Who is an Endodontist?

An Endodontist is a dental specialist who has completed additional postgraduate training after dental school to prepare him or her in treating complicated endodontic cases. Dr. Nima Dejbod has limited his practice to root canal treatment and related procedures. By referring you to an endodontic specialist, your family dentist demonstrates a personal concern for the quality of your dental care.

What about infection control?

We are very proud of our sterilization and infection control. Every item used is completely disposed of or heat sterilized after each use. All surfaces of the dental treatment rooms are disinfected with chemicals that kill bacteria and viruses. We pride ourselves on maintaining the highest standards of office cleanliness and sterility.

What is endodontic treatment?

Root canal or endodontic treatment is performed when the soft inner tissue of the tooth (the pulp) has been damaged, usually through decay or physical trauma. Treatment consists of removing the pulp and then cleaning, sterilizing, filling, and sealing the root canals. The tooth remains alive, nourished by adjacent tissues of the gums and jaw. Over 90 percent of cases are successful, while a few may require additional treatment. After root canal treatment is completed, it is very important to return to your family dentist so that a permanent restoration can be placed. Usually, a crown is needed to protect the tooth from fracture.

Toothache is defined as pain coming from one tooth or multiple teeth and gums. Some toothaches can be just a mild twinge or severe such as constant and throbbing pain.

What causes a toothache?

Toothaches can be caused by cavities, cracks on the tooth, loose filling material on the tooth, and gum recession. Trauma from heavy biting, accidents, sports, etc., can also cause toothaches.

What are symptoms of a toothache?

When a toothache is mild, symptoms include a twinge sensation from cold, hot, or sweet. Severe toothaches lead to difficulties in biting, eating, or drinking cold or hot foods, lying down, flying on an airplane, or diving. One may also experience earaches or headaches.

How do you treat a toothache?

If the toothache is mild, you can try using desensitizing toothpaste such as Sensodyne and avoid cold, hot, or sweet foods. To relieve the pain, you can take 1 to 2 tablets of over-the-counter pain killers. Then visit the dentist for treatment. If the toothache is severe, swelling on the face or gum can occur as well as a fever. With these symptoms, see your dentist immediately. Root canal therapy or other therapy may be needed.

What is latex-free endodontics?

If you are allergic to latex, we have a latex-free treatment for root canal therapy. We have non-latex gloves and latex-free rubber dams. We use biocompatible root canal filling materials.

What are the alternatives to treatment?

Once the dental pulp is diseased, the only alternative to root canal treatment is extraction. After an extraction, replacing the tooth with a bridge, implant, or partial denture is generally more costly than the root canal treatment and the crown. More importantly, you lose your natural tooth.

Is root canal treatment painful?

Root canal treatment usually involves no more discomfort than a routine filling appointment. In fact, most endodontic treatment relieves pain. Most stories of painful root canals are holdovers from the days before modern techniques and effective anesthetics were available.

Can all teeth be treated?

Some teeth cannot be treated successfully. We will explain potential complications before treatment. A few cases will require additional treatment if the tissues do not heal normally after the root canal treatment has been completed.

Cracked Teeth

Cracked teeth demonstrate many types of symptoms, including pain when chewing, temperature sensitivities, or even the release of biting pressure. It is also common for pain to come and go, making it difficult to diagnose the cause of discomfort.

Chewing can cause movement of the cracked pieces of your tooth, and the pulp within the tooth becomes irritated. At the same time, when biting pressure is released, the crack can close quickly, resulting in sharp pain. Eventually, the pulp will become damaged and tooth will consistently hurt, even when you are not chewing. It is possible that cracks can lead to infection of the pulp tissue, which can spread to the bone and gum surrounding the problematic tooth.

Types of Cracks

Craze lines
These are tiny cracks that only affect the outer enamel of the tooth. These cracks are more common in adults. These types of cracks are superficial and are usually of no concern.

Fractured Cusp
When a cusp becomes weakened, a fracture may result. The cusp may break off or be removed by a dentist. A fractured cusp rarely damages the pulp, so root canal is not necessary. Your dentist will usually restore the tooth with a full crown.

Cracked Tooth
This type of crack extends from the chewing surface of the tooth and vertically migrates towards the root. In some cases, the crack may extend below the gum line. It is possible for the crack to extend further into the root. Damage to the pulp is commonplace. In this case, root canal treatment is usually necessary. A cracked tooth that is not treated will worsen, resulting in the loss of the tooth. Therefore, early detection is essential.

Split Tooth
A split tooth is usually the result of an untreated cracked tooth. It can be identified by a crack with distinct segments. This type of tooth can never be saved intact. Yet, the position and extent of the problem will dictate whether any portion of the tooth can be saved. Sometimes, endodontic retreatment by the doctors and restoration by your dentist can be used to save a portion of the tooth.

Vertical Root Fracture
A vertical root fracture begins at the root and extends towards the chewing surface of the tooth. Unfortunately, they show minimal symptoms and may go unnoticed. Treatment involves endodontic surgery if a portion of the tooth can be saved by removal of the fractured root. Otherwise the tooth will have to be extracted.

Services

Cracked Teeth

Types of Cracks