My Blog

Posts for: April, 2014

By Mark Lukin
April 17, 2014
Category: Dental Procedures
Tags: root canal  
DoesRootCanalTreatmentLastForever

Perhaps you’ve been told that you need to have root canal treatment in order to save one or more of your teeth. By now, you know that the procedure itself is essentially pain-free, and that it has an excellent chance of success. But you may be wondering — just how long can you expect that “saved” tooth to last?

The short answer is: decades… or even a lifetime. But in just the same way that no two fingerprints are exactly identical, neither are any two teeth with root canals. There are some factors that could result in one tooth having a greater longevity after root canal treatment (RCT) than another — but before we go into them, let’s look at what RCT actually involves.

When infection and inflammation is allowed to get a foothold deep inside a tooth — usually due to uncontrolled decay or trauma — the nerves, blood vessels and connective tissue that make up the tooth’s pulp begin to die. If left untreated, the infection can spread out of the tooth and into the bone of the jaw. This may lead to further problems, including the development of a painful abscess, and eventual loss of the tooth.

Root canal treatment involves gaining access to the infected pulp tissue through a tiny hole made in the tooth, and then removing it. Next, the space inside the tooth is disinfected and filled with sterile material, and the access hole is closed. Afterward, a crown or “cap” is often needed to protect the tooth and restore it to full function in the mouth.

One factor that can influence how long a treated tooth will last is how soon the tooth is restored following the root canal procedure: The sooner it receives a permanent filling or crown, the longer it is likely to last. Another factor is whether or not the underlying infection has spread into the bone of the jaw: A tooth that has received RCT promptly, before the infection has had a chance to spread, is likely to have greater longevity.

Some of the other factors that may influence the longevity of a tooth after RTC are: the location of the tooth (front teeth are easier to treat and receive less biting force than back teeth); the age of the individual (teeth become more brittle over time); and what other work needs to be done on the tooth (such as the placement of posts, which may in time weaken the tooth’s structure.) In general, however, there’s no dispute that a tooth which has received a quality root canal treatment should last for many years to come — if not an entire lifetime. And to many people, there’s simply no substitute for having your own natural teeth.

If you would like more information about root canal treatment, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Root Canal Treatment: How Long Will It Last?


TopFiveReasonstoConsiderConsciousSedationforChildrenNeedingDentalWork

When it comes to dental procedures, not everybody has the same comfort level; what’s easily tolerated by some can be a major source of anxiety and stress for others. In fact, by some estimates perhaps 10 to 15 percent of Americans avoid visiting the dentist entirely because of the fear factor — and this applies to kids as well as adults. So what should you do if your child needs dental work but is seriously scared of the chair? Here are the top five reasons for considering conscious sedation to relieve your child's dental anxiety.

  1. It allows dentists to treat children and teens who would otherwise be too fearful to come in. This can be especially useful when invasive treatments like root canals or extractions are needed. When problems are treated at an early stage, it’s often possible to prevent more extensive work from being required later; this can reduce the overall cost of treatment — and also help to preserve the natural teeth!
  2. Dentists who use pediatric conscious sedation are specially qualified to do so. Advanced training and continuing education are part of the qualification process. In addition, emergency life support equipment is kept on hand, and practitioners are familiar with its use.
  3. The medications used are safe and effective. New, fast-acting drugs get the job done and then leave the body quickly. They are commonly administered by mouth (orally), so there is no need to fear the needle. While any type of sedation comes with a slight risk, minimal conscious sedation is a lower-risk alternative to deeper levels of sedation, or general anesthesia.
  4. A designated staff member monitors your child at all times. Vital signs such as heart rate, blood oxygen level, respiration rate, blood pressure and temperature are constantly under observation. This helps ensure that the level of sedation remains effective, yet safe.
  5. It can form a foundation for stress-free dental treatment in the years to come. No one wants to put their child through a terrifying experience — especially when the fearful memories could prevent them from getting necessary treatment in the future. With conscious sedation, that’s not an issue. In fact, with many of the medications currently in use, your child may not even remember the procedure when it’s over.

Dental anxiety can be a serious problem — but it’s good to know there are ways to control it. If you would like more information, call our office to arrange a consultation. You can learn more in the Dear Doctor magazine article “Sedation Dentistry for Kids.”