A root canal is designed to eliminate infection and restore the tooth so it can function for many years to come. Sometimes, however, a tooth that received a root canal many moons ago can develop new problems or fail to heal as expected.
Let’s look at why a root canal can fail years later and the signs to watch for.
What Causes a Root Canal To Fail?
Complex tooth anatomy, along with narrow or curved canals, can make it difficult to locate and fully treat the infection in the original procedure. And, occasionally, some bacteria may get left behind.
What’s more, a tooth that initially healed successfully can also develop a new problem down the road. New decay, a damaged or loose crown, a cracked restoration, or a fracture in the tooth can allow bacteria to reach inside the tooth again.
Signs a Previously Treated Tooth May Need Attention
Not every symptom means a root canal treatment has failed, but certain changes warrant a swift response. If a tooth that has been comfortable for years suddenly becomes painful or swollen, you need treatment.
Persistent Tooth Pain
Don't ignore pain in a tooth previously treated with a root canal, especially if it occurs when you chew or bite down. This persistent pain could indicate inflammation or infection. Don’t delay in seeking treatment.
Swelling or Tenderness
Swelling or tenderness around the tooth or gums may indicate infection. You may even notice a small bump on the gums near the affected tooth. These symptoms require an endodontist's evaluation.
Sensitivity
A previously treated tooth shouldn't cause discomfort when you apply pressure, such as when chewing. This is also a sign you shouldn’t ignore. While the tooth’s nerve has been removed, inflammation or infection can still affect the tissues surrounding the root.
A Damaged Crown
A dental crown is used to protect and restore a tooth’s integrity after a root canal. If it becomes loose or cracked, the tooth becomes vulnerable. Bacteria can enter and potentially cause a new infection. Address a damaged restoration right away.
What Happens If a Root Canal Fails?
When a previously treated tooth develops a problem, endodontic retreatment is often recommended. The previous root canal filling material is removed, and the canals are examined for infection; the canals are cleaned, and the tooth is resealed. Depending on the cause, you may be offered a different treatment option. The overall goal remains the same: save the natural tooth whenever possible.
If you have previously had a root canal and notice changes, do not ignore them. Take action.
Frequently Asked Questions
Can a root canal become infected again years later?
Yes. New decay, a compromised restoration, a crack, or problems involving the original treatment can allow bacteria to enter and cause infection.
Does a failed root canal always cause pain?
No. Some may not cause noticeable symptoms. This is why routine dental exams are so important for your oral health.
Can a failed root canal be retreated?
In most cases, yes. Endodontic retreatment reopens the tooth so that the inner area can be cleaned, treated, and resealed.
Is retreatment better than extracting the tooth?
Preserving the natural tooth is always what we strive for. Retreatment makes this possible.
When should we see an endodontist about a previously treated tooth?
We recommend an evaluation if you develop persistent pain, swelling, tenderness, or discomfort. Prompt attention can determine the cause and the best treatment option.
At Towson Endodontics, we specialize in diagnosing and treating complex dental problems, including those involving previously treated teeth. Are you experiencing symptoms in a tooth that had a root canal years ago? Contact us today to schedule an appointment.
A tooth infection can develop gradually, sometimes without obvious warning signs. By the time you experience severe pain or swelling, the infection may have already reached the innermost part of the tooth. This is when a root canal often becomes necessary.
What leads to such a significant tooth infection? Here are some common causes and what you can do to prevent them.
Tooth Decay
Perhaps the most common cause of a tooth infection is untreated tooth decay. A cavity begins on the outer layers of the tooth. But if it progresses without treatment, bacteria can enter the tooth and eventually reach the pulp. This area contains soft tissue, nerves, and roots, and it can become inflamed or infected.
Unfortunately, once the pulp is affected, a simple filling is often no longer enough. Root canal treatment lets us remove the infected pulp, clean and disinfect the root canals, and seal the tooth to prevent further infection.
Cracks or Fractures
Cracks or broken teeth give bacteria easy access inside the tooth. Many cracks that aren’t visible to you still provide a pathway.
A root canal can help to remove the damage or infection within the pulp. When followed by a dental crown, it restores strength and integrity. Without treatment, the crack will continue to allow bacteria in and the infection to worsen.
Dental Trauma
An injury to a tooth can damage the pulp even without a visible chip or crack. A blow from a sports injury, accident, or fall can affect the blood supply and nerves inside the tooth.
