Benefits of Root Canal Therapy Versus Extraction

The single most important benefit of root canal therapy is that you keep your tooth. Extraction may lead to other dental problems. For instance, drifting of teeth, bite problems, TMJ discomfort, and the need to treat adjacent teeth that do not otherwise need dental treatment in order to restore the missing tooth. No matter how effective modern tooth replacements are – and they can be very effective – nothing is a good as your natural tooth.

What will happen afterwards RTC?

Your tooth may feel sensitive for a few days, but any discomfort can usually be relieved with over-the-counter pain medication or anti-inflammatories like ibuprofen. You will be instructed to avoid chewing on that tooth until it receives its permanent filling, which can be placed a few days later. Depending on how damaged the tooth was to begin with, it may need a full-coverage crown. Those options will be discussed with you.

How can I avoid the need for root canal treatment in the future?

Keep your teeth decay-free by brushing and flossing every day. Eat a healthy diet low in sugar and avoid acidic beverages such as soda. Have regular professional cleanings and exams. And if you’re active in sports, consider ordering a custom-made mouthguard to protect your teeth from injury.

What will happen during the procedure?

After numbing the area, a tiny hole in the crown (top) of your tooth is made to access the pulp chamber and canals. The diseased tissue is removed, and the pulp chamber and the canal(s) are disinfected all the way to the root end(s). Teeth in the front of the mouth have one root and generally one canal; back teeth have two or three roots and generally three or four canals. Those canals and the pulp chamber are filled with an inert, bio compatible material, and sealed with adhesive cement. The access hole will receive a temporary filling.

Is root canal treatment painful?

The procedure normally causes no more discomfort that a filling would. Root canal treatment may have a bad reputation, but it is undeserved; in this case it’s the disease that’s to blame and not the cure. In other words, the infections that make the treatment necessary in the first place are often painful because they are inflaming tissue that has lots of nerves and therefore is very sensitive. Root canal treatment actually relieves this pain!

Is there an alternative?

You could have the whole tooth extracted, but it’s always better to try to save it — especially since root canal treatment is routine and has a very high success rate (over 90%). Saving the tooth can prevent other troubles from occurring later on; these could include bite problems from teeth shifting position, difficulty eating, and loss of jawbone volume and density.

Why do I need root canal treatment?

If tooth pulp becomes acutely inflamed or infected because of decay or injury, the tissue will need to be removed in order to save the tooth and stop the infection from spreading

What is a root canal?

Dentists use the term “root canal” in referring to the tiny, narrow passageways that branch from a central, hollow space in your tooth (called the pulp chamber) down to the ends of the tooth roots.

Will my insurance cover my periodontal treatment?

Many insurance plans will provide assistance for periodontal treatment. Our practice understands how important your dental health is, and we want you to get the most out of any dental treatment you receive. We will help you work with your insurance provider to make sure that your treatment is easy on your budget, and your peace of mind.

Am I at risk of having periodontal disease?

You may be at risk of having periodontal disease if you smoke or use tobacco products, you do not brush your teeth and floss regularly, you have health conditions such as diabetes, heart disease, or osteoporosis, or if several of your family members have had gum disease as it can, in some cases, be genetic. If you are experiencing any of the symptoms of gum disease, schedule an appointment with your dentist, who can help determine if treatment is necessary.

Is periodontal disease treatable?
  • Non-surgical treatment
  • Periodontal surgery
  • Periodontal therapy
  • Dental implants
  • At-home care (special toothpaste, mouthwash, toothbrushes, and prescription treatment trays)
What are the symptoms of periodontal disease?
  • Red, swollen, sore gums
  • Gums that bleed when brushing and flossing
  • Teeth that appear longer or become loose
  • Large spaces that form between the teeth
  • Gums that begin to pull away from the teeth
  • Chronic bad breath
What is periodontal disease?

The word “periodontal” literally means “around the tooth.”  Periodontal diseases are bacterial gum infections that destroy the gums and supporting bone that hold your teeth in your mouth.  Periodontal diseases can affect one tooth or many teeth.

