How To Tell if You Need a Root Canal and What To Do Next

Table of Contents

·         Introduction

·         What Is a Root Canal?

·         Common Signs You May Need a Root Canal

·         Additional Warning Signs

·         What Causes the Need for a Root Canal?

·         What to Do If You Suspect You Need a Root Canal

·         The Root Canal Procedure: What to Expect

·         Recovery and Aftercare

·         Long-term Care

·         Follow-up Treatment

·         Preventing Future Root Canals

·         Root Canal Treatment Cost

·         When to Seek Emergency Care

·         Conclusion

Photo: Adobe Stock

You’re enjoying your morning coffee when suddenly a sharp pain shoots through your tooth. Or perhaps you’ve been dealing with a dull ache that won’t go away. Does your breath smell bad no matter how often you brush? These could be warning signs that you need a root canal treatment.

Dental procedures often have an undeserved reputation for being painful. However, modern root canal treatment can actually relieve pain and not cause it.

Understanding what’s happening inside your teeth can help you make informed decisions about your dental health. In this guide, you’ll learn how to recognize when you might need this dental procedure and what steps to take next.

What Is a Root Canal?

A root canal procedure is a common treatment that can save your natural teeth and restore a healthy smile. This dental procedure addresses problems with the soft inner tissue of your tooth, called the pulp. This pulp contains blood vessels, connective tissue, and nerve endings that can become infected or damaged.

When the dental pulp becomes infected or inflamed, it can cause severe pain and eventually lead to tooth loss if left untreated. Root canals can remove this infected pulp while preserving your natural teeth.

During endodontic treatment, your dentist or endodontist removes the infected tooth pulp, cleans the inside of the tooth, and fills it with a biocompatible material to prevent further infection. This procedure saves your tooth from extraction and allows you to maintain your natural smile.

Note that only dentists can determine whether you need a root canal or another dental procedure. It’s best to seek help from Grove City Dental Clinic in Idaho or licensed oral professionals in your area who can assess your condition properly.

Common Signs You May Need a Root Canal

Recognizing the warning signs that you might need a root canal can help you seek treatment before the problem worsens. Here are some common symptoms to watch for:

Severe and Persistent Tooth Pain

Persistent tooth pain is often the first and most common sign that something is wrong. Unlike a dull ache that comes and goes, this intense pain lingers for an extended period. It may worsen when chewing or applying pressure. This could indicate pulp infection or infected tooth pulp, which needs proper treatment to avoid further complications.

The pain may be constant, or it might come and go, but it typically doesn’t resolve on its own. It’s important to see a dentist for a proper diagnosis.

Sensitivity to Temperature

Does your tooth hurt when you drink hot coffee or eat ice cream? Sensitivity to hot foods and cold food can indicate pulp damage. While mild sensitivity is common, pain that feels intense rather than just uncomfortable and affects only one specific tooth suggests pulp inflammation or infected pulp inside the tooth.

Tooth Discoloration

A discolored tooth or black tooth can indicate blood vessel damage within the dental pulp. Unlike surface stains from coffee or sugary food, internal tooth discoloration results from a dead tooth where blood vessels and nerve endings have deteriorated. As such, it might require root canal therapy.

Swollen or Tender Gums

If you notice facial swelling, gum tissue tenderness, or a bad taste in your mouth, you may have an infected tooth. This swelling may come and go, but you can’t resolve the underlying issue without proper treatment. It often indicates an underlying tooth abscess, a serious sign of infection that requires immediate attention. Your dentist might recommend an emergency root canal treatment to prevent bone loss.

Pain When Chewing or Touching the Tooth

If you experience pain when biting down or chewing food, especially if it’s localized to a single tooth, this could indicate pulp damage. This pain occurs because:

  • The infected pulp creates pressure inside the tooth
  • Inflammation has spread to the bone surrounding the tooth roots
  • The tooth may have become slightly loose due to infection

This type of pain not only impacts your chewing function. It also causes extreme discomfort and affects your quality of life.

