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. 

Endodontics is a dental specialty that focuses on the health of the teeth from the inside out. It is just as important for children as it is for adults, yet it seems that many endodontic practices don’t offer services for children. In fact, Elite Endodontics of NH is the only endodontic practice in New Hampshire that treats children. 

Is your child in need of endodontic treatment in Hudson, Hooksett, or the surrounding areas? Elite Endodontics of NH provides pediatric endodontics for young patients who need specialized care. 

What is Endodontics? 

Endodontics focuses on the soft tissue on the inside of a tooth called the dental pulp. The pulp is made up of blood vessels and nerves that sustain the tooth. Just like the bones of your skeletal system, your teeth are a living part of your body. This means they are susceptible to infection and other health problems. If bacteria invades the root canal, the inner chamber of a tooth that contains the dental pulp, it can become infected. An endodontist provides treatments and procedures that help preserve the health of your teeth with the goal of keeping them in place and functional in your mouth. 

What is Pediatric Endodontics? 

Pediatric endodontics refers to endodontic procedures that are specifically designed for children. Children’s teeth are susceptible to infection as well, both primary (baby) teeth and permanent teeth. Many of the same procedures that are performed on adult teeth can also be performed on children’s teeth. 

Endodontic Procedures We Offer For Children

There are a few different endodontic procedures that may be used for children’s teeth to treat and prevent infection: 

• Vital pulpotomy. This procedure is essentially the same as an adult root canal. The pulp is removed from the inside of the tooth and the root canal is cleaned out and disinfected. The tooth is then filled with composite material to replace the pulp. The tooth is typically covered with a dental crown following a pulpotomy. 

• Direct pulp cap. When decay or damage to a tooth exposes the dental pulp, even slightly, the tooth is at risk of infection. A direct pulp cap may be used to prevent infection in this case. Antibiotics are applied to the pulp to prevent infection and the exposed portion of the tooth is filled with composite material. 

• Indirect pulp cap. When decay or damage to a tooth is close to the dental pulp but not yet exposing it, an indirect pulp cap may be used to prevent infection. In this case the decay is removed and the tooth is filled with composite material, but no medicine is applied. 
• Protective base. If there is tooth decay that may pose a risk of infection, a protective base can be applied before the filling to provide an extra layer of protection. 

When Does a Child Need to See an Endodontist?  

Many pediatric and family dentists perform root canals on children’s teeth. However, certain situations call for the expertise of a specialist to have the best chance of saving a tooth. Even baby teeth sometimes need endodontic procedures to treat and prevent infection while they serve their intended purpose. Before they fall out naturally, baby teeth serve as placeholders for the permanent teeth and allow children to develop proper speech and chewing habits. Every tooth is important, and endodontics helps keep them healthy. 

Schedule an Appointment Today 

If your child is in need of endodontic treatment, Elite Endodontics of NH provides pediatric endodontic services for children of all ages. We believe that baby teeth and permanent teeth are important for oral health, as well as a child’s overall health and wellness. We are currently the only endodontic practice in the state of New Hampshire who provides pediatric services, and we would be happy to welcome your child as a new patient. 

Contact us today to learn more and schedule an appointment at one of our two convenient locations. 

An endodontist is a dental specialist who treats teeth from the inside out. The primary focus of endodontics is the dental pulp, the soft tissue at the center of a tooth. When this tissue is damaged, infected, or at risk, endodontic procedures are used to treat and protect the tooth.

What Qualifications Does an Endodontist Have? 

An endodontist is a dentist who specializes in endodontics. An endodontist must first complete the educational requirements of a general dentist, and then complete additional training in endodontics. The additional training on top of general dentistry certification takes an additional 2-3 years to complete.

What Services Does an Endodontist Provide? 

An endodontist provides a range of dental and endodontic services related to the dental pulp, including: 

• Root canal therapy. If a tooth is infected or at risk of infection, a root canal is a procedure used to treat or prevent it. Bacteria can invade the root canal of a tooth and infect the dental pulp through decay or damage to the tooth or root structure. Root canal therapy removes the dental pulp, thoroughly cleans out the root canal, and fills the tooth with a replacement material that is resistant to infection. 

• Endodontic retreatment. In some cases a tooth that has already had root canal therapy will need retreatment. This may occur if new decay in the tooth exposes the root canal again, or if the root canal was not thoroughly cleaned out the first time. The procedure is essentially the same as the original root canal. 

• Endodontic surgery. If the source of infection is the root of a tooth, endodontic surgery may be necessary. This involves going in under the gums to access the root of a tooth to treat the infection at the source and repair the damage to the root that is allowing bacteria to enter. 

• Cracked tooth treatment. A cracked tooth often needs a root canal to treat or prevent infection. A crack in a tooth can expose the dental pulp to bacteria unless it is treated and covered with a crown. 

• Dental trauma. Endodontists treat knocked out teeth, broken teeth, and other types of dental trauma that may affect the health of a tooth. 

Why Do I Need to See an Endodontist? 

Your dentist may refer you to an endodontist if you have a severe tooth infection or a tooth that has become reinfected after a root canal. Complex cases may need treatment from a specialist with advanced equipment and expertise. In the case of dental trauma, such as a knocked out tooth, the chance of saving the tooth increases when it is addressed by a specialist. 

