A damaged or infected tooth needs to be assessed by a dental professional as soon as possible. Endodontists are dental professionals who specialize in saving natural teeth through root canal treatments and other procedures. However, even with today’s technology, the most skilled of endodontists cannot save every tooth. There are times when the best course of action is simply to have a failing tooth removed.
Situations In Which A Root Canal Is Better
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The symptoms of a damaged tooth are recognized early. If you notice severe pain while chewing, a pimple on your gum, tender gums, lasting sensitivity to hot or cold foods, or certain other symptoms that indicate your tooth’s pulp is infected, schedule an appointment with your dentist or endodontist immediately. The sooner your tooth can be examined, the more likely it is your natural tooth can be saved.
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Your tooth’s structure is still strong. Root canals remove the nerve pulp inside your tooth’s roots and replace them with a biocompatible material. A crown is placed over the treated tooth to provide it with additional support. This treatment can be effective long-term 95 percent of the time, but if your tooth’s structure has been eroded by decay or injury, it is much less likely to be successful.
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Your tooth roots are relatively easy to clean. The success of a root canal hinges largely on how well your endodontist can remove infection from your tooth roots before sealing the canals. If you have long or unusually shaped root canals, this may be difficult.
When Extraction Is Better
Your dental professional may recommend a tooth extraction if any of the following are true:
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The tooth is badly decayed
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The tooth has suffered a severe fracture
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The tooth isn’t supported well by the surrounding gum tissue due to periodontal disease
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The tooth has received a root canal treatment or retreatment and is still failing
“Your endodontist can determine whether an extraction and tooth replacement or a root canal is the better option for your natural tooth,” says Dr. Allen, who practices with the Phoenix Endodontic Group. “Both treatments are effective in restoring your mouth’s function and appearance.”
