Learn how root canals can restore your oral health
Thanks to modern dental technology, root canals are much faster and more comfortable than they were years ago. With their specialized endodontic training, Alex Shklyar, DDS and Madueke Ekoh, DDS offer the most advanced root canal treatments in the Greenbelt, Maryland area. If you have a severe toothache or know that you need a root canal, schedule an evaluation at Greenway Dental Group. Book your visit through the online scheduler, or call the office.
Root Canal Q & A
What happens during a root canal?
A root canal involves removing pulp from deep inside your tooth’s root. The pulp contains nerves, blood vessels, and other tissues. You might need a root canal if the pulp is decayed, or if you have a severely damaged or broken tooth that is causing sensitivity, or is at risk of decaying.
Your dentist starts by drilling a small hole in your tooth to access the pulp after numbing you with novocaine injections. The next step involves clearing away the pulp and shaping the inner root chamber.
If you have an abscess or infection, they may also fill your tooth’s root with antimicrobial solution to destroy any lingering bacteria. This usually is the longest step of the root canal procedure.
Once your tooth is ready, your dentist fills the empty root chamber with a rubbery material called gutta percha. The final step involves filling in the hole with a filling, or getting a crown to cover your treated tooth.
Is a root canal painful?
Getting a root canal is typically no more uncomfortable than getting a filling. Patients sometimes complain of jaw discomfort from keeping their mouths open for so long, rather than about pain from the procedure itself.
Modern root canal treatments involve using advanced tools and imaging systems, which makes them quicker and less invasive. Plus, your dental team at Greenway Dental Group offers an array of sedation dentistry treatments. For example, you can request nitrous oxide (laughing gas) to calm your nerves or fall asleep during the procedure.
If you need stronger sedation, you could be a candidate for oral or intravenous (IV) sedation. These types of sedation options are particularly beneficial for patients who have a difficult time lying in the dental chair for extended periods.
Do I need a crown after a root canal?
Possibly. A crown is usually only essential if the structure of your tooth is compromised. For instance, if it was broken or if your root canal can’t be sealed with a filling, a crown may be essential.
At Greenway Dental Group, you won’t need a second visit to get a permanent crown after a root canal. The team offers CEREC® same-day crowns so that you can leave the office with your new, permanent crown.
Greenway Dental Group offers flexible scheduling for root canals. Schedule your consultation either online or over the phone.
Frequently Asked Questions about Root Canal
Why might a dentist recommend root canal treatment?
Root canal treatment is recommended when the inner tissue of a tooth becomes irritated or compromised and cannot heal on its own. This can happen when bacteria reach deep areas of the tooth due to untreated cavities, fractures, or previous dental work. Patients may notice discomfort, pressure when biting, prolonged sensitivity, or swelling, though some cases show few outward signs. A dental evaluation is necessary to confirm whether this type of treatment is the most appropriate way to stabilize the tooth.
What is the average duration of a root canal appointment?
Most root canal appointments are completed within a single visit, lasting about one to one and a half hours. The exact time depends on the location and the tooth, and how the number of internal channels that need to be addressed. Teeth toward the back of the mouth often require additional care due to their structure. Dentists work efficiently while taking the time needed to ensure the tooth is thoroughly treated and sealed.
What should I expect after a root canal is completed?
Following treatment, it’s common to experience mild soreness or tenderness for a few days. This typically improves as the surrounding tissues recover. Patients are often advised to temporarily avoid chewing on the treated side and stick to softer foods. Over-the-counter pain relievers are usually sufficient for managing discomfort. Follow-up care ensures the tooth remains stable and functions comfortably.
Are there risks or complications with root canal treatment?
Root canal treatment is considered very reliable, though no dental procedure is completely without risk. In rare cases, irritation, lingering sensitivity, or reinfection can occur. Dentists reduce these risks through careful cleaning, precise sealing, and strict sterilization protocols. Attending recommended follow-up visits helps ensure the treated tooth remains healthy.
How effective is root canal treatment long-term?
Root canal treatment has a strong long-term track record when combined with proper restoration and routine dental care. Many treated teeth remain functional for decades. Success depends on factors such as timely treatment, good oral hygiene habits, and regular dental checkups. Maintaining the tooth after treatment is key to long-term stability.
Can I go back to work or daily activities after a root canal?
Most patients can return to normal activities the same day or the following day. Mild tenderness may be present, but it rarely interferes with daily routines. It’s generally recommended to avoid strenuous activity and heavy chewing for a short period. Your dentist can provide guidance based on your specific situation.
How can I reduce the chances of needing a root canal later on?
Consistent preventive care is the best way to lower the risk of deep tooth problems. Daily brushing and flossing, routine dental exams, and prompt treatment of cavities all help protect the inner tooth structure. Limiting sugary foods and addressing cracks or damage early also reduces the likelihood of more involved treatment.
What happens if a tooth that needs a root canal is ignored?
Leaving a compromised tooth untreated can allow bacteria to spread deeper, potentially leading to increased discomfort, swelling, or damage to surrounding structures. Over time, this may limit treatment options. Seeking care early helps preserve comfort and prevents escalation.
Why do dentists try to preserve natural teeth when possible?
Natural teeth play an important role in chewing efficiency, bite balance, and jaw health. Keeping the tooth in place helps maintain alignment and reduces stress on surrounding teeth. When appropriate, root canal treatment allows a damaged tooth to remain part of the smile rather than being removed.
How do I know if a root canal is the right treatment for me?
A dental exam is the only way to determine whether this treatment is necessary. If you’re experiencing ongoing discomfort, sensitivity, or swelling, imaging and clinical evaluation can identify the cause. Your dentist will review findings and recommend care that best supports your long-term oral health.
