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Quality Centered Endodontics, PLLC.



What is an Endodontist and what do they do?

An Endodontist is a dentist who has undergone a minimum of 2 years of extra postgraduate training. Such dentist has fulfilled the American Dental Association (ADA) requirements to become a dental specialist. " Endodontia " literally means inside the " tooth ".

The specialty training allows an Endodontist to:

1. Save teeth that otherwise be extracted.
2. Diagnose facial pain and related problems.

Your general dentist sometimes refers patients for consultation when the diagnosis is complicated or when treatment requires a more complex treatment approach.

As an Endodontist, aside from providing treatment, Dr. Garcia’s role is also that of an educator. We will make sure that the patient understands why they require treatment, what treatment involves and what we can do to ensure the best possible outcome. We believe that a properly informed patient has the best chance of achieving the optimal result and we will make every effort to explain treatment in complete detail.

What is a Root Canal ? or What Happens during Endodontic Treatment ?

A root canal consists in the removal of the infected or inflamed nerve from the inside of the tooth's root. The actual root structure will remain in your mandible or maxilla which is what holds your tooth in place. 

If it's determined that you have a root canal problem and the tooth is structurally and strategically worth saving, a root canal procedure is initiated. Root canal treatment is performed under local anesthetic. Dr. Garcia uses double strength anesthetics as well as the finest techniques to ensure a comfortable experience.

The tooth will then be isolated with a dental shield prior to treatment. This dental shield serves to minimize inoculation of bacteria from the outside of the tooth during the procedure. The tooth is cleaned and defective fillings and decay completely removed. The canals inside of the roots are located and cleaned / disinfected.

The number of visits to complete your root canal will depend on your particular case. Some cases may require two visits, although many are completed in one visit . When dealing with an extremely complex case or a heavily inflamed/infected tooth, treatment may need to be prolonged in order to achieve the best outcome possible. We will do whatever it takes and spend all the necessary amount of time to reach that goal.

Since the purpose of this treatment is to allow the patient to keep his or her tooth, we believe in an individualized approach to treatment for each patient and each scenario. We do our best to be selective in the teeth we treat, thereby increasing the chances for success. After the initial examination, we will discuss with you the chances of success before any endodontic procedure is performed.


Endodontists Diagnose and Treat Pain

Very often, oral pain such as a toothaches can be difficult to pinpoint.  Because of the vast network of nerves in the oral cavity, the pain originating from a damaged or diseased tooth often is felt in another tooth and/or in the head, neck, or ear region.

Another complex factor to consider is myofacial pain. This is pain originating in the muscles of the jaw, face, or neck region. Myofacial pain could be precipitated by stress. Don't be surprised if you find out that your pain is not a root canal problem.

It is very important to identify the correct source of the patient's pain to ensure correct treatment is delivered. Dr. Garcia will spend all the necessary time carefully examining and discussing the given circumstances. 


Endodontists Treat Traumatic Injuries

Pulp damage is sometimes caused by trauma to the oral cavity, and the endodontist specializes in treating these traumatic injuries. For example, a hit to a child's permanent tooth in which the root is not fully developed can cause the root to stop growing. A procedure called apexification can clear the root from infection (if present) and stimulate the continuation of root development. This makes it possible to save the tooth through a form of root canal treatment.

An endodontist is also specially trained in procedures for replanting teeth that have been avulsed (knocked out of their sockets) as well as dealing with teeth that have turned darker from possible previous trauma. Our office provides bleaching options for these dark colored teeth.

Will I need to return to your office after the Treatment is completed ?

Once endodontic therapy is completed your tooth should be examined periodically, usually every 6 - 12 months.  This allows us to make sure that the tooth has healed or continues to heal properly.  You will be sent a notice in the mail or we will call you when it's time for a follow up appointment. We like to make sure that the work performed at our office continues to serve you well.  

What is a Retreatment ?

Although rare, sometimes a tooth that has undergone endodontic treatment does not heal or discomfort continues despite therapy. When either of these situations occur, the tooth can often be maintained with a second endodontic intervention (retreatment). If this is your case, your dentist will refer you to us for evaluation and retreatment.