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  • Reading, RG2 6UG
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An endodontic assessment is a comprehensive evaluation performed to determine the health and condition of the pulp and periapical tissues.

The pulp is the innermost part of the tooth that contains nerves, blood vessels, and connective tissue, while the periapical tissues are the areas surrounding the root tip. This assessment is crucial for diagnosing and planning treatment for issues like pulp inflammation (pulpitis), infection, or necrosis, which often lead to root canal therapy or other endodontic treatments.

Endodontic Assessment in 60 Seconds

Root canal treatment remedies a tooth that has sustained a dental infection, which can happen due to severe decay and dental trauma. Root canal treatment can reverse discomfort caused by infection.

  • We use Endodontic microscopes, which provide a magnified, well-lit view of the inside of your tooth. This allows your endodontist to see details that are impossible to spot with the naked eye or loupe magnification.
  • Identify pulp inflammation (pulpitis), infection, or necrosis, and assess the need for re-treatment or other endodontic procedures.
  • Help preserve as much of the natural tooth as possible through effective treatment.
  • Provide a clear and accurate diagnosis in order to create a treatment plan that’s tailored to your needs.

Why an Endodontic Assessment Benefits Our Patients

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Preventive care to avoid future complications.

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Preservation of natural teeth through tailored treatments.

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Better Tools for Accurate Diagnosis - Endodontists use state-of-the-art technology to identify and treat problems that may be hard to spot.

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Endodontists are dentists who complete 3 years of additional training after dental school. They therefore have acquired specialised training, with this advanced expertise, they’re better equipped to handle complex cases and offer the highest level of endodontic care.

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Your Patient Journey

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First Treatment Visit – Exam

Olive Tree Dental stand out as a practice that really takes the time to listen to its patients; we feel it’s really important to get to the heart of what you’re looking for from your chosen treatment(s). Your treatment will never be rushed, as we will always make sure you are happy before proceeding to the next stage of the process.

If you’re new to Olive Tree Dental or haven’t seen a dentist in the last 6 months, we recommend starting with a new patient exam. Similarly, if you were referred over 6 months ago (but haven’t acted on it yet), this exam helps confirm if the treatment plan is still suitable for your current needs.

If you’re happy with your current dental practice, you can see our Endodontist and continue care there. However, we also welcome patients seeking a smoother transition and continuity of care at Olive Tree Dental.

You may need to return for a second appointment for the Endodontic Assessment. Alternatively both can often be arranged on the same day.

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Second Treatment Visit

There are several Key Components of an Endodontic Assessment. The Endodontist will take you through each stage carefully exploring how best to proceed with your treatment plan.

This is a general overview of what you can expect during your assessment.

Patient History

  • Primary Concern: Understanding the patient’s symptoms (e.g., pain, sensitivity, swelling).
  • Dental History: Past treatments, trauma, or ongoing dental issues.
  • Medical History: Any systemic conditions that could affect treatment or healing.

Clinical Examination

  • Visual Inspection: Checking for decay, cracks, discoloration, or swelling.
  • Palpation: Assessing for tenderness or swelling in surrounding tissues.
  • Percussion: Tapping the tooth to check for pain or sensitivity, which may indicate inflammation.
  • Periodontal Probing: Evaluating the health of the gums and periodontal ligament.

Diagnostic Testing

  • Thermal Tests: Applying hot or cold stimuli to assess pulp vitality.
  • Electric Pulp Testing: Using an electric current to determine if the pulp is alive.
  • Bite Test: Asking the patient to bite on an object to identify specific pain points.
  • Transillumination: Using light to detect cracks or fractures.

Radiographic Examination

  • X-rays: Identifying periapical radiolucency’s (signs of infection), root anatomy, or fractures.
  • Cone Beam Computed Tomography (CBCT): For a 3D view of complex cases.

Diagnosis

  • Conditions like reversible or irreversible pulpitis, pulp necrosis, or periapical periodontitis are diagnosed based on findings.

Treatment Planning

  • Determining if root canal therapy, retreatment, or extraction is necessary.
  • Discussing treatment options and prognosis with the patient.

An accurate endodontic assessment ensures effective treatment and preserves as much of the natural tooth as possible.

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Third Treatment Visit

Endodontic treatment will be carried out under high microscope magnification.

