https://www.endodonticcare.org/endodontic-surgery daily 0.75 2021-09-25 https://images.squarespace-cdn.com/content/v1/6144c8ab5c2dd871452a3ab5/1631897771900-N2WJX4TOEHARNDS8QVRB/endodontic-surgery.jpg Endodontic Surgery These procedures are designed to help you save your tooth. Your endodontist will be happy to discuss the specific type of surgery your tooth requires. Often, the only alternative to surgery is extraction of the tooth. The extracted tooth must then be replaced with an implant, bridge, or removable partial denture to restore chewing function and to prevent adjacent teeth from shifting. Because these alternatives require surgery or dental procedures on adjacent healthy teeth, endodontic surgery is usually the most biologic and cost-effective option for maintaining your oral health. No matter how effective modern artificial tooth replacements are—and they can be very effective—nothing is as good as a natural tooth. You’ve already made an investment in saving your tooth. The pay-off for choosing endodontic surgery could be a healthy, functioning natural tooth for the rest of your life. https://images.squarespace-cdn.com/content/v1/6144c8ab5c2dd871452a3ab5/1631897771896-6PFPUUD542L8MRQF5MDY/apicoectomy-root-canal-reinfected.jpg Endodontic Surgery Occasionally, a nonsurgical root canal procedure alone cannot save your tooth. Endodontic surgery can be used to locate small fractures or hidden canals that weren't detected on x-rays or during previous treatment. Surgery may also be needed to remove calcium deposits in root canals, or to treat damaged root surfaces or the surrounding bone of the tooth. There are many surgical procedures that can be performed to save a tooth. The most common is called an apicoectomy, or root-end resection, which is occasionally needed when inflammation or infection persists in the bony area around the end of your tooth after a root canal procedure. In this microsurgical 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. A small filling may be placed to seal the end of the root canal and few stitches or sutures are placed to help the tissue heal. Over a period of months, the bone heals around the end of the root. Local anesthetics make the procedure comfortable, and most patients return to their normal activities the next day. Postsurgical discomfort is generally mild. Other surgeries endodontists might perform include dividing a tooth in half, repairing an injured root, or even removing one or more roots. In certain cases, a procedure called intentional replantation may be performed. In this procedure, a tooth is extracted, treated with an endodontic procedure while it is out of the mouth, and then replaced in its socket. https://www.endodonticcare.org/new-page-1 daily 0.75 2023-10-20 https://images.squarespace-cdn.com/content/v1/6144c8ab5c2dd871452a3ab5/1631985590309-J3ACOENFW3VNS36A98L3/unsplash-image-szrJ3wjzOMg.jpg Referring Doctors https://www.endodonticcare.org/pediatric-endo daily 0.75 2021-09-25 https://images.squarespace-cdn.com/content/v1/6144c8ab5c2dd871452a3ab5/1631897776303-03STC0BYUEWULQ0F5I8M/FeatureStoryIllustration-min.jpg Pediatric Endodontic Therapy - Do traumatic dental injuries differ in children? Chipped primary (baby) teeth can be esthetically restored. Dislodged primary teeth can, in rare cases, be repositioned. However, primary teeth that have been knocked out typically should not be replanted. This is because the replantation of a knocked-out primary tooth may cause further and permanent damage to the underlying permanent tooth that is growing inside the bone. Children’s permanent teeth that are not fully developed at the time of the injury need special attention and careful follow up, but not all of them will need root canal treatment. In an immature permanent tooth, the blood supply to the tooth and the presence of stem cells in the region may enable the endodontist to stimulate continued root growth. Endodontists have the knowledge and skill to treat incompletely formed roots in children so that, in some instances, the roots can continue to