In some scenarios, the pulp may become inflamed right away. In others, it could take months or even years to feel the effects. Nonetheless, dental trauma can make an impact. When it does, root canal treatment can help.
What Happens When Left Untreated?
A tooth infection does not usually resolve on its own. As it progresses, it spreads. It can work its way deeper into the tooth and then spread to surrounding bone and tissues. You may feel pain, sensitivity, swelling, tenderness, and an abscess.
Thankfully, root canal treatment addresses the infection at its source while preserving your natural tooth.
If you are experiencing persistent tooth pain, swelling, or sensitivity, we encourage you to seek an evaluation rather than waiting any longer.
Frequently Asked Questions
Can a cavity really lead to a root canal?
Yes. When decay progresses deep enough to reach the pulp, the tissue can become infected and irreversibly inflamed. A root canal is then necessary to save the tooth.
Does a tooth infection always cause pain?
Not always. Some infected teeth cause severe pain while others may offer few noticeable symptoms. A dentist may discover an infection during a routine dental exam or through dental imaging.
Can a cracked tooth cause an infection?
Yes. A crack can allow bacteria to reach the pulp inside the tooth.
Can antibiotics cure a tooth infection?
Antibiotics may be appropriate in certain situations, but they do not eliminate the underlying source of a tooth infection.
How do we know if a root canal is necessary?
We evaluate your symptoms, examine the affected tooth, and use diagnostic tools like CBCTs to determine the source of the problem and make an accurate diagnosis.
At Towson Endodontics, we are committed to helping patients preserve their natural teeth through thorough, precise endodontic care. If you are experiencing any signs of infection, contact us today to schedule an appointment.
When you are dealing with tooth pain and sensitivity, or even an injury to your tooth, who do you call? While your dentist provides you with fantastic preventive and restorative care, some situations warrant the help of an endodontist. This specialist can make all the difference when it comes to preserving your natural tooth.
Here’s everything you need to know about when to see an endodontist.
What Is an Endodontist?
An endodontist is a dentist who receives additional years of advanced training that is focused on diagnosing tooth pain and treating the sensitive area inside the tooth that contains nerves, blood vessels, and connective tissue. This specialized education equips an endodontist to perform complex procedures, such as root canal treatment, endodontic surgery, and procedures involving traumatic dental injuries.
Spending every day in endodontics means that they have the experience and technology necessary to provide precise, efficient care while prioritizing patient comfort.
When Should You See an Endodontist?
If you have a tooth that requires special attention, there is a good chance your general or family dentist will refer you to an endodontist. A few common reasons you may need to make this appointment include: persistent or severe tooth pain, lingering sensitivity, swollen gums, a cracked or fractured tooth, dental trauma, or a previous root canal requiring retreatment.
Following through with a visit to an endodontist for prompt treatment can relieve pain while preventing the extraction of a natural tooth.
Experience and Advanced Technology
Root canal treatment has come a long way over the years, thanks to modern techniques and advancements. Many patients find it to be much more comfortable than expected. However, treating the complex pulp area of the tooth requires precision, skill, and specialized equipment. Just as your general dentist is well-versed in dental fillings, an endodontist spends the day performing root canals.
Every patient is different, which means these specialists get used to treating teeth with curved, narrow, or difficult-to-reach canals. Extensive experience working with complex cases makes it much easier to diagnose and properly treat patients.
What’s more, when it all comes down to saving a natural tooth, advanced technology is necessary. From CBCT scans and digital imaging used for diagnosis to microscopes offering enhanced precision, endodontic treatment requires more than just a traditional X-ray.
All of these things come together to provide patients with the utmost care and treatment with the greatest accuracy.
Trusting the Specialists When it Counts
When severe tooth pain or infection develops, receiving the right attention at the right time can make a big difference. Often, this means scheduling a visit with an endodontist. You can rest easy knowing that your skilled dental professional will use the extra training, experience, and state-of-the-art technology to give you relief and save your natural tooth.
Has your dentist recommended an endodontist? Schedule your appointment today.
Frequently Asked Questions
What is the difference between a general dentist and an endodontist?
General dentists provide a wide range of dental services, while endodontists specialize in diagnosing tooth pain and treating problems inside the tooth.
Is a root canal painful?
