is that the difference between a root canal and an extraction? because they both sound the same to me. and is it right to say that crowning is something like a 'fake' tooth? like dentures? so why can't crowning follow an extraction?
210492
A root canal procedure removes the blood and nerve supply to the tooth.  This is accomplished by accessing the pulp chamber through the top of the tooth.  Each canal is disinfected and sterilized.  An inert material is placed in the cleaned canals in order to prevent bacteria from colonizing the canal again in the future.  The entire external portion of the tooth remains intact for a root canal procedure.  This is strikingly different from an extraction in which the whole tooth is removed from the mouth.  \n\nWhen teeth are missing, dentists can make "bridges" to replace teeth.  This requires teeth in front and behind the missing spaces.  These adjacent teeth are shaved down and crowns with fake floating teeth called pontics are cemented in permanently.  There are other options such as implants or partial dentures for missing teeth.
494750
1. Most teeth that have reached the need for an RCT have had large holes already, and the remaining tooth structure has therefore been weakened.\n2. Any tooth with a standard filling may fracture at some time, but usually above the gum level, and usually can be repaired. But teeth that have also had an RCT have a deep access hole through the middle of the tooth down to the nerve (pulp) chamber, any fracture from here will go under the gum - irreparable and usually an extraction.\n3. So a crown is usually advised after the RCT to hold it all together.\n4. Crown lengthening is sometimes necessary to give the crown a bit more length to hang onto the tooth, and increase the chances of success. Most likely with incisors and premolars.\n5. If the RCT settles down quickly (a couple of days), then crown lengthening and a crown should be as soon as practicable. \n6. These possibilities should have been brought up for discussion before the RCT was commenced so that you could give your "informed consent".
365108
Okay...the root canal is a great procedure to have...all that does is take the nerves out of your teeth which will keep you from having any further pain. However, you want to get porcelain veneers/crowns...make sure you see some of his work first. The process sucks because you have to have temporarys for 2 weeks first but the overall result is great. My top 2 front teeth have had both a root canal and crowns and trust me when I say I barely even had enough tooth to build on to. My teeth were chipped so bad my nerves were hanging out. You will probably want to get them redone in about 10 yrs. Hope this helps :)
615760
had a fall as a kid and broke my front incisor. It turned black as the nerve went dead and later on as a teenager had a root canal done and got a crown fixed. The first crown lasted me for 5 years. Had to get it removed coz the root canal had to be redone. the crown I got fixed after that has a metal on the back side and enamel only on the front. That has lasted me for the last 15 years without any hassles. I do have to get it redone now because the enamel has turned yellow with the passage of time.\n\nGo for crowns if you really want to. A suggestion though: \n\nCheck out the link I have given, maybe some other  procedure could be more beneficial for you than a crown.\n\ngood luck
358099
well. white fillings are bonded in. silver ones are held in by undercuts so you dentist felt it would hold better. if it is that big, you needed a crown not a filling. anyway....it sounds like you fractured your tooth, if so and the fracture goes to pulpal floor (where crown meets roots) it is nonrestorable. even a root canal wont help. go back to your dentist.
232792
Sometimes the pulp (nerve) in the tooth will become inflamed whenever a tooth has treatment done on it and usually resolves.  However, three signs that the pulp is not going to recover is 1. The tooth wakes you up at night.  2. The tooth starts hurting for no reason.  3. Whenever you get hot or cold things near the tooth it sets the tooth off and it hurts for more several minutes.  My advice would be to keep things with extreme temperatures away from the tooth, don't chew on it and just "baby" the tooth along for a couple of weeks.  If the tooth starts behaving like I just described, chances are you will need a root canal on the tooth.  Also, it sounds like a crown would have been a better choice to restore the tooth if your tooth split in half.\n\nDr. R.
89666
If you are this doubtful of your dentist, get a second opionion. Space maintainers are wonderful if you have to pull a baby tooth, you need to hold that space but we like to save a tooth if possible. Could she not have pulpotomy's and stainless steel crowns (this is common on a primary tooth with severe decay ... that can be saved). A pulpotomy is like a baby root canal.  Keep in mind sometimes things are worse than they appear. Dont hesitate to ask questions, if your providor does not want to take the time to make you feel comfortable then maybe this is not the right dentist for you. We show the parent the xrays of the child, explain ideal treatment and why,if this is not something the parent can afford, we discuss the other options. This is your child, your money. A second opinion never hurts.
181768
The worst part about root canals...they are VERY BORING!!  The only thing that you should feel is when they get you numb, which isn't too bad.  If you are having an endodontist (a specialist that only does root canals) do the work, it should go more quickly than having a general dentist do it.  With most root canals, the tooth is sore for about 24-48 hours after the endo is done, this is due to them working on the tooth & it is completely normal. Root canals are about 90% successful; they may need future work on them & it is SO IMPORTANT to have a crown put on the tooth just as soon as you can!!!  Teeth that have had root canals become dry & brittle, so if you bit down on something just right you could break the tooth in a way that it may have to taken out; and that would be a waste of $$.  Good luck!!
464182
I've had a lot of root canals done before, and even after months, sometimes they do that. If you had an abcess, you would know it, you would be in extreme pain, and you would look like a chipmunk. It's just your gums adjusting to the changes. Mouths are really sensitive to dental work, and root canals can take a while to adjust to. It will go away with time.
179194
sorry to hear you're in pain, that's tough!  everyone i've known who's had root canals wished they never did it - they often have complications.  last fall i had my wisdom teeth removed, and had to have a molar next to one of them removed also ( i had the option of root canal or just removing it)  and it's ok now, i don't miss it, pain's gone.  so if it's a few back teeth you wouldn't miss, you may just want to ask them to just remove them...good luck!
