Treatments

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.

Cracked Teeth

Cracked teeth manifest many symptoms, including pain upon chewing, temperature sensitivity and pain upon release of the biting pressure. It is also common for pain to come and go, making it difficult to diagnose the cause of discomfort.

Chewing may cause movement of the cracked pieces of your tooth, causing the pulp within the tooth to become irritated. When biting pressure is released, the crack can close quickly, resulting in sharp pain. Eventually, the pulp will become damaged and the tooth will consistently hurt, even when you are not chewing. It is possible that cracks can lead to infection of the pulp tissue, which can spread to the bone and tissue surrounding the tooth.

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Types of Cracks

Tiny cracks only affect the outer enamel of the tooth. These cracks are more common in adults. These types of cracks are superficial and are usually of no concern.

Fractured Cusp

When a cusp becomes weakened, a fracture may result. The cusp may break off or be removed by a dentist. A fractured cusp may lead to the pulp damage. Your dentist or endodontist will evaluate the need for a root canal and a crown..

Cracked Tooth

This type of crack extends from the chewing surface of the tooth and vertically migrates towards the root. In some cases, the crack extends below the gum line. It is possible for the crack to extend further into the root. Damage to the pulp is commonplace. In this case, root canal treatment is usually necessary. A cracked tooth that is not treated will worsen, resulting in the loss of the tooth. Therefore, early detection is essential.

Split Tooth

A split tooth is usually the result of an untreated cracked tooth. It can be identified by a crack with distinct segments. This type of tooth can never be saved intact. Yet, the position and extent of the problem will dictate whether any portion of the tooth can be saved. Sometimes, endodontic therapy by the doctors and restoration by your dentist can be used to save a portion of the tooth.

Vertical Root Fracture

A vertical root fracture begins at the root and extends towards the chewing surface of the tooth. Unfortunately, they show minimal symptoms and go unnoticed. Treatment involves endodontic surgery if a portion of the tooth can be saved by removal of the fractured root. Otherwise the tooth will have to be extracted.