Who is a periodontist?

A periodontist is a dental specialist who has the training and experience required by the American Dental Association to diagnose, treat, and prevent different forms of periodontal/gum disease.

What is periodontics?

Periodontics is one of the nine dental specialties recognized by the American Dental Association, focusing on the study and treatment of the soft tissue and bone supporting the teeth and jaw.

If I have insurance, do I have to make a payment the day of surgery?

If your medical or dental insurance covers surgery, you will receive the benefit of reduced personal costs. Insurance policies vary and they usually do not cover 100% of the fees for surgeries. Once treatment has started, we will file your claims for you. You will be expected to pay your deductible or co-payment on the day of surgery. Please remember that insurance is a benefit for you or your child. If, during the course of treatment, your benefits change, the financially responsible party is accountable for all charges.


Your dentist will examine your teeth and gums for signs of a wisdom tooth coming through your gum
or crowding other teeth. You will have X-rays to find out whether your wisdom teeth are causing problems now or are likely to cause problems in the future.

If my child is having surgery, am I allowed to stay with him or her during the procedure?

If you child is very young, we do allow parents to be with their child before the surgery in order to ask the doctor any questions. However, we do not allow non-patients or non-staff members in the surgical area.

Are the instruments you use sterile?

Yes. After each use, we thoroughly clean and sterilize each instrument. North Metro Oral Surgery also has a surveillance program to assure that all of our equipment and instruments are cleaned and sterilized for the next patient.

Can I eat something before my surgery?

If you are going to be sedated for the oral surgery procedure, you should not eat or drink anything at least six hours before your surgery. If you are going to have local anesthesia for your procedure, you may eat normally prior to your appointment.

Will I need to have x-rays taken?

In order to diagnose and treat any problems involving the teeth or jaw, X-rays are necessary. If your dentist does not have current X-rays to forward to us with your referral, we can take X-rays here in our office.

Do I need a referral from a dentist to schedule an appointment?

In most cases, a referral from a dentist or a physician is required. However, exceptions can be made.

How Do I Know if I Have Wisdom Teeth?

Ask your dentist about the positioning of your wisdom teeth. He or she may take an X-ray periodically to evaluate for the presence and alignment of your wisdom teeth. Your dentist may also decide to send you to an oral surgeon for further evaluation.

How long will it take?

The dental implant process involves several steps and the overall treatment period varies greatly by patient. The typical treatment time lasts several months, but in some cases implants can be placed and restored immediately.

Will my insurance pay for implants?

Your insurance coverage will depend on your individual plan. It may be possible to obtain additional coverage. Check with your insurance company to see if they can extend your plan.

How much will the treatment cost?

The cost will be determined by the number of implants that will be placed, the type of prosthesis recommended and your particular case. This can only be determined after a thorough examination by your dentist.

Is the Implant procedure painful?

Anesthesia is used during the surgical procedure to eliminate any discomfort. Your doctor may prescribe pain medication for any discomfort after surgery. Most patients indicate that the discomfort is minimal once they arrive at home. Many feel great the next day and are able to return to work.

How successful is the procedure?

For more than three decades, dental implants have been used successfully with people just like you. Good oral hygiene is an important factor in insuring long lasting results from your implants.

Am I a good candidate for dental implants?

If you are healthy enough to have a tooth extracted, you are probably healthy enough to have an implant. General good health and adequate bone in the jaw are the key requirements. Anyone who is missing one or more teeth due to injury, disease or decay may be a candidate for dental implants.

Will my new teeth look natural?

Your new teeth will look and feel like your natural teeth.

What is an Implant?

A dental implant is a small “anchor” made of titanium. It is inserted into the jawbone to take the place of your missing tooth root. After osseointegration, or when the surrounding bone has attached to the implant, a replacement tooth is secured to the top of the implant.

What are the alternatives to dental bridges?

Dental Implants are the standard of care for replacing missing teeth today. With dental implants, you can choose a single tooth implant, restore several missing teeth or restore all your teeth. While dental implants are more costly than dental bridges, the benefits are significantly greater, like not needing to modify nearby healthy teeth or replace the bridge years down the road.

