New Patients

Our staff will make every effort to schedule your appointment in a timely, convenient manner. If you have pain or an emergency situation, every attempt will be made to see you that day. We strive to complete treatment in one appointment depending on the complexity of your individual case. If you have previously had root canal treatment on the tooth in question, your initial appointment may consist of a consultation explaining your diagnosis and treatment options. A complex medical history or treatment plan will require an evaluation and a second appointment to provide treatment.

For more information about the options available to treat a compromised tooth please visit here.

We try our best to stay on schedule to minimize your waiting time. Due to the fact that our practice provides surgical and emergency services, various circumstances may lengthen the allotted time for a procedure. We appreciate your understanding and patience.

IMPORTANT: All patients under the age of 18 years of age must be accompanied by a parent or guardian at the initial visit.

Treatment

Treatment of teeth with injured pulps begins with a diagnostic examination. The injured pulp is removed and the root canal system is thoroughly cleaned and filled. Endodontic treatment may require one or more visits depending on the complexity of the case. The prognosis for the overwhelming majority of teeth treated is favorable.

While there is no certainty concerning healing, successful results occur in about 95% of cases. On occasion, the chances of success may fall below this expectancy, or your tooth may not be amenable to endodontic treatment at all. If your tooth falls within one of these latter categories, you will be informed at the time of consultation, or when a complication becomes evident during or after treatment.

Your comfort throughout all phases of treatment is a major consideration. If a problem arises, please contact the office in which you were treated.

What to Bring

In order to efficiently address your individual case, please have the following information available when contacting our office:

  • Name of your referring doctor
  • Tooth number or area that you have been referred for
  • Any insurance coverage that you will be using
  • Any medications or health concerns that we should be aware of

What to Expect

The time necessary to deliver thorough root canal treatment is variable and difficult to predict for each patient. We will make every attempt to keep your waiting to a minimum. Please be patient as we deliver quality care to all patients.

Your doctor will discuss what brought you in, locate the source of your current concern, show you photographs and radiographs and discuss their significance.

Treatment options and recommendations will be given.

If time has been set aside for treatment, then you will be given adequate local anesthesia to numb the area.

Your tooth will be isolated with a rubber dam (latex or non-latex barrier), and treatment will be rendered.

Some cases take more than one visit depending on the specific circumstances of your situation.

After treatment, your case and prognosis will be reviewed and post-operative instructions will be given.

Post-Treatment Instructions

Endodontic treatment has now been completed. The root canal system has been permanently sealed. However, the outer surface is sealed with a temporary restoration. A permanent restoration must be placed to protect your tooth against fracture and decay. Please telephone your restorative dentist for an appointment. A complete report of treatment will be sent to your dentist. Included in your treatment is a follow-up examination to evaluate the progress of healing. This appointment will require only a few minutes and no additional fee will be charged for the check-up visit. We will send you a postcard at the appropriate time for this check-up. Please call the office to schedule this appointment.

Your tooth and surrounding gum tissue may be slightly tender for several days as a result of manipulation during treatment and previous condition of your tooth. This tenderness is normal and is no cause for alarm. Do not chew food on the affected side until your endodontic therapy is completed and your tooth is covered with a protective restoration provided by your restorative dentist. You may continue your regular dental hygiene regimen. Discomfort may be alleviated by taking over-the-counter pain medication as directed.

NOTE: Alcohol intake is not advised while taking any of these medications. Should you experience discomfort that cannot be controlled with the recommended medications, or should swelling develop, please contact this office immediately.

Our telephone is answered until 9:00pm. weekdays and between 9:00am and 9:00pm on weekends and holidays. Please have your pharmacy telephone number available.

Common Post-Treatment Questions

The following are some answers to commonly asked questions concerning care after your root canal treatment. As endodontic therapy is a physiological procedure, results and reactions to treatment may vary with the individual. These answers serve as a general guideline. If your experience is different from the expected post-operative results, please call our office.

Will my tooth still hurt after root canal therapy?

It is normal to experience some discomfort following most root canal procedures. Although there is no vital tissue inside your tooth, the ligaments and the bone that support your tooth can be inflamed causing tenderness to biting pressure. This tenderness may continue for a couple days to several weeks, but should gradually decrease. If these symptoms worsen, or swelling develops, please call the office. The gum tissue around the tooth may also be sore and can be relieved with warm salt water rinses ( 1 tsp. salt to 8 oz. warm water).

What can I take for discomfort?

