As an endodontic patient, what should I expect?
Comprehensive examination to diagnose oro-facial pain and pulpal injury and 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 to correct an endodontic problem.
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With the appropriate care, your teeth that have had endodontic treatment will last as long as other natural teeth. Yet, a tooth that has received treatment may fail to heal or pain may continue to exist. Sometimes, the pain may occur months or years after treatment. If so, Endodontic Retreatment may be needed.
Improper healing may be caused by:
In some cases, new problems can influence a tooth that was successfully treated:
Once retreatment has been selected as a solution to your problem, the Doctors will reopen your tooth to gain access to the root canal filling material. This restorative material will be removed to enable access to the root canal. The Doctors will now clean and disinfect your canals and carefully examine the inside of the problematic tooth. Once cleaned, the Doctors will fill and seal the canals and place a temporary filling in the tooth.
At this point, you may need to return to your dentist as soon as possible in order to have a new crown or restoration placed on the tooth to restore full functionality.
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.
Apexification In this case, the unhealthy pulp is removed. The doctors 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.