About Root Canals
If ever a reputation preceded a procedure in dentistry, it would be that of root canal therapy. Unfortunately, the myth that root canal therapy, also known as endodontic treatment, is painful has prevented many people from saving teeth from unnecessary extractions. Our dentists strive to make all procedures painless. We welcome the opportunity to surprise you with how painless, and even enjoyable, a root canal can be. One tooth at a time, our dentists hope to dispel the myth that root canals are painful and help you to save your teeth for a lifetime.
Why Do I Need A Root Canal?
Root canal therapy is needed when the nerve of a tooth is affected by decay or infection. When bacteria (from decay, fracture, trauma, etc.) first invade the nerve of the tooth, they will elicit an inflammatory response from the nerve; if this inflammatory process occurs slowly, it may be completely painless and without any symptoms. If this process occurs quickly, the inflammation will cause swelling within the tooth which is rigid and does not expand to accommodate the increased pressure resulting in severe pain. Once the nerve tissue is completely infected, bacteria may escape into the surrounding bone, resulting in an infection that can be quite severe, causing pain, destruction of the surrounding bone, and spread of the infection to adjacent teeth.
If the diseased nerve tissue is not removed from the tooth via a root canal treatment, the tooth will eventually have to be removed. By completing the root canal and removing the diseased nerve, we are removing the source of the bacteria, preventing the spread of the infection, and allowing the opportunity for the patient’s natural immunity to clear any lingering infection in the surrounding bone. In the past, teeth with diseased nerves (pulps) were routinely extracted. Unfortunately, this is still true today, partially because root canal therapy is viewed by patients to be expensive and painful. Our dentists and staff urge all patients considering extraction rather than root canal therapy to discuss the options thoroughly. Often times removing the tooth may be the most costly option. Root canal therapy is the treatment of choice to save an otherwise healthy tooth. Our staff will help you make an educated treatment decision and work to dispel the myth of the painful root canal.
Signs and symptoms that you may need a root canal include:
- An abscess (or bump) on the gums
- Sensitivity to hot and cold, particularly to hot and especially if the pain lingers
- Severe toothache
- Swelling or tenderness to touch
- Fractured or broken teeth with not symptoms at all
- Pain that wakes you at night or worsens when lying down
Root Canals Reviews
"I went in to have a filling replaced today and there was worry of a possible need for a root canal🤕. Dr. Ruckert and Courtney did a great job and all I needed was just a filling. Friendly, positive, and assuringly professional the whole time. Over all great experience even though 3 hours later my mouth is still numb from the novacain. I didn't feel a thing with the drilling and filling so I'm not complaining. Highly recommend!!"- C.H. / Google / Jul 20, 2022
"Great people and service"- R.S. / Google / Jul 27, 2022
"I’ve been undergoing extensive dental work the last 10 months with Dr Dodd. Today I had a root canal performed by Dr Walsh. I’m a dental coward, a VERY anxious patient. Having a personal connection with Dr Dodd gave me my voice to express my fears….and gave me a set of ears to listen and understand. Anticipating the root canal has been difficult - last night was NOT restful. Dr Walsh and his assistant put me at ease. They were kind enough to answer my (numerous) questions and Dr Walsh explained, in just the right amount of detail, what he was doing and why. I kept waiting for the seriously nerve wracking part to happen when Dr Walsh said he was done. A few more appointments to cement in crowns, complete the root canal and then in another 6 months insert two implants- I’m starting to see that the healthier mouth, and the smile I’ve wished for are soon to be mine. PS. Thanks to the office staff as well especially Chanel"- L.T. / Google / Nov 15, 2022
"Dr. Franklin and staff are dentistry rockstars! I've been seeing Dr. Franklin for 3-4 years now and I can't express how fantastic they have been to me! I have never had anyone be less than polite even when I was in pain and not so polite myself. Dr. Franklin has done several root canals on my teeth and every time I drift off! (Very embarrassing) Their practice is clean, quiet and comfortable with some decent music selections. (Depending on who's choice it is that morning!) Sometimes I have felt more like I'm hanging out then getting a root canal! But please, don't go here; I don't want it to be more difficult to get an appointment!!!"- J.D. / Google / Nov 30, 2022
"I have been here about 4x for a cleaning in the last couple years. I have had double jaw surgery, braces 3x, severe trauma at past dentists, root canal and tooth extraction. This is the only dental office I have been to that takes me seriously when I warn them of my trauma ever visit to be extra careful and gentle. I still get nervous but every time I go it’s a painless and good experience. They also have flouride free products and are incredibly kind. Never a bad experience! Highly recommend. I never EVER write reviews but I feel it’s necessary. Also they get my teeth incredibly clean much faster and pain free than any other place."- L.W. / Google / Jul 13, 2022
What Does Root Canal Therapy Involve?
The first, most important point to remember is – it’s not painful. The second, most important point to remember is – it’s not painful! In fact, the top 10, most important points to remember regarding root canal therapy are all – it’s not painful.
A root canal procedure requires one or more appointments, depending on the number of canals present, the degree of difficulty, and the size of the infection present. The procedure can be performed by a general dentist or an endodontist (a root canal specialist). Depending on the findings of your general dentist, you may be referred to the specialist for treatment if the dentist feels that the success of the procedure will be improved with an endodontist. If you are referred to a specialist, do not be concerned that the procedure will be more difficult. In fact, on the contrary, most referrals are made in the attempt of keeping the patient comfortable and improving the overall outcome.
Prior to initiating the endodontic therapy, our staff and dentists will thoroughly explain the proposed procedure, review all risks and answer all your questions. Once the tooth is profoundly numb, the tooth will be isolated with a rubber dam, thus keeping the tooth dry and free from saliva contamination. A conservative access is made through the tooth and all the decay is removed and dead tissue cleared. A series of root canal files are placed into the tooth, one at a time effectively removing the nerve tissue and bacteria.
Once the tooth is thoroughly cleansed, it will be dried, and either a medicine will be placed within the tooth or a permanent filling will be placed within the canals. A temporary filling is typically placed over the access following completion of the root canal.
It is essential to remember that all teeth that have had root canal treatment should have a crown (cap) placed to ensure a favorable long-term prognosis. A crown helps to prevent leakage into the root canal, protect the tooth from fracturing, and restores the tooth to its full function.
After treatment, the tooth may be sensitive, particularly during biting. This sensation will resolve as the inflammation diminishes and the tooth has healed.
Root Canal FAQ
Are root canals painful?
No, most patients don't find a root canal at Saratoga Springs Family Dentistry painful or even uncomfortable. Because our experienced doctors combine local anesthetic and sedation options with a gentle touch, we work to ensure you remain comfortable during the entire root canal procedure.
How long is recovery from a root canal?
Typically, patients will feel back to normal within about 3 – 5 days after their root canal. Even with a complication (which is rare), recovery usually takes less than two weeks. For any possible pain or discomfort, most patients will find relief with over-the-counter pain relievers (always conduct your doctor). If you are experiencing any type of difficulties during your recovery, please contact our Saratoga Springs, NY office.
What is the success rate of root canals?
A root canal is a very safe and effective procedure that has an almost 90% success rate, with complications being very rare.
Do I need a root canal or a tooth extraction?
The main benefit of a root canal is that it allows you to keep your tooth rather than having it removed. During your consultation, we will evaluate your tooth to ensure that a root canal is the best option.
How long does it take to get a root canal?
Depending on the level of decay or damage to the tooth, most root canals can be finished in about 45 – 60 minutes. For more extensive root canals, the treatment time can take up to 90 minutes.