Fillings and root canals are both treatments for tooth decay or damage. When cavities form in teeth due to plaque, they need to be treated in order to preserve the tooth. Dental injuries can also threaten the health of a tooth. Whatever the situation, one thing is certain: the sooner a tooth is treated, the better the outcome.
How do you know what type of treatment you need? Do you need a root canal or just a filling? It depends on the situation.
What is a Filling?
A filling is the process of repairing damage to a tooth by applying composite resin to the affected area. Composite resin is a tooth-colored material that goes on soft and is hardened by a special light. It can be used to fill cavities, reshape chipped teeth, and repair minor cracks.
What is a Root Canal?
A root canal treats a tooth by cleaning it out from the inside. The soft tissue at the center of the tooth, called dental pulp, is removed. The root canal is cleared out and disinfected, then filled with a replacement material called gutta-percha that is spongy and mimics natural dental pulp, but is resistant to infection. A dental crown is typically placed over the tooth following a root canal.
Determining the Best Treatment
To determine if a tooth needs a filling or a root canal, your dentist will consider the following factors:
- Size and depth of a cavity. A small cavity can typically be treated with just a filling. But if a cavity is large or deep enough to reach the dentin, the soft layer under the enamel, it most likely needs a root canal to prevent infection.
- Severity of a crack. In most cases a cracked tooth should be treated with a root canal and crown. Only very small, very shallow cracks can be filled effectively with long term success.
- Signs of infection. If the tooth shows signs of infection, such as pain, discoloration, or swelling around it, a root canal is the necessary treatment.
Who Performs Fillings and Root Canals?
Most general dentists can perform both fillings and root canals. But an endodontist specializes in root canal treatment, providing an advanced level of care that offers the best chance of saving the tooth and keeping it healthy for the long term. Root canals performed by endodontists have a higher success rate than those performed by general dentists.
Frequently Asked Questions About Root Canals and Fillings
Does a root canal cost more than a filling?
A root canal is a more complex procedure than a filling, which means the overall cost will be higher, especially when a crown is included. But if a root canal can save your tooth and prevent future dental work, it is generally worth the cost.
Can I avoid both and just have my tooth pulled?
We always recommend saving the natural tooth if possible. It will function more effectively and look more natural than a dental prosthetic. It also costs less to have the tooth treated rather than replaced.
Schedule an Evaluation Today
If you have a tooth that may need treatment, Eagle Endodontics can provide an evaluation and recommendation. Contact us today to learn more and schedule an appointment.