What are dental bridges side effects?

Dental bridge side effects are generally rare. Like any procedure that involves your gums, there a risk of gum infection or inflammation, but that is rare. Your dentist will also consult with you prior to the procedure to assure you don’t have allergies to the materials being used.

What is a dental cap?

A dental cap is just another term for a dental crown.

What is the procedure like?

If you are just getting a dental crown then we will need to prepare the tooth ahead of time by removing some enamel. This will ensure that there is enough room for the crown to fit comfortably. With dental bridges, we will need to prepare the two surrounding teeth the same way we would for a regular crown.

Who should get crowns and bridges?

Anyone who has a damaged tooth and is looking to restore full function or appearance back into their smile can benefit from a dental crown. Also, those who are undergoing root canal treatment will most likely need a crown afterwards to protect the tooth from further problems.

Most patients who have good oral hygiene but are missing teeth can opt for dental bridges.

What is a bridge?

A dental bridge also uses dental crowns to restore your smile, the only difference is that a bridge is also designed to replace missing teeth. The bridge contains one crown on either end with an artificial tooth or teeth in the middle. These crowns are placed over healthy, neighboring teeth to hold the bridge in place.

How do I care for my bridge?

A dental bridge is an appliance used to replace one or more missing teeth , which is cemented into place and can’t be removed. And if it can’t be removed it means you can’t take it out to clean it every night like you can with dentures. So if it’s staying in your mouth 24/7 it needs to be 100% clean and fresh at all times.

What are dental crowns and why do I need one?

A crown is a type of dental restoration that fully covers over that portion of a tooth that lies at and above the gum line. Once placed, it in effect becomes the tooth’s new outer surface. In comparison, a dental filling just fills in or repairs a portion of a tooth.

Will I see a different dentist every visit?

If you prefer, we’ll try to schedule you with the same dentist each visit.

You may see a different dentist in a few instances (for example, if you need an urgent appointment). However, our Dental clinics usually have smaller teams who you can get to know quickly!

Why is my tooth sore?

Oral pain can happen for a lot of different reasons. Take note of some details of pain you’re feeling, like whether it’s dull, sharp, or throbbing. Also take notice of when the pain occurs, such as when you bite down. Your dentist will have a number of ways to identify any problems, but extra information can help solve the issue more quickly.

Common causes for toothaches include:

  • tooth decay
  • gum disease
  • inflammation of tooth pulp (the tissue in the center of your tooth)
  • impacted teeth (often caused by wisdom teeth)
  • dental abscess (a serious infection)
How can I improve my oral hygiene?
  • Be sure to brush at least twice per day, using a gentle, circular motion. If you’ve just eaten, wait 30 minutes to brush, since highly acidic or starchy food can soften your enamel. Don’t forget to brush your tongue – bacteria love to accumulate here.
  • Remove plaque by flossing at least once a day. Gently move the floss up and down the sides of each tooth, as well as around the gum line.
  • After brushing and flossing, rinse with water. You can also use antibacterial or fluoride mouthwash (avoid giving fluoride rinses to children younger than six). Since different people can benefit from different rinses, speak with your dentist about which product is best for you.
  • Replace your toothbrush every three to four months, or when you see the brush head is worn and bristly.
  • Avoid snacking on sugary or acidic foods.
  • Swap sugary beverages like juice or fizzy drinks for tap water.
  • Chew sugar-free gums, which can stimulate saliva production. Saliva is one of your mouth’s best natural defenses against bacteria and plaque!
How do I know if my teeth are healthy?

Some problems won’t be noticeable to you at home, which is why it’s important to get regular check-ups (this is doubly true if you have a history of decay). For instance, gum disease often develops without people noticing and they may only act on it when they experience bleeding gums or severe discomfort.

There are some warning signs that you can spot yourself. Look out for:

  • gums that are swollen, tender, bleed when you brush or floss, or appear red (gums should be a pale pink colour)
  • oral pain, especially while chewing
  • persistent bad breath
  • loose teeth
  • consistent bad taste in mouth
  • teeth that are unusually sensitive to temperature.
Why are regular dental assessments so important?

