About Endodontics
An endodontist is a specialist in the area of soft tissue inside the tooth. Endodontists, who perform root canals, receive advanced education after graduating from dental school and typically only deal with endodontic-related problems.
A common misconception is that a root canal is a painful procedure. Actually, root canals are similar to having a cavity filled, producing minimal pain.
Common causes for the need of endodontic treatment:
- Inflamed/infected tooth pulp
- Severe sensitivity to hot and cold elements
- Tooth decay
- Chipped or broken tooth
- Trauma to the tooth
- Swelling or tenderness near the infected tooth
- Repeated dental procedures on a tooth
Please contact our office for an evaluation if you experience any of the symptoms above.
About Root Canals
A root canal is a procedure that removes inflamed and infected pulp from the tooth, reshapes the canal and replaces it with a filling material to prevent recontamination by bacteria.
A cavity is the result of superficial decay of the enamel of the tooth. Left long enough, this decay can burrow into the deeper reaches of the tooth, causing extensive damage to tooth structure. When the damage goes beyond what can be treated with a filling, dentists perform a root canal (or endodontics) to preserve the tooth and retain its original integrity. A tooth that in the past would have to have been pulled is saved.
Procedure:
- The patient undergoes anesthesia.
- A dental dam is used to isolate the tooth.
- The tooth is opened to allow for removal of infected or dead dental pulp.
- The tooth is comprehensively cleaned, including any cracks and canals.
- With special tools, the doctor reshapes the canals.
- The tooth is filled again with cutting edge biocompatible filling material.
- A temporary covering is used to cover the access opening.
- Patients MUST see their regular dentist quickly for a permanent restoration of the tooth.
Apicoectomy
Also known as a root-end resection, an apicoectomy literally means the removal of the apex of the root of the tooth. This procedure is used when a root canal has failed or could not be done because of blocked canals. An apicoectomy treats the bony area surrounding the end of your tooth, which has become inflamed or infected. By folding back the gum near the tooth, the doctor can access the underlying bone and curette the inflamed tissue. At the same time, the very tip of the root is removed. The root end is then plugged with a filling. The doctor will close the surgery site with sutures. Eventually, the jaw surrounding the tooth will fill in with bone, thus, supporting the tooth as before. This procedure is an additional treatment to increase the success rate of your treatment.
