DENTAL THERAPY AND MICROSCOPY
ЕndodonticsEndodontists are dentists who specialize in saving teeth through different procedures which involve the pulp (nerve) and root of teeth. Endodontist comes from the Greek “endo” meaning inside and the word “odont” meaning tooth. All dentists are trained to treat and diagnose diseases of the pulp (nerve), however, some teeth can be especially difficult to diagnose and treat. Reason why some patients are referred to the endodontist.
What is a Root Canal?
A root canal is a dental treatment done under local anesthesia to remove a damaged nerve while saving the tooth. The procedure is done under a sheet of latex called the “rubber dam” (we’ve got non-latex ones too) placed around the tooth to isolate it, hence keeping it clean and dry during treatment. The treatment consists of three or four basic steps, but the number of visits will depend on your particular case. Some treatments take 2 visits but many are just a single visit. Occasionally 3 appointments are needed. It all depends on the degree of infection/inflammation and degree of treatment difficulty.
We believe it is more important to do it the very best we can than to meet a specific time criteria. Endodontic therapy when done properly and under ideal circumstances has a very high degree of success, up to 90%. Since all teeth do not always follow this criteria, we will discuss with you the chances of success for your specific tooth, before any endodontic procedure is done to help you make an informed decision.
Diagnosing and Treating Dental/Facial Pain
Oral pain such as toothaches or cracked / fractured teeth can often be difficult to pinpoint. Because of the vast network of nerves in the mouth, the pain of a damaged or diseased tooth often is felt in another tooth and/or in the head, neck, or ear. An endodontist is a specialist in diagnosing and treating this type of pain.
Dental Traumatic Injuries
Pulp damage is sometimes caused by a blow to the mouth, and the endodontist specializes in treating these traumatic injuries. For example, a blow to a child’s permanent tooth that is not fully developed can cause the root to stop growing. A procedure called apexification stimulates bone to be deposited at the end of the root which makes it possible to then save the tooth through a root canal procedure. An endodontist is specially trained in procedures for replanting teeth that have been knocked out of their sockets.
Will I Need to Return to your Office for Additional Visits?
Endodontic therapy can be done in one, two or multiple visits depending on the tooth, the number of roots, the current condition of the tooth and the time available. Once endodontic therapy is completed a follow up exam and x-ray should be done about 12 months later. This allows us to make sure the tooth has healed or is healing properly.