Dr. Munce

Endodontics is a specialty branch of dentistry recognized by the Canadian and American Dental Associations involving treatment of the pulp (root canal) and surrounding tissues of the tooth. The portion hidden beneath the gum line is called the root. Though the outer portion is a hard tissue called dentin, the inside channel or root canal contains a pulp of soft tissue, blood vessels, and nerves. Bacteria introduced into the pulp from tooth decay, periodontal disease, tooth fracture, or other issues can severely damage the pulp. When that happens, an endodontic specialist removes the diseased pulp to save the tooth and prevent further infection and inflammation. After successful endodontic treatment, the tooth continues to perform normally.

No. We adhere to a standard of ALARA (As Low As Reasonably Achievable) where radiation exposure is concerned. While x-rays are necessary during endodontic treatment, we use an advanced non-film computerized system called digital radiography, which produces radiation levels up to 90% lower than conventional dental x-ray machines. These digital images can be optimized, archived, printed, and securely shared with other dental professionals. We are happy to discuss any concerns you may have regarding x-rays.

There’s no need for concern. We adhere to the most rigorous standards of infection control advocated by the Ontario and Canadian Dental Associations and the Royal College of Dental Surgeons of Ontario (RCDSO). We utilize autoclave sterilization and barrier techniques to eliminate any risk of infection. The use of dental dam isolation during nonsurgical endodontic treatment is crucial for controlling infection and ensuring treatment success. We consider the dental dam mandatory for your treatment and are happy to discuss any questions or concerns you may have.

When your root canal therapy has been completed, a record of your treatment will be sent to your restorative dentist. You should contact their office for a follow-up restoration within a few weeks. Your restorative dentist will determine the best type of restoration to protect your tooth. It is rare for endodontic patients to experience complications after routine endodontic treatment or microsurgery, but if a problem occurs, we are available at all times to respond.

Our practice uses advanced dental technologies to ensure precision, comfort, and successful outcomes, including the Cone Beam CT Scanner, Digital Imaging, Surgical Operating Microscopes, and the GentleWave® UltraCleaning System.

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 follow-up 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 restorative dentist. We are happy to follow up with you should you have any questions or concerns after your treatment. Your tooth is more prone to fracture immediately after endodontic treatment. You should chew on the other side until your restorative dentist has placed a core build-up and a protective restoration, usually a crown. If your tooth’s strength is seriously compromised, Dr. Munce or your restorative dentist may place a post and core build-up inside the tooth. Your restorative dentist and endodontist will determine …

Lower teeth and nerve injury: There is a slight possibility that nerve injury can occur during root canal surgery to the lower posterior teeth. Dr. Munce is trained to assess this possibility prior to treatment and will advise you accordingly. For lower posterior teeth, the root tips may be near a nerve that supplies feeling to the lip, chin and gums. Your endodontist is trained to design your surgery to minimize the chances of damaging this nerve. Rarely, this nerve can become irritated during the process of surgery. In these cases, when the local anesthesia wears off, you may experience tingling, altered sensation or, in rare cases a complete lack of feeling in the affected tissues. Should this occur, it is usually temporary and will resolve over a period of days, weeks or months. In rare cases, these changes can be permanent and/or painful. Upper teeth and sinus communication: The upp…