Kingston, PA Dentistry | Endodontics

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Endodontics is a specialized branch of dentistry that focuses on the complex structures inside the teeth. The Greek word “endodontics” literally means “inside the tooth” and relates to the tooth pulp, tissues, nerves, and arterioles. Endodontists receive additional training after dental school to perform both complex and simple procedures, including root canal therapy.

Historically, a tooth with a diseased nerve would be removed immediately, but endodontists are now able to save the natural tooth in most cases. In general, extracting the infected inner structures and then sealing the tooth with a crown can restore health and function.

Signs and Symptoms of Endodontic Problems

Inflammation and tenderness in the gums
Sensitivity to hot and cold
Tenderness when chewing and biting
Tooth discoloration
Unexplained pain near the lymph nodes

Reasons for Endodontic Treatment

Endodontic treatment (root canal therapy) is performed to save the natural tooth. Even with many advanced restorations available, there’s still no substitute for healthy, natural teeth.

Bacterial infections – Oral bacteria are the most common cause of endodontic problems. Bacteria can invade the pulp through tiny fissures caused by decay or injury. The resulting inflammation and infection jeopardize the tooth and may lead to an abscess.

Fractures and chips – When a large portion of the tooth’s surface or crown breaks away, root canal therapy may be required. Exposed pulp is painful and problematic if left untreated.

Injuries – A direct or indirect blow can luxate (dislodge) a tooth from its socket. Root canal therapy is often needed after the endodontist stabilizes the tooth.

Avulsions (knocked-out teeth) – If a tooth is knocked out, rinse it and place it back in the socket as quickly as possible. If that isn’t possible, place it in a tooth preservation solution (from a pharmacy) or in milk to keep the tissues moist while you seek emergency care. The tooth is splinted, and root canal therapy is typically performed to save it.

What Does an Endodontic Procedure Involve?

Root canal therapy usually takes one to three visits. Complete X-rays are taken and reviewed before treatment. A local anesthetic is administered and a dental dam is placed to keep the area dry. An opening is created in the tooth, and the infected pulp is removed using precision instruments.

The space is shaped, cleaned, and filled with gutta-percha (a biocompatible, rubber-like material). Cement is applied to ensure the canals are sealed. A temporary filling restores function until the final visit, when a permanent restoration or crown is placed.

If you would like to schedule an appointment or have any questions, please contact us at our Kingston, PA dental practice today. Our Kingston dentists welcome patients throughout the area, serving families from Kingston, Wilkes-Barre, Pittston, and Scranton.

CALL US: (570) 288-6220 REQUEST APPOINTMENT