Handling Two Adjacent Root Canal Procedures

Dealing With Two Root Canals Side By Side

Having to get one root canal can be unpleasant enough, but requiring two root canals on adjacent teeth at the same time can seem especially daunting. However, while the prospect of dual root canal therapy may be concerning, rest assured that with today's advanced endodontic techniques and anesthetics, having two root canals done consecutively is not as bad as you probably imagine.

In this comprehensive guide, we'll walk you through everything you need to know about undergoing two root canal procedures side-by-side. We'll explain the reasons you may need two simultaneous root canals, what the treatment entails, tips for preparing for and recovering from dual root canal therapy, and how to make the experience as comfortable as possible.

Why You May Need Two Root Canals At Once

There are a few common reasons you may require two root canal treatments on neighboring teeth:

• Decay or injury affecting two adjacent teeth - If cavities, cracks, chips or trauma are present in two adjoining teeth, it can damage the pulp tissue in both teeth, necessitating dual root canal therapy.
• Bacterial infection spreading between close teeth - Dental infections like tooth decay can easily spread from one tooth to the next if they share a common route. Having root canals done on both infected teeth helps eliminate the source of the infection.
• Complications from a previous root canal - Sometimes a root canal that wasn't properly completed the first time can lead to infection and pain in the tooth next to it. Retreating the initial tooth and doing a root canal on the adjacent one may be required.
• Root morphology - Some people's tooth roots are naturally positioned close together or even fused. This can require dual root canal treatment when pulp issues arise in order to fully address both tooth roots.

The Dual Root Canal Procedure

The process of having two root canals side-by-side is essentially the same as having one root canal, just performed on two teeth in succession. The steps generally include:

1. Numbing the area - Both teeth and surrounding tissue will be thoroughly numbed using lots of local anesthetic, so you shouldn't feel any pain.
2. Placing a rubber dam - A rubber sheet called a "dam" isolates the teeth to keep them clean and dry during treatment.
3. Accessing the pulp chamber - A tiny opening is made in the top of each tooth to reach the pulp inside.
4. Removing infected pulp - The diseased pulp is carefully extracted with specialized dental tools.
5. Shaping and cleaning canals - Tiny files are used to shape and disinfect inside each tooth's root canals.
6. Filling canals - The cleaned-out root canals are filled and sealed with an inert filling like gutta percha.
7. Sealing access holes - A temporary filling is placed in the access openings on top of the teeth.

Your endodontist may complete both root canal procedures at a single appointment, or may have you return for a second visit to complete the second root canal after recovering from the first. Root canals performed on the same day are spaced out to allow sufficient numbing between procedures.

Preparing For Double Root Canals

There are a few key things you can do to prepare for having two root canals together and make the procedures go smoothly:

• Practice good dental hygiene - Properly brushing and flossing helps reduce bacteria around the affected teeth prior to your appointment.
• Avoid eating before the procedure - Eating right before a root canal can increase chances of the procedure triggering nausea.
• Take antibiotics as prescribed - Antibiotics may be prescribed to help clear any infections before root canal therapy begins.
• Arrange transportation - The numbness from anesthesia can make it unsafe to drive yourself home after treatment.
• Wear loose fitting clothes - This will be more comfortable with the rubber dam placed over your mouth during the procedures.
• Understand the costs - Talk to your dentist about what to expect for charges for double root canals and prepare financially.

Recovering From Dual Root Canal Therapy

With modern techniques, having two root canals at the same time is often no more uncomfortable than getting one. Still, here are some useful tips for recovering from dual root canal treatment:

• Rest - Take it easy after your procedure and give your body time to heal.
• Use pain relievers as needed - Over-the-counter medications can help relieve any mild discomfort.
• Avoid hard foods - Stick to soft foods until tenderness subsides.
• Practice good oral hygiene - Gently brush and floss around the treated teeth to aid healing.
• See your dentist for a follow-up - Make sure to get a temporary filling replaced with a permanent restoration.
• Watch for complications - Call your dentist if you have any worrisome symptoms like increased pain or swelling.

Making Two Root Canals More Comfortable

While the idea of two root canals at once can be daunting, there are many ways to make the procedures as comfortable and stress-free as possible:

• Choose an experienced endodontist - See a dental specialist who performs many root canals and can optimize comfort.
• Utilize sedation if needed - Ask about anti-anxiety medications or nitrous oxide to remain relaxed.
• Numb thoroughly - Ensure adequate novocaine is given before and during treatment.
• Listen to music - Wear headphones and listen to calming music to distract yourself.
• Use stress balls - Squeeze a stress ball with your free hand to relieve tension.
• Breathe deeply - Practice deep breathing techniques to stay calm and relaxed.

FAQs About Undergoing Two Root Canals

Does getting two root canals hurt?

With proper anesthesia, you should feel no pain during the procedures. Some mild soreness may occur afterwards, but over-the-counter pain relievers are usually sufficient for relief.

How long does it take to get two root canals?

Most endodontists schedule about 90 minutes to perform two root canal treatments during a single visit. However, it may take longer depending on the particular case.

Can I eat after getting two root canals?

Avoid eating until full numbness wears off to prevent accidental biting of numb lips or cheeks. Soft, lukewarm foods are best for the first day or two after treatment.

How much do two root canals cost?

Costs vary, but you can expect to pay about $900-$1800 for two root canals done at the same time. Dental insurance can lower out-of-pocket expenses.

How long is recovery after two root canals?

Soreness usually lasts only a couple days. Complete healing takes a few weeks to months. Temporary fillings need replacement with permanent restorations after 1-2 weeks.

Can I go to work after two root canals?

Most people feel fine resuming regular activities the day after dual root canal therapy, as long as you don't overexert yourself and allow time to rest.

Do I need painkillers after two root canals?

Many people have little to no discomfort and require no medication besides over-the-counter ibupro

Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.