Question 1

What are the signs I need emergency root canal treatment?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Seek immediate emergency endodontic care if you experience: severe tooth pain that keeps you awake, throbbing tooth pain, swollen gums with tooth pain, tooth sensitivity to hot and cold that lingers, or signs of tooth abscess. These infected tooth symptoms require urgent dental care.

Question 2

I have severe tooth pain - can I get same day treatment?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Yes! We provide emergency root canal treatment and same day endodontist appointments for patients experiencing severe tooth pain. Call us immediately at (425) 697-9777 for urgent dental care. We serve patients throughout the greater Seattle area including: Issaquah, Sammamish, Bellevue, Redmond, Newcastle, Renton, Mercer Island, Kirkland, Bothell, Woodinville, Preston, Carnation, Fall City, North Bend, Snoqualmie, Hobart, Covington, Roslyn, Cle Elum, Maple Valley, Black Diamond, Tukwila, Kent, SeaTac, and Seattle. Same-day emergency appointments are available for urgent cases.

Question 3

How quickly can you provide tooth pain relief?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

We prioritize emergency cases and can often provide same day tooth pain relief. Our emergency root canal procedures in Issaquah are designed to eliminate severe tooth pain immediately. Call for urgent appointment scheduling.

Question 4

Do you offer weekend or after hours emergency appointments?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

While our regular office hours are Monday-Friday, we can arrange after hours emergency appointments for severe tooth pain and urgent cases. There is an additional after-hours office fee of $200 for weekend or after-hours emergency visits. Contact us immediately for emergency tooth pain relief.

Question 5

What happens if I delay emergency root canal treatment?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Delaying emergency root canal treatment can lead to serious consequences: The infection will continue to spread, causing more bone loss in your jaw. You may experience increased swelling, severe pain, and difficulty sleeping. The tooth becomes harder to numb for future treatment, making procedures more challenging. The prognosis becomes poorer over time, and you may ultimately lose the tooth entirely. What starts as a treatable emergency can progress to a life-threatening infection requiring hospitalization. Seek immediate emergency endodontic care to prevent these complications.

Question 6

Why am I having tooth discomfort and pain?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Tooth discomfort and pain typically occur when bacteria invade the inner pulp of your tooth, causing inflammation and infection. This can happen due to deep decay, repeated dental procedures, large fillings, cracks, or trauma. When bacteria reach the pulp (the soft tissue inside your tooth containing nerves and blood vessels), your body's immune system responds with inflammation, which creates pressure inside the tooth and causes pain. If left untreated, the infection can spread to the surrounding bone and tissues, leading to abscesses and more serious complications.

Question 7

What happens if pain goes away, does that mean it's ok?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

No! When tooth pain suddenly goes away, it often means the situation has actually gotten worse, not better. Think of sensitivity to hot and cold as your tooth's "check engine light" - it's an early warning system. When this sensitivity disappears, it usually means the nerve inside your tooth has died and the tooth is now infected. A dead, infected tooth won't hurt initially, but the infection will continue to spread to the surrounding bone and tissues. If not treated promptly, this can lead to serious complications including bone loss, abscess formation, facial swelling, and ultimately tooth loss. Don't ignore the temporary relief - seek endodontic evaluation immediately.

Question 8

Why does the X-ray show bone loss around the tip of the roots?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Bone loss around the tip of tooth roots occurs when bacteria and toxins from an infected or dead nerve leak out through the root tip into the surrounding bone. Your body's immune system responds to this infection by breaking down and removing the infected bone tissue, creating a dark area (radiolucency) visible on X-rays. This bone loss, called a periapical lesion or abscess, will continue to grow if the infection source is not eliminated. Root canal treatment removes the infected nerve tissue and seals the root canals, allowing your body to heal and regenerate the lost bone over time. Without treatment, the bone loss will continue to expand and may affect neighboring teeth.

