At Richland Dental Center, we focus on endodontics, the branch of dentistry that deals with the intricate structures inside the tooth. We are knowledgeable in diagnosing tooth pain and through advanced root canal treatments and other endodontic procedures. We understand the anxiety that dental discomfort and procedures can bring, and we are committed to providing our patients with a comfortable, anxiety-free experience using the latest technologies and techniques. Here, your oral health and comfort are our priorities, as we strive to preserve your natural smile with precision and compassion. If you’re experiencing dental pain, Richland Dental Center can guide you through your treatment options and ensure you receive high-quality care.

Root Canal Treatment

Root Canal Treatment at Richland Dental Center involves a comprehensive approach to treating infections within the tooth’s pulp, a common yet misunderstood dental procedure. We focus on alleviating pain, eradicating infection, and preserving natural teeth, emphasizing patient comfort and long-term oral health.

Root Canal Procedure: The procedure begins with a thorough assessment of the affected tooth, using advanced imaging techniques to diagnose the extent of the infection. Under local anesthesia to ensure patient comfort, the infected pulp is accessed through a small opening in the tooth’s crown. Specialized instruments are used to remove the infected material, clean the canal system, and shape it for filling. The cleaned canals are then filled with a biocompatible material to prevent future infections, concluding with a temporary filling to seal the tooth.

Root Canal Therapy: The overarching goal is to restore the tooth to its full function and appearance. Following the initial procedure, a final restoration, typically a crown, is recommended to protect and reinforce the tooth. This step is crucial for the tooth’s structural integrity and to ensure it can withstand the forces of biting and chewing.

Root Canal Pain Relief: Dispelling the myth that root canal treatment is painful, our focus is on pain relief and comfort. Modern techniques and anesthetics significantly reduce discomfort during the procedure, with many patients reporting they feel only minor sensations. Post-treatment, patients might experience some tenderness, which typically subsides within a few days and can be managed with over-the-counter pain medications.

Root Canal Aftercare: Following the procedure, patients receive detailed aftercare instructions to ensure a smooth recovery. This includes guidelines on oral hygiene practices to avoid infection and recommendations for follow-up visits to monitor healing. Proper aftercare is essential to the success of the treatment and the long-term health of the tooth and surrounding tissues.

Root Canal Symptoms and Diagnosis

Tooth Pain and Sensitivity: One of the most common reasons patients come to Richland Dental Center is tooth pain and sensitivity, which can manifest in various ways. Pain may be sharp and piercing upon contact with hot or cold beverages or may linger long after the stimulus has been removed, indicating deeper issues than mere surface sensitivity. Sensitivity that gradually worsens over time can also signal the degradation of the tooth’s protective layers, exposing the nerves and leading to discomfort. We employ a careful examination process to determine the root cause of pain and sensitivity.

Signs of Infected Pulp: Signs that may indicate an infected pulp include prolonged sensitivity to hot and cold, discoloration of the tooth, swelling and tenderness in the surrounding gums, and pain when biting down. Infected pulp may not always be painful, making regular check-ups critical for early detection. Diagnosing an infected pulp involves comprehensive clinical examinations and may include x-rays to view the tooth’s interior condition.

Cracked Tooth Diagnosis: A cracked tooth can be a challenge to diagnose because the symptoms often mimic those of other dental issues. Patients may experience erratic pain when chewing or an unexpected reaction to cold temperatures. Our professionals use a combination of visual examination, touch, and specialized dental tools to detect even the finest cracks. In some cases, dental dye or transillumination is used to reveal the crack’s extent, allowing for accurate diagnosis and appropriate treatment planning.

Dental Pulp Testing: To further assess the health of a tooth’s pulp, we utilize dental pulp testing. This non-invasive procedure evaluates the pulp’s vitality and helps in diagnosing the extent of any damage or infection. Tests may include thermal testing, where a cold or warm stimulus is applied to the tooth, or electric pulp testing, which measures the pulp’s response to electrical stimuli.

Root Canal Infections

Infected Tooth Pulp: Symptoms of an infected tooth pulp include pain, prolonged sensitivity to hot or cold, and discoloration of the tooth. Identifying an infected pulp is crucial, as it typically necessitates root canal therapy to remove the infected material, cleanse the canal, and seal the tooth to prevent further infection.

Abscessed Tooth: An abscessed tooth occurs when a pocket of pus forms around the root of an infected tooth. This condition is often a consequence of untreated pulp infection and can manifest through severe pain, swelling, fever, and a noticeable bump on the gums. An abscessed tooth requires immediate attention not just to relieve pain but to prevent the spread of infection to other parts of the body. We are adept at managing these cases, often starting with antibiotics to manage the infection before performing a root canal procedure.

Periapical Infection: This type of infection occurs at the apex, or tip, of the tooth’s root, causing pain and sensitivity, especially when pressure is applied to the tooth. Periapical infections are typically the result of advanced decay or injury that allows bacteria to infiltrate the pulp and reach the root tip. We use precise imaging technologies to diagnose periapical infections and recommend the most effective treatment, usually involving root canal therapy to remove the infected tissue and seal the root canals.

Root Canal Abscess: A root canal abscess is similar to a periapical abscess but specifically refers to an infection that develops within the root canal system after previous root canal therapy. This can occur if the initial treatment did not remove all the bacteria, if a new infection breaches the seal, or if the tooth suffers further decay. Symptoms include pain, swelling, and a feeling of pressure. Retreatment of the root canal may be necessary to address a root canal abscess, ensuring the removal of all infected material and the restoration of the tooth’s health.

