What is Endodontics?

What is an Endodontist and what do they do?

Endodontists are dentists who specialize in maintaining teeth through endodontic therapy procedures involving the soft inner tissue of the teeth called the pulp.  The term “endodontic” is derived from the Greek words “endo,” meaning inside, and “odont,” meaning tooth. Like many medical terms, its origins are rooted in the Greek language. While all dentists receive training in diagnosing and performing endodontic procedures, certain cases can be more complex and challenging to manage. That’s often when a referral to an endodontic specialist becomes necessary.

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In addition to completing dental school, endodontists undergo at least two additional years of specialized training focused on root canal treatments and advanced diagnostic techniques. This deeper expertise allows them to manage more complicated cases effectively—one of the main reasons general dentists commonly refer patients to endodontists.

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Endodontic treatment and what is a root canal?

You will receive a local anesthetic to ensure comfort during the procedure. A protective barrier, often referred to as a “rubber dam” (non-latex options are available), will be used to isolate the tooth and keep the area clean and dry throughout the process. Treatment typically involves several key steps, usually three or four, but the total number of visits depends on your individual case. While some patients may require two appointments, many treatments can be completed in just one. In certain complex situations, a third visit may be needed.

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The details of your treatment plan will vary based on the extent of the infection or inflammation and the complexity involved. Our priority is to ensure the highest quality of care, even if it takes extra time.

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Endodontic treatment, commonly known as a root canal, is highly successful—with success rates reaching as high as 90% for eligible cases. Before starting, we’ll talk through your specific prognosis so you can make a confident, informed choice. If the treatment is not successful, don’t worry—our doctors will review all other possible options with you.

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Endodontists Diagnose and Treat Oral Pain

Pinpointing the source of oral discomfort—like toothaches or fractures—can be challenging. The complex network of nerves in the mouth often causes pain from a diseased or injured tooth to radiate to other areas such as nearby teeth, the jaw, ear, or neck. Endodontists are highly trained specialists who focus on identifying and relieving this type of pain.​

Endodontists Handle Dental Trauma

Damage to the tooth pulp can result from injuries such as a blow to the mouth. Endodontists are experts in managing these types of trauma. For instance, a hit to a developing permanent tooth in a child can halt root development. In such cases, a technique known as apexification helps stimulate bone growth at the root tip, paving the way for a successful root canal. Endodontists are also skilled in procedures to replant teeth that have been completely dislodged from their sockets.​

Will I Need Follow-Up Visits?

After root canal treatment, we usually recommend follow-up exams every 6 to 12 months to monitor the healing process. You’ll receive a reminder when it’s time to reassess the treated area. Since it can take up to two years for an infection to fully resolve, we typically evaluate the tooth periodically for at least that long.​

What If My Tooth Needs Retreatment?

In some cases, a tooth may not heal as expected after a root canal, or symptoms may return. Occasionally, a tooth that seemed to recover may develop issues months or even years later. When this happens, a second endodontic procedure—known as retreatment—can often save the tooth and restore comfort.