Endodontists

Endodontists are dental specialists who diagnose and treat diseases and injuries of the dental pulp and the tissues surrounding the roots of a tooth. The pulp contains nerves and blood vessels; when inflamed or infected, the tooth may be saved with root canal therapy or other endodontic procedures. Endodontists complete additional postdoctoral training after dental school, focusing on pulp biology, diagnostic techniques, imaging, anesthesia, and advanced treatment methods.

After qualifying, endodontists may pursue board certification in their country. In the United States, the American Dental Association recognizes endodontics as a specialty, and the American Board of Endodontics offers board certification.

Endodontic care commonly involves non-surgical root canal therapy, retreatment of failed root canals, and surgical procedures such as apicoectomy. They also treat cracked teeth, irreversible pulpitis, necrotic teeth, and dental trauma. Tools include magnification, rubber dam isolation, ultrasonics, and imaging such as cone-beam CT. Treatment aims to remove diseased pulp, disinfect the canal system, and obturate the space with gutta-percha and sealer.

Endodontists work with general dentists and other specialists to preserve natural teeth, often in private practices, academic centers, or hospitals. Their role is essential for managing complex root canal anatomy and challenging cases where routine procedures are insufficient.