Root canal therapy is needed when the tissues inside the tooth become unhealthy and infected. Treating this condition is what most people call "getting a root canal." Often, you may need a root canal because there is a large cavity with bacteria contaminating the inside of the tooth, but other reasons include a crack in the tooth or an injury/trauma jolting the tooth enough to disrupt its blood supply.
Root canals historically have a bad reputation, but modern endodontics is an entire dental specialty devoted to root canal therapy. Many patients are worried that a root canal will be painful, but at Martin Endodontics, most patients report a virtually painless experience. Getting a root canal today is not much different from other dental procedures like getting a filling or a crown.
The consultation will include 3D imaging, evaluation for risk factors (like tooth cracks), and discussion of possible prescriptions for before and after treatment based on medical history and dental anxiety level.
We will numb the area that is going to be treated and then get to work clearing any infection and properly resealing your tooth while you relax with a blanket, headphones, and sometimes sedation methods.
After the numbness wears off, some soreness is normal. Following your customized post-op medication instructions is important to help prevent pain and swelling. Take your medication for as long as instructed.
A final 6-month follow-up appointment with imaging is required. We thoroughly evaluate how the roots and surrounding jaw bone are responding to the endodontic treatment.
Let's talk more about what a root canal is. To understand this treatment, we need to understand the make-up of your tooth underneath your gums. We like to use the analogy of a pencil to explain a root canal. Your tooth is shaped like a pencil:
If there is a crack, cavity, or anything that exposes the root canal space (the "lead") to bacteria, the nerves and blood vessels in the root canal become inflamed. Unlike the rest of your body, this blood supply is stuck in a very narrow root canal space. It is sandwiched between rock-hard root structures, so any disruption to this blood supply can be a big problem.
If the blood supply in the root canal space gets too inflamed, your body cannot replenish and heal that tissue, and that bacteria starts to brew an infection. Typically, the inflammation stage is where people have a toothache. You may experience hot and cold sensitivity, pain when biting, and throbbing. At this point, Advil or Tylenol usually provide relief by calming the nerves inside the tooth. But this is only temporary. If you have any of these symptoms, root canal therapy, better known as "a root canal," is needed. Do not wait for the pain to go away on its own. If you do feel a sudden decrease in pain, it might only mean the infection killed the tooth's nerves. In these cases, you may lose your tooth. Don't wait to come in for root canal treatment at Martin Endodontics.
When you come to Martin Endodontics, you'll start by filling out a medical history and answering some questions about your dental history and symptoms on the offending tooth. This helps give us a full picture of what is going on. To provide the best treatment, we need to know:
We will then take x-rays – We typically like to have some sent from your regular dentist, but we also need a couple different angles specific to endodontic treatment to better view the roots of your tooth. We will take a look at the tooth, your gums, and your bite. We also perform several simple tests to measure the level of inflammation and infection in the problem tooth as well as the teeth nearby. Once we reach a diagnosis for your tooth, we will talk about treatment options. Not every tooth is going to get a straightforward root canal.
We start by placing topical anesthesia, or "numbing jelly," on the gums around the root of your tooth. We then use local anesthesia to numb the tooth and surrounding tissues. From this point on, you should not feel any pain, just pressure and cold water while we are working.
Remember the pencil analogy? A root canal involves:
Gutta-percha is a plant-based substance that is antimicrobial and is the standard of care in filling root canals. We place a small temporary filling in the eraser window we made, and you go back to your regular dentist for a permanent restoration of the top part of the tooth.
Several days of soreness – and several is different for every person– can be expected after treatment. This soreness is no longer because of any inflamed nerve inside the tooth, but just from working on your tooth for several hours. A combination of Advil and Tylenol is all you need to manage this soreness, and swelling is rare.

If there was quite a bit of infection to begin with beyond the tip of the roots, we will place you on oral antibiotics to help dry up things and speed up the recovery process. However, once the tooth is treated, your body can start to take care of any infection beyond the roots. Most people go back to work and their daily activities that same day.
If you are suffering from severe tooth pain and tooth decay, do not wait to receive treatment. At Martin Endodontics, we make every effort to provide our patients with a comfortable and professional experience. When you come in for root canal treatment, our friendly staff will answer any questions or concerns you might have. Every step of the way, you are kept fully informed of what to expect. Call Martin Endodontics in Beverly Hills, CA today at (310) 278-5403 or contact us online to learn more about the services we provide.
For more information or to schedule service, call us at (310) 278-5403 or click the button below to contact us online.
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