develop. https://images.squarespace-cdn.com/content/v1/6144c8ab5c2dd871452a3ab5/1631897776299-515XGDJUEDU7EO5E1Q7K/download.png Pediatric Endodontic Therapy - Revascularization/Regenerative Endodontics Regenerative endodontics is one of the most exciting developments in dentistry today and endodontists are at the forefront of this cutting-edge research. Regenerative endodontics uses the concept of tissue engineering to restore the root canals to a healthy state, allowing for continued development of the root and surrounding tissue. Endodontists’ knowledge in the fields of pulp biology, dental trauma and tissue engineering can be applied to deliver biologically based regenerative endodontic treatment of necrotic immature permanent teeth resulting in continued root development, increased thickness in the dentinal walls and apical closure. These developments in regeneration of a functional pulp-dentin complex have a promising impact on efforts to retain the natural dentition, the ultimate goal of endodontic treatment. https://images.squarespace-cdn.com/content/v1/6144c8ab5c2dd871452a3ab5/1631897776295-SM9CT5A8DERZCLBMIS99/aae-web-profiledefault-20210125.jpg Pediatric Endodontic Therapy - Apexification In this case, the unhealthy pulp is removed. The endodontists place medication into the root to help a hard tissue form near the root tip. This hardened tissue provides a barrier for the root canal filling. At this point, the root canal walls will not continue to develop, making the tooth susceptible to fractures. So it is important to have the tooth properly restored by your dentist. https://images.squarespace-cdn.com/content/v1/6144c8ab5c2dd871452a3ab5/1631897776290-CRFW48R3CJY58SNWCNS3/FeatureStoryIllustration311.jpg Pediatric Endodontic Therapy - Apexogenesis This procedure encourages the root to continue development as the pulp is healed. Soft tissue is covered with medication to encourage growth. The tip of the root (apex) will continue to close as the child gets older. In turn, the walls of the root canal will thicken. If the pulp heals, no additional treatment will be necessary. The more mature the root becomes, the better the chance to save the tooth. https://www.endodonticcare.org/meet-us daily 0.75 2021-09-25 https://images.squarespace-cdn.com/content/v1/6144c8ab5c2dd871452a3ab5/1631897779392-76466QP49REOSHIHJ1C1/IMG_0525.jpg Meet Us https://images.squarespace-cdn.com/content/v1/6144c8ab5c2dd871452a3ab5/1631897779423-AM3JXBL9RG3JX90KONBX/IMG_0521.jpg Meet Us https://images.squarespace-cdn.com/content/v1/6144c8ab5c2dd871452a3ab5/1631897779405-4PNB9552DRPD39CC0RVC/IMG_0541.jpg Meet Us https://images.squarespace-cdn.com/content/v1/6144c8ab5c2dd871452a3ab5/1631897779417-37DBYKXFZBA9E0UKP7Z7/Atrium+Sign%26Bldg.jpg Meet Us https://images.squarespace-cdn.com/content/v1/6144c8ab5c2dd871452a3ab5/1631897779379-JLWCZKRZZJQ7F7CPRXP3/Atrium+Lobby.jpeg Meet Us https://images.squarespace-cdn.com/content/v1/6144c8ab5c2dd871452a3ab5/1631897779386-GQ1V24EK4OM7XLJCV44F/Atrium+Hall.jpeg Meet Us https://images.squarespace-cdn.com/content/v1/6144c8ab5c2dd871452a3ab5/1631897779399-JT5T3MDWPQQ71ECPMKWH/Atrium+Drive+In+1.jpeg Meet Us https://images.squarespace-cdn.com/content/v1/6144c8ab5c2dd871452a3ab5/1631897779412-KXSSTY954334PE9IBG9D/Atrium+Bldg+1.jpeg Meet Us https://images.squarespace-cdn.com/content/v1/6144c8ab5c2dd871452a3ab5/c3b6106e-c918-4af8-98fe-98ab88779369/IMG_2630.png Meet Us https://www.endodonticcare.org/contact daily 0.75 2022-09-24 https://www.endodonticcare.org/home daily 1.0 2024-10-10 https://images.squarespace-cdn.com/content/v1/6144c8ab5c2dd871452a3ab5/1631897784493-OXUWSMTFKPPSMO0H0AJ1/ada.jpg Home American Dental Association https://images.squarespace-cdn.com/content/v1/6144c8ab5c2dd871452a3ab5/1631897784499-DG9HZTRZXK5PTKEJZST7/association-of-endodontists.jpg Home American Association of Endodontists https://images.squarespace-cdn.com/content/v1/6144c8ab5c2dd871452a3ab5/1631897784480-TNA7LBHF45PYFWCKD1DX/faoe.jpg Home Florida Association of Endodontists https://images.squarespace-cdn.com/content/v1/6144c8ab5c2dd871452a3ab5/1631897784486-BRYVQS25XKU74JNL2BXD/fda.jpg