At Vertex Endo, we offer modern endodontic treatment for patients who have severe tooth pain, infection, or complications that are beyond the level of care available from a general dentist. When you see an endodontist, it means that they are a dental specialist who has completed an additional two to three years of training beyond dental school, with a skillset that focuses on the inner structures of the tooth specifically.

While there are many dental conditions that can be treated by a generalist, sometimes you need to be referred to an endodontic specialist. Here is the information you need to know about this dental specialty.

What an Endodontist Does That a General Dentist Does Not

All endodontists are dentists, but not all dentists have an endodontic specialty. Not only does an endodontist have additional training that extends beyond the standard dental school requirements, but their practice focuses specifically on dental pulp, root canals, and the oral structures that are inside and around the tooth root.

This dental specialty uses advanced technology to assist with diagnosis and treatment. Our endodontic office is equipped with surgical microscopes, CBCT imaging, and ultrasonic instrumentation, which isn’t always available in a general dentistry clinic.

Patients are often referred to an endodontist when they need support for more complex cases, such as deep tooth cracks, infections, a failed root canal, or unusual root positions.

Signs You Should See an Endodontic Specialist

These are some of the most common reasons why your general dentist might recommend that you visit an endodontist:

• Persistent Pain After a Root Canal: If you’ve had a root canal already and the pain continues to hurt for weeks, then it’s possible that the infection wasn’t eliminated completely, and retreatment might be necessary.
• Radiating Pain: Sometimes, there is referred pain that radiates into the jaw, ear, or temple. If this pain can’t be matched to a clear, visible cause, then a specialist might be able to use advanced diagnostic tools to identify the underlying cause.
• Swelling Around a Treated Tooth: When the gums around a root canal tooth start to swell again, it’s an indication that the infection might still be present. The root tip needs to be treated as soon as possible to prevent the infection from spreading.
• Unusual Tooth Anatomy: Various layouts of the tooth anatomy might require specialized care, such as extra canals or roots that are severely curved.
• Dental Trauma: A tooth that is fractured or knocked out might be saved if you see an endodontic specialist within the first hour after the accident occurs.

When Endodontic Retreatment Is the Right Next Step

Ideally, the initial root canal will treat the tooth and provide the long-lasting relief that you need. But there are times when retreatment might be necessary because of a recurring infection or complications that start to develop.

An endodontic retreatment involves opening a tooth that has been treated previously. The existing filling material is removed so the canals can be cleaned again. Sometimes the roots are accessed through the crown of the tooth, and sometimes a small incision is made in the gums to access the root without drilling into the main part of the tooth.

Retreatment might be the last option to save a tooth from extraction. The goal is to preserve the natural tooth and bone structure whenever possible. In addition to saving the tooth, you are also avoiding follow-up restorations such as an implant, bridge, or partial dentures.

If you have a failed root canal, it’s best to consult with an endodontic specialist before moving forward with a tooth extraction. It’s possible that the tooth might be saved with the right treatment.

Endodontic Therapy vs. General Root Canal Treatment

The term “endodontic therapy” refers to a full scope of treatments that are available from an endodontist. Each patient is unique, and we can provide customized treatment recommendations based on your needs. Some of the most common types of treatments available from an endodontic specialist include:

• Initial Root Canal Treatment: An infected or damaged tooth is treated with root canal therapy, which removes the inner pulp and cleans the chambers to eliminate the infection. While general dentists can complete root canals, it’s sometimes necessary to visit an endodontist instead due to potential complications with curved roots and other issues.
• Endodontic Retreatment: A tooth previously treated with a root canal might require retreatment if further complications develop after the treatment. The most common reason why a retreatment is necessary is because of a recurring infection.
• Apicoectomy: This treatment is a minor dental surgery that accesses the tip of the root through an incision in the gums. The root tip is removed and sealed because retreatment through the crown isn’t possible.

Endodontics for Patients of All Ages

If you need endodontic therapy, then our team at Vertex Endo is here to help. Reach out to schedule a consultation so that we can evaluate your unique needs and offer personalized recommendations. Our specialists are here to help, offering the advanced treatments you need to protect your oral health.

Frequently Asked Questions About Endodontic Care

Is endodontic treatment the same as a root canal?

Yes, a root canal treatment falls in the category of endodontic treatment. There are other services within the category of endodontics as well, including retreatments and apicoectomies.

How do I know if I need endodontic retreatment or extraction?

If the tooth structure is still intact and it’s possible to access, clean, and reseal the root, then a retreatment might be an option to consider. Extraction might be recommended if the root is fractured and there is severe bone loss in that area of the mouth.

Does seeing an endodontist cost more than seeing a general dentist?

It’s common for specialist fees to be higher than general dentistry, but it’s worth the cost to ensure quality care and avoid complications in the future. For example, advanced treatment from an endodontic specialist might help you avoid the likelihood of retreatment or tooth extraction in the future, which makes everything more cost-effective in the long run.