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Endodontics

Root Canal Treatment

Root canal is so popular in the field of endodontics that at times an endodontic treatment is used as a synonym to mean the other. Pulp forms the core of natural tooth. Tooth decay and injury can open up way for bacteria to reach the pulp of the tooth. An infected pulp can cause serious problems in oral health. Root canal treatment is performed to remove the infected pulp and fill the area with appropriate material. Gutta-percha and core build up material are used in order to protect the natural tooth. Root canal process is performed by endodontists and experienced dentists. Local anaesthesia is used during the procedure for painless treatment.

Endodontic Surgery

Usually, a tooth that has undergone a root canal can last the rest of your life and never need further Surgical Endodontics treatment. But if symptoms persist even after successful non-surgical endodontic treatment your endodontist may advise surgery to save your tooth. Sometimes calcium deposits make a canal too narrow for the instruments used in root canal treatment requiring a surgical procedure to treat an infection or inflammation in the bony area around the end of your tooth. Surgery will aid in diagnosis and treatment. Surgery allows your endodontist to examine the root of your tooth, find the problem, and provide treatment.

The most common surgical procedure used is called Apicoectomy or Root End Surgery

Apicoectomy

In this surgical procedure your Endodontist reflects the gum tissue near the root end of the tooth, examines the underlying bone, gains access to the root end, removes infected tissue and re sects the root end. He then seals the root end with an inert filling material and sutures the gum tissue back. Over a period of months the bone heals around the resected root end.

Reimplantation

According to the American Dental Association, the difference between saving and losing a knocked out tooth, is the thirty minutes following the incident.

To save the tooth, follow these steps:
  • Rinse the tooth gently in tap water by holding the crown of the tooth
  • Avoid scrubbing the tooth
  • Insert the tooth into the empty socket quickly
  • If you are uncomfortable inserting the tooth, put the tooth in milk or water and Get to the Endodontist immediately

If the tooth can be replanted into its socket within 30 minutes following the incident then your Endodontist will delay the root canal treatment for 2 weeks in order to stabilize the tooth. If more than an hour has elapse root canal treatment will be performed prior to re implantation. However the prognosis in such cases is guarded due to future root resorption and eventual loss of the tooth.

Other surgeries Endodontist might perform include dividing a tooth in half in order to eliminate a fur-cation involvement, repairing an injured root, or even removing one or more roots. Your Endodontist will be happy to discuss the specific type of surgery your tooth requires.

In certain cases, a procedure called intentional re plantation may be performed. In this procedure, a tooth is extracted, treated with an endodontic procedure while it is out of the mouth, and then replaced in its socket.

These procedures are designed to help you save your tooth.

Non Surgical Endodontics

Usually, a tooth that has undergone a root canal can last the rest of your life and never need further Surgical Endodontics treatment. But if symptoms persist even after successful non-surgical endodontic treatment your endodontist may advise surgery to save your tooth. Sometimes calcium deposits make a canal too narrow for the instruments used in root canal treatment requiring a surgical procedure to treat an infection or inflammation in the bony area around the end of your tooth. Surgery will aid in diagnosis and treatment. Surgery allows your endodontist to examine the root of your tooth, find the problem, and provide treatment.

The most common surgical procedure used is called Apicoectomy or Root End Surgery

Apicoectomy

In this surgical procedure your Endodontist reflects the gum tissue near the root end of the tooth, examines the underlying bone, gains access to the root end, removes infected tissue and re sects the root end. He then seals the root end with an inert filling material and sutures the gum tissue back. Over a period of months the bone heals around the resected root end.

Reimplantation

According to the American Dental Association, the difference between saving and losing a knocked out tooth, is the thirty minutes following the incident.

To save the tooth, follow these steps:
  • Rinse the tooth gently in tap water by holding the crown of the tooth
  • Avoid scrubbing the tooth
  • Insert the tooth into the empty socket quickly
  • If you are uncomfortable inserting the tooth, put the tooth in milk or water and Get to the Endodontist immediately

If the tooth can be replanted into its socket within 30 minutes following the incident then your Endodontist will delay the root canal treatment for 2 weeks in order to stabilize the tooth. If more than an hour has elapse root canal treatment will be performed prior to re implantation. However the prognosis in such cases is guarded due to future root resorption and eventual loss of the tooth.

Other surgeries Endodontist might perform include dividing a tooth in half in order to eliminate a fur-cation involvement, repairing an injured root, or even removing one or more roots. Your Endodontist will be happy to discuss the specific type of surgery your tooth requires.

In certain cases, a procedure called intentional re plantation may be performed. In this procedure, a tooth is extracted, treated with an endodontic procedure while it is out of the mouth, and then replaced in its socket.

These procedures are designed to help you save your tooth.

Office Hours

Monday 8:00 AM5:00 PM
Tuesday 8:00 AM5:00 PM
Wednesday 8:00 AM5:00 PM
Thursday Closed
Friday 8:00 AM5:00 PM
Saturday 7:30 AM2:00 PM
Sunday Closed

Our Address

Advanced Restorative Dentistry
1401 South Beretania Street
Suite #470, Honolulu, Hawaii 96814

808-732-0291

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