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Common Questions

Will the treatment be painful?

We will take every measure to ensure that your procedure is in no way uncomfortable or painful. If treatment is needed, we will inject a small amount of anesthesia to gently numb a concentrated area of your mouth. For most patients, the feeling of numbness usually subsides after 2-3 hours.

Will I need to return to your office for follow-ups after the procedure is finished?

Yes, for most root canal treatments, we recommend that patients return to the office 1 year after the procedure was finished to evaluate the success of the treatment. This visit is at no charge. Our office will send a reminder notice to you when you are due for a recall appointment.

How long does treatment take?

The length of the procedure can vary greatly depending on the tooth and the condition of the tooth and surrounding tissue. If there is an infection in and around the tooth, many times it is necessary to place medication in the tooth and complete the treatment in a second appointment. In other situations the treatment can be completed the same day. Most appointments average about an hour to an hour and a half.

What does Micro Endodontics mean?

Endodontics is the specialty field of dentistry that deals with the internal part of the tooth or the root canal. As you can imagine this area of the tooth is very small and difficult to see and thus treat without the aid of special magnification instruments. State of the art Endodontics is practiced utilizing a surgical operating microscope. The term “Micro” is simply explaining that we use a microscope in all phases of treatment in order to provide treatment at the highest possible level.

What is a root canal?

The procedure of a root canal is the process of removing inflamed or necrotic (dead) tissue from the space within the tooth. During this process it is disinfected to reduce the number of bacteria as much as possible. After the canal space is cleaned and dried, it is filled with a root canal filling material to minimize the re-entry of bacteria.

Do you remove the roots?

The roots of your tooth are not removed. The inside of the roots are cleaned and the rest of the root is left to support the tooth.

Is the tooth dead?

What constitutes life is a great question for a philosophy class, and if you argue that the tooth was never alive, then it is possible that it could never die. Your tooth will no longer be sensitive to hot or cold, but it will still have feeling due to the bone and ligament that hold your tooth in the jaw.

The tooth is uncomfortable a week later. Is that normal?

Teeth are often uncomfortable after a root canal, and discomfort usually peaks about two days after treatment. It is common for the tooth to still be a little uncomfortable for a week or so. It is important that the tooth is getting better over time.

Can I go back to work after my my root canal?

Your jaw may be sore and your lip may be numb, but you should be in good shape to continue your regular schedule. I don’t recommend leaving your appointment and going straight to an important lunch meeting terms of your schedule, it should be no different than getting a filling or a crown.

What pain medication is best?

Unless there are contraindications (ask your physician) I usually recommend 600-800 mg of ibuprofen (Advil, Motrin, or generic) about every 6 hours. If you are still uncomfortable despite the ibuprofen, then take about 1000mg of Tylenol (acetaminophen) along with the ibuprofen. If you have been given a prescription for either Vicodin or Percocet, then you may take that with the ibuprofen instead of the Tylenol.

Will I need more dental work after my root canal?

In most cases, you will be referred back to your general dentist who will assure the tooth has an adequate permanent restoration. Most back teeth will require a crown if there is not already one in place. In this office, a permanent filling is often placed (instead of a temporary) to assure the tooth is adequately sealed. We will assure that you are informed of the next step in your dental treatment.If you have received a temporary in our office, and your root canal is completed, I recommend getting the permanent filling within three weeks.

Can I chew on my tooth after the root canal?

I do not recommend chewing on the tooth until it has received a permanent restoration. The risk of tooth fracture is very high in root canal treated teeth that have not been permanently restored.

Will I need a new crown?

If you already have a crown, most of the time the root canal will be done through a small opening in the top. Your dentist will need to repair the opening after your root canal is completed. A new crown may be indicated if there are imperfections that do not lead to predictable dental health.Crowns with porcelain (tooth colored crowns) are susceptible to fracture of the porcelain (happens less than 5% of the time). If the porcelain fractures in a way that the crown is no longer functional or esthetic, then replacing the crown may be necessary.

Can you do all of my dental work?

Many patients ask if they can come to me for all of their dental work. The answer is that I specialize in root canal therapy and limit my practice to that area of dentistry. Out of respect for your dentist, who has referred you to us, we will return you to their care. If you do not have a dentist, then we can help you find an appropriate match.

I’ve heard of implants. Are they better than root canals?

Maintaining your natural teeth is one of our priorities, but if we feel that root canal treatment is not predictable then a dental implant may be indicated. Implants are great for replacing missing teeth, and will be recommended if it is believed that they will be a better long-term investment in your health. The use of the dental operating microscope helps in predicting the outcome of treatment.

Do you take out teeth?

Only when it must be done immediately and you can not be seen by your dentist or an oral surgeon. Since an implant may be placed in the site where the tooth is being removed, I often recommend that the person placing the implant should be the one removing the tooth. This way the site will be prepared in a way that is familiar to the person placing the implant.

I was supposed to get my temporary 6 months ago and now my tooth hurts. Now what?

If you have not had your tooth permanently restored in a timely manner, the canal system may have become re-infected with bacteria. In this case a re-treatment may restore your tooth to health. In most cases you will need to pay for the cost of re-treatment, so getting the tooth restored early is a wise use of resources.The rate of fracture for an unrestored root canal treated tooth is very high. If the tooth has cracked then it may not be restorable, and you will lose what you have invested.

4450 N. Tenaya Way Suite 240
Las Vegas, NV 89129