Do I Need a Filling or a Root Canal?

When your teeth require a little more attention for a healthier smile, dental fillings and root canals are two common treatments we perform in general dentistry. But, it's not a one or the other decision.

A dental filling is a standard procedure that restores minor damage or tooth decay. Meanwhile, a root canal is necessary when there is significant decay or damage to the tooth that a filling can't effectively address. 

Experiencing dental discomfort can be unsettling, but determining the right course of treatment doesn't have to be. 

What Is a Filling?

A dental filling helps restore the structure and function of a tooth affected by decay or minor damage. Fillings are ideal for early-stage cavities before the decay spreads deeper into the tooth and causes further damage. 

This process involves removing the damaged or decayed portion of the tooth, cleaning the area to remove bacteria, and then filling that area with either composite resin or porcelain to restore the tooth's shape and strength.

What Is a Root Canal?

A root canal is a more complex procedure that treats infections or extensive damage that has reached the inner part of the tooth (the pulp), and is too extensive for a filling to restore. Deep cavities, a crack, or trauma in the tooth can cause this infection. 

With a root canal, your dentist removes the damaged pulp, cleans inside the tooth, and then fills it with a rubber-like material before sealing the tooth with either a filling or a crown. 

Given the procedure's complex nature, it's normal for your tooth to feel slightly tender for the first week or two. 

Filling or Root Canal: What Treatment Is Right for You?

Given the differences in these procedures, the decision between a filling and a root canal depends on the extent and location of the damage or decay in your tooth. The only one who can tell you the right course of treatment is your dentist. 

After thoroughly evaluating your oral health with X-rays and inspecting the decay or damage, they can tell whether a filling or root canal is the right course of action to support your smile. 

Signs You May Need a Filling

If you notice any of the following symptoms, you might benefit from a dental filling: 

• A visible cavity or hole in your tooth
• Sensitivity to heat, cold, or sweet foods, particularly in a specific area
• Mild tooth pain that isn't constant
• Minor chips or cracks in your teeth

Signs You May Need a Root Canal

The symptoms of a deeper infection or pulp damage are more severe. You may need a root canal if you experience:

• Persistent, throbbing tooth pain
• Sensitivity to heat or cold that lingers even after the source is removed
• Swollen or tender gums near the affected tooth
• A tooth that has darkened or appears discoloured
• A pimple-like bump on your gums, which may indicate an abscess

What Happens If You Delay Treatment?

It can be tempting to delay a trip to the dentist, especially if the pain or discomfort feels manageable at first. However, postponing treatment can lead to more severe (and costly) concerns down the line, such as: 

• Worsening decay: A small cavity that's otherwise treatable with a filling might expand and require a root canal, or even a tooth extraction. 
• Spread of infection: Untreated infections can spread to other areas of the mouth or even other parts of the body, leading to serious complications.
• Tooth loss: The longer you wait, the more damage is done, potentially making it impossible to save the tooth.

As your dental team, we're here to support your oral health and preserve your beautiful smile. Avoiding a dental visit can mean small concerns can snowball into greater issues, which are more challenging to address. 

Seeking timely treatment saves you time, money, and unnecessary stress. 

Support a Happy Smile & Prevent Tooth Decay 

Your teeth help you eat nutritious meals and chat with the people you love every day. Appreciate them by maintaining good oral health! 

While dental issues can sometimes be unavoidable, a consistent oral care routine can help reduce the risk of needing fillings and root canals:

• Brush twice daily: Brush your teeth for at least 2 minutes in the morning and before bed to strengthen tooth enamel, remove bacteria and debris, and fight decay. 
• Floss daily: Flossing removes plaque, food particles, and debris from tight spaces between teeth and gums that brushing can't target, preventing cavity formation. 
• Eat tooth-friendly foods: Limit sugary snacks and drinks (they attract bacteria), and opt for foods that promote oral health, like fruits, vegetables, and dairy products.
• Regular dental checkups: Visit your dentist every 6 months for a routine dental cleaning and exam to maintain a healthy smile and catch problems early. 
• Stay proactive: If you notice any symptoms, like pain or sensitivity, don't delay treatment. Make an appointment with your dentist right away. 

Think of it this way: Preventing tooth problems is easier than curing them.

Address Your Dental Concerns Today

Knowing whether you need a filling or a root canal can be difficult, but luckily, your dentist can determine the right course of treatment to preserve your pearly whites. 

Find comfort in expert care. Connect with our team at Rundle Dental to book an appointment for your routine dental cleaning and exam today, and take the first step toward a healthier smile!