Endodontics


There is no other dental procedure that is more misunderstood or creates patient anxiety than root canal therapy. Modern endo-therapy is much more comfortable and completed in a single visit. In root canal therapy, the pulp is opened, and the inflamed or damaged tissue is carefully removed. After opening, medications are often placed in the canal. The medication is left to act until the next visit. The pulp canal(s) are filled with root filling material, gutta percha. Finally, the tooth is filled. A root canal treated tooth functions normally in the same way as an original tooth. Root canal therapy may, however, make the tooth more fragile or discolored.

You may be somewhat familiar with how the Invisalign® treatment works, but we’d like to take you through each step of the treatment process, from consultation to confident smile. Whether you’re considering treatment for yourself or someone else, knowing more about the entire process can help you be more confident in your decision to choose Invisalign and enjoy a better smile every day.

Endodontics FAQ

Endodontics deals with disease of the dental pulp and its supporting structures. Teeth have several layers. The outside layer of the tooth is composed of a hard layer called Enamel. Enamel is supported by an inner layer called Dentin, which has at its center a soft tissue known as the Pulp.

The Pulp contains blood vessels, nerves, and connective tissue that handle forming the surrounding Dentin and Enamel during tooth development. The Pulp receives its nourishment supply from vessels that enter the end of the root. Although the Pulp is important during development of the tooth, it is not necessary for the function of the tooth.

The center of the tooth is hollow and this is where the pulp tissue resides. The pulp tissue contains nerves and blood vessels. This pulp chamber is a sterile environment. Once a cavity (strep mutans) infects this sterile environment an infection will start. We remove the infected pulp tissue and clean the infected area before filling the pulp chamber to prevent future infection.

A post is placed into one of the roots after endo therapy to increase strength and decrease flexing of the tooth which can cause tooth fracture.

Reinfection of a completed root canal is the most common long-term complication. Endo Retreatment is needed when a secondary infection develops in the completed root canal. The tooth is reinstrumented again and refilled. In certain cases, a surgical procedure called apicoectomy is needed.

Many endodontic procedures are performed to relieve the pain of toothaches caused by pulp inflammation or infection. With modern techniques and anesthetics most patients report that they are comfortable during the procedure.

For the first few days after treatment, your tooth may feel sensitive, especially if there was pain or infection before the procedure. The discomfort can be relieved with over-the-counter or prescription medications.

While x-rays will be necessary during your endodontic treatment, we use an advanced non film computerized system, called digital radiography (CDR), that produces radiation levels nearly 90 percent lower than those of already low dose conventional dental x-ray machinery.

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