Doctor insights on:
What's A Endodontist
Endodontists are experts in treating diseases of the pulp and peri-apical tissues. They now do root canals under a microscope if they have remained current. Their procedures are mostly pain free with very positive results. They are proficient in treating difficult cases and know root anatomy better than anyone. They are also experts ...Read more
If an endodontist is unsuccessful in his procedure, should you still pay him plus his partner to finish it?
More info please: Please repost your question with more details if you want a better answer than the ones already given you. The answer might be yes or no depending upon the details. ...Read more
When temp cement is used with a perm crown, and is later removed by an Endodontist to do RCT, approximately what are the odds it will break? Thanks.
About perforations: If your tooth has had a previous root canal, a perforation is a man-made opening in the side of the tooth or root. This is a complication that needs to be repaired in order for your tooth to be retained. Some perforations are not repairable and could result in the need for extraction. Those that are small and recent can often times be treated. Teeth without perforations generally last longer. ...Read more
Antibiotics: Usually by now the infection is healed if you completed your dental work. You should contact your doctor to make sure you don't need more treatment. ...Read more
Endo vs Perio: A endodontist is a dentist who specializes in the treatment of the nerve of teeth. He can surgically or through conventional root canal treatment save teeth from being lost. A periodontist is a dentist specialized in the treatment of the supporting tissues of the teeth, such as the gums, jaw bone and periodontal ligament. Both fields in dentistry are essential in saving teeth. ...Read more
Usually there is pain and/or swelling that signals to a person that their tooth requires root canal treatment.
Some teeth give little indication that there's a problem within their dental pulp or area around the roots. These cases are often discovered, unexpectedly, during a routine dental examination. ...Read more
Yes: An endodontist or general dentist can perform diagnostic tests to determine if you need a root canal. Sometimes it can be very difficult to determine which tooth is causing pain, or in some cases if it is from a tooth at all. An endodontist or general dentist will be able to help you figure this out. ...Read more
Yes...: Unfortunately, every profession has its bad eggs, despite how many credentials on the wall. In fact, if there are too many, would worry about the self-confidence of the professional. Having said that, am not sure what you are basing your statement that the endodontist is 'inexperienced'. That is not an assessment you can likely make. Perhaps you are just pissed. ...Read more
Something gone wrong: He wouldn't unless something went wrong, or is more complicated than originally thought, if simply gives up, and doesn't explain, and doesn't make an appropriate referral, (s)he has not performed service correctly. Go back to your general dentist, or find a good one if don't have. Important (opinion): for dental or general health problems, always c good generalist first (topic 4 blog 2 come). ...Read more
Ask questions: It is always wise to discuss the fees prior to starting treatment. Fees are often regional, but are largely determined by either 1) the maximum allowed fee based on contractual agreement with an insurance company or 2) whatever the dentist decides is fair. Root canal therapy fees vary widely. Some endodontists will spend more time on a case and charge more (good), some less time and charge more. ...Read more
My endodontist said my tooth has healed pretty good simce the day I had my root cank done, does that mean my tooth will still have discoloration?
Not necessarily: Not all root canaled teeth discolor. In fact, teeth root canaled early in the disease process rarely discolor as it is the byproducts of disease in a tooth that usually cause the discoloration. If the tooth begins to discolor, you can try internal bleaching or cover the tooth with a veneer or crown. Time will tell. Good luck! ...Read more
"Endo"=inside: Endodontists treat problems related to the tissues located inside the tooth. When the dental pulp becomes inflamed or infected and is or will cause disease, the endodontist might perform root canal therapy to treat it. Other procedures include retreatment of root canals, or surgical treatment of root canals. Endodontists are also experts at addressing dental trauma, and often diagnosing pain. ...Read more
Why would one endodontist go back in and redo a root canal his partner started>i saw films and it was a big redo.?
See prior answers ++: One of three reasons: (1) first dentist got into a problem that became beyond his expertise, and referred to his partner, who has more experience and expertise about the problem at hand (most likely; give them the benefit of the doubt). (2) this is a routine way of approaching root canal problems in that practice, and perhaps it wasn't and redo, but next stage. (3) $ (less likely. ...Read more
One of my molar roots fails to heal, so the endodontist suggested to amputate it after the 6th session. What does that mean?
A root amp is like removing the weak link in a chain, preserving the chain.
It is usually done on an upper molar that has 3 roots. The bad root is simply removed from the tooth and a 3 rooted tooth then becomes a 2 rooted tooth. Your dentist will know if this is appropriate for your tooth. ...Read more
I have asked endodontist for some of my personal medical dental records and they refused to give me all photos. Is that legal?
Well...: Your dental record legally belongs to you. The endodontist can charge you for the reproduction of them, but that's about it. Most photos are electronic, they can be emailed. I'm not sure why you would need all of them' but that's not the point. ...Read more
Any licensed dentist:
I believe, like here in missouri, any general dentist can perform any aspect of dentistry a specialist would do. There are many gps who like doing things like root canals and are very good at it. They just never went to a grauate training program for a specialty certificate. Just like a gp can remove teeth, like an oral surgeon.
