Samir Batniji - Services

When Endodontic treatment is necessary, the following procedures are regularly performed by Dr. Batniji, and our Endodontic teams in order to prevent the loss of a tooth. The actual procedures involve removing infected or damaged tissue and/or abscess from inside a tooth and cleaning, filling and sealing the remaining space. Most teeth can be treated Endodontically. Occasionally, a tooth can't be saved because the root canals are not accessible, the root is severely fractured, the tooth doesn't have adequate bone support, or the tooth cannot be restored. However, advances in Endodontics are making it possible to save teeth that even a few years ago would have been lost. In addition, when Endodontic treatment is not effective, Endodontic surgery may be able to save the tooth.

· Root Canal Therapy - Initial Endodontic procedure to remove infected or damaged tissue and/or abscess. During Endodontic treatment an opening is made through the crown (the top of the tooth). Tiny instruments are then used to remove the damaged tissue from the canals. The canals are then shaped to a form that will be easy to fill. When completely clean and free to infection, the root canals are filled and sealed with a material that prevents bacteria from reentering. The opening made in the top of the tooth is sealed with temporary filling. The temporary filling will be replaced by your regular dentist with permanent filling, or some other protective covering such as a crown.

· Root Canal Re-treatment - Occasionally a tooth that has undergone root canal therapy fails to heal or may even continue to cause pain. Sometimes a tooth responds to root canal therapy but becomes painful or diseased month or years later. When this happens, the tooth often can be saved with a second Endodontic treatment. The tooth will be reopened and the canals cleaned, filled and sealed again.

· Endodontic Surgery - The most common Endodontic surgical procedure is called an apicoectomy or root end resection. When inflammation or infection persists in the bony area around the end of your tooth after Endodontic treatment, an apicoectomy may be needed. In cases of very narrow, curved, or hardened canals the gum tissue near the tooth is opened to expose the underlying bone. The very end of the root is removed, and a small filling is placed to seal the root canal. Few stitches are placed to help the healing process.

· Apexification - In order to perform root canal therapy, the root needs to be completely formed. Apexification is a procedure performed to stimulate root growth. This procedure is usually recommended for younger patients whose roots have not fully developed. In this case, the nerves are removed from the canals and an application of calcium hydroxide is used to medicate and initiate the apex closure in order to complete the tooth development.

· Pulp capping - When dental pulp is exposed and the root is not completely developed, pulp capping is performed to preserve the vitality of a tooth. In this procedure, the exposed pulp is covered with a medicated dressing that is placed directly onto the surface of vital pulp tissue at the site of the pulpal exposure and protects the pulp tissue and keeps the tooth healthy.
· Internal Bleaching - The use of chemical oxidizing agents within the coronal portion of an Endodontically treated tooth to remove tooth discoloration.

· Extraction and Re-implantation - Insertion of a tooth into its alveolus after the tooth has been extracted for the purpose of performing root-end surgery.

When endodontic treatment is needed, the only alternative to endodontic treatment is extraction of the tooth. if you have the tooth removed, adjoining teeth may shift, interfering with biting and chewing. Loss of a tooth can also lead to periodontal (gum) disease and loss of additional teeth. You can have a replacement tooth implanted or attached to adjacent healthy teeth, but no matter how effective modern tooth replacements are, nothing is as good as a natural tooth.

What is Endodontics?
Endodontics is the branch of dentistry concerned with the morphology, physiology and pathology of the human dental pulp and periadicular tissues. The scope of Endodontics includes, but is not limited to: root canal therapy, apical surgeries, internal bleaching and root canal re-treatments.

An Endodontist is a specialist who has successfully completed two additional years of training after receiving a dental degree.

For More Information Regarding Endodontic Procedures Please Visit:

The American Association of Endodontists

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