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Root Canal / Endodontics

When the root of a tooth becomes infected, a root canal will be necessary to save the tooth. The only alternative to a root canal is extraction of the tooth.

The symptoms of an infected tooth are:

  • Sensitivity to hot or cold foods and liquids.
  • Swelling and pain.
  • Persistent bad taste in the mouth
Diagram of a tooth showing an infected root that would need a root canal

Sometimes an infected tooth won't even hurt. But, if left untreated it could develop into a serious medical emergency.

Dental Anatomy 101
When someone smiles, we are seeing the outer layer of the tooth which is called the enamel. There is another hard layer beneath the enamel which is known as the dentin. The small chamber at the center of the tooth is called the pulp chamber. Pulp tissue is made up of nerves, arteries and veins. The pulp chamber extends down the root canal to the tip of the tooth.

The teeth in the front of the mouth have one root canal, while teeth in the back of the mouth may have two, three or four root canals.

Diagram of the roots of a back tooth where they connect to tissue
Diagram of a tooth’s enamel, dentin, pulp chamber, and root canal

How do teeth become infected? Usually, infection develops when a deep cavity allows germs to penetrate the root canal. A severe blow to the tooth can also cause the pulp tissue to die and infection can set in. Severe gum disease can let infection enter the tooth at the base of the root.

If an infected tooth goes undetected for too long, an abscess can form at the base of the root. The abscess can actually cause deterioration and swelling in the bone, and often is very painful.

Three diagrams of root canal related procedure

Root Canal Procedure

A root canal procedure is normally broken down into the following steps:

  • Numb the area to be affected.
  • Isolate the tooth.
  • Open the tooth to get at the infection.
  • Remove the infection.
  • Use a dental file to smooth and clean the canal.
  • Take an X-ray to ensure infection removal.
  • Fill the root canal - sometimes a post must be added.
  • Make a new crown to restore your tooth.
X-ray close up of a tooth after a dental root canal and crown procedure
 
Locations
Springfield, MA
1795 Main St, Suite 215
(413) 733-6651
Springfield, MA
1795 Main St, Suite 212
(413) 732-5600
W. Springfield, MA
93 Van Deene Ave.
(413) 734-9400
Longmeadow, MA
66 Dwight Rd,
(413) 567-9600
E. Longmeadow, MA
294 North Main St,
(413) 525-9500
Wilbraham, MA
35 Kids Village Post Office Park
(413) 509-1500