Question 9

Why is my tooth discolored?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Tooth discoloration after root canal treatment occurs for several reasons: Nerve Death: When the nerve inside your tooth dies (from trauma, decay, or infection), it can cause the tooth to darken from the inside out, similar to how a bruise changes color. Blood Breakdown: Dead blood vessels and tissue inside the tooth break down and release pigments that stain the tooth structure. Medications: Some medications used during root canal treatment can cause temporary discoloration. Age and Trauma: Previous trauma to the tooth, even years ago, can cause gradual darkening over time. Good News: Tooth discoloration after root canal treatment can often be corrected with internal bleaching (whitening from inside the tooth) or external whitening treatments. We offer professional internal bleaching services to restore your tooth's natural color and improve your smile's appearance.

Question 10

Why do I have to take X-rays again if I took them at my dentist?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Even if you had X-rays taken at your dentist yesterday, we need our own 2D X-rays for several important reasons: Different Angles: Think of it like taking photos of a car accident - the police, insurance adjuster, and mechanic each need their own photos from different angles to see what they need to see. Your dentist takes X-rays to check for cavities and general health, but we need specific angles to see the root canals and surrounding bone. Specialized Views: It's like the difference between a family photo and a passport photo - both are pictures of you, but they serve different purposes. We need periapical X-rays that show the entire root and surrounding bone, not just the crown of the tooth. Treatment Planning: Just like a surgeon needs their own MRI or CT scan before surgery (even if you had one elsewhere), we need our own images to plan your specific treatment safely and effectively. Quality Control: We need to ensure the images are the right quality and angles for endodontic diagnosis - sometimes images from other offices aren't optimal for our specialized needs.

Question 11

Why is 3D CBCT imaging important for my treatment?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

3D CBCT imaging is like the difference between a regular photograph and a 3D hologram - it shows us everything we can't see with regular 2D X-rays. Complete Picture: Think of 2D X-rays like looking at a house from the street - you can see the front, but you can't see what's behind it, inside it, or on the other sides. 3D imaging is like having X-ray vision to see through all the walls, rooms, and hidden spaces. Hidden Anatomy: Just like a GPS needs 3D mapping to navigate complex highway interchanges, we need 3D imaging to navigate complex root canal systems. Some teeth have extra canals, curved roots, or unusual anatomy that's completely invisible on 2D X-rays. Safety First: It's like the difference between performing surgery with a flashlight versus full surgical lighting - 3D imaging ensures we can see everything clearly and avoid complications. Treatment Success: Think of it like a surgeon needing an MRI or CT scan before a complex procedure - the 3D information is essential for the highest success rates and safest treatment. While insurance may not always cover 3D imaging, it's often necessary for your safety and the best possible outcome.

Question 12

Why am I having discomfort after a filling or crown with my dentist?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Discomfort after a filling or crown can occur for several reasons: The procedure may have irritated the nerve inside your tooth, especially if the decay was deep or close to the pulp. Sometimes the bite needs adjustment if the restoration is slightly high. However, if you experience persistent pain, sensitivity to hot/cold, or throbbing pain that keeps you awake, this may indicate that the nerve has been damaged and requires root canal treatment. If discomfort persists beyond a few days or worsens over time, contact us at (425) 697-9777 for an endodontic evaluation to determine if root canal treatment is needed.

Question 13

Should I put a crown on a tooth if it's having symptoms without a root canal?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

No, you should not place a crown on a symptomatic tooth without addressing the underlying problem first. If your tooth is experiencing pain, sensitivity, or other symptoms, it likely indicates nerve damage or infection that requires root canal treatment. Placing a crown over an infected or inflamed nerve will not solve the problem and may actually make it worse by sealing in the infection. The proper sequence is: 1) Root canal treatment to remove the infected/inflamed nerve, 2) Allow healing time, then 3) Place the crown. This ensures long-term success and prevents future complications.

