To assist you, our services encompass a full range of Endodontic services. These include:
- Conventional Root Canal Treatment
- Non-Surgical Endodontic Retreatment
- Endodontic Microsurgery – Apicoectomies.
- Endododontically Management of Cracked Teeth.
- Treatment of Traumatic Dental Injuries.
- Injuries in Permanent Teeth in Children. (Apexogenesis, Apexification)
- Endodontic Emergencies. (Toothache, Face Swelling)
- Conventional Root Canal Treatment:
Non-Surgical Endodontic Retreatment:
- Inside the tooth there is a connective soft tissue called the pulp, which contains blood vessels and nerves. This tissue can become infected or injured from tooth decay, cracks, periodontal disease or other conditions and thus unable to repair itself.
- Root Canal Treatment is performed to remove the inflamed or abscessed pulp, seal the space where the pulp was present, save the tooth and prevent further infection.
- By choosing root canal treatment, you are choosing to keep your natural tooth as a healthy foundation for chewing and biting for years to come.
- To learn more about root canal treatment, please visit www.aae.org/patients/patientinfo/faqs/rootcanals.htm
Occasionally after Root Canal Treatment the lesion may persist and do not heal. This could be related to:
- Untreated canals, associated with a complicated tooth anatomy.
- Contamination of the root canal treatment by saliva or recurrent caries.
- Questionable instrumentation and filling of the root canal system.
- Damaged root surfaces. (e.g.perforations).
Under these circumstances Endodontic Retreatment could be the alternative therapy:
During the retreatment the endodontist will reopen the tooth, remove the tooth filling (or the permanent post-core and crown) and gain access to the contaminated canals. Then, the root canal filling will be removed and the canals are re-cleaned and shaped. After disinfecting the canals, in certain situations your endodontist will recommend the placement of an intracanal medication; usually for one or two weeks before filling the canals again.
Endodontic Microsurgery –Apicoectomty:
If a perforation is present in the tooth it will be repaired during the treatment.
After the procedure is completed you will need to return to your dentist as soon as possible to have a new permanent restoration.
In a few cases, it is seen that non-surgical endodontic treatments (Conventional Root Canal Treatments or Retreatments) don’t heal.
This may be attributed to multiple factors such as:
- Blocked or calcified canals. In these conditions it is not possible to reach the end of the root to clean and seal the canals.
- Foreign body reactions.
- Extraradicular infections.
- True cysts.
Endododontically Management of Cracked Teeth:
The apicoectomy is a very common surgical procedure used to remove the inflamed/infected tissue associated with the tooth. With the use of high magnification and fiber optic illuminations provided by the surgical microscope as well as ultrasonic and microsurgical instruments Silberman Endodontics utilizes the latest technology to obtain a more predictable outcome.
To learn more about Endodontic Surgery - Apicoectomies, please visit: www.aae.org/patients/patientinfo/faqs/endosurgery.htm
- Cracks are like microfractures that can extend in different direction in the tooth. Depending in the type, location and severity of the crack your endodontist will be able to determine the treatment and prognosis of the tooth.
- The chances for tooth survival increase with an early diagnosis. A cracked tooth that is not treated will progress resulting in tooth extraction. The use of the operating surgical microscope and special lighting are tools used in Silberman Endodontics for the detection of these conditions.