Root Canal Therapy in Hillsboro | Painless Treatment | East Wind Dental Care

If you’re experiencing severe tooth pain, sensitivity to hot or cold, or swelling around a tooth, you may need root canal therapy. At East Wind Dental Care, Dr. Merat Ostovar provides gentle, virtually painless root canal treatment using advanced technology and proven techniques. We understand that root canals have an unfair reputation, and we’re here to show you that modern endodontic treatment is far different from the stories you may have heard.

Schedule Your Root Canal Consultation → | Call (503) 614-0198

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What is Root Canal Therapy?

Root canal therapy, also called endodontic treatment, is a dental procedure designed to save a tooth that has become infected or severely damaged. Despite its intimidating reputation, a root canal is actually a pain-relieving procedure that eliminates infection and preserves your natural tooth.

Understanding Tooth Anatomy:

To understand root canal therapy, it helps to know the basic structure of your tooth. Each tooth consists of several layers:

Enamel: The hard, outer protective layer Dentin: The layer beneath the enamel Pulp: The soft tissue inside the tooth containing nerves, blood vessels, and connective tissue Root canals: Tiny passageways within the tooth roots that contain pulp tissue

The pulp extends from the crown of your tooth down to the tip of the roots. While the pulp is important during a tooth’s growth and development, a fully mature tooth can survive without it because the tooth continues to be nourished by the tissues surrounding it.

When Root Canal Therapy is Needed:

When the pulp becomes inflamed or infected due to deep decay, repeated dental procedures, cracks, chips, or trauma, it must be removed. If left untreated, pulp inflammation or infection can cause severe pain, abscess formation, bone loss, and eventually tooth loss.

Root canal therapy removes the damaged or infected pulp, thoroughly cleans and disinfects the inside of the tooth, and then fills and seals the space. This process eliminates infection, relieves pain, and saves your natural tooth from extraction.

The Goal: Save Your Natural Tooth

No artificial tooth can truly replicate the function, aesthetics, and feel of a natural tooth. Saving your natural tooth through root canal therapy offers numerous benefits:

• Maintains your natural bite and chewing efficiency
• Protects other teeth from excessive wear or strain
• Preserves your natural appearance
• Prevents jawbone deterioration
• Avoids the need for more extensive and costly procedures like implants or bridges

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Signs You Need a Root Canal

Many people delay seeking treatment because they fear dental procedures, but recognizing the warning signs early can prevent more serious complications and actually reduce discomfort. Here are the most common indicators that you may need root canal therapy:

Severe Tooth Pain

Persistent Pain:

Constant, throbbing pain that won’t go away is one of the most common signs of pulp infection. The pain may be severe enough to wake you at night or interfere with daily activities.

Pain When Chewing or Applying Pressure:

If you experience sharp pain when biting down or applying pressure to a specific tooth, the pulp may be inflamed or infected.

Radiating Pain:

Pain that starts in one tooth and radiates to your jaw, face, or other teeth can indicate a serious infection requiring root canal therapy.

Temperature Sensitivity

Lingering Sensitivity to Hot or Cold:

Brief sensitivity to temperature is normal, but if the sensitivity lingers for 30 seconds or more after the hot or cold stimulus is removed, it may indicate pulp damage.

Sharp Pain from Hot Foods or Drinks:

Especially severe reactions to hot beverages or foods can be a sign of irreversible pulp damage.

Sensitivity That Worsens Over Time:

If temperature sensitivity gradually becomes more intense or frequent, don’t ignore it.

Swelling and Tenderness

Gum Swelling:

Swelling near the affected tooth, which may be tender to the touch, often indicates infection.

Pimple-Like Bump on Gums:

A small, pimple-like bump (called a fistula or gum boil) on your gums near the painful tooth is a classic sign of infection. It may ooze pus.

Facial Swelling:

In severe cases, infection can cause noticeable swelling in your face or neck. This requires immediate attention.

Tooth Discoloration

Darkening of the Tooth:

A tooth that becomes gray, dark yellow, or brown may indicate pulp death. This occurs when the pulp tissue breaks down and the breakdown products discolor the tooth from the inside.

Other Warning Signs

Loose Tooth:

An infected tooth may feel slightly loose due to the acidic waste products from nerve tissue breakdown softening the bone around the tooth.

Cracked or Chipped Tooth:

Even a small crack can allow bacteria to reach the pulp and cause infection.

Deep Decay:

Cavities that have been ignored and allowed to progress deeply into the tooth often reach the pulp.

Prolonged Dental Work:

Sometimes extensive dental work on a tooth can irritate the pulp to the point where root canal therapy becomes necessary.

Important: Not all infected teeth cause symptoms. Some infections develop slowly and painlessly. This is why regular dental checkups with Dr. Ostovar are essential—he can detect problems before you even notice symptoms.

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Causes of Tooth Infection

Understanding what causes tooth infections can help you take preventive measures and recognize when you might be at risk.