How Do I Find a Qualified Endodontist? 

Look for a certified, licensed endodontist who has earned the specialization in the field. Ask for proof of credentials if it would help you feel more confident in an endodontist’s abilities. Consider how much experience they have and whether or not their office technology is up to date. Read online reviews to see what patients are saying about the practice. Ask your dentist for recommendations. 

Elite Endodontics NH Provides Quality Endodontic Services

Elite Endodontics of New Hampshire provides a wide variety of endodontic services across two locations. We perform root canal therapy using GentleWave® technology to make the procedure less invasive and more effective. GentleWave® uses sound waves to move liquid in such a way that it flushes out the root canal of a tooth gently, preventing the need for scraping with traditional dental tools. Benefits include accelerated recovery and reduced need for endodontic retreatment. 

Contact us today to learn more and schedule an appointment. 

Apical dental surgery is also known as an apicoectomy or root-end resection. The term "apical" refers to the apex or tip of the tooth's root.

Apical dental surgery takes about 40 minutes to an hour and a half, depending on the tooth's location and the severity of the infection in the root tip.

Apical dental surgery typically happens after a root canal, when the infection persists in the tip of the root after the dentist clears it from larger canals and the tooth's crown. This dental procedure removes the root tip to stop infection.

Why is Apical Dental Surgery Necessary?

If you still have pain and swelling after having a standard root canal, the infection could have spread to the tip of the root. In this situation, apical dental surgery becomes necessary. The need for an apicoectomy could present itself months to years after the initial root canal.

If you have pain or swelling at any point after a root canal, you should see an endodontist as soon as possible for an evaluation. Pain in the root's apex can be severe even though the infected area is small.

If you do not have the surgery, the infection can spread to surrounding areas and lead to tooth loss. Apical dental surgery can save your tooth and protect your overall oral health.

Procedure for Apical Dental Surgery

During apical dental surgery, the endodontist retracts the gum tissue surrounding the tooth to access the underlying bone. The endodontist then removes any infected or inflamed tissue. They also cut and remove the tip of the root.

The endodontist often uses a surgical microscope to accurately target and remove damaged tissue. Microsurgery increases the chances of a successful procedure.

The endodontist may put a filling at the end of the root to protect the tooth's interior. Finally, they suture the gums to promote proper healing.

If you received only local anesthesia or nitrous oxide, you could drive yourself home from the appointment. If you have a deeper type of sedation, you must follow the endodontist's instructions.

Recovering from Apical Dental Surgery

You will not feel any pain during the procedure thanks to local anesthetics. After the procedure, you may feel discomfort or swelling during the healing process, but it should not last very long. Ensure that you follow the endodontist's post-operative instructions for the best results.

Call Elite Endodontics of NH

Apical dental surgery can relieve pain and treat potentially severe infections that lead to tooth loss. Apical surgery can be tricky and may not relieve pain or infection if done improperly. It is best to see a highly qualified endodontist for a delicate procedure like apical surgery rather than going to your family dentist.

Contact Elite Endodontics of NH at our convenient Hudson or Hooksett offices. We can help you set up an appointment and relieve the pain of an apical infection.

Root canal therapy has come a long way over the past several decades. This common endodontic treatment is no longer a procedure to be feared, thanks to significant advancements in techniques and dental technology. As such, if your dentist informs you that you need a root canal, there is no need to panic. Read on to learn what to expect during a root canal procedure using the latest technology. 

 

Will My Root Canal Hurt?

Endodontists know that millions of people are afraid of dental treatment. However, despite myths that persist, root canals have become completely painless procedures. Your endodontist will ensure that the tooth to be treated and the area surrounding that tooth is entirely numb before beginning your treatment.  

 

If the thought of a shot to numb the tooth makes you fearful or anxious, sedation options are available from top endodontists. Options for sedation include laughing gas (nitrous oxide) and prescription sedatives that are taken before your appointment. If you suffer from severe dental phobia, I.V. sedation, administered by a Board-Certified anesthesiologist, may also be an option.  

 

New endodontic techniques, including the GentleWave® Procedure, also ensure your comfort. This minimally invasive technology is effective at thoroughly cleaning the complex root system within a tooth. It can also help preserve more of the natural tooth and expedite healing.  

Steps Performed During a Root Canal

Once your tooth and surrounding area are completely numb, your endodontist will drill a small hole in your tooth to access the pulp. 

 

Your endodontist will then remove the pulp, including all decay, debris, and bacteria inside the tooth. To ensure that the tooth is completely free of bacteria and decay they may use a technologically advanced tool called an electronic apex locator. These devices allow endodontists to accurately measure the length of the root canal, ensuring no debris is left behind.

 

Your endodontist will then reshape the canals to prevent future infections before disinfecting the interior of the tooth. If there are signs of a severe infection, an antibiotic medication may be applied.

 

Next, a putty-like dental material (gutta percha) will be used to fill and seal the tooth.  The tooth will then be covered with a crown. In some cases, you may receive a temporary crown, and return to your dentist for a permanent crown. In other cases,  your endodontist may use CAD/CAM technology to manufacture your permanent crown and place it on the same day. 

Recovery from Root Canal Therapy: What to Know

You may experience tenderness, swelling, and mild discomfort in the days that follow your treatment. However, if you were experiencing severe pain before your treatment, you’ll find that pain is soon alleviated. 

