FAQ

Below are some common questions we are often asked. If you have additional questions or would like more clarification, please feel free to call us at (757) 333-3399, or email us at [email protected]. We are happy to answer questions and put your mind at ease.

What is endodontics?

Endodontics is the diagnosis and treatment of the pulp (root canal) and surrounding tissues of the tooth. When you look at your tooth, what you see is the crown. The rest of the tooth beneath the gum line is called the root. Though the outer portion of the root is a hard tissue, 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, trauma, periodontal disease, tooth fracture, or other problems) can damage the pulp. When that happens, an endodontic specialist removes the diseased pulp to save the tooth and prevent further inflammation and infection. After successful endodontic treatment, the tooth continues to perform normally. Wikipedia explains further:

Endodontics

From the Greek words endo "inside" and odons "tooth" – endodontics deals with the tooth pulp and the tissues surrounding the root of a tooth.

Endodontists perform a variety of procedures including root canal therapy, endodontic retreatment, surgery, treating cracked teeth, and treating dental trauma. Root canal therapy is one of the most common procedures. If the pulp becomes diseased or injured, endodontic treatment is required to save the tooth.

What are signs that I might need root canal therapy?

Dr. Martin has extensive training and experience in diagnosing the source of tooth pain, but here are some guidelines that root canal therapy might be necessary:

• Sensitivity to hot/cold
• Pain or sensitivity when biting
• Discoloration of the tooth
• Swelling or tenderness in the gums

Sometimes the signs are not clear and an x-ray is needed to confirm the diagnosis.

Should I be concerned about x-rays?

No, you should have no x-ray worries. We use an advanced non-film computerized system, called digital radiography, which produces radiation levels up to 90% 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. For more details contact Sirona Radiographs.

Are there alternatives to root canal therapy?

Extracting the tooth is an alternative, but it can be costly because the empty space will need to be replaced with a bridge, partial, or implant.

How long does it take?

Treatment typically can be completed in one appointment, generally lasting about 1.5 hours, depending on the case. Occasionally circumstances may require more than one visit.

Is it painful?

Treatment consists of local anesthesia, and Dr. Martin makes every effort to ensure your comfort during the procedure. Afterwards, there may be tenderness when biting. This can be treated with an over the counter pain reliever or prescription medication.

How exactly is it done?

The entire procedure goes pretty much like this:

• The patient undergoes local anesthesia.
• A dental dam is used to isolate the tooth.
• The tooth is opened to allow for removal of infected dental pulp.
• The tooth is comprehensively cleaned, including any cracks and canals.
• With special tools, the doctor reshapes the canals.
• The tooth is filled again with cutting edge biocompatible filling material.
• A temporary covering is used to cover the access opening.
• Patients will follow-up with their regular dentist for a permanent restoration of the tooth.

What is the risk of infection?

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 risk of infection.

What should I expect after treatment?

When your root canal therapy has been completed, original radiographs and a record of your treatment will be sent to your restorative dentist. It is important to see your dentist for permanent restoration within a few weeks. Your restorative dentist will decide on what type of restoration is necessary to protect your tooth, but a full crown is usually recommended. It is rare for endodontic patients to experience complications after routine endodontic treatment or microsurgery. If a problem should arise, do not hesitate to give us a call.

How long will my tooth last after the procedure?

With proper restoration and future dental care, your tooth can last a lifetime. The success of root canal therapy is over 90%.

What new technologies are being used?

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

Electric Apex Locators: In certain cases electric apex locators can minimize the number of x-rays needed to complete root canal treatment.

Ultrasonics: Ultrasonic instruments can be valuable to remove or loosen obstructions that would otherwise prevent reliable endodontic therapy.