Modern root canal treatment is typically no more uncomfortable than receiving a dental filling. The procedure is designed to eliminate the pain caused by infection or inflammation.
Do I need a referral to see an endodontist?
Many patients are referred by their dentist, but it is not always necessary. It all comes down to insurance and circumstances.
How long does a root canal take?
Most root canal procedures can be completed in one or two visits, depending on the complexity of the tooth and the extent of the infection.
Can a tooth still need treatment after a previous root canal?
Yes. In some cases, a tooth may require endodontic retreatment if a new infection develops or if the original treatment did not fully resolve the issue. We will first evaluate your tooth and take the appropriate next steps.
At Towson Endodontics, we are dedicated to preserving your natural teeth through expert endodontic care delivered with precision and compassion. If you are experiencing tooth pain or have been referred for treatment, contact us today,
Root canals are known for treating tooth pain and saving a damaged tooth. And today, undergoing the procedure is more comfortable and efficient than ever before. This is made possible by a technological advancement that takes place before the root canal ever gets started.
Using 3D dental imaging, we can diagnose problems with great precision and create personalized treatment plans that improve outcomes. Let’s take a closer look.
What is 3D Dental Imaging?
Three-dimensional dental imaging, also known as cone beam computed tomography (CBCT), creates highly detailed images of your teeth, roots, jawbone, and surrounding tissues. This is much different than the traditional flat X-ray image.
With 3D imaging, we can examine your tooth from every angle. The small details of the tooth’s anatomy do not get overlooked, making it much easier to make informed treatment decisions.
Diagnosing a Root Canal
While X-rays have long been used in dentistry, they have not always had the ability to reveal everything hiding beneath the surface. This is where 3D imaging shines. It can reveal a clearer, more in-depth picture.
Tiny fractures, bone loss, root infections, hidden canals, complex root canals, and other anatomy are all much more easily identified when using CBCT imaging. This can make it easier to determine the source of your pain, diagnose issues, and recommend the most effective treatment.
Treatment Planning for Root Canals
Every tooth is unique. Some have curved roots, multiple canals, or unusual anatomy that can make treatment more challenging. Being able to assess the situation entirely can help us ensure that all infection and decay are removed.
3D imaging maps out the exact structure of the tooth before treatment begins. What’s more, it will reduce any surprises along the way as we strive to preserve as much of your healthy tooth structure as possible.
Improved Success Rates
Root canal treatment is highly successful, especially when every infected canal is properly cleaned and sealed. Missing even the smallest bit of bacteria can increase the risk of future infection.
Three-dimensional imaging helps us locate hidden canals that may be otherwise missed, as well as improving the long-term success of treatment and reducing the need for retreatment. Of course, should new symptoms appear months or years later, standard X-rays cannot always help to determine the cause. CBCT imaging allows us to evaluate the previous root canal and identify any untreated areas. It will give us the information we need to know how to proceed.
Advanced Technology = Better Care
We are committed to providing our patients with the best experience combined with the latest technology and dental advancements. Although 3D imaging is not necessary for all patients, it does provide very valuable information for many. After all, with the right diagnosis and the right treatment, your natural smile can be preserved.
Frequently Asked Questions
What is a CBCT scan?
A CBCT (cone beam computed tomography) scan is a specialized 3D dental imaging system that creates detailed images of your teeth, roots, jawbone, and surrounding structures to aid in diagnosis and treatment planning.
Is 3D dental imaging safe?
Yes. CBCT technology is considered safe and uses a relatively low dose of radiation compared to many medical CT scans.
Will every root canal require a CBCT scan?
No. We recommend 3D imaging when it provides important diagnostic information, particularly for complex cases, retreatments, or teeth with unusual anatomy.
Does a CBCT scan hurt?
Not at all. The scan is completely non-invasive and painless. It often takes less than a minute to complete.
Can 3D imaging detect problems that regular X-rays miss?
Yes. Because CBCT produces detailed three-dimensional images, it can reveal hidden canals, fractures, infections, bone loss, and other issues that may otherwise go undetected.
At Towson Endodontics, we combine advanced technology with specialized expertise to provide precise diagnoses and exceptional care. Contact us to schedule a consultation and learn how 3D dental imaging can help protect your smile.
Dental injuries happen when you least expect them. But knowing what to do in those first few minutes can make a huge difference in saving your tooth and protecting your oral health. Consider it first aid before you get professional dental care.
