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All Endodontic Treatments done by Dr. Joseph Schwann

Root Canal Therapy

A root canal is one of the most common dental procedures performed, well over 14 million every year. This simple treatment can save your natural teeth and prevent the need of dental implants or bridges.

At the center of your tooth is pulp. Pulp is a collection of blood vessels that helps to build the surrounding tooth. Infection of the pulp can be caused by trauma to the tooth, deep decay, cracks and chips, or repeated dental procedures. Symptoms of the infection can be identified as visible injury or swelling of the tooth, sensitivity to temperature or pain in the tooth and gums.

Endodontic Retreatment

With the appropriate care, your teeth that have had endodontic treatment will last as long as other natural teeth. Yet, a tooth that has received treatment may fail to heal or pain may continue to exist. Sometimes, the pain may occur months or years after treatment. If so, Endodontic Retreatment may be needed.

Improper healing may be caused by:

  • Curved or narrow canals that were not treated during the initial treatment.
  • Complicated canals that went undetected during the initial treatment.
  • The crown or restoration was not placed within the appropriate amount of time following the procedure.
  • The crown or restoration that did not prevent saliva from contaminating the inside of the tooth.

Apicoectomy

Generally, a root canal is all that is needed to save teeth with injured pulp from extraction. Occasionally, this non-surgical procedure will not be sufficient to heal the tooth and your endodontist will recommend surgery. Endodontic surgery can be used to locate fractures or hidden canals that do not appear on x-rays but still manifest pain in the tooth. Damaged root surfaces or the surrounding bone may also be treated with this procedure. The most common surgery used to save damaged teeth is an apicoectomy or root-end resection.

Cracked Teeth

Cracked teeth demonstrate many types of symptoms, including pain when chewing, temperature sensitivities, or even the release of biting pressure. It is also common for pain to come and go, making it difficult to diagnose the cause of discomfort.

Chewing can cause movement of the cracked pieces of your tooth, and the pulp within the tooth becomes irritated. At the same time, when biting pressure is released, the crack can close quickly, resulting in sharp pain. Eventually, the pulp will become damaged and tooth will consistently hurt, even when you are not chewing. It is possible that cracks can lead to infection of the pulp tissue, which can spread to the bone and gum surrounding the problematic tooth.

Traumatic Injuries

 

Injuries to the mouth can cause teeth to be pushed back into their sockets. Your endodontist or general dentist may reposition and stabilize your tooth. Root canal treatment is usually started within a few weeks of the injury and a medication, such as calcium hydroxide, will be placed inside the tooth. Eventually, a permanent root canal filling will be implanted.

Sometimes a tooth may be pushed partially out of the socket. Again, your endodontist or general dentist may reposition and stabilize your tooth. If the pulp remains healthy, then no other treatment is necessary. Yet, if the pulp becomes damaged or infected, root canal treatment will be required. If left untreated, many different complications can arise. These complications can include but are not limited to: Infection of the tooth, root system or surrounding tissue, inadequate hygiene due to an inability to properly clean the dislodged tooth and the gums, and loss of the tooth.

GentleWave

In a standard root canal treatment, a series of files are used to reach inside the tooth and mechanically remove the infected tissue.
Root canal systems, however, are highly complex, with twists and turns that make it difficult for files to reach everywhere. In addition, there are microscopic places along the canal walls where bacteria can hide.

In the GentleWave Procedure, a sterilized instrument delivers a vortex of procedure fluids through your tooth, cleaning debris from canal walls and thoroughly disinfecting in the places where bacteria live.For more information visit:

https://gentlewaverootcanals.ca/

Cone-Beam CT Scanner

Cone Beam CT Scanner We utilize a Cone Beam CT Scanner in our office. This allows us to look at certain teeth 3 Dimensionally to accurately detect root canal anomalies, deficiency in bone volume and boney lesions or concerns prior to therapy.

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