Regular dental check-ups are a chance for your dentist to have a complete look at your teeth, mouth and gums, to detect and treat any problems early on if necessary, or prevent them from developing altogether. It’s rare that a dental issue goes away on its own, so early detection, treatment, and prevention can save you money, time, and discomfort. Issues like gum disease and oral cancer can also have serious consequences to your health if they aren’t addressed early enough.

What will happen at my first Dental appointment?


  • When you arrive, we’ll ask you to fill out a short medical history form. This ensures we have the necessary information to give you treatment that’s most suitable for you and your health needs. Our friendly staff will be nearby to answer any questions that you might have.
  • Your dentist will meet with you to discuss any needs and concerns before examining your teeth, gums, and jaw. Your teeth will be assessed for signs of decay. If you have any fillings, crowns, or other previous dental work, we’ll also check that they’re still intact and functioning correctly. Other areas that may be examined are the soft tissues of your mouth (such as your tongue and the inside of your cheeks), your bite, salivary glands, and lymph nodes. Essentially, your dentist will be looking for signs of any possible issues that could affect your oral and overall health.
  • Depending on your circumstances, we may take radiographs (X-rays), moulds, and conduct an oral cancer screening. Everyone is different, and some people may need more attention in certain areas; we’ll explain these steps to you beforehand, keeping you informed throughout the check-up.
  • The dentist will explain the results of your assessment and develop a treatment plan for you. We’re always happy to discuss any questions you might have about your treatment plan, so don’t hesitate to ask!
  • Your dentist or dental hygienist will then professionally clean your teeth. We believe strongly in patient education, so we’ll also discuss oral hygiene techniques and recommend next steps in your oral health journey.


How often should I visit my dentist?

Everyone’s needs are different, so have a chat to your dentist about how often you need to have your teeth checked by them based on the condition of your mouth, teeth and gums. It’s recommended that children see their dentist at least once a year.

Generally, your dentist may suggest six-monthly check-ups, or even more frequently if you are at a greater risk for gum disease or cavities. High-risk factors can include having diabetes, being a smoker, or a family history of dental problems such as plaque build-up and decay.

How Much Does Teeth Jewellery Cost?

Prices vary from design to design, ask your dentist for more information

How Do I Remove The Tooth Jewellery When I No Longer Want it?

If you would like to remove your tooth Jewellery the it can be taken off by a dentist at any time

Will The Tooth Jewellery Harm My Tooth?

When properly placed by a dentist, the tooth Jewellery will not damage or harm your tooth in any way. Tooth jewellery should only be applied to natural teeth.

How Long Will The Jewellery Stay On My Tooth?

The tooth Jewellery can last on your tooth indefinitely or for as long as you want it.

How Long Does The Jewellery Application Procedure Take?

The fitting procedure should take no more than 10 to 15 minutes

Does The Jewellery Application Procedure Hurt?

NO! – The procedure is similar to placing an orthodontic bracket on a tooth. There is no drilling involved and the procedure is completely painless

Is The Jewellery For Males Or Females?

Both – there are many different designs which appeal to everyone. Children under the age of 16 should have parental consent.

A The dentist will use a dental adhesive to apply the Jewellery to your tooth.

What do we mean by cosmetic dentistry?

The word “cosmetic” refers to beneficial changes in appearance. Thus cosmetic dentistry is all dental work that restores or improves a person’s appearance.

What can be done to improve a smile using 21st century techniques?

We are fortunate to live in times in which numerous options are available. These include making teeth whiter; altering their size, shape, balance, color, and alignment; filling in parts of teeth that are missing because of decay or injury; and even replacing teeth that are missing entirely.

How can I choose the right cosmetic dentist?

Ask your dentist about his or her training and experience. Ask for photos of previous work. You may need to select more than one person, working as a team to take best advantage of each one’s experience, skills, and training.

What is a smile analysis?

The first step to improving your smile, this analysis involves a study of all the elements of your smile — teeth appearance and alignment, gums, jaws — and also your facial features and how they all fit together.

