root canal treatment Archives | Page 2 of 2

Is a Pulpotomy Really Necessary?

Posted on January 31, 2020 by writeradmin.

My daughter has an infection on a baby molar. My dentist wants to do a pulpotomy on it. What I don’t understand is why we just don’t pull the molar. It’s not her permanent one. When I asked her dentist, he just said, “Because as her dentist I’m telling you this is the best option.” What I wanted to say was, “Well, as her parent I want to know why.” but I was too chicken. I’ve scheduled the appointment but I really want to know why before I follow through with this.

Jen

Dear Jen,

The answer to this really depends on the age of your daughter. Her baby molars need to stay in place until she is around twelve years old when her permanent molars come in. When they’re significantly younger than this, one option is to do a pulpotomy. This is essentially a child’s version of a root canal treatment. It will help her retain a necessary tooth.

Another option is to extract the infected molar, however, you will need to place a space maintainer where the tooth once was. This is a more invasive treatment, but sometimes becomes necessary when the tooth cannot be saved.

If you don’t do either of those, the infection will spread. Tooth infections are considered dental emergencies and need to be taken seriously. The jaw is close to the heart, brain, and lungs. You don’t want the infection to reach any of those areas.

If you extract the tooth without a space maintainer then her other teeth will shift into the open space. When her permanent molars start to come in, it will lead to crowding of her teeth. Then, you’re talking about needing orthodontics which could have been prevented. Keeping this space secured is much less expensive.

A Word about Your Pediatric Dentist’s Response

I’m not happy with your his response to your question. You are the parent and he is ethically obligated to give you all the options available in treatment. In doing that, it means also explaining the pros and cons to each option, along with his explanation for his recommendation.

His arrogance in being questioned makes me wonder whether he’s giving you any of your other options. This isn’t the best care for your child. While you need to get your daughter’s infection dealt with. I think you should start looking for a new dentist for her. If you live in a small town which doesn’t have many pediatric dentists, you can also see a general dentist who is good with children.

This blog is brought to you by Lexington, KY Dentist Dr. John Weaver.

Why Can’t the Dentist Get Me Numb?

Posted on December 24, 2019 by writeradmin.

I had to have a root canal treatment on a tooth that was injured years ago and has now picked up an infection. My dentist could not get me numb, even after six shots for one tooth. He’s at a loss. He didn’t charge me for the visit and has prescribed me some strong pain killers. I can’t live like this much longer. My dentist is doing his own research to try to figure out what to do, but I thought I’d write to you to see if you have experienced this with any of your patients. If so, did you find a solution?

Andrew

Dear Andrew,

I can help you. I have encountered this a few times. My suspicion is you struggle with some level of dental anxiety. Actually, based on how hard it was for your dentist to get you numb, it’s probably strong anxiety. It may not be in going to the dentist on its own, but in the procedure you needed.

What many dentists don’t realize is how that anxiety affects your metabolism. When you are anxious, your body’s metabolism kicks up a notch. This burns off the numbing medication. Therefore, what you need is something to keep your anxiety level down.

I’m going to suggest you use dental sedation for this procedure. Most dentists who offer sedation have two levels available. The first is nitrous oxide. This is for patients who are mildly anxious. It’s commonly called laughing gas and will relax you. It has the additional benefit of allowing you to get on with your day as normal after the procedure is done.

The second level is for those with more substantial anxiety. It’s known as oral conscious sedation (OCS). This is administered by a pill. However, it is so strong, you will need someone to drive you to and from your appointment, as well as remain with you afterward until you are lucid again. Most patients who take OCS sleep through their procedure, which is why some call it sleep dentistry.

If your dentist doesn’t offer either of these services, you can see a different practitioner for your root canal treatment. You don’t have to switch dentists entirely if you are happy with your current one. You can just go for this one thing and then return to your dentist.

Generally, after a root canal treatment, you will need to have a dental crown placed to protect the tooth.

This blog is brought to you by Lexington, KY Dentist Dr. John Weaver.

Why Is My Holistic Dentist Suggesting a Root Canal Treatment?

Posted on August 30, 2019 by writeradmin.

I specifically choose a holistic dentist because I wanted to do things naturally. Yet, when I got a toothache, he is suggesting a root canal treatment. Can’t I just treat the infection with oils?

Brianna

Dear Brianna,

woman holding a loose aloe vera plant with dirt

A holistic dentist factors in the health of your whole body.

It’s great that you try to do things in a natural and healthy way for your body. Believe it or not, that’s what your holistic dentist is trying to do as well. Dental infections are a little different from other types of infections. Oils won’t work. Antibiotics won’t even work. The infection has to be physically removed by a dentist, hence the root canal treatment.

