What is Endodontics?
What is an Endodontist and what do they do?
Endodontists are dentists who specialize in maintaining teeth through endodontic therapy procedures, involving the soft inner tissue of the teeth, called the pulp. The word “endodontic” comes from “endo” meaning inside and “odont” meaning tooth. Like many medical terms, it’s Greek. All dentists are trained in diagnosis and endodontic therapy, however, some teeth can be especially difficult to diagnose and treat. That’s why you may have been referred to an endodontic specialist.
In addition to dental school, endodontists receive two or more years of advanced education in this kind of treatment. They study root canal techniques and procedures in greater depth, for diagnosis and treatment of more difficult cases. For this reason, many dentists choose to refer their patients to endodontists.
Diagnoses and Treats 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.
Treats 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.
What Happens During Endodontic Treatment?
or What is a Root Canal?
A local anesthetic will be given. A sheet of latex called the “rubber dam” (we’ve got nonlatex ones too) will be 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.
In any case, it depends on the degree of infection/inflammation and degree of treatment difficulty. To me, it’s more important to do it the very best we can then to meet a specific time criteria. Let’s look at the basic steps for nonsurgical endodontic therapy.
There are, of course, no guarantees. Root canal or endodontic therapy has a very high degree of success, up to 90%. Teeth which can be treated near ideal have a success rate up to ninety percent! We will discuss with you the chances of success before any endodontic procedure to help you make an informed decision. If a root canal or endodontic therapy is unsuccessful or fails you still have options.
Post Op Instructions – After Root Canal Therapy
• A temporary filling or crown is placed to protect the tooth between appointments or following completion of root canal therapy.
• After each appointment when anesthetic has been used, your lips, teeth or tongue may be numb for several hours after the appointment. Avoid any chewing until the numbness has completely worn off.
• Avoid anything hot for 2 hours.
• It is common (and not a problem) for a small portion of your temporary filling to wear away or break off. If the entire filling falls out, or if a temporary crown comes off, call us so that it can be replaced.
• It is normal to experience some discomfort for several days after a root canal appointment, especially when chewing. To control discomfort, take pain medication as recommended ie: Ibuprofen/Advil.
• If antibiotics are prescribed, continue to take them as prescribed, even if all symptoms and signs of infection are gone.
• To protect the tooth and help keep your temporary in place, avoid eating all sticky foods (especially gum), hard foods, and if possible, chew only on the opposite side of your mouth. It’s important to continue to brush and floss normally.
Usually the last step after root canal treatment is the placement of a crown on the tooth.
A crown covers and protects the tooth from breaking in the future. Do not leave your tooth without a crown.
If your bite feels uneven, if you have persistent swelling or pain, or if you have any other questions or concerns, please call our office:
Will I need to return to your office for Additional Visits?
Once endodontic therapy is completed your tooth should be examined periodically, possibly in 6 – 12 months. This allows us to make sure the tooth has healed or is healing properly. You will be sent a notice in the mail when we feel it is appropriate to reevaluate the area. Since an abscess may take 2 years to heal, our office will reevaluate the tooth for at least 2 years.
Occasionally a tooth that has undergone endodontic, treatment fails to heal or pain continues despite therapy. Although rare, sometimes a tooth initially responds to root canal therapy but becomes painful or diseased months or years later. When either of these situations occur, the tooth often can be maintained with a second endodontic treatment.