How to Know If You Need a Root Canal?

Toothache is commonly an indication of severe problems with your teeth, yet, a toothache doesn’t mean there is a need for a root canal. Read further on to comprehend how to really know if your signs mean that you are in need of a root canal.

What Is a Root Canal?

A root canal means basically two things: one- it is the inner tooth positioned in between the tooth roots and the pulp and two- it is a dental treatment that has as a sole goal the removal of the infected material and diminution of a toothache. Root canals contain blood vessels that help deliver nutrients to teeth and nerves and identify any impacting factors including heat, pressure, or cold.

Several patients oftentimes ask the question: “When would a root canal be necessary, and if it is needed a removal of a nerve in events where I have nothing but a toothache?” All these points are closely related. The removal of a nerve is one of the phases of root canal therapy that is needed whenever there is tooth decay and a pulp infection. Further ahead, we will take a look at this procedure, more carefully.

Root canal infection due to tooth decay

What Causes a Root Canal Infection?

A root canal infection can happen for all sorts of reasons, even though the basic root of the issue is established by the approach the bacteria follows to invade the tooth pulp. In the following paragraph, we will be listing all the main causes of such an infection. The reasons for root canal infection involve:

  • Caries or dental decay enables bacteria to penetrate into the pulp and cause infection
  • A harmed or chipped tooth, that opens up the way for bacteria to enter
  • A wide variety of tooth displacements come as a result of intrusion, extrusion, or subluxation
  • Sterile necrosis coming as a result of tooth concussion (indicators include extremely calcified canals, which can be noted in an X-ray image or tooth discoloration)
  • Tooth anatomy deformities that enable bacteria to cause infection to pulp tissue
  • Repeated dental treatments within the same tooth

As per our experience, the ultimate reason for a root canal infection is the caries that harm the tooth and enable bacteria to have accessibility and infect the pulp. The reason why it is of extreme importance to perfectly recognize and get rid of caries in order to prevent pulp infections.

Root canal procedure in Albania

When Is a Root Canal Needed?

The necessity for root canal treatment can be efficaciously recognized by a skilled dentist, yet, patients can themselves get prepared by taking all the specific features into consideration. Throughout this paragraph, we will tell you a little about the main symptoms and signs that are quite evident and indicate the requirement for a root canal.

Symptoms Identifiable by Patients

Only expert dentists have the ability to establish the need for a root canal, by the use of professional techniques. The below signs of root canals, though, can also allow patients to know what their expectations for future dental treatments need to be:

  • Pain;
  • Swelling;
  • Gum tenderness; and,
  • A general feeling of illness.

It does not matter if the patient is suffering from one or several of these signs, there is highly likely an issue. Each feature has to be further examined, and in a thorough manner, to establish the need for a root canal.

Pain

Severe pain and discomfort aren’t always signs of a needed root canal treatment. In certain instances, the tooth that necessitates surgery, might not even hurt. Whenever pain is present, however, it can indicate a need for a root canal. By establishing the degree of the pain, whether it is sharp and intense or simply a dull ache, one is able to comprehend what to expect from the next visit to the dentist.

Some of the pain types that can aid in identifying a root canal include:

  • A pulsing toothache;
  • Pain intensity alters when a patient alters their posture;
  • Pain is so serious that a patient is unable to sleep at night.
  • A random toothache (continuous or intermittent);
  • Pain sparked by certain stimuli like tapping, pressure, or a thermal insult (eating hot food right after cold food, and all the way around);
  • A toothache cannot get fully ridden off with painkillers; and,
  • The patient can swiftly identify which tooth hurts or indicate a painful area.

Thus, any sort of pain can be an indication of a root canal being infected and a treatment is necessary. The pain must be taken into account alongside other symptoms to recognize the issue.

Pain from a root canal infection

Swelling and Gum Tenderness

Swelling isn’t always an indication of a necessity for root canal treatment. However, when it comes through with any sort of tooth pain, it can be an indication of a need for such therapy. Swelling can be found in different types and forms. Whether it appears to be normal with a little bit of tenderness, or it is a well-visible lump that can be easily felt or seen, it frequently means that there is a necessity for root canal surgery. In some instances, the swelling might expand to the patient’s neck or face.

Swelling features that can be an indication of a root canal infection include:

  • Gum swelling is positioned in front of the root tip
  • A gum boil on the tip of the root
  • Noticeable swelling can be in different sizes: from nearly invisible to a well-seen lump that is easy to sense
  • Swelling can endure for either days or months
  • A foul breath odor is present, coming as a result of the pus coming from the root canal
  • The issue tooth feels taller than adjacent teeth

The swelling might not be associated with toothache, but it can still insinuate that a root canal is needed. Moreover, as aforementioned, swelling itself is not an indication that you need to undergo such therapy, but, the swelling is always an indication of the tooth requiring emergent medical treatment. In the majority of cases, dentists will give a prescription for oral antibiotics to handle the infection and diminish swelling.

