Posts for tag: root canal

By Dr David Kahn, DMD & Dr John Pergolizzi, DMD
May 11, 2021
Category: Dental Procedures
Tags: root canal  

"Debit or credit?" "Buy or rent?" "Paper or plastic?"  Decisions, decisions. It's great to have more than one good option, but it can also provoke a lot of thought in making the right choice. Here's another decision you may one day have to face: "Save my tooth or replace it?"

It's hard to pass up replacing a tooth causing you misery, especially when the alternative is a functional and attractive dental implant. But before you do, consider this important message the American Association of Endodontists relay during Save Your Tooth Month in May: Before you part with a tooth, consider saving it as the best option for your oral health.

Even an implant, the closest dental prosthetic we now have to a real tooth, doesn't have all the advantages of the original. That's because your teeth, gums and supporting bone all make up an integrated oral system: Each component supports the other in dental function, and they all work together to fight disease.

Now, there are situations where a tooth is simply beyond help, and thus replacing it with an implant is the better course of action. But if a tooth isn't quite to that point, making the effort to preserve it is worth it for your long-term health.

A typical tooth in peril is one with advanced tooth decay. Decay begins when acid softens tooth enamel and creates a cavity. At this stage, we can often fill it with a tooth-colored filling. But if it isn't caught early, the decay can advance into the tooth's interior pulp, well below the enamel and dentin layers.

This is where things get dicey. As decay infects the pulp, it can move on through the root canals to infect the underlying bone. If this happens, you're well on your way to losing the tooth. But even if the pulp and root canals have become infected, we may still be able to save the tooth with root canal therapy.

Here's how it works: We first drill a tiny access hole into the infected tooth. Using special instruments, we remove all of the infected tissue from within the pulp chamber and root canals. After a bit of canal reshaping, we fill the now empty spaces with a rubber-like substance called gutta percha. After it sets, it protects the tooth from any more infection.

Contrary to what you might think, root canals aren't painful, as your tooth and the surrounding tissue are completely anesthetized. In fact, if your tooth has been hurting, a root canal will stop the pain. Better yet, it could save a tooth that would otherwise be lost—a satisfying outcome to a wise decision.

If you would like more information about tooth decay treatments, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “A Step-By-Step Guide to Root Canal Treatment.”

By Dr David Kahn, DMD & Dr John Pergolizzi, DMD
October 23, 2018
Category: Dental Procedures
Tags: root canal   Tooth Pain  

How a root canal from your dentists in Ringwood, New Jersey can save your smile

Root canal treatment can save your tooth and your smile. Instead of removing an infected or decaying tooth, a root canal can eliminate pain and let you keep it. Remember that once you remove a tooth, you are either faced with expensive tooth replacement, or living with an incomplete smile. Consequently, it is much easier to keep all of your teeth if possible—and thanks to root canal therapy from your Ringwood, New Jersey, dentists, Drs. David Kahn and John Pergolizzi—you can!

Do You Need a Root Canal?

If you have a tooth that experiences pain when you consume hot or cold food and beverages, you might need a root canal. Here are additional signs and symptoms which may indicate you need a root canal:

  • Increasing tooth pain with exposure to hot or cold
  • Radiating pain that travels into your jaw, face, or head
  • Sharp, stabbing pain or throbbing when you chew or bite down
  • A small white or red bump appearing next to the tooth root that leaks blood, pus, or other liquid drainage (an elevated bump with or without drainage indicates you have an abscess in your tooth)

Usually, pain is a good indicator that your tooth has a problem. However, you may feel no symptoms, show no signs of a problem, and yet still need a root canal. The reason for this is that teeth can experience sclerosis, a process where a tooth naturally dies due to the hardening and drying of nerve containing canals and blood supplies. That’s why it’s always important to regularly visit your dentist for comprehensive dental examinations and x-rays. Only your dentist can tell for sure whether you need a root canal—you can’t rely on signs and symptoms alone.

Interested? Call Today!

To learn more about root canal therapy and other restorative dental treatments, call Drs. David Kahn and John Pergolizzi in Ringwood, New Jersey. Treat your tooth pain by calling (973) 835-3900 today!

By Dr David Kahn, DMD & Dr John Pergolizzi, DMD
June 21, 2018
Category: Dental Procedures
Tags: root canal  

Many people consider a root canal treatment to be potentially an unpleasant experience. You might even feel a few butterflies fluttering in your stomach if we were to recommend one for you.

But there’s nothing actually to dread about this common and very effective treatment. The procedure doesn’t cause pain; in fact, it most likely relieves tooth pain. What’s more, it could save a tooth that would be otherwise lost.

The name comes from narrow passageways extending from the tip of the root to the innermost tooth pulp. The pulp contains nerves and other structures once vital to early tooth development. And although they’re not as important in a fully mature tooth, those nerves still function. In other words, they can still feel stimulation or pain.

That shouldn’t be a problem with a healthy tooth. But if tooth decay invades the inner pulp, those nerves now under attack will begin firing. You’ll know something’s wrong. As bad as it feels, though, the toothache isn’t your worst problem: if the decay isn’t stopped, it can spread through the root canals to the bone that could eventually lead to losing the tooth.

A root canal treatment removes the decayed pulp tissue and protects the tooth from re-infection. We first deaden the tooth and surrounding tissues with a local anesthesia and set up a rubber dam around the tooth to protect it from contamination from the surrounding environment. We then drill a small access hole through the enamel and dentin to reach the pulp chamber and root canals.