Question 14

What is the treatment for cracked teeth (cracked tooth syndrome)?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Treatment for cracked teeth depends on the severity and symptoms. For cracks without symptoms, a crown may be sufficient to protect the tooth and prevent the crack from spreading. However, if you have symptoms like pain when biting, sensitivity to hot/cold, or spontaneous pain, this indicates the nerve inside the tooth has been affected and root canal treatment is needed first, followed by a crown. The sequence matters: if you place a crown on a symptomatic cracked tooth without addressing the nerve problem, symptoms will persist and we would need to drill through your new crown to perform the root canal - an unfortunate and costly situation. Another option is extraction, which is a 100% guarantee to eliminate the problem, but then you have a missing tooth and need to consider replacement options like dental implants, bridges, or partial dentures, which can be significantly more costly than saving your natural tooth. That's why we always evaluate cracked teeth thoroughly with 3D imaging to determine the best treatment approach and whether the tooth can be successfully saved.

Question 15

Will Anbesol help my tooth pain?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Anbesol (benzocaine) is a topical numbing agent that may provide very temporary relief by numbing the surface of your gums and tooth, but it will not address the underlying infection or inflammation causing your pain. It's only a temporary band-aid solution. For true tooth pain relief, you need professional endodontic treatment to remove the infected or inflamed nerve tissue. While over-the-counter pain medications like ibuprofen can help manage discomfort until you can see an endodontist, topical numbing agents like Anbesol are not effective for deep tooth pain and should not delay seeking proper treatment.

Question 16

Will antibiotics cure an infected tooth?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

No, antibiotics alone cannot cure an infected tooth. While antibiotics can help control the spread of infection and reduce swelling temporarily, they cannot reach the source of the infection inside the tooth's root canal system. The infected or dead nerve tissue must be physically removed through root canal treatment. Think of it this way: if you had a splinter in your finger that was infected, antibiotics might help with the surrounding infection, but you'd still need to remove the splinter. Similarly, the infected nerve tissue is like that splinter - it must be removed for complete healing. Antibiotics are often prescribed as an adjunct to root canal treatment, but they are not a substitute for it.

Question 17

Why should I see an endodontist (endodontic dental specialist) for a root canal?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Endodontists are dental specialists who focus exclusively on root canal treatment and have completed 2-3 additional years of specialized training beyond dental school. Here's why this matters: We perform root canals every day (Dr. Nima has completed over 10,000 procedures), while general dentists may only do a few per month. We use advanced technology like surgical microscopes and 3D imaging for more precise treatment. We have specialized instruments and techniques for complex cases. We can handle difficult anatomy and challenging situations that general dentists may refer out. Our success rates are typically higher due to our specialized training and experience. We focus solely on saving teeth, making us experts in endodontic diagnosis and treatment.

Question 18

How long do root canals last?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Root canals can last many years, often decades, but they don't automatically last a lifetime. Think of it like putting a new tire on your car - you've fixed the problem and the tire can last for years, but you can't control if you hit a nail on the road down the line. Research shows: Root canals have success rates of 85-97% over 8-10 years when properly done and maintained. What affects longevity: The age and quality of your crown is just as important, if not more important, than the root canal itself. An old, leaking crown can let bacteria back into the tooth, contaminating the root canal. Other factors include: tooth cracks or fractures that develop over time, your oral hygiene and gum health, grinding or clenching habits, and the tooth's location and function. Maximizing lifespan: Get a high-quality crown promptly after root canal treatment, maintain excellent oral hygiene, see your dentist regularly for checkups, and protect your teeth from trauma. The bottom line: While we can't guarantee a lifetime, proper treatment and care give your tooth the best chance for long-term success.

