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Treatment Information

Overview
Your dentist or another dental specialist has referred you to our endodontic specialty office. Endodontists limit their practice to providing “root canal” treatment, root canal “retreatment”, and root surgery. Two additional years of training beyond dental school are required to become an endodontist.

Most root canal treatments and retreatments are done in one appointment lasting 1-1.5 hours. Occasionally, multiple visits are needed. After these procedures, patients usually can resume normal activities and only require over-the-counter medications for a few days. Root surgery is also done in one appointment lasting 1-1.5 hours, but requires the patient to go home after to rest. All these endodontic procedures are performed while the patient is numb with local anesthesia. For more information concerning your specific treatment, please look at the information provided below.

Types of Treatment
>> Root Canal Treatment
>> Root Canal Retreatment
>> Root Surgery
>> Local Anesthesia
>> Digital Radiography
>> Operating Microscope


Root Canal Treatment
Endodontic treatment is an opportunity to retain a tooth that would otherwise require extraction. Soft tissue located within teeth may become infected causing pain and swelling. Root canal treatment removes this infected tissue and replaces it with a biocompatible material. Modern techniques allow us to perform root canal treatments comfortably and successfully.
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Root Canal Retreatment
A small percentage of patients do not heal after root canal treatment. Also, some root canals may become re-infected over time. Fortunately, these root canals may be retreated by re-cleaning and refilling the root canal system. Root canal retreatment is usually the successful alternative to root surgery or extraction.
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Root Surgery
Root surgery directly removes persistent inflammation and infection at the root tips of previously root canal treated teeth. The endodontist lifts the gum tissue near the tooth to treat this area. This procedure is done comfortably under local anesthesia in 1-1.5 hours, requiring only a few self-dissolving stitches. Typically, teeth with no other option but extraction can be saved with root surgery.
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Local Anesthesia
Local anesthesia, commonly referred to as “Novocaine”, is used by dentists to temporarily numb areas of the oral cavity. Advanced techniques and new solutions allow us to consistently provide comfortable treatment. Our improved ability to numb patients helps us dispel the old reputation of root canals each and every day.
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Digital Radiography
Digital radiography uses small intraoral sensors, instead of x-ray film, to instantly capture dental images on computers. Much less radiation is required which greatly decreases patient exposure. The digital images are magnified allowing us to better demonstrate diagnosis and treatment options.
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Operating Microscope
Operating microscopes illuminate and magnify the inside of teeth and surgical sites allowing endodontists to provide efficient, precise treatment. For example, the extent of a fracture in a tooth may be assessed with an operating microscope to better inform the patient if the tooth is worth saving. Also, the ability to look deep within the tooth allows us to clean areas that may otherwise be left untreated. The operating microscope has advanced the specialty of endodontics allowing most treatment to be performed in one appointment.
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NH Endodontics Doctors