Endodontists are specialists in saving teeth with advanced training, specialized techniques, and superior technologies to help you get the highest quality care with the best natural results.
Endodontics is the dental specialty that focuses on the nerves of the teeth. Root canals are the most common procedure related to Endodontics.
When a tooth becomes infected, it is usually related to the nerves in the root of the tooth, and the infected nerves will need to be removed. If left untreated, the infected area can turn into an abscess. This can become a much more serious problem that includes bone loss in the jaw or further damage.
The procedure for a root canal is completed in the following steps:
- To start, the area around the tooth is numbed with a local anesthetic.
- The dentist will then drill down into the tooth to create an opening into the canal.
- Next, the infected tissue will be removed and the canal will be cleaned. The cleared space will be filled with a sealant called Gutta Percha.
- It is strongly recommended that a tooth that has undergone a root canal is fitted with a crown. This will improve the appearance of the tooth and protect it from further damage.
The advances in dental technology have made this a much less frightening procedure for patients. Local anesthetics allow the procedure to be performed with little to no pain in most cases. Soreness may be present following the procedure. Over the counter painkillers are usually enough to relieve pain afterward, however, your dentist may prescribe medication. The procedure will also relieve you from pain caused by the infection. You can enjoy all of the foods you love without any pain from heat, cold, or biting.
Contact us today if you are experiencing tooth pain.
An apicoectomy is performed after an unsuccessful root canal. When an infection will not go away or returns after a root canal has been performed this procedure is usually necessary. There are many nerves that may contain the infected tissue, so it is difficult to ensure that all of the infection is removed during a root canal. During an apicoectomy, the tip of the root of the tooth is removed and replaced with a filling.
In most cases, a second root canal is considered before an apicoectomy since it is a simpler, less invasive procedure. Before the apicoectomy begins you will be given a local anesthetic to numb the area. The doctor will start by making an incision in your gum to expose the root of your tooth. Any inflamed tissue will be removed to clean out the area. The surgery takes place in a very small area, and only a few millimeters are removed from the root. For this reason, the doctor will use magnification and small precision instruments to perform the surgery. The precise nature of the surgery gives it a high rate of success. After the root is removed a filling is placed and the gums are sutured. Depending on the type of sutures you may have to return in a few days to have them removed, or dissolving sutures may be used instead. Over the course of the next few months, the bone will heal around the root.
The use of the endo microscope allows a doctor to perform procedures with greater accuracy because the treatment area is magnified. The microscope's superior illumination and magnification have made the greatest impact on visualization of the area, evaluation of surgical technique and use of fewer x-rays. With the unique ultrasonic unit and tips, a separated instrument or silver point can be removed with less effort. Fourth canals are now routinely being located and completely debrided in virtually all molars, thus increasing the long-term success rate with root canal therapy.
With proper care, most teeth that have had endodontic (root canal) treatment can last as long as other natural teeth. Root canals performed by endodontists (root canal specialists) have a 95% success rate. In some cases, however, a tooth that has received endodontic treatment fails to heal. Occasionally, the tooth becomes painful or diseased months or even years after successful treatment.
Why do I need retreatment?
As occasionally happens with any dental or medical procedure, a tooth may not heal as expected after initial treatment for a variety of reasons:
- Narrow or curved canals were not treated during the initial procedure.
- Complicated canal anatomy went undetected in the first procedure.
- The placement of the crown or other restoration was delayed following the endodontic treatment.
- The restoration did not prevent salivary contamination to the inside of the tooth.
In other cases, a new problem can jeopardize a tooth that was successfully treated.
New decay can expose the root canal filling material to bacteria, causing a new infection in the tooth. A loose, cracked or broken crown or filling can expose the tooth to a new infection. A tooth sustains a fracture. Retreatment is performed in two visits and involves the following:
- At the initial visit, the endodontist will examine the tooth, take x-rays and discuss your treatment options. If you and your endodontist choose retreatment, the retreatment will be scheduled at that time for a future date.
- At the retreatment appointment, the endodontist will administer a local anesthetic to numb the tooth. After the tooth is numb, the endodontist will reopen your tooth to gain access to the root canal filling material. In many cases, complex restorative materials (crown, post, and core material) must be disassembled and removed to permit access to the root canals.
- After removing the canal filling, the endodontist can clean the canals and carefully examine the inside of your tooth using a microscope, searching for any additional canals or unusual anatomy that requires treatment.
- After cleaning the canals, the endodontist will fill and seal the canals and place a temporary filling in the tooth. Post space may also be prepared at this time.
- After your endodontist completes retreatment, you will need to return to your dentist as soon as possible to have a new crown or other restoration placed on the tooth to protect and restore it to full function.
- If the canals are unusually narrow or blocked, your endodontist may recommend endodontic surgery.