Dr. Bui was recognized on CBS’s American Health Front on Oct 1, 2016
Having performed over 15,000 root canals, Dr. Young Bui is one of Manhattan’s premier endodontists – a specialist in the art of root canal therapy.
Our goal is to provide our patients with the most technologically advanced endodontic treatment available anywhere. Our “make no compromises” philosophy places our practice in the top 1% of endodontic practices, nationwide.
We are committed to providing you with a comfortable atmosphere during treatment and we strive to make every visit to our office as pleasant as possible. Our aim is to deliver gentle endodontic care to our patients.
By referring you to our office, your dentist has shown their concern that you receive the finest endodontic care possible. Our goal is to provide unsurpassed quality in a compassionate environment of professionalism and clinical excellence. We hope to exceed your expectations.
What Training Do Endodontists Receive? Endodontists have to follow proper training methods and procedures before they can start practicing dental procedures on their patients. Endodontists have to carry out some of the most difficult dental procedures, which explains why they receive heavy training before fully practicing dental procedures. Their main aim is to help prevent dental diseases that could affect interior parts of your tooth, such as blood vessels, pulp, nerves and root. Below we have mentioned what kind of training an endodontist has to receive in order to become a licensed endodontist.
Some children dream of being a firefighter or astronaut when they grow up, while some dream to be dentists, specifically an endodontist. For that dream to come true, you first have to receive a bachelor’s degree from a recognized college or university. Your choice of subjects to study from will be under science. These subjects include chemistry, physics, biology, and human anatomy. It is also advisable for you to focus on business-related subjects with respect to financing, communication, and business education as many dentists have the desire to open their own clinic and have direct contact with patients where they can operate their own dental practices.
While studying for their bachelor’s degree, medical students volunteer in organizations related to their field. Students willing to become endodontists can volunteer or intern at different dental clinics or offices. You can also take part in dental research if your university is conducting clinical research. It is a must for medical students to take part in such activities and intern at dental clinics as this encourages them to enhance their knowledge related to endodontics and the entire dental industry. This knowledge grooms them and prepares them to get ready for a future career in dentistry and endodontic procedures.
After you’ve received a well-distinguished bachelor’s degree in dental surgery, your next step in training is graduating from dental school. In dental school, you take part in programs that are a form of training. These programs begin with the history of dental sciences and biomedical studies that cover a wide range of topics, such as the overall human dental anatomy.
Dental school programs last for 4 years. In the first and second year, students are taught different dental procedures and learn dental sciences in a laboratory setting. If you’re in your first or second year of med school then you will be taught different dental procedures such as imaging, teeth cleansing, and scaling. Sometimes, students are also taught about some endodontic procedures. Students in their third and fourth year are trained and taught on how to diagnose and treat patients. This is carried out by students under the direct supervision of a licensed dentist. Each student gets to put four years’ worth of training into practice. Each student has to take a final examination of whatever they have learned in all the four years during med school. High performance in the examination leads to receiving a designation of a DMD(Doctor of Medicine in Dentistry) or a DDS (Doctor of Dental Surgeon).
After dental school, the next step is to train for a license that will allow you to practice dentistry. You will have to give a National Board Dental Examination, which is both written and clinical. This exam is demanded and associated through the American Dental Association. The exam consists of two parts. The first part of the exam is a written examination which tests all your knowledge of dentistry oral health. The second part of the exam is a clinical examination that you can only take if you have successfully managed to pass the first part of the exam.
After you have passed both parts of the exams, you will need to attain a license for the specific state you want to practice in; you might have to maintain your license by attending educational seminars and classes.
Anyone who wants to be an endodontist has to complete the endodontic residency program that helps train them in becoming successful future endodontists. The residency program includes various modern endodontic treatments such as pediatric endodontic treatment, treatment and diagnosis of gum disease, emergency treatment of traumatic teeth injuries, and the utilization of microscopes. The board of certified endodontists administers this program.
The program lasts for two years, and its completion is based only after the resident has successfully managed to prepare an independent research project. Each resident presents their independent research project during the annual session of the American Association of Endodontists. These projects go forward for publication in a medical journal. After training is complete, the resident will have to complete a board certification, and its accomplishment will result in the candidate becoming a board-certified endodontist.
We hope that these training steps will guide aspiring endodontists and help patients establish trust in their endodontists. Here at Bryant Park Endodontics, all of our endodontists have completed years of rigorous training to provide the best care possible.
Contact us and schedule an appointment for a detailed checkup!
What Do Endodontists Do? Taking care of your teeth is important for staying healthy and maintaining good oral health. It is necessary to have an oral checkup once every while for good oral health with healthy and white teeth. People visit dentists either for an oral checkup or when they have pain or other problems in their teeth.
Most people do not get an oral checkup and have to rush to their dentists only when they experience some problems with their teeth. Prevention is better than cure, and it is a must to have an oral checkup even when you think your teeth are fine. However, problems with teeth can always arise, and it is better to check with your dentist immediately.
