Endodontic Therapy

Why would I need an endodontic procedure?

Endodontic treatment is necessary when the pulp, the soft tissue inside the root canal, becomes inflamed or infected.  The inflammation or infection can have a variety of causes: deep decay, repeated dental procedures on the tooth, or a crack or chip in the tooth.  In addition, an injury to a tooth may cause pulp damage even if the tooth has no visible chips or cracks.  If pulp inflammation or infection is left untreated, it can cause pain or lead to an abscess.

What are the signs of needing endodontic treatment?

Signs to look for include pain, prolonged sensitivity to heat or cold, tenderness to touch and chewing, discoloration of the tooth, and swelling, drainage and tenderness in the lymph nodes as well as nearby bone and gingival tissues.  Sometimes, however, there are no symptoms.

How does endodontic treatment save the tooth?

Dr. Herman removes the inflamed or infected pulp, carefully cleans and shapes the inside of the canal, a channel inside the root, then fills and seals the space.  Afterwards, you will return to the office, and a permanent crown or other restoration on the tooth to protect and restore it to full function.  After restoration, the tooth continues to function like any other tooth.

Will I feel pain during or after the procedure?

Many endodontic procedures are performed to relieve the pain of toothaches caused by pulp inflammation or infection.  With modern techniques and anesthetics, most patients report that they are comfortable during the procedure.

For the first few days after treatment, your tooth may feel sensitive, especially if there was pain or infection before the procedure.  This discomfort can be relieved with over-the-counter or prescription medications.

Your tooth may continue to feel slightly different from your other teeth for some time after your endodontic treatment is completed.  However, if you have severe pain or pressure or pain that lasts more than a few days, please call our office.

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