Deep Tooth Decay

Untreated Cavities:

When tooth decay is left untreated, bacteria continue to eat away at the tooth structure, eventually reaching the pulp chamber. This is the most common cause of root canal infections.

Progression Timeline:

Decay starts in the enamel, progresses to the dentin, and finally reaches the pulp. Early treatment with a simple filling can prevent the need for a root canal.

Trauma or Injury

Sports Injuries:

A blow to the mouth during sports or accidents can damage the pulp even if there’s no visible crack or chip.

Falls or Accidents:

Any trauma to the face can injure tooth roots and pulp tissue.

Delayed Symptoms:

Sometimes pulp damage from trauma doesn’t cause symptoms immediately. An injured tooth may show signs of pulp death months or even years later.

Cracked or Fractured Teeth

Visible Cracks:

Large cracks that extend deep into the tooth can expose the pulp to bacteria.

Hairline Fractures:

Even tiny cracks invisible to the naked eye can allow bacteria to seep in and infect the pulp.

Causes of Cracks:

• Chewing on hard objects (ice, hard candy, popcorn kernels)
• Teeth grinding (bruxism)
• Large fillings that weaken the tooth
• Age-related wear

Repeated Dental Procedures

Multiple Treatments on One Tooth:

A tooth that has undergone multiple fillings or other procedures may eventually develop pulp irritation or inflammation.

Deep Fillings:

Very deep fillings placed close to the pulp can sometimes irritate the nerve tissue.

Gum Disease

Advanced Periodontitis:

Severe gum disease can cause infection that reaches the tooth roots through the periodontal pockets.

Root Exposure:

Gum recession exposes tooth roots, making them more vulnerable to decay and infection.

Bacterial Infection

How Bacteria Reach the Pulp:

Bacteria can enter through cavities, cracks, or damaged fillings and multiply within the pulp chamber, causing inflammation and infection.

Abscess Formation:

If the infection spreads beyond the tooth root into the surrounding bone, it can form an abscess—a pocket of pus that can be very painful and dangerous if left untreated.

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The Root Canal Process: Step-by-Step

At East Wind Dental Care, we use modern techniques and technology to make root canal therapy as comfortable and efficient as possible. Here’s exactly what you can expect:

Step 1: Comprehensive Examination and Diagnosis

Initial Assessment:

Dr. Ostovar begins with a thorough examination of the affected tooth and surrounding areas.

Digital X-rays:

High-quality digital X-rays allow Dr. O to visualize the tooth’s root canal system, assess the extent of infection, and plan the treatment precisely.

Pulp Vitality Testing:

Special tests determine whether the pulp is still alive or has died, helping confirm the diagnosis.

Treatment Planning:

Dr. Ostovar explains the procedure, answers your questions, and ensures you feel comfortable before proceeding.

Step 2: Anesthesia and Preparation

Local Anesthesia:

The area around the tooth is thoroughly numbed using local anesthetic. Most patients feel nothing more than a slight pinch from the injection.

Dental Dam Placement:

A small rubber sheet called a dental dam is placed around the tooth to keep it dry and free from saliva during the procedure. It also prevents any cleaning solutions from entering your mouth.

Complete Comfort:

Once the anesthesia takes effect, you should feel no pain—only gentle pressure. If you feel any discomfort during the procedure, inform Dr. O immediately so he can administer more anesthetic.

Step 3: Accessing the Pulp Chamber

Creating an Opening:

Dr. Ostovar creates a small access opening in the top (crown) of the tooth. This opening allows him to reach the infected or damaged pulp.

Gentle Technique:

Using precise instruments and steady hands, Dr. O works carefully to preserve as much healthy tooth structure as possible.

Step 4: Removing the Infected Pulp

Pulp Removal:

The infected or damaged pulp tissue is carefully removed from the pulp chamber and root canals using specialized instruments.

Complete Cleaning:

Dr. Ostovar ensures all infected tissue is removed to eliminate the source of infection and pain.

Step 5: Cleaning and Shaping the Canals

Thorough Cleaning:

The empty pulp chamber and root canals are thoroughly cleaned, disinfected, and shaped using small, flexible files.

Irrigation:

Antimicrobial solutions are used to flush out bacteria and debris, ensuring the canals are completely clean.

Canal Shaping:

The canals are shaped to prepare them for filling while maintaining the structural integrity of the tooth.

Step 6: Filling the Canals

Gutta-Percha Filling:

Once the canals are completely clean and dry, they’re filled with a biocompatible material called gutta-percha—a rubber-like substance that seals the canals and prevents future infection.

Precise Placement:

The gutta-percha is placed using techniques that ensure complete filling of the canal space.

Sealing:

A dental adhesive is used to cement the gutta-percha in place and seal the canal completely.

Step 7: Temporary or Permanent Filling

Access Opening Closure:

The access opening created at the beginning of the procedure is sealed with a temporary or permanent filling.

