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Patient Education


What is an Endodontist?

If you are reading this page, it probably means that your General Dentist has referred you to see an Endodontist for consultation and/or treatment on one or more of your teeth. You may be thinking, “what is an Endodontist and why am I being referred?” 

An Endodontist is a dental specialist who deals with infections that occur inside the tooth. You might be experiencing pain to hot or cold temperatures, biting, swelling, gum sensitivity, abscess, discoloration of the tooth, or you may have no symptoms at all. You might be experiencing these symptoms because of deep decay, trauma, chipping, cracking, or repeated dental procedures. In some cases, the inside of a tooth (called the pulp) dies, or becomes necrotic, for no apparent reason.

There are several ways in which Endodontists save teeth that have infections or necrosis, but most common procedure is called a root canal treatment.  More than 14 million teeth receive some form of root canal treatment each year—you’re not alone. Moreover, you’re in good hands.  All Endodontists complete two years of post doctorate education to become a specialist.  That’s approximately 10 years of college.

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Root Canal Treatment

Every tooth consists of three different layers. From the outside, first there is Enamel (the outer layer of the teeth which is the hardest part of the body). The second layer is Dentin (the inside hard layer) and then we have the Pulp (which is an empty space where the live tissue and nerve of each tooth is located).

If for any reason the pulp space is exposed to the outside, the tissue becomes contaminated and eventually infected. The exposure of pulp happens in many circumstances for example when you have a large cavity, or a fractured tooth. Your dentist can explain the exact reason for damage to this tissue. Regardless of the reason for this contamination or damage to pulp tissue, the treatment is usually Root canal treatment.

Root canal treatment is the process of going inside the pulp space and removing the infected and dead tissue. Then the space is disinfected and sealed with special materials.

Now-a-days, root canal treatments are performed with advanced techniques and material and are more comfortable and faster. After root canal treatment is done your restorative dentist will usually place a crown on you tooth to protect it against fracture.

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Root Canal Re-treatment

When a root canal treatment fails, the first course of action that is usually taken is trying to re-do the root canal treatment. It is usually done by an Endodontist (root canal specialist) or an experienced general dentist.

The process is very similar to Root canal Treatment, the difference is that besides taking any remaining infected tissue out, the doctor has to take old filling material, any posts and crowns or any other obstacle in the pulp space out to be able to successfully disinfect and seal the area of the root canal.

After the root canal treatment is done your restorative dentist will place a crown to protect the tooth against fractures.

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