Southwest Endo

Use of Mouth Guards to Prevent Injury – AAE Position Statement

AAE Position Statement – Use of Mouth Guards to Prevent Injury ©2013,

American Association of Endodontists,

211 E. Chicago Ave., Suite 1100,

Chicago, IL 60611

Phone: 800/872-3636 (U.S., Canada, Mexico) or 312/266-7255;

Fax: 866/451-9020 (U.S., Canada, Mexico) or 312/266-9867

Email: [email protected]; Website: www.aae.org

Impact injuries to the dentition, such as those occurring during participation in sports, often result in the need for endodontic treatment. The American Association of Endodontists recommends the use of mouth guards during participation in sports as their use may minimize the effect of impact injuries on the dentition and supporting structures. The most commonly used oral device is of the “over the counter” variety found in sporting goods stores. These are typically molded to an individual’s dentition using a “boil and bite” type material. Although they provide some manner of protection, studies show that these mouth guards often lack proper extensions and repeatedly do not cover all the posterior teeth. Custom mouth guards provide a superiorly adapted appliance that is constructed of a more comfortable material that is also more durable than the store bought variety. Studies have also shown virtually no interferences with breathing. Participants in sporting events are encouraged to contact their dentist for fabrication of a custom mouth guard. In addition, organizers and coaches of children’s sports are encouraged to recommend and/or require the use of mouth guards for all of their participants.

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Root Canal Treatment – How long will the root canal last?

A Consultation with Dr. Susan Wolcott

This article is endorsed by the
American Association of Endodontics.

Dear Doctor,
My dentist told me that I need to have a root canal treatment in a tooth, but how long will my tooth last if I do it?

Root canal treatment.

Dear Carlos,
Thanks for this important question. Today, root canal treatment, also known as endodontic treatment (“endo” – inside; “odont” – tooth), will save your natural tooth and allow you to keep it functional for decades if not a lifetime. But just as no two people are the same, teeth also vary widely, so that the success of root canal treatment depends on many factors. Before we explore some of the most important ones, let’s talk about what root canal treatment is, and why you need it.

Endodontic treatment is necessary to save a tooth when the pulp — the living tissue inside it, consisting of nerves, blood vessels and connective tissues — becomes inflamed or infected. Death of the pulp tissue allows infection to spread into the bone surrounding the tooth. The infected pulp of the tooth needs to be removed, and the root canals cleaned, shaped, disinfected and filled to seal them, so that they are less susceptible to future infection.

Root canal treatment is usually undertaken by a general dentist or an endodontist — a dental specialist who has two to three additional years of advanced training in the diagnosis and treatment of dental pain, and related root canal disorders and diseases. Although general dentists have some education and training in root canal therapy, they often send cases to their endodontic partners for treatment. These include the more complicated, difficult cases or those beyond their comfort level.

A frequently asked question is how can a tooth survive if it has lost the pulp tissue that keeps it alive? The tooth is attached to the bone around it by the periodontal membrane or ligament (“peri” – around; “odont” – tooth), which is living, so that the tooth can still function even though the root canal system no longer contains its original tissue.

Some Factors Affecting Root Canal Longevity

Root canal treatment.

Treatment: A recent evidence-based study of teeth having a primary (first time) root canal treatment cited conditions that contributed to the success and longevity of root canal fillings. One was the absence of root canal infection that had spread into the bone — in other words, the earlier the tooth is treated the better the outcome. So don’t put off treatment if you need it! Another was the quality of the root canal treatment itself. How quickly and effectively the damaged tooth was repaired after root canal treatment was completed was also a factor, meaning it’s important to have the tooth restored with a permanent filling or crown, which usually requires a second office visit, without delay.

All Teeth Are Not Created Equal: Very basically the front teeth, which are used for cutting, have single roots (and canals) and are both easier to access and treat. They also receive less biting force than the back teeth. The back teeth, which by contrast are used for chewing, have two or three roots and therefore more root canals; they are more difficult to access and are more complicated to treat. In addition, a front tooth may not need a crown after root canal treatment but a back tooth will.