Question 19

Are all root canals the same so should I shop around?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

No, all root canals are not the same, and quality varies significantly between providers. Key differences include: Technology used (surgical microscopes vs. naked eye, 3D imaging vs. 2D X-rays), Experience level (specialists vs. general dentists), Time dedicated (we spend 60-90 minutes vs. rushed 30-minute appointments), Technique and materials (latest rotary instruments vs. hand files), Success rates (specialists typically have higher success rates), Comfort measures (various sedation options vs. just local anesthesia). While cost is a consideration, root canal treatment is an investment in saving your natural tooth. A failed root canal often requires retreatment or extraction, which costs more in the long run. Choose based on expertise, technology, and success rates rather than just price.

Question 20

How does dental insurance help me save money?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Insurance saves you money in two big ways: 1. Discounted Rates: We accept much lower rates from insurance companies. Example: A root canal costs $1900 without insurance, but only $1300 with insurance - you save $600 just by having insurance! 2. Insurance Pays Part: Then your insurance covers 50-80% of that $1300. If they cover 80%, they pay $1040 and you only pay $260. Your Total Savings: You pay $260 instead of $1900 - that's $1640 in savings! Plus, cleanings and exams are usually free with insurance.

Question 21

What insurances are you in-network and preferred providers with and how does that help me?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

We are in-network and preferred providers with a wide range of insurance plans, which provides significant benefits to our patients: Major Insurance Providers: Delta Dental, Regence Blue Shield, Premera Blue Cross, Cigna, Aetna, Guardian, Humana, United Healthcare, United Concordia, Metlife, Principal, GEHA, Ameritas, Lifewise, Blue Cross, Anthem, Assurant, Careington, Connection Dental, Maverest, Pacific Source, and Washington Dental Service. Corporate Partnerships: We're preferred providers for major employers including Microsoft, Amazon, Boeing, and Costco, offering enhanced benefits for their employees. How This Helps You: (1) Contracted Rates: We accept significantly discounted rates (often $600+ savings), (2) Maximum Benefits: You receive the highest coverage percentages your plan offers, (3) No Balance Billing: We cannot charge you more than the contracted rate, (4) Streamlined Claims: We handle all paperwork and filing directly with your insurance, (5) Predictable Costs: You know exactly what you'll pay upfront with no surprises. Being in-network can save you hundreds or even thousands of dollars compared to out-of-network providers.

Question 22

What is my annual benefits allowance and how does it work?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Your annual benefits allowance is the maximum dollar amount your insurance will pay toward your dental care each calendar year, typically $1000-2000 (some plans offer up to $3000+). Simple Example: You have $1500 in annual benefits. You get a $1300 root canal. Your insurance covers 80%, so they pay $1040. This uses up $1040 of your $1500 annual allowance, leaving you with $460 remaining for the year. Key Points: Benefits reset every January 1st. Unused benefits expire December 31st - they don't roll over. We help you track your remaining benefits and plan treatments to maximize your coverage.

Question 23

Why do I lose my dental benefits if I don't use them?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Dental insurance operates on a "use it or lose it" basis - unused benefits expire on December 31st and do NOT carry over to the next year. This is different from health savings accounts or vacation time that might roll over. Why This Happens: Insurance companies budget for a certain amount of claims each year. Unused benefits become profit for the insurance company, not savings for you. The Reality: You've already paid for these benefits through your premiums (or your employer has). Not using them means you're essentially giving money back to the insurance company. Smart Strategy: Plan your dental care to maximize your benefits each year. If you need treatment, it's often better to complete it before benefits expire rather than wait until next year when you'll have to "start over" with your deductible and annual maximum.

Question 24

Why do patients schedule procedures in January or December?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Smart patients time their dental procedures around insurance benefit cycles to maximize savings: January Scheduling: Benefits reset on January 1st, so patients have their full annual allowance available. This is ideal for major procedures or when you need multiple treatments throughout the year. December Rush: Patients schedule before December 31st to use benefits before they expire. This is perfect for using remaining benefits that would otherwise be lost. Strategic Treatment Planning: Some patients split treatment across calendar years - for example, getting a root canal in December (using current year benefits) and the crown in January (using new year benefits). This maximizes insurance coverage for the complete treatment. Our Recommendation: We help you plan treatment timing to optimize your insurance benefits and minimize out-of-pocket costs.

