El Dorado Hills Endodontics | El Dorado Hills Endodontist

Endodontic Treatment

Root Canals

A root canal 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 canal and to shape the space for filling.

After the space is cleaned and shaped, the staff fills the root canal with a biocompatible material. In most cases, a temporary dental filling is placed to close the opening. The temporary filling will be removed by your dentist before the tooth is restored. After the final dental appointment with one of the endodontists in El Dorado Hills or greater Sacramento area, you must return to your dentist to have a crown or other restoration placed on to protect and restore it to full health.


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 dental 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. Dental 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 dental 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 by the endodontist 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

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 the endodontist removes is inside the crown.

This dental procedure can be done in children’s baby teeth or in young permanent ones. In primary teeth, the dental 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 ones 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 Our Office

What to Expect At Your First Dental Appointment with us in El Dorado Hills!

The first dental appointment with us at our El Dorado Hills office will be used to learn about your oral health and determine the best course of care and dental treatment using a clinical examination; this may include x-rays. We encourage you to take this time to get to know our highly trained staff and endodontists by asking questions and letting them know any of your health concerns, which will also allow them to come up with the best care and dental treatment plan.

Endodontic treatment is the best way to care for and save a tooth. Once restored, they can function just like any other. Saving the natural tooth should always be the first choice when dental care is needed so that our patients will always feel confident with their smile. If you have any questions regarding your dental appointment with one of our dentists, please feel free to call us at our El Dorado Hills endodontics office in the greater Sacramento area. Our El Dorado Hills dental office cares immensely and offers a variety of dental services including endodontics, oral surgery, and services for general orthodontics.

About Endodontics

What is Endodontics Care? 

Endodontics therapy, also known as root canal therapy, is a dentistry procedure of an infected or inflamed tooth. The dental 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.

Patient Symptoms 

Though some people may not have symptoms, the most common signs to look for are pain; a tooth that is very sensitive to temperature changes, tenderness to touch and chewing, discoloration of the tooth, swelling, drainage and tenderness in the lymph nodes as well as bone and gingival tissues. If you’re unsure, make an appointment with us to be evaluated by your dental team and/or endodontist.

Why see an Endodontist or Dentist? 

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 will remove 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, visit us at your dental office, where a crown or other restoration on the tooth will be placed to protect and restore it to full function.

After Endodontics

Home Care Advice From Our Dentistry

You should not chew or bite on the treated tooth until it has been restored by the endodontist. The unrestored tooth is susceptible to fracture, so you should see the dentist for a full restoration as soon as possible. Otherwise, you need only practice good oral hygiene, including brushing, flossing, and regular dental checkups and cleanings. For the first few days after the dentistry procedure, the tooth may feel sensitive, especially if there was pain or infection before the dental procedure. This discomfort can be relieved with over-the-counter or prescription medications. Follow the instructions of the endodontist carefully. The tooth may continue to feel slightly different for some time after the endodontic treatment is completed. However, if there is severe pain or pressure pain that lasts more than a few days, call your endodontist.

Most endodontically treated teeth last as long as natural ones. In a few cases, one that has undergone endodontic care does not heal or the pain continues. Occasionally, the tooth may become painful or diseased months or even years after successful treatment. Often when this occurs, redoing the dentistry procedure on patients might be needed.

Dental Emergencies

If you think you may have an Endodontic emergency see your endodontist, or call us at our office for an appointment.

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3840 El Dorado Hills Blvd #203A
El Dorado Hills, CA 95762

(916) 941-0303

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