A dental injury happens. What do you do immediately after? Here’s what you need to know.
Remain Calm and Assess the Injury
When faced with a dental emergency, it can be scary. So, before you do anything else, take a deep breath and remain calm. This will help you think clearly as you begin to act.
As you are ready, check for bleeding, swelling, or visible damage to the teeth, gums, or jaw. You may also need to assess soft tissues like the cheeks, tongue, and lips. If the injury involves severe bleeding, difficulty breathing, or a potential head injury, seek emergency medical care first.
Get Bleeding Under Control
If your mouth is bleeding, gently rinse it with warm water to remove any debris and to locate the source. Apply clean gauze or a soft cloth with gentle pressure to the area for about 10 to 15 minutes.
Bleeding should begin to subside; if it doesn’t, seek medical attention.
Save Your Knocked-Out Tooth
Time is of the essence when it comes to a knocked-out permanent tooth, which makes quick action imperative. Here are your next steps.
Hold the tooth only by the crown and always avoid touching the root. If it is dirty, rinse it gently. Do not scrub or remove anything attached to the root. Next, carefully place the tooth back into the socket, if possible. Gently bite down on clean gauze to hold it in place until you can see the endodontist. Not about to reinsert the tooth? Store it in milk or saliva to keep it moist.
To preserve a natural tooth, you have less than an hour. So call our office immediately.
Repair a Broken or Chipped Tooth
If part of your tooth breaks, collect any pieces you can find and bring them with you to your appointment. While not always possible, sometimes they can be used in restoring the tooth.
Rinse your mouth with warm water and use a cold compress in the area on the outside of your face to reduce any swelling. Avoid chewing on the injured side until we can evaluate the damage.
Do not dismiss the importance of getting a chipped or broken tooth evaluated. If left untreated, even a small chip can expose the inner layers of the tooth and increase the risk of infection.
Calm a Severe Toothache
Have a bad toothache? One that is persistent or causes severe pain needs to be addressed, as it could signal that some decay and infection could be present within the soft, inner area of the tooth.
Over-the-counter pain relievers may help to minimize pain. Follow the instructions on the bottle or discuss options with your doctor. Avoid tricks and tips online, such as placing an aspirin on the sore area, as it can lead to further damage.
Seek Professional Help
Not all dental injuries show symptoms right away. So, even if the injury seems minor or if you aren’t experiencing any discomfort, it is still important to schedule an evaluation as soon as possible.
We will assess the situation and recommend the appropriate treatment to preserve your natural smile whenever possible.
Frequently Asked Questions
How quickly should I see a dentist after a dental injury?
We recommend contacting our office immediately. Many dental injuries have the best outcomes when treated within the first hour.
Can a knocked-out permanent tooth be saved?
Yes. Fast action greatly increases the chance of saving the tooth, especially if it is properly stored and treated swiftly.
Should I go to the emergency room for a dental injury?
Not always. If your injury has severe bleeding, facial fractures, difficulty breathing, significant swelling of the face or jaw, or a potential head injury, visit the ER. Otherwise, contact our office for treatment as soon as possible.
What should I do if my tooth hurts after an injury, but doesn’t look damaged?
Even without visible damage, the tooth may have injuries inside. This needs to be evaluated, and diagnostic tools will allow a closer look.
Can a cracked tooth become infected?
Yes. Cracks can allow bacteria to enter the inner portion of the tooth, increasing the risk of infection and the need for root canal treatment if left untreated.
At Towson Endodontics, we provide prompt, compassionate care when dental emergencies happen. If you or a loved one experiences a dental injury, contact us right away so we can evaluate the damage and help protect your oral health.
Endodontic treatment can play a significant role when it comes to saving a damaged or infected tooth. Many people associate endodontists only with root canals, but several specialized procedures are designed to preserve natural teeth.
Playing an active role in your oral health means understanding your options. So, let’s take a closer look at some of the most common endodontic procedures we offer.
Root Canal Treatment
The idea of a root canal can send some people into a panic, although they have become almost as routine as a dental filling. This treatment is necessary when the soft tissue inside the tooth, known as the pulp, becomes inflamed or infected due to deep decay, a crack, or trauma. And it can be very painful.
