Combined Root Canal & Gum Problems

It is our goal to keep your mouth healthy, your teeth fully functional, and your smile bright — and we are proud of all the services we offer to do exactly that. At the same time, we want you to understand all that modern dentistry in general has to offer you. To that end, we have assembled a first-rate dental library in which you can find a wealth of information on various dental topics, including:

Cosmetic & General Dentistry

From a thorough professional cleaning to a full smile makeover, there is an amazing array of services that cosmetic and general dentists offer to make sure your teeth stay healthy, function well and look great. If your smile is not all you want it to be, this is the place to start. Read more about Cosmetic & General Dentistry.

Emergency Dental Care

When you have a dental emergency — whether it's caused by a sudden accident or chronic disease — your teeth and/or the tissues of the mouth that surround them need to receive proper care right away. It's also important to be aware, before you're actually in the situation, of what you can do to ensure the best outcome. Read more about Emergency Dental Care.

Endodontics

This is the branch of dentistry that focuses on the inside of the tooth — specifically the root canals and sensitive, inner pulp (nerve) tissue. When this tissue becomes inflamed or infected, a root canal procedure may become necessary. But contrary to the popular myth, a root canal doesn't cause pain, it relives it. Read more about Endodontics.

Implant Dentistry

If you are missing one or more teeth, dental implants offer the comfort and security of a permanent replacement that looks and functions just like your natural teeth. Dental implants also help preserve the tooth-supporting bone in your jaw that naturally deteriorates when even one tooth is lost. Read more about Implant Dentistry.

Oral Health

Oral health is an essential component of general health and well-being. Good oral health means a mouth that's free of disease; a bite that functions well enough for you to eat without pain and get ample nutrition; and a smile that lets you express your happiest emotions with confidence. Read more about Oral Health.

Oral Hygiene

A major goal of modern dentistry is to help you keep your teeth and gums healthy for a lifetime. By following a conscientious program of oral hygiene at home, and coming to the dental office for routine cleanings and exams, you have the best chance of making this goal a reality. Read more about Oral Hygiene.

Oral Surgery

The word “surgery” often brings to mind a stay in the hospital, general anesthesia, and perhaps a lengthy recovery period. However, the experience of having oral surgery is usually very different from that. Some common oral surgery procedures include: tooth extractions, dental implant placement, and biopsies of suspicious oral lesions. Read more about Oral Surgery.

Orthodontics

Adults and kids alike can benefit from the boost in self-confidence that comes from having a great-looking smile with beautifully aligned teeth. Orthodontic treatment can even improve chewing, speaking and oral hygiene in certain cases. And with today's virtually invisible orthodontic appliances, it's possible to keep your treatment a private matter… until your new smile is unveiled, of course! Read more about Orthodontics.

Pediatric Dentistry

It's never too early to get your child started on the path toward a lifetime of good oral health, and there are many services to do exactly that. Monitoring your child's dental growth and development, and preventing and intercepting dental diseases along the way, is the primary focus of pediatric dentistry. Read more about Pediatric Dentistry.

Periodontal Therapy

If you want to keep your teeth for life — a completely reasonable goal in this day and age — you need to make sure the tissues that surround them are also healthy. Should gum problems arise, you may need periodontal therapy to restore diseased tissues to health. Read more about Periodontal Therapy.

Technology

In the field of dentistry, new technology is constantly changing the way diseases are diagnosed, routine procedures are performed, and illnesses are prevented. Although they may seem unfamiliar at first, new and improved dental technologies offer plenty of real benefits for patients. Read more about Technology.

Tooth pain.When you experience pain in your mouth, it's sometimes abundantly clear which tooth is causing it. At other times, the sensation of discomfort is more diffuse, generalized or hard to pinpoint. On occasion, it can even be challenging to determine exactly what problem or combination of problems is causing the symptoms you're experiencing. This may be the case when an infection exists in the root canals of a tooth as well as the gum tissue adjacent to it.

In this situation, the infection may have begun in the pulp of the tooth itself; or, it may have started in the gums. Over time, it has spread from one location to the other — and now it's causing a confusing set of symptoms that are difficult to sort out. Regardless of where the problem started, a thorough analysis will be necessary before treatment can begin, to give you the best chance of saving the tooth.

Confusing Symptoms

Root canal infection leading to gum disease.

From time to time, many people experience oral discomfort that's dull or intermittent. Occasionally, a more insistent pain may be triggered by a stimulus like temperature (from hot or cold foods or beverages) or pressure (from biting down on something). Sometimes, it may feel as though the ache is coming from a group of teeth rather than one single tooth — or even from the sinus area above the back teeth.

These symptoms can indicate a number of dental issues, including root canal and gum problems, and shouldn't be disregarded. However, if you manage to ignore the acute pain, in many cases it will fade in time. But this isn't good news: It generally means that the infected tissue in the pulp of your tooth has died, and the nerve is no longer functioning. That's when the problem may become more serious.

Chicken or Egg?

Gum disease leading to root canal infection.

When the pulp tissue inside your tooth becomes severely infected, it's possible for the disease to move through openings at the end (apex) of the root, and outside of the tooth. It can then spread to the periodontal ligament, which anchors the tooth to the surrounding bone and gum tissue. From there, the infection may extend to the gum tissue and cause periodontal disease, or even result in a painful gum abscess. At that point, you may have pain — even severe pain that will let you know exactly which tooth is affected.

But it's also possible for the infection to be spread by the exact opposite pathway. In this case, an infection that originated in the gums (commonly due to periodontal disease caused by a buildup of plaque) may have has traveled through small passageways called accessory canals, which are located in between a tooth's roots, or on the sides of the roots. The infection can then extend into the tooth's pulp. If your teeth are fractured, it's even easier for disease to spread.

Treatment Methods

When dental problems involves both root canals and gum disease, saving the affected tooth can prove challenging. This is when it matters where the infection started: If it's primarily a root-canal problem that later moved into the gums, the outlook for the tooth is reasonably positive if it receives immediate treatment. If gum disease came first, however, the prospects often aren't as good; by the time the infection has moved into the tooth, it's possible that much bone has already been lost, making the tooth's long-term prognosis poor.

In either case, the cause of the tooth pain will need to be diagnosed and an effective treatment plan developed. The sooner that happens, the better: Root canal and gum problems simply don't get better on their own.

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Confusing Tooth Pain - Dear Doctor Magazine

Confusing Tooth Pain It is occasionally difficult to pinpoint the origin of tooth pain, which can result from an infection of the tooth itself, or of the gum, or even spread from one to the other. Nevertheless, it's always important to sort out what's going on so that the right treatment can be selected and the tooth saved... Read Article