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Candidates for Root Canal Therapy


When decay becomes so severe that it starts to affect the dental roots, we will often perform root canal therapy, or endodontic treatment. Candidates for root canal therapy at our Brooklyn Heights, NY, practice include those with extreme tooth sensitivity, gum abscesses, chronic bad breath, or tooth discoloration. However, endodontic treatment is not appropriate for every damaged tooth. At Brooklyn Heights Dental®, Dr. Eugene Stanislaus or Dr. Lisa Reid will carefully evaluate patients’ teeth to determine their candidacy for treatment.

What Is Root Canal Therapy?

Root canal therapy is the most common treatment for dental infection. This problem arises when decay reaches the soft pulp inside your tooth. From there, bacteria can easily spread along the nerves that run down your root canals. During endodontic therapy, Dr. Stanislaus or Dr. Reid will remove these bacteria, as well as any dead tissues and nerves.

If you are exhibiting the signs of a dental infection, we will typically recommend root canal therapy.

The inside of your tooth will be reshaped and a temporary filling will be placed. We will take impressions, and our partner lab will use them to create your dental crown. Typically, about two weeks later, you will return to the office to receive your custom-made restoration. Your tooth will be numbed for your treatment, so that you should experience minimal discomfort. 

Illustration of root canal treatment.

When Is Root Canal Therapy Appropriate?

If you are exhibiting the signs of a dental infection, we will typically recommend root canal therapy. The symptoms can include:

  • Toothache: Often severe, a toothache is the most common symptom of severe decay and infection. Pain can take various forms, though it will usually worsen when you bite and chew. Cold temperature and sugar can also exacerbate your discomfort. In some cases, the toothache could send radiating pain across your lower face and into your ears.
  • Halitosis: Since bacteria will be trapped inside your tooth, some patients suffer from chronic bad breath.
  • Abscesses: An abscess is a small, pus-filled sore at the tip of your dental root, which can often be quite painful.
  • Internal discoloration: As the soft tissue inside your tooth dies, it will darken, giving your tooth a grayish tint.

In some cases, we may recommend endodontic treatment for a cracked tooth. To qualify, the crack should be very large, but it should not reach all the way to your tooth roots.   

Determining Candidacy for Treatment

Close-up of an x-ray of patient in need of root canal therapy. To confirm that root canal therapy is right for you, we will evaluate your symptoms, which involves taking x-rays of your tooth to establish the extent of dental damage. Endodontic treatment is not appropriate for everyone.

If infection has destroyed the tooth, we may need to extract the tooth, and place a dental restoration. We may also recommend extraction if you have a compromised immune system. In this case, it may be better to eliminate the bacteria as soon as possible, before it affects your overall health.

In some cases, we may recommend more conservative treatment. If bacteria has not already reached the soft inner pulp, and the cavity is small, we will typically recommend a dental filling, rather than endodontic therapy.

Contact Brooklyn Heights Dental®

If you are experiencing tooth pain, or other symptoms that you believe may require root canal therapy, contact our dental practice today, to schedule your one-on-one consultation. 

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"I've been very happy with my experiences at Dr. Stanislaus's office, and highly recommend him to anyone in the New York City area. He and his staff go above and beyond to do the best job possible."

-R.B. (Patient)

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Brooklyn Office

44 Court St
8th Flr, Ste 808
Brooklyn, NY 11201

Open Today 9:00am - 5:00pm

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