Endodontic treatment is necessary when the pulp (soft tissue inside the root canal) becomes inflamed or infected. The inflammation or infection may result for several reasons: deep tooth decay, repeated dental procedures on the tooth, or a crack or chip in the tooth. In addition, an injury to a tooth may cause pulp damage even if the tooth has no visible cracks or chips. If pulp inflammation or infection is left untreated, it may cause pain or lead to an abscess.
With proper care, most teeth that have had a root canal treatment can last as long as other natural teeth. In some cases, however, a tooth that has received endodontic treatment fails to heal. Occasionally, the tooth becomes painful or diseased months or even years after successful treatment. If this occurs, retreatment provides a second chance to heal and save that tooth.
An apicoectomy is when the very end of a root is removed. In this procedure the Endodontist opens the gingival tissue near the tooth to examine the underlying bone and remove any inflamed or infected tissue.A small filling may be placed in the root to seal the end of the root canal, and a few stitches or sutures are placed in the gingiva to help the tissue heal properly. Over a period of months, the bone around the end of the tooth heals and all symptoms are gone.
In certain cases a procedure known as a replantation 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.
This is another procedure designed to help save your tooth.
An implant is placed only when it has been determined by our office and your referring dentist that your tooth is unable to be saved. After an implant has been placed, the patient must then return to their dentist for full tooth restoration.