Independence Dental Associates, LLC | Endodontics in Hackettstown

Independence  Dental  Associates,  L.L.C.

Richard J. Cleave,
DMD, FAGD

General Dentistry, Implants,
 IV Sedation, Oral Surgery,
 Moderate IV Sedation Permit # 034
Brian D. Bachrach, DMD
General Dentistry 

  Samantha R. Bogle, DMD
  Orthodontics

915 County Road 517 # 23 
Hackettstown, NJ 07840
(908) 852-2215

IndependenceDental@gmail.com

We Are A Comprehensive Full
Service Dental Facility.
Call Us For An Appointment Today.
You Will Be Happy You Did!

Endodontics

 

Endodontic treatment is most often referred to as root canal treatment, RCT.  Root canal treatment is required when a tooth no longer has vitality, has had trauma that has either exposed the nerve and blood vessels of a tooth, has had trauma that caused the ultimate dying of the tooth without immediate infection, but eventual infection delayed by that trauma.

The desire of RCT is to seal the tips of the roots so that no bacteria infect the ligament or the bone of the tooth.  Files are unsed to shape and and remove residual tissue inside of each root.  Some teeth have 1 root, while other teeth can have up to 6 canals.  The norm is usually 1, 2, or 3 canals based on the tooth having RCT.

Endodontics also includes Periapical Surgery.  This is done when typical RCT does not cure the problem.  This is often seen with pathologies such as Granulomas or Cysts.  In these cases then surgery and closure of the root tips themselves needs to be accomplished.  If this is not done, then the pathology eats away your bone until it perforates the bone and creates a fistulous draining tract from the infected root that drains through a projection or pimple like soft tissue extension called a parulus.

Other endodontic treatment includes medicating a tooth that has not yet developed the entire root.  This is called Apexification.  Certain chemicals are placed within the tooth to cause the root apex to close.  Then, after closure, normal RCT is completed.

RCT has taken on a belief that the treatment causes much pain and discomfort.  This is not the case.  RCT has an extremely high rate of success and does not cause much pain for the majority of RCT performed.

People often tell you and us that they had RCT and still lost the tooth.  This certainly is the case with quite a few patients.  Unfortunately for them, it is not the RCT that caused the tooth lost, it is the fact that the patient never had a crown put on the tooth to protect it from normal masticatory load.  Since a root canaled tooth also is void of its blood supply, as well as its nerves, the tooth becomes a hulk of brittle hard tissue without this blood supply.  This is the reason that all treatment plans for posterior root canals especially, molars and premolars, should include crowns on these teeth.  It is unfortunate that dental insurance plans have limitations so that many people have to wait years to crown a root canaled tooth due to these insurance company payment limitations.  We certainly need insurance reform to all dentists to complete a job completely without having to worry about insurance limitations.