Advanced Endodontics of Texas

What to Expect After a Root Canal

root canal treatment in calendarA root canal is a procedure that saves a natural tooth that has become decayed or infected. Your endodontist will remove the tooth’s nerve and pulp (the tissue inside the teeth) and will clean and seal the tooth, therefore halting any more decay. Root canal procedures are often very effective in saving natural teeth.

Do I Need a Root Canal?

Without treatment, an infected tooth can worsen and may need removal, or sometimes can cause abscesses. Abscesses are pus-filled pockets that occur when the decay and bacteria has spread beyond the tooth’s roots. It’s important to address an infection before an abscess occurs!

Is a Root Canal Painful?

After a root canal procedure, some tenderness and soreness may occur in the area surrounding the infected tooth. It is normal to experience some pain and swelling, which typically goes down with time and proper care. Most people experience at least some discomfort post root canal procedure.

Root Canal: A Two Step Procedure

A root canal is a two-step procedure – a final crown needs to be placed over the tooth in order to seal it from any further infection or decay. While you are recovering from the initial visit, it is important to remember to take good care of the tooth before the crown visit, because the tooth is fragile and can easily break. Once the tooth crown is placed, the restored tooth can last as long as your natural teeth!

Preventing a Root Canal

Ways to prevent further root canals include: practicing good oral hygiene by properly brushing and flossing, seeing your dentist regularly for teeth cleanings and check-ups, and avoiding foods high in sugar, starch and acid – which contributes to increased tooth decay.

How to Keep Your Gums Healthy

girl smiling with applesKeeping your gums healthy is vital to ensuring that your mouth stays clean and your teeth stay intact and in pristine condition. This blog will focus on the best ways to make sure your gums stay healthy in order to prevent gum disease and keep your smile shining bright for years to come.

1) Floss, Floss, Floss

Flossing is one of the easiest and most effective steps you can take to fight against gum disease and keep your gums healthy. Flossing once a day helps clean those areas in between your teeth which are hard for your toothbrush to reach.

2) Brush and Rinse

Brushing twice a day is the most commonly preached method of keeping your mouth fresh and clean. It is also a good idea to rinse your mouth with antiseptic mouthwash twice a day in order to protect your gums. Rinsing with mouthwash is a great way to thoroughly clean your mouth, because it reaches areas that your toothbrush and floss can’t reach.

3) Use the Right Toothpaste

Choosing the right toothpaste is important to keeping your gums healthy. Make sure to grab a toothpaste that contains fluoride in order to get the best results when brushing. Also make sure to look for the ADA seal of acceptance in order to ensure that you’re getting a toothpaste backed by experts at the ADA!

4) Regular Dentist Checkups

Visiting your dentist twice a year is extremely important in preventing diseases and ensuring that your teeth remain healthy and clean. Your dentist will be able to see early symptoms of gum disease and is the only way for you to get rid of tartar and plaque which are stuck to your teeth and can have a negative impact on your gums if not cleaned.

These four steps can help you significantly improve the health of your gums and reduce your risk of gum disease. If you have any more questions about how to keep your gums healthy or how to prevent gum disease, give Advanced Endodontics of Texas a call at Keller Office Phone Number 817-562-4141 today!

Beyond Root Canal Therapy: Other Treatments in Endodontics

high tech toothSurely you know what a root canal is. But have you ever heard of an “apicoectomy”? As endodontists, we are always trying to get to the root of the problem, but the methods vary sometimes from case to case. So move over for just a few minutes, root canal, while we give these other endodontic treatments a moment in the spotlight:

Apicoectomy:

A type of endodontic surgery, apicoectomy (pronounced “ape-icko-ectomy”) focuses on the “apex” (the tip), of the tooth root. The procedure is used when root canal treatment alone isn’t sufficient to adequately fix a diseased tooth. By accessing the tip of the root area through the gums, we are able to detect any hidden fractures or canals that are still causing tooth pain. We then remove the root apex and seal it to complete the procedure.

Endodontic Retreatment:

Endodontic retreatment refers to a second root canal treatment, when the first wasn’t adequate in fully removing the infection. It is not common to have to undergo retreatment, but it does happen. If pain persists in a tooth months or years after root canal treatment, it often means that there were hidden canals that need further treatment to fully resolve the infection and save the tooth.

