What Is an Endodontist and What Do They Do?
Endodontic treatments address complex dental issues to save a patient’s natural teeth. Endodontists most frequently perform root canals, which include extracting damaged or diseased tooth pulp and the nerve of the tooth. Visit Dr. Ali Manesh, DMD, and Dr. Moein Darjani, DDS, at Ideal Endodontics for the diagnosis and treatment of your tooth pain. For more information, please contact us, or you can also book an appointment online. We have convenient locations to serve you in Washington, DC, and Woodbridge, VA.
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Endodontists specialize in addressing complex tooth problems, typically those causing tooth pain and affecting tooth pulp, which includes the blood vessels, nerves, and deep tissues inside the tooth. They focus their efforts on saving the natural tooth, particularly when it is threatened by various conditions.
Tooth injuries, such as those from trauma like a fall, which could displace, crack, or knock out a tooth, are common reasons for seeking an endodontist’s care. Tooth decay, resulting from inadequate tooth or gum care among other reasons, can lead to damage to the tooth pulp and necessitate an endodontist visit. Additionally, the buildup of pus known as an abscess, caused by bacteria inside the tooth or gums, is another frequent reason people visit an endodontist. Trauma and injuries to the tooth that involve cracking can create openings for bacteria to enter, further exacerbating the need for specialized endodontic care.
The complexity of performing a root canal can vary significantly based on the tooth’s position in the mouth and its anatomical features. Typically, the maxillary molars, particularly the second molars, are considered the most challenging due to their complex root canal system. This complexity can make it difficult to recognize unusual canal configurations and adequately treat them.
In contrast, incisor root canals, situated near the front of the mouth and typically having only one or two root canals, are more straightforward. Molars, with more roots and requiring the use of specialized instruments to access them, present a greater challenge, especially since they are at the back of the mouth and are harder for patients to clean thoroughly.
While the susceptibility of teeth to require endodontic treatment can vary based on several conditions, such as participation in contact sports, molars are generally more likely to require endodontic treatment. This is mainly because they are positioned at the back of the mouth, making them harder to reach and clean thoroughly.
The maxillary central incisor, however, is the most frequently treated tooth. Molars and premolars tend to require endodontic treatment more frequently than incisors or canines, primarily due to their susceptibility to dental issues from inadequate dental hygiene. This underscores the importance of consistently maintained dental appointments for preventative care and proper cleaning, even in hard-to-reach places, to avoid the development of conditions necessitating endodontic treatment.
Determining when it is too late for a root canal is a decision made by specialists, such as those at Ideal Endodontics, on a case-by-case basis. When tooth decay and infection spread, individuals may reach a point where it’s too late to have a root canal, and tooth extraction is required to prevent the further spread of infection.
Symptoms such as pain or any signs of infection should prompt an immediate endodontic visit to prevent this irreversible development. Early intervention with a root canal can remove the infected tissue and promote healing. The earlier you opt for a root canal, the better the odds are of being able to save the permanent tooth and avoid further damage.
When tooth decay becomes so severe that the tooth is damaged beyond repair, it may need to be extracted. If the infection reaches the innermost layer, the pulp, the tooth might get to a point where it can no longer be saved and must be removed.
The complexity and effectiveness of a root canal are also contingent on the stage of the tooth and infection when you visit the endodontist. Therefore, seeking treatment as quickly as possible is paramount for an effective, straightforward treatment that avoids the need for tooth extraction.
Endodontic treatments are available at Ideal Endodontics. We have convenient locations to serve you in Washington, DC, and Woodbridge, VA. For more information, please contact us or book an appointment online. We serve patients from Washington DC, Woodbridge VA, Arlington VA, Lorton VA, Manassas VA, Springfield VA, Alexandria VA, and Silver Spring MD.