Hooksett

603-628-2891

Moultonborough

603-253-5224

Call our office today to schedule your appointment!

Hooksett

603-628-2891

Moultonborough

603-253-5224

Endodontic procedures include some that are surgical and some that are non-surgical. The type of procedure you need will depend on your individual case and the best course of treatment for saving your tooth. Root canals and apical surgery are both endodontic procedures that restore the health of an infected tooth, but they are very different. Here’s an overview of each to provide some insight. 

What is a Root Canal? 

A root canal is a non-surgical procedure that removes the dental pulp, the soft tissue at the center of a tooth, and replaces it with composite material. A small hole is made in the crown of the tooth that is used to access the root canal to remove the pulp. This removes any infected tissue as well as remaining tissue that could be at risk of infection. The tooth is thoroughly cleaned and disinfected before it is filled to ensure that there is no remaining bacteria inside the tooth. A dental crown is placed over the tooth to complete the procedure. 

What is Apical Surgery? 

An apicoectomy is a surgical procedure that is performed on the root of an infected tooth. This requires entry into the gum tissue to access the root. A small incision is made in the gums, the tip of the tooth root is removed, and any infected tissue in or around the tooth is removed. A filling is placed over the tip of the root to seal it and prevent further infection. The gum tissue is closed with sutures. 

Similarities Between Root Canals and Apical Surgery

There are a few similarities between these two procedures: 

  • Used to treat infection. Both root canals and apical surgery are treatments for infection in or around a tooth. 
  • Restores the health of the tooth. The goal of both procedures is to restore the health of the tooth from the inside where the dental pulp resides. 
  • Focuses on the root of the tooth. Both procedures are performed on the root portion of a tooth. 

Differences Between Root Canals and Apical Surgery

Root canals differ from apical surgery in a variety of ways: 

  • Invasiveness. Apical surgery is more invasive because it requires cutting of the gum tissue to access the root externally. 
  • Crown placement. Root canals almost always require the placement of a crown over the tooth afterwards, but this may not be necessary after apical surgery. 
  • Recovery. The recovery period after apical surgery may be longer than after a root canal due to the invasiveness of the procedure.

Frequently Asked Questions About Root Canals and Apical Surgery

Do either root canals or apical surgery require sedation? 

Both root canals and apical surgery can be performed with local anesthesia to ensure your comfort. However, if you are feeling anxious, sedation can be provided to help you relax. 

Are root canals and apical surgery covered by insurance? 

Most dental insurance plans consider both root canals and apical surgery to be medically necessary, and therefore they are typically covered. For more specific information about your coverage, contact your provider or refer to your benefits guide.

Who Performs These Procedures? 

Another difference between root canals and apical surgery is who typically performs them. General dentists often provide root canals as well as endodontists. However, apical surgery is typically performed by an endodontist who specializes in these procedures. Elite Endodontics of NH provides both root canals and apical surgery, as well as other endodontic services. After an evaluation, we can provide a recommendation for the best procedure to treat your tooth. 

Contact us today to learn more and schedule an appointment. 

A cracked tooth is a common dental problem. Teeth may crack due to weakened enamel caused by decay, chronic teeth grinding, or naturally soft teeth. If you have a cracked tooth, a common question is: does it need to be treated or will it heal on its own? Here’s what you need to know. 

Can Teeth Heal Like Bones? 

Although teeth seem to be a lot like the bones in your body, they do not possess the same healing capabilities. There is no blood supply to the enamel portion of your teeth. Although there are blood vessels and nerves contained in the dental pulp that exists in the root canal of your teeth, it does not give the tooth the same healing power as your bones. 

This means that if a tooth cracks or a piece breaks off, the tooth is not capable of healing itself. It will need to be treated by a dentist or endodontist.

Symptoms of a Cracked Tooth 

It is not always easy to tell if you have a cracked tooth. Some cracks are small and not highly visible. It is also difficult to see a crack in a back tooth. Here are some common signs and symptoms of a cracked tooth that are easier to notice. 

  • Pain when chewing. If you have pain in a certain area of your mouth when you chew, there may be a cracked tooth somewhere around that location. 
  • Pain that comes and goes. A cracked tooth doesn’t always hurt constantly. The pain tends to come and go, making you wonder if there is actually a problem. 
  • Swelling around the tooth. A cracked tooth can cause swelling and inflammation of the gum tissue around the tooth that may be noticeable and tender. 
  • Extreme or lingering sensitivity. If you have extreme sensitivity to cold or heat in a certain area of your mouth, or if the sensitivity lingers after the source has been removed, the tooth may have a crack that is exposing the nerves. 

