Achieve Optimal Oral Health with Root Canals, TMJ Treatments & More

The key to oral health is to treat your diseases and conditions as soon as possible. Dr. Soufi of Medora Dental Care provides general dentistry services to patients in Abbotsford and surrounding areas. Some of the services offered include:

Root Canal Treatment

In the past, a tooth with an infected nerve would be removed, but today’s dental professionals are able to save the tooth by removing the pulp and filling the gap with a crown to restore the tooth’s functionality.

Common symptoms of inner-tooth issues include:

  • Teeth sensitivity to hot and cold temperatures
  • Tenderness and inflammation in the gums
  • Tooth discolouration
  • Tenderness when biting or chewing
  • Pain in the nearby lymph nodes

Why Should I Get Root Canal Therapy?
A root canal therapy is done to save the natural tooth when the inner tooth has been damaged. Some common causes of inner tooth damage are:

Infections: Bacterial infections are the most common issue. Bacteria can enter the inner tooth pulp through decay or injury. When this happens, the inflammation and infection can cause an abscess to appear.

Chips and fractures: When there is a chip or fracture to the crown of the tooth, a root canal may be required.

Injuries: Some tooth injuries can cause the tooth to become dislodged from its socket. After the dentist has stabilized the injured tooth, a root canal therapy is often needed.

Removal: If a tooth has been knocked out of the socket, it is important to rinse and place it back into the socket quickly. If this is not possible, put the tooth in a special dental solution (available in pharmacies) or milk to keep the inner structures of the tooth moist and alive until an emergency treatment is done. The tooth will be attached to the socket with a special splint and a root canal therapy will be performed to save the tooth.

What Can I Expect during My Root Canal Therapy?
Non-surgical Root Canal
A root canal can take between one to three sessions to complete. X-rays of your teeth will be taken and examined before the root canal treatment. During the first stages, local anaesthetic will be applied and a protective sheet will be placed to make sure the area is free of saliva during the treatment. Our dentist will make an opening in the surface of the tooth to remove the pulp. Afterwards, the space will be shaped, cleaned and filled. We will apply cement on top to make sure that the root canals are completely sealed off. A temporary filling will often be placed to restore your tooth’s functionality. In the final appointment, a permanent crown will be placed.

What is a Root Canal?
A root canal is a common dental procedure that can save your natural tooth and prevent the need for bridges or dental implants. A pulp is a group of blood vessels in the centre of your tooth. When the pulp is infected, it can cause temperature sensitivity, tooth pain or cause the gums to swell. A pulp infection can be caused by tooth decay, cracks or chips, or trauma.

How Is the Procedure Performed?
The affected pulp is removed and the tooth is cleaned and sealed. Typically, local anaesthesia will be used and the treatment may be done in one or more appointments. Root canal therapy has a 90% success rate. If your tooth is not a candidate for  treatment, you will be informed during the consultation. After the treatment, you will be able to drive home and go on with your daily lives as usual. In addition to local anaesthesia, we also offer IV sedation if you prefer not to be awake during the procedure.

What Happens After the Treatment?
We will keep a record of your treatment and decide on the type of restoration necessary for your tooth. Typically, a filling or a crown is used to seal off the inside of the tooth.

How Much Does It Cost?

The cost can vary on a case-by-case basis, depending on the severity of the infection and which tooth is affected. A root

canal treatment is generally less expensive than tooth extraction or dental implants.

Cracked Tooth
A cracked or fractured tooth is a common dental problem that requires root canal therapy. A tooth can crack for many reasons, including grinding, clenching, biting on hard objects and trauma. All of these behaviours put extra stress on the teeth, which makes them more prone to cracking.

A tooth crack can widen as you use that tooth to bite or chew. This puts the pulp inside the tooth at risk for being exposed. You may feel discomfort when there is pressure on the crack, and the pain can subside when the pressure is released. If the crack is left untreated, the pulp can be damaged, causing you constant pain. The pulp infection can also affect the tissue and bone around the tooth.

Symptoms of a cracked tooth:

  • Tooth pain
  • Difficulty pointing out the location of the pain
  • Pain when eating
  • Sensitivity to hot and cold food and drinks

What Kind of Cracks Can Affect the Teeth?

There are different types of tooth crack and the type will determine what type of treatment is needed. If the crack isn’t too deep, a root canal can be done to save the natural tooth. If the crack is too extensive, the tooth may need to be extracted.

Types of Cracks

Crazes: Small vertical cracks or scratches on the surface of the teeth that are considered part of the tooth anatomy. Crazes rarely requires treatment, but there may be optional treatments to improve the appearance.

Oblique supragingival cracks: Only affects the crown and do not extend below the gums. Typically, the affected part eventually breaks off. This type causes little pain because the pulp is unaffected.

Oblique subgingival cracks: These cracks extend below the gum line and sometimes even to the jawbone. A piece that’s broken off will typically stay attached until the dentist removes it. This type of crack is painful and can require periodontal surgery and root

canal or other restorative methods. 

Vertical furcation cracks: Occur when the tooth’s roots separate. This type of crack typically affects the nerve of the tooth. Since the tooth won’t separate completely, a root canal and crown can save the tooth.

Oblique root cracks: Most of the damage is below the gum line and rarely affects the surface of the tooth at all. Depending on how deep the crack is, a root canal may be a viable option. However, tooth extraction is the most common treatment for this type of fracture.

Vertical apical root cracks: This type of crack appears at the tip of the root. Although an extraction is not required from a dental perspective, patients often request one due to the amount of pain. Root canal therapy can temporarily ease the pain, but eventually the tooth is often extracted.

