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My Blog
Posts for tag: root canal
Root canal therapy has helped countless patients avoid having to resort to tooth extraction. This therapy is best explored at the first signs of a tooth problem. So, how do you know that you may need a root canal? Ask yourself these questions to find out if you may need treatment and contact a dentist at Nashua Smile Makers in Nashua, NH, for help.
How Do Your Teeth Feel?
A stinging or throbbing pain on one or more of your teeth is usually the most pressing sign that you may need a root canal. The pain can gradually get worse, or in some cases it seems to arrive suddenly. Some tooth discomfort is fleeting and goes away after a day or so, but when it is chronic or lasts for long periods of time, that is a possible sign of advanced tooth decay that needs immediate treatment. Also, consult your Nashua, NH, dentist if you suddenly have problems with tooth sensitivity.
Any Visible Changes to a Tooth or the Gums?
When bad bacteria erode the dental enamel, a dark or black colored mark is often left behind. Open your mouth wide in the mirror to take a close look at the surfaces of all of your teeth for any unusual spots. In some cases, the whole tooth will begin to change color if the nerves are damaged. Also, check for sores that develop around one area of the gum line as this could be a sign of a dental abscess.
How Does Your Breath Smell Lately?
Bad breath is usually something that will go away after you brush, rinse with mouthwash, or eat a mint. But if you still smell a funny odor after cleaning your mouth, that could be a sign of dental decay. Until that decayed tissue is removed and cleaned with root canal therapy, the smell will likely persist.
Call for Root Canal Treatment
If you notice any of these signs of dental decay, act fast—contact your dentist for an examination. Call Nashua Smile Makers in Nashua, NH, at (603) 882-3727 to schedule an appointment with Dr. Salvatore Guerriero or Dr. Salvatore Colletta.

As a new permanent tooth develops, the roots undergo a process of breakdown and growth. As older cells dissolve (a process called resorption), they’re replaced by newer cells laid down (deposition) as the jaw develops. Once the jaw development ends in early adulthood, root resorption normally stops. It’s a concern, then, if it continues.
Abnormal root resorption most often begins outside of the tooth and works its way in, beginning usually around the neck-like (or cervical) region of the tooth. Also known as external cervical resorption (ECR), the condition usually shows first as pink spots where the enamel is being undermined. As these spots continue to erode, they develop into cavity-like areas.
While its causes haven’t been fully confirmed, ECR has been linked to excessive pressure on teeth during orthodontic treatment, periodontal ligament trauma, teeth-grinding or other excessive force habits, and bleaching techniques performed inside a tooth. Fortunately, ECR is a rare occurrence, and most people who’ve had these problems won’t experience it.
When it does occur, though, it must be treated as quickly as possible because the damage can progress swiftly. Treatment depends on the size and location of the resorption: a small site can often be treated by surgically accessing the tooth through the gum tissue and removing the offending tissue cells. This is often followed with tooth-colored dental material that’s bonded to the tooth to replace lost structure.
A root canal treatment may be necessary if the damage has extended to the pulp, the tooth’s interior. However, there’s a point where the resorption becomes too extensive to save the tooth. In these cases, it may be necessary to remove the tooth and replace it with a dental implant or similar tooth restoration.
In its early stages, ECR may be difficult to detect, and even in cases where it’s been diagnosed more advanced diagnostics like a CBCT scanner may be needed to gauge the extent of damage. In any case, it’s important that you have your teeth examined on a regular basis, at least twice a year. In the rare chance you’ve developed ECR, the quicker it’s found and treatment begun, the better your chances of preserving the tooth.
If you would like more information on root resorption, please contact us or schedule an appointment for a consultation.