As an endodontic patient, what should I expect?

A comprehensive examination to diagnose oral pain and pulpal injury to determine if the tooth in question is a good candidate for endodontic therapy. Non-surgical root canal therapy is used to remove diseased pulp and then the root canal system is thoroughly cleaned and sealed.

Occasionaly, microsurgery may be indicated. We are experts in performing this procedure, and utilize sophisticated equipment to ensure the best result.


Generally, conventional root canal treatment is all that is needed to save teeth from extraction. Occasionally, this will not be sufficient to heal the tooth and your endodontist may recommend surgery. Endodontic surgery can also be used to locate fractures or hidden canals that do not appear on xrays but still manifest pain in the tooth.

An apicoectomy is the most common endodontic surgical procedure. This procedure is used to remove infection and/or inflammation from the area around the root tip.

Surgical Operating Microscopes

The Doctors at Orland Endodontics are proud to be using surgical operating microscopes. Surgical operating microscopes provide increased magnification allowing visualization in areas that otherwise would not normally be seen during conventional endodontic surgery. Using the microscope we anticipate an even higher rate of clinical success. Endodontic surgery, performed with a surgical operating microscope requires advanced training and many hours of experience.

Endodontic Surgery Details

An incision is made in the tissue adjacent to the region of the tooth. Quite often inflamed and/or infected tissue will be removed and a biopsy taken. A small filling is commonly placed to seal the end of the root. Several sutures are then placed and healing generally proceeds without complications. With the use of modern local anesthetics, endodontic surgery usually has minimal discomfort.