An endodontist is a dentist who focuses on the soft tissue inside your teeth, and they call this tissue the dental pulp. Endodontists typically complete two or more years of training beyond dental school, and they treat pulp problems regularly. Here is more information on their main services:
Saving Natural Teeth
Endodontists aim to keep your natural teeth in place. A tooth may look fine on the outside, but its inner pulp may be inflamed or infected. When the pulp breaks down, bacteria may spread to the bone around the root.
Extraction removes the tooth, and a replacement such as an implant or bridge fills the gap. Some patients choose to save a natural tooth when its structure allows it. Your endodontist can review both paths with you. The choice depends on the tooth’s condition and your goals.
Addressing Deep Decay
If decay moves past the enamel and the dentin layer beneath it, it may reach the pulp. A regular filling will not fix an infected pulp. Your general dentist may spot the problem on an X-ray, and they may refer you to an endodontist. Watch for these signs of deep decay:
- A pain that lingers after hot or cold foods
- A sharp pain when you bite down
- A tooth that turns gray or dark
- A small, pimple-like bump on the gum
Some infected teeth cause no symptoms at all. Your dentist checks X-rays during routine visits because some problems hide below the gumline. Note any symptoms before your visit, and share them with your dentist.
Performing Root Canals
A root canal removes the damaged pulp, and it cleans the canals inside the root. The endodontist numbs the area first. For many patients, the procedure feels similar to getting a filling.
The process typically follows a set order. After the tooth is numb, the endodontist places a small rubber sheet called a dental dam. This sheet keeps the tooth dry, and it blocks saliva from the work area. Next, the endodontist makes a small opening and removes the pulp with fine instruments.
Once the canals are clean, the endodontist fills them with a rubber-like material. A temporary filling seals the opening, and your general dentist later places a crown or permanent filling. Treatment typically takes one or two visits. Mild soreness for a few days is normal.
Treating Knocked-out Teeth
When an injury knocks out an adult tooth, the first hour matters most. Root cells start to die once they dry out. Follow these steps, and call an endodontist or emergency dentist right away:
- Pick up the tooth by the crown, not the root.
- Rinse it gently with milk or water if it looks dirty.
- Try to place it back in the socket, then bite gently on a clean cloth.
- Store it in milk or inside your cheek.
- Do not scrub the tooth or wrap it in tissue.
The endodontist may splint the tooth to its neighbors, and they may start a root canal within weeks. Baby teeth follow different rules. If your child knocks out a baby tooth, do not put it back in the socket. Call your dentist for guidance instead.
Book an Endodontist Appointment
Endodontists treat pulp infections, deep decay, and dental injuries, and they work alongside your general dentist. If you notice lingering pain or swelling, ask your dentist about a referral. Many endodontists also accept direct appointment requests. Bring your X-rays, insurance card, and a list of current medications to your first visit.
- How Medical Weight Loss Supports Better Health
- Understanding the Role of a Gastroenterologist in Digestive Health
- The Role of Family Involvement in Addiction Treatment Centers
- How Primary Care Can Help Manage Chronic Conditions
- What is Reflux Disease?
