Frequently Asked Questions about Endodontics

What is endodontics?

Endodontics is a specialty branch of dentistry recognized by the American Dental Association. Endodontic therapy involves 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 dentin, the inside channel or "root canal" contains a pulp of soft tissue, blood vessels and nerves. 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 that happens, an endodontic specialist removes the diseased pulp to save the tooth and prevent further infection and inflammation. After successful endodontic treatment, the tooth continues to perform normally.

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.

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 avoid infection risk.

What new technologies are being used?

Operating Microscopes:

In addition to digital radiography, we may use special operating microscopes. Magnification and fiber optic illumination are helpful in aiding the doctor to see details inside your tooth. Also, a video camera on the operating microscope can record images of your tooth to further document the doctor's findings.

Apex Locators:

An apex locator is a device that allows your doctor to further verify where each root ends. Since the canals are narrow and often curved, microscopes, tactile sensation, x-rays and apex locators all aid in fully shaping the canals.

Ultrasonics:

Ultrasonic instruments are used in several ways. They help remove canal obstructions, open calcified (narrow) canals, aid in creating a barrier during surgical endodontic treatment as well as agitate antimicrobial rinses with ultrasonic vibrations to further remove bacterial debris within the canal system.

As an endodontic patient, what should I expect?

• A comprehensive examination will be performed to diagnose orofacial pain and pulpal injury as well as determine if the tooth is a good candidate for endodontic therapy.

• Non-surgical treatment to eliminate the diseased pulp. This injured pulp is removed and the root canal system is thoroughly cleaned and sealed.

Under certain circumstances, microsurgery may be indicated. We are experts in performing this procedure, and use sophisticated equipment to ensure the best result.

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