Endodontic treatment (or “root canal treatment”) involves removal and disinfection of inflamed or infected tissue from within the root canal system. The root canal system is then filled internally, and a permanent restoration or crown is placed. Typically the permanent restoration or crown is placed by a general dental practitioner.
Sometimes a previously root canal treated tooth may require that the treatment be revised and re-treated. These procedures involve removal of the previous root canal filling material, re-cleaning and re-filling of the root canal system. Sometimes, your general dental practitioner will need to place a new permanent restoration or crown as required.
Endodontically treated teeth may discolour over time. In the event that this occurs, an internal bleaching procedure can be completed by removing the coronal (or “top”) portion of a root canal filling and insertion of a bleaching agent. The tooth is then reviewed after a period of time, before the filling is replaced.
Management of Trauma
Patients may present with trauma to the dental tissues, either immediately after injury or sometime later. Endodontists are experienced in re-positioning and stabilising traumatised teeth, and planning for management long term to ensure optimal healing takes place. Endodontists also offer assistance following initial trauma management with a general dentist and are involved in co-ordinating long term treatment planning.
Management of Cracked Teeth
Cracks in teeth can be difficult to diagnose. Endodontists are trained to diagnose and appropriately treat teeth displaying the signs and symptoms of cracks. This may involve one or a combination of tooth reduction, placement of an orthodontic band, or root canal therapy. In the most severe cases, extraction may be recommended.
Diagnosis of Pain
Dental pain can present in a number of different ways. Endodontists are trained to not only identify the source of your dental pain, but also differentiate dental pain from other pain conditions such as temporomandibular disorder (TMD) or trigeminal neuralgia.
Dr Mark Johnstone practices from two locations throughout Melbourne and Sydney.