A root canal relieves that pain. During the procedure, the infected pulp is carefully removed, and the inside of the tooth is cleansed and disinfected, including all of the tiny root canals. The tooth is then sealed to prevent future infection.
Endodontic Retreatment
Root canal treatment has a high success rate. Still, there are times when a tooth may not heal as it should or may become infected again. This could happen right away or months after the initial procedure.
Endodontic retreatment is just as it sounds. It is another opportunity to try to save the tooth. The tooth will be reopened and carefully inspected, with close attention paid to the canals. Any infection found will be removed, and the tooth will be cleansed and sealed once again. This second attempt helps patients to avoid extraction.
Endodontic Surgery
There are cases in which a root canal and retreatment do not fully resolve the issue. When this happens, endodontic surgery may be necessary. The most common? An apicoectomy.
Sometimes referred to as root-end surgery, it involves approaching the tooth from a different angle. An incision is made in the gum tissue, and the tip of the tooth’s root is removed, as well as any surrounding infected tissue. It is then sealed so that the tooth can heal.
Dental Trauma Treatment
Accidents can happen at any age, such as sports injuries or falls. Cracks or a knocked-out tooth can result.
Each situation is different, but as endodontists, we specialize in evaluating and treating traumatic dental injuries. The specifics of the treatment will depend on the injury, but could involve root canal treatment, repositioning a dislodged tooth, or monitoring a tooth as it heals.
The more swift the action after dental trauma, the more likely the tooth will be saved. The goal of an endodontist is always to relieve your discomfort while preserving your natural tooth whenever possible. Be confident in your treatment.
Frequently Asked Questions
What is an endodontist?
An endodontist is a dental specialist who receives additional training in diagnosing tooth pain and performing treatments involving the dental pulp and root canals.
How long does a root canal take?
About 60 to 90 minutes, depending on the status of the tooth. Most root canals can be completed in one visit, although more complex cases may require a second appointment.
Is a root canal painful?
Today’s root canal treatment is performed using local anesthesia and advanced techniques. You will not feel any pain during the procedure. Afterward, you may experience some minor discomfort temporarily.
Why would I need root canal treatment?
Retreatment may be recommended if the original treatment did not fully heal, new decay develops, the restoration fails, or additional infection occurs inside the tooth.
Can an infected tooth always be saved?
Many endodontic procedures work well to save an ailing tooth, but not always. Sometimes, it may be necessary to extract the tooth.
At Towson Endodontics, we provide expert care that helps preserve your natural teeth whenever possible. If you have been experiencing tooth pain or have been referred for specialized treatment, contact our office today.
A cracked tooth can happen at any time. Sometimes you know it, such as when you bite down on something hard. Other times, the crack happens gradually. Cracks can range from a minor inconvenience to a serious dental emergency, depending on the severity of the damage.
Regardless of how and why, cracks can worsen if not addressed. So, it is important to seek treatment early before it gets worse.
Let’s take a closer look at a cracked tooth and some treatment options that an endodontist may recommend.
What Causes a Cracked Tooth?
Teeth are very, very strong, but they are not indestructible. That's why cracks can develop for several reasons.
- Biting down on hard foods or ice
- Grinding teeth or clenching the jaw
- Trauma or injury
- Large fillings that weaken the tooth
- Aging or natural wear and tear
There are some cracks that are superficial and only affect the outer enamel. Others, however, extend into the inner pulp where the nerves and blood vessels are located. Both need to be addressed by an endodontist.
How Do You Know if You Have a Cracked Tooth?
There are some cracks you are going to physically see and feel, usually when it happens. But for those who come on slowly, cracked teeth do not always cause constant pain, making them difficult to recognize.
Sharp pain when biting or chewing, sensitivity to temperature, discomfort that comes and goes, or swelling around the tooth are all signs you could have a crack. If you experience them, schedule an appointment, as untreated cracks can deepen and increase the risk of infection or tooth loss.
Treatment Options For a Cracked Tooth
Treatment of cracked teeth is highly personalized. Your endodontist will evaluate how extensive the crack is and whether the pulp has been affected. Then, a treatment plan can be determined.
Dental Bonding or Filling
For small or superficial cracks, a filling or bonding material may be all that is needed to restore the tooth and protect it from causing further damage. This option is often ideal for cracks that have not reached the inner layers of the tooth.
