Nixon dental knowledge

Should I do root canal treatment or filling for my decayed teeth?

Should tooth decay be filled or rooted treated?

Tooth decay, if left untreated, can cause serious harm to oral health. For patients suffering from tooth decay, should you choose a tooth filling or a root canal treatment in the choice of treatment?

Tooth filling refers to the removal of bad tooth tissue at the site of tooth decay, and then filling with filling materials to restore the tooth to its original shape, so that patients can more easily clean the tooth and stop the process of tooth decay. In addition to removing tooth tissue damaged by tooth decay, Du tooth root will also remove the inflamed or necrotic nerves inside the tooth, and then put fillings in the nerve duct to complete the filling of severe tooth decay.

Dental filling is a less invasive treatment option than Du tooth root and is a more conservative practice. So should all patients with tooth decay choose fillings? The answer is no, and it should be judged according to the degree of tooth decay.

The tissue of the tooth can be divided into enamel, ivory and nerves. If tooth decay only affects the exterior of enamel and dentin, usually fillings can already solve the tooth decay. If tooth decay has affected the inside of the dentin and nerves, then the filling is no longer necessary, and only the root can be performed.

So how can I tell to what extent my tooth decay has been affected? The easiest way is to go to a dental office to see a doctor for examination and X-ray to determine the size of the tooth decay. So in addition to seeing a dentist, can you roughly judge the situation of tooth decay? In fact, there are methods:

Depending on the severity of tooth decay, patients may have different symptoms:

影響範圍病徵診斷治療方案
初期琺瑯質及象牙質外部受冷水刺激時有數秒尖痛的感覺可逆性牙髓炎
(reversible pulpitis)
補牙
中期象牙質內部及神經線受冷水、熱水刺激時有長達數分鐘的痛感

不受刺激時亦可能會自然痛感

影響睡眠

可能需要止痛藥
不可逆性的牙髓炎(irreversible pulpitis)杜牙根
嚴重牙根底部咬牙時會有尖痛

受熱水刺激時有長達數分鐘的痛感

冷水可能可以舒緩痛楚
根尖牙周炎 (Apical Periodontitis)杜牙根 / 脫牙

 

In summary, to choose between filling teeth and tooth root, it is necessary to judge according to the symptoms of toothache and the degree of tooth decay. If in doubt, you should see a dentist for examination and consultation.

What is painless root canal treatment?

Root canal treatment is a dental treatment performed under local anesthesia, so there should not be any pain when performing root tooth root under normal circumstances. So why do we sometimes hear that some friends have pain when performing Root canal treatment?

The pain that occurs during the root can be roughly divided into three reasons:

1. Pain during anesthesia injections

Anesthesia is given before the root is performed, and local anesthesia is given in the form of an injection, so the injection may be painful for the patient.

If you want to reduce the pain during local anesthesia, you can first ask the doctor to apply the anesthetic ointment on the surface for you, so that the tooth flesh at the place of the anesthesia needle can be surface anesthesiated first to reduce the pain during the injection.

Doctors can also inject anesthesia slowly, as too fast an anesthetic injection can increase pain. Raising the temperature of the anesthetic in advance can also reduce the pain, so some dentists will also put the anesthetic in warm water for a period of time before injecting.

2. Pain during tooth root

Under normal circumstances, the patient’s intradental nerves should be completely anesthetized after local anesthesia. However, if the nerve lines of the patient’s teeth are in a state of severe inflammation, the effect of the local anesthetic solution will be reduced, and the complete anesthesia effect will not be achieved.

Therefore, if your nerve lines are severely inflamed, your dentist may recommend that you take anti-inflammatory painkillers for a few days and wait until the inflammation of your teeth becomes mild.

3. Pain after performing the root of the tooth

When the anesthesia takes effect, the teeth may feel painful. The dentist may give the patient a strong pain reliever to reduce the pain behind the root of the tooth

 

Therefore, if the painless way to do tooth root is to cooperate with the above points:

  • Start with the anesthetic ointment on the surface
  • Inject anesthetic slowly
  • Put the anesthetic in warm water first
  • Take anti-inflammatory painkillers for a few days first
  • Powerful painkiller after tooth root

Root Canal Treatment Price

The cost of Root Canal Treatment is $3600

Incisors, premolars and first molars are charged equally

Consultation, X-ray and medication are included