For root canal procedures, the patient will be fully anesthetized. A rubber dam will be placed around the tooth in question and then a small hole will be drilled in the top of the tooth. Using microscopes and fine instruments, we will enter the inside of the tooth and remove the infected nerves and blood vessels. We will then clean the area thoroughly and fill the spaces we have created inside the root with biocompatible materials. Finally, the hole that was drilled on the top of the tooth will be sealed with a filling. The rubber dam is removed, and the patient will be good to go.
Dr. Sinanan can help those presenting with calcified canals, very curved roots, multiple narrow canals, or large areas of infection. Additionally, he can help compromised patients – ie: health problems and restricted access to the oral pathology.
Endodontists are trained to address these problems, thus better serving the patients needs for these cases.
With proper care, most teeth that have had endodontic 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 your tooth has failed to heal or has developed new problems, you have a second chance. Another endodontic procedure may be able to save your tooth.
Surgical endodontics is another area that endodontists are trained in. In a surgical endodontics case, the infection has spread beyond the confines of the root canal system, into the surrounding bone and soft tissue around the tooth. The patient will present with severe swelling and can be in quite a bit of distress. During the surgical procedure, we make sure the patient is completely anesthetized before an incision is made in the gum tissue. The gum tissue is then reflected and the necrotic/dead tissue in the bone and the root is removed, cleaned and filled from the bottom up-hence the term “retrofill”.
If you think you require surgical endodontics, please consult your general dentist or an endodontist right away.