The primary goal of this treatment is to save teeth in which the tissue inside of the tooth, called the pulp, is damaged by decay, trauma or other irritants. It is the inside channels, or root canals, that contain the pulp, which is made of blood vessels and nerves. Teeth can have from 1 to 5 or more root canals. Once all of the canals are cleaned of the pulp tissue using specialized techniques, the canals are then sealed with sterile, inert material designed for root canal treatment called gutta percha. After this is completed, a temporary filling is placed, and the patient returns to their family dentist for a permanent restoration.

Occasionally an endodontically treated tooth may not completely heal after the initial treatment or may develop new problems. This can be due to inadequate or incomplete prior treatment, difficult canal anatomy or recontamination with oral bacteria from a poorly sealed permanent restoration. If the previous treatment has created difficulties that make retreatment impossible, then there would be one other alternative to try to save the tooth, microsurgery.

Sometimes, the only alternative that remains to save the tooth is to surgically remove the tip of the affected root, and the infected surrounding tissue. This is called micro-surgery or apicoectomy. The entire treatment is done using a local anesthetic. The procedure is done using a operating microscope.

Traumatic dental injuries can often occur as a result of an accident or sports-related trauma. These injuries can be minor, such as chipped or cracked teeth, or severe, such as dislodged or avulsion of teeth. It is important to see a dentist as soon as possible for examination. Treatment depend on the type and severity of the injury, which will be determined during the initial or follow-ups examinations. 

Early diagnosis of cracked teeth is extremely important, as they often start small and progress slowly over time. The earlier it is detected and treated, the better the chance of saving your tooth. 

Internal bleaching is a method of whitening a tooth from the inside out. First, a root canal is performed to remove any pulp that is infected. Then, safe sodium perborate paste is placed deep inside of the tooth. This material reacts with stains and dissolves their particles, making the teeth appear whiter.