Introduction

About Your Tooth

Your tooth consists of two main parts: the crown, which is that part of the tooth above the gum and visible in your mouth; and the root or roots, which is that part of the tooth that lies beneath the gum and is surrounded by bone. Inside each root is a channel that runs the length of the tooth. This channel is the root canal and contains the pulp (nerves, blood vessels, and soft tissue), which is often referred to as the “nerve” of the tooth. The pulp may be irreversibly damaged by bacteria associated with decay, very deep restorations, fractures, trauma, or periodontal disease.

In order to preserve a tooth in which this has occurred, it is necessary to remove the diseased pulp tissue. This procedure is known as endodontic therapy (root canal). Since endodontic therapy is concerned with removing only the pulp from the root canal, the root will continue to function normally because the supporting tissues remain intact. It is advisable to remove the injured pulp because it may become infected or act as an irritant to the tissues surrounding the tooth.

If your tooth is not amenable to endodontic treatment or the chance of success is unfavorable, you will be informed at the time of consultation or when a complication becomes evident during or after treatment.

Advances in Technology

Microscopes and Imaging

Our office is equipped with state-of-the-art operating microscopes. Magnification is an invaluable tool that assists us in performing the technical aspects of endodontic treatment. Our operating microscopes are equipped with a high-resolution camera to help document cases for enhanced communication.

Digital Radiography

X-Ray procedures are an essential part of quality endodontic therapy. Our office utilizes an advanced non-film dental imaging system known as CDR (computed dental radiography). The already low radiation required for dental radiographs is further reduced by over 80% compared to conventional film. Using this system, an electronic sensor produces computerized radiographs which appear instantly on a chairside computer screen. These images can then be optimized, printed, archived indefinitely and sent to your dentist.

Ultrasonic

Our operatories are equipped with sophisticated ultrasonic units which are used to thoroughly clean the root canal system, remove posts and metal instruments, as well as aid in the search for calcified canals. The diamond coated microscope tips vibrate up to 25,000 cycles per second to insure accurate and speedy preparation. The ultrasonic produces special waves inside the canal to remove infected tissue and bacteria in the fins/crevices of the root canal system which are inaccessible with regular dental files. This helps to ensure that we are removing infected tissue and preventing the bacteria from being entombed within the root canal system. This aids in maintaining the longevity of the tooth.

Nickel-Titanium Instruments

The cleaning and shaping of the root canal system is aided by the use of metal instruments made of a unique alloy of nickel-titanium. We use both hand and rotary instruments along with a liquid antimicrobial agent to help remove bacteria and tissue.

Mineral Trioxide Aggregate

Mineral Trioxide Aggregate (MTA) is a hydrophilic ceramic material that is a relatively new advancement in endodontic treatment. We use MTA for repairing the root structure as a result of resorption and perforation. This will aid in the regeneration of surrounding bone structure that supports the tooth. Current literature supports its use as a biocompatible material with excellent resistance to leakage and it has antibacterial properties.

CBCT

Our practice utilizes small volume cone beam computed tomography (CBCT). Which is an innovative medical imaging technique that provides endodontists with three-dimensional views of the teeth and bone surrounding them. During a CBCT scan, the machine rotates around the patient, capturing images using a cone-shaped x-ray beam. The scan aids in the diagnosis of infection, cracked teeth, fractured roots, atypical anatomy (extra roots) and other dental issues with minimal radiation exposure to the patient.