This is because the infection causes the pulp of the tooth to die. When that happens, there is no blood flow left which doesn’t allow any medication to reach the infection. That is why the dentist has to remove the infection with a root canal treatment. This completely removes the infection while enabling you to save your tooth.

Alternative to a Root Canal Treatment

The only real alternative to a root canal treatment, once a tooth is infected, is to extract the tooth. This will require you to also get the tooth replaced. Even if the tooth isn’t visible when you smile, you’ll need to replace it. If you don’t, the other teeth will drift and tip into the empty space. This causes bite problems which can lead to more serious issues, such as TMJ Disorder.

If you decide to go this route, you’ll want a good tooth replacement option. The top two options are a dental implant or a dental bridge. Both of these are invasive. The implant requires surgery. The bridge requires you to grind down the two adjacent teeth in order for them to have dental crowns.

Never Put Off Treatment for a Tooth Infection

I don’t want you to put off treatment. I know it’s tempting when you are facing a treatment you aren’t keen on. But, tooth infections are dental emergencies. The infection will continue to spread. Some spread rapidly and become life-threatening.

This blog is brought to you by Lexington, KY Dentist Dr. John Weaver.

Infected Tooth & No Money

Posted on July 16, 2019 by writeradmin.

I don’t know what to do. I have a seriously infected tooth. That part of my cheek has swollen to the size of a golfball. I have no dental insurance and no job. I was laid off 5 months ago and just haven’t found anything. I don’t know what to do in order to take care of this. Do you have any suggestions?

Parker

Dear Parker,

I’m sorry about your lay-off. I know that is a terrible feeling, especially when you have something serious going on which needs to be addressed. When you’re talking about an infected tooth, it is important a dentist gets in there and physically removes the infected pulp. This is done with a root canal treatment. Antibiotics alone cannot solve the problem. The infection will flare back up and be harder to treat.

Even in the 21st century we still have people dying from tooth infections. Most people don’t realize how quickly these can turn life-threatening. However, if you think about how close your jaw is to both your heart and brain you can see that as the infection spreads things can turn serious.

Affording Dental Care During an Emergency

Most larger communities have some type of clinic available for people to get affordable dental care in cases of emergencies such as yours. Call your local dental society and see what they advise.

If you happen to live in a community which doesn’t offer these services, don’t lose heart. Most dentists are compassionate and went into their field because they wanted to help people.

Try calling around and explaining your situation. They may be willing to let you get the services you need and pay as you are able. Each practice will have their own policy. Communication is the key.

If the Tooth Can’t Be Saved

Depending on how far gone the tooth is, it may not be possible to save it even with a root canal treatment. If you end up needing an extraction, your dentist can provide you with a dental flipper. This is an inexpensive tooth replacement. It’s meant to be temporary but it gives you time while you are still looking for employment. When things are more stable for you, there are better replacement options your dentist can discuss with you.

The key now is to get the treatment you need.
This blog is brought to you by Lexington, KY Emergency Dentist Dr. John Weaver.

Getting a Lot of Work Done at Once with a Dentist

Posted on January 23, 2019 by writeradmin.

My mouth is in bad shape. I need to get a lot of work done. I need about 4 root canal treatments, two crowns, and a filling. However, I’d also like to improve the appearance of my teeth by whitening them. How much of this can be done in one appointment?

Ben

Dear Ben,

Sedation dentistry is sometimes called sleep dentistry…for a reason.

Each dentist has a different threshold for how much they’ll do in one appointment. However, you will find that sedation dentists are more likely to agree to longer appointments. That is because it is easier for the patient to have extensive work done while under sedation.

If you use a strong sedation, such as oral conscious sedation, it allows you to sleep through the appointment. You’ll be completely relaxed while the dentist goes about the business of doing your procedures.

The one thing you will want to split up is the teeth whitening. So, this is the tricky bit. It’s a matter of convenience over cost. While natural teeth whiten, dental work does not. That boils down to whatever color your dental crowns are when they’re made is permanent.

That means you can whiten your teeth before getting your crowns so they can be made to match the new color. Or, you can get the work done, then whiten your teeth. However, that means you’ll have to replace the crowns if you want them to match. Of course, that’s only necessary with crowns which are visible when you smile.

My suggestion, in that case, is to have your root canals and any fillings done. Then, whiten your teeth. After the tooth bleaching is completed, your dental crowns can be made to match the new color.

Your Best Bet is In-Office Whitening

Because you are in a hurry to get all this work done, I’m going to recommend you use an in-office teeth whitening, such as Zoom Whitening.

With Zoom Whitening, your teeth will get as white as possible in just one appointment. You will want to wait about a week afterward to allow the color to settle a bit, but that is still faster than take home whitening which can take several weeks to get to the level of brightness you want.

Best of luck to you.
This blog is brought to you by Lexington Dentist Dr. John Weaver.