Root canal treatment is necessary when the pulp (soft tissue inside your teeth containing blood vessels, nerves and connective tissue) becomes inflamed or diseased. During root canal treatment, your dentist or endodontist (a dentist who specializes in treating the insides of teeth) removes the diseased pulp. The pulp chamber and root canal(s) of the tooth are then cleaned and sealed. If the infected pulp is not removed, pain and swelling can result, and your tooth may have to be removed.
Signs and Symptoms for Possible Need of Root Canal Therapy
- An abscess (or pimple) on the gums.
- Sensitivity to hot and/or cold.
- Severe toothache pain.
- Sometimes no symptoms are present.
- Swelling and/or tenderness.
- Pain when biting.
Reasons for Root Canal Therapy
- Decay has reached the tooth pulp (the living tissue inside the tooth).
- Infection or abscess has developed inside the tooth or at the root tip.
- Injury or trauma to the tooth.
What Does Root Canal Therapy Involve?
At our office, your root canal will usually be done by an ENDODONTIST, who is a dentist who specializes in only performing root canals. Dr. Julio Cubenas is a highly experienced endodontist who comes to our office weekly to perform root canals, for the comfort and convenience of our patients. (see testimonials below)
A root canal therapy involves numbing the tooth, then a rubber dam (a sheet of rubber) or other isolation device will be placed around the tooth to keep it dry and free of saliva. An access opening is made on top of the tooth and a series of root canal files are placed into the opening, one at a time, removing the pulp, nerve tissue and bacteria. If tooth decay is present, it will also be removed with special dental instruments.
Once the tooth is thoroughly cleaned, it will be filled with a special substance, that has low toxicity for most individuals, and then sealed with a temporary filling.
If a second appointment is required, usually a week later, the roots and the inside cavity of the tooth will be filled and sealed with special dental materials. A temporary filling will be placed to cover the opening on top of the tooth. In addition, all teeth (with very few exceptions) that have root canal treatment should have a crown (cap) placed as soon as possible. Teeth become much weaker and subject to fracture because of the access hole that is made in the tooth to do the root canal. The crown (cap) will protect the tooth and lessen the chance of it breaking thus restoring it to its full function.
After treatment your tooth may still be sensitive but this will routinely subside as the inflammation diminishes and the tooth has healed.
If you continue to care for your teeth and gums your restored tooth could last a lifetime. However, regular checkups are necessary; a tooth without its nerve can still develop cavities or gum disease. Most of the time, a root canal is a relatively simple procedure with little or no discomfort involving one to three visits. Best of all, it can save your tooth and your smile.
Before & After
They did a very great job on my root canal. No problems and very fast. Will let my friends and family know. Thank you.
Very good man. No pain at all with root canal. Very quick, efficient, would recommend to anyone for his services. Thank you Dr. (Cubenas).
Was pleased with root canal and exam, he made me so comfortable I fell asleep at root canal procedure.
Dr. Cubenas was patient and understanding with me concerning communicating with me. I have severe hearing loss and having to remove the aids because of the instrument noise and masks over the mouth made it a bit of a challenge. He is pleasant and has a wonderful sense of humor making my fears less. I would have him do other procedures if it was needed.
Going in on verge of a panic attack, Dr. Cubenas [was] great. [His] humor and personality made it way easier to get through it. Awesome job! Highly recommend!
I came in for root canal and was very nervous. Once I met Dr. Cubenas, I felt at ease as he explained thoroughly what to expect. He made sure I was comfortable before and during the procedure. Also, he was available after the procedure to answer all my questions. I highly recommend Dr. Cubenas.