Root Canal Therapy

Root Canal Therapy Can Save Your Tooth

Your teeth are meant to last a lifetime. Years ago, diseased or injured teeth were usually pulled. But today, a tooth can often be saved through root canal therapy.

Endodontics (en-do-DON-tics) is the branch of dentistry that specializes in treating diseases or injuries to the dental pulp. Endodontists are dentists that specialize in treating diseases of, or injuries to, dental pulp. Your dentist may refer you to an endodontist to perform your root canal procedure.

Tooth decay can cause an abscessed (
Tooth decay can cause an abscessed (infected) tooth.
The decay is removed and an opening
The decay is removed and an opening is made into the pulp chamber.
The pulp and nerve are removed, and
The pulp and nerve are removed, and the root canals inside the tooth are cleaned shaped, and disinfected.
The root canals and pulp chamber are
The root canals and pulp chamber are filled.
A metal rod (post) may be placed in
A metal rod (post) may be placed in the root canal to help retain the core (filling) material, which supports the restoration (crown).
The crown of the tooth is then resto
The crown of the tooth is then restored. If bone is lost due to infection at the root tip, this will heal over several months after the root canal is cleaned and sealed.
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Arrest Gum Disease with a Deep Dental Cleaning

While enamel helps to protect your teeth from cavities, there is no such safeguard for your gums. These root surfaces are extremely vulnerable to the effects of plaque, acids and food particles, especially where the gumline has begun to recede. 

In a healthy oral environment there should be no more than 1-3 mm between the top of your gumline and the tooth. But when bacteria and tartar are left to accumulate underneath the gum then these pockets can grow to 4mm or deeper. If left unchecked, the pockets will become incubators for gum disease and root caries.


Over time, this will lead to a variety of symptoms including: 

  • Swelling and redness in the gums.

  • Loose teeth.

  • Chronic bad breath.

  • Pus around the gumline.

  • Visibly receded gums. 

  • Weakened bone structure.

Without immediate attention, these symptoms will develop into chronic peridontitis, with bone and tooth loss across the mouth. In advanced stages, regular brushing, flossing, and even routine dental cleaning will not be enough to halt the spread of decay. When it comes to treating these issues, our dental team at i2M agrees that periodontal planing and root scaling is the most effective solution available. 

How Does Scaling and Root Planing Work?

Scaling and root planing is a non-surgical deep cleaning for teeth. The goal with this procedure is to remove the deposits of toxins, bacteria and tartar from the underlying regions of the gum tissue. At i2M our aim is to return your gumline and surrounding bone structure to full health as quickly as possible. 

The Process

  1. During your initial evaluation our specialist will measure the depth of spaces beneath your gumline (sulcus) with a periodontal probe. This will allow them to test the structure of the tooth as well as the overall attachment of the tissue.  If several larger pockets are identified, then they we will recommend a scaling and root planing procedure.

  2. Although this treatment generally only causes minimal discomfort, we may apply a local anesthetic to numb the tissue. This is especially likely if the gums are severely diseased or extremely sensitive. 

  3. The teeth scaling is performed with an ultrasonic dental scaling instrument. Tartar (hardened plaque) is slowly chipped away from above and below the gumline using the vibrating metal tip, then a focused water spray is used to wipe away the debris. Additional dental scaling may be performed with a small handheld scaler.

  4. The root planing procedure involves smoothing the root surface. This allows the gum tissue to heal more quickly, as it is easier for the gums to reattach to a smooth non-decayed root. Root planing will also help to prevent plaque from accumulating on the tooth, thus preventing future tooth decay. 

  5. Depending on the severity of your gum disease, the scaling and root planing procedure can be performed over one or two appointments. 

  6. After the treatment our specialist may prescribe antibacterial medications to prevent infection and to promote faster healing. You should expect some sensitivity around the treatment area for the next couple of days.

  7. During the follow-up we will perform periodontal probing to measure the sulcus. In most cases, you should see red and swollen tissue return to a pink, firm appearance. The scaling and root planing should also work to halt any underlying bone loss. 


Hyattsville, MD

Hyattsville, MD 20782 

Ph: 240-696-7842

Toll-Free Number : 1-844-i2m-DENT

[1-844-426-3368]  Press 1 for Hyattsville

Monday: 9:00 AM - 5:00 PM

Tuesday: 9:00 AM - 5:00 PM

Wednesday: 9:00 AM - 5:00 PM

Thursday: 9:00 AM - 5:00 PM

Friday: 9:00 AM - 5:00 PM

Saturday: 9:00 AM - 1:00 PM

Silver Spring, MD

             Ste B Silver Spring, MD 20901 

Ph: 301-789-7938

Toll-Free Number : 1-844-i2m-DENT

[1-844-426-3368Press 2 for FourCorners

Monday: 10:00 AM - 5:00 PM

Tuesday: 10:00 AM - 5:00 PM

Wednesday: 11:00 AM - 5:00 PM

Thursday: 11:00 AM - 5:00 PM

Friday: 10:00 AM - 3:00 PM

Saturday: 9:00 AM - 1:00 PM

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