536357
If you indeed have an abscessed tooth then go see a dentist.\n\nGenerally you have two options;\n1) To save the tooth you will need a root canal.  The pulp chamber is opened up, the abscess drained from the tooth and then medicaments placed into the canal space until symptoms subside, usually taking a week.\n2) Have the tooth extracted.  Which may also be the only option available depending on the cost:benefit factor with regards to root treating the tooth.  It may be better to have the tooth extracted if it is not important for speech, function (chewing), and if it is aesthetically irrelevant or if the cost of a root canal and crown just does not seem 'worth it' to you.\n\nThat is, without seeing the tooth in person or via radiographs or doing any form of tests on the tooth.
184392
You don't feel anything at all when you have an extraction done, apart from the slight pain from the injection, but you'll have had injections before for fillings so you'll know what to expect. They get you numbed up, and then they go in with some pliers and just pull it out. Honestly, you don't feel anything except for some pressure. The noise is the worst thing really, it's kind of like a creaking noise as the roots become dislodged, and then a crack when it comes out. Afterwards, you spit out a lot of blood which is kind of freaky, but it doesn't bleed for all that long. I took pain killers for a couple of days afterwards I think, but I don't think I really needed them. It feels weird having a hole in your gum, and always tempting to stick your tongue in it - but don't, it will dislodge the clot! Honestly, I'd just get it done under local. I had 3 teeth pulled at once when I was only about 12, done under local, and yeah, I was really scared, but it honestly wasn't that bad.
181216
Just did a root canal yesterday on a young man. 24 yrs old.  He was very surprised it did not hurt.  the shots hurt at the beginning of the visit. He started to fall asleep during the procedure he told his wife.    Generally, however,  Root canal pain get worse the longer you wait.  If you wait till there is constant pain the complicaitons are worse and hence more tendency to have PAIN.  The most common length of pain following a root canal is 3 days we tell our patient after that your'e good. You need to know, also, once you get a root canal you have a limited time to have a crown done on the same tooth.   As far as waiting it could be OK,  but if the pain starts to become constant and random last longer than 30 seconds with no stimulus.  You better get it done sooner.  Officially,  were trained to say got get it taken care of.  In reality many patients wait for job insurance to kick in.   Hope it helps. . .
510236
NO, there is not.  Your tooth is probably decayed and that's why the crown came off again.  There is just not much to work with and no good "gluing surface" remains.\n\nYou should have the tooth removed now, because it is only going to continue to rot and then it will be even harder to remove.\n\nIf you can't afford the bridge now (and the $2000+ fee is probably low in the US), just don't do it now.  It's not an emergency matter.  You'll get to it some day.
249448
I had a similar issue.  Had a root canal on one..and the one behind it was even worse.  I ended up having the back one pulled and I am so glad I did!  It feels so much better and the dentist told me after he pulled it that even if I had had the root canal he's not sure how long the tooth would have stayed healthy.  Sometimes its better for your health to just get it out of there.
417581
The procedure is called a pulpotomy, which is a child's version of root canal.  It is a much quicker technique.  The dentist removes the tissue from the root canal of the baby tooth (Yes, they DO have roots until they are ready to be shed when the roots have disolved.) and fills it in with a special cement made for this purpose.  The tooth is then restored with either a simple filling or, if there has been a lot of breakdown, a pre-formed (inexpensive) stainless steel crown.\n\nI'd say, the younger the child, the greater the indication for doing a pulpotomy.  The purpose of this is to save a tooth rather than have it removed.  Baby teeth DO serve a purpose, you know.  The child uses them to eat with.  On top of that, they will maintain the space that is needed for the permanent tooth to fit into the arch.\n\nIf you don't have the pulpotomy performed, the tooth will eventually hurt like heck, as the pulp (nerve and blood vessels inside the tooth) are already inflamed and probably infected.  An abscess can pop up very quickly in a child.  An infection (the abscess) can cause discoloration or even deformity of the permanent tooth.\n\nIf you decide to have the tooth taken out, especially at a very young age, it is very likely that the arch space will close up and there will not be room for the permanent tooth to come in.  It is rather common to see a lower premolar growing in with the crown pointed half-way towards the tongue after one of the baby molars was removed at an early age without being replaced with a space maintainer.\n\nIf there is already an abscess showing in the mouth and if the x-ray shows that the bone between the roots has already been destroyed, a pulpotomy has a lower chance of success.  Since this can happen in a matter of days in a child, do not delay treatment once it has been recommended.\n\nhttp://dentalresource.org/topic57pulptherapy.html
546200
Just a few weeks ago I had the remaining 2 molars in my mouth pulled out. When I was 17 years old I had my first root canal. The years proceeding I had 5 more. Let me just say that the next 10 years of my life was a nightmare. I was in pain every day. My face hurt, my joints hurt, I just didn't feel right. I saw multiple dentists and specialists who wanted to put me on narcotics. I finally found a dentist that would help me. He said that because I had been in pain for so many years that the best thing would be to remove them. Every single tooth that had a root canal done on it had infection and was decayed on the inside. None of this could be seen on any x-ray we looked at. My destist said "No wonder you don't feel good, you have been living with a pretty big infection in your face, for what looks like years." I am now 29 and I have no molars left in my mouth and I can easily say that I have spent a small fortune on dental work. I can also honestly say that I have not felt this good in 10 years. There has to be some truth to what you are saying. The day after I had my last infected molar pulled was the first day in about 5 years that I didn't have a headache. I didn't even need to take any pain medicine because I felt soooo much better. So obviously there has to be some connection there. My new dentist says that at dental school they are really teaching about implants now and that hopefully soon more dentists will go back for continuing education and learn about them. I am curious to see what others have to say about this. Good question.