Endodontic Treatments and Procedures

Dental Services

Endodontist Hung K. Do at Laguna Endodontics specializes in endodontic procedures which include:

Root Canal Treatment

Endodontic root canal treatment is necessary when the pulp/nerve inside the tooth becomes inflamed or infected due to decay, previous dental procedures, or cracks and chips in the tooth.

A small hole is made through the top surface of the tooth to get access to the pulpal tissue. This tissue is then removed using small files and the space (canals) that contain the tissue is enlarged using similar files. Once the tissue has been removed and canals enlarged, a rubber like filling material is used to seal up this space. A temporary filling material is placed on the top portion of the tooth and the patient referred back to their general dentist for the permanent restoration.

Root Canal Re-treatment

A root canal re-treatment is required when a previous root canal doesn't heal as expected due to re-infection or other complications.

A re-treatment is similar to an initial root canal but instead of removing the pulp tissue, Dr. Do has to remove the old root canal filling material. The canals are cleaned and enlarged the same way. Re-treatments are often more difficult and time consuming.

Apical Surgery/Root Surgery

Apical surgery is performed when a conventional non-surgircal approach is not possible.

In the surgery, Dr. Do will reflect the gum tissue near the tooth to expose the underlying bone and the inflamed or infected tissue. The damaged tissue is removed along with the end part of the root tip. A root-end filling is placed to prevent re-infection of the root and the gum is sutured.

Apical surgery typically requires 3 appointments. The first will be for the consultation to review the procedure and to answer any questions or concerns patients might have. The second appointment will be for the surgery and the third will be for suture removal and follow up.

Dental Trauma

Traumatic dental injuries are caused by collisions with foreign objects that result in tooth or root fractures, displacement, or complete dislodgement of the tooth from the socket.

Traumatic dental injuries should be treated immediately by a dentist or endodontist to help ensure the survival of the tooth. Treatment can vary from splint placement to re-implantation of a dislodged tooth and performing the root canal.

Internal Bleaching

Internal bleaching is the process of whitening a tooth that previously had a root canal.

Teeth with root canals will discolor over time. For this procedure, a resevoir is made on the top portion of the tooth. The bleaching agent is placed inside and sealed. Periodic evaluations are made every few weeks to determine the appropriate shade to the adjacent teeth.

Internal bleaching generally takes 3-4 months to achieve the desired result. Results do vary and sometimes require external bleaching that can be done with your general dentist.

Please contact us today for more information regarding our endodontic dental services or to schedule an appointment.

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