Dental Crowns
A dental crown is one of the most common treatments for cracked teeth. They completely cover the tooth and help hold it together. Function and strength are restored, as well as aesthetic value. Today, most crowns are custom-made to look natural and blend in beautifully with the teeth around them.
Crowns are often used for moderate cracks or when a tooth needs some extra help restoring its integrity.
Root Canal Therapy
So, what happens if the crack does reach the inner pulp area of the tooth? A root canal is usually needed. This is because bacteria can enter the sensitive area and cause infection and inflammation.
During a root canal, the pulp is removed, and the inside of the tooth is disinfected and then sealed to prevent future issues. A dental crown is often used to fully restore the tooth.
Extraction
Unfortunately, there are some cracks that are too severe to repair. Vertical fractures that extend below the gumline, for instance, can make it nearly impossible to save.
An endodontist strives to preserve a natural tooth whenever possible. The sooner you have an evaluation of your cracked tooth, the more treatment options you will have available to you. Act fast and let us determine the most effective plan for you.
Frequently Asked Questions
Can a cracked tooth heal on its own?
No. Unlike bones, teeth cannot heal themselves. Professional treatment is needed to prevent the crack from getting worse.
Does a cracked tooth hurt?
Not always. Some patients feel discomfort, usually intermittently. Others may not even realize the tooth is cracked. The more severe the fracture, the more likely it is to cause pain.
How do I know if I need a root canal for a cracked tooth?
If the crack reaches the pulp and causes inflammation or infection, a root canal may be necessary.
Can I still eat with a cracked tooth?
You should always avoid eating on the affected side until the tooth is evaluated. Chewing pressure can make it worse.
What happens if a cracked tooth is left untreated?
Untreated cracks can deepen and lead to infection, severe pain, and even tooth loss.
At Towson Endodontics, we are committed to helping patients save their natural teeth whenever possible. If you are experiencing tooth pain or believe you may have a cracked tooth, we are here to provide you with an expert evaluation and treatment. Contact us today to schedule an appointment.
Dental emergencies aren’t the kind of thing that happens at the most convenient time. But when they do, you will need to act fast. Will you know what to do?
We want you to be able to stay calm, manage any discomfort, and take the right steps along the way. After all, the goal is to save a natural tooth and prevent more serious complications. So, here’s what you need to know.
Recognizing the Signs of a Dental Emergency
All kinds of dental issues can hurt or look concerning, but they are not all a dental emergency. How can you tell the difference? Some symptoms should never be ignored. Take action when you are experiencing these signs:
- A knocked-out tooth
- Swelling in the gums, jaw, or face
- Persistent or severe tooth pain
- Signs of infection, such as pus
- Sensitivity that lingers after exposure to hot or cold
- A cracked, chipped, or broken tooth
These symptoms indicate damage or infection inside the tooth, both of which often require specialized endodontic care. Early intervention can improve the chances of saving the tooth and reducing pain.
What to Do for Severe Tooth Pain
A severe toothache is one of the most common reasons patients seek emergency endodontic care. If you are experiencing intense pain, start by gently rinsing your mouth with warm salt water to reduce irritation and remove debris.
A cold compress on the outside of your cheek is also helpful, especially for swelling and discomfort. Over-the-counter pain relievers may provide temporary relief.
You never want to ignore persistent pain. Tooth pain that lasts longer than a day or worsens over time may indicate an infection inside the tooth that requires treatment, such as a root canal. Contact us right away so we can get you in and help you find relief.
What to Do if a Tooth is Cracked or Broken
Cracked or broken teeth can vary from minor cosmetic damage to severe fractures that expose the tooth’s inner pulp. If you crack or chip a tooth, rinse your mouth gently with warm water and avoid chewing on that side or in that area.
If swelling develops, apply a cold compress in 15-minute intervals. Try to save any broken pieces of the tooth if possible and bring them to your appointment.
Even small cracks should be evaluated promptly because bacteria can enter the tooth and lead to infection and additional structural damage. With the most advanced imaging technology, we will be able to diagnose and treat cracked teeth before they get worse.
What to Do if a Tooth Gets Knocked Out
A knocked-out tooth requires immediate action. Handle the tooth carefully by the crown only, not the root. And if it is dirty, go ahead and rinse it with water, but do not scrub.
If possible, place the tooth back into the socket and hold it there carefully. Or, if that is not possible, store it in milk or saliva to keep it moist until you can get to our office.
