Root Canal Treatment
Root canal treatment is a sequence of treatment for the infected pulp of a tooth which results in the elimination of infection and the protection of the decontaminated tooth from future microbial invasion. Root canals and their associated pulp chamber are the physical hollows within a tooth that are naturally inhabited by nerve tissue, blood vessels and other cellular entities which together constitute the dental pulp. Endodontic treatment involves the removal of these structures, the subsequent shaping, cleaning, and decontamination of the hollows with small files and irrigating solutions, and the obturation (filling) of the decontaminated canals with an inert filling such as gutta-percha and typically a eugenol-based cement. Epoxy resin is employed to bind gutta-percha in some root canal procedures.
Root Canal Retreatment
In rare cases, root canal therapy fails to work as expected. The treated tooth might not heal properly or a patient might experience post-surgical complications that jeopardize the tooth. Root canal retreatment involves the removal of the previous crown and packing material, the cleansing of the root canals, and the re-packing and re-crowning of the tooth. In short, root canal retreatment is almost identical to the original procedure, aside from the structural removal. The success rate for a root canal retreatment runs at around 75%.
Root canal treatments and retreatments are a better alternative than extraction for most individuals. If a tooth has good bone support, a solid surface and healthy gums beneath it, it stands a good chance of being saved. Opting for root canal retreatment can be far less expensive than the alternatives. Dental implants, extensive bridgework and the creation of aesthetically pleasing prosthetic teeth cost far more than working with the natural tooth. They also require maintenance and feel less natural than a “real” tooth.
An apicoectomy may be needed when an infection develops or persists after root canal treatment,or retreatment. During root canal treatment, the canals are cleaned, and inflamed or infected tissue is removed. Root canals are very complex, with many small branches off the main canal. Sometimes, even after root canal treatment, infected debris can remain in these branches and possibly prevent healing or cause re-infection later. In an apicoectomy, the root tip, or apex, is removed along with the infected tissue. A filling is then placed to seal the end of the root.
An apicoectomy is sometimes called endodontic microsurgery because the procedure is done under an operating microscope.
Sedation dentistry uses medication to help patients relax during dental procedures. It's sometimes referred to as "sleep dentistry," although that's not entirely accurate. Patients are usually awake with the exception of those who are under general anesthesia.
Depending on the extent of the work being done and the needs of the individual patient, we offer three different methods of sedation:
Also known as inhalation sedation or laughing gas, this is one step up from the oral sedative. A mask is placed over the patient’s
nose, and the flow level is adjusted by the dentist until the patient is comfortable. One advantage of this method is that as soon
as the dental work is complete, the patient receives 100% oxygen and the feeling of sedation is gone within a few minutes. This is the lowest level of sedation we administer, usually for patients who are afraid of getting a shot, or are just anxious about having dental work done.
Oral Sedation (pill)
Intravenous Conscious Sedation (IV)
This type of sedation is ideal for patients with extreme anxiety when it comes to dental procedures, or for those who are having complex dental work that takes a longer period of time to complete. Although the patient is conscious, he or she remembers virtually nothing about the dental work being performed.
PLEASE CALL US AT (281)203-0503 WITH ANY QUESTIONS OR TO SCHEDULE AN APPOINTMENT.