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Posts for tag: root canal treatment

By Dentistry by Design
October 13, 2019
Category: Dental Procedures
YouMayNeedanEndodontistforaToothWithInteriorDecay

You depend on your family dentist for most of your oral care. There are some situations, though, that are best handled by a specialist. If you or a family member has a deeply decayed tooth, for example, it might be in your long-term interest to see an endodontist.

From the Greek words, endo ("within") and odont ("tooth"), endodontics focuses on dental care involving a tooth's interior layers, including the pulp, root canals and roots. While general dentists can treat many endodontic problems, an endodontist has the advanced equipment and techniques to handle more complex cases.

The majority of an endodontist's work involves teeth inwardly affected by tooth decay. The infection has moved beyond the initial cavity created in the enamel and dentin layers and advanced into the pulp and root canals. The roots and underlying bone are in danger of infection, which can endanger the tooth's survival.

The most common treatment is root canal therapy, in which all of the infected tissue is removed from the pulp and root canals. Afterward, the empty spaces are filled and the tooth is sealed and crowned to prevent future infection. General dentists can perform this treatment, primarily with teeth having a single root and less intricate root canal networks. But teeth with multiple roots are a more challenging root canal procedure.

Teeth with multiple roots may have several root canals needing treatment, many of which can be quite small. An endodontist uses a surgical microscope and other specialized equipment, as well as advanced techniques, to ensure all of these inner passageways are disinfected and filled. Additionally, an endodontist is often preferred for previously root-canaled teeth that have been re-infected or conditions that can't be addressed by a traditional root canal procedure.

While your dentist may refer you to an endodontist for a problem tooth, you don't have to wait. You can make an appointment if you think your condition warrants it. Check out the American Association of Endodontists webpage www.aae.org/find for a list of endodontists in your area.

Advanced tooth decay can put your dental health at risk. But an endodontist might be the best choice to overcome that threat and save your tooth.

If you would like more information on endodontic dentistry, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Why See an Endodontist?

By Dentistry by Design
May 22, 2019
Category: Dental Procedures

The thought of root canal treatment makes some people nervous, but root canal treatment is nothing to fear. Root_CanalThe procedure is similar to filling a cavity and it can help you avoid having an infected or a damaged tooth extracted. A dentist can determine if your damaged or infected tooth could be preserved and restored through root canal treatment. At Dentistry by Design, Dr. Nicholas Papapetros, Dr. Jhon Giraldo, and Dr. Leo Kharin are your Andover dentists for root canal treatment.
 

What is Root Canal Treatment?

Root canal treatment is a procedure with the purpose of restoring an infected or a damaged tooth so it does not have to be extracted. Root canal treatment is needed when the soft pulp found inside the center of a tooth becomes infected. Ultimately, the infection can spread down into the canals of the tooth root and even result in the formation of an abscess below the root. Left untreated, the infection can spread beyond the tooth and infect other teeth. Some signs that root canal treatment is possibly needed include:

  • Sensitivity to foods and drinks that are cold or hot
  • Sharp pain when biting into and chewing food
  • Constant pain or pressure in the mouth
  • A persistent or severe toothache

The procedure for performing root canal treatment involves removing any infected pulp inside the tooth. The inside of the tooth is then cleaned out to ensure all signs of infection are gone and no debris is left behind. Finally, a dental filling is used to fill, strengthen, and seal the tooth. A dental crown may also be needed. Following treatment, the restored tooth can be used to bite and chew food without pain, discomfort, or sensitivity. Your Andover dentists at Dentistry by Design can determine if root canal treatment could be used to restore your damaged tooth.
 

Benefits of Root Canal Treatment

There are multiple benefits to undergoing root canal treatment. A significant benefit is that it prevents extraction and preserves your natural teeth. Additionally, root canal treatment restores damaged and infected teeth and makes them stronger. Root canal treatment also eliminates tooth and mouth pain, discomfort, and sensitivity caused by infection.

Root canal treatment is nothing to fear. If you are dealing with a toothache, schedule an appointment with Dr. Papapetros, Dr. Giraldo, or Dr. Kharin, your Andover dentists, by contacting Dentistry by Design at (978) 475-5333.

By Dentistry by Design
May 22, 2017
Category: Dental Procedures
IfatAllPossiblePrimaryTeethareWorthSaving

Primary (baby) teeth might not last long, but their impact can last a lifetime. Their first set of teeth not only allows young children to eat solid foods, but also guide permanent teeth to form and erupt in the proper position.

Unfortunately, primary teeth aren't immune to tooth decay. If the decay is extensive, the tooth may not last as long as it should. Its absence will increase the chances the permanent teeth won't come in correctly, which could create a poor bite (malocclusion) that's costly to correct.

If a primary tooth is already missing, we can try to prevent a malocclusion by installing a “space appliance.” This keeps nearby teeth from drifting into the empty space intended for the permanent tooth. The best approach, though, is to try to save a primary tooth from premature loss.

We can often do this in much the same way as we would with a permanent tooth — by removing decayed material and filling the prepared space. We can also perform preventive applications like topical fluoride or sealants that strengthen or protect the tooth.

It becomes more complicated, though, if the pulp, the interior of the tooth, becomes decayed. The preferred treatment for this in a permanent adult tooth is a root canal treatment. But with a primary tooth we must also consider the permanent tooth forming below it in the jaw and its proximity to the primary tooth. We need to adapt our treatment for the least likely damage to the permanent tooth.

For example, it may be best to remove as much decayed structure as possible without entering the pulp and then apply an antibacterial agent to the area, a procedure known as an indirect pulp treatment. We might also remove only parts of the pulp, if we determine the rest of the pulp tissue appears healthy. We would then dress the wound and seal the tooth from further infection.

Whatever procedure we use will depend on the extent of decay. As we said before, our number one concern is the permanent tooth beneath the primary. By focusing on the health of both we can help make sure the permanent one comes in the right way.

If you would like more information on caring for children's primary teeth, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Root Canal Treatment for Children's Teeth.”