- Dental ExaminationNoticeable signs of pulp damage include pain, prolonged sensitivity to heat or cold, swelling, gum tenderness, and tooth discoloration. However, sometimes there are no outward symptoms when a pulp degenerates, and the condition may only be detected by a dental examination and x-rays.
- X-rays
- Teeth Cleaning
- Fillings
- CrownsFollowing your treatment, a complete report of your treatment and digital x-rays is sent to your restorative dentist, and it is important that you see your dentist as soon as possible to complete the treatment of your tooth. If a temporary filling was made, your general dentist arranges for a permanent restoration such as a crown. We prefer that this occur within one month of your root canal to prevent any loss of the temporary filling, bacterial leakage, reinfection, or tooth fracture. For the first few days following a root canal, avoid biting or chewing anything hard in the treated area. If your tooth requires a crown, avoid chewing hard things until you have completed the follow-up visit to your general dentist.
- Bridges
- Root Canal TreatmentDr. Rybicki attended the University of Michigan (Ann Arbor) for undergraduate studies and dental school. He received his DDS degree in 1992 and practiced as a general dentist for five years in Livonia and Southfield. Dr. Rybicki completed Advanced Specialty Education in Endodontics at Northwestern University in 1999 and founded Novi Endodontics that same year.
- ApicoectomyIf your endodontically treated tooth has not healed, or if it has developed new problems, you may benefit from endodontic surgery. For example, if endodontic retreatment cannot be performed because the canal is obstructed or a post is in the canal, then endodontic surgery should be considered. In this procedure, the gingival tissue near the tooth is opened to examine the underlying bone and to remove any inflamed or infected tissue. In an apicoectomy, the very end of the root is removed. After cleaning the root end, a small biocompatible filling is placed to seal the canal. Stitches or sutures in the gingiva help stabilize the tissue for proper healing, and over time the bone heals around the end of the root. Most patients are able to return to work or other routine activities the next day.
- DenturesRemoval of a tooth is often the only alternative to treatment. The extracted tooth is then replaced by an implant, bridge, or removable partial denture to allow chewing and prevent shifting of adjacent teeth. These options require extensive surgery or dental procedures on adjacent healthy teeth, and they can be far more costly and time consuming than the endodontic procedure and restoration of the natural tooth. Despite the effectiveness of tooth replacements, natural teeth are preferable whenever possible.
- Dental ImplantsRoot canal therapy is perhaps our most common endodontic procedure. Performed properly and in a timely manner, a “root canal” can prevent larger problems in the future, such as dental implants or bridges. When the pulp in the center of your tooth becomes infected due to trauma, deep decay, cracks and chips, or prior dental procedures, you may experience swelling, sensitivity to temperature, or pain near the infection site. If your dentist recommends a root canal, we can remove the damaged pulp, then clean and seal the tooth to maintain its overall integrity. After your root canal, you are referred back to your dentist for follow-up restoration, most likely a crown to protect the repaired tooth.
- Oral Surgery
- Tooth Extractions
- Teeth WhiteningDiscolored or darkened teeth can sometimes be the result of staining on the interior of the tooth, and no amount of exterior surface whitening will correct this condition. In such cases, we can actually whiten teeth from the inside. In the walking bleach technique, we seal a whitening agent in the pulp chamber of the tooth for a period of several days to a week. After that period, the agent is removed and the tooth resealed prior to final restorative measures. We can evaluate your teeth to determine whether you are a likely candidate for Intracoronal Bleaching.