If you have tooth pain or another issue, you might wonder what a visit to the dentist may reveal. You may need a root canal procedure. In order to properly evaluate your issue and to confirm the need for a procedure, a dentist will examine several factors. These typically include the symptoms you are experiencing, the signs observed, and any additional testing required to confirm an initial theory.
You may have noticed:
- You experience average to severe pain that lingers, during or immediately after drinking hot liquids or food, or very cold liquids or foods.
- You have pain, swelling, or sensitivity when biting or chewing on a certain tooth.
- Your tooth pain disrupts your life, preventing you from sleeping through the night or conducting your daily business without taking an over-the-counter pain reliever.
- You have a “bubble” on your gum, similar to a pimple. When irritated, it may release blood or pus that can smell or taste bad.
- You have pain that radiates out from one tooth to other areas of your head or jaw. For example, a tooth pain can lead to a pain behind the eye like a headache or to the ear, resulting in earache symptoms.
- You have a discolored tooth that is darker than the surrounding teeth. A grey tooth can indicate a “dead” tooth.
- You have a broken or cracked tooth with obvious signs of damage or decay.
Your dentist may have noticed:
- A tooth problem revealed by x-rays
- A recurring or persistent gum pimple (also called “fistulous tracts”)
- A tooth that has changed color
Additional testing:
- X-ray examination – if x-rays did not reveal the problem, they can provide an extremely clear picture of tooth health
- Percussion testing – a gentle tapping on the teeth to evaluate pain response
- Thermal testing – a careful application of a hot or cold stimulus to evaluate sensitivity
Sometimes, teeth needing to undergo a root canal procedure have no symptoms discernible to the patient. It is important to visit your dentist regularly to ensure the proper diagnosis and treatment needed to maintain life-long oral health.
If you need root canal treatment in the Lawrence, MA area, contact our office today to schedule a consultation.
The goal of root canal therapy is to relieve pain, not cause it. The pain you experience before a root canal is the result of damage to the tissues in the tooth. Root canal therapy removes that damaged tissue, therefore relieving the discomfort you feel. If you are still experiencing tooth pain after undergoing a root canal procedure, it could be an indication of a problem with the treatment.
While mild discomfort is to be expected during the root canal healing process, if the pain continues or becomes more severe, it is likely an indication of a problem. There are several reasons for tooth pain after root canal treatment:
- The tooth has an extra canal that was not cleaned and filled, meaning there is an extra physical root.
- The tooth has a small, tight accessory canal that is difficult to locate on x-rays or hard to access with the necessary tools.
- The tooth is fractured due to the damage and weakened state caused by the original decay and the access cavity that is created to begin the root canal treatment.
- The root canal has become reinfected.
- The small files used by your dentist to clean out the pulp of the tooth sometimes break, resulting in a failed root canal treatment.
In the days immediately following root canal therapy, it is normal to experience some tenderness of the tooth or surrounding gum. This discomfort should be easily managed with over-the-counter painkillers and should subside in a few days. If the pain does not ease in a few days or becomes more severe, contact your dental professional immediately to access your symptoms and determine if you are having root canal complications.
Our dental office is located in Lawrence, MA
An endodontist is a dentist who has undergone additional training specializing in saving teeth through treatments that involve the pulp and root of teeth. If you have been diagnosed by your family dentist with an infected tooth that requires root canal therapy, it would be logical to seek treatment by a dental professional who is specifically trained in root canal procedures. To find a qualified endodontist for your root canal treatment, consider the following:
- Ask for a referral from your family dentist to an accredited diplomate of the American Board of Endodontics. You may also consider asking friends and family members who have undergone root canal therapy for recommendations of endodontists.
- Inquire about the extent of the endodontist’s education and training as well as the number of root canal procedures they have performed. You will want to look for a doctor with an established practice and extensive track record of root canal experience.
- Find out what type of equipment the doctor utilizes to ensure they are up-to-date on the most recent advances in endodontic therapy and dental technology.
- Ask about the sedation and pain-relief options the endodontist provides for root canal patients.
- Evaluate the endodontist and staff to determine if they make you feel comfortable, welcome, and are able and available to answer your questions.
Root canal treatment can be a stress-free and painless experience when performed by the right dental professional. Taking the time and effort to identify a qualified endodontist will help to ensure the ease and success of your procedure, and soon have you back on the road to a healthy smile.
Root canal dentist in Lawrence, MA
Many oral surgeries go beyond simply removing a tooth, and the cause is not always related to poor dental hygiene. Some reasons for oral surgery just can’t be predicted or avoided, such as injuries, birth defects, or cancer. Great strides have been made in oral surgery, especially for restoration and reconstruction techniques. These are some common reasons that oral surgery is advised.