Most of the time, patients will need to have the endodontically treated tooth restored to form and function definitively with a crown or onlay (partial crown). This would typically be done by the referring dentist, rather than the endodontist.

Depending on your treatment plan, you may need to return for follow-up visits to complete your endodontic care. If you have any questions or concerns, our team is always here to provide reassurance and clarity.

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Aftercare / Review

Maintaining the long-term health of your tooth is key to keeping your smile strong and healthy. We recommend a one-year clinical and radiographic review to ensure everything is on track, followed by ongoing maintenance of your oral health.

Think of it as an opportunity to invest in your future smile! Our team will provide tailored advice to help you care for your teeth day-to-day, but it’s up to you to implement these small steps—your efforts now will lead to a healthier, brighter smile for years to come.

FREQUENTLY ASKED QUESTIONS

Why do I need an endodontic assessment?

We understand you might wonder why an endodontist is recommended for certain dental issues. While general dentists are highly skilled, endodontists specialize in diagnosing and treating problems with the soft tissue inside your tooth (the pulp) and the area around the roots.

Here’s why seeing an endodontist could make a big difference in your care:

Specialized Training and Expertise

Endodontists are dentists who complete 3 years of additional training after dental school. They focus exclusively on saving teeth through procedures like root canals, retreatments, and other pulp-related treatments. With this advanced expertise, they’re better equipped to handle complex or tricky cases.

Better Tools for Accurate Diagnosis
Endodontists use state-of-the-art technology to identify and treat problems that may be hard to spot.

  • Microscopes: To find tiny cracks or fractures.
  • 3D Imaging (CBCT scans): For a detailed view of your tooth and surrounding tissues, uncovering issues standard X-rays might miss.

When Should I See an Endodontist?

If you’re dealing with persistent tooth pain, a failed root canal, or issues like swelling, sensitivity, or trauma to a tooth, an endodontist can provide the specialized care you need to save your tooth.

While your general dentist is a great starting point for your dental care, seeing an endodontist for complex issues ensures you get the highest level of expertise, technology, and care to preserve your natural teeth and smile! 😊

What if I have a challenging case, and I have been referred, can you help?

Our Endodontist Dr. Ayman has experience with Challenging Cases.

If your tooth has unique anatomy (like curved or narrow root canals) or if you’ve had previous treatment that hasn’t worked, an endodontist has the experience to manage these complexities. Their expertise helps improve the chances of saving your natural tooth.

An Endodontist offers advanced treatments that are not offered by general dentists.

In addition to standard root canal therapy, endodontists can perform procedures like:

  • Retreatment: Fixing a previous root canal if it didn’t heal properly.
  • Apicoectomy: A minor surgery to save a tooth by removing an infected root tip.

Is the process painful?

No, the procedure is conducted with your comfort in mind, often using local anaesthesia for any associated treatments. A rubber dam will always be used, which will prevent water going down the back of your mouth. Additionally, a mouth prop is often used, which prevents you from needing to constantly open your mouth wider.

What is the benefit of a microscope being used during endodontic treatment?

Microscopes are game changers in modern endodontic treatment! Here’s how they improve the care you receive:

Enhanced Precision

Endodontic microscopes provide a magnified, well-lit view of the inside of your tooth.

This allows your endodontist to see details that are impossible to spot with the naked eye or loupe magnification, like:

  • Tiny cracks or fractures.
  • Hidden or extra canals in the tooth’s root system.
  • Blockages or calcifications.

By identifying these issues early, your endodontist can perform more accurate and effective treatments.

When your endodontist can see clearly, they can clean, shape, and fill the root canals with greater precision. This reduces the risk of missed canals or incomplete cleaning, which are common reasons for treatment failure.

Minimally Invasive Treatment

Because a microscope offers such a detailed view, your endodontist can work more conservatively, preserving as much of your natural tooth structure as possible.

Using a microscope ensures that every detail of your treatment is handled with the highest level of care. This technology isn’t just a tool—it’s a way to give you the best chance of saving your tooth and maintaining a healthy, beautiful smile.

What happens if I avoid this assessment?

Delaying diagnosis can lead to worsening infections, tooth loss, or more invasive procedures later.

What if I am not in pain—why do I still need to proceed with the suggested root canal therapy?

Pain isn’t always present in cases of endodontic pathology. If left alone, there will always be an increased risk of the lesion flaring up with pain and swelling in the future.

