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Posts for tag: root canal

By Countryside Dental
February 18, 2020
Category: Dental Procedures
Tags: root canal  

Despite what you may have heard, a root canal actually offers some pretty amazing and long-term benefits to someone who is dealing with an infected, decayed or damaged tooth. Our Chatham, NY, dentist Domenic Riccobono knows the importance of gentle dentistry, especially when it comes to getting root canal treatment. Find out how this simple endodontic procedure could actually save your tooth.

Why is a root canal performed?

This virtually painless dental procedure is one of the most commonly performed procedures and it’s necessary when bacteria have entered the inside of the tooth, infecting the dental pulp. Once the pulp is infected or irritated the only option is to turn to our Chatham, NY, general dentist for treatment. An infected dental pulp will not heal by itself.

What are the benefits of root canal treatment?

If you’ve just found out that you need to get a root canal you may be looking for some reassurance. This simple procedure offers some amazing benefits including,

It stops the spread of infection

Decay or a dental infection occurs because there are bacteria present within the cavity of a tooth. During a root canal, our dentist will remove the bacteria and disinfect the dental cavity of the infected tooth. Once the bacteria is removed this prevents the infection from spreading further into the tooth. Here at Countryside Dental, our team ensures that you get a comprehensive, effective and gentle root canal treatment in a comfortable and welcoming environment.

It gets rid of your pain

Most people that need a root canal come into our office complaining of dental pain. The pulp is the only “feeling” part of the tooth because it contains nerves; therefore, you may be battling some pretty bad pain. A root canal will remove the pulp and any bacteria to get rid of your pain and to finally provide you with some relief.

It can save teeth

The purpose of a root canal is to preserve your natural tooth. The last thing we want our patients to worry about is losing a tooth. If a tooth is left untreated, bacteria will continue to spread until the tooth needs to be extracted. This can also cause damage to neighboring teeth and bone. By getting a root canal done when you need it you prevent further complications and you get to save your natural tooth.

Countryside Dental in Chatham, NY, is dedicated to creating beautiful and healthy smiles for life. If dental damage or other problems is affecting your oral health then call our office right away at (518) 392-5231.

By Countryside Dental
June 30, 2018
Category: Dental Procedures
Tags: root canal  

Many people consider a root canal treatment to be potentially an unpleasant experience. You might even feel a few butterflies fluttering in your stomach if we were to recommend one for you.

But there’s nothing actually to dread about this common and very effective treatment. The procedure doesn’t cause pain; in fact, it most likely relieves tooth pain. What’s more, it could save a tooth that would be otherwise lost.

The name comes from narrow passageways extending from the tip of the root to the innermost tooth pulp. The pulp contains nerves and other structures once vital to early tooth development. And although they’re not as important in a fully mature tooth, those nerves still function. In other words, they can still feel stimulation or pain.

That shouldn’t be a problem with a healthy tooth. But if tooth decay invades the inner pulp, those nerves now under attack will begin firing. You’ll know something’s wrong. As bad as it feels, though, the toothache isn’t your worst problem: if the decay isn’t stopped, it can spread through the root canals to the bone that could eventually lead to losing the tooth.

A root canal treatment removes the decayed pulp tissue and protects the tooth from re-infection. We first deaden the tooth and surrounding tissues with a local anesthesia and set up a rubber dam around the tooth to protect it from contamination from the surrounding environment. We then drill a small access hole through the enamel and dentin to reach the pulp chamber and root canals.

Using special instruments, we remove all the diseased tissue from the pulp and flush out the empty chamber and root canals with antibacterial solutions. After re-shaping the root canals, we fill them and the pulp chamber with gutta-percha, a rubber-like biocompatible material that conforms well to the root canal walls. We seal the gutta-percha with adhesive cement and then fill the access hole. Later, we’ll give the tooth further protection with a custom crown.

After the procedure, you may experience short-term minor discomfort usually manageable with over-the-counter pain relievers like ibuprofen. The good news, though, is that the excruciating nerve pain from within the tooth will be gone—and your tooth will have a new lease on life.

If you would like more information on saving a problem tooth with root canal treatment, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Root Canal Treatment: What You Need to Know.”


When a permanent tooth has been injured, our first priority should be to save it. A root canal treatment (where the interior pulp of the tooth is removed and the pulp chamber and root canals are filled and sealed) is usually the best approach for tooth preservation.

An immature permanent tooth, however, presents a different challenge. While the pulp is less essential to a mature tooth’s vitality, it serves a critical purpose in the tooth’s early development before early adulthood. The pulp produces layers of dentin necessary for the tooth’s root system development. Completely removing the pulp at this stage may retard root development and cause the tooth to eventually weaken, and become brittle and darkened.

For younger teeth, we should therefore use alternative techniques that preserve as much healthy pulp as possible. One of these alternatives is Indirect Pulp Therapy, used when the pulp hasn’t been exposed by the trauma. With this technique we remove as much damaged dentin as possible while preserving the harder dentin closer to the pulp. After applying an antibacterial agent to protect against infection, and then filling and sealing the tooth, the pulp can continue to produce dentin in a normal way.

If pulp exposure has occurred, some form of pulpotomy — the partial removal of any damaged or infected pulp — would be in order. Our goal here is to leave as much of the pulp as possible, and then apply substances that stimulate the remaining pulp to create dentin. The most common type of growth substances are calcium hydroxide or mineral trioxide aggregate (MTA).

If the pulp isn’t at all salvageable, we may then turn to a procedure known as apexification. After removing the pulp we insert MTA at the root end of the tooth, then fill and seal the remaining interior as in a regular root canal treatment. The MTA will help the surrounding bone to heal and continue to grow around the root to further support the tooth.

Recent research into pulp stem cells promises further advances in this area. The regenerative qualities of stem cells could eventually help us “engineer” root development. Until then, there are still effective ways to give a young, damaged tooth a fighting chance to survive.

If you would like more information on preserving injured teeth, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Saving New Permanent Teeth After Injury.”