 

During the days that follow your treatment, you should stick with soft foods and chew on the opposite side of your mouth. You may manage pain with an over-the-counter pain reliever.  If you experience severe pain after a root canal, notify your endodontist.

 

Book Your Root Canal or Other Endodontic Treatment in NH

At Elite Endodontics NH, we employ all the latest advances in endodontic technology to ensure excellent results and comfortable care. To book a root canal or other endodontic treatment in Hooksett or Hudson, NH, call 603-882-5455. You may also send us a message to request an appointment, and our team will contact you to find a convenient time for your treatment.

Regenerative endodontics is a cutting edge treatment for conditions affecting the root canal of a tooth. The term regeneration essentially means new growth, specifically new tissue growth that results in healing of damaged or deteriorated tissue. Regenerative endodontics targets the root canal of a tooth to encourage new growth of root tissue in teeth with underdeveloped roots.

How Does Regenerative Endodontics Work?

Regenerative endodontics works in a few different ways: 

• Stem cells. Non-specific types of cells called stem cells are beneficial for their ability to divide and produce more cells. The cells produced by stem cells are specific cell types that the targeted area needs in order to heal and regenerate. 

• Scaffolding. Similar to the apparatus used in construction to support a structure that is being built or repaired, scaffolding is also used in endodontics to provide support for the tissue that is being regenerated. Endodontic scaffolding is applied to the inside of the tooth in the root canal. 
• Growth factors. Proteins called growth factors bind to the cells to signal the production of the desired type of cell needed for regeneration. 

Together these three aspects of endodontic regeneration treatment encourage regrowth of tissue in and surrounding the root canal of a tooth to strengthen it and help it to mature. 

What Endodontic Conditions Can it Treat?

Endodontic regeneration may be used to treat the following: 

• Underdeveloped roots. When a permanent tooth fails to mature, the roots will be underdeveloped, resulting in shortened roots and limited root canal chambers. Endodontic regeneration encourages the roots to grow and develop as they should. 

• Pulpal necrosis. Damage, infection, or lack of blood supply to the dental pulp can cause death of the tissue, or pulpal necrosis. Endodontic regeneration can encourage new growth of dental pulp in the tooth. 

• Repeat pulp infection. When a tooth becomes reinfected after having root canal therapy, endodontic regeneration can remove the infection and encourage the tooth to grow stronger to prevent further infection. 

How Effective is Regenerative Endodontics?

Although this method of treatment is still relatively new, studies have shown positive outcomes for patients with conditions affecting the root canal and dental pulp of one or more teeth. When a tooth has been treated repeatedly without success, regeneration may be the solution that will save the tooth. Regenerative strategies are often used in endodontic retreatment to strengthen the walls of the root canal to prevent bacteria contamination that can lead to reinfection. 

How Does Endodontic Regeneration Differ From Root Canal Therapy?

The traditional root canal procedure involves removing the dental pulp from the inside of the tooth and replacing it with a filler material that preserves the tooth. In endodontic regeneration, the filler material is specifically designed to encourage regrowth of the dentin. It may include a combination of stem cells, scaffolding, and growth factors that fortify the tooth structure. 

Elite Endodontics of NH Provides Regenerative Therapy 

Regenerative endodontics is an advanced therapy we are proud to offer to save teeth that may otherwise need to be extracted. We believe in the benefits of regenerative therapy for teeth with underdeveloped roots that lead to the breakdown of the dentin and pulp. Our goal is to provide treatment that can save your natural teeth and help them remain in place for your lifetime. 

To learn more, call 603-882-5455 or contact us today to schedule an appointment.

Endodontics is the diagnosis and treatment of conditions affecting the dental pulp, the soft tissue inside of a tooth made up of blood vessels and nerves. Endodontic treatment most commonly refers to a root canal, and endodontic retreatment is simply a repeat root canal. Why is a repeat root canal necessary? There are a few possible reasons that a tooth that has already been treated with a root canal may need further treatment. 

What is a Root Canal?

A root canal is a procedure used to treat or prevent an infected tooth. The root canal is the inside portion of the tooth that contains the dental pulp. If bacteria invades the root canal it can infect the dental pulp, causing pain and damage to the tooth structure. 

A root canal procedure involves removing the dental pulp, including any infected tissue, and replacing it with a rubbery filling. This relieves the pain from the infection by removing the nerves and prevents reinfection of the tooth in most cases. The tooth is typically covered with a crown to protect the remaining tooth material and the natural root. 

When is Endodontic Retreatment Necessary?

A tooth that has had a root canal will sometimes become reinfected, resulting in the need for a repeat root canal, called endodontic retreatment. This may occur if: 

• The tooth fails to heal properly. If the tooth and the surrounding tissue doesn’t fully heal after the first root canal, the tooth may become reinfected. 

• Some dental pulp was left in the tooth. Sometimes there is dental pulp left behind after the first root canal, which is capable of being reinfected. 

• The root canal was not completely filled. In some teeth there are many root canals, some of which are small and difficult to see during the first root canal procedure. If any portion of the root canal was not filled it could be susceptible to infection. 

• The crown or filling is not secure. If the crown or filling is not securely placed and bonded after the first root canal, it can allow bacteria to enter the tooth again. 

