by Dr. Jacqueline S. Allen | Jun 24, 2020 | Blog, Endodontics, Endodontist, Phoenix Endodontic Group, Root Canal
Root canals are often the treatment of choice when you develop a serious infection involving your natural tooth’s pulp, or if your tooth has been chipped, cracked, or otherwise damaged. However, while root canals have a high success rate and a high patient satisfaction rate, not every root canal ends up being a permanent solution.
The factors that initially bring a patient to the endodontist influence whether their tooth can be saved by a root canal. Here is a short list of conditions that can make saving a tooth with a root canal treatment more challenging.
Factors That Can Interfere With Saving Natural Teeth With Root Canals
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Teeth with long or unusually curved roots. Endodontists use special tools and seal the roots. If a patient’s canals are hard to clean, it may be less likely that the treatment will be permanently successful.
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A crack in the tooth root. Even though teeth treated with a root canal are protected above the gum line with a restoration such as a crown, if the root itself develops a crack, infection can re-enter the tooth.
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Advanced periodontal disease. Your gums play an integral role in your oral health and if you have severe or recurrent gum disease, saving your natural tooth through a root canal is far less likely to be successful.
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Previous root canal treatment of the tooth. There are ways to treat a tooth if the original root canal fails, such as a retreatment or an apicoectomy. However, the success rates for additional procedures are not as high as for a first-time root canal treatment.
“Although root canal treatment often provides a lifelong solution for a damaged or infected natural tooth, it isn’t the best choice for every patient,” says Dr. Allen, an endodontist who practices with the Phoenix Endodontic Group. “Our staff can perform a thorough examination and advise you on your best treatment options.”
by Dr. Jacqueline S. Allen | May 20, 2020 | Blog, Endodontics, Save Your Tooth Month
While 2019 may have been the year of decluttering, thanks to author Marie Kondo, this year people are considering the value of conserving the things that matter the most to them. Savingfamilyscrapbooks is a no-brainer when it comes to things to hold on to, but what about saving one of the most important parts of our body – our teeth?
In 2019, the American Association of Endodontists (AAE) expanded their Root Canal Awareness Week, traditionally observed during May, into SaveYourToothMonth. The organization has amplified its message that endodontics – the dental specialty area concerned with treating and better supporting the function of dental pulp – plays an important role in helping clients retain use of their natural teeth for a lifetime.
Why Is Saving My Teeth Important?
Our teeth are crucial to our ability to eat, speak, and smile. When a tooth is extracted because it has been damaged by infection or trauma, other teeth can shift, leading to a host of dental problems.
A smile (or lack of one) is one of the first things others notice, so if you are missing even a few natural teeth, your self-confidence can plummet. Dental restorations such as bridges and dental implants can provide significant support to those who have lost a natural tooth, but the procedures to provide them are often costly and require repeated dental visits to complete.
How Can Endodontics Help Preserve My Natural Teeth?
Endodontic dental specialists have benefited from improvements in technology and technique in the last generation and have multiple ways to help save your natural teeth. Some of their most common services include:
- Root canal treatment
- Endodontic retreatment of failing root canals
- Apicoectomy, or root-end resection, which treats the bone around the tip of your tooth root
- Stabilizing and providing emergency care to teeth that have been knocked out or suffered other types of dentaltrauma
“The primary goal of endodontics is to save your natural teeth,” says Dr. Jacqueline S. Allen, founder of and current practitioner at the Phoenix Endodontic Group. “Our staff provides individualized guidance to each client on the best ways to help them keep their teeth and avoid extractions whenever possible. Our offices stand ready to help you deal safely with all your endodontic needs.”
by Dr. Jacqueline S. Allen | Apr 22, 2020 | Blog, Dental Implants, Phoenix Endodontic Group
When considering dental implants, you can expect your endodontist to allow three to six months for healing, after placing the implant and before placing a permanent restoration on top of the tooth. The implant and its crown will take the place of your natural tooth. There are several factors influencing how quickly a dental implant will heal, and their interplay determines how quickly you can expect the process to be finished.
What Influences The Dental Implant Healing Process?
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Bone loss in the area of the jaw receiving the implant. If the dental implant is replacing a missing tooth, or if the natural tooth being extracted was damaged, the bone density at the implant site may not be sufficient to allow the metal implant post and the jawbone to grow together. A bone graft may be required to prepare the site before the implant can be placed. In this case, the implant may require up to six months of healing before a permanent restoration can be placed on top of it.
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Location of the natural tooth being replaced by the dental implant. A dental implant intended to replace a front tooth with its small roots will generally take less time to heal than back teeth or teeth with longer roots.
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The presence of gum disease or infection in the natural tooth to be replaced. Active infection in a tooth or gum disease near the implant site will require a longer healing period because the infection or disease must first be controlled and healed.
Often, a temporary restoration such as a crown can be placed on a dental implant while it is healing. This is an option when it will not endanger the integration process, which will be evaluated by your endodontist.
“Two of the most important phases of the dental implant process are the diagnostic and planning stages,” says Dr. Jacqueline S. Allen, who practices with the Phoenix Endodontic Group. “Careful examination of the current state of a patient’s teeth and gums can help us provide a more accurate healing timeline.”
by Dr. Jacqueline S. Allen | Mar 31, 2020 | Blog, Endodontics, Endodontist, Root Canal
A damaged or infected tooth needs to be assessed by a dental professional as soon as possible. Endodontists are dental professionals who specialize in saving natural teeth through root canal treatments and other procedures. However, even with today’s technology, the most skilled of endodontists cannot save every tooth. There are times when the best course of action is simply to have a failing tooth removed.