Protection:

This filling protects the inside of the tooth until a permanent restoration can be placed.

Step 8: Final Restoration (Crown)

Why a Crown is Necessary:

Teeth that have had root canal therapy are more brittle than healthy teeth because they no longer have a blood supply. A crown protects the tooth from fracture and restores full function.

Crown Placement:

In most cases, you’ll return in 2-3 weeks for crown placement. Dr. Ostovar will prepare the tooth, take impressions, and have a custom crown made to fit perfectly.

Temporary Crown:

A temporary crown protects your tooth while the permanent crown is being fabricated.

Timeline:

The entire root canal procedure typically takes 60-90 minutes, though complex cases may require more time or multiple visits.

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Does It Hurt? Root Canal Myths Debunked

Let’s address the elephant in the room: the persistent myth that root canals are excruciatingly painful. This reputation is outdated and unfair to modern dentistry.

The Truth About Root Canal Pain

Myth: Root Canals Are Extremely Painful

Reality: Modern root canal therapy is virtually painless. With today’s advanced anesthetics and techniques, most patients report that the procedure is no more uncomfortable than having a routine filling placed.

What Actually Hurts:

The pain people associate with root canals is actually the pain of the infection before treatment—not the treatment itself. In fact, root canal therapy relieves pain by eliminating the infected pulp causing your discomfort.

Why the Bad Reputation?

Outdated Techniques:

Decades ago, before modern anesthetics and technology, root canals could indeed be uncomfortable. Stories from that era have unfairly persisted.

Confusing Cause and Effect:

People remember the severe tooth pain they had before the root canal and associate it with the procedure itself.

Rare Complications:

In rare cases, factors like unusual anatomy, severe infection, or anesthetic resistance can make treatment more challenging—but these are exceptions, not the rule.

Modern Pain Management at East Wind Dental Care

Effective Local Anesthesia:

Dr. Ostovar uses powerful, long-lasting local anesthetics that thoroughly numb the treatment area. You’ll feel pressure and movement, but no pain.

Gentle Technique:

Years of experience have refined Dr. O’s technique to be as gentle and efficient as possible.

Patient Comfort Focus:

Your comfort is our top priority. If you feel any discomfort during the procedure, we’ll immediately adjust and provide additional anesthetic.

Anxiety Management:

We understand dental anxiety. Dr. Ostovar takes time to explain each step, answer questions, and ensure you feel relaxed and in control.

What You’ll Actually Feel

During the Procedure:

• Slight pressure as Dr. O works
• Sounds of instruments and water irrigation
• The sensation of the dental dam
• No pain (if you do feel pain, it means more anesthetic is needed)

After the Procedure:

• Mild soreness for 2-3 days (easily managed with over-the-counter pain relievers)
• Tenderness when chewing on the tooth
• Sensitivity that gradually decreases

Comparing Pain Levels

Root Canal with Anesthesia:

Pain level: 0-1 out of 10 during the procedure

Infected Tooth Without Treatment:

Pain level: 7-10 out of 10 and worsening

Simple Filling:

Pain level: Similar to a root canal with proper anesthesia

The bottom line: If you need a root canal, the procedure will relieve your pain, not cause it.

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Recovery and Aftercare

Proper aftercare ensures optimal healing and long-term success of your root canal therapy.

Immediately After Your Procedure

Numbness:

Your mouth will remain numb for 2-4 hours after the procedure. Avoid eating or drinking hot beverages until the numbness wears off to prevent accidentally biting your cheek or tongue.

Temporary Dietary Changes:

Stick to soft foods for the first 24 hours. Avoid chewing on the treated tooth until it has been restored with a permanent crown.

Mild Discomfort:

Some tenderness and sensitivity are normal as your body heals. This typically peaks within 24-48 hours and then gradually improves.

First 24-48 Hours

Pain Management:

Over-the-Counter Medications:

Ibuprofen (Advil, Motrin) is typically most effective for post-root canal discomfort. Take 400-600mg every 6-8 hours as needed. If you can’t take ibuprofen, acetaminophen (Tylenol) is an alternative.

Prescription Pain Medication:

For more complex cases, Dr. Ostovar may prescribe stronger pain medication. Follow the instructions carefully.

Cold Compress:

Apply an ice pack to the outside of your face near the treated tooth for 15 minutes on, 15 minutes off to reduce swelling and discomfort.

Rest:

Take it easy for the remainder of the day after your procedure.

What to Eat

First 24 Hours:

• Soft foods: yogurt, pudding, mashed potatoes, smoothies
• Cool or room temperature foods
• Chew on the opposite side of your mouth

Days 2-7:

• Continue with softer foods until the permanent crown is placed
• Avoid hard, crunchy, or chewy foods
• Avoid sticky foods that could dislodge the temporary filling or crown

Oral Hygiene

Continue Brushing and Flossing:

Maintain your regular oral hygiene routine. Clean teeth heal better.