• The remaining tooth material cracks or breaks. After a tooth has been restored the tooth material or root beneath the crown could still crack or break, resulting in the need for a repeat root canal and further restoration. 

• The tooth develops new decay. The remaining natural tooth material is still susceptible to decay. A deep cavity can allow bacteria to invade the root canal again. 

What Does Endodontic Retreatment Entail?

If you have a tooth that needs a repeat root canal, the first step is to remove the current crown or filling. Then the filling material and any leftover dental pulp will be removed. The tooth will be flushed out and disinfected to remove all of the infection. A thorough inspection of the tooth will be done with an endodontic microscope to locate all of the root canals and chambers inside of the tooth to make sure no area is missed. Then filling is applied to the inside of the tooth, taking care to leave no spaces unfilled. The crown is reattached or a new crown is placed. 

Benefits of Endodontic Retreatment

Is it worth having a repeat root canal? Consider the following benefits of endodontic retreatment: 

• Save the tooth. The goal of a root canal is to save the existing tooth and keep it in place in the mouth where it can look and function naturally. The goal is the same for endodontic retreatment. 
• Relieve pain. An infected tooth can be extremely painful, even if it’s the second time. A repeat root canal will relieve your pain by removing the infected tissue and the nerves inside the tooth. 

• Prevent further infection. Endodontic retreatment is a more thorough procedure, usually performed by a certified endodontist, that should prevent further infection for good. 

Elite Endodontics of NH Provides Endodontic Retreatment 

If you have a tooth that is in need of a repeat root canal, it is best to see an endodontist. Elite Endodontics of NH specializes in root canals and endodontic retreatment, using advanced technology and techniques to ensure that endodontic treatment is thorough and effective with the hope of preventing the need for retreatment. Our goal is to provide you with lasting treatment that will save your tooth and preserve it for your lifetime. 

Call 603-882-5455 or contact us today to learn more and schedule your appointment.

Endodontics is the diagnosis and treatment of conditions affecting the dental pulp, the soft tissue inside of a tooth made up of blood vessels and nerves. Endodontic treatment most commonly refers to a root canal, and endodontic retreatment is simply a repeat root canal. Why is a repeat root canal necessary? There are a few possible reasons that a tooth that has already been treated with a root canal may need further treatment.

What is a Root Canal?
A root canal is a procedure used to treat or prevent an infected tooth. The root canal is the inside portion of the tooth that contains the dental pulp. If bacteria invades the root canal it can infect the dental pulp, causing pain and damage to the tooth structure.

A root canal procedure involves removing the dental pulp, including any infected tissue, and replacing it with a rubbery filling. This relieves the pain from the infection by removing the nerves and prevents reinfection of the tooth in most cases. The tooth is typically covered with a crown to protect the remaining tooth material and the natural root.

When is Endodontic Retreatment Necessary?
A tooth that has had a root canal will sometimes become reinfected, resulting in the need for a repeat root canal, called endodontic retreatment. This may occur if:

The tooth fails to heal properly. If the tooth and the surrounding tissue doesn’t fully heal after the first root canal, the tooth may become reinfected.

Some dental pulp was left in the tooth. Sometimes there is dental pulp left behind after the first root canal, which is capable of being reinfected.

The root canal was not completely filled. In some teeth there are many root canals, some of which are small and difficult to see during the first root canal procedure. If any portion of the root canal was not filled it could be susceptible to infection.

The crown or filling is not secure. If the crown or filling is not securely placed and bonded after the first root canal, it can allow bacteria to enter the tooth again.

The remaining tooth material cracks or breaks. After a tooth has been restored the tooth material or root beneath the crown could still crack or break, resulting in the need for a repeat root canal and further restoration.

The tooth develops new decay. The remaining natural tooth material is still susceptible to decay. A deep cavity can allow bacteria to invade the root canal again.

What Does Endodontic Retreatment Entail?
If you have a tooth that needs a repeat root canal, the first step is to remove the current crown or filling. Then the filling material and any leftover dental pulp will be removed. The tooth will be flushed out and disinfected to remove all of the infection. A thorough inspection of the tooth will be done with an endodontic microscope to locate all of the root canals and chambers inside of the tooth to make sure no area is missed. Then filling is applied to the inside of the tooth, taking care to leave no spaces unfilled. The crown is reattached or a new crown is placed.

Benefits of Endodontic Retreatment
Is it worth having a repeat root canal? Consider the following benefits of endodontic retreatment:

Save the tooth. The goal of a root canal is to save the existing tooth and keep it in place in the mouth where it can look and function naturally. The goal is the same for endodontic retreatment.
Relieve pain. An infected tooth can be extremely painful, even if it’s the second time. A repeat root canal will relieve your pain by removing the infected tissue and the nerves inside the tooth.

Prevent further infection. Endodontic retreatment is a more thorough procedure, usually performed by a certified endodontist, that should prevent further infection for good.

Elite Endodontics of NH Provides Endodontic Retreatment
If you have a tooth that is in need of a repeat root canal, it is best to see an endodontist. Elite Endodontics of NH specializes in root canals and endodontic retreatment, using advanced technology and techniques to ensure that endodontic treatment is thorough and effective with the hope of preventing the need for retreatment. Our goal is to provide you with lasting treatment that will save your tooth and preserve it for your lifetime.

