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Endodontics is the branch of dentistry focused on the health of the dental pulp, the soft tissue inside each tooth that houses nerves and blood vessels. When this tissue becomes infected or damaged, endodontic treatment saves the tooth by removing the problem at its source. At Elevated Smiles Dentistry in Bel Air, MD, Dr. Joshua Englander performs endodontic procedures in-house with precision and a gentle touch, so you can keep your natural tooth for as long as possible.
The standard first-line treatment for an infected or inflamed tooth pulp. Dr. Englander removes the infected tissue, cleans and seals the root canals, and prepares the tooth for a protective crown.
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Endodontic treatment addresses problems inside the tooth root system. The most common procedure is root canal therapy, which removes infected or inflamed pulp tissue, cleans and shapes the root canal system, and seals it to prevent reinfection. Other endodontic procedures include retreatment of previously root-canaled teeth that have become reinfected, and apicoectomy, a minor surgical procedure that removes the tip of a root and seals it when conventional root canal therapy cannot fully resolve an infection. The goal in all cases is to eliminate the source of pain and infection while preserving the natural tooth.
The most common symptoms that indicate pulp involvement include a severe or persistent toothache, sharp pain when biting or chewing, prolonged sensitivity to heat or cold that lingers after the stimulus is removed, a darkening of the tooth, swelling or tenderness in the surrounding gum tissue, or a recurring pimple-like bump near the root of the tooth. In some cases, a tooth that needs endodontic treatment causes no pain at all, which is why routine X-rays are important for catching problems before they become acute.
Natural teeth are always preferable to artificial replacements. Your own tooth, even one that has been root-canaled, maintains the space in your jaw, contributes to chewing efficiency, and helps preserve the bone around it. Replacing a tooth with an implant, bridge, or denture adds cost, time, and additional procedures to your treatment plan. When endodontic treatment can save a tooth and restore it to full function, it is almost always the better path. Dr. Englander will give you an honest assessment of whether saving the tooth is in your long-term best interest or whether extraction and replacement makes more clinical sense.

We Welcome You to Elevated Smiles Dentistry of Bel Air Maryland.
Schedule an AppointmentVisit us at our modern office in downtown Bel Air. We’re ready to help you achieve your best smile.
Monday: 8am – 4pm
Tuesday: 8am – 4pm
Wednesday: 7am – 3pm
Thursday: 7am – 3pm
Friday: By Appointment Only
Saturday: Closed
Sunday: Closed
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