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If the bugs are hard to kill, the battle rages on for a while and because the area is very tiny, the pressure becomes high and it becomes extremely painful. There are lots of technical descriptions of root canal treatment on the internet (for a list of websites, scroll to the bottom of this page). Since so many people seem to recoil in horror when they hear some friend or other is having (or has had) a root canal treatment on their tooth, I thought I’d share my own root canal experiences. I had cold sensitivity develop in a molar tooth which had previously been filled twice by different dentists, in the 1970s and in the 2000s. The first appointment involved opening the tooth up, taking out the nerve to stop the toothache, cleaning out, finding and disinfecting all the canals; and placing a medicated temporary dressing. After waiting a while longer, he then tested gently with the explorer and asked if anything felt sharp. You may also be given the option of using a ‘soft bite block’ if you find it comfortable and easier on your jaw joint but it is not compulsory. Next up was probably the most nerve-wracking moment for a modern RCT virgin… but I already trusted this guy from previous treatment, so I generously gave the benefit of the doubt, when he informed me that he was now going to open up the tooth (by drilling into it with the handpiece in case you were still wondering!).
Before doing so, he reiterated that it was not supposed to hurt at all and if I felt anything untoward, I must signal at once by raising my arm. For the next 90 minutes he stayed totally calm and apparently happily absorbed in intricately working on my tooth. Because I was wearing safety goggles with quite a thick rim and because I was tipped back, I couldn’t really see very much at all of what was going on, unless I made a real effort to watch.
Some of the time, it was noisy with the canals being explored using longish L-shaped pointed attachments to the handpiece.
But most of the time, it was quiet with the assistant handing various tiny files to the dentist (he kept asking for particular numbers) which he then either attached to the root canal system handpiece or more often than not used by hand to carefully navigate the canals, gently rotating them to feel his way to the apex. Some people (and I now agree despite having initially been sceptical) have reported that it is a more relaxing experience than a conventional filling, despite taking longer.
At various stages (probably no more than 3 times per appointment) a digital x-ray was taken to confirm progress. At frequent intervals I glimpsed a syringe-like nozzle (no needle) which was simply used to squirt the bleach down the canals. The time had passed surprisingly quickly and I felt a bit euphoric knowing that the toothache had finally been banished. I went away having been assured that the second appointment would be very similar with more shaping and a substance called gutta percha being placed as the final filling material, topped off with composite and that it would eventually be wise to get the tooth crowned, once we were sure the treatment had been a success. At the second appointment, despite the nerve having already been removed, I was automatically numbed up.
The main difference was that the ‘plugger’ was used a lot more, since this was the stage where the gutta percha cones (pieces) were gently pushed down to the bottom of the canals – the goal was to have no gaps. Towards the end, I could sense some heat coming off something inserted in my tooth – I think this was probably serving to melt the gutta percha? I was advised to take nurofen for the jaw-joint as soon as I got home and I did so but I felt no need to take a second dose.
I subsequently had an old root canal (done in the early 1990s by a general dentist) re-treated at an endodontist. I was told the only real downside of treatment were if a file broke off in the lower portion of a tooth root, it might be hard or impossible to retrieve. I was also aware of the endodontist measuring the canals from time to time – he wore a special ring on his finger with a ruler scale on it.
You may have heard people say that root canal treatment is very painful, or you may have had such an experience yourself. Done competently by someone who cares for the quality of the patient experience, root canal treatment should be a pain-free procedure with just local anaesthetic.
Bear in mind that advanced numbing techniques for ‘hot’ (infected) teeth may be more likely to be known by specialist endodontists.


