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Our treatment plan begins with a diagnostic examination to determine if a root canal is the most viable option for saving the tooth. After the determination is made, the infected or inflamed pulp is removed and the root canal system thoroughly cleaned and filled with Gutta Percha. New technologies enable us to perform many root canal treatments in a single visit. However, for a small percentage of cases a second visit may be needed. After treatment is completed, it is important for patients to contact their family dentist for a follow-up permanent restoration appointment.  The restoration of the tooth is important as it seals the cleansed root canals from the oral environment, protects the tooth and restores it to function.  


Patient comfort is a major consideration in developing treatment plans. We provide oral sedation and/or nitrous oxide to supplement local anesthesia as necessary.

When a root canal is not enough to save your tooth, endodontic surgery may be needed. Apicoectomy is performed to remove diseased tissue and then prepare and fill the root tip by making an incision in the gum tissue overlying the affected root. This is done in our office under local anesthesia.


​Patients who have surgery are able to drive home and return to work the following day. Complications after surgery are rare. However, we are available if a problem arises.


Root Canal Treatment 

Endodontic Retreatment

X-Rays and Diagnosis

What is nitrous oxide

The Endodontic (Root Canal) Procedure

Sedation

​​X-Rays are an essential part of determining your treatment plan. Progressive Endodontics utilizes the latest digital radiographic technologies to minimize your exposure to low-level radiation. Our treatment plan begins with a diagnostic examination to determine if a root canal is the most viable option for saving the tooth

  • The endodontist examines and x-rays the tooth, then administers local anesthetic. After the tooth is numb, the endodontist places a small protective sheet called a "dental dam" over the area to isolate the tooth and keep it clean and free of saliva during the procedure.
  • After making an opening in the crown of the tooth, very small instruments are used to clean the pulp from the pulp chamber and root canals and to shape the space for filling.
  • Once the space is cleaned and shaped, the endodontist fills the root canals with a biocompatible material, usually a rubber-like material called "gutta-percha." Gutta-percha is placed with an adhesive cement to ensure complete sealing of the root canals. In most cases, a temporary filling is placed to close the opening. The temporary filling will be removed by your dentist before the tooth is restored.
  • After the final visit with your endodontist, you must return to your dentist to have a crown or other restoration placed on the tooth to protect and restore it to full function.

Endodontic Surgery (Apicoectomy)


The pulp may be irreversibly damaged by bacteria associated with decay, very deep restorations, fractures, trauma, or gum disease. In order to preserve a tooth in which this has occurred, it is necessary to remove the diseased pulp tissue first. This procedure is known as endodontic therapy or a root canal. It is advisable to remove the injured pulp because it may become infected or act as an irritant to the tissues surrounding the tooth​

​With proper care, most teeth that have had endodontic (root canal) treatment can last as long as other natural teeth. However, in some cases, a tooth that has received endodontic treatment fails to heal or the pain continues. Occasionally, the tooth becomes painful or diseased months or even years after successful treatment.  Failure of the root canal may be due to curved or tight canal that were not instrumented, or these canals were never located the first time the root canal was done.  Other reasons for failure may be that the tooth wasn't restored in the specified time period. 

If your tooth has failed to heal or has developed new problems, endodontic retreatment may be an option. 








After discussing your treatment options, our plan begins with reopening the tooth to gain access to the old root canal filling material. In many cases, complex restorative materials - crown, post, and core material - must be disassembled and removed to permit access to the root canals. After removing the canal filling, Dr. Malik or Dr. Khan will clean the canals and carefully examine the inside of your tooth, searching for any additional canals or unusual anatomy that requires treatment.

After cleaning the canal(s), the doctor will fill and seal the canal(s) and place a temporary filling in the tooth. After the final visit, you will need to return to your dentist as soon as possible to have a new crown or other restoration placed on the tooth to protect and restore it to full function.

About Root Canals

Our Services 

Your tooth consists of two main parts: the crown, which is that part of the tooth above the gum and visible in your mouth, and the root, which is that part of the tooth that lies beneath the gum and is surrounded by bone. Inside each root is a channel that runs the length of the tooth. This channel is the root canal and contains the pulp(nerves, blood vessels, and soft tissue) of the tooth.