Endodontics

Endodontics deals with the complex structures inside the teeth. Endodontists perform procedures like root canals to save natural teeth and restore their health.

Endodontics is a specialized branch of dentistry that deals with the complex structures inside the teeth. The Greek word “Endodontics” means “inside the tooth,” relating to the tooth pulp, tissues, nerves, and arterioles. Endodontists receive additional training after dental school to perform procedures like root canal therapy.

Historically, a tooth with a diseased nerve would be removed, but endodontists can now save natural teeth in most cases. Extracting the inner tooth structures and sealing the gap with a crown restores health and functionality to damaged teeth.

Signs and symptoms of endodontic problems:

  • Inflammation and tenderness in the gums
  • Sensitivity to hot and cold foods
  • Tenderness when chewing and biting
  • Tooth discoloration
  • Unexplained pain in nearby lymph nodes

Reasons for endodontic treatment: Endodontic treatment, or root canal therapy, saves natural teeth. Despite advanced restorations, most dentists agree there’s no substitute for healthy, natural teeth.

Main causes of inner tooth damage:

  • Bacterial infections: Oral bacteria can invade the tooth pulp through tiny fissures caused by decay or injury, leading to inflammation and abscesses.
  • Fractures and chips: When a large part of the tooth surface detaches, root canal therapy may be needed. The exposed pulp can cause severe pain and problems.
  • Injuries: Direct or indirect blows to the mouth can dislodge teeth from their sockets, requiring root canal therapy after stabilization.
  • Removals: If a tooth is knocked out, rinse it and place it back in the socket or keep it in dental solution or milk until emergency dental treatment is available. The endodontist will perform root canal therapy to save the tooth.

What does an endodontic procedure involve?

Root canal therapy usually takes one to three visits. X-rays are taken before treatment. A local anesthetic is administered, and a dental dam is placed to keep the area dry. The pulp is removed using small instruments, the space is cleaned and filled with gutta-percha, and a temporary filling restores functionality. A permanent restoration or crown is placed during the final visit.

If you have questions about endodontic procedures, please contact our office.