Endodontics is a dental specialty that deals with the structures found within the tooth. The primary goal of
the endodontic therapy, commonly known as a root canal treatment, is to heal the diseased or damaged internal
tooth structure in order to preserve natural teeth. Even the latest bridges and implants cannot fully replace
the natural tooth function. Therefore, every attempt should be made to retain the tooth.
An Endodontist is a dentist who has completed at least 2 more years of advanced specialty training in the field of
Endodontics. This extra training allows for diagnosis and successful treatment of the most challenging cases.
The combination of training, experience, and use of cutting edge technology allows Dr. Kholodenko, Dr. Seltzer, and
Dr. Reece to make treatment of such cases a routine task.
There are a number of endodontic procedures available. We will make every effort to educate you about your
particular case and to aide you in selecting the optimal treatment option.
Endodontic treatment is necessary when the dental pulp, soft tissue inside the root canal, becomes
inflamed or infected. This treatment is usually performed in one or two appointments. Dr. Kholodenko,
Dr. Seltzer, or Dr. Reece will conduct a comprehensive tooth evaluation. A local anesthetic will be administered. A
small opening will be made in the crown of the tooth and the dental pulp will be cleaned from the pulp
chamber. The cleared out space will be filled with a rubber-like material, and a temporary filling will
be applied to the opening in the crown.
After the treatment, you should return to your general dentist to complete the restoration. There are a
number of options available. For example, your dentist may elect to place a permanent filling, or they may
suggest you get a crown. No matter what option you and your dentist agree upon, it is essential that you
complete the permanent restoration in order to avoid the failure of the endodotic treatment.
|A tooth in need of endodontic treatment
||A tooth during endodontic treatment
In general, endodontic treatment has a high success rate, but each tooth has its own unique anatomy and
could contain factors that contribute to a decreased chance for success and perhaps an eventual treatment
failure. In some cases, pain could reappear years after the initial treatment. A possible solution to
this situation could be an endodontic retreatment.
During this procedure the endodontist will reopen the tooth and remove the root canal filling material.
The tooth will once again be cleaned out and shaped, and examined with magnification and illumination to rule
out all possible contributing factors to the failure. The root canal filling material will be reapplied and a
temporary filling will be applied to the crown.
After the treatment, you should return to your general dentist to complete the restoration as soon as possible.
On occasion, the nonsurgical endodontic treatment may not be sufficient to help out a patient. In such cases
Dr. Kholodenko, Dr. Seltzer, or Dr. Reece may suggest that you need an endodontic surgery. There are a number of
reasons why a surgery should be considered. A patient may be in pain, but no apparent problems are visible
on the x-ray. During such times a surgery could be used to explore the entire root of the tooth, find the
problem, and fix it. Also, sometimes one or more of the root canals will be severely calcified, and reaching
the end of the root by a nonsurgical method will not be possible. In such cases a surgery would be used to
clean out the end of the roots.
The most common endodontic surgery is called apicoectomy or root-end resection. This surgery is performed
when an inflammation is found in the bone area around the end of your tooth. During this procedure Dr. Kholodenko,
Dr. Seltzer, or Dr. Reece will make a small incision in the gum tissue. The exposed inflammation will be
removed from the bone area. The tip of the root will be cut off and replaced with a small root filling in
order to prevent reinfection of the root. The gum will be sutured. Over the next months, the bone should
return to full function.