Question 25

How do I verify my insurance coverage before treatment?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

We provide you with a complete treatment plan and cost estimates during your evaluation appointment. Most insurance plans cover 2 free exams per calendar year, so when you come in, we can do a thorough examination and provide you with the exact costs and savings with your insurance coverage. You get to see everything before any treatment is done - no surprise bills! We work with most major insurance plans and are in-network with many providers, which means you get the best possible rates. Our team will explain your coverage, deductibles, and any out-of-pocket expenses during your visit, and nothing is done without your approval.

Question 26

Will you file insurance claims for me?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Yes! We handle all insurance claim filing for you as a courtesy service. Our experienced team will submit your claims directly to your insurance company with all the necessary documentation, including detailed treatment notes and X-rays. We track your claims and follow up on any issues to ensure prompt payment. You don't need to worry about paperwork or dealing with insurance companies - we take care of everything so you can focus on your recovery.

Question 27

Do you accept and file secondary insurance claims?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Yes, we accept and file secondary insurance claims. If you have dual coverage (such as through both spouses' employers), we will coordinate benefits between your primary and secondary insurance plans to maximize your coverage. We'll file with your primary insurance first, then submit the remaining balance to your secondary insurance. This coordination of benefits often significantly reduces your out-of-pocket costs. Please bring both insurance cards to your appointment so we can verify both coverages.

Question 28

Are 2D X-rays covered by insurance?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Yes, 2D X-rays (periapical and bitewing X-rays) are typically covered 100% by most dental insurance plans as part of your diagnostic benefits. Most insurance plans provide two free exams per calendar year, which usually include necessary 2D X-rays. However, 3D CBCT scans may have different coverage - some plans cover them partially while others may not cover them at all. We'll verify your specific coverage for any imaging needed and discuss costs upfront before proceeding with treatment.

Question 29

How long does dental insurance processing take?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Insurance processing times vary significantly between companies. Some insurance companies process claims in about 1 week, while others can take up to 3 months. Once we receive your Explanation of Benefits (EOB) from your insurance company, we can see exactly how much they paid. If insurance paid more than expected: You get a credit and we'll send you a refund check. If insurance paid less than expected: We'll let you know how much you still owe. Common reasons for lower payments include frequency limitations (like you've already used your 2 free exams for the year) or limited remaining annual benefits. Remember, all initial costs are estimates until we receive the final EOB from your insurance.

Question 30

Why am I having to pay more after I already paid once before?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Think of your insurance benefits like a checking account - we can only see what's in your account right now, but we can't see checks that haven't been cashed yet. Here's what happens: When we check your benefits, your insurance shows you have $1500 remaining. But your dentist may have done work (like a cleaning or filling) that they haven't sent to insurance yet, or insurance is still processing it (which can take weeks). Real Dental Example: Your dentist did a crown that used $1000 of your benefits, but they haven't sent the claim to insurance yet. We see $1500 available and estimate your root canal costs based on that. Then your dentist's crown claim gets processed and uses up $1000 of your benefits. Now you only have $500 left, not the $1500 we estimated with - so you owe more than expected. Simple Everyday Example: It's like thinking you have $100 in your wallet, but you forgot about a $20 restaurant bill that hasn't hit your credit card yet. When that bill processes, you actually only had $80 available. Other Common Reasons: You used your 2 free exams already, your deductible was higher than expected, or your coverage percentage was different. Good News: Sometimes we estimate too high and you get a refund check! All our estimates are based on what we can see in real-time, but insurance processing takes time to catch up.

Question 31

What are typical root canal costs with insurance?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

With insurance, you get discounted rates and then insurance pays most of it: Front teeth: $800 discounted rate (normally $1300). With 80% coverage, you pay about $160. Middle teeth: $1000 discounted rate (normally $1500). With 80% coverage, you pay about $200. Back teeth: $1300 discounted rate (normally $1900). With 80% coverage, you pay about $260. Remember: These are estimates. Your actual cost depends on your specific insurance coverage percentage and remaining annual benefits.