Cracked Teeth:

Because a cracked tooth often means infection in the roots, endodontists are often the first to treat and assess a broken or cracked tooth. There are many different types of fractures in a tooth, from a full split down the middle to a cracked crown. Each requires quick professional action in order to save the tooth, which must be sealed (and in some cases the root pulp must be removed).

Pulpotomy:

Often referred to as a “baby root canal” because it is often the treatment of choice in children with severe decay, a pulpotomy typically removes just the diseased pulp (as opposed all of it) in hopes of leaving the healthy pulp sterilized and in tact for further use within the natural tooth.

Internal Bleaching:

Infected or dead teeth can often appear darker than healthy teeth. Because this type of discoloration is internal, it requires a different type of teeth whitening than what most patients are used to. With internal bleaching, we perform a root canal to remove infected pulp and then place a whitening material inside the tooth to dissolve the stained material.

Have you always wondered what endodontists do? Please browse our website or call us at Keller Office Phone Number 817-562-4141 for more information.

4 Foods That Can Cause Dental Emergencies

tooth and first aid kitEvery day, we have patients visit our office for help with a dental emergency. A lot of these emergencies are caused by biting into foods that are too hard, resulting in a cracked tooth, loss of a filling or a broken dental crown.

To avoid a painful and inconvenient dental emergency, here are some foods you should avoid (or be extra cautions while eating):

Popcorn
As delicious as this buttery snack may be, it’s not as innocent as it seems. The husks can get wedged between your teeth or underneath your gums causing a popcorn abscess. Be sure to floss after you eat popcorn to avoid that from happening. However, the true culprits here are the kernels. If you grab a large handful of popcorn and don’t know that a kernel is hiding in the middle, all it takes is one chomp down and oops! there goes your tooth! The next time you eat popcorn, chew slowly to avoid those kernels and enjoy the fluffy buttery goodness that is on top.

Almonds
You might be surprised by this fact: As nutritious as almonds can be, they also cause a lot of chips, fractures and cracks in teeth. Instead of eating the almond whole, try slivered or sliced versions, which make them softer and easier to chew.

Carmel Candies
Yes, this delicious and chewy candy seems harmless with its soft exterior, but it can cause issues with your teeth. When you chew down, the candies wedge between your teeth and pull out any loose dental work/restorations that you have had. Other candies that have the same sticky qualities are starburst and taffy. They might be hard to resist, but doing so is key to avoiding dental emergencies.

Ice Cubes
You might find this strange but many people love to chew on an ice cube on a hot day. But before you put an ice cube in your month, imagine chewing on a rock, which would basically have the same effect as ice. Ice is hard on enamel, and can easily crack and break teeth.

These are just a few kitchen items that you should avoid if you want to save your teeth. Some foods may be more tempting than others, but at the end of the day, one little snack isn’t worth a busted tooth!

If you experience a dental emergency, call our office at Keller Office Phone Number 817-562-4141 to schedule an appointment.

What is an Endodontist?

An Endodontist is a dentist who specializes in root canal treatment, a process by which teeth are preserved through the treatment of the inner soft tissue of the teeth – also known as the pulp. In addition to dental school, those who choose to specialize in endodontics attend another two to three years of schooling in the field. All dentists are trained on how to diagnose and treat pulp related issues, but when teeth are exceptionally difficult to treat, patients are referred to an Endodontist.

How many root canal treatments will I need?Question Marks

Every case is different, depending on the degree of inflammation and infection, however, most cases require just one root canal treatment. Root canals, or endodontic treatments, have up to a 90% success rate. Before you undergo any form of treatment, we will discuss with you the chances of success so that you may make an informed decision. In most cases, patients will only have to undergo one treatment, but occasionally patients need a second or even a third treatment.

Follow-Up Care

Once your endodontic treatment is complete, we may have you return for periodic check-ins if you had an abscessed tooth, which can take up to two years to fully heal.

How do I know if I need to see an Endodontist?

You won’t always know when the time has come to see an Endodontist. Many people only see one because their general dentist found a problem and referred them. If you know that you have a cracked tooth or painful, infected pulp, you should give us a call – we may be able to help you skip the trip to the general dentist in the first place.

Endodontists are a critical part of the oral health maintenance team! Give us a call at Keller Office Phone Number 817-562-4141 to learn more about the importance of saving your natural teeth with root canal therapy!

