Types of procedures performed by endodontists: A Comprehensive Overview

  1. What is an endodontist?
  2. Definition and job responsibilities
  3. Types of procedures performed by endodontists

Endodontists are specialized dentists who have undergone additional training beyond dental school to become experts in the field of endodontics. As the name suggests, endodontists focus on the study and treatment of the innermost part of the tooth, known as the pulp. This is where all the nerves, blood vessels, and connective tissue are located, making it a vital part of the tooth's overall health. Endodontists are highly skilled in performing a wide range of procedures to diagnose and treat various conditions affecting the pulp and surrounding tissues. These procedures not only save natural teeth from extraction but also help alleviate pain and discomfort caused by dental issues. In this comprehensive article, we will delve into the world of endodontics and explore the various types of procedures performed by endodontists.

Whether you are a patient seeking more information about your upcoming root canal or a curious individual interested in learning more about this specialized field of dentistry, this article will provide you with a thorough understanding of what an endodontist does and how they can help you maintain a healthy smile. So, let's dive in and uncover the different types of procedures that endodontists perform to preserve and restore the health of your teeth and gums. To begin, it is important to note that endodontists are not your typical dentists. While dentists focus on maintaining overall oral health, endodontists specialize in treating issues related to the inner workings of the tooth. This includes procedures such as root canals, which involve removing infected or damaged pulp from the tooth and sealing it to prevent further infection. Endodontists also perform procedures like endodontic retreatment, which involves redoing a previous root canal that has failed.

Another common procedure performed by endodontists is apicoectomy, which is a surgical procedure to remove the tip of the tooth's root if it becomes infected or inflamed. Endodontists are highly trained and skilled in these procedures, as they require a deep understanding of the anatomy of teeth and the soft tissue inside them. They use specialized tools and techniques to ensure that the procedures are performed accurately and with minimal discomfort to the patient. In addition to these common procedures, endodontists also perform apexification, which is a treatment for teeth with incomplete root development. This involves stimulating the formation of hard tissue at the tip of the root to strengthen the tooth and prevent infection. Another important procedure performed by endodontists is pulpotomy, which is often used in children to treat a decayed primary tooth. The infected pulp is removed and the remaining healthy pulp is preserved, allowing the tooth to continue developing normally. Endodontists also play a crucial role in saving teeth that have been traumatized due to accidents or injuries.

They may perform procedures such as replantation, where a tooth that has been knocked out is reinserted into its socket, or intentional replantation, where the tooth is removed, treated, and then reinserted into the socket. In some cases, endodontists may also perform endodontic surgery to treat more complex issues. This can include procedures like hemisection, where a damaged root is removed, or root amputation, where one root of a multi-rooted tooth is removed while preserving the others. Overall, endodontists are highly skilled and specialized dental professionals who are essential in preserving the health and function of our teeth. They play a crucial role in treating issues related to the inner workings of the tooth and perform a variety of procedures to ensure that our teeth remain strong, healthy, and pain-free.

Root Canals

Root canals are one of the most common procedures performed by endodontists. This procedure involves removing the infected or damaged pulp from the inside of a tooth and replacing it with a filling material to prevent further infection or decay. Endodontists are highly trained in performing root canals and have the necessary equipment and expertise to do so effectively.

They use specialized tools to access and clean the inside of the tooth, removing any infected tissue and shaping the canals to prepare for filling. Once the canals are cleaned and disinfected, a rubber-like material called gutta-percha is used to fill the space and seal it off. Root canals are typically recommended when a tooth has severe decay, has been damaged by trauma, or has an infection that has spread to the pulp. This procedure can help save the natural tooth and prevent the need for extraction. If you are experiencing severe tooth pain or have been told you need a root canal, it is important to seek treatment from an endodontist. They have the specialized training and experience to perform this procedure effectively and alleviate your pain.


Apicoectomy is a surgical procedure performed by endodontists to treat infected tooth roots.

This treatment is necessary when the root canal treatment is not sufficient in fully removing the infection and restoring the health of the tooth. During an apicoectomy, the endodontist will make a small incision in the gum tissue near the affected tooth. This allows them to access the tip of the tooth's root and remove any infected tissue or debris. They will also clean and seal the area to prevent further infection. This procedure is typically performed under local anesthesia, making it a relatively painless experience for the patient. It is considered a last resort treatment for infected tooth roots, as most cases can be successfully treated with non-surgical root canal therapy. Endodontists are highly trained and skilled in performing apicoectomies, ensuring that patients receive the best possible care for their infected tooth roots.

If you are experiencing persistent pain or have been told that you need an apicoectomy, it is important to seek treatment from a qualified endodontist.

Endodontic Retreatment

Endodontic retreatment is a procedure that is performed when a root canal needs to be redone. This can occur for several reasons, including the presence of new infections, inadequate previous treatment, or the development of new problems with the tooth. During this procedure, the endodontist will remove any existing fillings or restorations and clean out the inside of the tooth. They will then assess the root canals and determine if there are any additional canals that need to be treated. The endodontist will also look for any signs of infection or damage to the surrounding tissues. If necessary, the endodontist will use specialized tools to remove any obstructions or blockages that may be preventing proper cleaning and shaping of the canals.

They will then clean and disinfect the canals, and fill them with a material called gutta-percha. This helps to seal off the canals and prevent any future infections. In some cases, endodontic retreatment may also involve placing a new restoration on top of the tooth to protect it and restore its function. This can include a crown or filling, depending on the extent of damage to the tooth. Endodontic retreatment is an important procedure that allows endodontists to save teeth that may have otherwise needed to be extracted. It also helps to alleviate any pain or discomfort that may be caused by an untreated or poorly treated root canal. Endodontists are essential dental professionals who specialize in diagnosing and treating problems that affect the soft tissue inside the tooth, known as the pulp.

Through their expertise and training, they are able to perform a variety of procedures to save teeth and alleviate pain. Root canals, endodontic retreatment, and apicoectomy are just some of the procedures that endodontists are trained to perform. These procedures can help save damaged or infected teeth, preventing the need for extraction and preserving our natural teeth. If you are experiencing tooth pain or have been recommended for a root canal, it is important to seek treatment from an endodontist. Their specialized skills and knowledge make them the best option for addressing issues with the soft tissue inside the tooth. Don't hesitate to seek treatment from an endodontist if you are in need of their services.

Evelyn Bobst
Evelyn Bobst

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