Who does root canals these days?

My Dentist has 30 years and left his practice to join a modern and successful dental clinic. We followed. Last year I had my first root canal where he sent me to “who I would go to” … it was obvious both him and his staff knew the drill (sorry) … I paid about half of $3800.
(Done through a crown)

Just this week they found a cracked wisdom tooth. Again referred to a specialist at the same clinic and I’m booked to get it pulled in a couple weeks …

They don’t operate jack of all trades at this clinic …
 
It depends on the dentist but the specialist for root canals is the endodontist. Like medicine, dentistry is becoming more specialized with more dentists restricting their practices to fewer procedures. The upside here is you get really good at the things you do daily and the downside is patients may need to see someone else to complete some treatment.

Sometimes, it just comes down to how often something presents itself in a particular practice. For example, I'm a pediatric dentist which means because root canals on permanent teeth aren't required all that often in the pediatric population, 8 years went by between the last time I did a root canal and the next time a patient presented for one in my practice. Needless to say, I decided that day that I was so out of practice and that RCTs present so little in my practice, that it made more sense to refer to the people who do it daily. Another example, sometimes my teen patients need a crown on a permanent tooth but the last time I did a crown on a permanent tooth was literally 18 years ago because years and years can go by without a patient needing one - I don't even have the materials to do one or a relationship with a lab to fabricate the crown. A busy general dentist may be doing 3-4 crowns per day and so it makes more sense to refer these teens to a GD.

Sometimes, it just comes down to what a dentist likes or doesn't like doing. We all have things we were trained to do but for whatever reason don't like doing them. My dislike of root canals is partly because I haven't done one forever but also because from the first day in the endodontics clinic to the last root canal I completed, I just hate doing them and since there are people who like doing them, they can have them.
I would think this applies to staff as well - his assistant always seemed two steps ahead of the Endo - visibly a great team and that matters to a patient considering the perception of a root canal …
 
Now that I’m older than some redwoods, I’m in the dental chair more often than I would like. I’ve had just about every dental procedure available. I take care of my teeth, but over a lifetime of miss-steps and bar fights, I’m paying the price. 🦷
 
I went to my dentist about a month ago for a root canal. My tooth had broken above the gum, so this was the reason. The dentist started doing it but had to stop because she said the tooth had "calcified". And I needed to go to another dentist just to drill the hole.This guy wanted $2200 just to drill the hole in the right spot. That was all he planned to do. I'd still have to go back to my original dentist to have the crown put on. At this point I'm thinking about just getting a bridge put in, and not have to worry about a crown ever falling out. I've had that happen several times, and after paying a fortune in dental work, the only solution is to pull everything out in the end, and getting a false tooth.,,
 
If a tooth has a vertical fracture, they sometimes refer these to an oral surgeon.
I was also wondering where the crack was. if it's vertical than I would think that pulling the tooth would be the only option. Then getting an implant. All of this is going to be really expensive even with insurance and going in network.
 
I fractured a molar a few decades ago. A pretty vertical fracture I believe. Had a root canal (by an endodontist) and a gold crown (by my regular dentist) and that tooth is still fine.

Broke a front tooth right off a year ago. Had a root canal and carbon fibre post done by an endodontist. Totally painless. Crown put on by my regular dentist. Looks perfect. Works fine.

Regular dentists often do root canals but if they run into trouble you end up having to go to an endodontist anyway. Two procedures. No thanks. It's expensive but so worth it.
 
My dentist just did a root canal on me. He said it was the most difficult he'd ever done because I had a split root. He said this is most common in Native Americans, which I'm not.

He did a great job. His staff is terrible but he's amazing which is why I keep going. As long as he's doing the important stuff I don't care.

I had some fun because they were drilling then dropping this "depth gauge" in the hole(s) to figure out how deep he'd drilled. He went 25mm and I said that's pretty much exactly an inch. He kinda started to question it but I assured him 25.4mm in an inch (us machinists know these things) :D
 
I honestly think it cracked probably a couple years back, then that caused the cavity. The dog popped me good in the jaw a few times with his head. He didn't like being picked up when he was a puppy and would thrash back and forth. Now I make sure I keep my head away from his when picking him up. He doesn't mind it much anymore though. I recall barely being able to drink a caramel mocha from mcdonalds, but the sensitivity went away after a few days, so I never went to the dentist
 
I have had a bridge for 50 years. It has been replaced once. Each time, we ruin two more good teeth to anchor the bridge, and the bridge size gets larger. I would recommend investigating an implant for the tooth that needs replacing. I have two implants (molars), and have done well without adding any more bridges to my mouth. Done correctly, implants are worth the cost in my mind (I have little to no dental insurance, so I pay out of pocket).
 
