Root Canals in West Hollywood

Root Canals FAQ

Is root canal treatment painful?

Modern endodontic therapy at Smile Lounge West Hollywood is typically no more uncomfortable than receiving a composite filling. Dr. Sherwin Matian administers local anesthesia to completely numb the tooth and surrounding tissue before treatment begins. Most patients report that the severe toothache they arrived with was far worse than the procedure itself.

How long does a root canal take?

A single-rooted tooth such as an incisor or canine usually takes 45 to 60 minutes. Molars with three or four canals can take 60 to 90 minutes. Dr. Matian uses electronic apex locators and rotary nickel-titanium files to clean and shape each canal efficiently while preserving tooth structure. Most cases are completed in one visit.

What are the signs I might need a root canal?

Persistent or spontaneous throbbing pain, prolonged sensitivity to hot or cold that lingers more than 30 seconds, darkening of a tooth, swelling or a pimple-like bump on the gum (sinus tract), and pain when biting are classic indicators of pulp inflammation or infection. A periapical X-ray at our West Hollywood office confirms whether the nerve is compromised.

Do I need a dental crown after a root canal?

In most cases, yes — especially for premolars and molars. A root-canal-treated tooth loses its internal blood supply, which makes the remaining structure more brittle over time. A full-coverage porcelain or zirconia crown restores strength and seals the tooth against reinfection. Dr. Matian will discuss the best restorative option for your specific tooth during your visit.

What happens if I delay root canal treatment?

An infected pulp will not heal on its own. Delaying treatment allows bacteria to spread to the periapical bone, forming an abscess that can destroy surrounding bone and potentially enter the bloodstream. The longer you wait, the greater the risk of losing the tooth entirely and needing an implant or bridge to replace it.

What is the success rate of root canal therapy?

Root canal treatment has a success rate above 95 percent when followed by a proper restoration. Reinfection is uncommon but can occur if a canal was missed, a crack develops, or the final restoration leaks. Should retreatment ever be necessary, Dr. Matian can often resolve it through a non-surgical approach in one visit.

Is extraction a better alternative to a root canal?

Saving your natural tooth is almost always the preferred option. A natural tooth maintains bone density, preserves your bite alignment, and avoids the cost and complexity of replacement with a dental implant, bridge, or partial denture. Dr. Matian recommends extraction only when the tooth is fractured beyond repair or has insufficient remaining structure to support a restoration.

How do I care for a tooth after root canal therapy?

Avoid chewing hard foods on the treated side until the permanent crown is placed. Brush and floss normally, and take any prescribed antibiotics or anti-inflammatories as directed. Schedule your crown appointment within two to four weeks to seal the tooth. Call Smile Lounge at (323) 676-1843 if you experience swelling or pain that worsens after the first 48 hours.