You can get services from different dentists based what problems you’re facing, related to the tooth, gums, and oral cavity. Each of the dentists has specialization in treating certain problems. Therefore, it is important to know the different types of dentist before visiting one. Endodontists are the most popular and high in demand to treat tooth related problems. Let us see the different types of dentist and what endodontists specialize in.
Following are the different types of dentists:
Every endodontist is a dentist, but less than 3% of the dentists are endodontists. From education to skills and from expertise to the equipment, endodontists are different from the other dentists. Here are the things that are special about endodontists.
To specialize in their field, endodontists have two or three additional years of education in an advanced specialty program in endodontics. Endodontists focus on studying diseases of the dental pulp and how to treat them.
As their practice is limited to endodontics, endodontists focus on the treating the dental pulp. An endodontist usually completes an average of 25 root canal treatments every week, whereas a general dentist only performs a root canal treatment once or twice a week or even less than that.
Endodontists do not perform simple procedures such as cleaning the teeth or filling cavities unless it is part of their endodontic treatment for a patient. They devote their time to diagnose and treat the complex issues of the root and pulp of the tooth. Patients who come to endodontists usually complain of a toothache because of an underlying problem within the tooth. Their skills and expertise are in finding the cause of oral and facial pain that is difficult to diagnose.
Endodontists work with specialized techniques to provide their patient comfort. They practice techniques that make the dental procedure less painful and relaxing for the patient. They are experts in administering anesthetics, especially to patients who have problems getting and staying numb. With the techniques and medication an endodontist uses, the patient is relieved from tooth pain after the infection or inflammation has healed.
Endodontists work with material and equipment to make your treatment more successful and comfortable. For instance, they use a rubber dam, which is a small plastic rubber sheet that isolates the tooth during the treatment. Isolating the tooth protects it from saliva and the oral bacteria during the treatment. It also protects the rest of the mouth from the instruments and substances that are applied to the tooth.
Endodontists also use digital radiographers and 3-D imaging to view the tooth anatomy better for root canals and to see the extent of the infection inside the tooth. They also use operating microscopes to see the inide of root canals when needed.
An endodontist specializes in treating tooth problems related to the root and pulp to the tooth. Their training focuses on diagnosing the toothache and its root cause. The treatment options an endodontist provide are a root canal, and other procedures related to the interior of the tooth.
A root canal involves removing the pulp from the inside of the tooth. The endodontist removes the pulp and then cleans the tooth from the inside, sealing it with filling material in the end. Your endodontist will perform the root canal to repair or save a damaged or decayed tooth. A root canal becomes very necessary when the pulp of the tooth becomes damaged.
The first step for the root canal is an X-ray to view the shape of the tooth and the damage in the pulp. Next, your endodontist uses local anesthesia to numb the area of the tooth. Then, they apply a rubber dam around the area of your tooth. After that, they drill a hole in your tooth down to the dentin and remove the pulp and debris. In the final step, they clean the tooth from inside and fill it with filling material.
The pulp can get damaged when there is a trauma or a blow to the mouth. The endodontist specializes in treating the traumatic injuries of the pulp of the tooth. For instance, a child’s permanent tooth which isn’t fully grown can cause problem for other teeth and cease their root growth. A treatment procedure called apexification causes the bone to be deposited at the end of the root. This helps to save the tooth by the root canal.
Endodontic treatments can save the tooth in many cases. This is why we endodontists at Bryant Park Endodontics call ourselves ‘Specialists in Saving Teeth’. We perform endodontic treatments with the most advanced technology available. We aim to keep your precious smile and to provide you with the most comfortable and painless root canal and other endodontic treatments.
What are the differences in root canals in molars vs. incisors? The repository of hard tissue of your dental pulp can take on various shapes and configurations. This is what makes a thorough knowledge of your tooth morphology, detailed exploration of tooth interior, and careful radiograph interpretation mandatory prerequisites for a successful root canal treatment. Illumination and magnifications are essential aids when it comes to achieving this goal. That is to say, having sufficient knowledge of tooth’s internal anatomy before undergoing any endodontic treatment is one of the vital steps you must take.
Root canal therapy is for removing bacterial infection from root canal to prevent reinfection or to protect the natural tooth. When plaque is build up on your tooth, it increases the risk of developing cavities. Cavities cause inflammation and infection in the tooth that is necessary to remove to disinfect the tooth. Although root canal treatment is one of the common procedures that millions of people undergo each year, it may entail risks of dental problems if not treated properly.
It is worth mentioning that the correct diagnosis of root canal infection depends on root morphology. For instance, knowing the difference in root canal in molars and incisors may have a significant impact on treatment’s success. You might not have heard it before, but location of your teeth can have a considerable effect on your root canal treatment.
If you think you do not have sufficient knowledge of tooth anatomy, their morphology, and its impact on root canals, we have you covered here.
There is no denying that variation in the strength of root canals play an extremely important role in the successful endodontic treatment. Precisely, dentists use three basic ways to determine the number of root canals.