General Feeling of Illness

Tender or swollen lymph nodes, a sensation of uneasiness and a fever can all be signs that there is a need for endodontic surgery, particularly when such symptoms are followed by others. If you are feeling unwell and have any of the previously mentioned signs, you must let your dentist know and do the most to refrain from coming up with a diagnosis. Having a discussion with a knowledgeable dentist will save you time and make sure that you are capable of saving your tooth.

Symptoms Identifiable Solely by Dentists

After listening to your worries and your symptoms, a dental practitioner will utilize professional techniques to determine whether there is a need for endodontic therapy or not. In this part of the article, we will go over the most used techniques and methods dentists employ to indicate the necessity for a root canal.

The techniques dentists employ to indicate a canal root is needed include:

  • X-Rays;
  • The identification of persistent or recurring gum boils;
  • The identification of the darkened problem tooth;
  • The occurrence of nerve exposure;
  • Tapping on the problem tooth;
  • Thermal and electric testing;
  • Selective anesthesia;
  • The cavity test.

Dentists might not always utilize each one of the aforementioned techniques, and a root canal prescription doesn’t really need the presence of gum boils, a sharp pain coming as a result of tapping, or a tooth darkening. For a dental practitioner, certain points are more than enough to dictate whether endodontic therapy is needed. In the majority of situations, even one of the signs (take for example the cavity test) can let a dentist know of the best possible treatment for the issue; yet, experts frequently put to use combined techniques to establish this, for sure.

Dental x ray for a root canal treatment

X-Rays

After having read this blog you have probably created an idea of what can be the cause of your root canal, however, whenever an issue poses no discomfort, swelling, or pain, you might not even notice that there is a need for urgent dental treatment. That is precisely why routine X-ray assessments can timely recognize emerging issues with teeth, enabling you to apply the best techniques of treatment. Dentists employ X-rays to identify a radiolucency, referring to a dark spot on the tip of the issue tooth, which is an indication of bone changes that have already occurred because of the infection found within the tooth.

Gum Boils

Dentists additionally pay close attention to the present gum boils that are medically referred to as fistulous tracts. As a matter of fact, they are pus drains that permit pus to vent off, rather than penetrating the soft tissues surrounding the tooth. Basically, pus looks for a way out of two options- either penetrate the soft tissue and lead to swelling or build a drain and go outside. In the event that the drain is blocked, pus might cause swelling. These tracts are normally soft to the touch, but they do not automatically mean that a root canal is required. In certain instances, lesions like that can be created due to gum disease or periodontal issues.

Discoloration

The presence of tooth discoloration insinuates that there have occurred some changes within the nerve space. In certain cases, this indicator tells that root canal therapy is necessary. Discoloration happens frequently as an effect of some sort of tooth injury or trauma, in many cases taking up to 10 years for the discoloration to emerge. Moreover, swelling and toothache might not always be tagged along with the discoloration. However, it should be noted that a darkened tooth is not always an indication that endodontic therapy is required. This sign is commonly teamed up with others to establish the needed course of treatment.

Nerve Exposure

Seeing as determining how near a nerve is positioned to the tooth surface is quite difficult, the nerve’s exposure can happen if a dentist makes contact with pulp tissue throughout the treatment. In this instance, the recommendation would be a root canal, due to the fact that exposure can pose tissue degeneration in the near future.

Root canal treatment at a dental clinic in Albania

Testing Methods

Nerve exposure, tooth discoloration, X-ray results, and fistulous tracts are the primer indicators that a root canal is required. Dentists might additionally utilize testing techniques to establish the necessity for a corresponding treatment.

Testing techniques for establishing the need for a root canal include:

  • Tapping on the issue tooth;
  • Thermal and electrical testing;
  • Selective anesthesia;
  • The cavity test;
  • Additional X-rays at various angles.

A dentist can tap on the issue tooth to establish if there is any pain present when proper pressure is being applied. The uncomfortable sensation can mean that there is a necessity for a root canal. With a similar perception, an expert can utilize thermal and electrical testing. Selective anesthesia is employed for the identification of the pain’s source whenever a patient is unable to clearly indicate the tooth that is causing it.

Additional X-rays can help verify whether there is a radiolucency present, in the event that the initial film hasn’t been capable of providing any information. In instances where a dentist is unsure that the current tooth is the issue, or where he/she is doubtful that the nerve is dead, then there might be a cavity test applied, during which an expert drills a divot into the tooth to inspect if the nerve tissue is healthy or not.

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