Common Procedures at our Practice
A root canal is one of the most common dental procedures performed, well over 14 million yearly. This simple treatment can save your natural teeth and prevent the need for dental implants or bridges.
At the center of your tooth is the pulp. A pulp is a collection of blood vessels that helps to build the surrounding tooth. A pulp infection can be caused by trauma to the tooth, deep decay, cracks, and chips, or repeated dental procedures. Symptoms of the infection can be identified as visible injury or swelling of the tooth, sensitivity to temperature, or pain in the tooth and gums.
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How is the need for a Root Canal determined?
The need for root canal treatment is determined from x-ray findings and/or certain specific symptoms:
- spontaneous pain
- strong or lingering cold sensitivity
- chewing or bite sensitivity (in many but not all cases)
Although a dying tooth most often experiences one of these symptoms, in some teeth, the process progresses to the abscess stage with no symptoms. In these cases, only X-rays can allow a diagnosis. You can be assured that root canal treatment will not be recommended unless the need for it is clearly established.
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What does a Root Canal treatment involve?
Treatment usually involves local anesthesia and may be completed in one or more visits, depending on the treatment required. Success for this type of treatment occurs in about 90% of cases. If your tooth is not amenable to endodontic treatment or the chance of success is unfavorable, Dr. Samer will inform you during the consultation or when a complication occurs during or after treatment. We use local anesthesia to eliminate discomfort. You can drive home after your treatment; in most cases, you’ll be comfortable returning to your normal routine.
View an informational video here from the American Association of Endodontics and learn more here:
When your root canal therapy has been completed, a record of your treatment will be sent to your restorative dentist. You should contact their office for a follow-up restoration within a few weeks of completion at our office. Your restorative dentist will decide what restoration is necessary to protect your tooth. It is rare for endodontic patients to experience complications after routine endodontic treatment or microsurgery. However, if a problem occurs, we are always available to respond. To prevent further decay, continue to practice good dental hygiene.
Our teeth are held in place by roots that extend into our jawbone. An apicoectomy is a minor surgical procedure that removes the apex, or very tip, of the tooth’s root. An apicoectomy might be necessary if an infection develops or continues after a root canal. If this is suggested for you, it means your tooth cannot be saved by conventional root canal treatment.
An incision is made in the gum tissue to expose the bone and surrounding inflamed tissue. The damaged tissue is removed along with the end of the root tip. A root-end filling is placed to prevent reinfection of the root, and the gum is sutured. The bone naturally heals around the root over months, restoring full function.
Following the procedure, discomfort or slight swelling may occur while the incision heals. This is normal for any surgical procedure. To alleviate any discomfort, an appropriate pain medication will be recommended. If you have pain that does not respond to medication, please call our office.
For more information, visit the American Association of Endodontics page on this here.
Emergency treatments are some of the many cases we treat, and they fall under various categories. Some of the dental trauma that we perform include the following:
Injuries in Children
An injured immature tooth may need one of the following procedures to improve the chances of saving the tooth.
Apexogenesis:
This procedure encourages the root to continue development as the pulp is healed. Soft tissue is covered with medication to encourage growth. The tip of the root (apex) will continue to close as the child gets older. In turn, the walls of the root canal will thicken. If the pulp heals, no additional treatment will be necessary. The more mature the root becomes, the better the chance to save the tooth.
Apexification:
In this case, the unhealthy pulp is removed. Medication is placed into the root to help a hard tissue form near the root tip. This hardened tissue provides a barrier for the root canal filling. At this point, the root canal walls will not continue to develop, making the tooth susceptible to fractures. So, it is essential to have the tooth properly restored by your dentist.
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Cracked Tooth
This type of crack extends from the tooth’s chewing surface and vertically migrates towards the root. In some cases, the crack may extend below the gum line. It is possible for the crack to extend further into the root. Damage to the pulp is commonplace. In this case, root canal treatment is usually necessary. A cracked tooth not treated will worsen, resulting in tooth loss. Therefore, early detection is essential.
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Split Tooth
A split tooth is usually the result of an untreated cracked tooth. It can be identified by a crack with distinct segments. This type of tooth can never be saved intact. Yet, the position and extent of the problem will dictate whether any portion of the tooth can be saved. Sometimes, endodontic retreatment and restoration can be used to save a portion of the tooth.
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Vertical Root Fracture
A vertical root fracture begins at the root and extends towards any direction of the tooth. Unfortunately, there are minimal symptoms that may go unnoticed. Treatment involves endodontic surgery if a portion of the tooth can be saved by removal of the fractured root. Otherwise, the tooth will have to be extracted.
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Dislodged Teeth
Injuries to the mouth can cause teeth to be pushed back into their sockets. Your endodontist or general dentist may reposition and stabilize your tooth. Root canal treatment is usually started within a few weeks of the injury, and a medication, such as calcium hydroxide, will be placed inside the tooth. Eventually, a permanent root canal filling will be implanted.
Sometimes, a tooth may be pushed partially out of the socket. Again, your endodontist or general dentist may reposition and stabilize your tooth. If the pulp remains healthy, then no other treatment is necessary. Yet, if the pulp becomes damaged or infected, root canal treatment will be required.