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Maria Bryan, DDS Root Canal Therapy Endodontics Kingsport TN and Greeneville Tennessee
OverviewDifferential DiagnosisRoot Canal TherapyRoot Canal RetreatmentApicoectomyInternal Bleaching

staffThe endodontic services we offer include the following:

Consultation and Diagnosis
Your dentist has referred you to our office for an endodontic evaluation and possible treatment.

Root Canal Therapy
Root canal therapy involves the cleaning, shaping and filling of the canal space within the root of the tooth.

Root Canal Retreatment
Retreatment is necessary when the root canal becomes reinfected. It is usually possible to perform the root canal treatment again and create an environment which will promote healing.

Surgical Endodontics
When retreatment is not possible or is not successful, a surgical approach can be used.

Differential Diagnosis of Oral Facial Pain
Endodontists are trained to differentiate between pain of endodontic origin and non-dental pain.

Internal Bleaching or Nonvital Bleaching
This procedure is used to lighten a darkly discolored tooth that has had a root canal.

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Additional services:

  • Nitrous oxide (laughing gas)
  • Spanish speaking doctor
  • Wheelchair accessibility
  • Cervical (neck) pillows and blankets

For your safety our office features:

  • Our office meets or exceeds all OSHA standards of sterilization and infection control
  • Disposable covers and medical supplies
  • Protective clothing: masks, gloves, gowns, goggles
  • State of the art sterilization techniques and monitoring
  • Continuing education for staff in infection control and CPR training

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Consultation and Diagnosis

Your dentist has referred you to our office for an endodontic evaluation and possible treatment. We will review your medical and dental history, chief complaint, perform diagnostic tests, and study all x-rays. It is sometimes necessary to have additional x-rays taken in order to provide a three dimensional view of the tooth in question.

The goals of an endodontic evaluation are:

  1. Determine if you are in need of endodontic (root canal) treatment
  2. Identify the source of the pain.

Patients often experience generalized pain and are unable to identify the problem tooth. Sometimes pain can be felt in an area that is different from the one in which it originates. When the source of pain is different from the site of pain, this is commonly known as referred pain.

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Surgical Endodontics

Sometimes a non-surgical approach for root canal therapy is not possible. Skillful diagnosis in endodontic surgery requires accurate determination of the reasons for endodontic failure. Most common causes for failure are: unusual, complex and undetectable root canal anatomy, accessory canals that cannot be treated conventionally, or a fractured root. Other factors which may require a surgical approach, include the presence of a post which cannot be removed, calcification of the canals, or obstruction due to a separated instrument. Most of these cases can be successfully treated with endodontic surgery.

The goal of all endodontic surgery is to remove disease, prevent it from recurring, and to create an environment in which healing may occur.

The surgical procedure itself is done in the dental office, under local anesthetic. It takes approximately one hour, and most patients return to work after the procedure. The most common endodontic surgery is:

Apicoectomy (or Root-End Resection)

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©Copyright 2003 - Dental WebSmith, Inc. and Maria Wyche Bryan, DDS. All rights reserved. Disclaimer: The information provided within is intended to help you better understand dental conditions and procedures. It is not meant to serve as delivery of medical or dental care. If you have specific questions or concerns, contact your health care provider.

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