Treatment for a Cracked Tooth

If you notice any of the above symptoms, you should seek treatment as soon as possible. A cracked tooth is at risk of infection and if the crack worsens the tooth could become unsavable. In most cases the tooth will be treated with a root canal and a crown. A root canal removes the dental pulp from the inside of the tooth to remove or prevent infection. Then a crown protects the remaining tooth material and the roots that support it. The tooth can remain in place for many years after treatment. 

Schedule an Appointment Today

Elite Endodontics of NH provides prompt treatment for cracked teeth that give you the best possible chance of saving them. 

Contact us today to learn more and schedule an appointment. 

Frequently Asked Questions About Cracked Teeth

When Can a Cracked Tooth Not Be Saved? 

There are some situations where a cracked tooth can not be saved:

  • If the crack begins or extends under the gums.
  • If the tooth is split. 
  • If the crack has gone untreated for too long. 

Why Choose an Endodontist for Cracked Tooth Treatment?

An endodontist is a dentist who specializes in restoring the health of teeth from the inside. When a tooth is cracked the dental pulp inside the tooth is at risk of infection or damage. Endodontists specialize in root canals and other endodontic procedures that treat the dental pulp and restore the health of the tooth. 

A root canal is one of the most common dental procedures. It can often save a tooth that is severely decayed, damaged, or infected. Root canals can be performed by general dentists or endodontists. 

 

If you have a tooth that needs a root canal, you may be wondering how long it will last. Here’s how long you can expect a tooth to last after a root canal and what factors affect longevity. 

What is a Root Canal?

A root canal, also called root canal therapy, is a procedure performed on the root canal of a tooth, the inner chamber containing the dental pulp. At the center of each tooth there is a hollow space filled with dental pulp, soft tissue made up of blood vessels and nerves. The purpose of a root canal is to remove the dental pulp and fill the tooth with a replacement material that fortifies the structure of the tooth and prevents infection. 

Why Are Root Canals Needed? 

A tooth may need a root canal if it is infected. When bacteria enters the root canal of a tooth through a crack or cavity, it can cause an infection in the dental pulp. An infected tooth must be treated with a root canal in order to save it. 

 

In many cases a root canal may be recommended for a tooth that is at risk of infection due to a deep cavity, a large amount of decay across the tooth, a crack, or a fracture. A root canal can prevent a painful infection from developing and save the tooth. 

Average Lifespan of a Tooth After Root Canal 

A tooth that has had a root canal will typically last for at least 20 years. In some cases a tooth may not last as long as that, or it may last even longer in many cases. The lifespan of a tooth after a root canal varies depending on a variety of factors. 

Factors That Affect the Lifespan of a Tooth After Root Canal

How long a tooth lasts after root canal therapy depends on the following: 

  • Good oral hygiene. It is important to take good care of your teeth to help them last longer in general, and it is even more important after a root canal. Brushing your teeth twice a day and flossing once a day removes the majority of the plaque that settles on the teeth, which is the cause of decay. 
  • Regular dental care. It is also important to go to the dentist every 6 months for dental cleanings and oral exams. Your dentist will check to make sure that the tooth that received the root canal remains healthy. 
  • Placement of a dental crown. If a dental crown is placed over the tooth following a root canal, it tends to last longer than a tooth that received a filling. The crown protects the tooth from further decay and damage that could lead to infection. 
  • Who performs the root canal. General dentists are often qualified to perform root canals, but endodontists specialize in this and other procedures that treat teeth from the inside, focusing on the dental pulp. An endodontist will have the specialized equipment and expertise to perform a thorough root canal that will last. 

 

Why Choose Elite Endodontics of NH? 

If you’re in need of a root canal, Elite Endodontics of NH specializes in root canal therapy and other endodontic procedures that increase the likelihood of saving your tooth. Through the use of technology and minimally invasive techniques, we ensure that every part of your root canal is cleansed and filled in a gentle manner. We offer sedation options to help you feel relaxed and comfortable during your procedure. 

To learn more, contact us today to schedule an appointment at one of our 2 convenient locations.

Pregnancy can make you question a lot of things. They say a baby changes everything, and it starts before they’re even born. Suddenly your body doesn’t belong to just you anymore and you have to be more careful. 

A common question that arises during pregnancy is in regards to dental care. Should you go to the dentist while you’re pregnant? Can you get dental procedures such as a root canal? Here’s what dentists and dental specialists recommend. 

