Consultation:
The consultation visit involves a discussion regarding the type of treatment that is proposed. This involves the use of visual aids and diagrams as well as a discussion as to expectations, the prognosis, and risks involved with root canal therapy.
Exam:
An endodontic exam involves three main components. Every patient who presents to our office undergoes all three components before any treatment is rendered.
1) Past dental histories: The recent and past dental history and symptoms are reviewed and discussed using the pain rating scale.
2) X-rays: Dental radiographs are taken usually with 2 to 3 different views. These are reviewed and studied by the treating doctor.
3) Oral Exam: The clinical intraoral exam involves the use of simple tests such as a periodontal exam and a thermal exam as needed.
Proper procedure in making a diagnosis involves the use of all three of the above components.
Treatment:
Most endodontic treatment in a specialist office involves just one visit and a one-two hour treatment. The treatment is not painful! The area to be treated is thoroughly anesthetized with local anesthetics. The amount of anesthetic used is usually more than a normal dental procedure, such as a filling. After treatment is completed, minimal medication is necessary. Usually over-the-counter analgesics (pain medications) are used for the first day after treatment is completed. The most common discomfort after root canal therapy involves a high bite where a patient prematurely applies pressure to the treated tooth. The solution is a simple adjustment which relieves the pressure.
Post-Operation Treatment:
As endodontists, we only do what is asked by our referring dentist. Some dentists request that we do the permanent restoration after treatment, but usually we refer our patients back to the referring dentist for any additional restorative treatment.