The normal tenderness following treatment is usually relieved by over-the-counter pain medication taken as directed. If the tooth is extremely inflamed, your endodontist may prescribe a stronger pain medication that may be filled at any pharmacy.

What should I do if Ihave severe discomfort or swelling?

If you feel you have more discomfort than previously discussed, or if you have any questions, please call the office. Our phones are answered until 9 p.m.

Will my tooth still feel temperature?

If your tooth was temperature sensitive prior to the root canal therapy, there will no longer be hot and cold sensitivity on this tooth. This is because we have removed all the vital tissue from inside the roots of your tooth.

Do I need an antibiotic?

Generally no, but if we do feel it is necessary, we will give you a written prescription to have filled. If you have already started a course of antibiotics from your general dentist, it is important that you finish the whole prescription.

Can I eat when I go home?

We have placed a temporary filling In your tooth, and you should avoid chewing on the affected side until you have returned to your general dentist. It is imperative that the tooth be restored by your dentist to avoid fracture of your tooth and/or contamination of the root canal filling that we have placed. Also, be careful of extremely hot foods until the anesthetic has completely worn off.

When do I see my own dentist?

We recommend that you call your dentist immediately to schedule an appointment approximately 10 days to two weeks following your root canal therapy unless recommended otherwise. If they are unable to see you within that time, be careful to avoid chewing on the tooth until you are able to obtain an appointment. If you are experiencing significant discomfort, check with us before seeing your general dentist.

Post-Surgery Instructions

A basic rule to follow immediately after surgery is to take it easy! Don’t participate in any activity that will result in raised blood pressure or labored breathing (i.e. carrying heavy objects, jogging, walking up stairs). This could result in excess bleeding. Limit your activity the day of surgery – the less you do the better you will feel the next day!

BLEEDING

A gauze pack will be placed at the surgical site. Carefully remove it after one half hour. Some oozing of blood is normal. You will be given additional gauze to dampen with water and place under your lip if needed. Report any heavy bleeding to the office.

SWELLING

Swelling may occur during the next 48 hours. Place an ice pack directly to the cheek over the involved area for the day of surgery: 20 minutes on, 20 minutes off, etc. For swelling the day after surgery, moist heat packs are recommended. Some discoloration in the cheek overlying the operated area may occur. This is normal and will slowly resolve.

DISCOMFORT

Discomfort may be moderate after the anesthetic wears off. Take the prescribed medication as soon as possible after surgery. The discomfort should decrease within 24-48 hours.

ORAL HYGIENE

Beginning the day after surgery, rinse with warm salt water 3-5 times per day. (1 tsp. per 8 oz. warm water}. Continue this for one week. Brush carefully in the area. Do not raise the lip or cheeks, as too much pressure can break the sutures.

DIET

Diet the day of the surgery should consist of soft foods chewed on the other side of the mouth. A normal diet can be resumed as soon as it can be tolerated. Avoid alcohol or tobacco for 24 hours following surgery. This will hasten blood clotting and lead to better healing.

If you experience uncontrolled discomfort, excessive bleeding, a rise in temperature, or excessive swelling starting a few days after surgery, call the office for further advice.

Payment and Insurance

The fee for endodontic therapy is determined by the complexity of the tooth being treated. You will be given an estimate prior to your treatment. When a surgical procedure is indicated or becomes evident during or after endodontic therapy, a separate fee will be charged. Consultation fees are payable at the time of consultation. Payment for treatment is due upon completion unless other arrangements have been made in advance. For your convenience, we accept VISA, MASTER CARD and DISCOVER.

If you have insurance coverage, we will gladly complete the forms and submit your claim for you. We do ask for a down payment at the time of treatment. Any remaining balance after insurance has responded is your responsibility, and your prompt remittance is appreciated.

Please remember that you are fully responsible for all fees charged by our office regardless of your insurance coverage. If you have any questions regarding your insurance coverage, please feel free to contact our office.

Privacy Policy

This form, Notice of Privacy Practices, presents the information that federal law requires us to give our patients regarding our privacy practices.

Notice of Privacy Practices

After you have read our Notice of Privacy Practices, please download and fill-out our Consent Form, and bring it with you on your visit to our office.

HIPAA Consent Form

Patient News

New website. Same great service.

Welcome to Twin Cities Endodontics Specialists newly updated website. We still offer timely appointments, personal care, and state-of-the-art technology—now in a streamlined and mobile-accessible format. Patients: Learn more about TCE and register online. Doctors: Check out new Doctors News and Technology pages.

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