What is a root canal?

Do you need a Los Angeles Root Canal? Dr. Michael A. Kezian DDS the Larchmont Dentist and his staff at the Larchmont Dental Associates treat patients for endodontic issues. A root canal is needed when the tissue inside the root chamber or canal is infected and inflamed. Long term accumulation of traumatic injuries on the tooth can result in the dental nerve becoming irreversibly inflamed or infected.  Things that may compromise the dental nerves ability to remain vital are: trauma that breaks a tooth and exposes the dental nerve, clenching or grinding, increased load on the tooth due to other missing teeth, trauma that dislodges or moves a tooth, deep decay that grows next to or into the dental nerve area and cracks and chips. If left in this state the patient will be in a great deal of pain and eventually end up having a dental abscess.

Los Angeles Root Canal

Los Angeles Root Canal

What do you need to know?

Los Angeles Root Canal helps repair and save your natural teeth. When a tooth loses its vitality it’s important to save the tooth by doing a Los Angeles Root Canal – If left untreated the tooth will die and result in the loss of the teeth.  If the tooth is hit with great force, the nerve can be severed at the end of the tooth and eventually die. When a tooth has become fractured and the fracture extends deep into the tooth and reaches the pulp, it doesn’t leave a lot of tooth structure above the gum for a crown and a root canal may be done to enable the dentist to reinforce the tooth with a post that is placed down the canal of the tooth to help retain the restoration and give the tooth strength and stability. The treatment also relieves unsightly symptoms like pain, extreme sensitivity to hot or cold liquids, foods and waking up in pain during the night. It will also relieve pressure, bleeding and abscesses growing next to the tooth due to infection. An abscess is an infection that forms when the pulp of the tooth dies and a pus pocket forms around the end of the root. The pus accumulates in an area of dead nerve tissue that is infected with bacterial. Sometimes the abscess will form a bump that looks like a pimp on the outside of the gum. You may notice pus draining from the pimple or notice a bad taste in your mouth. If left untreated it will continue to grow and infect the bone around the root of the tooth and spread into the surrounding bone and tissues, causing swelling of the face and cheek.

What should you look out for?

Important signs or symptoms to look for include continual sensitivity to heat and cold, pain, discoloration of the tooth, swelling, tenderness to chewing and touch, tenderness in the lymph nodes and nearby gum and tissue pain. However, sometimes there are no symptoms or pain. When you need a Los Angeles Root Canal, the endodontist removes the inflamed and infected pulp, cleans the inside of the root canal and then fills it and seals the space. After the treatment is finished, Larchmont Dentist will schedule you back to prepare the tooth for a restoration like a crown to seal and protect the tooth. This will restore the tooth to its full function.

Will you feel pain during and after the procedure?

Larchmont Dentist

Larchmont Dentist

The treatment in its self will improve and relieve the pain caused by the inflammation and infection. When you’re numb you don’t feel anything, and after the nerve is removed and cleaned out the pain is gone. You may feel sensitivity and soreness, but that’s normal and to be expected. Over the counter or prescription medications will help. It takes a few days for things to settle so expect things to feel slightly different until the tooth settles down.

Costs vary depending on the difficulty of the treatment and what kind of restoration will be needed for the tooth. Generally root canals are cheaper than having a tooth extracted, because extracted teeth need implants and further restorative work like crowns and bridges. They usually require many visits and are quite costly and time consuming.

Most teeth can be treated for a root canal but occasionally a tooth cannot be saved because the canals are not accessible, or it’s fractured, or calcified. If the tooth doesn’t have enough bone support, it cannot be restored. With a lot of today’s technological and medical advancements it’s easier to save teeth that were not treatable many years ago. It’s important to take good care of a Los Angeles Root Canal treated tooth by making sure additional trauma is not applied to the tooth, to clean in between the restorations, making sure not to get any food stuck in between and never to bite on anything hard while the tooth is waiting to be covered by a permanent restoration.

What does the procedure entail?

Usually endodontic treatments are done in two visits. First the Los Angeles Root Canal Specialist will check the tooth by taking x-rays and testing the tooth with various tests that determine if you need a root canal. Some of these tests include placing a cold stimulus on the tooth to check for healthy response. Many teeth will be tested to compare the responses. If the test confirms the need for a root canal treatment, the Larchmont Dentist will administer a local anesthetic to get everything numb so you don’t feel pain during the procedure and apply a protective sheet called a “dental dam” over the area to isolate the tooth and keep it free of saliva.  Second, Los Angeles Root Canal makes an opening in the crown of the tooth and goes in with small instruments and microscopes that are designed to clean and shape the canals and remove the pump from the chamber and canals in order to accommodate the filling material after.  A series of x-rays will be taken throughout the procedure to make sure the files are reaching the end of the tooth and all the canals are being adequately cleaned and shaped. Thirdly, after the canals are shaped, cleaned and made wider, the Larchmont Dentist fills the root canals with a medicated filling material called gutta-percha to seal the canals.  The Larchmont Dentist may place a temporary filling to seal the opening of the tooth until the second appointment and may prescribe antibiotics to help kill the infection. Sometimes a dental post may also be needed to further reinforce the tooth and make it possible to place a crown on top of the tooth if tooth structure is lacking. A post is placed in the canals to provide an anchor for the tooth to be built up with a permanent filling. When you return for the final visit, Dr. Michael A. Kezian DDS will place a restoration on the tooth to restore and protect the tooth to its full functioning state.

Larchmont Dental Associates – 581 N. Larchmont Blvd Los Angeles, CA 90004 (323) 465-2127 –   https://www.larchmontdentists.com/