Call 603-882-5455 or contact us today to learn more and schedule your appointment.

The root canal is one of the most well known types of dental treatments out there. However, did you know that there are several different types of root canal treatments? Depending on the severity of your mouth infection, a non-surgical root canal or a surgical root canal, also known as endodontic surgery, may be required.

Here are the differences between the two, and why your dentist may recommend one over the other:

What is a Non-Surgical Root Canal: 

Most of the time, when people are discussing root canals, they mean a non-surgical root canal. Inside your teeth is pulp, which is tissue that acts as pathways for nutrients to help your teeth grow. Disease and poor oral hygiene can cause bacteria to build up and infect the pulp in your teeth. Depending on the severity of the infection, the pulp may need treatment.

A root canal is a procedure in which the pulp is removed via an incision in your teeth. Fully grown teeth no longer need pulp, so there is no lasting harm caused by removing the pulp. By removing severely infected pulp, the tooth itself can be saved instead of having to be extracted and replaced.

There are multiple signs to be aware of that can help you determine whether you need a root canal. This includes mouth pain, gum bleeding or pus leakage, or an extreme, painful sensitivity to hot or cold foods. Dental x-rays are the best way to identify whether you need a root canal, so be sure to perform semi-annual dental examinations with your preferred dentist.

What is Endodontic Surgery:

In general, root canals are very successful and ensure no further infection will set into your teeth. However, on very rare occasions, the infection may return. In some instances, pulp infection may be so extreme that a traditional non-surgical root canal treatment alone won’t be enough to resolve your oral issue.

In these situations, endodontic surgery is required to treat your tooth. Instead of cutting into your teeth again, a small incision is made in the gums at the base of your tooth. Instead of just removing the pulp, infected roots are also removed through this surgery.

Endodontic surgery is more extensive than common root canal treatments. However, contrary to the popular myth, neither treatment is painful. Anesthesia is used to numb the pain, and some patients are even able to return to school or work the same day that they get their treatment done.

Be sure to follow all recommended dental suggestions to ensure full recovery and avoid retreatment after root canal or endodontic surgery.

Trust Elite Endodontics of NH for your Oral Health:

It is very difficult to determine whether you need a root canal, endodontic surgery, or some other dental treatment just by looking in your home mirror. Different patients have different needs, and just because you're not experiencing any mouth pain doesn't mean you don’t have a dental infection.

For patients looking for a professional and experienced endodontist near Elite Endodontics of NH, New Hampshire, we hope you’ll contact us when you need treatment. Our endodontist, Dr. Tadros, and his support staff are specialists in providing endodontic treatments. You’ll get proper treatment to resolve your pain, and the follow up treatment you need to make sure it stays away.

If you have any questions about whether you need endodontic treatment or would like to know more about our practice, contact us today! We’ll be happy to answer any questions you have, and look forward to helping you restore your happy and healthy smile.

With proper dental care and regular, preventative hygiene, teeth that have had root canal treatment can usually last a lifetime. However, sometimes a tooth that’s been treated doesn’t properly heal, and can then become diseased or painful months or years after your endodontic treatment.

So what happens next? An additional procedure, called an endodontic retreatment may be used to help healing and save your tooth. It’s important to speak with an endodontist as soon as possible should pain or discomfort occur, so that retreatment can take place quickly, preventing further issues.

After all, endodontic retreatment has a high success rate if undertaken in a timely fashion, helping patients avoid a tooth extraction or replacement. 

Why is Endodontic Retreatment Needed?

Endodontic retreatment could be necessary due to a number of issues such as:

• A previously treated tooth heals improperly or becomes painful again 
• The treated tooth is reinfected from new decay
• The treated tooth has a complicated canal anatomy such as narrow or curved canals undetected or not fully treated during initial treatment 
• The endodontic restoration was not secure, which caused contamination from saliva
• The dental crown or filling on the treated tooth loosens, cracks, or falls off 
• The placement of the crown or other restoration was delayed following the endodontic treatment

New Problems Can Also Jeopardize a Restored Tooth

A new problem could also arise to cause problems for a successfully treated tooth. 

• New decay arises and exposes the root canal filling material to bacteria, which causes a new infection in the tooth
• A loose, cracked or broken crown or filling exposes the previously treated tooth to new infection
• A tooth sustains a fracture

In each of these cases, timely endodontic retreatment can help.

What Happens During Endodontic Retreatment?

Just like your initial root canal treatment, endodontic retreatment is designed to save your natural tooth, as well as end dental and facial pain, and promote dental healing.

Your retreatment will begin by numbing the tooth and the tissue surrounding it, using a local anesthetic. This way we can ensure your endodontic retreatment won’t hurt, and you’ll be comfortable during the procedure. Then, the tooth is opened, the filling is removed and the canals are carefully cleaned and disinfected. 

Our dental team will carefully examine your tooth using an endodontic microscope. The reason? In some cases, additional canals or complex anatomy may be seen, requiring treatment. 

Once all the canals are cleaned and shaped, then new filling material is placed inside the tooth, preventing reinfection.

So Does Retreatment Hurt?

In short, no, endodontic retreatment is not painful, because your tooth and the area around it will be numbed before any retreatment work is begun. 

