Severe tooth pain can be debilitating, often stemming from problems deep within the tooth. Endodontic specialists, commonly known as root canal specialists, focus on diagnosing and treating conditions that affect the inside of the tooth. Here is more information on how endodontists address severe tooth pain, using specialized procedures to target the root causes:
Diagnosing the Source of Pain
When patients experience intense tooth pain in a previously treated tooth, an endodontic specialist typically begins with an examination. The specialist conducts tests to locate the precise source and nature of the pain. These tests may include thermal testing to identify sensitivity to temperature changes or percussion tests to determine tenderness in the affected area. Advanced imaging, such as digital X-rays or cone-beam computed tomography (CBCT), helps identify issues like abscesses, fractures, or inflammation that standard dental exams might miss.
Beyond imaging, the specialist evaluates the tooth’s pulp to identify signs of infection or necrosis. Pain often results from inflammation of this pulp, known as pulpitis, or from damage to the surrounding tissues. By pinpointing the cause, endodontists can determine the most effective course of treatment.
Performing a Root Canal Procedure
If testing reveals that the pulp inside the tooth is inflamed or infected, the endodontist may recommend a root canal procedure. This treatment aims to remove the damaged tissue and prevent further complications. This process begins with numbing the area to alleviate discomfort during the procedure. The specialist then makes an opening in the crown of the tooth to access the damaged pulp.
The endodontist uses specialized tools to clean the pulp chamber and root canals, removing infected tissue, bacteria, and debris. Once the area is clean, they shape the root canals and fill them with a biocompatible material called gutta-percha. This seals the space and prevents reinfection. To complete the treatment, the endodontist places a temporary filling over the opening. Patients usually need to return to their general dentist for a permanent crown or restoration.
Treating Complications and Advanced Cases
Some cases of severe tooth pain involve more complex factors, such as re-infection after previous procedures or issues that extend beyond the root canals. Endodontic specialists possess the training and expertise to handle these advanced challenges.
If a tooth develops a periapical abscess (an infection around the tip of the root), the endodontist may perform an apicoectomy. This minor surgical procedure removes the tip of the root and the surrounding infected tissue. The root is then sealed to prevent further problems.
Another advanced treatment option includes retreatment of a previous root canal. If a tooth develops a new infection after initial treatment, the specialist reopens the tooth to remove old filling material. They will then clean the canals further and place new filling material. These interventions help preserve the natural tooth while addressing pain effectively.
Find an Endodontic Specialist
Endodontic specialists play a key role in treating severe tooth pain by focusing on the health of the inner tooth and surrounding tissues. Through precise diagnostic tools, procedures like root canals, and advanced surgical options, they effectively target the underlying causes of discomfort. If you are dealing with persistent tooth pain, schedule a consultation with an endodontic specialist. Early diagnosis and treatment can provide relief and protect your oral health.