What is a cosmetic dentist?

Every dentist learns to do procedures in a way that conserves or improves a patient’s appearance. Some dentists continue to study and specialize in procedures that are done specifically for the purpose of enhancing a person’s appearance.

Improvements from Gummy Smile Correction

Gummy smile treatment may provide one or more of the following improvements:

  • Allow your teeth to be the focus of your smile
  • Expose more teeth more evenly
  • Improve confidence when you’ve always been afraid to smile
  • Enhance fullness of the upper lip
  • Create a smile that looks relaxed
  • Achieve harmony and balance between your smile and the rest of your face
Your Personalized Gummy Smile Correction Plan

In the past, the only gummy smile correction procedure available involved invasive, risky jaw surgery (orthognathic surgery). But today, there are many options for people who want to correct a gummy smile. A pioneer in these techniques, Beyond smiles offers both surgical and non-surgical options. He also offers gum bleaching to enhance the appearance of darkened or discolored gums.

What Causes a Gummy Smile?

A gummy smile can be cause by a variety of factors. Common causes include:

  • A hypermobile lip (lips pull back too far when you smile)
  • Insufficient lip length
  • Maxilla protrusion (overbite)
  • Vertical maxillary excess
  • Altered passive eruption of teeth (short teeth)
  • Overgrowth of gum tissue
  • Abnormal tooth eruption
What Is a Gummy Smile?

In a perfect smile, the upper lip sits just above the top of the teeth. A “gummy smile,” however, exposes a larger than average amount of gum tissue and has a noticeably disproportionate gum-to-tooth ratio. Gummy smiles affect about 15% of all people, especially women and younger people.

Is Laser Dentistry For Me?

If you’re worried about the health of your mouth and gums, laser treatment professional, today for a personalized consultation. Our doctor will discuss a full set of options with you, and help you make the decision to invest in your most valuable asset — your smile.

What Are Lasers Used For?

Lasers are often used to assist in the following procedures:

  • Smile enhancement
  • Implant surgery
  • Non-surgical treatment of gum disease
  • Removal of oral lesions
  • Some biopsies in the mouth
  • Treat cold sores and mouth ulcers
Is laser dentistry safe?

Laser dentistry is extremely safe and has been approved by the American Dental Association for many dental procedures.

What are the advantages of laser dentistry?
  • Advantages of laser dentistry include the following:
  • Laser dentistry can often be performed without anesthesia
  • Gum disease can be treated more efficiently and effectively
  • Post-operative discomfort can be reduced
  • Less pain and rapid healing for many procedures
What is laser dentistry?

Dental lasers use special highly focused beams of light to perform procedures on the soft tissue in and around your mouth. We have been specifically trained to use these lasers to perform dental procedures to make these procedures more comfortable for the patient.

Are there any alternatives to fillings?

‘Adhesive dentistry’ involves bonding the filling to the tooth. The dental team have to remove less of the tooth, which is obviously better.

As we have already said, there are alternatives such as crowns and inlays, although they can cost a lot more. Veneers can be used on front teeth instead of crowns or fillings.

Where can I get white fillings done?

Most dental practices offer white fillings as a normal part of the treatment they give you.

What are tooth-coloured fillings made of?

This can vary, but they are mainly made of glass particles, synthetic resin and a setting ingredient. Your dental team should be able to give you more information about the particular material they use.

Is it worth replacing my amalgam fillings with white ones?

It is usually best to change fillings only when your dental team decide that an old filling needs replacing. If so, you can ask to have it replaced in a tooth-coloured material.

Some dentists prefer not to put white fillings in back teeth, as they are not always successful. One way around this would be to use crowns or inlays, but this can mean removing more of the tooth and can be more expensive.

Are white fillings as good as silver amalgam fillings?Are white fillings as good as silver amalgam

White fillings have always been considered less long-lasting than silver amalgam fillings. But there are now new materials available that are comparable to silver amalgam, and these are proving to be very successful. The life expectancy of a white filling can depend greatly on where it is in your mouth and how heavily your teeth come together when you bite. Your dental team can advise you on how long your fillings should last.

