difficult due to difficulty in achieving a good apical seal, and presence of short weakened roots.
If the pulp is still vital, a vital pulp therapy (e.g. pulp capping, pulpotomy) can be done to encourage continued physiologic development of root ends.
If a tooth with incomplete root formation suffers from pulp death, the root development cannot be completed. This poses similar difficulties to apexogenesis, which can make RCT difficult. The goal of this type of procedure is to induce a calcified barrier across the open apex.
Regenerative procedures, the forefront of current research in the field of endodontics, are novel biologically based procedures that aim to regenerate/re-vascularize the pulp space in immature teeth which have suffered pulp death.
Treatment options of a fractured/chipped tooth depend on the severity of the crack. Most chipped teeth can be treated via a simple filling while more severe fractures require a full crown.
If the fracture involves the root of the tooth, a root canal treatment is usually necessary in order to save the tooth.
These injuries involve the tooth being placed into the socket and/or out of the socket respectively. Often times, the endodontist will have to reposition the tooth and stabilize it for some time. A root canal treatment may or may not be indicated depending on the extent of injury to the pulp.
These types of tooth trauma involve the tooth being completely removed from the socket. If you witness this type of injury, the best option would be replanting the tooth into the socket and seeing the dentist immediately. Never touch the tooth by its root and make sure to rinse the tooth with water if dirty.
If unable to replant the tooth, you should keep the tooth moist in some form of solution and see your dentist immediately. Time is of extreme value in avulsed-teeth situations.
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