EndodonticsHome | Endodontics
Endodontics – Josh Gorman D.D.S.
Endodontics (from the Greek endo “inside”; and odons “tooth”) is one of the dental specialties recognized by the American Dental Association, and deals with the tooth pulp and the tissues surrounding the root of a tooth. Endodontists perform a variety of procedures including root canal therapy, endodontic retreatment, surgery, treating cracked teeth, and treating dental trauma.
Root canal therapy is one of the most common procedures. If the pulp (containing nerves, arterioles, venules, lymphatic tissue, and fibrous tissue) becomes diseased or injured, endodontic treatment is required to save the tooth.
Procedures performed in our office by Dr. Gorman:
Root Canal Therapy (RCT)
There may come a time when either you or a family member might need a root canal to save a tooth. If there is extreme tooth pain due to physical trauma, irritation, or abscess due to deep decay or a very large filling, you may need root canal therapy.
Dr. Gorman is a root canal specialist (endodontist) who can help you retain your original tooth with root canal therapy. He specializes in the latest technology that involves microscopic surgery techniques.
Regenerative endodontics is a contemporary approach that addresses the problem of traditional treatment where it can either take many months for the barrier on the tooth to form or leave the tooth more susceptible to failure from root fracture.
The procedure involves using tissue engineering principles that facilitate the continued root growth and development, thicker dentin walls, longer root length, and a closed apex, meaning a reduced risk of fracture.
Root Canal Re-Treatment
Occasionally, following a tooth’s original root canal treatment, it may not have healed as anticipated for a variety of reasons—narrow or curved root canals, complicated root canal anatomy, an inadequately placed seal on a restoration, or delaying in placement of the crown following treatment. This may call for a second root canal treatment.
Even though you may not feel any pain or symptoms, a re-treatment may be necessary to avoid chronic infection or further problems that may occur. If we notice any abnormalities in your x-ray photos we will discuss with you the options for retreatment of the root canal.
Traumatic Dental Injuries
Chipped or fractured teeth are the most common cases in dental injuries, which almost always will require a visit to the endodontist if it has injured the nerve. Dr. Gorman can help repair the nerve of the tooth.
However, more complex cases such as dislodging or completely knocked out of the mouth, need quick and immediate attention, and will require more extensive work. As always, depending on the nature of the injury, there may be additional treatment or special care needed following your visit with Dr. Gorman.
Walking bleach refers to a teeth-whitening technique that is used on those that have had root canal treatments. Since root canal treatments can often discolor teeth due to the material placed in the root canal, walking bleaching is the best solution in order to restore it to its original color.
A tiny hole in the back of the tooth is made and the bleaching agent is placed inside the tooth. A temporary filling is then placed to protect the inside of the tooth so that the bleach can properly to do its work. There is usually a follow-up appointment to see if further bleaching is needed. If not, a permanent filling is placed after about three weeks.
Apiceoctomy / Periapical Surgery
Apicoectomy (periapical surgery), or root end surgery, is needed in cases of when conventional root canal therapy had either previously failed and a re-treatment was either already unsuccessful or not advised. This procedure is done to combat any infection that may have returned and to preserve the tooth.
During the procedure, Dr. Gorman will make a small incision in your gum and lift the gum away from the tooth and bone. The infected tissue is then removed along with the last few millimeters of the root tip. Finally, the end of the tooth’s canal is cleaned and sealed, using microscope technology and ultrasonic instruments for the most successful procedure.