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What is Endodontics?

Endodontics is a dental specialty focused on treating diseases and injuries of the dental pulp and the tissues surrounding the roots of teeth. Endodontists are essentially root canal specialists who diagnose tooth pain and perform procedures relating to the inside of the tooth. After completing dental school, endodontists receive 2-3 years of advanced training in diagnosing tooth pain and performing root canal treatment and other procedures involving the dental pulp.

Most dental insurance plans cover endodontic procedures, though coverage varies between policies. Typically, root canal treatments are categorized as “major procedures” and are covered at 50-80% of the cost after you’ve met your deductible. Coverage depends on your specific plan’s annual maximums, waiting periods, and whether your endodontist is in-network with your insurance provider.

Endodontic services include specialized dental procedures focused on diagnosing and treating issues affecting the dental pulp (the soft tissue inside your tooth containing nerves, blood vessels, and connective tissue). The core services include root canal therapy, which removes infected or inflamed pulp tissue and seals the canal to prevent reinfection; endodontic retreatment for cases where previous root canal therapy hasn’t healed properly; apicoectomy (root-end surgery) when conventional treatments aren’t sufficient; treatment of dental trauma; internal bleaching for discolored teeth; and diagnosis of complex cases of dental pain.

The main difference between an endodontist and a general dentist is specialization and training. Endodontists complete an additional 2-3 years of specialized education beyond dental school, focusing specifically on diagnosing tooth pain and performing procedures related to the dental pulp. While general dentists can perform basic root canal procedures, endodontists perform these treatments daily, developing significant expertise in complex cases. Endodontists use specialized equipment like surgical operating microscopes and 3D imaging technology for greater precision.

The signs you need to see an endodontist include persistent tooth pain, sensitivity to hot or cold temperatures that lingers after the stimulus is removed, pain when biting or chewing, swelling or tenderness in the gums near a painful tooth, discoloration of a tooth, and a pimple-like bump on the gums. Additionally, if you’ve experienced dental trauma, such as a broken or cracked tooth, or if you’ve been referred by your general dentist for a complex case, you should see an endodontist promptly.