Long before a dentist begins performing root canal work, he/she takes dental x-rays. The two or three-dimensional pictures provide the dentist with substantial information related to the number of root canals patient’s tooth has. 3D imaging, especially, is widely used to determine many uncertainties about the anatomy of a tooth and the number of canals it has.
Visual inspection is another vital part of the endodontic therapy that can help the dentist determines the number of canals a tooth has. Dentists create an access cavity to see pulp chamber of tooth and various canals.
It is worth noticing that not all teeth have the same number of canals, anatomy, and eruption patterns. Dentists need to consider anatomical limitations before performing any endodontic treatment, especially root canal of molars.
Using tactile discovery can help discover the total number of root canals. Dentists first clean the nerve space using root canal files. These files work up and down in the root canal system of the tooth, giving dentists a clear idea of its anatomy.
As mentioned earlier, the correct diagnosis of root canal depends on its morphology and determination of number of root canal. Figuring out this is of utmost importance when it comes to carrying out a successful root canal treatment.
It is because not all teeth are easy to access due to their anatomy and limitations. If a dentist does not know the anatomy of a tooth, he/he will not be able to measure the bacteria within the tooth’s canals and its microanatomy. That means whether it is single-rooted incisor or five-canal molar, determining the exact number of root canals and their terminus is essential.
Although it cannot be over-generalize as clinical situations of each patient may vary, the single canal maxillary (front incisor) is easier as compared to multicanal molar.
Even though maxillary incisors are easier to treat due to their single root canal, it may have some serious etiology that can be traumatic. In such cases, the patients are young teens, which is another challenge as their teeth may have large root canals, and half-developed root ends. In addition, if patient has a complicated trauma history, they may suffer pulp canal obliteration. The condition can close the root canal space. In these cases, locating canal becomes very difficult for the dentists.
Lateral and maxillary incisors have a relatively long canal. They have a curve at apex, which is multiplanar. The apex on the curve lingual and distal often makes it difficult to clean root canal. Mandibular incisors have a small mesial-distal dimension and do not give any margin of error when dentist locate for pulp chamber.
Generally, maxillary molars are difficult to treat when it comes to performing a root canal. They often face dental complications, as they are located at the posterior location and have abnormal eruption pattern and occlusal anatomy. Dentists have to consider their anatomical limitations while performing their root canal. Their extraction is one of the common choices for dental practitioners.
Many mandibular molars have four major canals in which two are well-defined mesials, and the two dumbbell-shaped canals located in the distal root.
If your dentist is an expert and has expertise in the relevant field, he can perform the successful root canal using advanced techniques.
Dr. Young Bui at Bryant Park Endodontics has been treating patients with severe dental issues for many years. He is experienced and competent and knows when a tooth requires minimum intervention to retain its functional components.
To find out more information about root canal treatment, calls us at 646-434-1481 or visits our website https://youngbuidds.com/.
What are the trends in endodontics for 2019-2020? In endodontics, research has enabled medical professionals to come to a moment of enlightening in treatment delivery, treatment planning, and diagnosis. The future of endodontists and the field of endodontic dentistry lie before the exponential curve of change. Change is perhaps the only constant element of the future, and those who can adapt well to changes in the future while learning from the past can succeed as endodontic clinicians.
Endodontic has experienced 4 major influential changes. To begin with, the rapid spread of endodontic information and technology has forever transformed endodontics in the finest way possible. Such a transformation has succeeded in making endodontic procedures safer, easier, predictable, and consequentially less-stressful for the patient and the dentist. Endodontic clinicians find this field more profitable now and the patients, a sound investment.
Secondly, the incorporation of an interdisciplinary approach with endodontic to dentistry has become an integral part of the process of comprehensive treatment planning. This has been done by facilitating the invaluable contribution by endodontists to predictable outcomes of patients.
Thirdly, the increase in longevity means that patients will and are living longer, so they possess a deep desire to look and feel good. This longevity element has also made it possible to be healthier than ever before.
Fourth, the value of the predictable rescue and treatment of internally diseased teeth now gives tough competition to the success rates of implant placement. Through the time span of these 4 major changes, what has remained the steady and continuous prove protocol for long term endodontic success is the characteristic endodontic triad of preparation, disinfection, and obturation. A steady stream of latest, endodontic technologies in the past 20 years, have made it possible for dentists to understand and embrace these changes and to improve and build on the endodontic triad’s main 3 domains.
Endodontic can perhaps be described as the only dental discipline which is truly done in the “dark” as described by endodontic clinicians. Can anyone of us ever perceive removing crown prep, fixing an implant and extracting a tooth? Or in simple words, can any of us take a dental impression with our eyes closed? This is the exact procedure that endodontic clinicians carry out in endodontic. The process cannot be seen and done simultaneously. Endodontic clinicians must rely largely on different feedback to be sure of the predictability of their radicular endodontic obturation and preparation.
