Frequently Asked Questions About Endodontics


1. What is endodontics?

Endodontics is a branch of dentistry that deals with the study of the inner tissues of teeth. These include the pulp and dental tissues.

2. Who is an endodontist?

An endodontist is a dentist who specializes in endodontic treatments. Endodontists commonly perform an apicoectomy to save the tooth when an infection of the bony area of the tooth persists.

3. What is endodontic surgery?

Endodontic surgery is a common type of tooth surgery that involves different types of surgical procedures to save a tooth. These occur when there is root canal damage.

4. How is endodontic surgery carried out?

Before endodontic surgery is carried out, an analysis of the dental pulp and surrounding tissues of the affected tooth is carried out. The endodontist opens the crown by making a hole through the enamel and dentine with a dental drill. The endodontist applies different techniques, like a progressive enlargement and passive step back, to remove the infected or damaged pulp tissues.

5. Why does the nerve tissue or pulp have to be removed?

The nerve tissue or pulp has been invaded by bacteria, which causes infections within the tooth and can also lead to pus forming at the end of a tooth root, causing swelling. This swelling may spread to other parts of the body, including the head and neck.

6. When do I require endodontic surgery?

Endodontic surgery is carried out when the root canal procedure is unable to save your tooth. This happens when the root canal is intensely damaged or there is an infection on the root's surface.

7. What is the total cost of endodontic surgery?

The total cost of endodontic surgery ranges from $600 to $900, depending on the patient's location. Therapeutic pulpotomy goes for about $150, while periradicular surgery ranges from $600-700.

8. How much does a root canal cost?

The cost of root canals depends on the patient's location and the type of tooth being fixed. For example, molars and premolars are more expensive than canines and incisors. The average prices of molars range from $500-$2,000. Bicuspid root canals are from $500-$1,800. The front teeth are $500 to $1,500, depending on the patient's location.

9. What are the other alternatives to endodontic surgery?

Endodontic surgery is carried out only when the damage is intense and cannot be treated by non-surgical means. The alternatives to endodontic surgery involve dividing a tooth into a half, repairing an injured root or removing one or more roots. Intentional replantation may also be performed, which involves removing the tooth, treating it while still outside and finally returning the tooth after the treatment.

10. What causes root canal damage?

A tooth's nerve endings or the pulp becomes damaged over time due to increased tooth decay. Tooth decay is caused by small microorganisms within the tooth that excrete acidic substances. This happens when patients do not brush their teeth regularly, leaving behind food particles. These particles provide food for the microorganisms that live in the mouth, and the bacteria excrete acidic waste products that damage the tooth, causing decay.

Contact one of our dentists to find out if you think you need endodontic surgery.

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