215.665.0818 1601 Walnut St. Suite 201, Philadelphia, PA, 19103

Endodontics & Root Canals

Endodontics is the dental specialty that deals with the nerves of the teeth. Root canals are probably the most notorious procedure in dentistry and the most common procedure relating to endodontics.

Dr. Spencer is a pioneer in the area microscope-assisted and rotary endodontics.

Endodontics is the dental specialty that deals with the nerves of the teeth. Root canals are probably the most notorious procedure in dentistry and the most common procedure relating to endodontics.

When a tooth becomes infected it is usually related to the nerves in the root of the tooth. The infected nerves need to be removed.

If left untreated an infection can turn into an abscess, which is a much more serious problem that includes bone loss in the jaw.

Root Canal

The area around the tooth is numbed with a local anesthetic to start the procedure. The dentist will then drill down into the tooth to create an opening into the canal. They will then be able to remove infected tissue and clean the canal. After the infection has been removed, the space if filled with a sealant called gutta percha. It is highly recommended that a tooth that has undergone a root canal is fitted with a crown. This will improve the appearance of the tooth, and will also make it much more likely that the root canal is successful.

The “No Pain” Root Canal

Root canal” has become a scary term for dental patients to hear, but the benefits of the procedure and advances in dental technology have made it much less “scary”. Local anesthetics and proper pain medication allow the procedure to be performed with little to no pain in most cases. There may be some soreness following the procedure, but that is normal for most dental procedures.

Over the counter painkillers are usually enough to relieve any pain afterwards, but your dentist may prescribe medication. The procedure will also relieve you from pain caused by the infection allowing you to enjoy all the foods you love without any pain from heat, cold, or biting too hard.

Apicoectomy

An apicoectomy is performed after an unsuccessful root canal. When an infection will not go away or returns after a root canal has been performed this procedure is usually necessary. There are many nerves that may contain the infected tissue, so it is difficult to ensure that all of the infection is removed during a root canal. During an apicoectomy, the tip of the root of the tooth is removed and replaced with a filling.

In most cases a second root canal is considered before an apicoectomy since it is a simpler, less invasive procedure. Before the apicoectomy begins you will be given a local anesthetic to numb the area. The doctor will start by making an incision in your gum to expose the root of your tooth. Any inflamed tissue will be removed to clean out the area.

The surgery takes place in a very small area, and only a few millimeters are removed from the root. For this reason, we use magnification and small precision instruments to perform the surgery. The precise nature of the surgery gives it a high rate of success. After the root is removed a filling is placed and the gums are sutured. Depending on the type of sutures you may have to return in a few days to have them removed, or dissolving sutures may be used instead. Over the course of the next few months the bone will heal around the root.

Endo Microscope

The use of the Endo Microscope allows us to perform procedures with greater accuracy because the treatment area is magnified. The microscope’s superior illumination and magnification has made the greatest impact on visualization of the area, evaluation of surgical technique and use of fewer x-rays. With the unique ultrasonic unit and tips, a separated instrument or silver point can be removed with less effort. Fourth canals are now routinely being located and completely debrided in virtually all molars, thus increasing the long-term success rate with root canal therapy.

Testimonials
Hannah T.
The office visit experience was professional when I was with the Hygienist, Rhonda, and when I was with the dentist, Steven. They are doing everything right for the patient. The visit included wait time and form completion and the friendly bantering was relaxing and friendly.
Leslie P.
The only thing I would change is to somehow have found this place years and years ago. Not only is the dental care first class but so is the atmosphere, created by the entire staff. You walk in the door and friendly people greet you by name. Everyone is helpful and energetic.
Patricia R.
The staff at Jeff Rosenberg's office are always authentic, real, and committed to their work on the team. Jeff thinks outside the box and works outside the box to do whatever he can to help us with our teeth and our smiles. They are more like family, really.... and it's always nice to have a dentist in the family, right?

Dental Medical Arts

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