When to See an Endodontist vs. Periodontist

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You might maintain good oral care and schedule regular visits to your dentist, but there are certain conditions that a dental specialist may be better suited to treat. For instance, it's likely that you'd see an endodontist for more complex root treatments. Or, your dentist may refer you to a periodontist to address certain advanced gum conditions. Find out the difference between an endodontist vs. periodontist, their qualifications and when you should seek out specialized care.

Endodontists Treat the Tooth Root

A general dentist can, in some cases, perform root canals and treat gum disease with deep cleanings. But if severe problems arise in your root, your dentist may refer you to an endodontist. This is a dental professional who specializes in treating your tooth's root, pulp and any related pain, as the American Association of Endodontists (AAE) explains.

It takes several years of training to become an endodontist. First, an aspiring endodontist would typically gain a bachelor's degree in a related field, such as biology or chemistry, to prepare for dental school. The American Dental Association (ADA) notes that students must successfully complete the Dental Admissions Test (DAT) to apply for admission to a four-year accredited dental school. Upon completing dental school, endodontists train an additional two or more years in an accredited endodontics program. The last step, if they want to become a board-certified specialist, is certification with the American Board of Endodontics.

According to the AAE, endodontists represent less than 3% of dentists. They work to maintain your tooth's integrity and are highly skilled at performing surgery and procedures on the root and pulp of your teeth. In fact, the AAE reports that general dentists refer almost half of their root canal cases to endodontists. Your general dentist would likely refer you to one if you've experienced trauma to your face or mouth, or if you have severe swelling around your teeth. They'd also likely refer you to an endodontist for endodontic surgery. One of the more common referrals is for an apicoectomy, which is a surgery to remove the tip of your root and any acutely inflamed tissue to help prevent further infection, explains the AAE.

Periodontists Specialize in Gum Health

What is an endodontist vs. periodontist? Like an endodontist, a periodontist is a dentist who has the same skills and credentials as a general dentist but has also gained education and certification in treating, diagnosing and managing periodontal disease, as the American Academy of Periodontology (AAP) states. These experts complete an additional three years of training beyond dental school to become certified in an array of gum treatments. The AAP explains that periodontists are akin to the plastic surgeons of dentistry. They place implants, perform laser treatments, lengthen crowns and even perform regenerative procedures.

Maintaining healthy gums is vital to dental health, as they protect your tooth root from loosening or being exposed. Ideally, your gums should be a healthy pink color and fit evenly around your teeth. If your general dentist diagnoses you with advanced gum disease, a periodontist can perform pocket reduction procedures (gum surgery) to reduce pocketing and remove bacteria below the gumline that might cause infection, bone loss or tooth loss, as the AAP notes.

Preventing Tooth Root and Gum Issues

In many cases, issues with your roots and gums are preventable. Maintaining great oral hygiene at home can help you keep your mouth free of decay-causing bacteria and prevent early-stage gum disease. Remember to brush twice a day with a fluoride toothpaste, floss daily and see your dentist at least twice a year.

If you have pain in your mouth, or if you notice your gums are swollen, make an appointment with your dentist — sooner rather than later — so that they can refer you to the correct dental specialist, if needed.

This article is intended to promote understanding of and knowledge about general oral health topics. It is not intended to be a substitute for professional advice, diagnosis or treatment. Always seek the advice of your dentist or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment.

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What To Expect During a DENTAL VISIT

On your first visit, your dentist will take a full health history. On follow-up visits, if your health status has changed, make sure to tell your dentist. Here’s what you can expect during most trips to the dentist.

  • A Thorough Cleaning – a dental hygienist or dentist will scrape along and below the gum line to remove built-up plaque and tartar that can cause gum disease, cavities, bad breath and other problems. Then he or she will polish and floss your teeth.

  • A Full Dental Examination – your dentist will perform a thorough examination of your teeth, gums and mouth, looking for signs of disease or other problems.

  • X-Rays – X-rays can diagnose problems otherwise unnoticed, such as damage to jawbones, impacted teeth, abscesses, cysts or tumors, and decay between the teeth.