Be Gentle:

Brush gently around the treated tooth, but don’t skip it.

Rinse Carefully:

Avoid vigorous rinsing for the first 24 hours. After that, gentle saltwater rinses can promote healing.

Don’t Skip Care:

Even though the tooth may be tender, it’s important to keep it clean to prevent new infections.

Activity Restrictions

First 24 Hours:

Avoid strenuous exercise, which can increase blood flow and cause throbbing or bleeding.

Return to Normal:

You can typically resume normal activities the day after your procedure.

Follow-Up Care

Crown Placement:

Schedule and attend your crown placement appointment. This is essential for protecting your tooth long-term.

Monitor Healing:

Pay attention to how you’re feeling. Some discomfort is normal, but severe or worsening pain is not.

Temporary Filling/Crown Care:

If you have a temporary restoration, be extra gentle with it. Avoid sticky or hard foods that could dislodge it.

When to Call Dr. Ostovar

Contact our office immediately if you experience:

• Severe pain that doesn’t respond to medication

• Swelling that worsens after 2-3 days
• An allergic reaction (rash, itching, difficulty breathing)
• Your bite feels uneven after the numbness wears off
• The temporary filling or crown falls out
• Signs of infection (fever, increasing pain, pus)
• Swelling outside the mouth or in your neck

Most patients feel significantly better within 3-5 days and return to normal within a week.

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Success Rate and Longevity

Root canal therapy is one of the most successful procedures in dentistry, with a proven track record of saving teeth for decades.

Success Rates

Overall Success:

Modern root canal therapy has a success rate of 85-97%, depending on various factors.

Factors Affecting Success:

Location of the Tooth:

Front teeth (incisors and canines) have slightly higher success rates than back teeth (molars) due to simpler root canal anatomy.

Extent of Infection:

Teeth treated before severe infection develops tend to have better outcomes.

Quality of Final Restoration:

A well-fitted crown that properly seals the tooth contributes significantly to long-term success.

Oral Hygiene:

Patients who maintain excellent oral hygiene enjoy higher success rates.

No Previous Root Canal:

First-time root canal therapy has a higher success rate than retreatment of a previous root canal.

How Long Do Root Canals Last?

Decades of Service:

With proper care and a quality crown, a tooth that has had root canal therapy can last a lifetime. Many root canal-treated teeth last 20, 30, or even 40+ years.

Comparable to Natural Teeth:

When properly restored, a tooth with a root canal can function just as well as a natural, untreated tooth.

Factors That Extend Longevity

Timely Crown Placement:

Getting your permanent crown placed within 2-4 weeks of the root canal procedure protects the tooth from fracture.

Quality Restoration:

A well-made, properly fitted crown is essential for long-term success.

Good Oral Hygiene:

Brushing twice daily, flossing, and regular dental checkups prevent new decay or gum disease that could compromise the tooth.

Regular Dental Visits:

Dr. Ostovar monitors root canal-treated teeth during routine checkups, catching any potential issues early.

Avoiding Trauma:

Wearing a mouthguard during sports and avoiding chewing on hard objects protects your tooth.

Addressing Bruxism:

If you grind your teeth, wearing a nightguard prevents excessive force on the restored tooth.

Signs of Root Canal Failure

While rare, root canals can occasionally fail. Warning signs include:

• Return of pain or sensitivity

• Swelling or tenderness around the tooth
• A pimple-like bump on the gum
• Darkening of the tooth
• Pain when chewing

Retreatment Option:

If a root canal fails, it can often be successfully retreated by an endodontist (root canal specialist). Dr. Ostovar will refer you if retreatment is necessary.

Comparing Longevity to Alternatives

Root Canal + Crown:

Can last 20-40+ years or a lifetime with proper care

Dental Implant:

Can last 20-25 years on average, with the crown component typically needing replacement every 10-15 years

Bridge:

Typically lasts 10-15 years before needing replacement

Bottom Line:

Root canal therapy offers excellent long-term value and the irreplaceable benefit of keeping your natural tooth.

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Root Canal vs. Extraction: Making the Right Choice

When a tooth is severely damaged or infected, you may wonder whether it’s better to save it with a root canal or simply have it extracted. Here’s a detailed comparison to help you understand why saving your natural tooth is almost always the better choice.

Why Saving Your Natural Tooth Matters

Natural Function:

No artificial replacement can perfectly replicate the function of a natural tooth. Your natural tooth root stimulates and maintains the jawbone, provides natural sensory feedback, and supports optimal chewing efficiency.

Bone Preservation:

When a tooth is extracted, the jawbone in that area begins to deteriorate due to lack of stimulation. This bone loss can change your facial structure over time and complicate future dental work.

Simplified Treatment:

A root canal with a crown is a straightforward procedure. Extraction requires additional steps to replace the tooth, which are more complex, time-consuming, and expensive.

