Endodontic Procedures:
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Dislodged Teeth
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Injuries to the mouth can cause teeth to be pushed back into their sockets. Your endodontist or general
dentist may reposition and stabilize your tooth. Root canal treatment is usually started within a few weeks of
the injury and an antibiotic medication, such as calcium hydroxide, maybe placed inside the tooth. Eventually,
a permanent root canal filling will be required.
Sometimes a tooth may be pushed partially out of the socket. Again, your endodontist or general dentist
may reposition and stabilize your tooth. If the pulp remains healthy, then no other treatment may be
necessary. Yet, if the pulp becomes damaged or infected, root canal treatment may be required.
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Avulsed Teeth
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If an injury causes a tooth to be completely knocked out of your mouth, it is important that you are
treated immediately! If this happens to you, keep the tooth moist. If possible, put it back into the socket.
A tooth can be saved if it remains moist. You can even put the tooth in milk or a glass of water (add a pinch
of salt).
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Your Endodontist may start root canal treatment based upon the stage of root development. The length of time the tooth was
out of your mouth and the way the tooth was stored, may influence the type of treatment you receive.
Please contact our office at (480) 834-7100 immediately if a tooth has been knocked out completely.
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An injured immature tooth may need one of the following procedures to improve the chances of saving the tooth:
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Apexogenesis
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This procedure encourages the root to continue development as the pulp is healed. Soft tissue is covered with medication to
encourage growth. The tip of the root (apex) will continue to close as the child gets older. In turn, the walls of the root
canal will thicken. If the pulp heals, no additional treatment will be necessary. The more mature the root becomes, the better
the chance to save the tooth.
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Apexification
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In this case, the unhealthy pulp is removed. The Doctors place medication into the root to help a hard tissue form near the root
tip. This hardened tissue provides a barrier for the root canal filling. At this point, the root canal walls will not continue
to develop, making the tooth susceptible to fractures. So it is important to have the tooth properly restored by your dentist.
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