Root Canal Therapy
Inside every tooth is soft tissue called the pulp, which contains nerves and blood vessels. When the pulp becomes inflamed or infected — from deep decay, repeated dental work, a crack or an injury — it can cause pain and lead to an abscess. Root canal therapy removes the damaged pulp, cleans and disinfects the inside of the tooth, and then fills and seals it.
Signs you may need one
- Lingering sensitivity to hot or cold
- Pain when chewing or touching the tooth
- Swelling or tenderness in nearby gums
- Darkening of the tooth
Sometimes there are no symptoms at all, which is why a specialist's evaluation matters.
What to expect
Treatment is performed with local anesthesia and is often completed in one or two visits. Afterward, your general dentist will place a crown or other restoration to protect the tooth.
Endodontic Retreatment
Most teeth that have had root canal treatment last for many years. Occasionally, a treated tooth does not heal as expected or becomes painful months or even years later — for example, because of new decay, a cracked or loose restoration, or canals that were difficult to detect during the original treatment. Retreatment involves reopening the tooth, removing the previous filling material, carefully examining and cleaning the canals, and resealing the tooth.
Apicoectomy (Endodontic Surgery)
When a nonsurgical root canal is not enough to resolve the problem, endodontic surgery may help save the tooth. The most common procedure is an apicoectomy, or root-end resection. Under local anesthesia, the gum tissue near the tooth is opened, the inflamed tissue and the very tip of the root are removed, and a small filling is placed to seal the end of the root. Surgery may also be used to locate small fractures or hidden canals that do not appear on X-rays.
Cracked Teeth
Cracked teeth can cause erratic pain when chewing — especially when releasing biting pressure — or sensitivity to temperature changes. Cracks range from minor craze lines to fractured cusps, cracked teeth, split teeth and vertical root fractures. Treatment depends on the type, location and extent of the crack, so early diagnosis is important. Dr. Sprechman will evaluate the tooth and explain the options for saving it whenever possible.
Dental Trauma & Injuries
Accidents and sports injuries can chip, loosen, push or completely knock out teeth. Injuries to the teeth can affect the pulp even when damage is not visible, so an endodontic evaluation is often recommended after trauma.
If a permanent tooth is knocked out
Pick it up by the crown (the chewing surface), not the root. If it is dirty, rinse it briefly with water — do not scrub it. If possible, gently place it back in its socket; otherwise keep it in milk. See a dentist immediately — the sooner the tooth is treated, the better the chance of saving it. Call (772) 878-1900.
Advanced Imaging
Accurate diagnosis is the foundation of successful endodontic care. Digital radiographs and, when appropriate, cone beam computed tomography (CBCT) may be used to view the teeth, roots and surrounding bone in detail — helping identify complex canal anatomy, fractures and areas of infection, and supporting precise treatment planning.
Frequently Asked Questions
Does a root canal hurt?
Root canal treatment is performed with local anesthesia, and most patients say the experience is similar to having a filling placed. The procedure is designed to relieve the pain caused by inflamed or infected tissue inside the tooth. Some tenderness for a few days afterward is common.
Why see an endodontist instead of a general dentist?
Endodontists are dental specialists who complete additional years of advanced training focused on diagnosing tooth pain and treating the inside of the tooth. Because Dr. Sprechman's practice is limited exclusively to endodontics, he focuses every day on root canal treatment, retreatment and endodontic surgery.
How long does root canal treatment take?
Many root canals are completed in one or two appointments, depending on the tooth and your condition. Dr. Sprechman will explain what to expect for your specific treatment at your consultation.
What happens after my root canal?
You will return to your general dentist for a permanent restoration, such as a crown or filling, which protects the tooth and restores full function. It is important to schedule this promptly.
Is it better to just pull the tooth?
When it can be saved, keeping your natural tooth is generally the preferred option. Replacing an extracted tooth with a bridge or implant usually requires more time and treatment. Dr. Sprechman can help you understand your options.
Do you speak Spanish?
Yes — hablamos español. Spanish-speaking team members are available to assist you.
Have questions about your treatment? Call the office at (772) 878-1900 or review our before and after treatment instructions.