What is a Root Canal? 

The root canal is the inner chamber of a tooth containing the dental pulp, a soft tissue made up of primarily blood vessels and nerves. Root canal therapy is a procedure used to treat or prevent a tooth infection. When bacteria invades the root canal, such as through a crack in a tooth or a deep cavity, it can infect the pulp. An infected tooth can be painful and quickly spread to other parts of the mouth and body, so it should be treated promptly. 

A root canal procedure involves the removal of the dental pulp from the inside of the tooth, along with any infected tissue. The root canal is thoroughly cleaned out and disinfected, then filled with a rubbery composite material that takes the place of the dental pulp and is resistant to infection. In most cases a crown will be placed over the tooth following a root canal. 

Are Root Canals Safe For Patients Who Are Pregnant? 

A root canal procedure has been certified safe during pregnancy. Root canal therapy can be done with just local anesthesia, which is safe when administered during pregnancy. No additional sedation is required, which makes root canals extremely low risk. Nitrous oxide or other sedatives are not recommended during pregnancy, so it is best to avoid the use of these during your procedure. 

When is the Best Time to Have a Root Canal During Pregnancy?

If you are pregnant and need a preventive root canal, meaning the tooth is not infected but merely at risk of infection, the best time to have the procedure done is during your second trimester. By this time in your pregnancy any morning sickness you may have experienced will most likely have subsided. You will probably find it easier to lie on your back before the third trimester so that you will be more comfortable in the dental chair. 

How Long Can a Root Canal Wait? 

Putting off a root canal may be ok in some cases. As long as the tooth doesn’t hurt, it may be possible to wait until after the baby is born to have the procedure. But don’t wait too long afterwards, because the tooth is at risk of developing an infection. The sooner it is treated, the better the chance that it can be saved. 

If your tooth is already causing you pain, the root canal should not wait. The infection could spread and become a serious health risk to you and your unborn baby. 

Elite Endodontics of NH Provides Safe Root Canal Therapy 

If you are pregnant and in need of root canal therapy, Elite Endodontics of NH provides safe root canal procedures. We can perform the procedure with just local anesthesia to ensure the health and safety of you and your developing baby. All of the necessary precautions will be taken to ensure you are comfortable and safe. We would be happy to address any questions or concerns you may have regarding root canal therapy. 

Contact us today to learn more and schedule an appointment. 

A root canal is a restorative procedure that can often save a tooth that is infected or at-risk of infection. Root canals are common and many patients will need one at some point in their life. The procedure is typically short and simple and can usually be performed with just local anesthesia. If successful, a root canal can allow your natural tooth to remain in place in your mouth without the need for extraction and replacement. 

 

How do you know if you need a root canal? Here are the top 3 signs. 

 

Sign # 1: Your Tooth Hurts 

A toothache is a telltale sign of an infected tooth. A tooth becomes infected when bacteria invades the dental pulp, the soft tissue inside a tooth. The dental pulp contained in the root canal, the inner chamber of the tooth, is made up of blood vessels and nerves that are essential in the development of a tooth. This tissue can become infected through a deep cavity or damage to the tooth structure, which results in pain and inflammation. A toothache that doesn’t subside or becomes severe is an indication that you may need a root canal. 

 

Sign # 2: Your Tooth is Sensitive 

Another sign of a tooth that may be in need of a root canal is severe sensitivity. Mild sensitivity may occur when you eat or drink something that is cold, hot, or sweet. It usually subsides after the cause of the sensitivity is removed. However, when sensitivity is severe it lingers long after the source is removed. This often means that the nerves inside the tooth are exposed in some way, most likely from decay of the tooth enamel. This tooth is most likely at risk for infection and may need a root canal as a preventive measure. 

 

Sign # 3: Your Tooth is Cracked, Chipped, or Broken 

A tooth that is cracked, chipped, or broken is at an increased risk of infection. Bacteria can invade the root canal through a crack or chip in a tooth. A tooth with a significant portion broken off is also susceptible to infection. You may not be aware of a small chip or crack in a tooth until you experience sensitivity or develop a toothache. The tooth should be treated with a root canal and covered with a crown to prevent infection and preserve the natural root. 

 

What is a Root Canal?

The procedure is named after the part of the tooth it treats. During root canal therapy the dental pulp is removed, the root canal is thoroughly cleaned out, and the tooth is filled with a rubbery composite material that fortifies the tooth and prevents reinfection. In most cases a dental crown is placed over the tooth after a root canal to protect the existing tooth material from further infection or damage. 

