Endodontics
Endodontics

What is an Endodontist?

Endodontists are dentists who specialize in saving teeth through different procedures which involve the pulp (nerve) and root of teeth. Endodontist comes from the Greek "endo" meaning inside and the word "odont" meaning tooth.  All dentists are trained to treat and diagnose diseases of the pulp (nerve), however, some teeth can be especially difficult to diagnose and treat. Reason why some patients are referred to the endodontist. 

An endodontist, as defined by the American Board of Endodontists, is a dental specialist in the treatment of diseases and injuries to the dental pulp, root and surrounding tissues of the teeth. Endodontists receive a "certificate in Endodontics" after additional 2-3 years of training in an accredited dental program after dental school.

What is a Root Canal?

A root canal is a dental treatment done under local anesthesia to remove a damaged nerve while saving the tooth. The procedure is done under a sheet of latex called the "rubber dam" (we've got non-latex ones too) placed around the tooth to isolate it, hence keeping it clean and dry during treatment.  The treatment consists of three or four basic steps, but the number of visits will depend on your particular case.  Some treatments take 2 visits but many are just a single visit.  Occasionally 3 appointments are needed. It all depends on the degree of infection/inflammation and degree of treatment difficulty.

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We believe it is more important to do it the very best we can than to meet a specific time criteria.

Endodontic therapy when done properly and under ideal circumstances has a very high degree of success, up to 90%.  Since all teeth do not always follow this criteria, we will discuss with you the chances of success for your specific tooth, before any endodontic procedure is done to help you make an informed decision. 

Diagnosing and Treating Dental/Facial Pain

Oral pain such as toothaches or cracked / fractured teeth can often be difficult to pinpoint.  Because of the vast network of nerves in the mouth, the pain of a damaged or diseased tooth often is felt in another tooth and/or in the head, neck, or ear. An endodontist is a specialist in diagnosing and treating this type of pain.

Dental Traumatic Injuries

Pulp damage is sometimes caused by a blow to the mouth, and the endodontist specializes in treating these traumatic injuries. For example, a blow to a child's permanent tooth that is not fully developed can cause the root to stop growing. A procedure called apexification stimulates bone to be deposited at the end of the root which makes it possible to then save the tooth through a root canal procedure. An endodontist is specially trained in procedures for replanting teeth that have been knocked out of their sockets.

 

Will I Need to Return to your Office for Additional Visits?

Endodontic therapy can be done in one, two or multiple visits depending on the tooth, the number of roots, the current condition of the tooth and the time available.  Once endodontic therapy is completed a follow up exam and x-ray should be done about 12 months later.  This allows us to make sure the tooth has healed or is healing properly. 

 

Root Canal Retreatment

Occasionally a tooth that has undergone endodontic treatment fails to heal or pain continues despite therapy. Although rare, sometimes a tooth initially responds to root canal therapy but becomes painful or diseased months or years later. When either of these situations occur, the tooth often can be maintained with a second endodontic treatment.  Retreatments can be done in two different ways: surgical or apicoectomies or non-surgical retreatments.  The endodontist will determine which might be the best approach for your specific case.

 

Will my Tooth Discolor After Root Canal Treatment?

With all the new technology and the evolution of finer dental materials, your tooth should NOT discolor after endodontic treatment. Nevertheless, especially with OLD root canal techniques, materials and cements, a tooth may appear discolored. For more information on this subject, read below.

 

The single dark tooth dilemma. Why is my tooth dark?

 

A single dark tooth possibly indicates that the tooth might need a root canal because it has a dead nerve giving the tooth a darker gray/brownish hue.  Discoloration might also be present in a tooth that had had a root canal treatment done many years ago, using older techniques, material and cements.  The patient should see an endodontist for a consultation to determine if the tooth can undergo a procedure called “non-vital bleaching” to restore the color to a more natural color. This procedure requires the endodontist to re-enter the old root canal to activate strong chemicals "inside" the tooth to whiten it. This is an "in-office" visit, not to be confused with over the counter dental bleaching, which is whitening from the "outside."  Tooth discoloration can also be a sign of nerve damage or death, in which case, doing a root canal and non-vital bleaching is all that may be needed to restore the tooth. 

 

 

Non-vital or Internal Bleaching

 

 

Single discolored tooth due to having a dead nerve. Treatment: Root Canal + Internal Bleaching.

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ABOU-HAMDAN IMPLANT CLINIC


    Villa Abou Hamdan, Chtaura-Marj Road, Chtaura, Lebanon.

   +961 8 540 489
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