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 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.
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