Question 32

What if I've used up my insurance benefits for the year?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

If you've already used up your annual insurance allowance, don't worry—we still honor the discounted rates that your insurance company has negotiated, even if they're no longer covering the costs for the year. For example: If your root canal on a molar costs $1300, even after maxing out your benefits, you'll still only pay that negotiated rate—not the standard out-of-pocket fee of $1900. This ensures you're always paying the lowest possible price, even if your coverage has run out for the year. We understand that dental care can add up, and we'll work with you to make sure you're still benefiting from the savings your insurance plan has arranged.

Question 33

Do you provide transparent pricing with no surprises?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Absolutely! Many practices hide costs or surprise patients with unexpected bills after the procedure. We believe in full transparency: Your initial exam and 2D imaging are usually covered 100% by insurance (as most plans provide two free exams per calendar year). If a 3D X-ray is needed, we'll check with your insurance to see if it's covered. If not, we'll discuss the costs upfront—no hidden fees. During your consultation, Dr. Nima Dejbod will go over your diagnosis and treatment options in detail, along with clear pricing estimates based on your insurance coverage. Nothing is done without your approval.

Question 34

Do you offer financing or payment plans?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Yes! We offer third-party financing through CareCredit and Cherry, which provide interest-free loans for 6 or 12 months depending on your credit approval. These options help make your endodontic treatment more affordable by spreading the cost over time. We'll help you apply and understand your financing options during your consultation.

Question 35

What exactly is a root canal treatment?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Root canal treatment (endodontic therapy) removes infected or damaged tissue from inside your tooth, cleans and disinfects the root canals, then seals the space to prevent further infection. This procedure saves your natural tooth and eliminates pain. Dr. Nima uses advanced techniques and 3D imaging to ensure precise, comfortable treatment.

Question 36

What are the steps involved in root canal treatment?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Root canal treatment typically involves: (1) Local anesthesia to ensure comfort, (2) Creating a small access hole in the tooth, (3) Removing infected or damaged pulp tissue, (4) Cleaning and shaping the root canals, (5) Disinfecting the canals, (6) Filling and sealing the canals, (7) Placing a temporary filling. You'll then need to see your general dentist for a permanent crown or filling to complete the restoration.

Question 37

Will I feel pain during the root canal procedure?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

No! Modern root canal treatment is comfortable and pain-free. We use effective local anesthesia to completely numb the area. Many patients are surprised at how comfortable the procedure is. If you experience any discomfort during treatment, we can provide additional anesthesia immediately. Our goal is to keep you completely comfortable throughout the procedure.

Question 38

How long does root canal treatment take?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Most root canal treatments can be completed in 1-2 appointments, each lasting 60-90 minutes. Simple cases (front teeth) may be completed in one visit, while complex cases (molars with multiple roots) may require two appointments. Dr. Nima will discuss the expected timeline during your consultation based on your specific case.

Question 39

What are the alternatives to root canal treatment?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

The main alternative to root canal treatment is tooth extraction followed by replacement with a dental implant, bridge, or partial denture. However, saving your natural tooth through root canal treatment is usually the best option because: (1) It's more cost-effective than replacement, (2) Your natural tooth functions better than any replacement, (3) It maintains your natural bite and jaw alignment, (4) It prevents adjacent teeth from shifting. Root canal treatment has a high success rate and can last a lifetime with proper care.