The True Cost of Extraction

Many patients assume extraction is the simpler, cheaper option. Here’s why that’s often false:

Immediate Costs:

While extraction itself may be less expensive than root canal therapy, you then face the cost of tooth replacement.

Replacement Options After Extraction:

Dental Implant + Crown:

• Most similar to a natural tooth
• Cost: $3,000-$5,000 or more
• Requires surgery and 3-6 months of healing
• Additional procedures (bone grafting) may be needed

Dental Bridge:

• Cost: $2,000-$5,000
• Requires grinding down adjacent healthy teeth
• May need replacement every 10-15 years

Partial Denture:

• Cost: $500-$2,000
• Least stable option
• Can be uncomfortable
• Doesn’t prevent bone loss

No Replacement:

• No upfront cost
• But leads to:

– Shifting of adjacent teeth

– Bite problems

– Additional tooth loss

– Jaw joint problems

– Difficulty chewing

– Aesthetic concerns

Root Canal + Crown:

• Cost: $1,500-$2,500 typically
• Saves your natural tooth
• Completed in 2-3 visits
• Can last a lifetime

Functional Differences

With a Natural Tooth (After Root Canal):

• Feels completely natural
• Normal chewing ability
• No special care required
• Maintains jawbone
• Prevents adjacent teeth from shifting
• Natural appearance

With an Extracted Tooth:

• Always requires replacement or acceptance of the gap
• Implants feel most natural but require surgery
• Bridges and dentures have limitations
• Ongoing maintenance and potential replacement costs
• Bone loss occurs without intervention

When Extraction May Be Necessary

While saving your natural tooth is usually best, extraction may be the only option when:

• The tooth is fractured below the gum line
• The root is severely damaged or cracked
• There’s insufficient bone support due to advanced gum disease
• The tooth cannot be adequately restored even after root canal therapy
• The cost of saving the tooth is prohibitive for your situation

Dr. Ostovar’s Recommendation:

Dr. O thoroughly evaluates each case and provides honest recommendations. If a tooth truly cannot be saved, he’ll explain why and discuss replacement options. However, when a tooth can be saved with root canal therapy, the benefits of keeping your natural tooth almost always outweigh extraction.

The Verdict

Root canal therapy is:

• More cost-effective long-term
• Preserves your natural tooth and bone
• Simpler and faster overall
• Provides the most natural function and feel
• Prevents future complications

Extraction is:

• A last resort when a tooth cannot be saved
• The beginning of a longer, more complex treatment journey
• More expensive when replacement costs are factored in
• Leads to bone loss and potential bite changes

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Cost and Insurance Coverage

We understand that cost is an important consideration when planning dental treatment. Here’s what you need to know about root canal therapy costs and insurance coverage.

Average Cost of Root Canal Therapy

The cost of root canal treatment varies based on which tooth is affected:

Front Teeth (Incisors and Canines):

$800-$1,200

These teeth typically have one root canal, making treatment more straightforward.

Premolars (Bicuspids):

$900-$1,400

Premolars usually have one or two canals and moderate complexity.

Molars (Back Teeth):

$1,200-$2,000

Molars can have three or more canals and are the most complex to treat.

Additional Costs:

Crown (Usually Required):

$1,000-$1,500

Nearly all teeth that undergo root canal therapy need a crown for protection and longevity.

Total Investment:

$1,800-$3,500 for root canal therapy plus crown, depending on the tooth.

Factors Affecting Cost

Tooth Location:

Back teeth with multiple roots and canals are more complex and therefore more expensive to treat.

Complexity:

Unusual anatomy, calcified canals, or severe infection may increase treatment time and cost.

Emergency Treatment:

Same-day emergency appointments may have additional fees.

Retreatment:

If a tooth has previously had root canal therapy and needs retreatment, the procedure is more complex.

Specialist Referral:

In very complex cases, Dr. Ostovar may refer you to an endodontist (root canal specialist), whose fees may be higher.

Dental Insurance Coverage

Typical Coverage:

Most dental insurance plans cover 50-80% of root canal therapy costs, as it’s considered a major restorative procedure.

Annual Maximums:

Be aware of your plan’s annual maximum benefit (often $1,000-$2,000). Complex cases requiring both a root canal and crown may exceed this limit.

Pre-Authorization:

Some insurance plans require pre-authorization before treatment. Our office staff will handle this process for you.

Crown Coverage:

Crowns are typically covered at 50% by dental insurance. However, some plans have waiting periods for major work or may limit coverage based on when the tooth was last restored.

Verifying Your Insurance Benefits

We Handle the Details:

Our knowledgeable office staff will verify your insurance benefits and provide you with a detailed estimate of your out-of-pocket costs before treatment begins.

Transparent Pricing:

We believe in transparent pricing with no hidden fees. You’ll know exactly what to expect financially before we begin treatment.

