accessibility ACCESSIBILITY

Endodontics

Endodontics is a specialized branch of dentistry that deals with the complex structures found inside the teeth. The Greek word “Endodontics” literally means “inside the tooth,” and relates to the tooth pulp, tissues, nerves and arterioles. Endodontists receive additional dental training after completing dental school to enable them to perform both complex and simple procedures, including root canal therapy.

Historically, a tooth with a diseased nerve would be removed immediately, but endodontists are now able to save the natural tooth in most cases. Generally, extracting the inner tooth structures, then sealing the resulting gap with a crown restores health and functionality to damaged teeth.

Signs and symptoms of endodontic problems:

  • Inflammation and tenderness in the gums.
  • Teeth that are sensitive to hot and cold foods.
  • Tenderness when chewing and biting.
  • Tooth discoloration.
  • Unexplained pain in the nearby lymph nodes.

Reasons for endodontic treatment

Endodontic treatment (or root canal therapy) is performed to save the natural tooth. In spite of the many advanced restorations available, most dentists agree that there is no substitute for healthy, natural teeth.

Here are some of the main causes of inner tooth damage:

Bacterial infections – Oral bacteria is the most common cause of endodontic problems. Bacteria invade the tooth pulp through tiny fissures in the teeth caused by tooth decay or injury. The resulting inflammation and bacterial infection jeopardize the affected tooth and may cause an abscess to form.

Fractures and chips – When a large part of the surface or crown of the tooth has become completely detached, root canal therapy may be required. The removal of the crown portion leaves the pulp exposed, which can be debilitating painful and problematic.

Injuries – Injuries to the teeth can be caused by a direct or indirect blow to the mouth area. Some injuries cause a tooth to become luxated, or dislodged from its socket. Root canal therapy is often needed after the endodontist has successfully stabilized the injured tooth.

Removals – If a tooth has been knocked clean out of the socket, it is important to rinse it and place it back into the socket as quickly as possible. If this is impossible, place the tooth in special dental solution (available at pharmacies) or in milk. These steps will keep the inner mechanisms of the tooth moist and alive while emergency dental treatment is sought. The tooth will be affixed in its socket using a special splint, and the endodontist will then perform root canal therapy to save the tooth.

What does an endodontic procedure invlove?

Root canal therapy usually takes between one and three visits to complete. Complete X-rays of the teeth will be taken and examined before the treatment begins.

Initially, a local anesthetic will be administered, and a dental dam (protective sheet) will be placed to ensure that the surgical area remains free of saliva during the treatment. An opening will be created in the surface of the tooth, and the pulp will be completely removed using small handheld instruments.

The space will now be shaped, cleaned and filled with gutta-percha. Gutta-percha is a biocompatible material that is somewhat similar to rubber. Cement will be applied on top to ensure that the root canals are completely sealed off. Usually, a temporary filling will be placed to restore functionality to the tooth prior to the permanent restoration procedure. During the final visit, a permanent restoration or crown will be placed.

If you have questions or concerns about endodontic procedures, please ask your dentist.

Testimonials.

Read what people are saying about us.

read more

Testimonials

I would like to take this opportunity to let people who are looking for a great and caring dentist to go to Dr. Reed Spears. I've gone to many dentists in my life and have never met one who is gentle and caring as he's been to me. He has a great team with wonderful personalities and are caring also. In my opinion he's the best there is and I wouldn't ever want anyone else but Dr. Reed Spears and his team. I thought a lot of Sandra, Kim and everyone else on his team. I actually look forward to my visits.

Mardi Newton Creedmoor, NC

"They have state of the art equipment and a nice view of the cow pasture. Dr. Bart is great with kids and adults. He is truly a painless dentist!"

Anonymous

Hi,

I am a new patient of Bart Cleary's and his staff.

I had lots of negelected dental work that needed to be taken care of . Many of which had to be cosmetically restored. It has only been about 4 months since we have started the work on my teeth and they look and feel so much better. Bart Cleary and his staff do very good work ! They not only do good work but are painless and very pleasant to work with. I had to have a root canal on one of my front teeth,.... thinking I was going to hurt so much after wards ( You know the horror stories you hear about root canals), After the root canal I went back to work having no pain during or after the procedure.

Good people with great personalities ! They definitely have what it takes to run a great dentist office that makes you feel welcome ! Thanks for all you have done ! Looking foreward to my next visit !

Tina Tarlton Smith, a very satisfied new patient Oxford, NC

View More

Contact Us.We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form.

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.
SpamBlocker