Posts for tag: root canal
As a new permanent tooth develops, the roots undergo a process of breakdown and growth. As older cells dissolve (a process called resorption), they’re replaced by newer cells laid down (deposition) as the jaw develops. Once the jaw development ends in early adulthood, root resorption normally stops. It’s a concern, then, if it continues.
Abnormal root resorption most often begins outside of the tooth and works its way in, beginning usually around the neck-like (or cervical) region of the tooth. Also known as external cervical resorption (ECR), the condition usually shows first as pink spots where the enamel is being undermined. As these spots continue to erode, they develop into cavity-like areas.
While its causes haven’t been fully confirmed, ECR has been linked to excessive pressure on teeth during orthodontic treatment, periodontal ligament trauma, teeth-grinding or other excessive force habits, and bleaching techniques performed inside a tooth. Fortunately, ECR is a rare occurrence, and most people who’ve had these problems won’t experience it.
When it does occur, though, it must be treated as quickly as possible because the damage can progress swiftly. Treatment depends on the size and location of the resorption: a small site can often be treated by surgically accessing the tooth through the gum tissue and removing the offending tissue cells. This is often followed with tooth-colored dental material that’s bonded to the tooth to replace lost structure.
A root canal treatment may be necessary if the damage has extended to the pulp, the tooth’s interior. However, there’s a point where the resorption becomes too extensive to save the tooth. In these cases, it may be necessary to remove the tooth and replace it with a dental implant or similar tooth restoration.
In its early stages, ECR may be difficult to detect, and even in cases where it’s been diagnosed more advanced diagnostics like a CBCT scanner may be needed to gauge the extent of damage. In any case, it’s important that you have your teeth examined on a regular basis, at least twice a year. In the rare chance you’ve developed ECR, the quicker it’s found and treatment begun, the better your chances of preserving the tooth.
Now that celebrities can communicate directly with their fans through social media, we’ve started to see dispatches from some surprising locations — the dental chair, for example! Take singer Kelly Clarkson, who was the first winner of American Idol, and perhaps one of the first to seek moral support via social media before having an emergency root canal procedure.
“Emergency root canal — I’ve had better days,” Kelly posted on her Facebook page, along with a photo of herself looking… well, pretty nervous. But is a root canal procedure really something to be scared about? It’s time to clear up some misconceptions about this very common dental procedure.
First of all, root canal treatment is done to save a tooth that might otherwise be lost to an infection deep inside it. So while it’s often looked upon with apprehension, it’s a very positive step to take if you want to keep your teeth as long as possible. Secondly, tooth infections can be painful — but it’s the root canal procedure that stops the pain. What, actually, is done during this tooth-saving treatment?
First, a local anesthetic is administered to keep you from feeling any pain. Then, a small opening is made through the chewing surface of the infected tooth, giving access to the central space inside, which is called the “pulp chamber.” A set of tiny instruments is used to remove the diseased pulp (nerve) tissue in the chamber, and to clean out the root canals: branching tunnel-like spaces that run from the pulp chamber through the root (or roots) of the tooth. The cleared canals are then filled and sealed.
At a later appointment, we will give you a more permanent filling or, more likely, a crown, to restore your tooth’s full function and protect it from further injury. A tooth that has had a root canal followed by a proper restoration can last as long as any other natural tooth — a very long time indeed.
If you have any questions about root canal treatment, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine article “A Step by Step Guide to Root Canal Treatment.”