Endodontic — or root canal — treatment is necessary when the pulp, the soft tissue inside the root canal, becomes inflamed or infected. In addition, an injury to a tooth may cause pulp damage even if the tooth has no visible chips or cracks. If pulp inflammation or infection is left untreated, it can cause pain or lead to an abscess.
Often teeth that are previously root canal treated need to be treated again. This procedure is called Root Canal Retreatment. There are several reasons that a tooth might need to be retreated. These include, inadequate previous treatment, recontamination and recurrence of the infection in the canals, and possible missed canals.
In rare occasions, Surgical Root Canal treatment (AKA Apicoectomy) is needed. Cases with separated instruments in the canals, the presence of non-healing lesions at the tip of the root, or altered canal anatomy that cannot be reached with conventional root canal treatment are a few examples of indications for surgical root canal treatment.
There are cases when the patient has had trauma to the tooth. This may result in a fracture of the crown of the tooth/teeth and exposure of the root canals. In that case the tooth might need root canal treatment before restoring the broken tooth. This is more common in younger patients, however, adults might also have trauma to the teeth due to car accidents, contact sport accidents, etc.
There are occasions that the teeth undergo resorption, either inside or outside surface of the root. Depending on the severity and the location of the resorption, we can repair the damage with a predictable outcome.
The ultimate goal of Endodontic treatment is to regenerate the lost nerve tissue and vasculature that has been lost due to the oral infection. Regenerative endodontic treatment is still in the early investigating stages. Regenerative endodontic treatment uses the concept of tissue engineering to restore the root canal physiology to a healthy state, allowing for continued development of the root and surrounding tissue.
Cleaning the highly complex anatomy of the root canal system can present a real challenge in root canal therapy. Our practice is meeting this challenge like never before with the state-of-the-art endodontic technology of the GentleWave® Procedure.
Conventionally, dental radiographs are composed of 2-dimensional images of 3-dimensional objects — such as teeth and the surrounding tissue. However, in recent years, new technology has been introduced that is capable of representing the entire tooth in 3D. This new procedure is called a CBCT Scan.
Intravenous Sedation (IV) sedation can make your dental visit more pleasant by reducing anxiety, improving pain control, and/or improving cooperation. IV sedation is less expensive than general anesthesia, can be performed in the dental office, and has a quick recovery time.