What is endodontics?

Endodontics is a branch of dentistry recognized by the American Dental Association involving treatment of the pulp (root canal) and surrounding tissues of the tooth. When you look at your tooth in the mirror, what you see is the crown.

The rest of the tooth, the portion hidden beneath the gum line, is called the root. Though the outer portion of the root is a hard tissue called dentin, the inside channel or "root canal" contains a pulp of soft tissue, blood vessels and nerves. Bacteria that are introduced into the pulp as a result of tooth decay, periodontal disease, tooth fracture or other problems, can severely damage the pulp. When that happens, an endodontic specialist removes the diseased pulp to save the tooth and prevent further infection and inflammation. After successful endodontic treatment, the tooth continues to perform normally.



I'm worried about x-rays. Should I be?

No. While x-rays will be necessary during your endodontic treatment, we use advanced high speed film and low dose dental x-ray machinery to keep exposures to a minimum. In addition, we use an advanced electronic root-length measuring technology which has further reduced the need for x-rays during endodontic treatment.

What about infection control?

Again, there's no need for concern. We adhere to the most rigorous standards of infection control advocated by OSHA, the Centers for Disease Control and the American Dental Association. We utilize autoclave sterilization and barrier techniques to eliminate any risk of infection.

What happens after treatment?

When your root canal therapy has been completed, a record of your treatment will be sent to your restorative dentist. You should contact his office for a follow-up restoration within a few weeks of completion at our office. Your restorative dentist will decide on what type of restoration is necessary to protect your tooth. Please don’t chew on the tooth until your restorative dentist has placed the appropriate follow-up restoration for your tooth. It is rare for endodontic patients to experience complications after routine endodontic treatment or microsurgery. If a problem does occur, however, we are available at all times to respond.

What new technologies are being used?
Operating Microscopes:

Our office is equipped with operating microscopes. Magnification and fiber-optic illumination are invaluable tools that assist us in performing the technical aspects of endodontic treatment and are helpful in aiding the doctor to see tiny details inside your tooth.

Apex Locators:

We use advanced electronic root-length measuring technology to insure accuracy of instrumentation. These devices work by calculating resistance of tooth structure to provide a visual and audible signal indicating root length.

Ultrasonics

Our treatment rooms are equipped with sophisticated ultrasonic units which use diamond coated microscopic tips that vibrate up to 25,000 cycles per second to insure accurate and efficient preparation of the root canal. These instruments are also used to remove posts and metal instruments, as well as aid in the search for calcified canals. Ultrasonic instruments have dramatically improved techniques used to prepare the root-end for a root-end filling in cases when microsurgical intervention is indicated.

Nickel-Titanium Instruments

Cleaning and shaping of the root canal is aided by the use of metal instruments made of a unique alloy of nickel-titanium. Our special digital handpieces control high tech nickel-titanium instruments with great precision. These sterilized units sense when torque (tightness) approaches pre-set resistance levels, and they reverse rotation to adjust to these limits. We use both hand and rotary instruments along with a liquid antimicrobial agent to help remove bacteria and tissue.



We are specialist members of the American Association of Endodontists. We look forward to being of service to you. Our expert team, led by respected endodontic specialist Dr. Piccinino, includes an experienced endodontic staff. We provide the highest standard of professional care for root canals, endodontic retreatment, endodontic microsurgery and traumatic injuries. We hope that the information provided here answers many of your questions about endodontic treatment.

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