Endodontics

Apicoectomy

Your teeth are held in place by roots that extend into your jawbone. Front teeth usually have one root. Other teeth, such as your premolars and molars, have two or more roots. The tip or end of each root is called the apex. Nerves and blood vessels enter the tooth through the apex. Sometimes, even after root canal treatment, infected tissue can remain. This can prevent healing or cause re-infection later. In a surgical procedure called an apicoectomy, the root tip, or apex, is removed along with the infected tissue. A filling is then placed to seal the end of the root.

An apicoectomy is done only after a tooth has had at least one root canal procedure and retreatment has not been successful or is not possible. For example, retreatment is often not a good option when a tooth has a crown or is part of a bridge. Retreatment of the root canal would require cutting through the crown or bridge. That might destroy or weaken the crown or bridge.

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Pulpotomy

Underneath the exterior of a tooth is a pocket filled with nerves, blood vessels, and connective tissue. This is known as the “pulp” of the tooth. When a tooth has a bad cavity, the pulp of the tooth is exposed. This can be very painful because the sensitive nerves and tissue are vulnerable. If your child is complaining of a toothache, it might be because he or she has a large cavity. In this case, we’ll do a pulpotomy to remove the damaged pulp. A pulpotomy is a fairly common procedure for decayed baby molars.

During a pulpotomy, we first remove damaged tissue, sterilize the area, and then replace the pulp with a medicated filling. Sometimes, it is then necessary to place a crown to restore the structure and appearance of the tooth. A pulpotomy is usually very successful in saving a badly decayed baby molar.

Cavities that affect the pulp of the tooth can be quite painful. If your child is experiencing severe tooth pain, he or she may need a pulpotomy. Call Neibauer Dental Care at 410-721-2409 to schedule an appointment.


 

 

Root Canal Therapy

According to the American Association of Endodontists, root canal therapy is the most feared dental procedure.

Despite this stigma, root canal therapy is actually a pain-free, quick and relatively comfortable procedure. In fact, it relieves your pain and can prevent more complicated oral issues down the road. Here at Neibauer Dental Care, we can put your fears at ease.

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