Six endodontic technologies, as described below, have come about in the last two decades, enabling dentists to see and be aware of things that were not possible for them before:
Microscopes make it possible for endodontic clinicians to prepare an access cavity and locate all the canals successfully. It also helps them in facilitating the diagnosis like the observations of vertical hairline fractures. A microscope makes it possible for a dentist to see reality more starkly through a combination of magnification and illumination. This is turn vastly modifies the planning of treatment. Dr. Gary Carr is most often given credit for being the pioneer of this transformational trend.
Digital imaging has made it possible for dentists to read images more in detail and with more clarity.
This technology offers features that have interactive visualizations of 3-D of the real tooth of root canal systems. It also helps endodontic clinicians in literally practicing virtual endodontics before a patient can be treated.
These locators identify physiologic terminus with more clarity and precision.
This technology makes it possible for a dentist to look inside the patient’s tooth. As per the claims are given by dentists’, when they can see it, they can do it.
This technology is an endodontic shaping instrument. These instruments have mode the shaping process more efficient, easier, safer, and predictable than ever before. With improved and modified metallurgy and designs, almost all of the companies of endodontic have produced a satisfactory NiTi file. In these instruments, some, however, have higher quality and higher value compared to others.
With the emergence of these 6 six technologies, endodontic clinicians have been able to come out of the dark successfully. They have given dentists a new level of consistency, competency and confidence. These technologies have yield forth improved results which are really essential because in the future, endodontic clinicians will no longer require reimbursements by the procedure. They will instead deliver documented endodontic value, quality and patient outcomes based on their capacity.
This value-added care approach is going to be driven by systems of performance management. There are new reimbursement models that symbolize a huge shift in determining the value of the endodontic treatment that has been delivered. Procedural outcomes by dentists will require data analysis, social media, gap analysis, cloud computing, and artificial intelligence.
To avail the best endodontic treatment for root canal treatment and more, contact the experts. They use the most advanced technology available to provide the best and the most fail-proof treatment.
Root canal or tooth removal are last resort treatments when a tooth has suffered extensive damage, beyond the mere drill and fill procedure remedy. If we suffer from a cracked tooth or a deep cavity, to the dentist may suggest you get an extraction or a root canal to combat the issue. The ultimate choice of procedure depends on the severity and complexity of our issue. We often refer to these two as interchangeable but they are in reality very diverse procedures and come with their own pros and cons.
A root canal is a procedure wherein the dentist does not remove the infected or damaged tooth but treats it. In the process, the dentist removes the damaged part within the inside of the tooth. The part left behind is the pulp, which is the dentist then cleans and disinfects. After this, the dentist applies filling to the tooth and then seals it. The term root canal exists because it is a problem where the pulp develops an infection and the dentists have to perform treatment inside the root of the tooth to heal the trauma.
The procedure is quite complex and begins with an x-ray. This is necessary for the dentist to locate the exact spot of damage inside the root. When the process is to begin, the patient receives a local anesthesia to induce numbness while the process is underway. The next step in the process is pulpectomy, in which the dentist makes an opening to extract the damaged pulp.
A material known as gutta-percha is then used to fill the opening and then to pack it with cement. Gutta-percha is a harmless material and the tooth suffers no damage from it. It comprises of coagulated latex of certain trees. In order to ensure proper healing, our dentist may secure the top of our tooth with a crown.
Where sensation is concerned, a root canal procedure is similar to that of filling, which include the least amount of discomfort associated with the filling.
You may wonder about the pain once the root canal treatment is complete. There is a possibility of patients experiencing a certain amount of pain for the first few days, ranging from dull to sharp. Patients are usually described certain over the counter pain but in case of extreme pain, one must immediately consult their dentist.
When our dentist ascertains that there is no solution to rescue the tooth, you will have to undergo full tooth extraction as the last resort.
This process begins by the dentist numbing the area so that we can endure the procedure with as little pain as possible. The dentist uses special tools in order to loosen our tooth and then pull it out. Although this may sound highly doubtful to you, however the sensation we will likely feel at this point is the procedure is only some level of pressure.
There is certainty of bleeding after tooth extraction, for which purpose the dentist usually asks the patients to bite down on some gauze for the blood to clot. The patient may have to continuing biting down for around 45 minutes or so and may experience light bleeding for the day or two from the extraction site.
There is always a high chance of facial swelling after a tooth extraction but we can use icepacks for the swelling to subside and reduce inflammation. In addition, when we have undergone a tooth extraction it is best to consume foods that are soft and cool so that we can avoid irritation the area where the tooth used to be and is still sore. It is very advisable for one to be mentally prepared for the ordeal because it takes approximately three weeks for our mouths to return to normal in such an event. We must also brush with excessive care during this period.
There lies one major difference between a tooth extraction and a root canal. A root canal attempts to salvage our damaged tooth while a tooth removal takes away the tooth altogether. It is up to our dentists to determine which treatment option is the best for our case. One primary reason why a dentist may prescribe an extraction rather than a tooth removal is a compromised tooth structure.
A root canal makes sense when only the pulp suffers damage but the dentist can safely remove it to eliminate the bacteria that could cause infection. In the same way, when a crack in the tooth or cavity runs so deep that it cross the line below the gum and crumbles the structure of our tooth, an extraction is must in this case.
