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Endodontics

Endodontics is a specialized branch of dentistry that deals with the complex structures found inside the teeth. The Greek word “Endodontics” literally means “inside the tooth” and relates to the tooth pulp, tissues, nerves, and arterioles.  Endodontists receive additional dental training after completing dental school to enable them to perform both complex and simple procedures, including root canal therapy.

Historically, a tooth with a diseased nerve would be removed immediately, but endodontists are now able to save the natural tooth in most cases. Generally, extracting the inner tooth structures, then sealing the resulting gap with a crown restores health and functionality to damaged teeth.

Signs and symptoms of endodontic problems:

  • Inflammation and tenderness in the gums.
  • Teeth that are sensitive to hot and cold foods.
  • Tenderness when chewing and biting.
  • Tooth discoloration.
  • Unexplained pain in the nearby lymph nodes.

Reasons for endodontic treatment

Endodontic treatment (or root canal therapy) is performed to save the natural tooth. In spite of the many advanced restorations available, most dentists agree that there is no substitute for healthy, natural teeth.

Here are some of the main causes of inner tooth damage:

Bacterial infections – Oral bacteria is the most common cause of endodontic problems. Bacteria invade the tooth pulp through tiny fissures in the teeth caused by tooth decay or injury. The resulting inflammation and bacterial infection jeopardize the affected tooth and may cause an abscess to form.

Fractures and chips – When a large part of the surface or crown of the tooth has become completely detached, root canal therapy may be required. The removal of the crown portion leaves the pulp exposed, which can be debilitating painful and problematic.

Injuries – Injuries to the teeth can be caused by a direct or indirect blow to the mouth area.  Some injuries cause a tooth to become luxated or dislodged from its socket. Root canal therapy is often needed after the endodontist has successfully stabilized the injured tooth.

Removals – If a tooth has been knocked clean out of the socket, it is important to rinse it and place it back into the socket as quickly as possible. If this is impossible, place the tooth in special dental solution (available at pharmacies) or in milk. These steps will keep the inner mechanisms of the tooth moist and alive while emergency dental treatment is sought. The tooth will be affixed in its socket using a special splint, and the endodontist will then perform root canal therapy to save the tooth.

What does an endodontic procedure invlove?

Root canal therapy usually takes between one and three visits to complete. Complete X-rays of the teeth will be taken and examined before the treatment begins.

Initially, a local anesthetic will be administered, and a dental dam (protective sheet) will be placed to ensure that the surgical area remains free of saliva during the treatment. An opening will be created in the surface of the tooth, and the pulp will be completely removed using small handheld instruments.

The space will then be shaped, cleaned, and filled with gutta-percha.  Gutta-percha is a biocompatible material that is somewhat similar to rubber. Cement will be applied on top to ensure that the root canals are completely sealed off. Usually, a temporary filling will be placed to restore functionality to the tooth prior to the permanent restoration procedure. During the final visit, a permanent restoration or crown will be placed.

If you have questions or concerns about endodontic procedures, please contact our office.

Testimonials.

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Testimonials

Dr. Salaveria and his staff were friendly, knowledgeable, professional, and they listened to me. I recently moved here from out of state and it looks like I've found my new dentist!

Sheridan S. Concord, CA

NO Pain! I am a HUGE baby when it comes to dental work and I am SO impressed. They made me feel comfortable and I am amazed that after a root canal, I had NO PAIN! Highly recommend their services. Their staff was wonderful from Rose at the front office to Brittany who assisted the procedure. Absolutely recommend!!!

Sue J. Concord, CA

My last experience at the dentist was as an uninsured individual about 6-8 years ago and I went to Western Dental. After almost 2 hours in their chair for 2 fillings and they had only gotten one of them done, I walked out of the office and never looked back. A few years went by and all of a sudden one of my molars caved in and I knew I had to get it taken care of. I now have insurance through my work and found Dr. Salaveria through their list of network providers. I saw all the positive reviews here on Yelp (and no negative ones...) and thought it was too good to be true but figured I would give them a shot. Best decision I ever made!

This is by far the best dentist experience I could have dreamed of. I had about 6 fillings done in less time than it took the Western Dental folks to do one. Not to mention he is very gentle and uses different techniques to make me comfortable since I have severe issues with my TMJ. I can almost fall asleep in his chair. They referred me out for two root canals (which have to be done by a specialist, and who they referred me to was also equally amazing) at this point and I have had one crown put in by them and will be having another crown done shortly. I can honestly say that I look forward to getting the work done with them. ....well... as much as anyone can look forward to dental work that is.

Bottom line: The reviews speak for themselves! Don't doubt it!

Jenna D. Concord, CA

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