Changes Over Time: Studies have shown that there is a significant correlation between age and how resistant a tooth is to fracture, whether or not it has had root canal treatment. Over time, teeth can become more brittle and have a greater tendency to fracture, especially the back molar teeth that receive the most biting force. That’s why it’s important to place crowns on root canal treated teeth to cover and protect them from undue stress, which will increase their longevity. Sometimes it is also necessary to place a post inside a treated root canal to support and reinforce a crown, especially if the tooth has been extensively damaged. However, certain posts, although sometimes necessary, may increase the possibility of root fractures over time.

Preserving Nature’s Gifts

Studies have also shown that getting root canal treatment provides a longer-lasting solution than having a diseased tooth removed and replaced with fixed bridgework, which can fail over time. The evidence for keeping a root canal treated tooth versus getting a dental implant is more equivocal, but that is a more complex issue involving other considerations besides longevity; it also includes more treatment time and costs.

Certainly a tooth or teeth with well-treated root canal fillings and restorations will last for many years, if not a lifetime. Suffice it to say, there is nothing like your natural teeth.

 

This article is from Dear Doctor, Dentistry & Oral Health web site:  http://www.DearDoctor.com

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Root Canals – What does a root canal treatment entail?

Root Canals

What does root canal treatment entail? Learn more about this quick, comfortable procedure that can relieve your pain and save your natural tooth.

Root Canal

Has your dentist or endodontist told you that you need root canal treatment? If so, you’re not alone. Millions of teeth are treated and saved each year with root canal, or endodontic, treatment.   Remember, root canal treatment doesn’t cause pain, it relieves it. Watch our videos below to learn more!

Inside the tooth, under the white enamel and a hard layer called the dentin, is a soft tissue called the pulp. The pulp contains blood vessels, nerves and connective tissue, and helps to grow the root of your tooth during development. In a fully developed tooth, the tooth can survive without the pulp because the tooth continues to be nourished by the tissues surrounding it.

Contrary to jokes about the matter, modern endodontic treatment is very similar to having a routine filling and usually can be completed in one or two appointments, depending on the condition of your tooth and your personal circumstances. You can expect a comfortable experience during and after your appointment.

  • Saving the natural tooth with root canal treatment has many advantages:
  • Efficient chewing
  • Normal biting force and sensation
  • Natural appearance
  • Protects other teeth from excessive wear or strain

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Tips for Saving Your Teeth

Patients today have more options than ever before to treat their teeth. Understanding your choices and their impact on your future dental health and lifestyle is important. Read on to learn why nothing is as good as your natural tooth and get simple tips for saving your teeth! Saving a natural tooth through endodontic treatment should always be the first choice for the best health and cosmetic results.

 

There are many advantages to saving your natural tooth:

  • efficient chewing
  • normal biting force,so you can continue to eat your favorite foods
  • maintains a natural appearance
  • limits the need for more costly, ongoing dental work

Tips for Saving Your Teeth

  1. If you are given a choice between root canal treatment or tooth extraction, always choose root canal treatment. Dentistry has yet to produce a denture, bridge or implant that looks,feels and functions as well as a natural tooth.
  2. If your dentist recommends tooth extraction, ask whether root canal treatment is an option.
  3. If your dentist says that an endodontic procedure is not an option, ask why, and request a referral to an endodontist.

 

Endodontists are dentists who specialize in saving teeth, and have at least two years of advanced training in root canal procedures.  They are experts at diagnosing and relieving tooth pain, and use advanced equipment to treat patients quickly and comfortably.  Your dentist probably has partnerships with endodontists in your area already.

