Traumatic Injuries

Dislodged Teeth

Injuries to the mouth can dislodge teeth, pushing them back into their sockets. An endodontist or general dentist can reposition and stabilize your tooth initially, prior to starting root Canal treatment a few weeks later. A medication is placed inside the tooth, followed by a permanent root canal filling. When a tooth is pushed partially out of the socket, an endodontist or general dentist may reposition and stabilize it. If the pulp remains healthy, then no other treatment is necessary, but root canal treatment is required if the pulp becomes damaged or infected. Otherwise, there can be infection of the tooth, root system or surrounding tissue, inadequate hygiene because of an inability to properly clean the dislodged tooth and the gums and loss of the tooth.

Avulsed Teeth

When an injury causes a tooth to be completely knocked out, it is important to be treated immediately. Keep the tooth moist and try to put it back into its socket. A tooth can be saved if it remains moist, even in a glass of milk or water with a pinch of salt. The endodontist may start a root canal treatment based upon the stage of root development, the length of time the tooth was out of the mouth and the way it was stored.

Injuries to Children

Injured immature teeth may need one of the following procedures to improve the chances of being saved:

Apexogenesis

In this procedure, which encourages the root to continue development as the pulp is healed, soft tissue is covered with medication. The tip of the root (apex) closes as the child gets older, and the walls of the root canal thicken. If the pulp heals, no additional treatment will be necessary. The more mature the root becomes, the better the chance to save the tooth.

Apexification

Unhealthy pulp is removed by placing medication into the root to help a hard tissue form near the root tip, providing a barrier for the root canal filling. Because the root canal walls will not continue to develop, the tooth will be susceptible to fractures, necessitating restoration.