Endodontics (Root Canal Therapy)
Our primary goal is to save your natural teeth whenever possible. Our practice specializes in Endodontics, commonly referred to as root canal therapy. Endodontics is the treatment of the pulp and surrounding tissues of a tooth. When root canal therapy is performed the pulp chamber of the tooth is removed and then filled with a suitable filling material. Most root canal treatment in our office is completed in a single visit.
Occasionally a tooth that was treated months or years ago may develop new problems. In some cases a tooth that has received endodontic treatment fails to heal or continues to have pain. You may have another chance to save the tooth with a second endodontic procedure.
Endodontic or Apical Surgery
In some cases it may be necessary to remove the infected root tips or apex and the nearby tissue. This is known as a apical surgery or an apicoectomy. The area around the apex of the tooth that is infected is cleaned, and the tip of the root is resected and sealed. Sutures are placed and an ice pack is applied. Medication is prescribed to help alleviate any pain or discomfort and it is best to plan to rest for the remainder of the day. Most patients will have some minor swelling and occasional bruising with some numbness.
Symptoms of a cracked tooth are varied and may include pain when chewing, temperature sensitivity or pressure sensitivity or a combination of these. Because the pain often comes and goes, it can be very difficult to recognize what is causing the problem. It can sometimes even be difficult to identify exactly which tooth is causing the discomfort.
Even small movement of the cracked tooth pieces during chewing can cause irritation to the tooth’s pulp, which causes pain. Similarly, when the bite is released, the crack can close quickly, causing sharp pain. Over time, the tooth pulp will become damaged. As this happens, the tooth will hurt more consistently. Cracks can sometimes lead to infections in the pulp tissue and spread to the surrounding gum and bone.
Traumatic injuries can result in the need for dental treatment. Fractured or cracked teeth, a displaced tooth, or even a tooth that has been knocked out (avulsed) are common results of dental trauma. Each of these conditions requires specific treatment, dictated by the effect of the injury on the tooth, whether or not the tooth is deciduous (a baby tooth) or permanent (adult), and the time between the injury and treatment, among other considerations. Any dental trauma requires prompt medical evaluation and treatment. Treatment may include a splint, medication, a root canal or other procedures. Once treated, your tooth will be monitored to ensure it is healing as expected and so that any injuries or infections can be quickly resolved.
· Identification of root canal system anomalies.
· Diagnosis of dental periapical pathology when conventional x-rays are not diagnostic.
· Assessment of endodontic treatment complications.
· Diagnosis and management of trauma.
· Diagnosis and treatment of internal and external resorption.
· Pre-surgical case planning.
Dr. Perry and her staff use the Kodak 9000 3-D system which is a Limited View Cone Beam Computed Tomography imaging system. Unlike other CBCT imaging which takes an image of the entire head, The area exposed to radiation is equal to a 37 mm by 50 mm cylinder and is equivalent to receiving 1 to 6 digital dental x-rays, depending on the location. We are proud that Perry Endodontics is the only Endodontic practice in Western Massachusetts which utilizes this technology onsite. As the patient this means that if the technology is indicated, the imaging can be performed and the results shared during the same day of your office visit.