Diplomate, American Board of Endodontics
Diplomate, American Academy of Pain Management

Procedures

Root Canal Therapy

Are you suffering from a toothache? You might need root canal therapy. The pulp, which is composed of blood vessels and nerves, runs through a space in your tooth which can get infected from bacteria from decay and become very painful. Dr. Moskow specializes in diseases associated with the pulp of the tooth.

The Procedure

First, Dr. Moskow will examine the tooth and take an X-ray. Once the crown of the tooth is drilled, the pulp is cleaned and shaped in order to be filled and completely sealed. Because successful root canal therapy can determine whether or not you get to keep an infected tooth, you’ll want to receive your root canal procedure from someone you can trust.

Cracked Teeth

Cracks in teeth need to be addressed as soon as possible as they can lead to an infection of the pulp tissue, which can spread to the bone and gum surrounding the tooth. There are several types of cracks that include fractured cusp, split tooth and vertical root fractures.

Symptoms of cracked teeth include:
  • Pain when chewing
  • Temperature sensitivity
  • Pressure
  • Random Pain

Endodontic Retreatment

Occasionally, a tooth that has received endodontic treatment may fail to heal or pain might continue to exist. In this case, an endodontic retreatment might be recommended.

If endodontic retreatment is required, Dr. Moskow will reopen the tooth to gain access, remove the endodontic filling material, properly clean and shape all canals, and reseal the tooth. A temporary filling will then be placed in the tooth, and if canals are unusually narrow or blocked, endodontic surgery to allow the tip of the root to be sealed might be recommended. After your endodontic treatment is finished, you may have to return to your dentist to have a new crown or other restoration placed on the tooth to protect and restore it.

Dental Trauma

Dental trauma can occur in people of all ages from bad falls, sports accidents, bike and car accidents, and more. The severity of the injury determines the necessary treatment. Treatment depends on the type, location and severity of each injury. When any dental injury occurs, the most important thing is to let us know immediately. The outcome, or prognosis, for your specific injury often depends upon how quickly we can examine, diagnose, and treat the injury.

Common dental injuries include:
  • Chipped Teeth – a chipped or fracture tooth can be restored with a tooth-colored filling but depending on the severity may require a more complex procedure like root canal therapy.
  • Dislodged Teeth – the result of a tooth being pushed up into its socket often requires the tooth to be repositioned and stabilized. Root canal treatment is often needed.
  • Avulsed Teeth – a tooth that is completely knocked out of the socket required immediate attention. In the meantime, it is critical that the tooth be kept moist.

Apicoectomy

An apicoectomy, or root-end resection, is an endodontic surgical procedure that is completed when inflammation or infection persists in the bony area around the end of the tooth after endodontic treatment. During this procedure, an incision is made in the gum tissue in order to remove any damaged and infected tissue affecting the area. The root tip is then removed and a small filling may be placed to seal the root canal and prevent reinfection.

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