Question 40

How do you stand out from other endodontists?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Dr. Nima and Evergreen Endodontics stand out in several key ways: Experience & Expertise: Over 10,000 successful root canal procedures performed with consistently high success rates. Advanced Technology: We use surgical microscopes for precision, 3D CBCT imaging for accurate diagnosis, and the latest rotary instruments for efficient treatment. Personalized Care: One patient at a time with 60-90 minutes dedicated to your treatment (not rushed 30-minute appointments). Comprehensive Sedation: Multiple sedation options including oral, nitrous oxide, and IV sedation for anxious patients. Same-Day Reporting: Immediate communication with your referring dentist. Emergency Availability: Same-day appointments for urgent cases. Solo Practice: Personal attention from Dr. Nima himself, not a rotating staff of associates. Live Translation Services: Professional interpretation in 16+ languages including Spanish, Chinese, Korean, Vietnamese, Russian, Arabic, and more to serve our diverse community.

Question 41

Do you provide translation services for non-English speakers?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Yes! We offer professional live translation services in 16+ languages including Spanish (Español), Chinese Mandarin (中文), Chinese Cantonese (粵語), Korean (한국어), Vietnamese (Tiếng Việt), Japanese (日本語), Russian (Русский), Arabic (العربية), Hindi (हिन्दी), Portuguese (Português), French (Français), German (Deutsch), Italian (Italiano), Polish (Polski), Ukrainian (Українська), and Turkish (Türkçe). Our certified medical interpreters ensure clear communication about your treatment at no extra cost.

Question 42

¿Hablan español en su oficina? (Do you speak Spanish?)

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

¡Sí! Ofrecemos servicios de traducción profesional en vivo en español y más de 16 idiomas. Nuestros intérpretes médicos certificados aseguran una comunicación clara sobre su tratamiento sin costo adicional. Servimos a pacientes de habla hispana en toda el área de Seattle, incluyendo Issaquah, Bellevue, Redmond, y comunidades circundantes. (Yes! We offer professional live translation services in Spanish and 16+ languages with certified medical interpreters at no extra cost.)

Question 43

你们提供中文翻译服务吗？(Do you provide Chinese translation?)

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

是的！我们提供普通话和粤语的专业现场翻译服务，以及其他16多种语言。我们的认证医疗翻译确保您能清楚了解治疗过程，无需额外费用。我们为西雅图地区的华人社区提供服务，包括Issaquah、Bellevue、Redmond等地区。(Yes! We provide professional live translation in Mandarin and Cantonese, plus 16+ other languages with certified medical interpreters at no extra cost.)

Question 44

한국어 통역 서비스가 있나요? (Do you have Korean interpretation?)

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

네! 한국어를 포함하여 16개 이상의 언어로 전문 실시간 통역 서비스를 제공합니다. 인증된 의료 통역사가 추가 비용 없이 치료에 대한 명확한 의사소통을 보장합니다. 시애틀 지역의 한인 커뮤니티를 위해 Issaquah, Bellevue, Redmond 등에서 서비스를 제공합니다. (Yes! We offer professional live translation in Korean and 16+ languages with certified medical interpreters at no extra cost.)

Question 45

آیا خدمات ترجمه به زبان فارسی ارائه می‌دهید؟ (Do you provide Farsi/Persian translation?)

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

بله! ما خدمات ترجمه زنده و حرفه‌ای به زبان فارسی و بیش از ۱۶ زبان دیگر ارائه می‌دهیم. مترجمان پزشکی مجاز ما ارتباط واضح در مورد درمان شما را بدون هزینه اضافی تضمین می‌کنند. ما به جامعه ایرانی در منطقه سیاتل از جمله Issaquah، Bellevue، Redmond خدمات ارائه می‌دهیم. (Yes! We offer professional live translation in Farsi/Persian and 16+ languages with certified medical interpreters at no extra cost.)

Question 46

Is it normal to have pain after root canal treatment?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Some mild discomfort for 2-3 days after treatment is normal as your tooth heals. This is typically manageable with over-the-counter pain medication. Take Advil (Ibuprofen) 600mg every 6 hours as needed, and you can add Tylenol (Acetaminophen) 1000mg if needed. Start pain medication before the numbness wears off for best results. Severe or worsening pain should be reported to our office immediately.

