ENDODONTICS

Endodontic treatment helps you maintain your natural smile, continue eating the foods you love and limits the need for ongoing dental work. With proper care, most teeth that have had endodontic therapy can last a lifetime.

ENDODONTIC TREATMENT OPTIONS:

1) Root Canals

2) Retreatments

3) Regenerative Endodontics



1) ROOT CANALS



Root canal treatment is necessary when the pulp (*soft tissue inside your teeth containing blood vessels, nerves and connective tissue) becomes inflamed or infected. The nerve tissue can become affected due to a deep cavity, repeated dental procedures, fracture, or physical trauma to the tooth.



WHAT TO EXPECT:



SIGNS AND SYMPTOMS YOU NEED A ROOT CANAL

  • Spontaneous pain even when youíre not eating or drinking
  • Pain that wakes you up in the middle of the night
  • Toothache that worsens when pressure is applied or when eating/biting
  • Darkening/discoloration of a tooth
  • Recurring swelling of the gums
  • Tenderness in the gums
  • Extreme sensitivity to cold &/or heat


  • Ignoring these signs or symptoms can be detrimental to your oral health, and may lead to further complications including increased pain or an abscessed tooth, or even tooth loss. The sooner we are able to address the issue, the greater chance we have for success. If you are unsure about any of the symptoms youíre experiencing, CONTACT US for a consultation.



    DURING YOUR ROOT CANAL

    When diagnosis indicates the need for a root canal treatment, our first priority is to education our patients and provide them with the appropriate treatment options. Our first order of business is to ensure that our patients are at-ease about the procedure. After full anesthesia is achieved, treatment will typically be completed in one or two appointments based on the health of the pulpal tissue. The inflamed or infected pulp is removed and the inside of the tooth is carefully cleaned and disinfected, then filled and sealed with a rubber-like material called gutta-percha. If your tooth was severely infected, we will opt to place medication in your canals before completing the root canal to effectively decontaminate & disinfect the tooth involved. A temporary filling will be used in between treatments to keep the area sterile. The height of the tooth is reduced so that this new tooth is not an active player in the bite.



    AFTER YOUR ROOT CANAL

    Afterwards, the tooth is restored with a crown or filling for protection and will continue to function like any other tooth. You may experience pain & tenderness for a few days after the procedure is completed and should avoid chewing on that side of your mouth for a couple of days or until any tenderness has subsided. Itís important to remember that teeth with root canal therapy have a higher percentage of fracture. Airing on the side of caution with hard & crunchy foods is advised.



    2) RETREATMENTS



    WHAT TO EXPECT

    It is possible for teeth that have previously had root canal therapy to heal improperly, becoming painful or diseased months or even years after treatment. If this happens to your previously root canaled tooth, you have a second chance to save the tooth with retreatment. There are a variety of reasons your tooth may not heal as expected after initial treatment.



    COMPLICATIONS LEADING TO RETREATMENT:

  • 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.
  • 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 new infection.
  • A tooth sustains a fracture.


  • WHAT TO EXPECT:

    During retreatment, we will reopen your tooth and remove the filling materials that were placed in the root canals during the initial procedure. We then carefully examine the tooth, looking for additional canals or new infection and proceed to remove any infection, clean and reshape the canals, and places new filling materials. The opening is then sealed with a temporary filling. Once healed, a new crown/restoration is placed to protect the tooth.





    3) REGENERATIVE ENDODONTICS

    Regenerative endodontics uses the concept of tissue engineering to restore the root canals to a healthy state, allowing for continued development of the root and surrounding tissue. This is a novel and exciting approach to endodontics. Using our knowledge of pulp biology, dental trauma, and tissue engineering, we can provide regenerative endodontic treatment of necrotic immature permanent teeth, resulting in continued root development, increased thickness in the dentinal walls and apical closure. These developments in the regeneration have a promising impact on efforts to retain the natural dentition, the ultimate goal of endodontic treatment.



    WHAT TO EXPECT:

    The canal is disinfected with copious irrigation and a combination of antibiotics. The apex is then mechanically irritated to initiate bleeding to produce a blood clot and a deep restoration is placed. The combination of a disinfected canal, a matrix into which new tissue could grow, and an effective coronal seal appears to have produced the environment necessary for successful revascularization and resulting healing.

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