 

What to Avoid:

  1.  Never choose extraction because you think it will be cheaper! When a natural tooth is extracted, it must be replaced with an artificial tooth to prevent other teeth from shifting, and to prevent future dental problems.The cost of a denture, bridge or implant,plus the extraction, often is higher than the cost of an endodontic procedure that would save the tooth for years to come. Most dental insurance plans cover endodontic treatment.
  2. Never choose extraction because you think root canal treatment will be painful! Modern techniques and effective anesthesia make root canal treatment virtually painless.In fact, discomfort after the procedure is generally greater with a tooth extraction. Patients who have experienced root canal treatment are six times more likely to describe it as “painless” than patients who have not had a root canal.
  3. Never choose extraction because you think it will be quicker! Endodontic treatments generally require one to two visits lasting less than an hour each.An extraction requires one visit, but the denture, bridge or implant will require several additional visits with your dentist.

 

The American Association of Endodontists is dedicated to the highest standard of patient care.

American Association of Endodontists

211 E.Chicago Ave., Suite 1100

Chicago,IL 60611

Phone: 800/872-3636 (U.S.,Canada and Mexico) or 312/266-7255 Fax: 866-461-9020 (U.S.,Canada and Mexico) or 312/266-9867

 

Email: [email protected]

Website: www.aae.org

Twitter: @savingyourteeth

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Cone Beam Computed Tomography – From American Association of Endodontics

Cone beam computed tomography is an innovative medical imaging technique that provides endodontists with three-dimensional views of the patient. In certain cases, CBCT greatly enhances the endodontist’s ability to diagnose, evaluate, treat and care for patients.

During a CBCT scan, the machine rotates around the patient, capturing images using a cone-shaped X-ray beam. These images are then used to construct a 3-D representation of the patient’s teeth, oral and maxillofacial region (mouth, jaw and neck), and ears, nose and throat.

CBCT

In 2015, the AAE and the American Academy of Oral and Maxillofacial Radiology issued a revised joint position statement on the use of CBCT in endodontics. The joint statement, an update from 2010, takes into account scientific literature from the past five years as well as research that indicates the effectiveness of 3-D imaging for endodontic diagnosis and treatment. The statement provides 11 specific recommendations and supporting evidence for when CBCT should be considered, and emphasizes that CBCT should not be used routinely for endodontic diagnosis or screening in the absence of clinical symptoms. Consistent with the principles of ALARA – keeping patient radiation doses “as low as reasonably achievable” – the statement notes that the patient’s history and clinical examination must justify the use of CBCT.

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Celebrating the Superheroes of Saving Teeth

Celebrating the Superheroes of Saving Teeth

A new video released today by the American Association of Endodontists helps patients understand how the advanced training, specialized techniques and superior technologies used by endodontists help save teeth. Endodontists are dental specialists who perform root canal treatment and other endodontic procedures to treat dental infections, relieve pain and help patients keep their natural teeth. In a recent AAE survey, 78 percent of Americans said they want to avoid losing a permanent tooth.

“If a patient is told that a tooth should be extracted, they should seek a second opinion from an endodontist, who may be able to save the tooth through root canal treatment,” said AAE President Dr. Garry Myers. “No tooth replacement will look, feel or function as well as a natural tooth.”

The AAE celebrates Root Canal Awareness Week to educate the public about modern root canal treatment and endodontists as the specialists in saving teeth. Endodontists:

  • Complete at least 10 years of higher education, including four years of dental school and two to three years of specialty training after earning a dental degree.
  • Complete at least 10 years of higher education, including four years of dental school and two to three years of specialty training after earning a dental degree.
  • Perform routine and complex procedures, including root canal treatment, root canal retreatment and endodonic microsurgery.
  • Are skilled in finding the cause of oral and facial pain.
  • Are experts in applying local anesthesia, ensuring patients are completely numb and comfortable during their procedures.
  • Use a dental dam for all root canal procedures to isolate the tooth and protect the patient’s airway.
  • Utilize operating microscopes to enhance their abilitiy to see the tiny root canal space inside a tooth.
  • Employ digital and 3-D imaging to fully visualize the patient’s teeth and supporting structures.

