Here are some examples of just a few of the therapies we provide.

Root Canal Therapy

Root canal therapy is necessary when the pulp, the soft tissue inside the root canal, becomes inflamed or infected. The inflammation or infection can have a variety of causes: deep decay, repeated dental procedures on the tooth, or a crack or chip in the tooth. In addition, an injury to a tooth may cause pulp damage even if the tooth has no visible chips or cracks. If pulpal inflammation or infection is left untreated, it can cause pain or lead to an abscess.

The endodontist removes the inflamed or infected pulp, carefully cleans and shapes the inside of the canal, 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 restoration, the tooth continues to function like any other tooth.

Retreatment of Previous Root Canal

As occasionally happens with any dental or medical procedure, a tooth may not heal as expected after initial treatment for a variety of reasons.  If the root canal space becomes reinfected by bacteria due to decay or not having the tooth permanently restored after the initial root canal a retreatment of the previous root canal is necessary.  During a retreatment, your endodontist will remove the previously placed root filling material, re-clean the canals, and re-fill the canal space.

Surgical Root Canal Therapy

Although there are many surgical procedures that can be performed to save a tooth, the most common is called apicoectomy or root-end resection. When inflammation or infection persists in the bony area around the end of your tooth after a root canal procedure, your endodontist may have to perform an apicoectomy.

In this procedure, the endodontist opens the gum tissue near the tooth to see the underlying bone and to remove any inflamed or infected tissue. The very end of the root is also removed and a small filling is placed in the canal(s) of the remaining portion of the root.

Pulpal Regeneration

In the event that the pulp of a child's tooth becomes infected from trauma or developmental abnormalities in the tooth, pulpal regeneration may be performed.  This procedure is used to allow the root of an immature tooth to fully form thereby strengthening it and providing an enhanced long-term prognosis.

In this procedure, the endodontist will clean and shape the infected canal, place an antibiotic mixture in the tooth for a month, and stimulate bleeding to allow the tooth to regenerate vasculature and nerve fibers.  Over time, the root should continue to develop using this technique allowing for a stronger tooth that will have a better long-term prognosis than a partially developed tooth.

Post and Core Build-up

After completion of a root canal the tooth needs to be restored in order to place a crown.  The restoration of a tooth prior to placement of a crown is called a core build-up.  If the tooth lacks sufficient structure to hold the core restoration in place, your dentist or endodontist may place a post inside the tooth to help retain the core build-up and crown. 

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