How to tell if you need a root canal or just a filling
Tooth pain can be unsettling, especially when you’re unsure what’s causing it. Is it just a simple cavity, or could it be something more serious like an infected tooth? Knowing the difference between needing a filling and a root canal can save you time, discomfort and in some cases, even your natural tooth.
This guide will walk you through everything you need to know about fillings and root canals, their key differences and how to determine when it’s time to see an endodontist.
Understanding tooth decay
Tooth decay starts small but can quickly become a big problem if left untreated. Bacteria in your mouth break down sugars and starches, producing acids that wear away your enamel. Over time, this can lead to cavities, which are essentially small holes or areas of decay in the tooth.
Cavities are common and often easy to treat, but when the decay is left unchecked, it can spread deeper into your tooth, potentially affecting the pulp (the soft tissue inside the tooth containing nerves and blood vessels). This is when things may escalate, calling for more intensive treatment.
What is a filling?
Fillings are one of the most common solutions for treating tooth decay. When a cavity forms, your dentist will remove the decayed portion of your tooth and fill it with a material, such as resin, amalgam, or ceramic, to restore its structure and functionality.
When do you need a filling?
You notice sensitivity to sweet foods or temperature changes.
You see a tiny hole or dark spot on your tooth.
You experience mild discomfort while chewing.
Fillings are straightforward and typically completed in one visit. They’re an effective way to stop decay from spreading while keeping your tooth strong and functional.
What is root canal therapy?
Root canal or endodontic therapy, goes a step further than a filling. It’s required when the decay or infection has reached the pulp deep inside the tooth. If left untreated, this can cause significant pain, abscesses and even tooth loss.
During root canal therapy, your endodontist removes the infected pulp, cleans out the inside of the tooth and seals it to prevent further infection. With proper care, the treated tooth can last a lifetime.
When do you need root canal therapy?
Persistent, throbbing tooth pain that doesn’t go away.
Sensitivity to hot or cold that lingers even after the trigger is removed.
Swelling or tenderness around the tooth or gums.
A pimple-like bump on your gum (a sign of infection).
Key differences between fillings and root canal therapy
Understanding the differences between these two treatments can help you determine what you might need based on your symptoms and dentist’s evaluation.
Symptoms
Filling: Mild discomfort, small visible cavity, or sensitivity to sugary foods.
Root Canal: Severe and lingering pain, swelling, or visible signs of infection.
Procedure
Filling: A quick procedure that usually takes 30-60 minutes. The decayed part of the tooth is removed and the hole is filled with a restorative material.
Root Canal: A more extensive process, often requiring 1-2 visits. It involves cleaning the infected pulp, replacing it with a biocompatible material and sealing the tooth to prevent further issues.
Recovery
Filling: Minimal recovery time. You might feel some sensitivity for a day or two, but most people resume regular eating and chewing immediately.
Root Canal: Recovery takes a bit longer. You may experience soreness for a few days, but this can be managed with over-the-counter pain relievers.
When to see an endodontist
Dentists will often be your first point of contact when it comes to your teeth and they might be the ones to refer you to our team at West Fort Worth Endodontist. But, if you’re experiencing significant tooth pain or any of the symptoms mentioned above, consult our team as soon as possible.
Here are some guidelines for when to seek professional help:
If you’ve had ongoing sensitivity to hot or cold for more than a few days.
If you notice swelling, tenderness, or redness around your tooth or gumline.
If pain intensifies, especially while biting or chewing.
Remember, treating issues early can save you from more complex (and expensive) procedures later.
Prevention tips to avoid fillings and root canal therapy
The best way to handle dental problems is to avoid them altogether! Here are some tips to maintain excellent oral health:
Brush and floss regularly: Brush twice a day with fluoride toothpaste and floss daily to remove food particles and plaque.
Visit your dentist routinely: Regular check-ups and cleanings help catch potential issues before they become serious.
Avoid sugary snacks and drinks: Reducing sugar helps prevent the buildup of bacteria that leads to cavities.
Use a mouthguard (if you grind your teeth at night or play contact sports). Protecting your teeth from damage can reduce the need for restorative treatments.
Stay hydrated: Drinking water helps wash away food particles and bacteria, promoting a healthy mouth.
Care for your teeth, protect your smile
Tooth pain doesn’t have to disrupt your life. Whether you need a simple filling or a root canal, getting the proper treatment can restore your comfort and safeguard your smile.
If you have more questions or think you may need a root canal, don’t wait. Reach out to West Fort Worth Endodontics today. Our experienced team is here to provide expert care and ensure the process is as painless as possible.
Call us today at 817-769-6100 or click here to book an appointment. Your comfort and oral health are our top priorities!