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Dental Health Library Article

Root Canal Pain - An Anatomy



Video: Socket Grafting a Failed Root Canal
Video: RCT Demonstration
Phantom Tooth Pain
Root Canal Procedure Description
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Broken File?

Endodontics - Root Canals

No Pain Root Canals
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Root canals, as a procedure, are recommended treatment for problematic teeth. General Dentists and Endodontists (root canal specialists) perform root canals for the purpose of removing the root structure from a tooth (teeth) for a number of reasons.

Physical trauma, severe caries, cracked, chipped, various disease processes and other conditions or events that lead to a compromised tooth structure can be the basis for a dentist or Endodontist to recommend a root canal.

Solving the Mystery - Post Treatment Pain Perception

When a root canal is properly performed there are no nerves left within the tooth. The nerves within the tooth are responsible for the sensation of hot, cold and sweets.

Root Canals Video
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There are however, nerves around the outside of the tooth that are responsible for the sensation of pressure. In the common example of having a root canal performed in conjunction with the fitting of a new crown (cap), pain is often reported post-operatively.

A crown can adversely affect a person's bite (is too high) and cause a sensation of mild pain... all the way to throbbing pain of the entire treatment area.

If the perception of pain is general it may be necessary to have the crown removed and have a provisional crown placed that does not touch the opposing tooth. The pain will typically diminish in a matter of days. If the pain persists then the tooth may need to be carefully removed.

Another not uncommon situation involves the possibility of a fracture in the root. These fractures do not show up on x-rays and require extraction. If the tooth requires extraction it is imperative that the remaining bone is not destroyed.

More about Root Canals

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