After removing the tooth, our dentist can use a dental implant to replace it. This somehow links a root canal, an extraction and an implant altogether. The result is a false tooth that appears and functions like a real one.
For the best dental experience, contact us. We use the most advanced technologies available to give you a successful treatment for all your dental problems.
What are the qualities of top endodontists? Whenever we make important investments for life, such as a car or a home for instance, we do not merely look at whether a four-wheeler can get us from point A to point B or whether the home has walls and roofs. When we are making investments to improve our lives and our health, we always ascertain whether we are getting the best value for our money. We take into consideration our lifestyles and what best suit it, what monthly figure we can afford as payments, the size of our garage or the locality of the house and several other important factors.
We must practice the same individualized thinking approach when it comes to our dental care and when we need to refer to a dental professional for healing. We are most likely to require the assistance of an endodontist, who is a dentist but with specialized training in rescuing natural teeth. However, we most commonly make the mistake of just looking for a word in the name of practice and assuming the endodontist is good. We must always verify to ensure the endodontist we select possesses the required qualities for effective healing and good care of our natural teeth.
When we experience significant dental problems, it is imperative that we search for the best professionals to solve them for us. If we experience infection or damage in our teeth, we cannot merely rely on a general dentistry practice to offer us the treatment we really need. We must turn a specialized professional, which is an endodontist in this case, to save our teeth. However, before we randomly pick someone, we must look for some essential traits to make sure we have the best person to do the job well for us.
Here are some things to look for in a quality endodontist:
As mentioned before, endodontists are dentists who are required to obtain additional two or three years of schooling even after they have completed their dental school. This is because the medical field is continuously changing and advancing and therefore continuous education is necessary. A current membership of any organization indicates that the practitioner in question is investing in updating their education in the field.
An endodontist must be an expert in managing pain of varying levels since that is the demand of their jobs. They must be able to tackle all severity of pain in patients who have even faced similar challenges before in life. A good endodontist makes the patient’s comfort level his/her priority and seeks to improve it throughout all the procedures he or she conducts.
The past 30 years have experienced tremendous and continuous technological breakthroughs and revolutions in the treatment for root canal. It is an imperative these days for all endodontists to be experts at using tools that make our treatment and recovery process quicker, easier, and more successful, with as little discomfort caused as possible.
General dentists are usually required to perform two root canal treatments per week on an average while endodontist specialists may perform as many as 25. This is because they need to become well familiar with the variety of challenges and develop extreme adeptness at tackling the challenges.
We must ensure that the endodontist of our choosing is a well-recognized name in our local community. Endodontists are required to collaborate with a framework of general dentists, other dental specialists, and endodontists. This means that if required, our endodontist will also be able to accept and make referrals conveniently if our case should call for one.
Endodontists specialize in saving teeth. This is why we refer to them when we suffer from extreme dental pains without a reason or suffer from other complex dental issues. It is the job of an endodontist to get to the root cause of the problem and find the perfect treatment to return our tooth to its health natural state for us.
Our endodontist thus must be find who is equipped with all advanced technology and knowledge to pursue the solution to save our teeth. The right experts can save teeth that have severe decay and other diseases. An endodontist must therefore use advanced inspection, knowledge, and technology to determine the best way of healing our teeth.
Endodontist have jobs that heavily depend on the coordination of a steady hand and a good eye. They need to be precise in the procedure and must not crumble under the stress of dental emergencies.
In addition to this, they must also possess the skills to put all patients concerns at ease. Root canal treatments evoke the worst thoughts and fears in the minds of patients. The endodontist must provide reassurance in the right manner to deal with the problem correctly without the addition of complications rising in the process.
For the best dental experience, contact us. We are experts at handling all your dental issues and use only the most advanced technology for safe treatment and quick recovery of our patients.
There is no evidence in history ascertaining when root canal therapy came into existence. History traces the first appearances of root canal therapy all the way to the second of third century B.C. Somewhere in a desert in Israel, archaeologists came upon a human skull and discovered a bronze wire in one of the teeth, which scientists believe was among the earliest treatments of an infected canal.
The wire was placed right at the point of the infection, which, according to modern time’s root canal therapy, would be the exact site of treatment. According to the archaeologists who discovered the skull and the other remains, the Romans had most likely conducted that first root canal procedure. This belief can also be supported by the fact that the Romans were the ones who first invented crowns and dentures.
According to historical evidence, root canals treatment from the first century A.D until the 1600s featured a process of draining the pulp chambers in order to provide relief from the pain. It was then secured with a protective coating made with asbestos or gold foil.
It was during the year 1838 when the very first official instrument for root canal treatment was invented. The instrument was designed with the intention of making reaching the pulp, located inside the root of the tooth, an easy process. From there, further advancements continued to take place and many types of root canal treatments have continued to surface. In 1847, ‘gutta-percha’, another safer instrument, was invented. This instrument was made for filling purposes once the root canal was cleared and cleaned free of the infection. Endodontists to date make use of these first instruments in root canal therapy. They refer to these instruments as files now and manually operate them through the entire process when treating a root canal. The instruments are first used for opening the path to the canal and then secondly for supporting the cleaning and shaping of the root canal.
