Endodontist

May 21, 2021 By Dr. Jacqueline S. Allen Leave a Comment

Worth Saving! (Save Your Tooth Month)

COVID-19 and its social and economic effects have made 2020 and the beginning of 2021 extraordinarily difficult in many ways. For some of us, it has moved the impact of our daily health routines to the front of our minds. For those with injured, damaged or infected teeth, understanding the urgency of receiving timely endodontic treatment can be of critical importance.

Each May, the American Association of Endodontists focuses on promoting the importance of saving natural teeth. This year’s theme is “Worth Saving!” and as you’ll soon see, there are plenty of reasons to consider root canals or other types of endodontic treatment your first choice for treating your dental problem.

Your Natural Teeth ARE Worth Saving – Here’s Why

The consequences of losing your tooth or having it extracted can be serious. Your mouth is designed to operate with a full set of natural teeth. Remove one (or more), and the remaining teeth will shift, impacting both the appearance of your smile and your ability to chew.
The cost of replacing your natural tooth with an artificial one can be substantial. Sometimes a dental implant is the best choice when your natural tooth simply is beyond repair. However, implants can be costly, and while the implant is healing, you may not be able to use that tooth as you normally would.
Endodontists have extra training and specialized experience in saving teeth. Your general dentist likely has a close partnership with one or more endodontists, upon whom they can rely if one of your natural teeth is endangered. The entire focus of endodontic treatment is saving natural teeth. Endodontists receive two to three years of additional training after becoming a dentist, and once they are in practice, they may perform an average of 25 root canals per week (versus two per week for general dentists).
Modern root canals and other endodontic treatments effectively relieve pain. Patient perceptions of root canals are changing; in the last generation, improvements in pain management and endodontic technique have greatly reduced postoperative discomfort for root canals. If you come into a root canal with a severely infected tooth, it’s likely the procedure will completely eliminate your pain after a brief recovery period.

“Our job as endodontists is to preserve your natural teeth,” says Dr. Jacqueline S. Allen, who practices with the Phoenix Endodontic Group. “From root canals to retreatments to apicoectomies and more, we have a broad range of options to bring your teeth back to full functioning.”

Dr. Susan L. Wood, who works with Dr. Allen at the practice, says, “Your natural teeth are designed to normally function in your mouth flawlessly. Endodontic treatments keep that part of your body secure and working well, giving it the best chance of doing the job it was created to do for the rest of your life.”

April 22, 2021 By Dr. Susan Wood Leave a Comment

How Painful is a Root Canal?

For many years, comedians have regularly used the term “root canal” to capture any painful experience. The jokes weren’t funny to anyone who actually needed a root canal – fear of pain was sometimes enough to keep them from getting badly needed care.

Today’s root canals, though, have advanced dramatically in terms of technique and technology from 20 or even 10 years ago. In many cases, a root canal now relieves dental pain, instead of intensifying it.

Your endodontist is trained in pain management for root canals and other procedures that involve the roots and nerve pulp of your teeth. The amount of discomfort you experience during and after a root canal will vary with your individual circumstances, but here are some of the most common factors that can impact your pain level.

What Factors Influence Root Canal Pain?

The amount of infection in or damage to the tooth prior to the procedure. Root canals are performed on teeth with infected, inflamed, or damaged tooth pulp. One common symptom of tooth pulp damage is persistent tooth pain. If your tooth is badly infected before your root canal, it can also be more sensitive afterward.
How you use pain relievers after your root canal. Some tenderness and sensitivity is expected after the procedure. Your endodontist can provide guidance on when to take over-the-counter pain relievers and what kind of dosing schedule to maintain until the pain is no longer a distraction.
How closely you listen to and follow post-procedure instructions from your endodontist. After your root canal, you will want to avoid chewing with the affected tooth until it has received a permanent dental restoration (typically a crown). You will also want to choose soft, cool foods like applesauce or yogurt to eat for the first few days. Hard, hot, or crunchy foods increase the likelihood you will feel sensitivity or pain when you eat.
How quickly you report any severe post-procedure pain. It’s imperative you call your endodontist right away if you experience sharp or severe pain after your root canal; this can indicate that infection has returned. You will need to be seen to assess the situation, and your endodontist can plan additional pain and infection management steps.