Tooth loss
Replacing missing teeth with dental implants requires oral surgery so that the titanium implant can be inserted into the jaw. Providing an alternative to dentures and bridges, implants offer a secure and permanent solution that looks very natural. Candidates with adequate bone density, good overall health, and who practice proper oral hygiene are considered for implant surgery. After the implant heals, a crown will be placed on top to complete the restoration.
Impacted teeth
One of the most common oral surgeries is to remove impacted wisdom teeth. Often occurring during the late teen to early adult years, wisdom teeth are unable to erupt properly and must be extracted to prevent future problems.
TMJ
Temporomandibular joint disorders involve the joint where the skull and lower jaw come together in front of the ear. Facial pain, headaches, popping, and jaw problems can result, and dentists try to treat the disorder with solutions like splints, physical therapy, and medications. Severe cases can require surgery to fully correct the TMJ problems.
Injuries
Car accidents, sports injuries, and other trauma can cause broken facial bones or jaws. Surgery may be necessary to realign the jaws, wire bones together, and otherwise repair the injury so that normal function and comfort can be restored.
Cleft repairs
Birth defects like a cleft lip or palate are corrected through oral surgery. Usually a series of surgeries over a span of years is needed to improve the appearance and proper function of the areas affected by the birth defect.
Biopsy
Surgery is performed to remove cancerous tumors or lesions in the jaws or facial bones. This is especially true when the joints or connecting muscles and tendons are involved.
Wisdom teeth are the third set of molars, and usually emerge in the late teens or early twenties. Standard dental practice is to remove wisdom teeth prior to them being fully formed when the roots have not yet had a chance to develop and fully root into the jaw. Younger patients usually have an easier recovery from surgery and many dentists believe early removal prevents future dental problems associated with wisdom teeth.
If your wisdom teeth were not removed as they emerged, there are some signs and symptoms that would indicate the need for extraction including:
- Wisdom teeth that are impacted, which means they have become trapped in the jawbone or gums.
- Wisdom teeth that are emerging at an awkward angle, causing pressure on adjacent teeth.
- Wisdom teeth that do not fit in your mouth, causing crowding of the surrounding teeth as well.
- Wisdom teeth that are suffering from decay or disease caused by the inability to keep them cleaned properly.
- Wisdom teeth that have developed fluid-filled cysts near the gumline.
- Wisdom teeth that are causing pain due to any of the above reasons.
The decision about whether or not to remove your wisdom teeth should be made in consultation with your dental professional. Your dentist or oral surgeon can assess the position and health of your wisdom teeth and make a recommendation for treatment.
If extraction is recommended, they may choose to extract one tooth or all four molars at once. Recovery from the outpatient procedure takes just a few days, and you will quickly be back to normal. Contact our dental office if you are experiencing any of these symptoms listed to determine if you should consider wisdom tooth removal to ensure your future good oral health.
It can be rather upsetting to see that your smile is no longer as bright and appealing as it used to. Most people’s teeth become stained and discolored and result of diet and poor oral hygiene habits. It can make the whole appearance look dull and unkempt, giving others the impression you don’t take good care of yourself. Let’s find out the causes and what you can do about it.
Causes
There are some reasons that teeth become stained or yellowed. The culprits for tooth discoloration are as follows:
- Tobacco – Smoking or chewing on them stains teeth.
- Foods and drinks – coffee, colas, wines, tea, berries, sauces, and other items that you consume can damage your tooth color.
- Medications – certain medications are known to discolor teeth, sometimes causing severe stains that are difficult to remove.
- Poor oral hygiene – improper brushing and flossing is key in removing plaque and stains.
- Age – aging wears away tooth enamel and reveals the yellowish dentin underneath.
- Disease – some diseases can harm tooth enamel and trigger discoloration. Certain medical treatments like radiation and chemotherapy can also discolor teeth.
- Environment – excessive fluoride exposure can stain teeth; this is known as fluorosis.
- Genetics – some people are more prone to tooth discoloration than others.
- Trauma – a hit to the maxillofacial region can damage the tooth and cause discoloration due to pulp necrosis.
Prevention
Lifestyle changes can prevent tooth discoloration, such as avoiding foods and drinks known to stain teeth. Improving oral hygiene is another step in the right direction, including regular brushing and flossing and consistent professional teeth cleanings.
Treatment
The options vary depending on the severity of discoloration and goals of the patient. Whitening methods include over-the-counter whitening products, at-home whitening kits provided by the dentist, professional in-office whitening treatments, bonding, and dental veneers. These tools cater for various needs according to patient’s concern.
We look forward to seeing you in our Lawrence, MA dental office