Endodontist In Sacramento

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After the dentist has taken x-rays, assessed your situation, and recommended endodontic treatment, a new appointment will be set for the root canal procedure. 

Because the Endodontist will be working with the root of the tooth, this process usually requires a patient to receive anesthesia before starting. After the local anesthetic has been administered and the tooth is numb, a small protective sheet called a dental dam will be placed around the area in order to keep the tooth clean and safe from bacteria. Once everything is set up, the real work begins! 

The Endodontist will then make a small opening in the crown of the tooth so they can thoroughly clean out the pulp chamber and root canals. Once the space is clean and shaped, a biocompatible material is injected and a temporary filling is placed to close the tooth. You will eventually need to return to the Folsom office within the following days or weeks to have a crown placed on the tooth for better protection.

While dentists take care of their patient’s general oral health, an Endodontist’s goal is to save the natural tooth. Endodontists are dental professionals with 2 or more years of special postgraduate training outside of the already required dental school. They focus on problems concerning the dental pulp, or nerve of the tooth, which is located at the root. This area is very sensitive and if it ever gets infected, it can become inflamed, leaving a dental abscess on the gum of the tooth. In more severe cases, if the infection spreads, the tooth could be lost. That’s why we’re here – to make sure that doesn’t happen!

Our Endodontists are experienced in performing root canal procedures efficiently and swiftly. If your regular dentist assesses your oral issue and believes root canal therapy is necessary, our Endodontics team will get started with treatment as quickly as possible.


Common Questions Our Endodontist Gets Asked

How long does a root canal take?

On average, most root canals are short and only require 1 appointment that can last between 30 and 60 minutes. If the infection is really bad, there may be a need for 2 appointments or take up to an hour and a half.

Is my child too young for a root canal?

Not necessarily! If your child has a damaged or infected tooth that requires endodontic services, then a root canal may be necessary. Root canals can be done at any age and on either baby teeth or adult teeth. Although baby teeth are meant to fall out, they need to stay in long enough to prevent future speech issues or bite problems. If your child needs root canal therapy done on a baby tooth, this will save the natural tooth and keep it secure until it is ready to fall out on its own at the appropriate time.  

How do I prepare my child for a root canal?

Our pediatric dentistry knows that a root canal procedure may seem daunting for both an adult and a child, but we are here to relieve any fears you may have. Our team is extremely experienced when it comes to root canal therapy and is happy to walk your child through the steps of treatment in order to help them feel safer.

Endodontic Treatment

Root Canals

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Root canals can be performed on all the teeth. The dental staff examines and x-rays your teeth, then administers local anesthetic. After the area is numb, the endodontics team places a small protective sheet called a “dental dam” over the area to isolate the tooth and keep it clean and free of saliva during the dentistry procedure.

The endodontist then makes a small opening in the crown. Very small dental instruments are used to clean the pulp chamber and root canals and to shape the space for filling.

After the space is cleaned and shaped, the staff fills the root canals with a biocompatible material. In most cases, a temporary filling is placed to close the opening. The temporary filling will be removed by your dentist office before the tooth is restored. After the final office visit with one of the endodontists, you must return to your dentist to have a crown or other restoration placed on to protect and restore it to full function.


In apexification, the unhealthy pulp tissue is removed. The endodontics team will place medication into the root canal to create a hard tissue formation near the root tip. This hardened tissue creates a calcific barrier at the root end, allowing the root canal to be sealed.

The endodontics team numbs the gums around the affected area, and then creates a small hole to gain access to the chamber. The infected area is removed from the root canal and the canals are cleaned. Medication is placed into the canal, temporarily sealing the area. The medication is surgically replaced every two to four months, though this can vary among individuals.

After the root end has formed, dental treatment is finished, which means you can return to your regular dentist to have the tooth restored.


An apicoectomy may be needed when an infection develops or won’t go away after root canal treatment or retreatment. In an apicoectomy, the root tip, or apex, is removed along with the infected tissue. To complete the apicoectomy, the endodontics team will clean and seal the end of the tooth’s canal.


This dental procedure, also called “open and medicate,” encourages the root to continue general 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, in turn, the walls of the root canal will thicken. If the pulp heals, no additional dental treatment will be necessary. The more mature the root becomes, the better the chance it can be saved.

Therapeutic Pulpotomy

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A therapeutic pulpotomy, better known as a “baby root canal,” removes part of a tooth’s pulp chamber, the center of the tooth that contains nerves and blood vessels. The part that is removed is inside the crown.

This dental procedure can be done in children’s baby teeth or in young permanent ones. In primary teeth, the emdpdpmtocs procedure is done to keep the primary tooth from being removed. Extracting a primary before it is ready to fall out can alter the way permanent teeth come in.

If this chamber of a permanent tooth becomes injured or decayed soon after it emerges, it may require a root canal. However, root canal treatment is not done until the roots are finished growing. In this case, a pulpotomy can be done instead. Root canal treatment can be done after the roots finish developing.

About Endodontics

What is Endodontics? 

Endodontic therapy, also known as root canal therapy, is a dentistry procedure of an infected or inflamed tooth. The procedure is carried out in the nerve or pulp chamber of the tooth. This area is important during a tooth’s growth and development. However, once a tooth is fully mature it can survive without the chamber because it continues to be nourished by the tissues surrounding it. After endodontic therapy the patient will no longer feel any pain in that area because the nerve tissue has been removed and the infection has been eradicated.

Common Symptoms Patients May Have

The most common symptom of a root canal is usually excruciating facial pain. You can tell the difference between a root canal issue and a cavity in the way that a cavity tends to only hurt when exposed to hot or cold temperatures, whereas a tooth in need of a root canal can cause dull to lightning pain regardless of exposure to anything. Other signs to look out for could be a tooth that is tender to touch, uncomfortable to chew on, discolored, and creates swelling in the gums. Oftentimes, if the infection has progressed you will notice a red lump on the gums containing pus which is known as a dental abscess. Of course, if you are unsure of what sort of situation you are dealing with, please reach out to our Sacramento office and our team will quickly evaluate you.

Why see an Endodontist? 

Endodontic care is the best way to save a natural tooth. The tooth is restored and can function just like any other tooth. Saving the natural tooth should always be the first choice when dental care is needed.

The endodontist removes the inflamed or infected chamber, carefully cleans and shapes the inside of the canal (a channel inside the root) then fills and seals the space. Afterwards, you will return to your dentist, who will place a crown or other restoration on the tooth to protect and restore it to full function.

After Endodontics

Home Care

Root canal procedures are usually quick, and fortunately so is the healing process. Most patients recover after a few days or so, but over-the-counter or prescribed medications will help relieve any pain while at home. You should also try to not chew or bite on the treated tooth until it has been fully restored with the new crown.

It’s common for the treated tooth to feel a bit odd for a while after the procedure, but if there is no recurring pain, then eventually it will feel normal once again. Although, if you do run into discomfort months or years after a successful root canal therapy, reach out to our office for an examination of the treated tooth by the endodontics team.

Dental Emergencies

If you think you may have an Endodontic emergency see your endodontist, or call our Arden-Arcade office in Sacramento for a consultation.

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3433 Arden Way Ste. A
Sacramento, California 95825

(916) 374-7711

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