Root Canals Rochester Mn, Endodontics Part 2, Gentling Dental

Part 2: Answers to your questions about Root Canals and what is an Endodontist Dentist

1. Is the tooth dead after a Root Canal?

The tooth is dead, yes and we of course say that the tooth is non-vital. The reason for that is because the tooth even though it is non-vital, still has a function in the mouth and still functions normally. Now what do I mean by that? What I mean is that tooth is attached to the socket by very small tiny fibers called ligaments.

The ligaments are tiny fibers that hold or attach the root to the bone. The periodontal ligament acts as a cushion without this cushioning affect, you would not have any give to that tooth and without that give you will have multiple fractures. So, even though the tooth itself is non-vital, we render it preserved or sterile through root canal. Even though the tooth is non-vital, it acts as a normal vital tooth because the ligament is still alive.

The ligament still has nerve structure, innervation. It still has vascular structure, vascular innervation as the blood supply and nerve supply. It will act as though the tooth is alive, even though the fact that the tooth is non-vital. We render the tooth non-vital, we render the tooth when we preserve the tooth so that it can be used in a normal function.

2. How long does this treatment last?

Root canals themselves should last really as long as the patient can keep the tooth. The only reason a root canal will fail is if the seal at the root tip for some reason or the other fails and this can happen. It does not happen very often but when it does what we do is we re-access the tooth, we reenter the tooth and we re-perform or retreat the root canal.

My experience is that that less than 2% of all root canals need to be retreated. If it needs to be retreated, it is a simple procedure in the dentists office. The other reason that a root canal might fail is that the tooth might be fractured. We try not to do any root canals on multi-rooted teeth; bicuspids and molars.

We try not to do them at all until the patient agrees to have them crowned. If the tooth is not crowned, then you risk of having it fracture because the tooth is non-vital and can become brittle. And if it is not protected with a crown, you run the risk when biting down on something hard while chewing, the tooth can become fractured. If the tooth fractures, the root canal can fail and in that case the only alternative is extraction. We want to make sure that on multi-rooted teeth, especially, that those teeth are protected by crowns.

The three most critical steps to having a lifetime of healthy teeth.

1. Brush your teeth after every meal, at least three times a day. Floss at least once a day.

2. Eat a well-balanced diet. Good nutrition helps you maintain healthy teeth.

3. Have your teeth examined and cleaned every six months, more if you have gum disease or other conditions that place you at greater risk of oral health problems.

by: Rochester Professional

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