“Today’s root canals rarely involve severe pain,” says Dr. Susan L. Wood, who practices at the Phoenix Endodontic Group. “Your endodontist is your partner in managing discomfort after a root canal and is the first person you should call if that pain becomes severe.”

February 22, 2021 By Dr. Susan Wood Leave a Comment

Are You Awake During a Root Canal?

While more and more Americans are becoming aware of the benefits of preserving natural teeth, you may still find yourself with a number of questions and no little anxiety when a root canal is the suggested option for saving a diseased or damaged tooth. Root canals can be an intricate procedure, depending on the extent of the damage to the tooth. Occasionally, sedation is called for. However, most of the time, patients are awake during the procedure and fully aware of each step the endodontist is taking. Each case is different, though, so let’s look at the issue a little more broadly.

How Endodontists Manage Pain And Patient Awareness During Root Canals

For most root canals, local anesthesia is used to numb the area around the affected tooth. This is a necessary step because your endodontist will be removing pulp and nerve fibers from your tooth. You will likely be fully awake during the entire procedure. Your mouth, including your lips, may feel numb for several hours after the procedure, so it is important to be careful if you eat or drink before full feeling returns to the numbed area. Be sure to follow your endodontist’s guidelines for eating and drinking, though.
For patients with dental anxiety or dental phobia, some level of sedation may be necessary for the root canal to be a success. Sedation can range from minimal (just to take the edge off your jitters) to deep (where you may be barely conscious, but able to be awakened). It can be delivered by inhalation, orally, or intravenously. General anesthesia – during which you are completely unconscious – is rarely used for root canals and requires special training to safely administer.

Dr. Susan L. Wood, of the Phoenix Endodontic Group, encourages patients to discuss questions related to wakefulness and anxiety with their endodontist during the planning stages of their root canal. “In our practice, we make sure all our patients are fully informed and arrive ready for their root canal,” she says. “We can discuss your individual needs prior to beginning the procedure and offer solutions that will help you feel comfortable, safe, and pain-free.”

December 21, 2020 By Dr. Susan Wood Leave a Comment

5 Top Root Canal Questions – Answered

It’s crucial to have accurate information when considering a root canal. A qualified general dentist or endodontist can offer up-to-date knowledge about how root canals work and why you might need one.

Here are five common root canal questions received at the Phoenix Endodontic Group.

5 Top Root Canal Questions – Answered.

What symptoms indicate a root canal may be needed? Natural teeth that are candidates for root canals have typically been damaged by decay or infection, or suffered structural damage to the tooth. Symptoms that may call for a root canal include: a severe toothache when you chew or apply pressure to the affected tooth; prolonged sensitivity to hot or cold; a recurring pimple on the gums near the tooth; discoloration of the tooth; swelling or tenderness in adjacent gum tissue.
Will a root canal hurt? Today’s root canal procedures typically relieve pain created by infection or damage to the nerves inside the tooth pulp, rather than causing pain. Additionally, endodontists receive special training in pain management, so even post-operative discomfort is typically minimal.
Is a root canal a better option than having my tooth pulled? The answer to this question depends on the overall health of your tooth, the gums surrounding it, and whether other natural teeth are suffering advanced decay or infection. One noteworthy advantage to retaining your natural teeth is a reduced chance of bone loss in your jaw. Such loss can lead to a host of negative consequences.
What happens during a root canal? Here is a brief overview of how a root canal is performed: First, your endodontist will take X-rays. Then, they will numb the area with a local anesthetic and place a dental dam over the tooth to protect it from bacteria. Next, the practitioner will drill an access hole in the crown of the tooth. The pulp chamber and roots of the tooth will be thoroughly cleaned, shaped with special tools, then filled with a biocompatible material. Once complete, the endodontist covers the opening with a temporary filling. Weeks later, the final step in the procedure takes place: placing a crown, permanently sealing the access hole.
Does it take a long time to recover after a root canal? Most patients experience some mild tenderness in the area of the root canal for a few days. This is usually managed with over-the-counter or prescription pain relievers. This discomfort should disappear within a week. If you experience severe pain, significant swelling, or if your temporary filling falls out, contact your endodontist as soon as possible so they can examine the tooth.

