Endodontic Treatment

Root Canal

Root canal therapy becomes necessary when the dental pulp becomes inflamed or infected.

Inflammation can occur as a consequence of tooth decay or trauma from dental procedures, parafunctional habits or accidents. Infection of the dental pulp represents a natural progression of untreated inflammation. This means that the amount of bacteria that may be harbored within the tooth increases, causing pain or even an abscess.

Diseased Tooth

Diseased Tooth

Root Canal Completed

Root Canal Completed

Root Canal Retreatment

The overwhelming reason why your original root canal treatment may need to be retreated is because of persistent bacteria within the tooth. The following are potential causes for persistent bacteria inside the tooth:

  • The permanent restoration was not placed in a timely fashion, which results in recontamination of the tooth due to leakage from saliva/bacteria
  • The natural tooth structure became decayed and allowed contamination of bacteria within the root canal system
  • Previously undetected canal space that was not originally treated
  • Previously treated canal space was insufficiently cleansed
Root Canal Retreatment
Root Canal Retreatment

Endodontic Microsurgery (Apicoectomy)

Sometimes the cause of persistent problems concerning your tooth may be due to reasons beyond simple bacteria within the tooth. We use microsurgical techniques with the aid of the surgical operating microscope and specialized instruments. Long-term prognosis using these modern techniques is significantly improved. Some indications for endodontic surgery include the following:

  • Achieve drainage/evacuation of toxins for patient comfort in cases of severe abscess.
  • Persistent infection from previous root canal treatment
  • Perforation of tooth structure
  • Predictable failure due to root anatomy
  • Standard root canal treatment is not possible due to a pre-existing restoration (crown, bridge, large post)