Root Canal Myths Vs Facts

Facts One way, Myths the OtherThe best way to understand what an endodontist does is to think of them as “Tooth Saving Specialists.” You might be interested to learn that all endodontists are dentists, but not all dentists are endodontists. This is most likely due to the fact that an endodontist completes an extra 2-3 years of schooling, honing their tooth rescuing skills and learning how to perform more complex procedures.

Our first priority is always to save your natural teeth! Dental implants can be very expensive, and often unnecessary if a cracked or infected tooth can be saved. Read on to learn about some of the myths and facts surrounding root canal treatment.

Myth: Getting a root canal can cause other illnesses.

Truth: A collection of studies conducted by a man known as Dr. Price in the 1920s attempted to correlate the root canal procedure with diseases. His results have since been found lacking control groups and introducing confusing the presence with bacteria in one’s mouth with the threat of infection and all have since been disproven by new, more advanced studies.

Myth: Getting a root canal is a painful procedure.

Truth: Root canal treatment can be a virtually pain-free procedure, and is actually directed at relieving pain caused by inflammation or what is commonly known as a toothache.

Myth: Pulling the tooth is a better option.

Truth: The truth is that life with missing teeth isn’t as glamourous as one opting into this method might be lead to believe. There is nothing better than your natural teeth for your oral health!

There are somewhere around 178 million people in the US missing at least one tooth, and about 35 million people in the US who don’t have any teeth at all! We want to help you keep all your teeth, and knowing the truth can set your worries free and help you to finally relax about scheduling an appointment with Advanced Endodontics of Texas.

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A Healthy Diet for Healthy Teeth

 

While your child is young, it is important for them to establish healthy eating habits that will have a positive impact on them for the rest of their lives. One of the easiest ways to keep their teeth healthy strong is with a healthy diet. To make it easy for you, we’ve compiled a few of the best foods to include in your child’s diet in this post.

Little girl and Fruit

Colorful Snacking

Fresh fruits and vegetables can be some of the best foods to include in your child’s diet. Oranges, melons, broccoli, celery, and carrots are all great choices to include in your child’s lunchbox for a healthy, colorful snack during the day. Fruits are a great alternative to sugary, processed snacks and they can still satisfy a sweet tooth. Raw vegetables like celery and carrots can be great to munch on as well. Carrots are full of Vitamin A, fiber, and other important nutrients. Fruits and vegetables are a good alternative to sweet, salty or processed snacks and will your kids to develop a good taste for healthy foods for life!

Dairy for Healthy Teeth

Yogurt and cheese are two foods that contain calcium and protein, which are both very good for your teeth. Eating a bowl of yogurt with chopped fresh fruit can be a great alternative to sugary cereal, and the good bacteria found in yogurt does a good job of fighting against the bad bacteria that reside in your mouth. Cheese may also prevent cavities, a discovery that was highlighted in this (and other) studies: (https://www.eurekalert.org/pub_releases/2013-06/aogd-nrs060513.php?_ga=2.129590924.1487849862.1496155311-1924124176.1488556314).

H2O is Best

Our final and most important tip is to stick with water when choosing beverages. Alternatives to water, such as juice, sports beverages and sodas, can be terrible for your teeth and cause unnecessary decay. Drinking water is the best option because it is calorie free and does no harm to your teeth or body.

Keeping your child’s teeth clean and healthy doesn’t have to involve a lot of work. Keep it simple by making sure they stick to a good diet with food that will strengthen and be good for their teeth and their whole body. Don’t forget to brush with them twice a day and floss once! And remember, if you have any questions about your child’s diet or brushing habits, feel free to call Advanced Endodontics of Texas at Keller Office Phone Number 817-562-4141 today.

What is root resorption?

Root resorption happens every day in children – it is the body’s natural process of (re)absorbing tissue. In the case of a child’s mouth, it is what helps them to lose their baby teeth and, in fact, what allows them to have effective orthodontic treatment. The body resorbs tissues that connect the baby teeth to the mouth, and the tooth is then able to fall out. But when we see resorption in adults, it is cause for concern.

Why does resorption happen?
We don’t always know why resorption occurs. Sometimes it is due to trauma to a tooth or severe grinding, sometimes due to overly aggressive orthodontic treatment (too much force was applied to the teeth with braces), but, often, we simply don’t know the cause, and must instead focus on the treatment.