“All endodontists are dentists, but less than three percent of dentists are endodontists,” said Dr. Myers. “While your general dentist is like a family doctor, great for regular cleanings, check-ups and general oral health, if you need root canal treatment, you should see an endodontist, who has specialized training to become an expert in performing root canal treatment and diagnosing and treating tooth pain.”

For more information about the AAE and Root Canal Awareness Week, follow the AAE on Twitter at @savingyourteeth or search #rootcanal. To find an endodontist in your area, use the Find an Endodontist feature at www.aae.org/find.

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About the American Association of Endodontists
The American Association of Endodontists, headquartered in Chicago, Ill., represents more than 8,000 members worldwide. Endodontics is one of nine dental specialties formally recognized by the American Dental Association. The AAE, founded in 1943, is dedicated to excellence in the art and science of endodontics and to the highest standard of patient care. The Association inspires its members to pursue professional advancement and personal fulfillment through education, research, advocacy, leadership, communication and service. For more information about the AAE, visit the Association’s website at www.aae.org.

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Celebrating the Superheroes of Saving Teeth

Celebrating the Superheroes of Saving Teeth

A new video released today by the American Association of Endodontists helps patients understand how the advanced training, specialized techniques and superior technologies used by endodontists help save teeth. Endodontists are dental specialists who perform root canal treatment and other endodontic procedures to treat dental infections, relieve pain and help patients keep their natural teeth. In a recent AAE survey, 78 percent of Americans said they want to avoid losing a permanent tooth.

“If a patient is told that a tooth should be extracted, they should seek a second opinion from an endodontist, who may be able to save the tooth through root canal treatment,” said AAE President Dr. Garry Myers. “No tooth replacement will look, feel or function as well as a natural tooth.”

The AAE celebrates Root Canal Awareness Week to educate the public about modern root canal treatment and endodontists as the specialists in saving teeth. Endodontists:

  • Complete at least 10 years of higher education, including four years of dental school and two to three years of specialty training after earning a dental degree.
  • Complete at least 10 years of higher education, including four years of dental school and two to three years of specialty training after earning a dental degree.
  • Perform routine and complex procedures, including root canal treatment, root canal retreatment and endodonic microsurgery.
  • Are skilled in finding the cause of oral and facial pain.
  • Are experts in applying local anesthesia, ensuring patients are completely numb and comfortable during their procedures.
  • Use a dental dam for all root canal procedures to isolate the tooth and protect the patient’s airway.
  • Utilize operating microscopes to enhance their abilitiy to see the tiny root canal space inside a tooth.
  • Employ digital and 3-D imaging to fully visualize the patient’s teeth and supporting structures.

“All endodontists are dentists, but less than three percent of dentists are endodontists,” said Dr. Myers. “While your general dentist is like a family doctor, great for regular cleanings, check-ups and general oral health, if you need root canal treatment, you should see an endodontist, who has specialized training to become an expert in performing root canal treatment and diagnosing and treating tooth pain.”

For more information about the AAE and Root Canal Awareness Week, follow the AAE on Twitter at @savingyourteeth or search #rootcanal. To find an endodontist in your area, use the Find an Endodontist feature at www.aae.org/find.

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About the American Association of Endodontists
The American Association of Endodontists, headquartered in Chicago, Ill., represents more than 8,000 members worldwide. Endodontics is one of nine dental specialties formally recognized by the American Dental Association. The AAE, founded in 1943, is dedicated to excellence in the art and science of endodontics and to the highest standard of patient care. The Association inspires its members to pursue professional advancement and personal fulfillment through education, research, advocacy, leadership, communication and service. For more information about the AAE, visit the Association’s website at www.aae.org.

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Root Canal Facts from American Association of Endodontics

Fact Sheet

Root Canal or Extraction
Patients today have more options than ever before to treat their teeth. Understanding your choices and their impact on your future dental health and lifestyle is important. Read our tooth saving tips to learn why nothing is as good as your natural tooth and get simple tips for saving your teeth!

