Patient Education

Root Canal Therapy (Endodontic Therapy)

Root Canal Procedures | Chesapeake Endodontic Specialists | Annapolis, MD

Root canal therapy is needed when a cavity has reached the pulp of a tooth causing the nerve to be hyperactive, or when severe trauma has affected the tooth. Regular checkups with your dentist helps to avoid and prevent the need for endodontic therapy but once the pulp has become involved, it must be treated to avoid further issues. Some signs that a pulp needs treatment include sensitivity to hot or cold foods or liquids, pain to biting, swelling, or a bad taste in the mouth. For some patients, no symptoms are obvious and they are unaware a problem even exists until they are seen by their dentist for an exam.

When endodontic therapy is performed, the involved pulp is cleaned out and the canals are disinfected. The canals of the tooth are filled with a special material to prevent further infections, and help in the healing of the bone. Sometimes a core build-up, bonded post, and crown are necessary for restoring a tooth to function, usually performed by your general dentist.

Endodontic Retreatments

Any tooth that has undergone root canal treatment in the past can potentially last your entire life. In some situations, a tooth that received treatment in the past may not have healed correctly and the tooth can become very painful post treatment. If you have noticed that your tooth is developing problems a retreatment may be indicated.

Why should I get retreatment?

After your first treatment, your tooth may not have healed correctly for a variety of reasons, including:

  • You have a complicated canal anatomy that went unnoticed during the first procedure
  • The placement of your crown or other restoration was delayed
  • Narrow or curved canals in the tooth were not treated during the first procedure
  • The restoration did not stop salivary contamination from happening inside the tooth

It is possible that your original root canal wasn’t done under a modern day surgical microscope. When you come in for retreatment, Dr. Luzader or Dr. Parreira will remove the existing filling materials that were used during your first procedure. Then they will examine your tooth, and look for any additional canals, infections or fractures. Any infection will be removed, and your tooth will be cleaned and they will shape the canals and carefully place new filling materials. The opening will be sealed with a temporary filling, and when your tooth has properly healed, a new crown (or other restoration) will be placed. For more information on endodontic retreatment, call us today!

Surgical Root Canal Therapy

Unfortunately, there are situations where nonsurgical root canal procedures cannot completely remove the infection from your bone. Our doctors would then perform endodontic apical surgery to save the tooth. Endodontic surgery is used to completely remove the infection (cyst) from the bone to stimulate healing. Various surgical procedures can be completed to save a patient's tooth, but the most common is apicoectomy (also known as root-end resection). It is needed when inflammation or infection persists in the bony area around the end of the tooth after a root canal procedure has been done. During this microsurgical procedure, your doctor will reflect the gum tissue near the tooth to look at the underlying bone and remove inflamed and infected tissue. The very end of the root is smoothed down and then a small filling is placed to seal the end of the root canal. A few sutures will be placed to help the tissue heal. Local anesthesia is used to help make the procedure comfortable, and patients are able to resume normal activities the very next day. Postsurgery discomfort is usually minimal.

Cracked and Fractured Teeth

Dental Surgery Procedures | Chesapeake Endodontic Specialists | Annapolis, MD

Has your dentist told you that you might have a cracked tooth? Did you know that endodontic treatment can save your cracked tooth?

The tooth enamel (the outer surface of teeth) is the hardest substance in the human body. It is even stronger than bones! This means that enamel can withstand a lot of wear, but as we age our teeth are exposed to stresses like grinding, chewing, and clenching. This can start to weaken enamel and put teeth at risk for fractures. What you want to do is keep the crack from extending too far (a fractured root) to where the tooth would need to be extracted.

Signs that your tooth may be cracked can include erratic pain while chewing, pain when releasing biting pressure, or pain when tooth comes in contact with temperature extremes.

If you show any signs of having a cracked tooth, call Chesapeake Endodontic Center immediately to schedule a consultation appointment!

Traumatic Dental Injuries

Traumatic dental injuries can appear to be overwhelming. They often happen in accidents or sports-related injuries. Dislodged and knocked-out teeth are injuries that are less frequent, but are very severe. More common, and less severe, is a chipped tooth. Endodontists are specialists in treating dental injuries to try and save teeth.

Treatment for a dental injury depends on the location and severity of the injury. Every dental injury, no matter how small, requires an examination by a dentist immediately for a proper diagnosis. Delaying treatment can compromise the overall prognosis for healing. Unnoticed injuries to surrounding teeth can only be detected by a thorough dental exam.

If you're suffering from a tooth injury, call our office at 410-224-7556 in Annapolis, MS as soon as possible to be seen!