Home Florida Dental Association https://www.endodonticcare.org/online-videos daily 0.75 2021-10-27 https://www.endodonticcare.org/patients-instructions daily 0.75 2021-09-25 https://images.squarespace-cdn.com/content/v1/6144c8ab5c2dd871452a3ab5/1631986376549-9QKQ081P6BL6N0ALLYE8/unsplash-image-IuLgi9PWETU.jpg Patient Instructions - Before Endodontic Treatment This procedure will be performed using local anesthesia. There are usually no restrictions after the procedure concerning driving or returning to work. A doctor is available for consultation at all times should a problem arise after your treatment. Continue all medications for blood pressure, diabetes, thyroid problems and any other conditions as recommended by your physician. If there is a question, please call our office prior to your appointment. Please eat a full breakfast or lunch as applicable. If you have been advised by your physician or dentist to use antibiotic premedication because of mitral valve prolapse (MVP), hip, knee, cardiac or other prosthesis, or if you have rheumatic heart disease, please make sure you are on the appropriate antibiotic on the day of your appointment. If there is a question, please call our office prior to your appointment (305) 928-4200. If your treatment is being done under I.V. sedation, please have nothing to eat or drink 8 hours prior to your surgery. You will also need an adult to drive you home. https://images.squarespace-cdn.com/content/v1/6144c8ab5c2dd871452a3ab5/1631986458040-6267XAIRL30S2T5CZT54/unsplash-image-2FoqQ0EPwLg.jpg Patient Instructions - After Endodontic Treatment Please promptly call your dentist for an appointment to place a permanent restoration on your tooth. Endodontic treatment has now been completed. The root canal system has been permanently sealed. However, the outer surface is sealed with a temporary restoration. A follow-up restoration must be placed to protect your tooth against fracture and decay. A complete report of treatment will be sent to your restorative dentist. Included in your treatment is a follow-up examination to evaluate the progress of healing. This appointment will require only a few minutes. This routine check-up is typically completed 6 months after your treatment. Our office will send you a reminder card for you to call and schedule this appointment. https://www.endodonticcare.org/root-canal-therapy daily 0.75 2021-09-25 https://images.squarespace-cdn.com/content/v1/6144c8ab5c2dd871452a3ab5/1631897787678-KTSS0F4DAW2ERVD3NQBF/figure1.jpeg Root Canal Therapy Endodontic treatment can often be performed in one or two visits and involves the following steps 1. The endodontist examines and x-rays the tooth, then administers local anesthetic. After the tooth is numb, the endodontist places a small protective sheet called a “dental dam” over the area to isolate the tooth and keep it clean and free of saliva during the procedure. 2. The endodontist makes an opening in the crown of the tooth. Very small instruments are used to clean the pulp from the pulp chamber and root canals and to shape the space for filling. 3. After the space is cleaned and shaped, the endodontist fills the root canals with a biocompatible material, usually a rubber-like material called gutta-percha. The gutta-percha is placed with an adhesive cement to ensure complete sealing of the root canals. In most cases, a temporary filling is placed to close the opening. The temporary filling will be removed by your dentist before the tooth is restored. 