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.

Endodontic Treatment in Issaquah | Evergreen Endodontics

Endodontic Retreatment

With the appropriate care, your teeth that have had endodontic treatment will last as long as other natural teeth. Yet, a tooth that has received treatment may fail to heal or pain may continue to exist. Sometimes, the pain may occur months or years after treatment. If so, Endodontic Retreatment may be needed.

Improper healing may be caused by:

Curved or narrow canals were not treated during the initial treatment.
Complicated canals went undetected during the initial treatment.
The crown or restoration was not placed within the appropriate amount of time following the procedure.
The crown or restoration did not prevent saliva from contaminating the inside of the tooth.

In some cases, new problems can influence a tooth that was successfully treated:

New decay can expose a root canal filling material, causing infection.
A cracked or loose filling or crown can expose the tooth to new infection.

Once retreatment has been selected as a solution to your problem, the doctors will reopen your tooth to gain access to the root canal filling material. This restorative material will be removed to enable access to the root canal. The doctors will now clean your canals and carefully examine the inside of the problematic tooth. Once cleaned, the doctors will fill and seal the canals and place a temporary filling in the tooth.

At this point, you will need to return to your dentist as soon as possible in order to have a new crown or restoration placed on the tooth to restore full functionality.

Services

Endodontic Retreatment