Frequently Asked Questions
What is endodontics?
Endodontics is a branch of dentistry recognized by the American Dental Association involving treatment of the pulp (root canal) and surrounding tissues of the tooth. When you look at your tooth in the mirror, what you see is the crown. The rest of the tooth, the portion hidden beneath the gum line, is called the root. Though the outer portion of the root is a hard tissue called cementum, the inside channel or "root canal" contains a pulp complex of soft tissue, blood vessels and nerves. This complex is surrounded by another hard tissue called dentin. Bacteria that are introduced into the pulp as a result of tooth decay, periodontal disease, tooth fracture or other problems, can severely damage the pulp. When this occurs, an endodontic specialist removes the diseased pulp complex in order to save the tooth and prevent further infection and inflammation. After successful endodontic treatment, the tooth continues to perform normally. Most teeth will need a cap or crown after endodontic treatment is completed.
I'm worried about x-rays. Should I be?
No. While x-rays will be necessary during your endodontic treatment, we use an advanced non-film computerized system, called digital radiography, that produces radiation levels up to 90 percent lower than those of already low dose conventional dental x-ray machinery. These digital images can be optimized, archived, printed and sent to co-therapists via e-mail or diskette.
What about infection?
Again, there's no need for concern. We adhere to the most rigorous standards of infection control advocated by OSHA, the Centers for Disease Control and the American Dental Association. We utilize autoclave sterilization and barrier techniques to eliminate any risk of infection.
What happens after treatment?
After your root canal therapy has been completed, a record of your treatment will be sent to your restorative dentist along with any radiographs. Normally a follow-up appointment will be necessary with your restorative dentist. Your restorative dentist will decide on what type of restoration is necessary to protect your tooth. In certain cases, this appointment is not necessary. We will inform you as to the necessary post-treatment care and even set-up the appointment for you if you like.
It is rare for endodontic patients to experience complications after routine endodontic treatment; however, in certain cases there is a chance for discomfort following the procedure. We always inform patients of what to expect and how to manage post-operative care. If a problem does occur, we have someone available at all times to manage situations such as these.
What new technologies are being used?
Our radiographs are strictly digital which allows us to use less radiation to get a satisfactory image. Plus there are no chemicals to use which help the environment. Digital images can also be transmitted electronically to help facilitate referrals.
We utilize special surgical operating microscopes. These microscopes provide magnification and fiber optic illumination that aid the doctors in detecting tiny details inside your tooth such as extra roots, fractures or decay.
We also use a device known as an apex locator. This device aids the doctor in determining the true apex, or end, of your root and not just the root-end that appears on an x-ray. The accuracy of this device far exceeds that of the radiographic method. This device further reduces the number of x-rays that need to be taken.
Ultrasonic instrumentation is also utilized to both conserve the amount of tooth structure and to aid in the elimination of bacteria. This instrument combined with the surgical operating microscope allows the doctors to conservatively locate extra roots and areas of fracture or decay.