Typically, teeth with endodontic pathology are also heavily broken down. If left in this state long-term, there is an increased risk that the tooth could fracture and become unsalvageable in the future.

How long does an endodontic assessment take?

Most assessments are completed in 30 minutes.

Are X-rays necessary during an endodontic assessment?

Yes, X-rays are crucial for identifying issues within the root canals and surrounding structures that cannot be seen during a visual examination. In some cases a 3D scan of your tooth may be required. This is known as a CBCT scan.

Will I need multiple visits? How long is the treatment itself?

It depends on the complexity of your case. Simple treatments may require one visit, but complex cases or additional treatments might need more. Typically, each treatment visit would be approximately 2 hours long.

What are the alternatives to root canal therapy?

Extraction of the tooth. The gap may then be accepted, or filled with an implant, bridge of denture. Another option would be to leave the tooth alone and monitor it. The risk of this is that the tooth could flare up with symptoms such as pain and swelling and ultimately fracture and become unsalvageable.

Can I return to my daily activities after the assessment?

Yes, you can resume most activities immediately. Most patients experience mild post-operative discomfort for up to 7 days after the procedure, which can be well-controlled with over-the-counter pain relief.

Is it possible to save my tooth after a failed root canal treatment?

Yes, in many cases, re-treatment or advanced procedures like apicoectomy can help save the tooth.

Please contact us to book a consultation with our experienced Endodontist.

our amazing patient reviews

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240 reviews

I have been going to olive tree dental now, for about a year and a half. The service is always so friendly and they really help you make the best decision when it comes to your teeth. I have had Invisalign treatment with Patricia, which was exceptional.The regular hygienist appointments and general check ups are also very good, and the parking around the dentist is excellent. I would highly recommend going here.read more
Callum Gibbons
Callum Gibbons
09:56 24 Nov 22
From the first step through the door it felt far removed from the standard clinical feel of any dentist I had been to previously. Not only are the offices beautifully decorated and the staff welcoming and friendly but the resulting impression from my first appointment was one of confidence instead of fear. Dr Zyada was very thorough in her checks and took the time to go through each and every tooth to explain exactly what needed to be done and why. It makes the return appointment a lot less daunting, thank you. Would definitely recommend Olive Tree Dental.read more
Natasha Watson
Natasha Watson
16:34 10 Nov 22
The team at Olive Tree Dental are great! My dentist was very thorough and took the time to patiently explain her findings and what would be required for future visits. Like most people I don't enjoy going to the dentist, but the team made it as comfortable as possible. The rooms were really clean too!read more
Kyle Watson
Kyle Watson
11:19 08 Nov 22
Discovered this place during Covid after a having dental emergency, was able to get an appointment very quickly, its very easy to get to and never had a problem finding a space in the free parking right next to it. All the staff are very friendly and the dentist goes the extra mile to sort out your dental problems. Being a new practise, The equipment and technology is very up to date and the surroundings are very smart, clean and put you at ease. Would highly recommend.read more
robin martin
robin martin
10:19 03 Nov 22
Olive Tree Dental are a fantastic dental practice. All of their staff are friendly, helpful and knowledgeable. I was given an appointment here with Smile White UK teeth whitening and the dentist was lovely! She was great at advising me in detail how to use the teeth whitening for my teeth, as they are particularly sensitive. I would definitely recommend them.read more
Christina Cowie
Christina Cowie
11:39 28 Oct 22
I went to Olive Tree Dental Clinic few times for teeth cleaning, emergency dental work and consultations. The clinic was very clean and inviting, stuff was very friendly and dentist was very gentle and reassuring. I appreciated the fact that she was communicating with me during the procedures so I wasn’t wondering what’s going on or when it will finish. I’ve been to quite a few dental clinics previously but never felt as valued and welcomed, and never got such high quality dental service. Highly recommend it to anyone and especially to those who feel nervous and anxious when visiting dentist. I feel lucky to live nearby!read more
Linn B
Linn B
19:26 05 Oct 22
I haven’t been to the dentist in a couple of years. Finally got myself round to booking at Olive Tree Dental and they made me feel welcome and comfortable! Everything is lovely and clean, and everyone is extremely friendly! I have to go back for a filling soon and I feel in safe hands!read more
Rebecca McNaly
Rebecca McNaly
17:34 03 Oct 22
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