Are white fillings expensive?

Costs can vary quite a lot from dentist to dentist. They usually depend on the size and type of white filling used and the time it takes to complete the treatment. Costs may also vary from region to region, but your dental team will be able to give you an idea of the cost before you agree to treatment.

Why should I consider white fillings?

Most people have fillings of one sort or another in their mouths.

Nowadays fillings can be natural looking. Many people are more conscious about the way they look, so they don’t want silver fillings that show when they laugh or smile.

Is orthodontic care very expensive?

Orthodontic care is a long-term investment in your health and well-being. Yet its cost hasn’t increased as fast as many other consumer prices, and many financing options are available that make orthodontic care affordable. Weighed against the true cost of living with problem teeth, however, orthodontic treatment can be a wise investment indeed.

Will I wear a retainer when my braces come off?

Almost always, the answer is yes: If you don’t wear a retainer, your teeth can rapidly shift out of position — and then all the effort put into your treatment is lost! Your retainer helps you maintain that good-looking smile for a lifetime.

Do I still need to see my regular dentist while I’m getting orthodontic treatment?

You do — in fact, it’s more important than ever! Keeping teeth free of plaque (and potentially, decay) can be challenging when you’re wearing braces. Your dentist can help you avoid these problems with frequent cleanings and exams.

Will I be able to play sports/ play my instrument?

In a word: Yes. Of course, whether you wear braces or not, we recommend you wear a mouthguard when playing most sports. Musicians are generally able to play their instruments just as they did before, but they may need a short adjustment period after getting braces.

Will I have to watch what I eat?

Yes — you should pass up the types of foods that could damage or become trapped in your braces. Some of these include raw vegetables, hard candy, caramel, taffy and ice cubes (fortunately, ice cream is OK). We will give you a list of foods to avoid.

Will I need to have any teeth extracted?

If your teeth are severely crowded (because your mouth is too small to properly accommodate all of them) — or if you have impacted teeth (teeth that are trapped beneath the gum line by other teeth) — then extraction may be necessary. In the case of younger patients, early treatment may make extraction unnecessary.

How often will I come in for an appointment?

It depends on what’s being done, and how often you need to be monitored. During active treatment, you’ll typically come in to our office once every 4 to 10 weeks.

How long will treatment take?

It’s different for each person, but generally the active stage of treatment (that is, wearing braces or other appliances) may take from 6-30 months. After that, a retainer is worn for at least several months more.

Does getting braces hurt? What about wearing them?

Having braces put on is generally painless. Some people experience minor aches and pains in the first couple of days or so, as they adjust to wearing their appliances; periodic adjustments may sometimes cause soreness as well, though it typically lasts only a short time. Over-the-counter pain relievers can be used to alleviate any discomfort, but are usually unnecessary.

When should orthodontic treatment be started?

You’re never too old to begin orthodontic treatment — but if you start at an earlier age, your problems may be easier to treat. The American Association of Orthodontists recommends that a child who may need orthodontic treatment should come in for a first visit around age 7.

What do orthodontists do?

Orthodontists are dental specialists who diagnose and treat problems with the position, alignment or spacing of the teeth, and related irregularities in the face and the jaw. We use a number of special treatments, including braces and other oral appliances, to correct these problems.

How long does tooth whitening last?

Typically you can expect whitening to last from six months to two years, although some studies report results lasting up to 10 years. Avoiding red wine, coffee, and smoking—all of which can cause staining—helps preserve the results.

Can I get my teeth whitened?

Most people are candidates for tooth whitening, but again, each situation is unique and it’s best to contact your dental professional.

Does tooth whitening cause permanent tooth sensitivity?

Sensitivity from tooth whitening is always transient. That means if there is any sensitivity caused by the whitening, it goes away within one to two days after the treatment, and the patient returns to the state of sensitivity he or she had prior to starting the whitening process.

Is tooth whitening bad for my enamel?

There is no permanent damage caused to the enamel or any other tooth structures by tooth whitening.