Once the cleaning and disinfecting process has been completed, the filling is done to prevent any reoccurrence of infection.
Endodontic treatment is the formal name for addressing a root canal problem. The word ‘Endodontic’ was made by combining two Greek words, “tooth” and “inside.” After the bronze wire that was discovered in a human skull in the Israeli Desert of Negev, as mentioned above, the infected pulp draining process was adopted a few hundred years later as a means of providing relief from pain. History also tells that the treatment was followed right up to 16th Century.
Throughout the 20th century, we saw a plethora of advancements in technology. We also experienced the institution of x-rays and anesthetics in the dental process. This made it much safer and easier to treat infected root canals and offer rapid relief. We also owe greatly to these technological advancements as they made it possible to consider other alternatives apart from pulling the teeth out. The advancements have reached such amazing levels that the therapy for root canals is now almost a pain-free procedure.
These specialists perform miracles to save our teeth. Each Endodontist acquires additional training of two years and applies advanced techniques to provide the highest levels of care to their patients.
Root canals are a part of our teeth. They are the substance of the innermost portions of our teeth. The innermost portion is hollow and houses pulp. There is soft tissue around this area, where blood vessels and nerves run. These nourish the teeth and keep them well and alive. If this part of our teeth somehow becomes infected, we require root canal therapy. In this treatment, the endodontist eliminates the pulp that has become diseased and then cleans and seals our root canal. We typically experience infections when bacteria have invaded our teeth. It often happens through an existing cavity but can also occur as a result of cracks, repeated dental therapies and procedures, and as a result of trauma.
Sometimes there is the possibility that a tooth has undergone root canal therapy has failed to heal and continues to experience persistent pain. This can occur for months and even years in some cases following the treatment. In the presence of such a situation, an endodontist has to run retreatment for the root canal.
According to medical science, the reasons for a failure to heal include undetected canals, complex anatomy, and similar issues during the initial treatment. However, there could be a number of other reasons too, such as not placing a restoration/crown immediately after the completion of the root canal treatment, or when a new decay gives exposes the root canal filling to saliva. This also ends in infection or contamination. Retreatment includes the re-cleaning and re-sealing of the root canal system.
You can get the best endodontic treatment here. Young Bui, DDS uses the most advanced and reliable technology and ensure rapid healing and recovery for all your root canal problems.
Are root canals always painful? If you are suffering from pain due to a dead tooth or deep gum infection, you are in serious trouble. Ignoring signs like toothache, sensitivity, swollen, or painful gums can deteriorate your oral health and cause immense discomfort.
It is commonly believed that the procedure of the root canal, especially the part of removing the pulp, is painful. There was a time when the root canal was too painful, and some patients went with tooth extraction as the better alternative.
Now, pain medications reduce pain to bearable levels. Now, dental techniques and instruments are also of superior quality as compared to those used before, making the surgery less invasive and less painful. Root canal treatments have a success rate of 95%, and most treatments last a lifetime.
The root canal is basically the removal of the pulp of the tooth, after which the inside of the tooth is cleaned and sealed. Your endodontist will perform the root canal to repair or save a damaged or decayed tooth. A root canal becomes very necessary when the pulp of the tooth becomes damaged. The pulp is the part of the teeth that contains the nerves and the blood vessels. Following are the signs that can indicate the need for having a root canal:
The root canal requires one or more scheduled visits to an endodontist. The first step for the root canal is an X-ray to view the shape of the tooth and the damage in the pulp. Taking an X-ray before the root canal is necessary as it will reveal whether there is an infection in the surrounding bone. Knowing the presence of infection is crucial to repair the tooth through the root canal.
Next, the dentist will use local anesthesia to numb the area of the tooth. In some cases, the anesthesia may not be necessary as the nerve is dead, and the process is minimally invasive, but most dentists still use anesthesia for the patient to stay relaxed and comfortable.
Then the dentist will apply a rubber dam around the area of your tooth. The application of the rubber dam is necessary for several reasons. The layer of rubber dam or sheet provides an aseptic operating condition to the area keeping it free and dry from saliva and other oral contamination.
Rubber dam also facilitates the use of medicaments to clean the root area. It protects the patient from inhaling or ingesting the instruments and substances used in the treatment.
Then, your dentist will drill an access hole in the affected tooth with the dental drill. The hole is made into the enamel and dentin of the tooth. Drilling helps to remove the pulp, bacteria, and debris from the tooth. The cleaning out process uses a series of root files that are placed inside the access hole and works down the length of the tooth to abrade the sides of root canals. The debris is periodically flush away using either water or sodium hypochlorite.