Situations In Which A Root Canal Is Better
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The symptoms of a damaged tooth are recognized early. If you notice severe pain while chewing, a pimple on your gum, tender gums, lasting sensitivity to hot or cold foods, or certain other symptoms that indicate your tooth’s pulp is infected, schedule an appointment with your dentist or endodontist immediately. The sooner your tooth can be examined, the more likely it is your natural tooth can be saved.
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Your tooth’s structure is still strong. Root canals remove the nerve pulp inside your tooth’s roots and replace them with a biocompatible material. A crown is placed over the treated tooth to provide it with additional support. This treatment can be effective long-term 95 percent of the time, but if your tooth’s structure has been eroded by decay or injury, it is much less likely to be successful.
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Your tooth roots are relatively easy to clean. The success of a root canal hinges largely on how well your endodontist can remove infection from your tooth roots before sealing the canals. If you have long or unusually shaped root canals, this may be difficult.
When Extraction Is Better
Your dental professional may recommend a tooth extraction if any of the following are true:
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The tooth is badly decayed
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The tooth has suffered a severe fracture
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The tooth isn’t supported well by the surrounding gum tissue due to periodontal disease
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The tooth has received a root canal treatment or retreatment and is still failing
“Your endodontist can determine whether an extraction and tooth replacement or a root canal is the better option for your natural tooth,” says Dr. Allen, who practices with the Phoenix Endodontic Group. “Both treatments are effective in restoring your mouth’s function and appearance.”
by Dr. Jacqueline S. Allen | Feb 20, 2020 | Blog, Dental Implants, Phoenix Endodontic Group
Sometimes to get the right answer about your oral health, you have to ask the right question. If your question is “Is it possible to perform a dental implant in one day?” the answer is a definite yes. However, if your question is “Can I have a dental implant done in one day?” the answer is a solid maybe.
Over the past few decades, dental implants – whether to replace one tooth or an entire arch of teeth – have become a popular alternative to dentures. However, a dental implant is a complex procedure. Your dentist or oral surgeon will need to conduct a thorough examination of the state of your teeth and gums to determine if a single-day implant would be successful for you in the long term.
Factors That Determine Whether A Single-Day Implant Process Is Possible
- How many natural teeth need to be replaced. The greater the number of failing or missing natural teeth, the more pre-treatment assessment planning it will take to ensure the success of a single-day implant. If failing teeth are to be extracted at the same time as the dental implants are placed, this will also impact how your dental team approaches the procedure.
- The bone density of your jaw. Dental implants are secured by metal posts or fixtures that are placed in your jawbone. If you need numerous implant posts to support the crowns that will replace your lost teeth above the gumline, you may need to undergo bone grafts to increase bone density.
- Your gums and remaining teeth must be healthy. For a single-day dental implant procedure to succeed, your mouth should be free of gum disease and infected or damaged teeth.
- You can commit to a significant healing period after your single-day implant is delivered. After a dental implant procedure, you must carefully watch what you consume for six to eight weeks, while your implants integrate into your jaw.
“Advancements in both technology and dental implant techniques allow us to place dental implants faster and with far less discomfort than ever before,” says Dr. Jacqueline S. Allen, an endodontist in practice at the Phoenix Endodontic Group. “Our staff can evaluate the condition of your teeth and gums and provide an accurate estimate of how long your dental implant may take to complete.”
by Dr. Jacqueline S. Allen | Feb 10, 2020 | Blog, Endodontist, Phoenix Endodontic Group, Root Canal
Dr. Jacqueline Allen is qualified to utilize the minimally invasive Waterlase™ to treat dental conditions with less discomfort to the patient and in some cases use less to no anesthetic. Dr. Allen completed the advanced endodontics continuing education with Dr. William Chen, at the Chen Laser Institute. The course provided in depth training for laser-assisted endodontics to help meet many of the toughest clinical challenges and techniques on single and multiple root canal therapy using the laser, among other advanced endodontic techniques.
Waterlase Dentistry uses laser energy and a gentle spray of water to perform a wide range of dental procedures — without the heat, vibration, and pressure associated with the dental drill, and in many cases without the blood of a traditional scalpel. Dr. Jacqueline Allen offers Waterlase™ treatments to patients who would prefer to receive the latest laser treatment as an alternative to more traditional oral surgery methods.
Those who suffer from anxiety due to past dental experiences or fear of needles are more likely to feel calm and relaxed when receiving treatment with the gentle Waterlase™ system, with many patients reporting no or less pain, and many cases of fewer shots. Laser-based dental care has also been shown to cause less swelling and bleeding at the treatment site. Patients have been shown to recover more quickly, with faster healing, with the use of Waterlase, making dental care a much more convenient and pleasant experience.
Patients who are interested in making an appointment with an endodontist in Phoenix, AZ., who utilizes laser technology to treat oral problems are invited to schedule an appointment with Dr. Allen’s office at their convenience. To learn more about this cutting-edge dentistry technology visit biolase.com.
