Why your dentist referred you to an endodontist (and what to expect)

Got referred to a endodontist by your regular dentist? You’re not alone, and it’s actually a pretty common step when certain dental issues pop up. If you’re wondering why a tooth surgeon like Dr. Nieves or Dr. Fitzhugh is needed or what’s going to happen at your next appointment, West Fort Worth Endodontics has got you covered. Let's break it all down to make the whole thing as straightforward as possible.

What’s the difference between a regular dentist and an endodontist?

Think of your dentist as your go-to for general dental care. They handle the basics like cleanings, fillings, crowns and gum health tips. But when things get more complicated, like an issue with the root or pulp inside your tooth, they will refer you to an endodontist.

Endodontists specialize in saving teeth, particularly in tough cases involving the tooth’s interior. They go through extra schooling (an additional two or more years after becoming a dentist) so they can take on advanced procedures like root canals, retreatments and even some minor tooth surgeries. Basically, they’re the specialists who step in when your teeth need expert help.

Why did my dentist refer me to an endodontist?

Getting a referral doesn’t mean your situation is dire—it just means your dentist wants to make sure you’re in the best possible hands, especially if you're referred to a board-certified endodontist like us. Here are some common reasons for seeing an endodontist:

Persistent tooth pain

If tooth pain sticks around, especially when you’re eating or drinking something hot or cold, there’s likely an issue deep within the tooth. While general dentists can often identify the problem, endodontists are trained to treat infections or damage in the pulp.

Deep cavities

When a cavity gets so big that it affects the tooth’s pulp, it might be time for a root canal. Endodontists specialize in cleaning out decay, treating any infection and stopping the problem from getting worse.

Tooth trauma

Accidents, chips, or cracks can sometimes expose the pulp, leaving it vulnerable. Endodontists are experts in treating dental trauma and often save damaged teeth in these situations.

What do endodontists actually do?

Endodontists tooth surgeons who are all about saving your natural teeth and protecting your smile. Here’s a quick rundown of what they usually handle:

  • Root canal therapy: This is their bread and butter. It involves removing infected or damaged pulp, cleaning the tooth’s interior and sealing it up to prevent further problems. Thanks to modern techniques, this treatment is much more comfortable and efficient than most people think.

  • Endodontics retreatment: If a previous root canal didn’t fully heal or a new issue crops up in the same tooth, endodontists can perform a retreatment to fix it.

  • Apicoectomy: For those rare cases where infection lingers after a root canal, endodontists might perform a minor tooth surgery to remove the infected tissue and save the tooth.

  • Trauma repair: Whether it’s a cracked tooth or one that’s been knocked out, endodontists are the specialists you want for getting everything back to normal.

What happens at your first visit?

It’s totally normal to feel a little nervous before seeing an endodontist for the first time, but knowing what’s going to happen can help ease your mind. Here’s what a typical first visit at the West Forth Worth Endodontics office looks like:

  1. Diagnosis and consultation: Dr. Nieves or Dr. Fitzhugh and our staff will start by reviewing your dental history and taking a close look at the problem tooth. We'll use X-rays and state-of-the-art imaging techniques to get a better idea of what’s going on inside.

  2. Discussing treatment options: Once they diagnose the issue, we'll explain your treatment options and answer any questions you have. This is your chance to share any concerns or preferences, so speak up!

  3. The procedure: If you move forward with treatment, your endodontist will keep you informed every step of the way to make sure you’re comfortable. And thanks to modern anesthesia and tools, most procedures feel no different than getting a filling.

  4. Post-treatment care: After the procedure, our staff will give you clear instructions for recovering at home. If you feel any discomfort, over-the-counter pain relief usually does the trick.

Why seeing an endodontist is a good thing

Getting referred to an endodontist might feel like an extra step, but it’s actually a win for your dental health. Here’s why:

  • Specialized expertise: Board-certified endodontists have more advanced training than dentists, which is absolutely essential for working on complex cases and saving teeth.

  • Better tools: They use cutting-edge technology for diagnosis and treatment, so everything is done with precision.

  • Focus on saving teeth: Their ultimate goal is to help you keep your natural teeth, which is almost always the best option for your long-term oral health.

If your dentist has referred you to our team at West Fort Worth Endodontics, take it as a positive sign that your dental care is getting the essential attention it deserves. Whether you’re dealing with pain, trauma or another issue, specialized treatment from an endodontist can make all the difference in saving your teeth and maintaining good oral health.

And hey, chances are you’ll leave your appointment wondering why you were so worried in the first place. Keep that smile healthy and pain-free! Give us a call today and let us get you started on the path to living pain-free.

WFW Endodontics Team

News, knowledge and know-how from the West Fort Worth Endodontics team.

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The role of CBCT imaging in precision endodontics diagnosis

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Pulp necrosis: what happens when the tooth nerve dies