Here is the truth about root canals: the pain people associate with them is the toothache before treatment, not the treatment itself. A modern root canal is performed under profound local anesthesia and feels much like getting a filling. It is also the procedure that ends the pain and saves the tooth.
Deep decay, a crack, or trauma can let bacteria reach the nerve inside a tooth. The signs: lingering pain to hot or cold, throbbing that wakes you at night, pain on biting, swelling, or a pimple-like bump on the gum. Sometimes the nerve dies quietly with no symptoms at all, discovered only on an X-ray, which is one more argument for regular check-ups.
Pulling a painful tooth can seem simpler and cheaper, until you price replacing it. A root canal plus crown usually costs less than an extraction plus implant, and nothing we can make is quite as good as the tooth you were born with. When extraction genuinely is the wiser path, we will say so plainly. Extractions
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