When Something Goes Wrong with your teeth...
It might be Time to Save Your Tooth with Root Canal Therapy.
How we do Root Canal Therapy: (Its 1...2...3...)
- Your visit in our office will begin with a consultation and examination.
At that time, we will, take diagnostic films, decide whether you could benefit from root canal therapy, and review your treatment options.
- If root canal therapy is required we will use a local anesthetic to make you comfortable. We will remove the nerve and bacteria from your tooth, eliminate the infection and seal the roots of the tooth.
You will have no pain during this procedure. Many times we finish your treatment in one visit depending on how long the tooth has had problems.
- When we have removed the inflamed or infected pulp, carefully cleansed and shaped the root canal – we seal the tooth.Much treatment is now performed in a single appointment.
Most patients return to their normal daily routine after treatment.
Generally, conventional root canal therapy is all that is needed, with a 90 % success rate.
It is unusual for patients to experience complications after conventional root canal therapy .
Post Operative Instructions
It is normal for your tooth to be sore for the first few days after root canal therapy has been completed. Initially, soft foods are recommended, as they will provide less discomfort during chewing.
The soreness may continue for up to one week. Your tooth may feel differently the second or third weeks and by the fourth week, it will feel no different from your other teeth.
We will prescibe the appropriate medication to insure your comfort and recovery. If you do experience post-operative swelling in the area that was treated, please call our office immediately to speak with Dr. Russell.
POST-OPERATIVE INSTRUCTIONS FOLLOWING ROOT CANAL THERAPY
Please follow the instructions outlined below, and contact us should any questions or problems arise.
- DO NOT eat or drink anything for the next half hour. DO NOT try to feel around your tooth with your tongue. You have a temporary filling in the tooth and it takes about half an hour to harden. And don’t bite yourself where you are numb!
- You need to have a permanent filling or a crown placed on your tooth within 1 MONTH of the root canal being completed. It is essential for you to follow up with your general dentist on this. If this is not done, the tooth is very likely to fracture or to develop new decay underneath the temporary filling which may cause your root canal to fail. You will be responsible for all costs incurred if you fail to follow this instruction.
- DO NOT use the tooth to bite down on anything hard (peanuts, pretzels, ice, etc.) until the permanent filling/crown has been placed on the tooth. Again, the tooth is prone to fracture and if you bite down on anything too hard or crunchy you may crack the tooth.
- It is normal for the temporary filling to “divot” in with use. It is very rare for it to fall out entirely. If the temporary falls out you should contact us, or your general dentist as soon as possible. If it happens when our office is closed, we recommend you purchase some temporary filling material from any pharmacy and place a dab in the tooth until you have an opportunity to see us at our office.
- Some minor discomfort in the area is normal following the root canal. It is normal for the tooth to be uncomfortable for 2-3 days after today’s treatment. Sometimes, depending on the circumstances, the tooth and surrounding tissues may remain sore for a few weeks post treatment. The three most common reasons for pain are:
- Sore jaw joint from having your mouth open for a prolonged time.
- Sore muscle from the injection site.
- Sore gum from the rubber dam placement.
- What do I do if there is discomfort??? All of the above scenarios should be handled with over the counter medication, primarily. We recommend you take:
600 mg Ibuprofen (3 over the counter pills of Advil or Motrin or generic equivalent) every 6 hours for the next 2 days.
(if unable to take ibuprofen)
1000mg Acetaminophen (2 extra strength Tylenol or generic equivalent) every 6-8 hours for the next 2 days.
90% of the time this is enough to handle the discomfort. If it is not, please contact our office and we will ensure you are comfortable.
- If you are given any prescription medications related to this treatment please take them as instructed by your doctor.
- You may floss and brush your tooth as normal, unless told otherwise by the doctor.
PLEASE READ THIS LAST SECTION, IT IS VERY IMPORTANT!!!!
Although about 95% of root canals cause very little to no discomfort after the treatment is completed, there are about 5% of cases which can cause significant pain. These are commonly referred to as “flare-ups.” They mostly occur on badly infected teeth, teeth that are extremely irritated, or teeth that have a history of prior treatment. Sometimes, however, they occur randomly, even on patients that have had several root canals done previously without any problems.
If you have a flare-up you may experience moderate to severe pain, swelling (can get as large as a golf ball), bruising, throbbing, and general discomfort, which usually begins a few hours after treatment and may last 2 to 3 days.
Please contact our office if you experience any of these symptoms and we will do everything we possibly can to get you some relief. You may be prescribed antibiotics, stronger pain medication, a steroid, and/or you may be asked to come to the office to receive further therapy. Should you experience any of these symptoms after hours you may call the doctor at (937) 767-7731.
Sometimes, immediate attention is necessary when dental pain becomes too much to bear. Dr. Russell can relieve that pain with a variety of treatments that can be used in dental emergencies. Whether the emergency arises from an accident or tooth pain that comes out of nowhere, emergency dental treatments such as sealants, extractions, and a variety of pain suppressants are available here at our office. Relief is as near as our door if “just a little pain” takes a turn for the worse.
For millions of people, going to the dentist is an experience they would rather avoid. But it doesn’t have to be. Dr. Russell offers nitrous oxide for those patients who have trouble getting over their anxiety. Commonly referred to as “laughing gas,” nitrous oxide has a very relaxing effect, which requires just a couple of minutes to dissolve your anxiety. One of the safest anesthetics around, nitrous oxide can help to allay your fears and relax your whole body before any work on your teeth begins.
Antibiotics and Oral Contraceptives
For female patients, there may be an interaction between antibiotics and oral contraceptives. If you are presently taking antibiotics or if our office has prescribed them, please use alternative means of birth control for your entire cycle that month.
If you have any questions or concerns following your treatment, please do not hesitate to call our office. If your call is after office hours or on the weekend, the answering service will page the doctor.
After the root canal treatment is completed and healed, the permanent restoration of tooth can begin.
The restoration of the tooth is an important part of treatment because it protects the tooth from the oral environment as well as restores its chewing ability.
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