Occasionally a tooth that has undergone endodontic treatment fails to heal, or pain continues despite therapy. Although rare, sometimes a tooth initially responds to root canal therapy but becomes painful or diseased months or years later. When either of these situations occur, the tooth often can be maintained with a second endodontic treatment.
Endodontic Center of Lexington has a dedicated team that caters for your dental health. We specialize in root canals and the retreatment of root canals.
Endodontists are dentists who specialize in maintaining teeth through endodontic (root canal) therapy — procedures, involving the soft inner tissue of the teeth, called the pulp. The word “endodontic” comes from “endo” meaning inside and “odont” meaning tooth. Like many medical terms, it’s Greek. All dentists are trained in diagnosis and endodontic therapy; however, some teeth can be especially difficult to diagnose and treat.
A local anesthetic will be given. A sheet of latex called the “rubber dam” (we’ve got non latex ones too) will be placed around the tooth to isolate it, hence keeping it clean and dry during treatment. The treatment consists of three or four basic steps, but the number of visits will depend on your particular case. Some treatments take 2 visits but many are just a single visit. Occasionally 3 appointments are needed.
Oral pain such as toothaches or cracked / fractured teeth can often be difficult to pinpoint. Because of the vast network of nerves in the mouth, the pain of a damaged or diseased tooth often is felt in another tooth and/or in the head, neck, or ear. An endodontist is a specialist in diagnosing and treating this type of pain.
Pulp damage is sometimes caused by a blow to the mouth, and the endodontist specializes in treating these traumatic injuries. For example, a blow to a child’s permanent tooth that is not fully developed can cause the root to stop growing. A procedure called apexification stimulates bone to be deposited at the end of the root which makes it possible to then save the tooth through a root canal procedure.
Once endodontic therapy is completed your tooth should be examined periodically, usually every 6 – 12 months. This allows us to make sure the tooth has healed or is healing properly. You will be sent a notice in the mail when we feel it is appropriate to reevaluate the area. Since an abscess may take 2 years to heal, our office will reevaluate the tooth for at least 2 years in certain cases.