Payment Options

Insurance Assignment:

We accept assignment of insurance benefits, meaning we bill your insurance directly and you pay only your estimated portion.

Payment Plans:

We offer flexible payment plans for patients who need to spread costs over time.

CareCredit:

We accept CareCredit, a healthcare credit card that offers promotional financing options (including interest-free periods if paid within the promotional timeframe).

HSA/FSA:

Health Savings Accounts and Flexible Spending Accounts can be used for root canal therapy, providing potential tax advantages.

Cost vs. Value

Long-Term Investment:

While root canal therapy plus a crown represents a significant investment, consider:

• Saves your natural tooth for potentially 20-40+ years or a lifetime
• Prevents bone loss and tooth shifting
• Avoids the higher cost of extraction plus implant or bridge
• Maintains optimal oral health and function

Cost of Delaying Treatment:

Postponing necessary root canal therapy can lead to:

• Worsening infection requiring more complex treatment
• Potential tooth loss requiring more expensive replacement
• Infection spreading to other teeth or your jawbone
• Severe pain and emergency visits
• Time off work for recovery

Prevention Saves Money:

Regular dental checkups with Dr. Ostovar allow early detection of decay and problems, often preventing the need for root canals altogether. Investing in prevention is always more cost-effective than treating advanced problems.

Questions About Cost?

We’re happy to discuss costs, insurance coverage, and payment options. Call us at (503) 614-0198, and our friendly staff will provide you with the information you need to make an informed decision about your dental care.

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Same-Day Emergency Root Canal Treatment

Dental emergencies don’t follow a schedule. At East Wind Dental Care, we understand that severe tooth pain demands immediate attention, which is why we offer same-day emergency root canal treatment.

What Constitutes a Root Canal Emergency?

Severe, Unrelenting Pain:

Tooth pain that is constant, intense, and doesn’t respond to over-the-counter pain medication.

Abscess:

A pimple-like swelling on your gums that may be draining pus—a sign of serious infection.

Facial Swelling:

Noticeable swelling in your face, jaw, or neck associated with tooth pain indicates a spreading infection that requires immediate treatment.

Trauma:

A tooth that’s been knocked loose, cracked, or broken due to injury may need emergency root canal therapy.

Extreme Sensitivity:

Unbearable sensitivity to hot or cold that lingers long after the stimulus is removed.

Fever:

A fever accompanying tooth pain suggests infection that may be spreading.

Our Emergency Approach

Prompt Availability:

We reserve time in our schedule for emergency patients. When you call with a dental emergency, we make every effort to see you the same day.

Call Us Immediately:

If you’re experiencing severe tooth pain or other emergency symptoms, call our office right away at (503) 614-0198. Our staff will assess your situation and schedule you as quickly as possible.

After-Hours Guidance:

If you experience an emergency outside regular office hours, call our office number. Our voicemail provides instructions for reaching Dr. Ostovar in urgent situations.

What to Expect at Your Emergency Appointment

Immediate Assessment:

Dr. Ostovar will examine the affected tooth, take necessary X-rays, and diagnose the problem.

Pain Relief:

Our first priority is relieving your pain. Local anesthesia will be administered to numb the area.

Treatment Options:

Dr. O will explain whether immediate root canal therapy is needed or if the situation can be managed temporarily with antibiotics and pain medication until a scheduled appointment.

Same-Day Root Canal:

If a root canal is necessary and you’re ready to proceed, Dr. Ostovar can often complete the procedure the same day, eliminating your pain and infection.

Temporary Relief:

In some cases, Dr. O may open the tooth to drain the infection and relieve pressure, then complete the root canal at a follow-up appointment. This still provides significant pain relief.

Emergency Care for Hillsboro & Beaverton Residents

Convenient Location:

Our office is easily accessible from Hillsboro, Beaverton, Aloha, Tanasbourne, and Orenco Station.

Serving the Community:

We’re committed to being your trusted emergency dental care provider when you need us most.

Before You Arrive

Manage Pain:

Take over-the-counter pain medication (ibuprofen or acetaminophen) as directed on the package.

Reduce Swelling:

Apply a cold compress to the outside of your face near the painful area.

Avoid Temperature Extremes:

Don’t consume very hot or very cold foods and beverages.

Don’t Apply Heat:

Never apply heat to a swollen area, as this can worsen infection spread.

Elevate Your Head:

When lying down, keep your head elevated to reduce throbbing.

After Emergency Treatment

Follow Instructions:

Dr. Ostovar will provide specific aftercare instructions. Follow them carefully for optimal healing.

Take Prescribed Medications:

If antibiotics or pain medication are prescribed, take them exactly as directed.

Schedule Follow-Up:

If the root canal wasn’t completed during the emergency visit, schedule your follow-up appointment before leaving.

Call with Concerns:

If you have any questions or concerns after your emergency appointment, don’t hesitate to call our office.

