Endodontic Services

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.

Endodontic Retreatment

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.

Cracked Teeth

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.

Dental Trauma

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.

Additional Services

Regenerative endodontics is one of the most exciting developments in dentistry today and endodontists are at the forefront of this cutting-edge research. Regenerative endodontics uses the concept of tissue engineering to restore the root canals to a healthy state, allowing for continued development of the root and surrounding tissue in an immature tooth. Endodontists’ knowledge in the fields of pulp biology, dental trauma and tissue engineering can be applied to deliver biologically based regenerative endodontic treatment of necrotic immature permanent teeth resulting in continued root development, increased thickness in the dentinal walls and apical closure. These developments in regeneration of a functional pulp-dentin complex have a promising impact on efforts to retain the natural dentition, the ultimate goal of endodontic treatment. Perry Endodontics continues to remain at the forefront of endodontic care and is one of the few endodontic practices that is able to provide this treatment option to our young patients.
Root resorption is the breakdown or destruction, and subsequent loss, of the root structure of a tooth. This is caused by living body cells attacking part of the tooth. Decidious root resorption is a natural process which allows exfoliation of the primary teeth to make way for the secondary teeth. Deciduous root resorption is caused by osteoclast differentiation due to pressure exerted by the erupting permanent tooth. Root resorption of secondary teeth can occur as a result of pressure on the root surface. This can be from trauma, ectopic teeth erupting in the path of the root, inflammation, excessive occlusal loading, aggressive tumors and growths. Resorption can occur internally or externally. Severe root resorption is very difficult to treat and often requires the extraction of teeth. In any case of resorption, Dr. Perry and Dr. Ivy will take a 3D Cone Beam Computed Tomography Scan to determine the location and extent of resorption and determine if the tooth can be saved with endodontic treatment. Many teeth which may have otherwise been lost have been saved with advanced state of the art treatment of root resorption in our office.
CBCT provides immediate and accurate 3-D radiographic images of the tooth and surrounding bone, which are useful in the assessment and treatment of complex endodontic conditions such as:

· 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.