Endodontic FAQs

What is endodontics?

Endodontics is a branch of dentistry recognized by the American Dental Association involving 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 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. These digital images can be optimized, archived, printed and sent to co-therapists.

What about infection?

There’s no need for concern. We adhere to rigorous standards of infection control advocated by OSHA, the Centers for Disease Control and the American Dental Association. We use autoclave sterilization and barrier techniques to eliminate the risk of infection.

What happens after treatment?

When your root canal therapy is complete, a record of your treatment will be sent to your restorative dentist. You should contact their office for a follow-up restoration within a few weeks of completion at our office (permanent filling and/or crown). Your restorative dentist will decide what type of restoration is necessary to protect your tooth. It is rare for endodontic patients to experience complications after routine treatment or microsurgery. If a problem occurs, however, we are available to respond. See our post-treatment instructions.

What new technologies are being used?

In addition to digital radiography and a Morita 3D CBCT machine, we use special surgical operating microscopes. Magnification and fiber-optic illumination help the doctor see tiny details inside your tooth. A small video camera on the operating microscope can also record images of your tooth to further document the doctor’s findings.

Will the treatment be painful?

We will take every measure to ensure that your procedure is in no way uncomfortable or painful. If treatment is needed, we will administer sufficient anesthesia to gently numb a concentrated area of your mouth. For most patients, the feeling of numbness subsides after 2–3 hours.

Will I need to return for follow-ups?

Yes. For most root canal treatments, we recommend that patients return periodically for a follow-up evaluation, usually one year after treatment. There is no charge for this evaluation. Our office will send a reminder when you are due for a follow-up appointment.