Endodontics

Endodontics

Endodontics is a specialized field of dentistry focused on the complex inner structures of teeth. The term “Endodontics” originates from the Greek words for “inside the tooth,” and it pertains to the tooth pulp, tissues, nerves, and blood vessels. Endodontists undergo additional training beyond dental school to perform both routine and intricate procedures, such as root canal therapy.

In the past, a tooth with a diseased nerve would typically be extracted. However, endodontists can now often save the natural tooth. This usually involves removing the affected inner tooth structures and sealing the area with a crown, thereby restoring the tooth’s health and functionality.

With these advanced techniques, endodontists play a crucial role in preserving natural teeth and ensuring dental health.

  • Inflammation and tenderness in the gums
  • Sensitivity to hot and cold foods
  • Tenderness when chewing and biting
  • Tooth discoloration
  • Unexplained pain in nearby lymph nodes
Endodontic treatment, commonly known as root canal therapy, aims to preserve the natural tooth. Despite the availability of advanced restorations, natural teeth remain the best option for overall dental health.
  • Bacterial infections: Oral bacteria can infiltrate the tooth pulp through small cracks caused by decay or injury, leading to inflammation, infection, and possibly abscesses.
  • Fractures and chips: Significant damage to the tooth’s surface or crown can expose the pulp, causing severe pain and necessitating root canal therapy.
  • Injuries: Direct or indirect blows to the mouth can dislodge or luxate teeth, often requiring root canal therapy after stabilization.
  • Removals: If a tooth is knocked out, it should be rinsed and placed back into the socket or kept in a dental solution or milk until emergency dental care can be provided. The endodontist will stabilize the tooth and perform root canal therapy to save it.

Root canal therapy typically takes one to three visits. The process begins with X-rays to assess the tooth. A local anesthetic is administered, and a dental dam is used to keep the area dry. An opening is made in the tooth, and the pulp is removed with small instruments. The space is then cleaned, shaped, and filled with gutta-percha, a rubber-like, biocompatible material, and sealed with cement. A temporary filling is placed initially, followed by a permanent restoration or crown during a subsequent visit.