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  • 250 South Oak Way
  • 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?

When Should I See an Endodontist?

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

Is the process painful?

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

What happens if I avoid this assessment?

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

How long does an endodontic assessment take?

Are X-rays necessary during an endodontic assessment?

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

What are the alternatives to root canal therapy?

Can I return to my daily activities after the assessment?

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

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

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