Time is of the essence. The faster you receive treatment, the greater your chance of saving the tooth.
Why See an Endodontist?
Endodontists are trained specialists who diagnose and treat problems concerning the inside of the tooth. They use advanced technology and specialized techniques to relieve pain while preserving natural teeth whenever possible.
An emergency endodontics appointment is prioritized because we understand that quick action can help protect your smile and prevent long-term complications. So, always act fast.
Frequently Asked Questions
How do I know if my tooth pain is an emergency?
If your tooth pain is severe, persistent, causes swelling, or interferes with eating or sleeping, you should treat it as an emergency.
Should I go to the ER for a dental emergency?
A dentist or endodontist treats most dental emergencies best. However, if you have difficulty breathing, severe swelling, seek emergency medical care immediately.
Can a cracked tooth heal on its own?
No. Unlike other parts of the body, teeth cannot heal themselves. A dental professional should always evaluate a cracked tooth.
What happens during emergency endodontic treatment?
Your endodontist will examine your tooth, take imaging if needed, diagnose the issue, and recommend treatment to relieve pain and save the tooth whenever possible.
How quickly should I see an endodontist after a dental injury?
As soon as possible. Prompt treatment improves the likelihood of saving the tooth and reducing complications.
At Towson Endodontics, we know that dental emergencies can feel overwhelming, but you do not have to face them alone. Our experienced team is committed to providing fast, compassionate care when you need it most. Think you have a dental emergency? Contact us today.
Did you know that you could have a cracked tooth and not even know it? While some are very visible, others are hidden beneath the surface, only causing occasional discomfort. When left untreated, however, a crack can worsen over time and threaten the health of the entire tooth.
Here is a look at how endodontists diagnose and treat cracked teeth.
What Causes a Cracked Tooth?
Teeth are incredibly strong, but cracks can still happen for a variety of reasons, including:
- Biting down on hard foods or objects
- Grinding teeth or clenching the jaw
- Natural wear and tear with aging
- Large fillings or previous dental work
- Trauma or injury to the mouth
You may recognize these things when they happen, or you may not even think twice. It is not unusual for patients to not realize that their tooth is cracked. For others, the immediate pain may be felt, or a gradual discomfort that comes and goes.
How Do I Know If I Have a Cracked Tooth?
It can help to understand the common symptoms of a cracked tooth since it isn’t always noticeable. And while pain and discomfort can be present, they are not the only signs to look out for.
Pain while chewing and biting, sensitivity to hot and cold temperatures, swelling or irritation around the affected tooth, and intermittent pain that is difficult to pinpoint are all symptoms of a cracked tooth.
Remember, you may not even know your tooth is cracked. Yet, even the smallest cracks can allow bacteria to enter the tooth and cause inflammation or infection within the pulp. Seeking treatment for cracked teeth early will give you the greatest chance of saving the natural tooth before the damage becomes more severe.
How Endodontists Make a Diagnosis
Specialized care is often necessary to diagnose and address a cracked tooth, especially since they require more than just a standard visual exam. Many cracks are too small to see with the naked eye or may be found below the gumline. Endodontists know this and use advanced diagnostic technology to accurately identify cracks and determine the best course of treatment.
One of the most valuable tools includes a CBCT (3-D) imaging machine. This system provides highly detailed views of the tooth and its surrounding structures to help them detect fractures that traditional X-rays miss.
Aside from this, endodontists will take into consideration the patient's symptoms, dental history, bite patterns, tooth sensitivity, and signs of inflammation or infection. Specialized microscopic tools can be used to examine the tooth more closely and uncover subtle cracks.
How are Cracked Teeth Treated?
An endodontist always strives to save a natural tooth. And doing this is rather easy since there are many treatment options available. The key is determining the right treatment option, taking into account the size, location, and severity of the crack.
Endodontic microsurgery involves minimally invasive procedures performed under microscopes for precision. It effectively repairs damaged teeth and surrounding tissues, and saves patients from having to deal with a missing tooth and all that comes with it.
Dental crowns are another option to restore the functionality and integrity of a cracked tooth. And, root canal therapy may be necessary if there is infection in the pulp area. Extraction is always a last resort.
Routine dental care and acting swiftly when something doesn’t feel right can ensure you maintain a healthy smile today and in the future.