“It’s normal to be apprehensive if you have never had a root canal before,” says Dr. Susan L. Wood, who practices with the Phoenix Endodontic Group. “Our office is always happy to answer your questions about root canals and provide you with a more comprehensive view of the procedure.”

August 23, 2020 By Dr. Susan Wood Leave a Comment

Questions to Ask Your Endodontist Before Root Canal Treatment

Root canal treatments are highly effective in saving injured or infected natural teeth. They are typically not lengthy procedures, but most laypeople are not clear on what’s involved in a root canal or what to look for when selecting a practitioner. If your regular dentist has recommended an endodontist perform your root canal, you will want to be fully informed and feel confident about your treatment. Here are some questions to help you prepare.

What To Ask Your Endodontist Before A Root Canal Treatment

What kind of equipment is used for root canals? Endodontists typically perform the procedure far more frequently than a general dentist, so they also have specialized equipment that make the process easier and faster. This equipment can also help better resolve unexpected challenges that may present themselves during the treatment.
Do I need to take antibiotics before my root canal treatment? If you have certain types of systemic health issues, including a past history of infective endocarditis, your endodontist may prescribe antibiotic prophylaxis to ensure that you are protected should any oral bacteria enter the bloodstream. If you have an abscess, antibiotics may also be called for. Discuss your entire health history with your endodontist when your root canal is in the planning stages.
How many visits will my root canal take? Most root canal treatments are done in a single session, but occasionally you will need to return for a second appointment to finish the procedure. If that’s the case, your endodontist will place a temporary filling to protect your tooth until the treatment is finished.
How soon should I make my root canal appointment? Your regular dentist may have already communicated some of your symptoms to the endodontist, and this may give them a rough idea of how soon you need to be treated. However, some symptoms of a serious tooth injury are only apparent after a thorough clinical examination by a specialist; even if you think your symptoms aren’t bothersome, you should make an endodontic appointment as soon as one is available.
What should I do if I experience pain after my root canal? Your endodontist should provide you with a pain management plan for the first few days after your treatment, when some discomfort is normal. This may include information on using cold packs or pain-reducing medication. If you experience moderate or severe pain after the third day following your procedure, call your endodontist to see if they would like you to come back in for a recheck.

“Endodontists welcome questions from patients before, during, and after a root canal treatment,” says Dr. Susan L. Wood, who practices with the Phoenix Endodontic Group. “We want you to understand your case fully, and we will provide you all the information you need to be comfortable and confident about your procedure.”

July 20, 2020 By Dr. Jacqueline S. Allen Leave a Comment

When Should You Get a Dental Implant?

For those struggling with problems with natural teeth, one question can become paramount: “Should I have an endodontist treat my tooth with a root canal, or should I consider getting a dental implant?”

The decision-making process related to a dental implant involves many factors. However, there are numerous situations in which a dental implant is clearly a strong choice to rectify your dental challenges, some of which are discussed below.

Situations That Support Choosing A Dental Implant

Earlier attempts to save your natural tooth have been unsuccessful. If your natural tooth continues to have serious infection issues after a root canal or a root canal retreatment, it may be time to consider an implant.
You have had gum disease around the impacted tooth/teeth. The declining health of your gums can damage your periodontal ligament, which plays a crucial role in attaching the roots of your tooth to your jaw. If the ligament cannot regenerate itself successfully, it becomes much harder to retain a natural tooth.
You are not a strong candidate for a fixed bridge or a partial set of dentures. If you are struggling with one or several teeth adjacent to each other, it might seem more cost-effective to try a fixed bridge or partial dentures. However, not everyone can tolerate the feel of dentures and the care they require, and the alterations required for a fixed bridge require the adjacent teeth to be structurally sound.
Your natural tooth is already gone. If you have already lost your tooth, a dental implant can play a key role in preventing further tooth loss and bone deterioration in the jaw. Unreplaced teeth can cause the remaining teeth to crowd together and can obviously interfere with clear speaking or eating a normal diet.
You are in danger of losing an entire arch of natural teeth. In some cases, the more natural teeth you have that are in poor shape, the less likely a solution other than a dental implant will work. Dental implants can be customized to replace anything from one tooth to an entire arch of teeth.