A few months back my pre molar cracked in half. I went to the dentist and at the time I was like pull it. Well, they didn't ha e time/didn't want to I guess and referred me to a surgeon. The other option was a root canal and crown and they said let me know what I decide. They never gave me any paperwork regarding the root canal and crown. Called back requesting an email for a price on that part and never got back to me. I'm going to assume a regular dentist can't do that either? I was very annoyed with these people. I think they wanted like $3200, but never got anything in writing describing the problem and what they could do. Is a root canal also a surgeon thing? I guess I had some internal cavity that caused the tooth to crack.
I have a couple molars cracked like that. Still have them a couple years on. They are doing fine with regular brushing. No pain no issues. They are monitored by my dentist and surgeon.

I have had three root canals and they all failed after a few years to a decade. Now you will have a decaying jawbone as you don't have nerves to alert you of a problem or the blood flow with some immunity to fight bacterial infection. An RCT'd tooth is a dead tooth.

I leave my cracked tooth alone as is as I ponder cost and options. Maybe have a Dentist attempt to fill any shallow cavity - but many dentists won't perform "hillbilly" filings. Don't know why. It may require a payment under the table and a promise not to tattle.

Extraction with an implant or, RC with crown are very expensive.

Complete Extraction with an implant is more healthy and pretty much permanent.

None of the above is intended as medical advice, rather it is a personal anecdote.

- Arco
 
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Just about any dentist does root canals. Being this is a health issue, one size doesnt fit all. There can be many variables for some reason that your general dentist does not want to.
 
A few months back my pre molar cracked in half. I went to the dentist and at the time I was like pull it. Well, they didn't ha e time/didn't want to I guess and referred me to a surgeon. The other option was a root canal and crown and they said let me know what I decide. They never gave me any paperwork regarding the root canal and crown. Called back requesting an email for a price on that part and never got back to me. I'm going to assume a regular dentist can't do that either? I was very annoyed with these people. I think they wanted like $3200, but never got anything in writing describing the problem and what they could do. Is a root canal also a surgeon thing? I guess I had some internal cavity that caused the tooth to crack.
Consult with an Oral Surgeon and /or a RC guy to get all your options. You might get a cheap/free? consult. .02
 
For RCT, I would only see a Specialist, an Endodontist with a DDS or DMD degree +
I have a few implants that have replaced some root canals, agree, I MUCH PREFER. Though believe it or not, recently I had one of them fail/break. I even forgot how many I have *LOL* I think 4 or 5.

They couldnt get the broken one out by unscrewing it, the abutment post broke off inside the implant, so they had to cut bone and drill it out, bone graft again and a sinus lift. I only had one sinus lift in the past and was asleep for that one, this one I was awake, none of this stuff hurts but WOW, the banging during the lift was rattling my brain, literally !

New implant is in now but have to wait until Oct for a follow up before abutment. Yeah it's costly. I always made sure my dental plan covered implants, even if they cover 50% that is great. Some wont cover at all but I THINK I have seen a bit more acceptance in the insurance industry now. Wise to make sure and doesnt hurt to shop around. My first one over a decade ago cost around $8,000+ with a sinus lift and being put to sleep at a specialty periodontist. After that I got 3 more in the following years at a dental practice that also advertised dental implants, the 3 at that place cost about the same or not much more as the ONE at the periodontist, granted the periodontist one was more involved but again, pays to show around. SO I think that leaves me with 4 implants I might have forgot about one along the way *LOL* Of the 4 one is in the process of replacement.
 
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I severely cracked a toof. I went surgical implant post and new bone growth with ground up dead guy bones. Best fake toof ever!

Warning. Takes a while. ~10 months total as I recall
Yeah but it works out good if you time it right with dental coverage, as long as they cover implants.
You get the implant one year and the abutment the following year helping to avoid the annual limit on your dental policy.
Typically they want 4+ months for the bone graft to take hold. Once that is done you get "sized" for the abutment.
 
Yeah but it works out good if you time it right with dental coverage, as long as they cover implants.
You get the implant one year and the abutment the following year helping to avoid the annual limit on your dental policy.
Indeed. I went through a bad stretch a couple of years ago where I maxed out my coverage 2 years in a row. Until then, I never even came close.

I've had 3 root canals so far, all were by an endodontist and, fortunately, all were pain-free. I've had more pain during some of the fillings I've had over the years.
 
Yeah but it works out good if you time it right with dental coverage, as long as they cover implants.
You get the implant one year and the abutment the following year helping to avoid the annual limit on your dental policy.
Seemed to not be TOO nasty, I think I paid ~$300 extra out of the HSA. but it was spread over my self Delta and my Medi AP when that started (ha!) - dentist gals didn't bat an eye..............
 
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