Once the local anesthesia wears off, you may experience a bit of sensitivity and soreness, but this will pass quickly. Discomfort can usually be relieved with some over-the-counter medication for pain.

How Do I Know If Endodontic Retreatment Can Help?

Unless your tooth is severely compromised and needs extraction, endodontic retreatment is a successful, efficient way to take care of any issues you’re having with your root canal.

Ready to Learn More about Endodontic Retreatment?

Whether you’d like to learn more about endodontic retreatment, schedule a consultation or a retreatment procedure, at Elite Endodontics of NH, we’re here to help. Reach out to us, today!

There’s no shortage of misconceptions about root canals. Indeed, if you believe the rumors you might think having a root canal is on par with torture. Nothing could be further than the truth. Although getting a root canal may not be your preferred way to spend a couple of hours, science and technology have evolved to the point that root canals frankly aren’t much more inconvenient or any more painful than getting a filling. In this article, we will set the record straight, regarding three common myths about root canals.

Root Canal Myth: Having a Root Canal is Extremely Painful

The truth of the matter is, the pain you’re experiencing from a toothache is much worse than the mild discomfort you may feel during a root canal treatment. Thanks to powerful numbing agents which are used to anesthetize the affected tooth and the surrounding area, you aren’t likely to feel much of anything. If you’re particularly anxious about having a root canal, a mild sedative may also be used to help you to relax. If you do experience discomfort during a root canal, it’s likely just muscle strain from having your mouth open for the procedure.

After your root canal is complete you may have some tenderness around the tooth and gums. This is normal and should resolve easily with an over-the-counter pain reliever like Tylenol. Applying an ice pack can also help with numbing and swelling.

Root Canal Myth: Removing The Tooth Is a Good Alternative to Having a Root Canal

This is an outright falsehood. Wherever possible, your natural teeth should be preserved. Pulling teeth that can be safely restored with a root canal is not only less beneficial to your overall oral health and hygiene, but it’s also liable to cost more in the long run.

If you don’t replace a missing tooth you’ll be at risk for the following conditions which can be expensive to treat:

•  Infection
• Shifting of nearby teeth to fill the gap
• Difficulty chewing
• Pain
• Bone loss

Likewise, if you choose to have a tooth pulled and a bridge or implant placed in the space, you can expect to pay for the extraction and the replacement. Bridges are temporary fixes, so you’ll need to have them replaced eventually as well. Implants, which are currently the gold standard for tooth replacement can be extremely costly. Completing treatment for an extracted tooth can also take months.

By contrast, by having root canal therapy, you can restore and preserve your natural tooth in a single endodontic appointment. This helps to keep the cost down. If you have dental insurance, your plan will also probably cover a significant portion of the treatment.  Then, you’ll simply need to return to your regular dentist to have a crown placed over your tooth.

Root Canal Myth: Root Canals Cause Cancer

This myth is particularly disturbing because it’s dangerous. The myth seems to have originated following the release of a documentary film where one man decides that his fatigue, anxiety, and depression are the result of a result canal he had years prior.  He then argues that root canals also cause cancer.

Fortunately, there is no research linking root canals to cancer, and the film has been widely discredited. To be clear: root canals do not cause cancer. On the contrary, what the science does show is that individuals who take care of their teeth, and opt for endodontic treatments when necessary have a lower risk of certain cancers.

Root Canal Therapy in New Hampshire

At Elite Endodontics of NH, our practice is exclusively focused on the preservation of natural teeth. We embrace the latest technological advances in root canal therapy, including the use of GentleWave® Root Canal Therapy. If you’ve been referred for endodontic treatment for internal damage to a tooth or teeth, contact Elite Endodontics of NH today by calling 603-882-5455 or requesting an appointment online.

 

A regular dentist may have a lot of procedures and treatments to offer, but sometimes the concern warrants endodontic treatment from a skilled specialist known as an endodontist.

These professionals handle complex dental procedures that involve the inner tissues of the tooth, generally referred to as the pulp or nerve. Endodontists are highly trained to maneuver through the intricate areas and roots within the tooth in a giant effort to save it.

What is Endodontic Treatment? 

Endodontic treatment can include many procedures that involve the interior of the tooth. One of the most common is root canal treatment. In fact, because endodontists spend much of their time performing these procedures, the phrase endodontic treatment is often used interchangeably with root canal treatment.

When a tooth’s nerve and pulp become inflamed or infected, a root canal procedure is used to clear out that inflection and allow the tooth to heal - thus greatly reducing the need for extraction. By adding a crown to restore the tooth’s integrity, it will both look and function beautifully.

Many people get anxious when they hear that they need a root canal. Today, however, this treatment is so common that it is equivalent to most other restorative dental procedures.