Endodontists
Endodontists are dentists with special training in diagnosing and treating oral and facial pain, and problems associated with the inside of the tooth. Endodontists must complete four years of dental school plus two or more years of advanced training in endodontics. Visit the Why Choose an Endodontist page to learn more about endodontists, specialists in saving teeth.

Common Endodontic Symptoms
Patients may need endodontic treatment, including root canals, if they experience any of the following symptoms:

  • prolonged dental sensitivity to heat or cold;
  • tenderness of teeth to touch and chewing; or
  • facial or oral swelling.

You can learn more by visiting our dental symptoms page.

Root Canals
Root canal treatment is needed when the pulp (the soft tissue inside the tooth) becomes inflamed or infected as a result of injury, deep decay, repeated dental procedures on the tooth, or a cracked or chipped tooth.

Visit our treatments and procedures page to learn more about root canals and other procedures to save your teeth.

Saving Natural Teeth
Although it is possible in some cases to replace an extracted tooth with an implant or bridgework, Americans have strong negative feelings about losing their natural teeth.

  • In a recent AAE survey, 76 percent of participants said they would prefer a root canal to tooth extraction.
  • Nearly a third would not sell a healthy front tooth for any amount of money.
  • Most people are not aware that root canal treatment is a viable alternative to tooth extraction.
  • Older individuals are much more likely than younger individuals to have experienced a tooth extraction.
  • Women are more likely than men to have had a tooth extraction.
  • More than half (58 percent) of those who have had a tooth extracted did not replace it with anything; the remainder replaced the tooth with a bridge (17 percent), dentures (12 percent) or an implant (8 percent).
  • Artificial teeth can limit your ability to chew certain foods necessary to maintaining a balanced diet.

About the AAE
The American Association of Endodontists, headquartered in Chicago, Ill., represents more than 8,000 members worldwide. Endodontics is one of nine dental specialties formally recognized by the American Dental Association. The AAE, founded in 1943, is dedicated to excellence in the art and science of endodontics and to the highest standard of patient care. The Association inspires its members to pursue professional advancement and personal fulfillment through education, research, advocacy, leadership, communication and service.

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Endodontic Treatment Statistics

The most recent information available on the frequency of endodontic procedures comes from the American Dental Association Survey of Dental Services Rendered, conducted in late 2005-early 2006 and published in August of 2007. The survey is available from the ADA’s Health Policy Resources Center. A previous version of the survey was published in 1999, and the survey has not been repeated since 2005-2006. Information for the survey was collected using printed survey questionnaires and patient care logs, which documented the actual number of patients seen and the specific procedures completed. Data collected was used to compile national estimates for each dental procedure and specialty.

Relevant statistics from the 2005-2006 survey:

It is estimated that 22.3 million endodontic procedures were performed annually:

  • 15.2 million/68% were performed by general dentists
  • 5.7 million/26% were performed by endodontists
  • The remainder were performed by other dental specialists

It is estimated that 15.1 million root canal treatments were performed annually:

  • 10.9 million/72% were performed by general dentists
  • 4.2 million/28% were performed by endodontists

It is difficult to compare the 2005-2006 data to the previous Survey of Dental Services Rendered (1999) because the ADA changed the way it collected and reported data. For example, retreatments, root canal obstructions, incomplete endodontic therapy and apexification were not part of the 1999 survey but were included in 2005-2006.

  • The estimated total of all endodontic procedures went up about 10% from 1999 to 2006 (from 20.3 million to 22.3 million).
  • The estimated total number of root canal treatments went down 5% from 1999 to 2006 (from 15.8 million to 15.1 million).
  • Endodontists performed about 100,000 more root canal treatments in 2006 than in 1999 (an increase of about 3%) and general dentists performed about 830,000 fewer root canal treatments in 2006 than in 1999 (a decrease of about 6%).

 

The above information is from the American Association of Endodontics website:  www.aae.org

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