Frequently Asked Questions
Can a cracked tooth heal on its own?
No, a cracked tooth cannot repair itself. Professional treatment is necessary to keep the crack from expanding.
Does every cracked tooth need a root canal?
No. Some minor cracks can be treated with a crown alone. A root canal is only needed if the crack reaches the pulp or causes infection.
How do I know if my tooth is cracked?
Symptoms like pain while chewing, temperature sensitivity, or discomfort that comes and goes are all warning signs. Routine dental care and an evaluation by an endodontist can confirm the diagnosis.
Is treatment for a cracked tooth painful?
No. With advanced techniques and anesthesia, patients can remain comfortable throughout their treatment.
What happens if I ignore a cracked tooth?
Untreated cracks can worsen over time, potentially causing infection, severe pain, or tooth loss.
At Towson Endodontics, we are committed to helping patients preserve their natural teeth with advanced diagnostic technology and personalized endodontic care. If you are experiencing tooth pain or believe you may have a cracked tooth, contact us today.
Dental pain is not something you should ignore, especially when it is severe, persistent, or accompanied by other unusual symptoms. While some dental issues may be able to wait for a routine appointment, others may signal a true dental emergency that requires specialized care from an endodontist.
Understanding the warning signs of a dental emergency can help you act quickly and protect your oral health.
What Does an Endodontist Treat?
Endodontists specialize in conditions affecting the dental pulp. This is the soft tissue inside your tooth that contains nerves and blood vessels. When this inner tissue becomes inflamed or infected, attention is needed right away. This can happen due to decay, trauma, or cracks and fractures that have been left untreated.
Without seeking professional attention, the infection can worsen and spread, putting your overall health at risk. You will have an increased chance of losing your tooth, too.
Signs of a Dental Emergency
Not every toothache is an emergency, but should you experience any of the following, it could be time to see the endodontist right away.
Severe or Persistent Tooth Pain
Intense tooth pain that may or may not be ongoing is one of the most distinct indicators that you are dealing with a serious problem. If the pain is sharp, throbbing, or gets worse while chewing, you could have an infection or inflammation inside the tooth. This requires attention.
A Lingering Sensitivity to Hot or Cold
It is normal to feel brief sensitivity to temperature changes when eating or drinking, but discomfort that lingers long after the exposure can indicate that there is nerve damage or infection present. This sensitivity is likely to require specialized treatment like a root canal.
Swollen Gums, Face, or Jaw
Swelling that appears around a tooth or in the face can be a sign of a dental abscess. This is an infection that can spread if left untreated. If the swelling is accompanied by a fever, seek immediate medical attention.
An abscess can also appear as a small bump on the gums resembling a pimple. Sometimes the bump can be bigger with visible pus. It requires urgent treatment to prevent complications and preserve the tooth.
A Cracked or Broken Tooth
Dental trauma can happen for so many reasons, from accidents to simply biting down on something hard. Any damage to the tooth can expose its inner pulp. Even if the pain isn’t immediate, bacteria can still enter and lead to infection. This makes early evaluation critical.
Depending on the size of the crack or how the tooth is broken, you may or may not need an emergency appointment. You will, however, need to be seen by an endodontist for the next steps.
Act Quickly with Endodontic Emergencies
Delaying treatment of a dental emergency means that you are allowing infection to spread and increasing the need for more complex procedures. Not only will early intervention reduce pain, but it will also improve the chance of saving your natural tooth. Root canal therapy from our skilled endodontist can eliminate infection and restore efficient function.
Not sure if you are dealing with an emergency? Always err on the side of caution and reach out for help.
Frequently Asked Questions
How do I know if my tooth pain is an emergency?
If your tooth pain is severe, persistent, or accompanied by swelling, fever, or sensitivity that doesn't go away, it may be a dental emergency. These symptoms are often a sign of infection or damage to the tooth’s inner pulp.
Can I go directly to an endodontist, or do I need a referral?
In many cases, you can see an endodontist without a referral, especially when dealing with an emergency. However, some patients are referred by their general dentist for specialized care. If you are experiencing severe symptoms, contact us directly.
At Towson Endodontics, we are committed to relieving pain and saving your natural teeth with expert, compassionate care. If you are experiencing signs of a dental emergency, don't wait. Contact our team today to schedule an evaluation and get the relief you need.