Common Endodontic Procedures

Endodontic treatment involves diagnosing and treating complex issues involving the inside of the tooth, such as infection. When concerns involving the teeth reach an endodontist, it is to use special procedures that will save a tooth that would have otherwise been lost. Some of the most common endodontic procedures include:

• Root canal treatment - As discussed above, this is the removal of inflammation and infection within the pulp of the tooth.
• Endodontic retreatment - After a root canal, there are times when the tooth again becomes infected or inflamed. This treatment is a second attempt to clean out the tooth and save it.
• Endodontic surgery or apicoectomy - If a root canal treatment and retreatment do not remove all the inflammation and infection, it may be necessary to go deeper, into the underlying bone area where the very end of the root is removed. This is performed in the office under local anesthesia.
• Cracked teeth - Cracks can happen for a variety of reasons. Many times, your dentist will be able to provide the necessary treatment to restore the tooth. But, when the crack reaches the pulp, a root canal will be necessary.
• Dental trauma - Various trauma and injuries can leave you with complex dental needs. Because endodontists are so familiar with the inner workings of the tooth, as well as strive to do everything possible to save a tooth, they are a great asset for handling these situations.

Endodontic Treatment at Elite Endodontics of NH

At Elite Endodontics of NH, we have been saving teeth for over two decades. Using the most advanced treatments available, our team can provide relief from pain while doing everything necessary to avoid extraction.

If you would like to learn more about the endodontic treatment we provide or would like to schedule an appointment, contact us today at 603-882-5455. Or, request an appointment online.

Endodontists are specialists that focus on procedures involving the inside of the tooth. While general dentists can handle all sorts of dental needs, some treatments require additional training and a more skilled technique.

Endodontists succeed at helping you maintain a high level of oral care. Here’s why.

Endodontists: What They Do

Root canals are procedures that are vital in resolving any oral health issues that involve decay and infection deep within a tooth. This is where endodontists focus much of their attention. All dental procedures come with some level of difficulty and challenge, root canals can be complex and intricate, requiring skill and experience that a couple of extra years of training provides.

The word endodontic literally means inside (endo) the tooth (odont). So this means that the dental procedures performed by an endodontist involve the inside of the tooth. Besides root canals and root canal retreatments, endodontists are known for handling:

• Apicoectomies. If after a routine root canal procedure, there are still issues within the tooth, an endodontist may perform an apicoectomy to remove the tip of the root to prevent further infections.

• Traumatic injuries. In the case of trauma or an accident involving injury, cracked teeth may occur. These need to be addressed so that infection doesn’t settle in or any further issues don’t arise.

• Internal bleaching. For those who have discoloration due to root canal therapy, internal bleaching can resolve it. And an endodontist handles this procedure.

What it comes down to is that for any dental issues that have to do with the inside of the tooth, your endodontist will know what to do.

When to See an Endodontist

Everyone should have a family dentist. This is the one you visit (or should be visiting) on a regular basis for examinations, cleanings, and to handle dental procedures like fillings, sealants, and the like. Your regular family dentist can even place crowns, do bonding work, and perform root canals. But a family dentist doesn’t have the additional training and even more years of experience in doing root canals that an endodontist does. And when it comes to handling complex root canals, you need someone who knows how to handle them with ease.

In other words, you need an endodontist.

One of the best things about the dental community is that they all work together to give patients healthy, happy mouths. Their goal is for your oral health to soar, so if a specialist is necessary to get the job done, then that’s the step that will be taken.

An endodontist can successfully perform complex procedures deep within the tooth, approach dental work in ways that will bring comfort to the patient even if that means working from a different angle (literally and figuratively), as well as relying on advanced technologies and the latest procedures to achieve the best results.

Let Elite Endodontics of NH Meet Your Endodontic Needs

If you require treatment from a highly skilled endodontist, then it is time you call Elite Endodontics of NH. We are specialists in saving teeth.

Call our office today at 603-882-5455. Or, schedule an appointment online.

Most of the time, a root canal treatment can cure any decay and infection in a tooth and save the tooth. Unfortunately, sometimes things don’t always go as planned and the same tooth can begin to give you problems again. The infection may not have fully healed or infected debris may still be in the root canal.

When this happens, your dentist may suggest a different dental procedure called an apicoectomy.

What is an Apicoectomy?

An apicoectomy - also commonly referred to as root end surgery - is a procedure that takes things a bit further than a root canal treatment. Teeth have very complex root systems with branches and canals, some of which can be very small and tough to access. Even the most thorough root canal can still leave behind some of the infection and bacteria closest to the root. Once it is sealed up, it can continue to grow and invade the spaces within the tooth’s root.

An apicoectomy refers to a surgical procedure in which the tip of the tooth’s root - including all the tiny branches - is removed.

To do this procedure, the dentist will cut and remove gum tissue in order to get to the root. Any infected tissue as well as the tip of the root will then be removed. Before closing it up, the area is cleaned and sealed. A small fitting seals off the end of the root canal to prevent any further infection. Stitches will be required to close up the gum area that was used for access.

It may take a little time, but after the surgery the bone, gums, and area around the root will heal naturally and you will be able to use your tooth as normal.

Risks Associated with an Apicoectomy

While an apicoectomy requires a lot of precision and skill from a dental professional - and are often highly successful - there are a couple of risks that should be mentioned. For instance, sometimes the procedure won’t work and will require the tooth to be extracted. Though, keep in mind, this is a rare situation.

Also, the recovery time for an apicoectomy is a little different than with other dental procedures, such as a root canal. This is primarily because it is more of a surgical procedure. The recovery time is longer, with slight pain for 1 - 2 days. You will sutures that are likely to remain for up to a week. And, bruising and swelling around the portion of the face where the apicoectomy was done is not uncommon. All in all, full recovery for this procedure can take a couple of weeks.

