Endodontic Treatments

Most people do not understand the treatments and procedures offered by endodontists that differ from your usual dentist.

An endodontist is essentially a root canal specialist that has extra years of training focused on performing more complex dental procedures.

Instead of walking around holding your hand to your face due to toothaches and pains, it is worth speaking to a professional as soon as possible to avoid more severe problems down the track which may end up being more expensive.

Here are our top procedures that Endodontists perform, to help you understand what areas they can assist you in.

Root Canal 

Root canals are treatments to assist in saving your natural tooth despite having a crack, deep cavity or issues with a filling from the past.

Most people ask the first question; Does a root canal hurt?

The answer is that anesthesia is given so the procedure is not painful. The discomfort occurs in the aftercare whereby your mouth will be numb and have slight soreness for a few days whilst it heals. Overall, the pain is minimal, and fixing your inability to eat is probably worth the pain. The appointment will either be a one-off occurrence, or two depending on the tooth condition.

Ways to determine if you need a root canal include having a chipped tooth, sensitivity to hot and cold for an extended time period, swollen gums and pain when chewing. You may also notice decay and discolouration of the gums. Essentially, the root canal treatment removes the infected pulp inside your tooth that is inflamed, then the tooth is cleaned inside, refilled and sealed to protect it. A crown will also allow the tooth to function properly, which is later fitted on. This is the main procedure of Endodontists, and the following treatments stem from root canals.

Retreatment 

When a tooth does not heal properly after a dental procedure, you may need a second treatment called retreatment. Reasons for not healing revolve around the delayed placement of the crown, salivary contamination to the inside of your tooth, and narrow or curved canals left untreated in the first procedure.

New problems can also occur such as a broken crown, decay or fractures to the tooth. Retreatment involves removing the restoring materials to reopen the tooth and access the root canal. The filling is removed and canals are cleaned for a new temporary filling, and finally, the new crown is placed on top. The tooth will have to be monitored again until it returns to proper functioning, such as chewing. Narrow or curved canals may need to undertake a separate surgical procedure instead to best tackle that problem.

Apicoectomy 

This endodontic microsurgery involves the root tip, or apex, being removed with infected tissue, and is often performed if a root canal or retreatment results in an infection. To replace this, the end of the root is sealed with a filling. Up to 4 millimeters of the tooth canal is cleaned under microscopic instruments to see the area better, followed by an X-ray before putting the tissue back in place. This is a 30-40 minute procedure and stitches are often removed 2-7 days after the microsurgery. For this more intensive surgery, a professional endodontist such as those from Australian Dental Specialists is necessary.

Overall, the trend with endodontic procedures is that they are usually more severe than the treatments of a regular dentist. Whether it is a root canal, retreatment or Apicoectomy , it is important to get the treatment specific to your particular dental issue.