“The question of how to treat failing natural teeth has an answer unique to each patient,” says Dr. Jacqueline S. Allen, who practices with the Phoenix Endodontic Group. “We can perform in-depth examinations and provide evidence-based treatment plans whether a dental implant, a root canal, or another type of intervention will provide the best long-term results.”

June 24, 2020 By Dr. Susan Wood Leave a Comment

Can Every Tooth Be Saved With Root Canal Therapy?

Root canals are often the treatment of choice when you develop a serious infection involving your natural tooth’s pulp, or if your tooth has been chipped, cracked, or otherwise damaged. However, while root canals have a high success rate and a high patient satisfaction rate, not every root canal ends up being a permanent solution.

The factors that initially bring a patient to the endodontist influence whether their tooth can be saved by a root canal. Here is a short list of conditions that can make saving a tooth with a root canal treatment more challenging.

Factors That Can Interfere With Saving Natural Teeth With Root Canals

Teeth with long or unusually curved roots. Endodontists use special tools and seal the roots. If a patient’s canals are hard to clean, it may be less likely that the treatment will be permanently successful.
A crack in the tooth root. Even though teeth treated with a root canal are protected above the gum line with a restoration such as a crown, if the root itself develops a crack, infection can re-enter the tooth.
Advanced periodontal disease. Your gums play an integral role in your oral health and if you have severe or recurrent gum disease, saving your natural tooth through a root canal is far less likely to be successful.
Previous root canal treatment of the tooth. There are ways to treat a tooth if the original root canal fails, such as a retreatment or an apicoectomy. However, the success rates for additional procedures are not as high as for a first-time root canal treatment.

“Although root canal treatment often provides a lifelong solution for a damaged or infected natural tooth, it isn’t the best choice for every patient,” says Dr. Susan L. Wood, an endodontist who practices with the Phoenix Endodontic Group. “Our staff can perform a thorough examination and advise you on your best treatment options.”

March 31, 2020 By Dr. Susan Wood Leave a Comment

Which is Better – Root Canal or Extraction?

A damaged or infected tooth needs to be assessed by a dental professional as soon as possible. Endodontists are dental professionals who specialize in saving natural teeth through root canal treatments and other procedures. However, even with today’s technology, the most skilled of endodontists cannot save every tooth. There are times when the best course of action is simply to have a failing tooth removed.

Situations In Which A Root Canal Is Better

The symptoms of a damaged tooth are recognized early. If you notice severe pain while chewing, a pimple on your gum, tender gums, lasting sensitivity to hot or cold foods, or certain other symptoms that indicate your tooth’s pulp is infected, schedule an appointment with your dentist or endodontist immediately. The sooner your tooth can be examined, the more likely it is your natural tooth can be saved.
Your tooth’s structure is still strong. Root canals remove the nerve pulp inside your tooth’s roots and replace them with a biocompatible material. A crown is placed over the treated tooth to provide it with additional support. This treatment can be effective long-term 95 percent of the time, but if your tooth’s structure has been eroded by decay or injury, it is much less likely to be successful.
Your tooth roots are relatively easy to clean. The success of a root canal hinges largely on how well your endodontist can remove infection from your tooth roots before sealing the canals. If you have long or unusually shaped root canals, this may be difficult.