Don’t Suffer in Silence

Dental emergencies can be frightening and extremely painful, but you don’t have to suffer. Dr. Ostovar and our caring team are here to help. Whether you’re experiencing severe pain, swelling, or other urgent symptoms, call East Wind Dental Care at (503) 614-0198 immediately. We’ll do everything possible to see you quickly, relieve your pain, and save your tooth.

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Frequently Asked Questions About Root Canal Therapy

1. How painful is a root canal?

Modern root canal therapy is virtually painless. With effective local anesthesia, you’ll feel pressure and movement but no pain during the procedure. Most patients report that getting a root canal is no more uncomfortable than having a cavity filled. Any post-procedure discomfort is typically mild and easily managed with over-the-counter pain medication.

2. How long does a root canal take?

Most root canals take 60-90 minutes for a single appointment. Front teeth with one canal may take less time (45-60 minutes), while molars with multiple canals may take longer (90-120 minutes). Complex cases may require two visits.

3. Can I drive myself home after a root canal?

Yes, you can drive yourself home after root canal therapy. Only local anesthesia is used, so you’ll be fully alert and able to drive safely. Just be careful not to accidentally bite your numb lip or cheek.

4. How long will I be numb after the procedure?

Numbness typically lasts 2-4 hours after your appointment, depending on the type and amount of anesthetic used. Avoid eating or drinking hot beverages until the numbness completely wears off.

5. When can I eat after a root canal?

You can eat soft foods once the numbness wears off, typically 2-4 hours after your appointment. Stick to soft foods for the first 24 hours and avoid chewing on the treated tooth until it’s been restored with a permanent crown.

6. Will I need a crown after my root canal?

In most cases, yes. Teeth that have had root canal therapy become more brittle because they no longer have a blood supply. A crown protects the tooth from fracture and restores full function. Front teeth occasionally can be restored with just a filling if there’s sufficient tooth structure remaining.

7. How soon after a root canal do I need a crown?

Ideally, your crown should be placed within 2-4 weeks of the root canal procedure. This timing protects the tooth from damage while allowing it to heal properly.

8. Can a root canal fail?

While root canals have a 85-97% success rate, they can occasionally fail due to new infection, missed canals, cracks in the tooth, or inadequate sealing. If this occurs, retreatment by an endodontist is often successful.

9. What happens if I don’t get a root canal?

If you don’t treat an infected or damaged tooth, the infection will worsen and spread. You may develop a painful abscess, bone loss around the tooth, and eventually lose the tooth entirely. In rare cases, untreated dental infections can spread to other parts of the body and become life-threatening.

10. Is it better to pull the tooth or get a root canal?

Saving your natural tooth with root canal therapy is almost always better than extraction. Root canals are more cost-effective long-term, preserve your jawbone, maintain natural function, and prevent adjacent teeth from shifting.

11. How much does a root canal cost?

Root canal therapy costs $800-$2,000 depending on which tooth is treated. Front teeth are less expensive ($800-$1,200), while molars are more complex ($1,200-$2,000). A crown adds $1,000-$1,500. Most dental insurance covers 50-80% of the cost.

12. Can I get a root canal while pregnant?

Root canal therapy can be safely performed during pregnancy, especially during the second trimester. If you have a dental emergency during pregnancy, it’s important to get treatment—untreated infection poses greater risk to you and your baby than the procedure itself.

13. How long does a root canal last?

With proper care and a quality crown, a root canal-treated tooth can last 20-40+ years or even a lifetime. Maintaining good oral hygiene, attending regular dental checkups, and protecting the tooth from trauma all contribute to longevity.

14. Will my tooth look different after a root canal?

With a properly fitted crown, your tooth will look completely natural. Dr. Ostovar uses high-quality crowns custom-matched to the color and shape of your natural teeth. No one will be able to tell you’ve had a root canal.

15. Can I go to work after a root canal?

Most patients can return to work the same day or the next day after root canal therapy. You may want to take the rest of the day off to rest, but most people feel well enough to resume normal activities within 24 hours.

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Why Choose East Wind Dental Care for Root Canal Therapy

When you need root canal therapy, choosing the right dentist makes all the difference in your experience and outcome. Here’s why patients throughout Hillsboro, Beaverton, Aloha, Tanasbourne, and Orenco Station trust Dr. Merat Ostovar and East Wind Dental Care for their root canal treatment.

Dr. Ostovar’s Expertise and Experience

Skilled and Experienced:

Dr. Merat Ostovar (Dr. O) has extensive experience performing successful root canal therapy. His skilled hands and thorough knowledge of endodontic techniques ensure optimal results.

Commitment to Excellence:

Dr. O stays current with the latest advances in endodontic treatment through continuing education, ensuring you receive the most effective, comfortable care available.

Gentle Technique:

Dr. Ostovar is known for his gentle touch and patient-centered approach. He takes the time to ensure you’re completely comfortable before, during, and after your procedure.

