Root Canal Therapy

Endodontics in the branch of dentistry that involves the diagnosis, and treatment of teeth that have infection in the pulp of the tooth. The common procedure is referred to as a root canal therapy. The contaminated material is removed from the inside of the tooth and a medicated sealer is placed to plug up the pulp chamber. 

The pulp is the soft inner material inside of the root chamber that consists of nerves, blood supply and connective tissues. When infection gets into this semi-closed chamber, it causes swelling – inflammation and can increase sensitivity to pressure, and temperature and chewing in the process. 

Dr. Avi Israeli or Sage Dental in Wall, New Jersey can help you if you are experiencing any of these symptoms. Contact us for a consultation and we will help you determine if a root canal therapy is indicated or not. Sometimes a gum infection can give similar symptoms as an infected pulp. 

What is done in a “Root Canal” therapy?

After determining that the nerve is in fact inflamed from infection, we will open the tooth similar to doing a filling, but we continue into the nerve and under local anesthetic, remove the pulp with small files. The walls of the pulp chamber are then cleaned and disinfected and sealer with a medicated rubbery material to close off the tip of the pulp. 

Typically, when a root canal is done on a tooth, it’s due to trauma, fracture or a large deep decay. In many of these cases, the tooth becomes fragile when it loses its blood supply or when the inner portion of it was removed to get to the nerve. In many cases, a crown is placed over the top of the tooth to protect it from fracturing. We might put a temporary filling in the tooth for a short time, however, the sooner a more permanent restoration is placed, the less likely for fracture. 

Does it hurt to have a root canal done?

While working on a tooth that is abscessed may be difficult to numb, if you are experiencing swelling, we might offer some antibiotics to “calm things down” before we go in to do treatment. Using local anesthetic is enough for most people to have a root canal done comfortably. We even offer sedation for our patients if they are extra anxious about treatment. 

If we give you medication to help with infection or swelling or pain, please take them until completed and as directed. In many cases, over-the-counter pain medication will be adequate to control any discomfort. 

What happens after a root canal therapy is completed?

At our office, you will most likely leave with a medication and a long-term temporary filling. Once we know the tooth has quieted down, we will rebuild the tooth and typically place a crown on top of the tooth to protect it from further infection or breakage. When a tooth loses its nerve and blood supply, it will frequently turn dark and become brittle. For this reason, we restore the tooth and protect it from reinfection. 

What are the alternatives to having endodontic treatment done?

If the thought of having a root canal scares you, be assured that Dr. Israeli has done numerous successful therapies on teeth to save them. There are circumstances when we might decide that a root canal is NOT the best treatment. If you have limited resources and can’t even afford the root canal, without putting a permanent restoration on top of that will most likely end up with the tooth becoming re-infected or fractured. 

The other instance when we might consider NOT doing a root canal, is if the tooth itself is badly decayed to the root or fractured, and there isn’t enough tooth structure to support a crown on top of the tooth. In these circumstances, we may suggest and extraction and either a partial denture or a dental implant. Dr. Avi Israeli is experienced in doing extractions and highly competent in doing dental implants if you should need those procedures. Our patients appreciate the fact that Dr. Israeli can handle just about ANY complex situation that comes into the office. 

If having a root canal sends your mind off into multiple levels of fear, take comfort to know that Dr Israeli has trained staff to offer you sedation to get your work done comfortably and quickly. 

How fast can I expect relief after a root canal treatment?

Most of our patients report they start to notice a difference that first night. Removing the source of the infection and double-checking that the tooth isn’t hitting your opposing tooth when biting down can make a huge difference. It’s normal to feel a little soreness either from the anesthetic or from the work that was done in the area. Generally, a few days of over-the-counter pain medications should handle that. As long as you take normal precautions like chewing on the opposite side and only soft foods for a couple days, along with taking any medications the Doctor may prescribe should handle it. Waiting to chew anything hard until the permanent restoration is completed is also advised to minimize the risk of fracture. 

How much is a root canal treatment?

Root canal prices can vary from location to location and depending upon which tooth in the mouth it is. Some teeth have only one canal – most of the front teeth, some have two canals – the bicuspids and 3-5 canals for the molars. The success rate of root canals these days is very good, making them be a great investment. The fee is typically less that a crown and less that other alternatives. 

A root canal is a great way to preserve your tooth and prevent tooth loss. Try to save your teeth as long as possible for your own health and chewing comfort. 

Don’t let teeth pain control your life! Find out why our patients in Spring Lakes Heights, Sea Girt, Manasquan, Belmar, Neptune City, Bradley Beach, Brick Township and Wall Township areas trust their oral health and facial esthetics to Dr Avi Israeli at Sage Dental & Spa. His dedication to helping his patients receive the dentistry that they need is evident in the number of patients that endorse him for this service! As we are rapidly growing, we are currently accepting NEW PATIENTS


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