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 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 before the tooth is restored. After the final visit with our endodontist, 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 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. 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, 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 treatment will be necessary. The more mature the root becomes, the better the chance it can be saved.
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 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.
What a Patient Should Expect At Their First Endodontics Visit in Fairfield!
The first consultation in our Fairfield office will be used to determine the best course of dental treatment using a clinical examination which may include x-rays. We encourage you to take this time to get to know our highly trained staff, dentists, and endodontists by asking questions and letting them know any of your concerns, which will also allow them to come up with the best treatment plan.
Endodontic treatment is the best way to save teeth. Once they are restored, they can function just like any other. Saving the natural tooth should always be the first choice when dental care is needed. If you have any questions regarding your appointment with one of our dentists, please feel free to call our number at our office. We also offers a variety of dental services, oral surgery, and services for general orthodontics.
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.
Though some people may not have symptoms, the most common signs to look for are pain such as when 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, it’s best to be evaluated by your dentist.
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.
Endodontic Home Care
You should not chew or bite on the treated tooth until it has been restored by the dentist. 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 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 procedure. This discomfort can be relieved with over-the-counter or prescription medications. 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 other natural teeth. 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 might be needed.
If you think you may have an Endodontic emergency see your endodontist, or call our office for a consultation.