Reasons for an Emergency Root Canal
A root canal is a procedure to remove infected or severely damaged dental pulp. An endodontist uses this method to fix and ultimately save the natural tooth. Once the infected pulp is gone, the space is cleaned, disinfected, and sealed. A crown often helps to keep the tooth functional and secure.
Signs that indicate the need for an emergency root canal include:
- Extreme pain: The pain from an infected pulp chamber can be overwhelming. In this instance, it is hard to wait until regular business hours for treatment. A patient will want immediate relief from this pain.
- Pus coming from a tooth: An infected tooth may have pus coming out from around it. That is a clear indication of an infection, and emergency care is needed. Waiting too long for treatment can lead to the loss of the tooth and the infection spreading to other parts of the body.
- Severely damaged tooth: A tooth severely damaged by trauma can require an emergency root canal to save it. Since the damage can reach the pulp, the patient may experience extreme pain and discomfort.
- Tooth discoloration: A discolored tooth is a sign that the tooth’s nerves are damaged. When the discoloration includes pain or sensitivity to hot and cold, a root canal may be necessary to save it.
“A root canal is a procedure to remove infected or severely damaged dental pulp.”
Getting Immediate Treatment
When a patient is experiencing extreme tooth pain or trauma, their first instinct may be to head to the emergency room. The emergency room can triage any wounds or other health issues. However, emergency rooms are not well-equipped to handle dental emergencies and will likely refer the patient to an endodontist for any related treatment. Emergency endodontic offices are open for dental emergencies that may require a root canal.
However, if the patient has suffered severe facial trauma or is dealing with extreme bleeding that could be potentially life-threatening, the ER should be the first stop. They will help stabilize the patient and treat their immediate needs. Once the patient’s overall health is under control, they can address any dental issues.
“When a patient is experiencing extreme tooth pain or trauma, their first instinct may be to head to the emergency room.”
The Difference Between an Endodontist and a Dentist
Endodontists are best equipped to handle emergency root canals. They are dentists who have undergone additional specialty training focused on diagnosing and treating tooth pain. They are sometimes referred to as root canal dentists because they perform many root canals and other procedures dealing with the inside of the tooth.
According to the American Association of Endodontists, while a dentist completes an average of 2 root canals per week, an endodontist averages 25 per week. Also, they have additional training in pain management. In an emergency, they can help manage pain, address infections, and save the natural tooth.
“Endodontists are best equipped to handle emergency root canals.”
Finding an Emergency Endodontist
There are resources available to help patients find an emergency endodontist before they need one. The American Association of Endodontists offers a search tool designed to help people locate an endodontist near them. Location is key when dealing with a dental emergency. No one wants to travel a long distance while in extreme pain.
Other options include asking friends and co-workers for referrals and looking at Google reviews. A patient’s general dentist will likely also have a list of recommended endodontists. By identifying a provider before an emergency happens, the patient will not need to hesitate before picking up the phone.
“The American Association of Endodontists offers a search tool designed to help people locate an endodontist near them.”
Treating an Emergency
Patients in the middle of a dental emergency that have not identified an endodontist near them should start with their general dentist. If the emergency is during regular business hours, a general dentist can do an initial consultation and refer the patient to an endodontist for emergency treatment. Patients who need after-hours help may use the American Association of Endodontists search tool to find a licensed provider with extended or emergency hours.
Patients may also take some initial steps at home. For example, if bleeding, the patient should use clean gauze, cotton balls, or paper towels to help slow down blood flow. Over-the-counter pain medication can provide temporary relief from swelling and pain. Using an ice pack on the face can help numb the affected area and keep the patient comfortable.
“Patients in the middle of a dental emergency that have not identified an endodontist near them should start with their general dentist.”
Frequently Asked Questions
Q. Are root canals a dental emergency?
A. Yes, root canals can be considered a dental emergency. If you delay treatment, there is a higher chance you may significantly damage or lose the tooth completely. Also, the longer you wait, the more pain you will be in.
Q. How much time does an emergency root canal take?
A. An emergency root canal can take anywhere from 1-2 hours. The endodontist will clean out the infected tooth pulp and disinfect the area, leaving the tooth in place. Once completely clean, the area will get sealed. A crown often gets used to keep the tooth secure.
Q. Are endodontists available on the weekend?
A. Many endodontists offer emergency and weekend hours to help relieve your pain. It is a good idea to identify an endodontist ahead of time, so you do not have to waste any time. Your general dentist can often make a referral.
Q. Are root canals safe?
A. Root canals are very safe and are one of the most commonly performed endodontic procedures. When done correctly, the tooth can last a lifetime. Thanks to advancements in technology, root canals can also be done comfortably and with little pain.
Q. How much does an emergency root canal cost?
A. The average cost of root canals varies widely. Much of it depends on your location and the specifics of your case. Patients are advised to check with their dental insurance to see if the procedure is covered. If you have an emergency endodontist picked out ahead of time, they may be able to give you an estimate.
Definitions
- Abscessed tooth
- An abscessed tooth happens when living tissue inside the tooth is infected with bacteria and spreads to the tooth root forming a pus-filled pocket at the end of the tooth root.
- Dental cap
- A dental cap or crown is a type of dental restoration that completely covers a tooth or dental implant.
- Dental pulp
- Dental pulp is the living material at the center and down the root of each tooth, consisting of blood vessels, connective tissue, and nerves.
- Disinfect
- To disinfect something is to clean it, usually with a chemical, to rid it of harmful bacteria.
- Bacterial infection
- An infection with disease-causing bacteria that give off toxins that destroy tissue and make an organism sick.
- Endodontist
- An endodontist is a dentist with advanced training in treating the insides of teeth.
- Pulp chamber
- The pulp chamber is the innermost part of the tooth that contains its living material.
- Pus
- Pus is thick white to yellowish fluid formed as an inflammatory response to infection composed of dead white blood cells and other debris and microorganisms.
- Root canal
- A root canal is a dental procedure involving the removal of the tooth pulp, disinfecting of the inside of the tooth and filling and sealing of the tooth.
- White blood cells
- White blood cells are produced by stem cells in the bone marrow and released to fight infections or inflammatory conditions.
Learn More About Emergency Root Canals
Do not ignore your tooth pain. What seems minor now can turn into something much more serious in the future. If you are in search of endodontic treatment, call South Denver Endodontics - Root Canal Specialists at 303-968-1350 to schedule an appointment.
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