What is an Endodontist?

 

An endodontist is a dentist who specializes in saving teeth through advanced root canal treatments and other procedures involving the inside of the tooth. They’re experts in diagnosing and treating problems with the tooth's pulp (the soft tissue inside) and the surrounding tissues.

With additional training beyond dental school, endodontists have the skills and tools to treat complex cases, manage tooth pain, and address dental emergencies like cracked teeth or traumatic injuries. Their main goal is to save your natural teeth whenever possible.

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What To Expect on Your First Visit

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1. Review of Your History
   We’ll begin by discussing your dental and medical history, as well as the symptoms you’re experiencing. This helps us understand your concerns and tailor our evaluation and treatment plan.

2. Comprehensive Examination
   The endodontist will conduct a thorough examination of the problem area, including:

   • Pulp Vitality Testing: A quick and painless test to check the health of the tooth’s pulp and nerves.

   • Cone Beam CT Scan (CBCT): This advanced 3D imaging allows us to get a detailed view of your tooth, roots, and surrounding structures. It’s especially useful for diagnosing complex issues that may not show up on traditional X-rays.

3. Diagnosis and Discussion
   Based on the exam and imaging results, we’ll explain the problem, discuss your treatment options, and answer any questions you may have. Our goal is to ensure you feel informed and comfortable with the next steps.

4. Planning Treatment or Same-Day Treatment
   If treatment is advised, we’ll review the process with you, discuss costs, and schedule your procedure. In some cases, treatment may begin the same day if you are willing and if time allows.

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How long does a root canal take?

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A root canal usually takes 45 minutes to an hour and a half and is often completed in a single visit. In some cases, a follow-up appointment may be required.

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Will you do my crown after the root canal treatment?

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No, the crown or final restoration is typically done by your general dentist. Our endodontist's role is to treat the inside of your tooth, ensuring it is healthy and infection-free. Once the root canal is completed, your dentist will place a crown or another type of restoration to protect the tooth and restore its full function.

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How Long Will I Experience Discomfort?

Discomfort after a root canal procedure is normal and varies from person to person. Some patients may feel mild soreness for a few days, even if there was no pain before treatment. Over-the-counter pain relievers usually manage this well. However, if your discomfort persists, worsens, or is accompanied by excessive swelling, please contact our office right away for further evaluation and care.

 

Are There Any Special Dietary Guidelines That I Need to Follow?

Yes. Avoid eating or drinking on the affected side of your mouth until the numbness completely wears off to prevent injury. After that, it’s important to avoid chewing on the treated tooth until your permanent restoration is placed. This will help protect the tooth from damage or fractures during the interim period.

 

Is It Safe To Drink Through A Straw?

It’s best to avoid drinking through a straw for 3–4 days following your procedure. The suction action from a straw could dislodge the temporary filling material in your tooth or disturb the healing process if you’ve had a surgical procedure.

 

Can I Drive Myself Home After My Procedure?

Yes, you can drive yourself home. Since the procedure is performed with local anesthesia, you’ll be able to return to normal activities shortly after your treatment. However, if sedation is used, you’ll need someone to drive you home.

 

Will I Need To Take An Antibiotic?

In some cases, antibiotics may be prescribed to help manage or prevent infection. If prescribed, it’s important to take the full course as directed by your endodontist to ensure effective treatment and avoid reinfection.

 

Will I Need To Return To Greeley Endodontics For A Follow-Up Appointment?

In some cases, we may require a follow-up appointment to monitor healing and ensure the success of your treatment. 

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What is a 2D Xray vs a 3D Cone Beam CT Scan?

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A 2D X-ray offers a flat, two-dimensional view of your tooth and surrounding structures, providing basic diagnostic information. In contrast, a CBCT scan generates a detailed, three-dimensional, high-resolution image of your tooth, roots, and surrounding bone. This advanced imaging allows our endodontist to detect cracks, hidden canals, or infections that might be missed on a traditional 2D X-ray, ensuring a more accurate diagnosis and effective treatment plan. Please note that the CBCT is typically an out-of-pocket expense, as many insurance plans do not cover this advanced imaging technology.

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Do I still need a root canal even if my tooth isn't hurting?

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Yes. Pain relief from antibiotics doesn’t mean the underlying issue is resolved. Infections can exist without causing discomfort but still pose serious risks. Many root canals are discovered through routine X-rays or exams, even when there’s no pain.

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How successful is root canal treatment?

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Root canal treatment is highly effective, with a success rate of 85–97%. Most failures can be prevented with proper care, such as good oral hygiene and timely restorations. In rare cases, structural issues like root fractures may make it difficult for the tooth to remain functional long-term, requiring extraction.

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What can cause a root canal to fail?

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Root canals can fail for several reasons, such as poor dental hygiene, a leaking restoration, or the breakdown of sealing materials over time. Proper brushing, flossing, and maintaining regular dental checkups are essential to keep a treated tooth functional for years.​

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Why do I need endodontic retreatment after a previous root canal?

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A second root canal may be needed if the initial treatment fails due to issues like hidden canals, new fractures, or leaking restorations. Endodontic retreatment can address these problems and give the tooth another chance to heal and function properly.

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Is tooth extraction a better option?

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We aim to save your natural teeth whenever possible. Natural teeth provide the best function for chewing, nutrition, and overall oral health. Root canal treatment is usually pain-free and highly successful, with many treated teeth lasting a lifetime. While bridges and implants are alternatives, they involve longer treatments and more potential complications. Preserving your natural tooth is always the best option when feasible.

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What payment methods do you accept?

 

We accept most insurance plans, as well as cash, major credit cards, and Care Credit. Payment is due at the time of service unless prior arrangements are made.

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Our Financial Policy

 

We accept most insurance plans and will gladly assist with filing your claims. However, please note that patients are ultimately responsible for the total cost of their treatment, regardless of insurance coverage or payment.