Additional Warning Signs

Beyond the major symptoms, there are several other indicators that you might need a root canal:

Bad Taste or Smell

A persistent unpleasant taste in your mouth or breath that smells bad could indicate an infection. When bacteria multiply inside an infected tooth, they produce waste products that can cause a bad taste that won’t go away even after brushing. You might also experience persistent bad breath despite good oral hygiene efforts.

Tooth Mobility

A loose tooth in an adult is never normal. If your tooth feels wiggly or moves slightly when touched, it could indicate:

  • Bone loss around the tooth roots due to infection
  • Severe damage to the tooth’s supporting structures
  • Advanced infection that has spread beyond the tooth

Immediate endodontic care from a root canal specialist is necessary to save the entire tooth.

A Cracked or Chipped Tooth

Physical damage like a broken tooth or chips in teeth that are deep can expose the dental pulp to bacteria, leading to infection. The affected tooth may soon require a root canal surgery if left untreated.

Photo: Adobe Stock

Gum Boils or Pimples on the Gums

A telltale sign of an infected tooth is a small soft tissue bump near the affected area. It indicates a dental abscess, which can spread to adjacent teeth without proper care.

What Causes the Need for a Root Canal?

Understanding what causes the need for a root canal can help you prevent future dental issues. Common causes include:

Deep Decay: When tooth decay extends beyond the enamel layer and reaches the dental pulp, it can cause infection. This typically happens when cavities are left untreated for too long or if deep fillings are needed to repair extensive decay.

Repeated Dental Procedures: Multiple dental treatments on the same tooth can sometimes lead to inflammation and infection. You’re vulnerable if you’ve had several fillings replaced or if your tooth has undergone extensive dental work. That’s because each procedure brings instruments closer to the pulp.

Trauma to the Tooth: Physical impact or injury to your tooth can damage the pulp, even if there’s no visible crack. Main triggers include sports injuries, accidents, or even when grinding or clenching your teeth.

Severe Infection: A bacterial infection that reaches the pulp can cause an abscess—a pocket of pus that forms at the root of your tooth. This severe infection can lead to bone loss around the tooth. If left untreated, the disease can spread to adjacent teeth and cause potential health issues.

What to Do If You Suspect You Need a Root Canal

If you’re experiencing any of the symptoms we’ve discussed, here’s what you should do next:

Seek Professional Evaluation

The first and most important step is to see a dentist for an accurate diagnosis. Only a dental professional can determine if you truly need a root canal or if another dental treatment might be more appropriate.

What to Expect During Your Appointment

When you visit the dentist with suspected root canal symptoms, they will:

  • Examine your teeth and gums
  • Take dental X-rays to see the extent of infection
  • Test the tooth’s sensitivity to hot and cold
  • Check for tenderness when tapping on the tooth
  • Percussion tests to assess tooth mobility and nerve space health.
  • Assess your overall oral health.

Based on this examination, they’ll determine if a root canal is necessary or if another treatment option might be more appropriate.

Treatment Options

If your dentist determines that you need a root canal, they will explain the procedure and discuss your options. These might include:

  • Having the root canal performed by your general dentist
  • Referral to an endodontist (a root canal specialist) for more complex cases
  • In some cases, your dentist might recommend tooth extraction if they can’t save the affected tooth.

Your dentist will help you understand each option and recommend the best treatment plan based on your specific situation.

The Root Canal Procedure: What to Expect

If you and your dentist decide that a root canal is the best course of action, here’s what you can expect during the procedure:

Before the Procedure

Your dentist will take detailed X-rays to plan the procedure. Then, they’ll administer local anesthetic to ensure you don’t feel pain. You’ll also notice a dental dam or a small rubber sheet to keep the area clean and dry.

During the Procedure

The standard procedure typically involves:

  • Creating a small opening in the crown of the tooth to access the pulp chamber
  • Removing the infected pulp tissue
  • Cleaning and shaping the root canals
  • Filling the canals with a rubber-like material called gutta-percha
  • Placing a temporary filling to protect the tooth

After the Procedure

Following the root canal, you may experience mild discomfort for a few days after treatment. Your dentist will schedule a follow-up appointment to place a permanent crown or filling. Protect the treated tooth by maintaining good oral hygiene.