Question 47

What are the specific pain medication dosages after treatment?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Start pain relief before the numbness wears off. Take Advil (Ibuprofen) 600 mg (3 tablets of 200 mg) every 6 hours as needed. If needed, add Tylenol (Acetaminophen) 1000 mg (2 tablets of 500 mg) together with Advil. Follow dosing instructions carefully and don't exceed daily limits. IMPORTANT: These recommendations must be reviewed by your doctor. If you cannot take Ibuprofen or have allergies/contraindications with these medications, we will revise your pain management plan.

Question 48

Can I go to work the same day?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Most patients can return to work the same day after root canal treatment, especially if you have a desk job or work that doesn't require heavy physical activity. However, consider these factors: You may experience some numbness for 2-4 hours after treatment, so avoid hot foods/drinks during this time. If you received sedation (oral, nitrous oxide, or IV), you may feel drowsy and should not drive or operate machinery. Plan to take it easy for the rest of the day. If your job involves heavy lifting, strenuous activity, or public speaking, you might want to schedule your appointment for a Friday afternoon or take the rest of the day off. Most patients feel well enough to resume normal activities the next day.

Question 49

What can I eat after root canal treatment?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Avoid chewing on the treated tooth until your permanent restoration is placed. Stick to soft foods for the first few days: yogurt, soup, pasta, eggs, smoothies, and mashed potatoes. Avoid hard, crunchy, or sticky foods that could damage the temporary filling. Once you get your permanent crown or filling from your general dentist, you can return to normal eating habits.

Question 50

How do I care for my temporary filling?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Your temporary filling protects the treated tooth until your permanent restoration. Avoid chewing on that side, don't eat sticky or hard foods, and brush gently around the area. The temporary filling may feel rough or high - this is normal. If the temporary filling falls out or feels loose, call our office immediately. Schedule your permanent crown or filling with your general dentist within 1 month.

Question 51

How urgent is it to get my permanent crown or filling?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Very urgent! Your tooth needs a permanent crown or filling by your general dentist within 1 month to prevent cracks or infection. Call today or tomorrow to schedule with your dentist — dental offices book up quickly! The permanent restoration protects your tooth long-term and is critical for treatment success. Keep all your dental appointments to protect the tooth.

Question 52

Do I need to see my general dentist after root canal treatment?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Yes! You must see your general dentist within 1 month for a permanent crown or filling. This permanent restoration is critical for protecting your tooth and ensuring long-term success. Your general dentist will also monitor the tooth during regular checkups. Don't delay this appointment - call your dentist today or tomorrow to schedule.

Question 53

Do I need annual follow-up appointments after root canal treatment?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

If your tooth had an abscess or bone loss at the tip of the roots, we will need to monitor it annually to ensure proper healing. Treatment can be considered successful if the following occurs (sometimes 2 of the 3 criteria for patients): (a) tooth remains functional, (b) no symptoms, and (c) bone healing (which can take up to 4 years). Even if some bone loss remains but appears stable and not worsening, or shows signs of healing, patients may choose to continue monitoring to extend the life of the tooth. IMPORTANT: Even if your root canal is completely asymptomatic (no pain), annual follow-up is still essential because bone loss can worsen or stay the same without any symptoms. Without proper follow-up, neither you nor we will know if the bone is healing properly.

Question 54

How do you determine if my root canal treatment was successful?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

We evaluate treatment success using three specific criteria: (1) The tooth remains present and functional in your mouth, (2) You have no symptoms including pain, swelling, or discomfort when biting, and (3) Any bone loss around the tooth tip has healed completely. Treatment can be considered successful if these criteria are met (sometimes 2 of the 3 criteria for patients). We monitor these criteria through annual follow-up appointments, especially for teeth that had abscesses or bone loss. Complete bone healing can take up to 4 years, so patience and regular monitoring are important for long-term success.

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