Treatments in

Endodontics

 
Root Canal Treatment
 
Root Canal Re-Treatment

Root Canal Procedures are necessary when the the soft tissue inside the root canal, becomes inflamed or infected. The inflammation or infection can have a variety of causes and symptoms.

Every tooth consists of three different layers. From the outside, first there is Enamel (the outer layer of the teeth which is the hardest part of the body). The second layer is Dentin (the inside hard layer) and then we have the Pulp (which is an empty space where the live tissue and nerve of each tooth is located).

If for any reason the pulp space is exposed to the outside, the tissue becomes contaminated and eventually infected. The exposure of pulp happens in many circumstances for example when you have a large cavity, or a fractured tooth. Your dentist can explain the exact reason for damage to this tissue. Regardless of the reason for this contamination or damage to pulp tissue, the treatment is usually Root canal treatment.

Irvine Root canal treatment is the process of going inside the pulp space and removing the infected and dead tissue. A Root Canal Specialist uses an Endodontic Microscope to see the roots inside the tooth. This reassures that all canals are found and cleaned properly.

 Our Specialists clean the canals using the Latest Technology in Endodontics, including brand new files and top of the line equipment. We provide you with an extra special comfort menu to ensure you feel calm and absolutely no pain throughout the treatment process.  

Then the space is disinfected and sealed with special materials. When you leave our office you will have a temporary filling in the tooth. When the root canal treatment is done your restorative dentist will usually place a crown on you tooth to protect it against fracture.

 

Learn more about root canals at American Association of Endodontics

Root Canal Treatment can fail due to the following

  • Canals were not cleaned and filled properly during first treatment. 

  • Small, curvy, and difficult to see canals could have been missed. 

  • New decay may have formed in the tooth infecting the root canal.

  • A crack or fracture may have formed in the tooth. 

  • Permanent restoration was not completed in proper time after Root Canal Treatment.

The process is very similar to Root canal Treatment, the difference is that besides taking any remaining infected tissue out, the doctor has to take old filling material, any posts and crowns or any other obstacle in the pulp space out to be able to successfully disinfect and seal the area of the root canal.

After the root canal treatment is done your restorative dentist will place a crown to protect the tooth against fractures.

 
Endodontic Surgery Apicoectomy

An Apicoectomy is the most common endodontic surgery used to save a tooth. This treatment is done when inflammation persists in the bony area around the end of your tooth after a root canal procedure.

This is a microsurgery that the doctor will perform under the microscope, remove any underlying bone and inflamed or infected tissue. A small filling is placed to seal the end of the root canal, and almost always we add bone to help bone re-growth and lastly a few stitches are placed in the gum to help the tissue heal.

 

Over a period of months the bone fills in the area at the end of the root. After the treatment is done we will follow up with you in six months to make sure the bone has grown back properly.

 
Root Amputation

A root amputation is when there is a root that is fractured but can be saved by removing the one root. 

This is a microsurgery that the doctor will perform under the microscope, remove any underlying bone and inflamed or infected tissue. The root is then removed and an amalgam restoration is placed in the root stump. Lastly a few stitches are placed in the gum to help heal the tissue heal. 

 

After the treatment is done we will follow up with you 3 weeks after to show you how to properly clean and take care of this area and then again at 6 months to take an x-ray to make sure the area is healing properly. 

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