Recovery and Aftercare

Recovery from a root canal procedure is typically straightforward. In the days after treatment, you might experience minor discomfort and take over-the-counter pain relievers to manage it. You’ll also experience heightened sensitivity when biting or chewing and some swelling. Take note that post-treatment discomfort will gradually subside within a few days.

Long-term Care

To maintain your tooth with a root canal and your overall dental health, continue regular brushing and flossing. You can also use fluoride toothpaste to keep your teeth healthy. Avoid chewing hard foods with the treated tooth until it has a permanent restoration. Last but not least, attend regular dentist appointments for checkups.

Follow-up Treatment

After your root canal, you’ll likely need a permanent restoration. Dentists often recommend placing a crown to protect the treated tooth. This procedure prevents fractures and ensures the tooth functions properly. Your dentist will determine the best type of restoration based on the location and condition of your tooth.

Preventing Future Root Canals

While you can’t always prevent root canals, you can reduce your risk by:

Maintain good oral hygiene: Brushing with fluoride toothpaste, flossing, and avoiding sugary food can help keep your teeth healthy. Consider using an antimicrobial mouthwash.

Regular dentist appointments: Seeing a dentist for checkups ensures early intervention for underlying issues. Getting professional cleanings and basic fillings addresses small cavities before they become deep decay.

Protect your teeth: Wearing mouthguards helps prevent damaged tooth injuries from sports or grinding. You must also avoid chewing on hard objects like ice or hard candy.

Root Canal Treatment Cost

The cost of a root canal procedure varies depending on several factors, including:

  • The location of the tooth (molars typically cost more)
  • The severity of the infection
  • Whether you see a general dentist or specialist
  • Your geographic location
  • Your dental insurance coverage

Many dental insurance policies cover a portion of endodontic procedures. Basic plans typically cover 50% to 80% of the cost, although there may be annual maximums or waiting periods. Always check with your insurance provider to understand your coverage before proceeding with treatment.

When to Seek Emergency Care

Some dental issues require immediate attention. Seek emergency root canal treatment if you experience:

  • Severe, unbearable pain: When tooth pain becomes so intense that it prevents you from sleeping, eating, or carrying out normal activities, it’s a dental emergency. This type of pain often indicates an advanced infection that has reached the nerve space or has spread beyond the tooth roots.
  • Significant facial swelling: Swelling that extends beyond the immediate area around the tooth to affect your cheek, jaw, eye, or neck requires urgent care. This swelling indicates that the infection has spread to surrounding tissues. The inflammation could jeopardize your airway or travel to other parts of your body.
  • Signs of spreading infection: These include:
    • Redness that extends beyond the immediate area
    • Warmth in the swollen area
    • Pus discharge from around the tooth
    • Difficulty opening your mouth fully
    • Swollen lymph nodes under your jaw or in your neck
  • Fever accompanied by dental pain: When an infected tooth causes a systemic response like fever (temperature above 100.4°F or 38°C), your body is fighting a significant infection. This combination is particularly concerning and requires immediate medical attention.
  • Difficulty breathing or swallowing: If dental infection has caused swelling that affects your ability to breathe or swallow, this is a medical emergency that requires immediate attention, possibly at an emergency room.

Conclusion

If you’re experiencing tooth pain, sensitivity, or any of the other warning signs discussed, don’t delay seeking professional help. Scheduling an appointment right away ensures long-term dental health and avoids complex endodontic procedures. A proper diagnosis will determine whether you need a root canal or another dental solution.

Recognizing the signs that you might need a root canal is the first step toward addressing a potentially serious dental issue. While the symptoms can be uncomfortable, modern root canal treatment is an effective treatment that can save your natural teeth and eliminate pain.

Nevertheless, maintaining good oral hygiene and visiting your dentist for regular checkups are the best ways to keep your teeth healthy. With proper care and attention, you can maintain a healthy, beautiful smile for years to come.

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About the Author: Tina Evans