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Endodontics

Endodontics is a specialized branch of dentistry that deals with the complex structures found inside the teeth. The Greek word “Endodontics” literally means “inside the tooth” and relates to the tooth pulp, tissues, nerves, and arterioles.  Endodontists receive additional dental training after completing dental school to enable them to perform both complex and simple procedures, including root canal therapy.

Historically, a tooth with a diseased nerve would be removed immediately, but endodontists are now able to save the natural tooth in most cases. Generally, extracting the inner tooth structures, then sealing the resulting gap with a crown restores health and functionality to damaged teeth.

Signs and symptoms of endodontic problems:

  • Inflammation and tenderness in the gums.
  • Teeth that are sensitive to hot and cold foods.
  • Tenderness when chewing and biting.
  • Tooth discoloration.
  • Unexplained pain in the nearby lymph nodes.

Reasons for endodontic treatment

Endodontic treatment (or root canal therapy) is performed to save the natural tooth. In spite of the many advanced restorations available, most dentists agree that there is no substitute for healthy, natural teeth.

Here are some of the main causes of inner tooth damage:

Bacterial infections – Oral bacteria is the most common cause of endodontic problems. Bacteria invade the tooth pulp through tiny fissures in the teeth caused by tooth decay or injury. The resulting inflammation and bacterial infection jeopardize the affected tooth and may cause an abscess to form.

Fractures and chips – When a large part of the surface or crown of the tooth has become completely detached, root canal therapy may be required. The removal of the crown portion leaves the pulp exposed, which can be debilitating painful and problematic.

Injuries – Injuries to the teeth can be caused by a direct or indirect blow to the mouth area.  Some injuries cause a tooth to become luxated or dislodged from its socket. Root canal therapy is often needed after the endodontist has successfully stabilized the injured tooth.

Removals – If a tooth has been knocked clean out of the socket, it is important to rinse it and place it back into the socket as quickly as possible. If this is impossible, place the tooth in special dental solution (available at pharmacies) or in milk. These steps will keep the inner mechanisms of the tooth moist and alive while emergency dental treatment is sought. The tooth will be affixed in its socket using a special splint, and the endodontist will then perform root canal therapy to save the tooth.

What does an endodontic procedure invlove?

Root canal therapy usually takes between one and three visits to complete. Complete X-rays of the teeth will be taken and examined before the treatment begins.

Initially, a local anesthetic will be administered, and a dental dam (protective sheet) will be placed to ensure that the surgical area remains free of saliva during the treatment. An opening will be created in the surface of the tooth, and the pulp will be completely removed using small handheld instruments.

The space will then be shaped, cleaned, and filled with gutta-percha.  Gutta-percha is a biocompatible material that is somewhat similar to rubber. Cement will be applied on top to ensure that the root canals are completely sealed off. Usually, a temporary filling will be placed to restore functionality to the tooth prior to the permanent restoration procedure. During the final visit, a permanent restoration or crown will be placed.

If you have questions or concerns about endodontic procedures, please contact our office.

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Testimonials

I have been a patient of Dr. Moskowitz for more than twenty years. I have had the privilege of knowing his professional and courteous staff as well. They have also treated many members of my family including four of my grandchildren currently. Over the years I have been continually impressed with the modern office facilities. It is always clean and very well maintained. The staff is made up of many familiar faces, some have been there since I started with the practice. They are current and up to date on their professional knowledge and always create a comfortable atomosphere whether my visit is a routine cleaning or a tooth repair. I would highly recommend Dr. Moskowitz to any patient looking for a knowledgeable, caring and friendly dental office. I couldn't imagine leaving my dental care to any other.

Ron S. Marlboro, NJ

I can personally attest to the type of dental practice that is run by Dr. Moskowitz. I recently had a sledding accident in the middle of a blizzard which shifted my front tooth. Dr. Moskowitz immediately braved the storm to meet me in his office. When we arrived at the office there was no power so he began the successful repair of my tooth by flashlight. It is evident that Dr. Moskowitz is a high quality dentist who cares about his patients. He will go above and beyond what is expected of a family dental practice. All of the staff contributes to the warm, professional and personal experience each time I enter the office. My wife and three children all use this practice and we would not go anywhere else. I confidently and strongly recommend Dr. Moskowitz and all his office staff.

Jonathan R. Marlboro, NJ

I have been a patient of Dr. Moskowitz for many years. Dr. Moskowitz and his professional welcoming staff are fantastic. They are caring and sensitive and make you feel completely comfortable.

After a recent accident in which I required emergency dental work his experience, wisdom and knowledge along with a comprehensive high tech approach was extremely comforting. I have truly appreciated Dr. Moskowitz and his staff's kind compassionate care throughout my extensive procedures. Thank you Dr. Moskowitz for taking such great care of me!

Suzy J. Jackson, NJ

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