been referred to an endodontist because your dentist has determined
that your tooth needs specialized care. Endodontic treatment
addresses the interior of the tooth. Endodontists have received
advanced training for tooth conditions such as deep decay,
cracks, abscesses, and trauma. They can diagnose sources of
oral and facial pain and perform surgical procedures when
further specializes in treating complicated cases such as
teeth with narrow or blocked canals or unusual anatomy. He
uses advanced technology, including the operating microscope,
ultrasonics, and digital imaging when performing these special
services. By referring you to a specialist such as Dr. Rybicki,
your dentist is showing a personal concern for the quality
of your dental care.
does a tooth require endodontic treatment such as a root canal?
Within the tooth, and beneath the hard enamel and dentin,
is a soft tissue called pulp. The pulp contains blood vessels,
nerves, and connective tissue. It also creates the surrounding
hard tissues during tooth development.
therapy is necessary when the pulp of a tooth becomes inflamed
or infected. These conditions can have a variety of causes,
including deep decay, repeated dental procedures on the tooth,
or a crack or chip in the tooth. In other instances, physical
trauma to a tooth can cause pulp damage even if the tooth
has no visible chips or cracks. Damaged pulp, when left untreated,
can cause pain or form an abscess.
treatment, the damaged pulp is removed from the tooth, which
is then carefully cleaned, and the root canal spaces are shaped
and sealed with special fill materials.
can I tell if I need endodontic treatment?
Noticeable signs of pulp damage include pain, prolonged sensitivity
to heat or cold, swelling, gum tenderness, and tooth discoloration.
However, sometimes there are no outward symptoms when a pulp
degenerates, and the condition may only be detected by a dental
examination and x-rays.
information about the safety and relative doses of dental
many appointments will my endodontic treatment take?
Dr. Rybicki can complete most procedures in a single visit.
During your examination, He thoroughly explains all treatment
options and can answer any questions you might have. He reviews
your symptoms and digital x-rays with you to determine if
treatment is needed. If endodontic therapy is needed, Dr.
Rybicki can usually complete your procedure in one appointment
whenever reasonable and possible.
I have pain during or after this procedure?
With modern pain management techniques, a root canal can be
as unremarkable as a typical dental filling procedure. Dr.
Rybicki ensures that the sensitive nerves in your tooth are
comfortably anaesthetized prior to starting any procedure.
After treatment, you may experience some sensitivity of your
tooth, usually with chewing, for a few days. An appropriate
over-the-counter analgesic such as Advil or Tylenol is usually
enough to manage your discomfort. It is not unusual for your
tooth to feel different for some time after the treatment
is completed; however, if you experience severe pain or pressure,
you can contact our office, and we will take appropriate measures
to address the problem.
do I need to do after my root canal is complete?
Following your treatment, a complete report of your treatment
and digital x-rays is sent to your restorative dentist, and
it is important that you see your dentist as soon as possible
to complete the treatment of your tooth.
If a temporary
filling was made, your general dentist arranges for a permanent
restoration such as a crown. We prefer that this occur within
one month of your root canal to prevent any loss of the temporary
filling, bacterial leakage, reinfection, or tooth fracture.
first few days following a root canal, avoid biting or chewing
anything hard in the treated area. If your tooth requires
a crown, avoid chewing hard things until you have completed
the follow-up visit to your general dentist.
long will my tooth last after endodontic treatment?
With regular brushing and flossing, proper diet, and periodic
dental checkups, your tooth should last a lifetime. Although
the pulp is removed, your tooth can survive because the tooth
continues to be nourished by the surrounding tissues. The
success rate of endodontic procedures is very high, and most
teeth can be saved. However, if Dr. Rybicki determines that
the prognosis for your tooth is poor, he will inform you of
that at your consultation. Occasionally, an endodontically
treated tooth may need additional surgery or even removal.
are the alternatives to endodontic treatment?
Removal of a tooth is often the only alternative to treatment.
The extracted tooth is then replaced by an implant, bridge,
or removable partial denture to allow chewing and prevent
shifting of adjacent teeth. These options require extensive
surgery or dental procedures on adjacent healthy teeth, and
they can be far more costly and time consuming than the endodontic
procedure and restoration of the natural tooth. Despite the
effectiveness of tooth replacements, natural teeth are preferable
is endodontic retreatment?
Root canal treatment enjoys a success rate of over 90% successful,
and with proper can a treated tooth can last as long as your
other natural teeth. Occasionally, however, a tooth that has
received endodontic treatment fails to heal. The tooth can
become painful or diseased months or even years after successful
treatment. If your tooth does not heal, or it develops new
problems, another procedure called endodontic retreatment
may be able to save your tooth.
and Dr. Rybicki choose retreatment, he reopens your tooth
to gain access to the root canal filling material. In many
cases, complex restorative materials such as the crown, post,
and core material, are removed to permit access to the root
canals. After removing the canal filling, Dr. Rybicki cleans
the canals and carefully examines the inside of your tooth
to locate any additional canals or unusual anatomy that requires
treatment. After cleaning the canals, they are filled and
sealed, and a temporary filling is placed in the tooth. Endodontic
surgery may be recommended if the canals are unusually narrow
is surgical treatment needed?
If your endodontically treated tooth has not healed, or if
it has developed new problems, you may benefit from endodontic
surgery. For example, if endodontic retreatment cannot be
performed because the canal is obstructed or a post is in
the canal, then endodontic surgery should be considered.
procedure, the gingival tissue near the tooth is opened to
examine the underlying bone and to remove any inflamed or
infected tissue. In an apicoectomy, the very end of the root
is removed. After cleaning the root end, a small biocompatible
filling is placed to seal the canal. Stitches or sutures in
the gingiva help stabilize the tissue for proper healing,
and over time the bone heals around the end of the root. Most
patients are able to return to work or other routine activities
the next day.
if I choose not to treat my tooth?
If you do not treat your tooth, the inflamed pulp tissue inside
the tooth eventually breaks down and dies. Once this happens,
bacteria can enter the jaw bone and your blood system, which
can result in bone destruction, swelling, or drainage from
the gum. Once enough bone is destroyed, the only remaining
treatment option is the removal of your tooth.
infection can cause facial swelling and lead to life threatening
situations such as an obstructed airway or brain abscess.
Untreated chronic jaw infections have also been linked to
systemic health problems such as heart disease, stroke, and