After the cleaning of the tooth, your endodontist will need to seal the pulp. In some cases, there will be a one week gap for the sealing of the tooth. When there is an infection, the dentist will put medication in the tooth to clear the bacteria. The dentist will also place a temporary filling during the one weak gap to avoid any chances of further infection.
For sealing, the dentist will use a filling rubber material called gutta-percha. The dentist will insert the gutta-percha into the cleaned root along with a sealing cement.
The final step may often need to be the restoration of the tooth. The dentist will put a crown or crown post on the tooth.
When the tooth and its pulp is damaged, the root canal is the only option to remove the pulp and prevent tooth decay. However, if you are looking for another option, then tooth extraction is the only alternative to the root canal.
The options for tooth extraction are an implant, bridge, or partial denture. In most cases, the extraction of the tooth is more painful than the root canal. Plus, tooth extraction is more expensive and has a longer recovery time than the root canal.
However, there are cases when root canal and tooth extraction both are necessary. The damage to the pulp and the root gets to the extent that the tooth is badly decayed or dead. In such cases, the tooth cannot work and has to be removed, and then the root canal is performed. Otherwise, if the damage to the tooth is less and the tooth can be saved by the root canal, then there is no need for an extraction.
A root canal is a better option as opposed to tooth extraction. Removing a natural tooth creates a gap and can weaken other teeth around the gap.
Do you experience severe toothache and other problems with your teeth and gums? If yes then call us today 646-434-1481. We at Byrant Park Endodontics have the best endodontics of NYC for root canal treatment, ensuring quick and effective treatment with minimal pain. For more information, visit our website.
Do you need root canal therapy? The root canal is one of the most common dental procedures performed to relieve or reduce dental pain. The process is for saving a tooth that is infected. Typically, patients need this therapy when they have an infection and inflammation in the tooth roots. An endodontist does the root canal therapy as he/she specializes in removing the pulp that is inside the tooth. A professional endodontist carefully cleans the roots, disinfects, and reshapes them after removing the pulp.
The root canal is the dental procedure and labeled as endodontic therapy in the medical domain. Moreover, some people do not even consider root canal a treatment. It is a part of your tooth or the hollow section inside the tooth that contains blood vessels, nerve tissues, and several cells that make pulp.
Your tooth comprises two parts, including roots and crown. The crown is the upper part that you see above your gum while the lower part is root attached to the jawbone. The root or root canal is full of pulp that provides nourishment to the tooth. Besides this, it moistens to other parts of the tooth. It is the nerve inside the pulp that makes you feel both pain and temperature.
The root canal therapy repairs or protects a decaying or infected tooth. During this dental procedure, the endodontist removes the pulp and nerve in the canal. The procedure involves cleaning and closing the inside area of the canal. In case the patient does not opt for treatment, it may infect the surrounding tissues and gums. The natural cavity of tooth is usually in the pulp chamber and affects the tooth’s nerve.
There are three steps involved in the root canal treatment that are complete in three sessions:
The first step is for removing the pulp or everything from inside the teeth. Patients receive local anesthesia before the process. After that, the dentist or dental professional makes a small hole on the infected tooth’s surface to remove the dead pulp and diseased tissues with small files.
After cleaning, the dental professional shapes and decontaminates the cleaned and hollow area with the help of irrigation solutions and tiny files. The dentist then fills the tooth with a rubber-like material. The canal is sealed with adhesive cement once it is filled.
After this therapy, the tooth becomes lifeless as the dentist removes its nerve tissues. The patient does not feel any pain in the infected tooth, as the expert removes the infection and pulp.
The step is the most important one and requires precise handling. Tooth becomes more fragile at this stage because it does not have pulp. It takes its nourishment from the attached ligaments. Although this supply of nourishment is sufficient, it may make tooth more brittle. That is why it needs crown or filling for protection.
However, it is important to note that chewing or eating during the filling or crown process may lead to other problems. Patients need to wait until the crown or filling is complete to use their toot normally. The root canal treatment lasts in just one appointment if there are no multi-canals, large infections, and curved canals in the treatment.
The nerve tissues of your tooth are fragile and may suffer damage with unhealthy eating habits, such as sugary stuff. The nerve breaks down when infected by the cavity. The bacteria in cavity multiply in the pulp chamber if you do not seek proper treatment for the condition. The bacteria along with other diseased and decayed debris in the pulp chamber can cause abscessed teeth. Abscess refers to pus-filled pockets that form at the roots of the teeth.
Both infection and abscess in the root canal may cause the following problems:
You might have been delaying your root canal therapy because of the pain it may cause. However, if expert and competent dental surgeons carry out your therapy, it should be painless.
The infection causes the pain in the root canal treatment, not by the treatment procedure. It is worth noting that root canal therapy is for alleviating dental pain. Taking root canal therapy from premier endodontic centers like Bryant Park Endodontics will make your treatment journey painless and comfortable.
At Bryant Park Endodontics, Dr. Young Bui uses state-of-the-art technology to provide the best endodontic care to patients. He relieves the pain by gently numbing the infected tooth and its surrounding area with anesthesia. Using the most advanced technologies, such as Cone-Beam Computed Tomography, Zeiss Surgical Operating Microscope, and Safesiders, Dr. Young ensures to make the dental process smooth, painless and comfortable.