4. After the final visit with your endodontist, you must return to your dentist to have a crown or other restoration placed on the tooth to protect and restore it to full function. If the tooth lacks sufficient structure to hold the restoration in place, your dentist or endodontist may place a post inside the tooth. Ask your dentist or endodontist for more details about the specific restoration planned for your tooth https://www.endodonticcare.org/cracked-teeth daily 0.75 2021-09-25 https://images.squarespace-cdn.com/content/v1/6144c8ab5c2dd871452a3ab5/1631897789347-Z5NVNNBMJXMF4SD862V9/maxresdefault.jpg Cracked Teeth - How do I know if my tooth is cracked? Cracked teeth show a variety of symptoms, including erratic pain when chewing, possibly with release of biting pressure, or pain when your tooth is exposed to temperature extremes. In many cases, the pain may come and go, and your dentist may have difficulty locating which tooth is causing the discomfort. Why does a cracked tooth hurt? To understand why a cracked tooth hurts, it helps to know something about the anatomy of the tooth. Inside the tooth, under the white enamel and a hard layer called the dentin, is the inner soft tissue called the pulp. The pulp contains the tooth's nerves and blood vessels. When the outer hard tissues of the tooth are cracked, chewing can cause movement of the pieces, and the pulp can become irritated. Eventually, the pulp will become damaged to the point that it can no longer heal itself. The tooth will not only hurt when chewing but may also become sensitive to temperature extremes. In time, a cracked tooth may begin to hurt all by itself. Extensive cracks can lead to infection of the pulp tissue, which can spread to the bone and gum surrounding the tooth. https://images.squarespace-cdn.com/content/v1/6144c8ab5c2dd871452a3ab5/1631897789351-NT2O0U5M4NF6URASN7H7/images+5.jfif Cracked Teeth - How will my cracked tooth be treated? There are many different types of cracked teeth. The treatment and outcome for your tooth depends on the type, location and extent of the crack. After treatment for a cracked tooth, will my tooth completely heal? Unlike a broken bone, the fracture in a cracked tooth will not heal. In spite of treatment, some cracks may continue to progress and separate, resulting in loss of the tooth. Placement of a crown on a cracked tooth provides maximum protection but does not guarantee success in all cases. The treatment you receive for your cracked tooth is important because it will relieve pain and reduce the likelihood that the crack will worsen. Once treated, most cracked teeth continue to function and provide years of comfortable chewing. Talk to your endodontist about your particular diagnosis and treatment recommendations. What can I do to prevent my teeth from cracking? While cracked teeth are not completely preventable, you can take some steps to make your teeth less susceptible to cracks. ⦁ Don't chew on hard objects such as ice, unpopped popcorn kernels or pens. ⦁ Don't clench or grind your teeth. ⦁ If you clench or grind your teeth while you sleep, talk to your dentist about getting a retainer or other mouthguard to protect your teeth. ⦁ Wear a mouthguard or protective mask when playing contact sports. https://www.endodonticcare.org/patient-resources-faq daily 0.75 2021-09-25 https://images.squarespace-cdn.com/content/v1/6144c8ab5c2dd871452a3ab5/1631986255035-N9BZDSKB72OFK8PRGANB/unsplash-image-JP-EwLOTDBk.jpg FAQ “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. This is the reason why some patients are referred to the endodontist. “What kind of experience do they have?” Endodontists have two or more years of specialized training in endodontics, in addition to their dental training. On average, they perform nearly 25 root canal treatments a week, while general dentists perform less than two. “How efficient are they?” Because they limit their practice solely to endodontic treatment, endodontists are efficient and precise. This equates to positive experiences and faster healing. “Are they readily available?” Most endodontists offer tremendous flexibility in accommodating emergency cases, so delays in treatment are kept to a minimum and patients can be relieved of dental pain quickly. “What kinds of technology are used?” Many endodontists use state-of-the-art technology such as operating microscopes, digital imaging, ultrasonic instrumentation, and fiber optics, to treat their patients quickly and comfortably. https://www.endodonticcare.org/traumatic-injuries daily 0.75 2021-09-25 https://images.squarespace-cdn.com/content/v1/6144c8ab5c2dd871452a3ab5/1631897792440-2BDLTGPXO6MTB9BCJH47/Root-Fracture.jpg