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Root Canal Therapy

Root canal therapy is needed when the nerve of a tooth is affected by decay or infection.  In order to save the tooth, the pulp (the living tissue inside the tooth), nerves, bacteria, and any decay are removed and the resulting space is filled with special, medicated, dental materials, which restore the tooth to its full function.

Having a root canal done on a tooth is the treatment of choice to save a tooth that otherwise would die and have to be removed.  Many patients believe that removing a tooth that has problems is the solution, but what is not realized is that extracting (pulling) a tooth will ultimately be more costly and cause significant problems for adjacent teeth.

Root canal treatment is highly successful and usually lasts a lifetime, although on occasion, a tooth will have to be retreated due to new infections.

Signs and symptoms for possible root canal therapy:

  • An abscess (or pimple) on the gums.
  • Sensitivity to hot and cold.
  • Severe toothache pain.
  • Sometimes no symptoms are present.
  • Swelling and/or tenderness.

Reasons for root canal therapy:

  • Decay has reached the tooth pulp (the living tissue inside the tooth).
  • Infection or abscess have developed inside the tooth or at the root tip.
  • Injury or trauma to the tooth.

What does root canal therapy involve?

A root canal procedure requires one or more appointments and can be performed by a dentist or endodontist (a root canal specialist).

While the tooth is numb, a rubber dam (a sheet of rubber) will be placed around the tooth to keep it dry and free of saliva.  An access opening is made on top of the tooth and a series of root canal files are placed into the opening, one at a time, removing the pulp, nerve tissue, and bacteria.  If tooth decay is present, it will also be removed with special dental instruments.

Once the tooth is thoroughly cleaned, it will be sealed with either a permanent filling or, if additional appointments are needed, a temporary filling will be placed.

At the next appointment, usually a week later, the roots and the inside cavity of the tooth will be filled and sealed with special dental materials.  A filling will be placed to cover the opening on top of the tooth.  In addition, all teeth that have root canal treatment should have a crown (cap) placed.  This will protect the tooth and prevent it from breaking, and restore it to its full function.

After treatment, your tooth may still be sensitive, but this will subside as the inflammation diminishes and the tooth has healed.

You will be given care instructions after each appointment.  Good oral hygiene practices and regular dental visits will aid in the life of your root canal treatment.

Testimonials.

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Testimonials

I cannot recommend Dr. Sassani and his team enough. I came into his office in literal tears, I had neglected to go to the dentist for a few years and was paying for it with a very bad infection. Dr. Sassani was very empathetic, his first and foremost goal was to relieve me of my immediate pain, and that he did. From there, he developed a simple plan to get my dental health back in order. That was a few months ago, and today I just went in to finish my crown and get the last few cavities taken care of (we had put a temporary on and waited for the new year for my insurance to renew). I finally have a healthy mouth again and a huge burden of stress has been taken off my shoulders because of this

John A. Yelp 2017

DR Andre Sassani is an artist. He works quickly and gently, handling injections, fillings, crowns and you-name-it with ease. As he works, he asks if your'e ok, tells you what he's doing, answers questions, provides guidance. He is respectful of your time. He is polite to his staff.
Office staff is delightful, professional, kind. Hygenist is gentle and full of information.
It's a win all around.

Yelp Review April 2015

Description of Experience: My husband had two wisdom teeth that were causing him significant pain. In addition, he had not been seeing a dentist regularly for an extended period of time due to unfortunate experiences with dentists earlier in his life.
Member Comments: My husband is still raving about Dr. Sassani. He and his staff were very calming, supportive, informative, and not condescending or judgmental about my husband's dental condition. They were extremely flexible with appointment times and did their best to get him in as soon as possible, even calling when other patients cancelled their appointments to see if he wanted those earlier spots.
When he was finally in the chair, they checked on him during his procedures (cleanings and extractions) frequently to make sure he was comfortable and coping well, and everyone was very friendly. Even when they were having issues with some of his deep cleaning, they remained positive and supportive which really helped my husband overcome his fear of the whole experience. I know my husband is challenging on a good day; they made an excellent impression on his first visit with them, and he will be using them regularly from now on and looks forward to his next visit. That's what I call a success story

S. Freeman Angies list, Oct 2015

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