Using special instruments, we remove all the diseased tissue from the pulp and flush out the empty chamber and root canals with antibacterial solutions. After re-shaping the root canals, we fill them and the pulp chamber with gutta-percha, a rubber-like biocompatible material that conforms well to the root canal walls. We seal the gutta-percha with adhesive cement and then fill the access hole. Later, we’ll give the tooth further protection with a custom crown.

After the procedure, you may experience short-term minor discomfort usually manageable with over-the-counter pain relievers like ibuprofen. The good news, though, is that the excruciating nerve pain from within the tooth will be gone—and your tooth will have a new lease on life.

If you would like more information on saving a problem tooth with root canal treatment, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Root Canal Treatment: What You Need to Know.”

By Dr David Kahn, DMD & Dr John Pergolizzi, DMD
October 21, 2016
Category: Dental Procedures
Tags: root canal   tooth decay  

Know the warning signs that it’s time to visit one of our Ringwood dentists.

One of the unfortunate things about your mouth is that it doesn’t always tell you when there are issues. Most of the time, decay and evenroot canal gum disease lurk in your mouth without you ever knowing until you visit one of our Ringwood, NJ general dentists, Dr. David Kahn or Dr. John Pergolizzi, for a routine checkup. Of course, there are some symptoms that may actually be warning you that you need a root canal.

One of the most common signs that a patient may need a root canal is tooth pain. Of course, pain doesn’t always mean that a root canal is necessary. Signs of a dental infection that may be serious enough to warrant getting a root canal in Ringwood include:

  • Dental pain that gets worse when eating
  • Dental pain or sensitivity to hot or cold that lingers
  • Tooth discoloration or darkening
  • Swelling or tenderness of the gums around the infected tooth
  • A pimple-like growth on the gums near the tooth

If you notice any of these symptoms it’s always best to play it safe and visit our general dentist for care. Especially if you are dealing with persistent or severe dental pain, a root canal can save the tooth and eliminate your symptoms.

What should I expect from a root canal?

Many people have given a root canal a bad reputation but it’s a simple and easy procedure that is really no worse than having a tooth filled. Before you even get your root canal, we will need to run x-rays to see how severe the damage is.

During your procedure, the very first step is to numb the area with a local anesthetic. This will ensure that you don’t feel anything during your procedure. Numbing the area can be a major relief for many of our patients since most are dealing with pretty bad pain at this point.

Once the tooth is numb we will make an opening in the crown of the tooth and then use our special tools to remove the decayed or inflamed dental pulp. The inflamed dental pulp is what has been causing you all this pain. Then we will thoroughly clean out the tooth before filling the tooth back up and sealing it. In many cases, a dental crown is also made to fit over the tooth to prevent further damage.

If you are dealing with dental pain then you are dealing with a true dental emergency that requires immediate care. Call our Ringwood, NJ dental office today and turn to Dr. Kahn and Dr. Pergolizzi for the care your smile deserves.

By Dr David Kahn, DMD & Dr John Pergolizzi, DMD
November 06, 2015
Category: Dental Procedures
Tags: root canal  

Most people think of root canal procedures as the epitome of a painful dental experience. In reality, the opposite is true- root canals are Root Canal often one of the most effective ways to relieve dental pain. If you have severe tooth pain, pain on chewing/biting, gum swelling or pain, or pain that lingers after eating, a root canal could be the path to healing and comfort. Read on to inform yourself about when root canals are appropriate, what the procedure is like, and where to get more information and help. 

If the hard outer enamel layer of your tooth is significantly damaged (from either trauma or decay), germs can gain access to the soft inner ‘pulp’ tissue, which contains the nerves and blood supply. When an infection results, swelling and inflammation occurs and the tooth and gums can become extremely painful, especially when trying to eat. This is when a root canal procedure can make a huge difference.

The Procedure:
The first step in a root canal procedure is the administration of a local anesthetic, just like having a cavity filled- consequently, the procedure itself does not usually cause pain! Once the area is numb, your dentist will make or enlarge the hole in the enamel to allow access to the pulp. Any infected or dead tissue is removed, and the infection is cleaned out thoroughly. The result space is filled with a combination of bio-compatible plastic and an adhesive substance, making a form-fitting and supportive inner structure. The hole in the enamel is then filled just like a standard cavity. However, if the enamel is majorly damaged, the tooth may need to also be crowned. 

Should I seek treatment?
If you have dental pain, it is always a good idea to seek a professional consultation. If you have pain as described above, it could be even more important. If left untreated, a tooth infection can spread and require more invasive and advanced interventions, such as complete tooth replacement and antibiotics. Prompt treatment will ensure your pain is minimized…so call the caring professionals at the office of Dr. David Kahn and Dr. John Pergolizzi. Located in Ringwood, NJ, their staff will make sure you are at ease and that you receive only the best care. Reach them at (973) 835-3900 for more information or appointments!

Contact Us

To contact us, please call our office at (973) 835-3900.

Dr David Kahn, DMD & Dr John Pergolizzi, DMD

(973) 835-3900
Dentist in Ringwood, NJ
Dr. David Kahn, DMD & Dr. John Pergolizzi, DMD
10 Greenwood Lake Tpke
Ringwood, NJ 07456
(973) 835-3900
(973) 835-4631 Fax

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