How Are Cracks Treated?
Some cracks can only be seen with an X-ray machine, while others are visible to the naked eye. If the crack affects the root of the tooth, a root canal is the recommended treatment option. The pulp, vessels and nerves will be removed and the space will be filled with gutta-percha. A filling or crown will be applied on top to restore functionality.

If the crack is too extensive for the tooth to be saved, a tooth extraction is usually performed. To restore functionality and aesthetics, bridges, dentures or dental implants may be recommended.

Root Canal Retreatment
If the tooth did not heal properly or had post-surgical complications, a root canal retreatment may be done. During this procedure, the dentist will remove the attached crown and filling material, clean the root canals and re-fill and re-crown the tooth. The success rate for this procedure is around 75%.

If the affected tooth has excellent bone support, a solid surface and healthy gums, it can be saved with root canal retreatment. Choosing retreatment can be less expensive than other alternatives, such as dental implants or bridges. These alternatives also require more maintenance and do not feel as natural as your real teeth.

When Is a Root Canal Retreatment Required?

A retreatment is typically done if the original root canal therapy fails. Some signs you might need a retreatment include:

  • New tooth decay
  • New crack in the treated tooth
  • Leaking filling material or cracked crown
  • Undetected complex canal structures
  • Saliva entering the restored tooth
  • Narrow or curved canals not treated during the original procedure
  • There was a delay when placing restorative devices after the procedure

What Can I Expect during a Root Canal Retreatment?

A local anaesthetic will generally be used. During treatment, the affected tooth is isolated with a rubber dam to protect it from saliva and bacteria. The amount of work done within a single appointment depends on the severity of inflammation and how complex the treatment is.

If a crown was placed on the affected tooth, it will be removed in order to gain access to the inner tooth. The filling material is also removed using an ultrasonic hand piece. The root canals will then be cleaned and reshaped. X-rays may be taken to ensure the roots are cleaned thoroughly. If this part of the procedure turns out to be too complex, medicated packing material will be applied and the cleaning process will be continued during the next visit. When the root canals are clean, gutta-percha is used to fill the space. This rubbery material seals off the area and acts as a barrier to prevent bacteria from coming in. in the final step, a temporary crown or filling is applied to the tooth. Eventually a permanent colour-matched crown will be placed.

Gum Disease

Gum disease happens when there is inflammation in the gum line. If untreated, it can affect the bone around your teeth. There are three stages of gum disease are gingivitis, periodontitis and advanced periodontitis. Regular dental cleaning is a good way to prevent gum disease. Age, diet, genetics and smoking can affect your chances of getting gum disease.

Research shows that there is an association between periodontal diseases and chronic inflammatory conditions such as cardiovascular disease, diabetes and Alzheimer’s disease. Treating inflammation may not only help improve periodontal diseases, but may also help with other inflammatory conditions.

Symptoms of Gum Disease

  • Tender, swollen, red or bleeding gums
  • Receding gums or gums that move away from the tooth
  • Persistent bad taste in mouth or bad breath
  • Loose teeth
  • Pus surrounding the gums and teeth

Health Risk of Gum Disease
Having healthy gums is an important part of your overall well-being. Gum disease can cause pain, difficulty eating, bad breath, loss of teeth and more.

Not only do individuals with diabetes have a higher of getting gum disease, but gum disease will also affect the severity of their diabetes. The bacteria found in plaque can be inhaled into the lungs and may cause a lung infection or condition. This can happen to you even if you don’t have gum disease, but have lots of plaque. It is especially important for pregnant women to take care of their teeth and gums, since the hormonal changes caused by pregnancy can increase the risk of the expectant mother to develop gingivitis or periodontal disease. These oral diseases can cause low birth weight and premature birth. Expecting mothers should seek treatment if they have periodontal disease in order to reduce the risk of pre- and post-natal issues.

Bacteria from plaque can collect in gums to cause an inflammation, where the body destroys both the gum and bone tissue. If untreated, the bone tissue can start to erode, which can lead to loose or shifting teeth and in some cases may cause tooth loss.

Oral And Maxillofacial Surgery

This type of surgery involves the diagnosis, surgery and treatment of diseases relating to tissues in the mouth and jaw, including wisdom teeth removal, dental implants, bone grafting and jaw surgery.

Reasons to Visit Our General Dentist

  • To get a tooth extraction
  • If you have an oral, jaw or facial tumor or cyst that needs to be removed and reconstructed
  • To fix your jaw alignment with orthognathic surgery
  • To get dental implants
  • To have jaw and facial reconstruction after cancer surgery
  • To have your facial bones realigned after trauma

TMJ Treatment

Temporomandibular disorders refer to conditions of the chewing muscles and jaw joint. There are three main categories of TMJ disorders:

  • Myofascial pain: Discomfort or pain in the jaw muscles.
  • Arthritis: Inflammatory joint disorders that affect the TMJ joint.
  • Internal derangement: Dislocated jaw, displaced disc or injury to the condyle

Symptoms of TMJ Disorders

  • Pain in the jaw joint when chewing
  • Stiffness in the jaw muscle
  • Painful popping or clicking in the jaw joint when opening or closing the mouth
  • Limited movement of the jaw
  • Locking of the jaw

Medora Dental Care
110-1910 North Parallel Rd
Abbotsford, BC V3G 2C6

Monday: 9:00 AM – 4:00 PM
Tuesday: 10:00 AM – 6:00 PM
Wednesday: 10:00 AM – 7:00 PM
Thursday: 11:00 AM – 7:30 PM
Friday: 9:00 AM – 5:00 PM
Saturday: 9:00 AM – 4:00 PM
Sunday: Closed





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