ENDODONTICS · BETHESDA, MD

When the problem is inside the tooth, saving it starts with the right diagnosis.

Endodontic care focuses on problems affecting the pulp and roots inside your tooth. When deep decay, a crack, injury or infection reaches those tissues, the goal is to understand what’s happening and preserve the natural tooth whenever treatment can do so predictably.

Tooth pain tells you something is wrong. Endodontics helps determine what — and whether the tooth can be saved.

WHEN THE PROBLEM MAY BE DEEPER

Six clues the inside of a tooth may need attention.

Pulp and root problems don’t always feel the same. The pattern of pain, temperature response, swelling and the history of the tooth all help us understand what may be happening.

Hot or cold pain lingers

Sensitivity that continues after the hot or cold stimulus is gone can be a sign that the pulp inside the tooth needs evaluation.

It hurts when you bite

Persistent pain or pressure during chewing can occur when the pulp, root or surrounding tissues are inflamed or damaged.

The gum is swollen or tender

Swelling, tenderness or a small pimple-like area on the gum can accompany infection associated with a tooth.

The tooth is cracked or chipped

A crack can give bacteria a pathway toward the pulp, and the treatment depends heavily on the location and extent of the fracture.

The tooth was injured

Trauma can damage the pulp even when the outside of the tooth doesn’t initially look severely damaged. Bethesda Dental Group includes trauma among causes of pulp problems.

An old root canal is hurting again

A previously treated tooth can develop new problems years later because of new decay, a damaged restoration, fracture or persistent infection.

A tooth doesn’t have to hurt constantly for something inside it to need attention.

Root canal: the procedure.

Endodontics: diagnosing and treating problems involving the pulp and roots of the tooth.

ENDODONTICS VS. ROOT CANAL

A root canal is a treatment. Endodontics is the care around the diagnosis.

Inside every tooth is soft tissue called the pulp, containing nerves, blood vessels and connective tissue. Deep decay, cracks, trauma or repeated dental procedures can inflame or infect this tissue.

Root canal treatment is one way to save a tooth when that pulp can no longer recover: the damaged tissue is removed, the canals are cleaned and shaped, and the internal space is sealed.

Endodontic care starts one step earlier — determining which tooth is causing the problem, whether its pulp can recover and what treatment offers the best chance of keeping the natural tooth.

TOOTH-SAVING CARE STARTS WITH THE CAUSE

First-time pain, an injured tooth or symptoms that came back.

Different endodontic problems can feel surprisingly similar. The treatment depends on what has happened inside the tooth — and whether that tooth has been treated before.

Root Canal Treatment

When the pulp is irreversibly inflamed or infected, root canal treatment removes the affected tissue, cleans the canal system and seals the space so the tooth can remain in function.

Previously Treated Tooth Evaluation

If a root canal-treated tooth becomes painful again, we evaluate the restoration, roots and surrounding tissues to understand why symptoms have returned.

Cracked or Injured Tooth Evaluation

Cracks and dental trauma can damage the pulp in different ways, so preserving the tooth starts with determining the depth of injury and whether the root remains treatable.

YOUR ENDODONTIC VISIT · STEP BY STEP

Find the tooth. Understand the pulp. Save what can be saved.

We review your symptoms and tooth history, examine the area and use appropriate testing and imaging to identify which tooth and tissues are involved.

If root canal treatment is appropriate, the area is numbed, the damaged pulp is removed and the canal system is cleaned, shaped and sealed.

After endodontic treatment, the tooth needs an appropriate final restoration to seal and protect it. The exact restoration depends on the tooth and how much healthy structure remains.

What patients say

200 reasons to choose us.

We don't ask you to trust us. We let our patients do the talking.

Saving your natural tooth can be worth addressing before the problem gets more complicated.

Endodontic treatment may receive insurance benefits depending on the procedure and your individual PPO plan. Bethesda Dental Group accepts PPO insurance, and Cherry, Sunbit, Proceed and Care Credit financing is available for eligible care with no hard credit check · approval in seconds · and plans from 3 to 24 months.

Before you give up on the tooth, find out what’s happening inside it.

Whether the pain is new, the tooth was injured or symptoms have returned after previous treatment, we’ll evaluate the pulp and roots and determine the appropriate next step.