Thus, gone are the days when root canal therapy used to be a long and painful process. Now dental therapy is completely different with highly advanced techniques and dental appliances. In addition, if you choose Bryant Park Endodontics for your root canal therapy, the competent dental surgeon will discuss the success chances with you before the endodontic treatment. It helps you make a wise decision.
What is advanced endodontics? Endodontics is a medical specialization that is a part of the dentistry industry. Endodontists are specialized dental surgeons who diagnose and treat internal tooth pain. Endodontists perform a number of different treatments. In the recent years, the field has seen plenty of changes and advancements in the different techniques that endodontists use to treat their patients. If you want to know more about these different advancements, you can go through this article as we have mentioned different advancements in each technique that endodontists use.
Endodontists use digital radiographs to see if a treatment, such as root canal, is working and also use it as a way to monitor the healing process. Radiographic technology has seen upgrades like cone-beam computerized tomography (CBCT) technology. CBCT allows endodontists to make a safe and better diagnosis while they visualize endodontic pathosis and root fractures. CBCT has better detection due to its 3-D feature compared to radiographs that are 2-dimensional (2-D). With the help of CBCT, endodontists can make quick and valid observations. The fast-paced world of technology keeps growing rapidly, and you never know how quickly there might be new advancements in CBCT. Hence, these technologies aren’t replacements of conventional methods but are just improvements.
There have been many advancements in the instruments that endodontists use for dental surgical procedures. One of the advancements of endodontic files is the rotary nickel-titanium files, which provide dentists with a much better and easier means of performing endodontic treatments compared to hand files. On the other hand, reciprocating files are said to have improved cyclic fatigue resistance towards file separation. There are many more advancements in reciprocating files to come with the help of more clinical research.
The apex locator is another advancement in endodontic instruments. The apex locator makes it easier for a dentist to induce a canal’s working length by determining the maximal constriction of the canal’s apical foramen or CDJ, which is short for cement-dentinal junction.
Another important advancement in endodontic instruments is the sonic and ultrasonic instrumentation that has helped dentists clean residue and debris from canal walls after completing endodontic canal preparation, locate calcified root canals, and prepare root-ends in endodontic surgery.
Unlike before, endodontists now view endodontic treatments as a microsurgical procedure. Endodontists are able to carry out microsurgical procedures using microscopes, loupes, and endoscopes. These tools help them magnify a particular treatment field in a blink of an eye. Endodontists are also able to make much more reliable diagnosis, treatments, and identifications of fracture lines, canal orifices, and anatomic variations in teeth. Conclusively, all these recent advancements in the visualization of endodontics are an efficient expansion of traditional tools. Together, they enable endodontists to make precise clarifications of treatment locations in the root canal system.
With the help of new irrigating solutions, there has been more efficiency and effectiveness in endodontic treatments. A combination of mechanical instrumentation and irrigating solutions are more effective than endodontic files as they are able to effectively remove pulpal tissue in lateral canals, deltas, and isthmuses of a root canal system.
There are two types of irrigating solutions that we will talk about here. One is Chlorhexidine (CHX), which endodontists use in today’s endodontic canal irrigation. It has high antimicrobial effects and is low in toxicity. Sodium hypochlorite is another type of irrigating solution with better antimicrobial effects compared to CHX so it can effectively dissolve necrotic and vital pulp tissue.
Endodontists now mostly use thermoplastic gutta-percha in endodontic obturation. This type of advanced technique enables you to achieve 3dimensional (3-D) obturation in a canal space.
Over the last 15 to 20 years, there has been a significant advancement in endodontic surgical procedures. For instance, the industry has seen an ongoing use of dental instruments such as ultrasonic tip root-end preparation, retro fill materials, magnification, and micro-instruments. Many studies have found that ultrasonic tips and magnification have greatly improved the treatments of endodontics.
3-D images have played a major role in the advancements of endodontic procedures. Endodontists continue to make use of 3-D technology as it has helped them in their treatments and diagnosis. This type of technology puts endodontists and patients at ease as there are no chances of making a faulty diagnosis, and the best part is that it prevents any type of technical error from popping up during a surgical procedure or even during treatments.
The use of regenerative endodontics has seen immense success. It is a biological procedure with the ability to replace a tooth along with cells of the pulp. Tooth regenerative therapy has also undergone numerous upgrades, and will continue to do so; only after rigorous improvement can the therapy be clinically applied by endodontists.
It’s because of these new developments that endodontic procedures have become more effective and efficient. With the help of CBCT technology, endodontists receive 3-D imaging of their patient’s radiographs. These 3-D images further help endodontists by providing them with a high-quality pretreatment model of a root and canal structure.
We at Bryant Park Endodontists are known to keep up with all types of advancements in endodontic procedures. We ensure that our patients are treated with updated techniques and effective procedures. So contact us now and get your dental issues fixed!