East Hills Endodontics - Roxene S. Gascoigne DDS

Endodontics

70 Glen Cove Road, Suite 104
Roslyn Heights, NY 11577

516.484.2111

FAQ

 

What is endodontics?

“Endo” is the Greek word for “inside” and “odont” is the Greek word for tooth.   Therefore, endodontic therapy treats the inside of the tooth.

Endodontics is a branch of dentistry recognized by the American Dental Association involving treatment of the pulp (root canal) and surrounding tissues of the tooth.  When you look at your tooth in the mirror, what you see is the crown.  The rest of the tooth, the portion hidden beneath the gum line, is called the root.  Though the outer portion of the root is a hard tissue called dentin, the inside channel or "root canal" contains a pulp of soft tissue, blood vessels and nerves.  Bacteria that are introduced into the pulp as a result of tooth decay, periodontal disease, tooth fracture or other problems, can severely damage the pulp.  When that happens, an endodontic specialist removes the diseased pulp to save the tooth and prevent further infection and inflammation. After successful endodontic treatment, the tooth continues to perform normally.

Who performs endodontic treatment?

All dentists receive basic training in endodontic treatment in dental school.  General dentists often refer patients needing endodontic treatment to endodontists depending on the difficulty of the case.

Who is an “endodontist?”

An endodontist is a dentist with special training in diagnosing and treating problems associated with the inside of the tooth.  They do only endodontic procedures in their practices because they are specialists. To become specialists, they complete dental school and then an additional two/three years of advanced training in endodontics, one of the nine specialties recognized by the American Dental Association.  They perform routine as well as difficult and very complex endodontic procedures, including retreatment of previous root canals that have not healed completely, as well as endodontic surgery.  Endodontists are also experienced at finding the cause of oral and facial pain that has been difficult to diagnose.

Should I be worried about xrays?

No.  While x-rays will be necessary during your endodontics treatment, we use an advanced non-film computerized system, called digital radiography that produces radiation levels up to 90 percent lower than those of already low dose conventional dental x-ray machinery.  These digital images can be optimized, archived, printed and sent to your general dentists via e-mail or postal mail.  For more information on digital xrays contact Schick Technologies, Inc.  www.schicktech.com

What about infection?

Again, there's no need for concern.  We adhere to the most rigorous standards of infection control advocated by OSHA, the Centers for Disease Control and the American Dental Association.  We utilize autoclave sterilization and barrier techniques to eliminate any risk of infection.

What happens after treatment?

When your root canal therapy has been completed, a record of your treatment will be sent to your restorative dentist.  You should contact his/her office for a follow-up restoration within a few weeks of completion at our office.  Your restorative dentist will decide on what type of restoration is necessary to protect your tooth.  It is rare for endodontic patients to experience complications after routine endodontic treatment or microsurgery.  If a problem does occur, however, we are available at all times to respond.

What new technologies are being used?

Operating Microscopes:  

In addition to digital radiography, we utilize special operating microscopes.  Magnification and fiber optic illumination are helpful in aiding the doctor to see tiny details inside your tooth.  Also, a tiny video camera on the operating microscope can record images of your tooth to further document the doctor's findings.  Our office utilizes Global Surgical Microscopes.  www.globalsurgical.com



Apex Locators:

Apex locators aid in determining the approximate length of the root canal.  Utilizing apex locators have reduced the need for multiple xrays that were once necessary to determine the length of the canal.



Ultrasonics:

Ultrasonics are a major help in removing separated instruments, previously placed posts and finding extra canals.

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