 

Where Should I Go For Root Canal Therapy?

Many dentists perform root canals, but an endodontist specializes in root canal therapy and other treatments and procedures that affect the dental pulp. Endodontists address the health of the tooth from the inside out to help restore and maintain the natural teeth whenever possible. With specialized tools and equipment, as well as expert training, endodontists are often able to save teeth so that they can remain in your mouth without the need for retreatment. 

 

Elite Endodontics of NH Provides Root Canal Therapy

If you have any of the above signs that you might need a root canal, Elite Endodontics of New Hampshire can help. We specialize in endodontic treatment including root canal therapy. We make it our goal to save your natural teeth whenever possible so that they will last for the rest of your life. 

Contact us today to learn more and schedule an appointment.

Root canal retreatment, sometimes called endodontic retreatment, is essentially a repeat root canal. A tooth that has already had a root canal may become infected again, requiring repeat treatment. 

What causes a tooth to need a root canal retreatment? How do you know if you need retreatment? Learn the answers to these questions and more. 

 

What is a Root Canal?

To understand root canal retreatment, it helps to understand what root canal treatment is in the first place. A root canal is a procedure that is used to treat or prevent a tooth infection. When bacteria invades the dental pulp, the soft tissue at the center of the tooth, it can cause an infection. This can happen through a deep cavity, a crack in a tooth, or some other avenue. Root canal treatment involves the removal of the dental pulp from the tooth, cleaning out and disinfecting the root canal, and filling the tooth with composite material to prevent reinfection. 

 

Why is Root Canal Retreatment Necessary?

Sometimes a tooth that has had a root canal will develop a new infection. If this occurs, a repeat root canal could potentially save the tooth, allowing it to stay in place in your mouth. In many cases a tooth that has been treated with a root canal will last for the rest of your life. 

 

How Does a Tooth Become Reinfected After a Root Canal?

If the purpose of a root canal is to prevent reinfection, how does a tooth become reinfected? There are few different scenarios where this may occur: 

  • Incomplete root canal. If the first root canal was not complete, meaning some dental pulp was left inside the tooth, a new infection can develop. 
  • New canals have formed. Sometimes a tooth will develop new canals within the root of the tooth that were not there during the first treatment. These allow room for infection to develop. 
  • Infection was not completely eliminated. If some infected tissue or even a small amount of bacteria is left behind in the tooth during the first root canal, the infection may not clear up and begin to worsen. 
  • The tooth has new decay. A tooth that has had a root canal is still susceptible to decay, which could allow reinfection of the tooth through a cavity. 

 

What Makes Retreatment Different From the First Root Canal? 

The procedure for root canal retreatment is similar to the original procedure, but extra care is taken to ensure that the tooth is thoroughly cleaned out and filled. Special tools such as an endodontic microscope may be used to get a more detailed view of the root canal system within the tooth. Advanced cleaning methods are used to reach the smallest areas inside the tooth to ensure that no pulp or bacteria are left behind. The tooth is also thoroughly sealed off, typically with a dental crown placed over the top. 

 

How Do You Know if You Need Retreatment?

The symptoms that indicate the need for root canal retreatment are similar to the original symptoms you may have experienced: 

  • Toothache. If you have a toothache that is persistent and doesn’t go away with over the counter pain medication, you may need a repeat root canal. 
  • Extreme sensitivity. The tooth may be overly sensitive to heat and cold, and the sensitivity lasts after the source is removed. 
  • Discolored tooth. A tooth may look dark inside, either gray or brown in color, which indicates bleeding inside the tooth. 
    • Swollen gums around the tooth. The infection inside of a tooth can make the gums swell in that area. An abscess may develop that bleeds or oozes pus. 
  • Pain when chewing. If it hurts to chew in the area of the treated tooth, it may need retreatment. 

 

Where Should I Go For Root Canal Retreatment?

While many dentists perform root canals, if you have a tooth that needs to be retreated it may be best to see an endodontist. Endodontists specialize in treating teeth from the inside out. At Elite Endodontics of NH, root canals and endodontic retreatment are some of our most common procedures. We have the tools, technology, and expertise to provide retreatment that can give your tooth a second chance. Don’t give up on a tooth until you see us first. 

Contact us today to learn more and schedule an appointment. 

 

Contact our office today to schedule your appointment!

Hudson
182 Central Street
Hudson, NH 03051
Hookset
1310 Hooksett Road
Hooksett, NH 03106
Moultonborough
60 Whittier Hwy, Unit 1
Moultonborough, NH 03254
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