What is endodontics?
Endodontics is a specialty of dentistry that focuses on root canal therapy. Many of you have heard of root canals. I explain a root canal by comparing it to a mechanical pencil. Imagine your tooth is a mechanical pencil and you remove the eraser, dumping the lead into your hand. The lead represents the nerve and blood supply of the tooth. The hollow space inside the pencil is the canal of the tooth, extending down to the tip. Bacteria hide in this hollow space. We clean and sterilize this space and seal it up to the tip. The bone area outside the tip remains untouched during this procedure. After sealing the canal, we replace the eraser, similar to placing a crown on the tooth. The plastic of the pencil symbolizes the root of the tooth, which we don't touch. Once sealed, the tooth is ready to function for eating and chewing.
Will I have soreness after a root canal?
You might experience a little soreness because an infected tooth affects the ligaments holding it in place, making them sore. This can result in post-op chewing sensitivity. However, since the nerve is no longer in the tooth, you won't have temperature sensitivity. You won't notice any difference between hot or cold sensitivity in that tooth.
What happens after the root canal is done?
After a root canal, you typically return to your general dentist. The endodontist usually completes the procedure in one appointment, although they might split it into two if needed. Sometimes, if it's a retreatment, they might leave medicine in your tooth and schedule multiple appointments. Root canals are generally uneventful for patients; the procedure is tedious, but your tooth is numbed, ensuring no discomfort. Modern techniques and anesthetics make the process safe and comfortable. Post-procedure, your general dentist will place a permanent restoration like a filling or crown. The endodontist leaves a temporary filling, and you should see your general dentist within a few weeks to avoid the risk of breaking the tooth.
Why did my dentist refer me to an endodontist?
Root canals can be tricky and may require special equipment, especially for molars with multiple roots and canals. These procedures can be challenging for general dentists who encounter them infrequently. Specialized equipment is expensive, and general dentists may not justify the cost due to the rarity of such cases. Thus, referrals to endodontists, who have the necessary equipment and expertise, are common. Straightforward cases with fewer canals may still be handled by general dentists.
What's the difference between an endodontist and a general dentist?
General dentists complete undergrad, usually in science, followed by four years of dental school, earning a DDS or DMD degree. Endodontists are general dentists who choose to specialize in root canal procedures and other root-related treatments. They undergo additional training to become experts in this field, akin to other dental specialists like oral surgeons or orthodontists.
What procedures are done in endodontics?
The most common procedure is a root canal, where the nerve and blood supply are removed, the space sterilized, and sealed to retain the tooth. Another procedure is an apicoectomy, which involves removing the tooth's tip and sealing the rest to keep it viable. A hemisection, less common due to the efficacy of implants, involves removing one of the tooth's roots. Endodontists perform other, rarer procedures related to tooth roots.
Can an endodontist pull a tooth?
While endodontists can pull teeth because they are general dentists, they typically don't. If a tooth is deemed unrestorable, they refer you back to your general dentist or an oral surgeon for extraction.
How does an endodontist determine whether you need a root canal?
Determining the need for a root canal involves evaluating your symptoms, x-rays, and clinical findings. They might tap on your tooth or use cold stimuli to assess sensitivity and confirm the necessity of a root canal.
Does insurance cover endodontic procedures?
Yes, most insurances cover endodontic procedures, but it varies. Our office prides itself on contacting your insurance beforehand to confirm your benefits. We provide recommendations based on what your insurance is likely to cover. Generally, insurance will help cover the cost of a root canal if benefits are still available.
I hope I've answered some of your questions about endodontics. If you have more questions or are ready to take action, call us at (423) 592-7676. We're here to help.