The dental issues that cause the need for root canals often make patients uncomfortable. At the bare minimum, patients will experience an excruciating toothache. These toothaches may be spontaneous, occurring even when the patient is not using the tooth. Eventually, this may evolve into a severe headache. Many patients often do not make the connection between the toothache and the headache.
A tooth that is still alive will also be sensitive to heat and cold, even after the patient has removed the stimulus. The tooth may be particularly susceptible to heat sensitivity. Patients with teeth that are already dead and have become abscessed will cause pain when the patient chews or otherwise puts pressure on the tooth. Any abscesses may produce swelling or bleeding, even to the point of requiring emergency care.
Many different factors may contribute to a patient needing a root canal. These conditions can manifest themselves as various symptoms. These include chips or cracks in teeth, pain while eating or touching the tooth, persistent pain, sensitivity to heat and cold, and swollen gums.
Chips or cracks in the tooth allow empty spaces for bacteria to settle in and cause infection and inflammation, while tooth sensitivity may be a sign of severe decay or nerve damage. In general, toothaches are a sign a patient should see a dentist.
Tooth sensitivity may linger longer when the blood vessels and nerves in the tooth have become infected or damaged. Swelling may also come and go. It is frequently associated with abscesses, which may be accompanied by unpleasant taste and odor.
Infected teeth may also feel looser than healthy teeth, due to nerve death softening the bone. Furthermore, teeth may turn grayish-black when the roots have been damaged and the internal tissue has been broken down.
Root canal treatments are necessary when the pulp of the tooth has become inflamed or infected and needs removal. This may happen due to deep decay, cracks or chips in the tooth, faulty crowns, and repeated dental procedures. Patients should also be warned that facial trauma may still damage the pulp even when the tooth does not have visible chips or cracks. Leaving pulp inflammation or infection untreated may lead to pain or the formation of an abscess.
When left untreated, teeth with damaged pulp eventually die. This can negatively impact your overall oral health, as well as make it difficult to eat and chew. Root canals can help preserve the remaining tooth. The procedure may be followed by the placement of an implant or a crown.
Root canals can help address any issues caused by infection and decay. However, for such treatment to be successful, there must be enough of the natural tooth remaining to save. While it is best to save and maintain natural teeth whenever possible, some teeth may be beyond repair. Teeth with severe fractures or cracks extending below the gum line, for example, may be better suited for extraction.
If extraction is necessary, patients may want to consider getting dental implants. This tooth replacement option looks, feels, and functions like a natural tooth and will help maintain the appearance of the smile. Dental implants consist of artificial tooth roots surgically placed into the jaw to hold an artificial tooth (also known as a crown or pontic) in place. Our team can help determine which option is best for you.
Since every tooth that requires a root canal is in the process of dying, patients should consider every root canal an emergency procedure. Delaying treatment will only increase the chances of pulp necrosis, or having the pulp of the tooth die off entirely. Only a root canal procedure or tooth extraction can reverse the symptoms of pulp necrosis. When left untreated, pulp necrosis may put patients at risk for infection, fever, jaw swelling, cellulitis, abscesses (including those in the brain), sinusitis, periodontitis, and bone loss. Contact our office immediately if you are experiencing severe toothaches when biting down or chewing, sensitivity to hot or cold temperatures (especially hot), darkening or discoloration of the teeth, swelling or tender gums, and pimples on the gums.
