About Your Tooth
Your tooth consists of two main parts: the crown, which is that part of the tooth above the gum and visible in your mouth; and the root or roots, which is that part of the tooth that lies beneath the gum and is surrounded by bone. Inside each root is a channel that runs the length of the tooth. This channel is the root canal and contains the pulp (nerves, blood vessels, and soft tissue), which is often referred to as the “nerve” of the tooth. The pulp may be irreversibly damaged by bacteria associated with decay, very deep restorations, fractures, trauma, or periodontal disease.
In order to preserve a tooth in which this has occurred, it is necessary to remove the diseased pulp tissue. This procedure is known as endodontic therapy. Since endodontic therapy is concerned with removing only the pulp from the root canal, the root will continue to function normally because the supporting tissues remain intact. It is advisable to remove the injured pulp because it may become infected or act as an irritant to the tissues surrounding the tooth.
Tooth Pain Guide
Please select from the list below the title that best reflects your pain.
Momentary sensitivity to hot or cold foods
Sensitivity to hot or cold foods after dental treatment
Sharp pain when biting down on food
Lingering pain after eating hot or cold foods
Constant and severe pain and pressure, swelling of gum, and sensitivity to touch
Dull ache and pressure in upper teeth and jaw
Chronic pain in head, neck, or ear
Tooth Saving Tips
Patients today have more options than ever before to treat their teeth. Understanding your choices and their impact on your future dental health and lifestyle is important. Read on to learn why nothing is as good as your natural tooth and get simple tips for saving your teeth!
Saving a natural tooth through endodontic treatment should always be the first choice for the best health and cosmetic results. There are many advantages to saving your natural tooth:
- efficient chewing
- normal biting force, so you can continue to eat your favorite foods
- maintains a natural appearance
- limits the need for more costly, ongoing dental work
Tips for Saving Your Teeth
- If you are given a choice between root canal treatment or tooth extraction, always choose root canal treatment. Dentistry has yet to produce a denture, bridge or implant that looks, feels and functions as well as a natural tooth.
- If your dentist recommends tooth extraction, ask whether root canal treatment is an option.
- If your dentist says that an endodontic procedure is not an option, ask why, and request a referral to an endodontist. Endodontists are dentists who specialize in saving teeth, and have at least two years of advanced training in root canal procedures. They are experts at diagnosing and relieving tooth pain, and use advanced equipment to treat patients quickly and comfortably. Your dentist probably has partnerships with endodontists in your area already.
What to Avoid
Never choose extraction because you think it will be cheaper! When a natural tooth is extracted, it must be replaced with an artificial tooth to prevent other teeth from shifting, and to prevent future dental problems. The cost of a denture, bridge or implant, plus the extraction, often is higher than the cost of an endodontic procedure that would save the tooth for years to come. Most dental insurance plans cover endodontic treatment.
Never choose extraction because you think root canal treatment will be painful! Modern techniques and effective anesthesia make root canal treatment virtually painless. In fact, discomfort after the procedure is generally greater with a tooth extraction. Patients who have experienced root canal treatment are six times more likely to describe it as “painless” than patients who have not had a root canal.
Never choose extraction because you think it will be quicker! Endodontic treatments generally require one to two visits .
An extraction requires one visit, but the denture, bridge or implant will require several additional visits with your dentist.