Our Services

Root Canal Therapy

Our endodontists have performed over 20,000 successful root canals, so you know you’re in the best of hands. With this procedure, we gently remove the infected or inflamed pulp and then carefully shape and sterilize the inside of the canal with nickel-titanium rotary instruments. The canal is filled and sealed with a biocompatible material called gutta-percha. For your comfort, we use virtually silent electric handpieces that work with minimum vibration. In addition, our piezoelectric ultrasonic equipment features diamond-coated tips, the small size of which preserves the tooth’s structure and provides more precise treatment.

We can perform most root canals in a single visit; the more complex cases require a second appointment. Once your root canal therapy has been completed, we will send a written report, along with post-treatment X-ray images, to your referring dentist. You should not chew or bite on the treated tooth until your dentist provides you with a permanent restoration. We also perform root canal retreatment, if necessary, thereby avoiding surgical intervention.

Endodontic Retreatment

With proper care, most teeth that have had endodontic (root canal) treatment can last as long as other natural teeth.  However, in some cases, a tooth that has received endodontic treatment fails to heal as expected.  A root canal re-treatment is required when a previous root canal doesn't heal as expected due to re-infection or other complications. A retreatment is similar to an initial root canal but instead of removing the pulp tissue, we remove the old root canal filling material. The canals are cleaned and enlarged the same way.

Cracked Teeth

Cracked teeth display a variety of symptoms, including erratic pain when chewing, possibly with release of biting pressure, or pain when your tooth is exposed to temperature extremes.  In many cases, the pain may come and go, and your dentist may have difficulty locating which tooth is causing the 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 the tooth will consistently hurt, even when you are not chewing.  Cracks can lead to infection of the pulp tissue, which can spread to the bone and gum surrounding the cracked tooth.

Apexification

Apexification is a treatment for a non-vital tooth with incomplete root formation. Apexification removes the unhealthy pulp and places calcium hydroxide into the root to stimulate the formation of hard tissue near the root tip. The hardened tissue provides a barrier for the root canal filling. Apexification with calcium hydroxide requires multiple treatments over a several-month period. Some people are candidates for an alternative method of apexification that can be performed in a single office visit. It involves placing the mineral trioxide aggregate (MTA) paste into the end of the root. We will recommend either the calcium hydroxide or MTA approach, based on your individual condition.

Traumatic Injuries

We treat a variety of problems that has resulted from traumatic dental injuries, such as tooth avulsion and dislodged teeth.

 

Dislodged Teeth

 

Injuries to the mouth can cause teeth to be pushed back into their sockets. In this situation, we 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. If the tooth is pushed partially out of the socket, we may reposition and stabilize your tooth. If the pulp remains healthy, then no other treatment is necessary. However, if the pulp becomes damaged or infected, root canal treatment will be required.

 

Avulsed Teeth

 

If an injury causes a tooth to be completely knocked out of your mouth, it is important that you seek treatment immediately! If this happens to you, keep the tooth moist. If possible, put it back into the socket. A tooth can be saved if it remains moist. You can even put the tooth in milk or a glass of water (add a pinch of salt.) We may start root canal treatment based upon the stage of root development. The length of time the tooth was out of your mouth and the way the tooth was stored may influence the type of treatment you receive.