Although the words “Root Canal” cause some people to panic, the actual procedure should be pain free. It is usually the pain, gum, or jaw swelling from the infected tooth prior to Root Canal Treatment that people associate with the term. Think of Root Canal Treatment as the cure. Patients should expect mild to moderate post-operative pain that is usually managed well with analgesics and bite avoidance for a few days.
Dr. Caouette consults your medical history with you in advance and the possible need for sedation to help you relax. An IV sedation will often be recommended for wisdom teeth extractions to make the procedure as comfortable as possible; this also allows us to administer medications that help minimize postoperative pain and swelling.
You receive thorough aftercare instructions. Residual discomfort is usually managed with over the counter or prescription analgesics, and most patients return to normal eating within a few days.
When are extractions necessary?
- Pulp infection – If decay or trauma is not addressed early, infection and tooth damage may become so severe that root canal therapy is not recommended. A Pulp infection can spread to soft tissues, creating an abscess, or worse, a life-threatening cellulitis.
- Advanced Periodontal disease – Advanced gum disease that cannot be managed and treatment prognosis is poor.
- Breakage or Root Fracture– If breakage or a fracture extends below the gum-line beyond a level of reasonable repair.
- Severe crowding – Extractions may avoid twisting and overlaps that spoil the look of your smile, and create nooks where tooth decay and gum disease prevail.
- In preparation for severe crowding orthodontic cases, or dentures.
- Wisdom teeth – Third molars may crowd healthy teeth or cause mouth pain from a surrounding bacterial infection. The spread of this type of infection can be life threatening. Some stay impacted, not fully emerging from bone or soft tissue.
Dr. Caouette handles most exactions, including wisdom tooth extractions in office.