The end result - a pain-free mouth and a saved tooth - is well worth it.

Contact Elite Endodontics of NH with Root Canal and Apicoectomy Needs

Having an apicoectomy may not be on the top of your bucket list, but it can be a tooth-saving procedure. If you have had a root canal treatment and are still feeling pain or sensitivity in the tooth, an apicoectomy may be needed.

The thorough and experienced staff at Elite Endodontics of NH can examine your tooth and make the best determination for treatment.

Ready to get started? Call our office today at 603-882-5455.

Or, book an appointment online.

 

The phrase root canal is one that makes patients cringe. No one wants to hear their dentist tell them they need this procedure. But, while it may sound scary, the truth is that it is becoming nearly as common as a filing for a cavity.

Root canal treatment can help to save your tooth - and relieve pain. So, what is it? And, when is it required? Let’s talk about it.

Root Canal Treatment: What is it?

What may have started out as a small cavity grows without treatment. As the decay spreads, it can work its way through the outer layer of enamel, the second layer known as dentin, and the soft inner core that goes all the way to the jaw bone. It’s the core where you will find the pulp, full of nerves, blood vessels, and tissue.

Once the decay reaches the core, it can lead to inflammation and infection which can be incredibly painful for some.

Root canal treatment cleans out the decay that has reached the pulp and heals the infection.

Signs a Root Canal Treatment is Needed

Signs of infection and decay that are serious enough to warrant a root canal treatment are:

Toothache

Root canal pain in teeth can be present when eating, when applying pressure to the area, or just a general chronic ache. It is important to keep in mind that there are many dental issues that cause tooth pain - and not all require a root canal. A thorough examination by a dentist will help determine the appropriate treatment method.

Sensitivity to Hot or Cold

When a root canal is needed, it is common to feel sensitivity when eating or drinking something cold or hot. Sipping hot coffee or eating ice cream, for example, can give you an uncomfortable sensation that hurts momentarily. Though, sometimes the pain can linger for a little bit.

Keep in mind that some people are naturally sensitive to certain temperatures so it is best to have your dentist examine the teeth to see if a root canal is needed.

Changes in Gums

The decay going on within the tooth can impact the gums, too. Sometimes they will swell or feel sore and tender around the infected tooth. The appearance of a small bump that looks similar to a pimple may also be found on the gums near the tooth.

This can signal that something is going on within the tooth that requires attention.

Discoloration of the Tooth

A tooth that is full of decay will often begin to change color. Rather than being its usual pearly-white self, it may start to darken. This may be in certain areas or within the whole tooth.

Anytime you see color changes and darkening within a tooth it is cause for concern and should be addressed by your dentist.

Root Canals at Elite Endodontics of NH

If you require a root canal or you think you may need one, it is important to see your dentist right away. At Elite Endodontics of NH, we are specialists in saving teeth.

Call our office today at 603-882-5455. Or, schedule an appointment online.

The phrase root canal is one that makes patients cringe. No one wants to hear their dentist tell them they need this procedure. But, while it may sound scary, the truth is that it is becoming nearly as common as a filing for a cavity.

Root canal treatment can help to save your tooth - and relieve pain. So, what is it? And, when is it required? Let’s talk about it.
Root Canal Treatment: What is it?
What may have started out as a small cavity grows without treatment. As the decay spreads, it can work its way through the outer layer of enamel, the second layer known as dentin, and the soft inner core that goes all the way to the jaw bone. It’s the core where you will find the pulp, full of nerves, blood vessels, and tissue.

Once the decay reaches the core, it can lead to inflammation and infection which can be incredibly painful for some.

Root canal treatment cleans out the decay that has reached the pulp and heals the infection.
Signs a Root Canal Treatment is Needed
Signs of infection and decay that are serious enough to warrant a root canal treatment are:
Toothache
Root canal pain in teeth can be present when eating, when applying pressure to the area, or just a general chronic ache. It is important to keep in mind that there are many dental issues that cause tooth pain - and not all require a root canal. A thorough examination by a dentist will help determine the appropriate treatment method.
Sensitivity to Hot or Cold
When a root canal is needed, it is common to feel sensitivity when eating or drinking something cold or hot. Sipping hot coffee or eating ice cream, for example, can give you an uncomfortable sensation that hurts momentarily. Though, sometimes the pain can linger for a little bit.

Keep in mind that some people are naturally sensitive to certain temperatures so it is best to have your dentist examine the teeth to see if a root canal is needed.
Changes in Gums
The decay going on within the tooth can impact the gums, too. Sometimes they will swell or feel sore and tender around the infected tooth. The appearance of a small bump that looks similar to a pimple may also be found on the gums near the tooth.

This can signal that something is going on within the tooth that requires attention.
Discoloration of the Tooth
A tooth that is full of decay will often begin to change color. Rather than being its usual pearly-white self, it may start to darken. This may be in certain areas or within the whole tooth.

Anytime you see color changes and darkening within a tooth it is cause for concern and should be addressed by your dentist.
Root Canals at Elite Endodontics of NH
If you require a root canal or you think you may need one, it is important to see your dentist right away. At Elite Endodontics of NH, we are specialists in saving teeth.

Call our office today at 603-882-5455. Or, schedule an appointment online.