It is your right to be numbed for the second appointment even though the nerve is likely already gone.
Pain upon biting down and dull pain is common and a recognised side effect of root treatment.
It should be manageable with maybe a little bit of an anti-inflammatory drug like ibuprofen or similar. Ask if they will wear loupes (to obtain some kind of magnification benefit over the naked eye). Endodontists have special equipment (such as a really good microscope – see photo) and advanced training in root canal treatment. This is not to say that general dentists cannot competently carry out root canal treatment.
Here comes the question we’ve all been waiting for: under which circumstances would a dentist choose an endodontist?
Tell me About… Root Canal Treatment (British Dental Health Foundation) Easy-to-read information in a question and answer format. Patient Information (British Endodontic Society) Common questions and answers about root canal treatment.
The Dental Anxiety Network is Dental Fear Central's sister website for dental professionals and dental students.
Membership of the International Society of Dental Anxiety Management (ISDAM) is now available to healthcare professionals who have a registered qualification and a regulatory body.
However, the point is… You must know what problem you are facing before you look for a solution. Here it’s obvious that either you have head lice or someone close to you has got some in their hair. Head lice are parasitic insects and to discover whether they reside in someone’s hair or not, look for them behind the ears or near the neckline.
It is therefore unhygienic and dirty; containing dissolved and suspended particles of sewage and surface matter. The bigger ones like paper, bottles and plastics go first, then the lesser ones such as silt. Some of it( the sludge) is squeezed to expel the excess water it hold while the remaining is reused. Any passing bacteria find this a source of nourishment and proceed to munch on the dead nerve and have lots of babies ?? . X-rays, cold air-spray, the probe and tooth sleuth (a plastic thing you bite down on each cusp individually to see if the tooth is cracked) all proved inconclusive.
Well it took a few days but eventually I realised the weird pressure build-up sensations and spontaneous twinges in my tooth probably fell into the category of ‘getting worse’. He explained that the nerve was in the process of dying and the best thing to do would be a root canal treatment to save my tooth.
It also had the benefit for me whilst lying there that I could ‘swallow’ easily when I needed to and that I was in no danger of accidentally gulping down the treatment debris including old filling material and the bleach later used to disinfect the canals.
I was offered a soft bite block but it didn’t fit well so I shook my head and he immediately removed it and I did just fine without. Some anxious patients might prefer more of a ‘running commentary’ (just ask if you do) but I was happy to let him give most attention to the tooth. This means if you don’t want to see, you can just relax and close your eyes, or as per my preference, alternate between staring at the boring ceiling and peeking at the proceedings.
Occasionally I was asked to adjust my head position slightly… just like at the hairdresser’s.
The difference is I think, the extensive above-mentioned periods of quiet concentrated work. My jaw felt a bit stiff understandably and the local lasted ages longer before it wore off which was fine by me.


This was done very thinly in lots of separate layers and the usual curing light was used multiple times. Teeth that have had root canal treatment are more brittle and a crown provides extra support and strength to the tooth, especially if it is a back tooth. However this was quickly followed up by an assurance that it had been years since he had had such an incident so I probably shouldn’t lose any sleep over this remote possibility. The most common reason for painful root treatment is that the dentist finds it difficult to make your tooth numb because of an acute abscess.
If profound anaesthesia cannot be achieved for whatever reason, it is time to rethink all options including sedation. They are also more likely to always have in stock the stronger and longer-lasting local anaesthetic types which may be ideally suited to root canal treatments. It makes work on the surrounding tissue much more comfortable regardless and gives longer-lasting relief from any discomfort afterwards.
This is especially true for back teeth – these are usually much more difficult than front teeth. It will not only protect you from tasting nasty substances – it will make it much more likely that the treatment works! Especially for more complex root canal treatments and for re-treatments where a root canal has failed, their chances of success are higher (in some cases much, much higher) than those of general dentists.
There are many who do enjoy it and who have done additional training in endodontic therapy since qualifying.
Because endodontists have had to invest in additional equipment and training, they tend to charge more than a general dentist. Ask your dentist about this option, or make a consultation appointment with an endodontist if you are in any doubt.
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Whether you are currently searching for lice treatment, or want to avoid getting lice in the first place, we want to make your life easier.
So, before we move on to discuss how you can get rid of them with proper head lice treatment, let me briefly tell you about them as well as their life cycle. They are very, very uncommon in African Americans probably due to their specific hair shape.
It is therefore crucial for a wastewater treatment process to be undertaken before consumption. Anyway, to sort this mess out, the dentist has two choices, extract the tooth and remove the bugs that way or do a root treatment. If appropriate they may quickly clean the tooth in question before gently anchoring a special clamp with a frame around your tooth and then stretching a piece of rubber over the frame which they then adjust, usually so that only the tooth to be treated is visible in the dentist’s work area. The only real difference between him and my dentist was the use of the endodontic microscope at the first appointment and a general air of confidence as to likely success. You can find them near the scalp (within 6 mm to be precise) because they require body heat to survive.
So it’s best to agree up-front (even with an experienced dentist) that if any unforeseen problems are encountered, you would like to be referred on to an endodontist.
This starts an abscess, the body reacts to the invasion by pouring in defensive cells, which kill most of the bugs in the area, but still can’t get to the source of the problem, which is in the tooth. One important point to note is that after head lice treatment, you may get rid of head lice, but dead eggs may remain attached.



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