Root Canals: Why? | Tyngsboro Dentist

If you ask any average American what they fear most about going to the dentist and chances are, they will respond ‘root canals’. It’s true. Most patients assimilate root canals to lots of pain, and they dodge coming into contact with them as much as possible. Unfortunately, this isn’t by continuing proper dental hygiene, but by avoiding dental appointments. The problem is, avoiding the inevitable isn’t going to help your cause. In fact, by dodging the dental chair, you are likely making more of a mess than you realize. Because root canal therapy, or endodontic treatment, is absolutely necessary when the nerve of the tooth is infected due to exposure to bacteria.

Because the buildup of bacteria is mainly caused by poor oral hygiene, it is essential to maintain excellent oral healthy by brushing, flossing, and using mouth rinse. Although poor oral health is one of the main reasons for root canal therapy, failing dental restorations and cracked teeth also allow bacteria to leak inside the tooth and infect the nerve. Not only will this situation cause excruciating pain but will result in root canal therapy to treat your condition.

So, what is the easiest way to prevent endodontic treatment and root canal therapy?

The answer is simple. Proper dental care and regular dental visits. Scheduling regular visits will ensure that your teeth are thoroughly examined for any signs of decay or other dental predicaments. Avoid undergoing the painful symptoms of endodontic problems and consult with the skilled staff at Tyngsboro Cosmetic Dentistry about preventing root canal therapy.

Call Tyngsboro dentist Dr. James Yankowskas for a consultation at 978-649-7773. Also, visit our website at

Dr. Yankowskas proudly accepts patients from Tyngsboro, Lowell, Nashua, Dracut, Chelmsford, Dunstable and all surrounding areas.

Why Do I Need a Crown After a Root Canal?

crownsDentists often apply crowns to teeth after a root canal procedure to help seal and strengthen it. However, it’s not always that dentists use crowns. In fact, the teeth found at the front of the mouth are often strong enough to not need a dental crown. The same goes for other teeth whose structures weren’t severely weakened by infection or injury and remain reasonably strong after a root canal.

Such cases are rare, though, and even if root canals are meant to save teeth from decay, the procedure can also weaken teeth. This is because infected teeth are treated by removing the pulp and applying filling to replace it. Usually, dentists have to drill through the tooth to remove the infected pulp, which ends up weakening the teeth. This is why crowns are necessary ON TOP of fillings, especially in teeth with large cavities.

When Are Crowns Not Necessary? 

Of course, as mentioned earlier, crowns are not always necessary.

For example, if the incisor and canine teeth are relatively intact, a root canal without crown replacement is okay. This is because the front teeth are not primarily used for chewing, which means they are not as physically stressed as compared to the premolars and molars. Although if the incurs or canines are extensively excavated during the procedure, the dentist may opt to crown the affected tooth to restore its strength.

There are also cases where the premolars and molars are suitable for root canals with no crown replacement. Although, it is only usually possible if the said teeth are at low risk of fracture, such as when cavities aren’t large enough to require extensive excavation during the root canal. In such cases, silver or composite fillings alone are strong enough to seal the chewing surface of the premolars and molars.

Crowns Are Very Important 

Because of how root canals work, though, dentists often recommend placing crowns on top of applying permanent fillings. This is so as to provide proper protection to affected teeth, while at the same time, restoring its strength and appearance as well. Remember, treated teeth without crowns are at a much higher risk of fracture than those with crowns.

Of course, whether or not you have your teeth covered by crowns or not, it’s important that you continue to take proper care of your teeth. Remember, your teeth are still vulnerable to tooth decay. Make sure that you protect your natural and treated teeth properly by brushing twice a day, flossing and visiting the dentist regularly.

Speaking of the dentist, these oral health care providers can help you choose the best option to restore your tooth after a root canal procedure.

Just keep in mind, even though the front teeth does not always need a crown for strength, its appearance can greatly benefit from a crown. Also, even if the treated molars or premolars are not at a high risk of fracturing, a filling-only restoration just doesn’t provide the necessary protection and improved appearance that a crown does.

Root Canals | Tyngsboro Cosmetic Dentist

jaw pain-tmjIf you’ve ever experienced an extremely painful tooth ache you probably were’t surprised to find out you needed a root canal.

But what exactly is a root canal? It is a procedure that treats the inside of your tooth. If you have an untreated chip or cracked(or other trauma), it can expose the pulp which then can become inflamed and infected. Thus the pulp inside of your tooth becomes damaged. Left untreated leads to the pain you’d feel with a toothache. This left further untreated can result in an abscess.

When your dentists performs a root canal the damaged pulp is removed entirely from the inside of the tooth. After it is removed, your tooth will be cleaned and disinfected and sealed. Afterwards, the tooth is restored with a crown or a filling for protection.

Modern root canal treatment is similar to having a routine filling and may be completed in one or two appointments depending on the condition of the tooth. Contrary to popular belief, root canals relieve the pain that an infected tooth is causing. The procedure isn’t as grim as it is made out to be.

With proper care, most teeth that have had root canal treatment can last as long as other natural teeth and often for a lifetime.

For more information on root canals, contact Dr. James Yankowskas and make an appointmentat (978) 649-7773 or visit our website.

Dr. James Yankowskas also proudly serves Lowell, Nashua, Dracut, Chelmsford, Dunstable, and surrounding areas.