Advanced Technology

Digital X-Rays:

We use high-resolution digital X-rays that provide detailed images with 90% less radiation than traditional X-rays, allowing precise diagnosis and treatment planning.

Modern Instruments:

State-of-the-art rotary instruments and files make root canal therapy faster, more comfortable, and more thorough than ever before.

Electronic Apex Locators:

This technology allows Dr. O to accurately measure the length of root canals, ensuring complete cleaning and proper filling without taking excessive X-rays.

Patient Comfort is Our Priority

Effective Anesthesia:

We use the most effective local anesthetics available, administered with a gentle technique to ensure you remain comfortable throughout your procedure.

Calm, Relaxing Environment:

Our modern office is designed to put you at ease from the moment you walk in.

Open Communication:

Dr. Ostovar explains each step of the process, answers all your questions, and ensures you feel informed and in control.

Your Pace:

We never rush. Dr. O takes whatever time is necessary to complete your root canal properly and comfortably.

Comprehensive Care Under One Roof

Complete Treatment:

From diagnosis through root canal therapy to final crown placement, all your care happens in our office—no need for specialist referrals in most cases.

Continuity of Care:

Dr. Ostovar oversees your entire treatment, ensuring consistent, coordinated care.

Follow-Up:

We monitor your healing and the long-term success of your root canal therapy during regular checkup appointments.

Convenient Location and Hours

Easy to Reach:

Located at 7546 NE Shaleen St in Hillsboro, we’re conveniently accessible from throughout the Portland metro area.

Flexible Scheduling:

We offer appointment times that work with your busy schedule.

Emergency Availability:

When you have a dental emergency, we make every effort to see you the same day.

Transparent Pricing and Insurance Support

Clear Cost Estimates:

We provide detailed cost estimates before treatment so you know exactly what to expect.

Insurance Assistance:

Our knowledgeable staff verifies your insurance benefits and handles claims processing, maximizing your coverage.

Flexible Payment Options:

We offer payment plans and accept CareCredit to make treatment affordable.

Patient-Centered Philosophy

You’re More Than a Tooth:

We treat you as a whole person, not just a dental problem. Your comfort, concerns, and questions matter to us.

Building Relationships:

We’re committed to being your long-term dental care partner, not just providing a one-time procedure.

Honest Recommendations:

Dr. Ostovar provides honest, conservative treatment recommendations. If a tooth can be saved, he’ll tell you. If it can’t, he’ll explain why and discuss alternatives.

Proven Results

High Success Rate:

Our patients enjoy successful outcomes and long-lasting results from their root canal therapy.

Happy Patients:

We’re proud of the positive feedback we receive from patients who were nervous about their root canal but found the experience far better than expected.

Serving Your Community

Local and Trusted:

East Wind Dental Care is proud to serve families throughout Hillsboro, Beaverton, Aloha, Tanasbourne, Orenco Station, and surrounding communities.

Committed to Your Health:

We’re invested in the oral health and wellbeing of our community.

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Schedule Your Root Canal Consultation Today

If you’re experiencing tooth pain, sensitivity, or other symptoms of infection, don’t wait. Early treatment prevents complications, relieves pain, and saves your natural tooth.

Take the First Step

Call us today at (503) 614-0198 to schedule your consultation with Dr. Ostovar. We’ll:

✅ Thoroughly examine your tooth and take necessary X-rays

✅ Diagnose the problem accurately

✅ Explain your treatment options in clear, understandable terms

✅ Answer all your questions

✅ Provide a detailed cost estimate

✅ Schedule your root canal at a time convenient for you

✅ Address any anxiety or concerns you have

Visit Our Office

East Wind Dental Care

7546 NE Shaleen St

Hillsboro, OR 97124

Phone: (503) 614-0198

Serving: Hillsboro, Beaverton, Aloha, Tanasbourne, Orenco Station, and surrounding areas

Don’t Let Fear Keep You in Pain

We understand that the thought of a root canal can be scary, but we promise the reality is far different from the myths. Modern root canal therapy is:

• Virtually painless with effective anesthesia

• Completed in just one or two comfortable visits
• A proven way to save your natural tooth
• Far less problematic than extraction and replacement
• Performed with gentle technique and advanced technology

Emergency? We’re Here to Help

If you’re experiencing severe pain, swelling, or other emergency symptoms, call us right away. We’ll do everything possible to see you the same day and provide the relief you need.

Your Smile Deserves Expert Care

Don’t let an infected tooth jeopardize your oral health. With root canal therapy at East Wind Dental Care, you can save your natural tooth, eliminate pain, and protect your smile for years to come.

Call (503) 614-0198 now to schedule your appointment.

Dr. Ostovar and our caring team look forward to helping you achieve optimal oral health in a comfortable, anxiety-free environment. Your pain-free smile is just a phone call away.

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East Wind Dental Care—Gentle Root Canal Therapy That Saves Your Smile