Root canal treatment
I have a dental cleaning every six months, but shortly after my last cleaning, I experienced pain in tooth #35 due to sensitivity to hot and cold.
I returned to the dentist, and an X-ray revealed a cavity.
The dentist indicated that I would need a root canal treatment.
On the same day, medication was applied, and my condition improved.
However, after half a month of waiting for the root canal treatment, I again experienced pain while eating.
After another visit, the dentist changed the medication, and I felt better again.
During this time, I underwent crown lengthening, but a few days later, I started to feel sensitivity, especially noticeable when rinsing my mouth, and I also experienced pain when eating or with contact.
Upon returning to the dentist, I was told that I would have to wait for the root canal treatment.
Additionally, during the waiting period, tooth #45 also became sensitive to hot and cold.
After the dentist sprayed a liquid for examination, they indicated a gum issue and advised me to brush gently without applying too much pressure.
I would like to ask the following questions:
1.
Is it appropriate for a general dentist to perform root canal treatment in a clinic without a specialist in endodontics?
2.
Are there any methods to alleviate the pain in tooth #35 while waiting for the root canal treatment?
3.
Can a full-mouth X-ray detect cavities in advance?
4.
What is the preventive effect of having dental cleanings every six months on dental health?
5.
Besides being careful while brushing, are there any other methods to improve the sensitivity in tooth #45?
Thank you for your time!
motowen, 60~69 year old female. Ask Date: 2024/03/08
Dr. Lin Jiayong reply Dentistry
Hello: Generally, simple root canal treatments can be performed in the clinic, unless the case involves complex root canals, calcified canals, or fractured roots/instruments, in which case the patient should be referred to a dental pulp specialist at a medical center.
#35 is already undergoing treatment, and it is recommended to be patient as recovery takes time.
For a single tooth cavity, it is advisable to obtain a periapical radiograph for a more accurate diagnosis.
We can assist in cleaning areas that the patient cannot manage on their own, such as thicker surface stains or subgingival calculus, which can help alleviate symptoms of gum inflammation.
We can also assess the rate of cavities and the status of caries progression, as well as evaluate the patient's mouth opening and occlusal habits.
It is recommended to use desensitizing toothpaste in conjunction.
Reply Date: 2024/03/08
More Info
Root canal treatment (RCT) is a common dental procedure aimed at treating infection or damage to the pulp of a tooth. It can be a source of anxiety for many patients, especially when complications arise. Your questions touch on several important aspects of RCT, including its appropriateness, pain management, diagnostic capabilities, and preventive care. Let’s address each of your concerns in detail.
1. Is it appropriate for general dentists to perform root canal treatments?
Root canal treatments can be performed by general dentists, but the complexity of the case often dictates whether a specialist, such as an endodontist, should be involved. General dentists are trained to perform RCTs, but if the case involves complicated root canal systems or previous failed treatments, it may be beneficial to seek the expertise of an endodontist. They have specialized training and equipment that can improve the chances of a successful outcome.
2. What can be done to alleviate pain while waiting for root canal treatment?
While waiting for RCT, managing pain is crucial. Over-the-counter pain relievers such as ibuprofen or acetaminophen can help reduce discomfort. Additionally, applying a cold compress to the outside of the cheek can help numb the area and reduce swelling. If the pain persists or worsens, it’s essential to communicate with your dentist, as they may need to adjust your treatment plan or provide a temporary filling to protect the tooth until the RCT can be performed.
3. Can full-mouth X-rays detect cavities beforehand?
Full-mouth X-rays are an effective diagnostic tool for identifying cavities, including those that may not be visible during a clinical examination. They provide a comprehensive view of the teeth and surrounding structures, allowing dentists to detect decay, assess bone health, and plan appropriate treatments. However, some cavities may still be missed, especially if they are located in areas that are difficult to visualize.
4. How effective is biannual dental cleaning for preventive care?
Regular dental cleanings every six months are crucial for maintaining oral health. These cleanings help remove plaque and tartar buildup that can lead to cavities and gum disease. Additionally, during these visits, your dentist can monitor your oral health, provide personalized advice on oral hygiene practices, and catch potential issues early before they require more extensive treatment.
5. What can be done for tooth sensitivity aside from gentle brushing?
For tooth sensitivity, especially in the case of your 45 tooth, there are several strategies you can employ. Using a toothpaste specifically designed for sensitive teeth can help reduce discomfort. These toothpastes contain compounds that block transmission of pain signals from the tooth surface to the nerve. Additionally, avoiding extremely hot or cold foods and beverages can help minimize sensitivity. If sensitivity persists, it’s advisable to consult your dentist, as they may recommend further treatments, such as fluoride varnishes or dental sealants, to protect the affected areas.
In summary, root canal treatment is a vital procedure for preserving teeth affected by decay or infection. While waiting for treatment, managing pain and maintaining good oral hygiene are essential. Regular dental visits and cleanings play a significant role in preventing dental issues. If you have ongoing concerns about sensitivity or pain, do not hesitate to reach out to your dental care provider for tailored advice and treatment options. Your oral health is paramount, and proactive communication with your dentist can lead to better outcomes.
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