External Cervical Resorption (ECR)
When resorption starts on the outside of the tooth and works its way in, usually up where the tooth meets the gum line, this is known as external resorption. It is the most common type. Patients may see pink spots at first where the enamel is being destroyed, or they may be asymptomatic. If left untreated, this often results in cavities and, eventually, the decay will start to affect the tooth pulp as well. Treatment for ECR typically includes root canal therapy. However, if the damage is too extensive, the tooth may need extraction and replacement with a dental implant.

Internal Resorption
Less common than ECR is internal resorption, which involves the resorption of tissue starting in the root of the tooth. It is often thought to be due to chronic pulp inflammation, and may be asymptomatic. Early treatment is important in order to the save the tooth.

As endodontists, our main goal is always to save your natural teeth, and do so safely and with great care to ensure the best oral health for you in the future. Regular x-rays with your dentist and a call to our office at Keller Office Phone Number 817-562-4141 at the first sign of root decay or resorption will help us meet that goal!

Root Canals BC, AD, and Now!

'ancient toothbrush'Root Canals: BC

There is no way of knowing just exactly how long root canal therapy has been around. The first traces of root canal therapy can be dated back to second or third century B.C. A human skull was discovered in a desert in Israel. In one of the teeth, they found a bronze wire that scientists believe was used to treat an infected canal. The wire was located at the site of the infection, which is the exact spot that would be targeted during modern day root canal therapy. The archaeologists who discovered the remains believe that the procedure was performed by the Romans, who are said to have invented dentures and crowns.

More Advancements: AD

Evidence shows that from the first century A.D. until the 1600s, the treatment for root canals included the draining of the pulp chambers to relieve pain, and then covering them with a protective coating made from either gold foil or asbestos. Around 1838, the first official root canal instrument was constructed. It was made to allow easier access to the pulp that is located within the root of the tooth. A few years later, around 1847, a safer material known as “gutta percha” was created to use as a filling once the root canal was cleaned out. Both of these materials are still used today by Endodontists.

20th Century Technology

When we entered the 20th century, dental technology advanced. Anesthetics and x-rays were instituted into dental practices, which made treating an infected root canal much easier and safer. These technological advancements also allowed for alternative treatments to pulling teeth. Root canal therapy has advanced so much that it is now a nearly painless procedure!

An infected tooth root is a pain, and can compromise your teeth! We save teeth every day in our office with endodontic therapy – call us at Keller Office Phone Number 817-562-4141 for more information.

Tooth Extraction – Managing Pain

'cartoon' 'man kicking pain'

The Procedure Itself

Thanks to a wide variety of anesthesia choices available to us these days, you should feel no pain during your extraction.

After the Surgery

  • Over-the-Counter Medicines: Generally speaking, over the counter non-steroidal anti-inflammatory medications such as Ibuprofen are all that you will need following your surgery.
  • Staying On Top of Pain: It is very important to stay on a strict schedule of medication the first few days following your surgery. Getting behind on medication will result in more pain and may even make it difficult to catch up with pain control again.
  • Ice for Swelling: We want you to ice your cheeks for the first 24 hours following surgery, twenty minutes on and twenty minutes off alternating. Managing swelling can help greatly with pain management, and the act of icing may even feel good on its own.
  • Rest: Your body was expertly designed with high-tech systems in place to heal – but you have to give it the space and conditions to do so. Rest is one of the most important things you can do to help your body heal faster.
  • Salt Rinse the DAY AFTER Surgery: The day after surgery, you should rinse your mouth very gently with a mixture of one cup of warm water and ½ teaspoon of salt. You may do so up to 4 times a day. Designed to gently clean the wound site (but NOT dislodge the blood clot), some patients also feel that the warm water helps with pain relief.
  • Prescriptions: Most often, our patients do not require prescription pain medication post-op. However, in the case that we feel your case calls for such, please keep the following in mind:
    • Antibiotics – If we have ordered antibiotics for you, you must take them on schedule and for as long as we prescribe – Never stop antibiotic treatment prematurely without our specific orders.
    • Pain-Killers – In the event that you require prescription pain killers, please note that we are required to prescribe these sparingly and in accordance with certain laws, due to rising rates of substance abuse. You can help keep these drugs off the street by taking only what you need, and taking unused pills to a pharmacy for safe disposal – never “keep them around” in your cabinet for future use.

For more information, please visit our surgical instructions page and feel free to call us at Keller Office Phone Number 817-562-4141