Root Canal Treatment in Winston-Salem, NC
Of all the dental treatments out there, few have a reputation quite like root canal treatment. The very mention of it tends to make people wince as if just saying the words is enough to cause pain. But here’s the irony—root canal treatment doesn’t create pain; it relieves it. That deep, nagging ache that won’t let up? The sensitivity that turns every sip or bite into a reminder that something isn’t right? A root canal is what stops that. It’s not the cause of suffering; it’s the solution. The fear surrounding it is outdated, a lingering myth that doesn’t hold up to what modern dentistry can actually do. At Matthew Keider, DDS, we’re here to help make the process as smooth and comfortable as possible so you can get back to living without the constant ache holding you back.
Understanding Root Canal Treatment
When a tooth requires a root canal, it means the innermost part of the tooth—the pulp—has become inflamed or infected. This usually happens when damage to the outer layers allows bacteria to penetrate deeper. A tooth that requires a root canal often causes persistent or severe pain, especially while chewing. Lingering sensitivity to hot or cold temperatures is another warning sign, as is swelling or tenderness in the gums near the affected tooth. Some people notice a pimple-like bump on the gums, which may indicate an abscess. In some cases, the tooth may also darken due to internal damage.
Enamel and Dentin: The First Line of Defense
The enamel is the tooth’s outermost layer, acting as a hard, protective shield against bacteria, temperature changes, and physical damage. Beneath it lies the dentin, a porous layer that provides structural support. Unlike enamel, dentin contains microscopic tubules that connect to the pulp. When the dentin is compromised, external stimuli—such as hot or cold temperatures—can trigger pain and discomfort.
When decay progresses past the enamel and into the dentin, bacteria gain access to the deeper layers of the tooth. A crack or chip can also create a direct opening for bacteria to invade. Even repeated dental procedures on the same tooth may weaken its structure, increasing the risk of infection. Any of these issues can set off a chain reaction that leads to pulp damage.
The Pulp: Where Pain and Infection Begin
The pulp is the soft tissue at the tooth’s center, containing nerves, blood vessels, and connective tissue. When bacteria reach the pulp, it reacts with inflammation, causing pressure to build inside the tooth. Since the pulp is enclosed within the hard structure of the tooth, there is no space for swelling to expand. This pressure leads to intense pain and discomfort. As the infection progresses, bacteria travel through the root canals—the natural pathways that extend from the pulp into the roots—causing further damage.
Root Canal Infection and Potential Complications
Once the infection spreads through the root canals, it can move beyond the tooth itself. This can lead to an abscess, a painful pocket of pus that forms at the tip of the root. If left untreated, the infection may cause swelling, bone loss, or even spread to other areas of the body. At this stage, intervention is critical to prevent serious complications.
What To Expect From Root Canal Treatment
Dr. Keider begins by taking detailed X-rays, including CBCT scans, to assess the extent of the damage and determine the best treatment plan. To ensure a painless experience, he administers a local anesthetic to numb the area completely. If you feel anxious about the procedure, you can also discuss additional sedation options, such as nitrous oxide (laughing gas), to help you stay relaxed throughout the treatment. Your comfort is a priority, and Dr. Keider will tailor the approach to suit your needs.
Once the tooth is fully numb, Dr. Keider carefully drills a small opening in the crown to reach the pulp chamber. This step allows direct access to the infected or inflamed tissue inside the tooth. Using precise instruments, Dr. Keider removes the damaged pulp and thoroughly cleans the root canals. To eliminate bacteria and reduce the risk of reinfection, he shapes and disinfects the canals with specialized irrigation solutions.
After cleaning, he fills the empty canals with gutta-percha, a rubber-like material. This biocompatible substance seals the canals, preventing bacteria from re-entering. An adhesive cement secures the filling, ensuring the tooth remains stable. To protect the tooth, Dr. Keider places a temporary filling over the opening. In a follow-up visit, he will complete the restoration with either a permanent filling or a custom-made crown, restoring strength and functionality.
Relieve Tooth Pain and Schedule Your Visit Today
A root canal isn’t something to fear—it’s the solution that brings relief, protects your tooth, and restores your comfort. With Dr. Matthew Keider’s expertise and patient-first approach, you can expect a smooth, pain-free experience in a caring and professional environment. Schedule your consultation today at Matthew Keider, DDS.
Frequently Asked Questions
Saving your natural tooth is always the first choice, which is why we recommend a root canal whenever possible. This procedure removes the infection while preserving your tooth’s structure, keeping your smile intact and maintaining natural function.
However, if the tooth is too damaged to be restored, extraction may be the better option. In these cases, we recommend replacing the missing tooth with a mini dental implant supporting a crown or bridge. Mini implants provide a strong, lasting solution that prevents issues like shifting teeth or jawbone loss, so you won’t have to worry about long-term complications. Dr. Keider will evaluate your tooth and help you choose the best option to restore your smile.
Most patients recover quickly after a root canal, with noticeable improvement in just a few days and full healing within one to two weeks. Mild discomfort or sensitivity is normal at first, but over-the-counter pain relievers help manage it. To protect the treated tooth, it’s best to avoid hard or sticky foods and chew on the opposite side of your mouth. By the third day, soreness typically subsides, and you can start reintroducing more solid foods as swelling decreases. Most patients feel fully recovered within a week or two, though slight sensitivity may linger temporarily.
Once the final restoration, like a crown or filling, is placed, the tooth is fully protected and functions normally. If the discomfort lasts longer than expected, we’re here to help. Dr. Keider and our team are always available to ensure your recovery goes smoothly.
The amount you’ll pay for a root canal depends on key details, such as the tooth’s placement, the procedure’s complexity, and the infection’s severity. Front teeth, which have a simpler root structure, tend to be less expensive to treat, while molars, with multiple roots and more intricate anatomy, typically cost more.
Restoring the tooth after a root canal is another consideration. A filling may be sufficient in some cases, while others require a custom crown for added strength and protection, each with its own cost. Insurance coverage plays a big role in determining out-of-pocket expenses, as many plans cover a percentage of the procedure. When you come in for a consultation, we’ll review your specific needs, check your insurance benefits, and provide a clear estimate so you know exactly what to expect.