Traumatic Injuries - Dislodged (Luxated) Teeth During an injury, a tooth may be pushed sideways, out of or into its socket. Your endodontist will reposition and stabilize your tooth. Root canal treatment is usually needed for permanent teeth that have been dislodged and should be started a few days following the injury. Medication may be put inside the tooth as part of the root canal treatment. Children between seven and 12 years old may not need root canal treatment since their teeth are still developing. For those patients, the endodontist will monitor the healing carefully and intervene immediately if any unfavorable changes appear. Therefore, multiple follow-up appointments are likely to be needed. New research indicates that stem cells present in the pulps of young people can be stimulated to complete root growth and heal the pulp following injuries or infection. Root Fractures A traumatic injury to the tooth may also result in a horizontal root fracture. The location of the fracture determines the long-term health of the tooth. If the fracture is close to the root tip, the chances for success are much better. However, the closer the fracture is to the gum line, the poorer the long-term success rate. https://images.squarespace-cdn.com/content/v1/6144c8ab5c2dd871452a3ab5/1631897792437-1QQJET3U9FG4HZVK3EJ1/maxresdefault+%281%29.jpg Traumatic Injuries - Chipped or Fractured Teeth Most chipped or fractured tooth crowns can be repaired either by reattaching the broken piece or by placing a tooth-colored filling. If a significant portion of the tooth crown is broken off, an artificial crown or “cap” may be needed to restore the tooth. If the pulp is exposed or damaged after a crown fracture, root canal treatment may be needed. These injuries require special attention. If breathing through your mouth or drinking cold fluids is painful, bite on clean, moist gauze or cloth to help relieve symptoms until reaching your dentist’s office. Never use topical oral pain medications (such as Anbesol®) or ointments, or place aspirin on the affected areas to eliminate pain symptoms. https://www.endodonticcare.org/root-canal-retreatment daily 0.75 2021-09-25 https://images.squarespace-cdn.com/content/v1/6144c8ab5c2dd871452a3ab5/1631897795162-R7S7FPXCCJEYJGD8YL7M/tooth-1.jpg Root Canal Retreatment With proper care, even teeth that have had root canal treatment can last a lifetime. But sometimes, a tooth that has been treated doesn't heal properly and can become painful or diseased months or even years after treatment. If your tooth failed to heal or develops new problems, you have a second chance. An additional procedure may be able to support healing and save your tooth. Why do I need another endodontic procedure? As occasionally happens with any dental or medical procedure, a tooth may not heal as expected after initial treatment for a variety of reasons: ⦁ Narrow or curved canals were not treated during the initial procedure. ⦁ Complicated canal anatomy went undetected in the first procedure. ⦁ The placement of the crown or other restoration was delayed following the endodontic treatment. ⦁ The restoration did not prevent salivary contamination to the inside of the tooth. In other cases, a new problem can jeopardize a tooth that was successfully treated. For example: ⦁ New decay can expose the root canal filling material to bacteria, causing a new infection in the tooth. ⦁ A loose, cracked or broken crown or filling can expose the tooth to new infection. ⦁ A tooth sustains a fracture. During retreatment, the endodontist will reopen your tooth and remove the filling materials that were placed in the root canals during the first procedure. The endodontist then carefully examines the tooth, looking for additional canals or new infections. The endodontist then removes any infection, cleans and shapes the canals, and places new filling materials. The opening is then sealed with a temporary filling. Once the tooth heals, a new crown or other restoration is placed on the tooth to protect it.