The gps choice. ...Read more
Complexity: General dentist evaluate the tooth and see if he/she can do the root canal. If the root canal looks too complex they may send the patient to a endodontist. The endodontist spercializes in root canals and is especially good at complex procedures. Last the dentist for whatever reason may not feel comfortable with doing the root canal. ...Read more
C prior answers ++: Ever good health professional--- be it physician, nurse practitioner, physician assistant, generalist (regular), chiropractic, acupuncturist, osteopath, specialists, physical therapist, nutritionist, alternative medical therapists, psychologists, psychiatrists (md or do), must know their limitations and know when to refer. Basic tenet: first, do no harm. ...Read more
Maybe not.: Many general dentists are able to do excellent root canals with experience. Difficult cases are better treated by an endodontist as they have high resolution microscopes that most general dentists do not. I have been practicing dentistry as a general dentist for 26 years and have treated over 1500 endodontic cases with excellent results. That said I refer cases to endodntists that are difficult. ...Read more
About how long can it take for a gum boil to fully heal after an endodontist completed a root canal?
Months: It may take quite a while for the bone to regenerate. ...Read more
Why would an endodontist send tissue sample to pathologist after a apicoectomy? What are they looking for?
When an endodontist has to do a root canal through a tooth w/ a crown, why would he tell me to get a new crown?
Hole in existing one: When endodontists do a root canal on a tooth with an existing crown they must drill a hole through it. If the crown is porcelain then it is common for the porcelain to crack and break during the procedure and a new crown may be required. If the structural integrity of the crown is unaffected by the root canal then you should be able to have the access cavity to the root canal filled. ...Read more
What does an endodontist mean when he says my front tooth has healed pretty good after I had a root canal done!?
That's: I think it means just what he said--it's healing. Root canals are done to treat diseased teeth, which often create disease in the bone and soft tissues around them. Not all root canals have the desired effect--meaning they fail. If healing is happening in your case, it means the tooth, bone and soft tissues are getting better--the disease is going away. Your root canal was a success. ...Read more
Should I show courtesy by calling my periodontist who says "extractions" before I contact an endodontist without his knowledge on my own?
Get a second opinion: Regardless, if you call or not, always get a second opinions when discussing extractions of permanent teeth. Take care. ...Read more
Do endodontists usually treat a periodontal issue like a deep sulcus and no need for a root canal? Or, would they refer out to a periodontist?
See periodontist: Endodontists are dentists who have at least 2-3 years of advanced training in root canals. For periodontal issues see periodontist. ...Read more
What can I do if my tooth is starting to discolor after a root canal? My endodontist said he can can't even tell, I don't know if it's just me!
Internal (walking) bleaching is done, where the opening that was made for the root canal is re-opened, a cotton pellet saturated in dental bleach is placed in, and a temporary material seals the opening.
You typically see the dentist 1 week later, they remove the temporary filling, pellet of bleach, analyze the result and if you are happy, re-seal the tooth.
But you may need crown for support. ...Read more
I had root canal 4 day ago. Hurt to chew softer food on that side. Is that normal? Will wait another week before call endodontist. Rt lower wisdom
Unfortunately, yes: You have just completed a surgical procedure that will place high demands on your body's ability to heal. Everyone's healing capacity differs from person to person. But it is not unreasonable to assume a healing period of 4-7 days. The key is to identify if the pain is getting better or worse. It should gradually improve day to day. If not, seek a follow up. ...Read more
My endodontist started a root canal and put a temp crown on it. Going to finish in 2 weeks and put another temp on it. 3rd visit is crown. Normal?
Root Canal: Yes very normal. Often root canal procedures take a couple of appointments to complete. A crown is placed almost as a standard of care on molar teeth in the us., after root canal due to extensive loss of tooth structure, and to protect tooth as root canal treated teeth can be more brittle after procedure. Be sure to follow up and have crown placed to protect tooth for many years of use. ...Read more
When there is a root canal retreatment, does the endodontist usually fill the lesion at the tip root with bone material for the lesion to heal quick?
RC Retreatment: RC retreatment is different from an apicoectomy, which may or may not involve the placement of bone at the surgical site. Discuss the treatment with your endodontist and his/her reasonings for bone fill material in your specific situation. ...Read more
Personal opinion is that a general dentist should refer a root canal out to an endodontist. Would you not want that if you were a trained endodontist?
Ability, not degree: In almost all cases, endodontists do have more training than general dentists in performing rct. That does not insure better treatment nor a more successful outcome. Ultimately it is the care, expertise and proficiency for each and every case that determines the quality of care, and not necessarily the degree. It is always best to give patients the choice and let them decide what they want to do. ...Read more