When Extraction Is Better

Your dental professional may recommend a tooth extraction if any of the following are true:

The tooth is badly decayed
The tooth has suffered a severe fracture
The tooth isn’t supported well by the surrounding gum tissue due to periodontal disease
The tooth has received a root canal treatment or retreatment and is still failing

“Your endodontist can determine whether an extraction and tooth replacement or a root canal is the better option for your natural tooth,” says Dr. Susan L. Wood, who practices with the Phoenix Endodontic Group. “Both treatments are effective in restoring your mouth’s function and appearance.”

February 10, 2020 By Dr. Jacqueline S. Allen Leave a Comment

Dr. Jacqueline Allen Now Offers Minimally Invasive Laser Dental Endodontic Treatment

Dr. Jacqueline Allen is qualified to utilize the minimally invasive Waterlase™ to treat dental conditions with less discomfort to the patient and in some cases use less to no anesthetic. Dr. Allen completed the advanced endodontics continuing education with Dr. William Chen, at the Chen Laser Institute. The course provided in depth training for laser-assisted endodontics to help meet many of the toughest clinical challenges and techniques on single and multiple root canal therapy using the laser, among other advanced endodontic techniques.

Waterlase Dentistry uses laser energy and a gentle spray of water to perform a wide range of dental procedures — without the heat, vibration, and pressure associated with the dental drill, and in many cases without the blood of a traditional scalpel. Dr. Jacqueline Allen offers Waterlase™ treatments to patients who would prefer to receive the latest laser treatment as an alternative to more traditional oral surgery methods.

Those who suffer from anxiety due to past dental experiences or fear of needles are more likely to feel calm and relaxed when receiving treatment with the gentle Waterlase™ system, with many patients reporting no or less pain, and many cases of fewer shots. Laser-based dental care has also been shown to cause less swelling and bleeding at the treatment site. Patients have been shown to recover more quickly, with faster healing, with the use of Waterlase, making dental care a much more convenient and pleasant experience.

Patients who are interested in making an appointment with an endodontist in Phoenix, AZ., who utilizes laser technology to treat oral problems are invited to schedule an appointment with Dr. Allen’s office at their convenience. To learn more about this cutting-edge dentistry technology visit biolase.com.

January 22, 2020 By Dr. Susan Wood Leave a Comment

Why Do Root Canals Take 2 Visits?

Root canal treatments can make it possible to save natural teeth in which the nerves and blood vessels comprising the dental pulp have been damaged by injury or infection. While more and more Americans are seeing root canals as the treatment of choice for saving teeth, many potential root canal patients still have questions about the procedure and how it actually works.

Most root canals will require at least two visits. The exact number of visits to complete the procedure and ensure its success depends on your situation and its complications. Here’s a brief overview of what may happen during each step of the process.

Why Root Canals Require Multiple Visits

First Visit: Your endodontist will take X-rays to examine the state of the tooth. They will numb the area around the tooth with a local anesthetic. A dental dam will be placed to keep the tooth dry and free of salvia. Next, they will drill an access hole in the biting surface of the tooth to access the pulp. The remainder of the first visit typically focuses on cleaning the canals with special tools. These tools scrape pulp and infected materials away from the canal walls. Periodically during the procedure, the endodontist will flush the canals with a cleansing solution to remove debris.

Many endodontists wait up to a week to finish the root canal. If your tooth was infected, they may treat you with medication. Before you leave, they will place a temporary filling to keep out contaminants. Their office will also confirm your next appointment.

Second Visit: During the second visit, the endodontist fills the canals being treated with a biocompatible material, usually gutta-percha. The access hole that was created is covered with a permanent filling.

Later Visits: Sometimes, you will need to schedule additional appointments if the tooth requiring treatment has an active infection at the time of your first visit, or if you have a condition such as temporomandibular joint (TMJ) disorder. Also, if your tooth sustained structural damage from the infection, decay, or injury that led to the need for a root canal, your endodontist may recommend scheduling a separate appointment with your regular dentist to place a crown on the tooth for additional protection.

“Root canals can take two or more steps to complete, but following through on all the steps increases the chances that your root canal will preserve your natural tooth for a lifetime,” says Dr. Susan L. Wood, who practices with the Phoenix Endodontic Group. “If you have an injured tooth, call us today to see if a root canal can help.”