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FAQs - Lexington Endodontics
FAQs2023-07-03T10:08:51+00:00

FREQUENTLY ASKED QUESTIONS

What is a root canal?2024-01-22T22:23:38+00:00

When the tissue (pulp) inside your tooth gets damaged or infected, it has to be removed.  A root canal is a procedure that removes the tissue and/or infection from inside the canals of your tooth.  You can think of an endodontist as a well-trained plumber.  A small hole is made on the biting surface of your tooth and damaged tissue and infection roto-rootered out of the canals.  The canals are cleaned and sealed.  Then, you return to your dentist for a filling or crown.

Do root canals hurt?2023-06-14T17:05:53+00:00

Our goal is to make this the best dental appointment you have ever had! Talk to us and describe what is going on. Let us take some x-rays and complete an exam. We will explain our findings, review your options, financial commitment, and ensure that all of your questions are answered. Once you have decided to proceed with treatment, sit back and relax. You may feel pressure, but rest assured that you will be thoroughly numbed. We will take care of the rest!

How long will the procedure take?2022-09-14T22:43:44+00:00

Most endodontic procedures are finished in one appointment, in one hour.    An additional appointment is sometimes indicated if you have a larger infection or complex dental anatomy requiring more time and care to complete the procedure correctly.

How should I prepare for my appointment?2023-06-14T17:22:03+00:00

1.  Please bring a form of identification, insurance information, and dental referral card (if one was provided to you by your general dentist).

2. Take your normal daily medications as directed.  However, please do not premeditate with any pain reliever (Aleve, Advil, Tylenol, Asprin, etc) or anti-anxiety agent (Halcion, Valium, Xanax).  

These medications are very effective in reducing pain and altering cognition.  This can make diagnosing your dental problem difficult.

3.  Please be prepared to provide us with details about what led you to schedule your appointment, including any symptoms you may be experiencing or your dentist’s planned restorative treatment (such as fillings or crowns) for the affected tooth.  

4.  We encourage patients to bring headphones so that if treatment is needed, you can listen to music, a podcast or book on your phone.  Don’t worry, if you forget, we will provide headphones for your visit if desired.

5.  All patients under age 18 years of age must be accompanied by a parent or legal guardian.

6.  Our office will review your insurance coverage and estimate your out of pocket expense prior to your appointment.  All fees are due the day services are rendered.  We accept all major credit cards and offer financing through Care Credit.

Why can’t my dentist do this?2023-06-16T16:14:53+00:00

A specialized dentist known as an endodontist has undergone two extra years of training to effectively diagnose and treat dental issues related to the nerves inside teeth, otherwise known as pulp. Utilizing state-of-the-art equipment such as surgical microscopes and 3-D imaging, we are able to perform complex procedures such as root canals with precision and skill. Our expertise allows us to effectively manage pain, trauma, and repair damaged teeth. At our office, we value personalized care and aim to streamline the entire process from diagnosis to treatment. Thanks to our daily focus on root canals and similar procedures, we are able to achieve shorter procedure times and optimal outcomes.

What is an abscess?2023-05-30T22:21:27+00:00
Tooth Infection

GINGIVAL ABSCESS

An abscess is often called a pimple, bubble, or boil.  It indicates that a bacterial infection is present.  On your skin, this is called a pimple.  On your gingiva (gum tissue), it is called an abscess.

An abscess is formed by bacteria and generally contains pus and blood.

While an abscess is located on the gum tissue, the source of the problem is bacteria located inside a tooth.   The bacteria are protected within the tooth and oral medications like antibiotics can not access their location.  As a result, treatment with antibiotics can temporarily improve the situation by killing bacteria outside of the tooth, but the abscess will recur with time as the bacteria inside the tooth are unaffected.  To permanently fix this situation, dental treatment is needed.  An evaluation with an endodontist is recommended to discuss your options.

What can I expect after my root canal?2023-06-16T15:53:26+00:00

Spaghetti on a fork. Chew on the other side of your mouth.We recommend chewing on the other side of your mouth until your dentist can permanently restore your tooth. Teeth that have had a root canal are fragile and protecting your tooth from biting forces minimizes the risk that you will develop a crack. Additionally, your gum tissue will heal faster and the temporary filling will stay in place longer if you avoid biting on the tooth in question.

Your tooth was restored with a temporary filling so that your dentist can easily remove the material without a lot of drilling. If you are concerned that the filling has dislodged, either contact our office for a replacement or see your dentist for the permanent restoration.

Your root canal is only as good as the restoration that is placed on top, sealing it from food and bacteria in your mouth. So, it is extremely important for you to see your general dentist within 30 days of having the procedure completed to have a permanent restoration (filling, crown) placed. If your tooth had a crown prior to treatment, you will be informed of any imperfections and the possible need of replacement.

When procedures are completed in infected teeth, swelling may occur. If you were prescribed an antibiotic, take as directed and finish the entire course. If an antibiotic was not prescribed, please contact our office.

*If significant swelling occurs and you have difficulty breathing or swallowing, please contact our office immediately and prepare to proceed to your nearest emergency room for additional treatment. While this situation rarely occurs, a compromised airway is considered a medical emergency and needs immediate attention.

Pain Management:2023-06-14T18:45:48+00:00

After a procedure, it’s not uncommon to experience tenderness in your tooth, gums, and/or jaw. This is a normal part of the healing process, and it’s important to give your body the time it needs to recover. To manage the tenderness, you might find it helpful to take over-the-counter pain medication.

If your symptoms persist or worsen, it’s a good idea to contact our office for further guidance. We understand that it can be frustrating to experience discomfort after a procedure, but please know that this is completely normal. With a little patience and self-care, you’ll be feeling like yourself again in no time.

We recommend taking one 220 mg tablet of Aleve (naproxen) twice a day for two days. It is best to take this medication at breakfast and dinner, regardless of whether or not you are experiencing pain. This is because Aleve, like all NSAIDS, is anti-inflammatory and promotes healing. It is always easier to prevent pain from occurring than it is to stop/reduce pain after it is already present. After day two, you should evaluate your symptoms to determine if additional pain management is needed. If you find that your pain is not responding to the Aleve alone, you can also take 1000 mg of Tylenol (acetaminophen) at the same time or between doses. The combination of NSAIDS and Tylenol provides more pain relief than either medication alone.

We prefer Aleve over other NSAIDS like Advil (ibuprofen) because it lasts longer and requires you to take fewer pills.

However, you can take 600 mg of Advil (ibuprofen) three times a day for two days instead.  You just end up taking more pills, more often.

We like Tylenol too, but it doesn’t help with inflammation.  That is why we generally recommend taking 1000 mg of Tylenol with Aleve or Advil when you have episodes of more pain.

Aleve (Naproxen): 1250 mg

Advil (Ibuprofen): 3200 mg

Tylenol (Acetaminophen): 4000 mg

Read the labels on your medications.  Be aware of what you are taking. Make sure that you do not exceed the maximum recommended daily doses.

*Patients who are unable to take some or all of the medications listed above due to allergy, history of ulcers, kidney or liver problems, pregnancy, or have any other contraindications/concerns should discuss alternatives with your doctor.

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