Endodontic Procedures

At Richland Dental Center, we offer endodontic procedures aimed at diagnosing and treating conditions that cannot be resolved with conventional root canal therapy. This may include exploring hidden fractures, resolving complicated anatomy cases, or removing calcium deposits within the canal. Our professionals use sophisticated imaging techniques to guide their work, ensuring precision and minimizing recovery time. With a focus on patient comfort and the highest standards of care, we are equipped to address the most challenging endodontic issues.

Endodontic Emergency Care

Dental Trauma Management: Dental injuries, whether from sports, accidents, or unexpected falls, require immediate attention to save the affected teeth and prevent long-term damage. We assess the extent of injury and provide the appropriate treatment, ranging from splinting to more complex root canal therapy, to ensure the best possible outcome for preserving the tooth.

Emergency Root Canal Treatment: Acute infections or sudden, severe tooth pain often necessitate emergency root canal treatment. Our clinic is equipped to handle these urgent cases, providing immediate relief from pain and addressing the root cause of the issue. We perform root canal therapy with efficiency and precision, often in a single visit, to quickly alleviate discomfort and restore the tooth’s health. Understanding the urgency of such situations, we prioritize emergency cases, ensuring patients receive prompt and effective treatment.

Cracked Tooth Emergency: Cracks in a tooth can vary in severity, from superficial fissures that affect only the enamel to deep fractures that extend into the root. Symptoms can include sharp pain upon biting down or sensitivity to temperature changes. Diagnosing a cracked tooth requires careful examination and sometimes specialized imaging. We are adept at identifying and treating cracked tooth emergencies, employing techniques to stabilize the tooth and prevent further damage while providing options for long-term restoration. In severe cases where the crack extends into the root, root canal therapy or endodontic surgery may be necessary to save the tooth.

Dental Pain Management

In the realm of endodontics, managing and alleviating dental pain is a crucial aspect of patient care. At Richland Dental Center, our comprehensive approach to Dental Pain Management encompasses a variety of strategies and treatments designed to provide relief and promote healing, whether the discomfort stems from an ongoing condition or follows a dental procedure.

Toothache Relief: Persistent toothaches can significantly impact your quality of life, signaling underlying issues such as decay, infection, or injury. Our initial step in providing relief is a thorough assessment to pinpoint the cause of the pain. Treatment may range from simple fillings to more complex root canal therapy, depending on the diagnosis. We employ advanced pain management techniques, ensuring that patients experience minimal discomfort during and after treatment. We also provide guidance on at-home care practices that can help mitigate pain and facilitate recovery.

Managing Dental Pain: Dental pain can arise from various conditions, including abscesses, cracked teeth, or gum disease. Our approach to managing this pain is twofold: addressing the immediate discomfort and treating the underlying condition to prevent future issues. This may involve prescription medications, such as antibiotics or anti-inflammatory drugs, alongside dental treatments. We are dedicated to educating patients on pain management strategies and preventive care, helping them to maintain optimal oral health and avoid the recurrence of painful conditions.

Post-operative Discomfort: It’s not uncommon to experience some level of discomfort after dental procedures, such as root canal therapy or dental extractions. Our post-operative care includes detailed instructions on managing this discomfort, which may involve over-the-counter pain relievers, cold compresses, and dietary adjustments. We emphasize the importance of following these guidelines closely to ensure a smooth and speedy recovery. Additionally, our staff is always available to address any concerns or complications that may arise, providing prompt interventions to manage pain and support healing.

Oral Health and Endodontics

Maintaining optimal oral health is a continuous journey, especially after undergoing endodontic treatment. At Richland Dental Center, we emphasize the importance of post-treatment care and the role it plays in ensuring the longevity of your dental work and the overall health of your mouth. Our approach to Oral Health and Endodontics focuses on personalized care plans and education to empower our patients in their oral health maintenance.

Maintaining Oral Health After Root Canal: After a root canal treatment, it’s crucial to take steps to preserve the tooth and prevent future dental issues. We provide comprehensive guidance on post-procedure care, emphasizing the importance of regular dental check-ups. These visits allow us to monitor the treated tooth and surrounding gums and teeth, ensuring everything is healing properly and remains healthy. We also stress the significance of maintaining good oral hygiene practices, such as brushing twice a day with fluoride toothpaste, flossing daily, and using an antiseptic mouthwash to prevent infection and keep the mouth clean.

Caring for Teeth After Endodontic Treatment: The care for your teeth post-endodontic treatment extends beyond daily brushing and flossing. We advise on specific practices tailored to the needs of a tooth that has undergone such treatment. This includes avoiding chewing or biting on the treated tooth until it has been fully restored with a crown or filling, as this helps prevent the tooth from fracturing. Our endodontists also recommend avoiding hard and sticky foods that could compromise the integrity of the temporary restoration or the treated tooth itself. Additionally, we may suggest using a night guard if you have a habit of grinding your teeth, to protect both the treated tooth and your other teeth from undue stress and potential damage.

At Richland Dental Center, our commitment to oral health extends well beyond the treatment room. We strive to equip our patients with the knowledge and tools necessary for maintaining their oral health after endodontic treatment, ensuring the success of the treatment and the longevity of their natural teeth. Our tailored advice and continuous support aim to foster a proactive approach to oral health care, highlighting the crucial role of patient participation in achieving and maintaining a healthy, vibrant smile.

Please contact Richland Dental Center to schedule your appointment at our clinic.



1050 Gilmore St Suite B
Richland, Washington 99352


Monday, Tuesday, Thursday

By appointment only

Friday 8:00-3:00pm