What is Endodontics?
It is the branch of dentistry that that is responsible for conserving teeth by removing the tissue known as the pulp (or nerve) when cavities, fractures or other factors that have causing pain or infection.
How to know if you need to see an Endodontist?
If you are feeling severe pain.
If you have sensitivity to cold and hot food/fluids.
If you cannot apply pressure (or bite) with that tooth.
If your tooth has experienced a fracture.
If you have a tooth infection.
If you are experiencing cheek or gum swelling. (have an abscess)
Step 1 : General Evaluation.
You have recognized the symptoms of Dental Nerve damage, what do you do now?
Even if you check off all the boxes for an Endodontic situation, it may still not be the case. That is why you will have to see a General dentist for an evaluation in order to discard the possibility that the tooth is not so damaged that a Root canal is necessary.
Step 2 : Endodontic Evaluation.
Once the General dentist has referred you to a Specialist consultation, an evaluation with the Endodontist will be done in order to see the severity of the situation. Once this has been determined, the specialist will likely start the root canal the same day.
Step 3 : Root Canal Treatment.
Are you considering a Root Canal Treatment?
It is important to note that if you have ANY medical issue or take ANY medication it is important that you let us know before we start ANY procedure. If you have Uncontrolled Diabetes, High blood pressure, low blood pressure, heart issues, osteoporosis, are taking medications such as blood thinners or bisphosphonates for example. All these instances and more require a letter from your Doctor indicating that you are stable and that a dental procedure can be done and any indications that your doctor may give you for your medications before and following the treatment.
If you have any of the above stated ailments or medications, it is possible that the Specialist will ask for a medical clearance letter in order to proceed with the treatment.
What is a root canal treatment? A root canal treatment is fairly simple to explain. The first step is to remove the pulp (along with the nerves found in the root). Then we disinfect the root canal and finally the canal is filled with a special material and a temporary restoration is placed. This treatment is always recommended as it is always best to keep your natural teeth in your mouth if at all possible.
Price: The price of a Root Canal treatment depends on many factors. It can usually cost between $180 to $345 (USD) In the case of a tooth that needs to be retreated it could be $395.
How long does it take? It can take approximately an hour and a half. Or it can be two appointments of 40 minutes each depending on what the specialists recommends.
Is it done in our dental clinic? Yes.
Step 4 : Post and core or Core Build-up
After a root canal treatment, it's necessary to build up the tooth again as it is left hollow after the treatment. If you don't restore the tooth, there is a possibility that it will fracture completely or become infected again and it will either need to be retreated or extracted.
After the placement of a dental post and/or core build-up, the Specialist will evaluate, if your tooth is in condition to have an impression made and the temporary placed that same day or if it will be necessary to wait until your next appointment.
Post and Core Build-up
What is it? A Post is a small rod fabricated from Fiberglass that is specially selected for every root canal. It is cemented inside of the tooth with a dual resin cement and the tooth is then reconstructed with composite to fill in the top of the tooth so that a Crown can then be placed. Due to these reconstructive procedures the tooth will have enough structure so that the crown can be properly cemented in place.
Price: The price of a Post is $200.
Anesthetic: possibly depends on the case.
What is it made out of? Fiberglass
How long does it take? It can take around a an hour or less.
Is it done in house? Yes.
What is it? A Core Build up (Mono-block) is a block of composite that allows us to fill out a tooth when the cavity made is not extensive and when a post is not needed. Once the tooth is reconstructed and ready, it can then be prepared for a crown or another form or restoration.
Price: Core Build-up's cost around $100 - $150 USD
Anesthetic: Depends on the case
What is it made out of? Composite
How long does it take? A Core build-up procedure takes around a half an hour.
Is it done in house? Yes
Your General dentist will be in charge of restoring your tooth after an Endodontic Procedure.
You don't necessarily have to leave the clinic without a tooth in the space where the root canal treated tooth is. Due to the delicate nature of teeth that have been treated with an Endodontic Treatment, it is very often recommended to send the patient home with a temporary prosthetic, in order to protect the tooth while the permanent prosthetic is being made.
These come at a cost of $150 USD.
Step 5 : Final Restoration
In order to keep the treated tooth safe, and to give you a functioning tooth once more. Depending on the ramaining healthy tissue your dentist will give you the best option for how to restore your tooth. It can range from an Onlay to a crown.
You can choose between the 3 materials that we provide.
Zirconia is the strongest material and is very aesthetic.
A porcelain fused metal crown if you would like the cheapest option.
A pure porcelain is recommended for front teeth.
These have a price range of $295 to $550 (USD)