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Colorado Endodontic Specialists - Dr. Omar Macaraeg

Littleton, CO




What is Endodontics?

At CES, our expertise is in line with our name: a specialization in endodontics! However, if you haven't undergone endodontic treatment before, we recognize that the field might be unfamiliar to you. So, let's delve into the world of endodontics.
To grasp the concept of endodontics, a bit of tooth anatomy knowledge goes a long way. Teeth are comprised of multiple layers, with enamel resembling bone-like tissue covering the exterior and dentin, its supportive tissue, forming the interior. Nestled right at the core of the tooth lies the pulp, housing a complex network of blood vessels, nerves, and connective tissues. These components played a significant role in shaping the surrounding dentin and enamel during tooth development. While the pulp receives nourishment from vessels entering at the root's end, it's worth noting that despite its pivotal role during tooth growth, the pulp isn't essential for the tooth's day-to-day function. However, when it comes to endodontic treatment, the pulp takes center stage.




Root Canal Therapy

Endodontic treatment is commonly known as "root canal therapy." This treatment involves removing dying or infected pulp tissue inside a tooth. The procedure helps alleviate pain and prevent infection from futher growing or spreading. The tooth will continue to be nourished by surrounding tissues even after the pulp is removed. After the treatment, a crown or other restoration is necessary to protect and restore the tooth to its full function. 
Root canal therapy is usually recommended to save a tooth that would otherwise be extracted. If endodontic problems are detected and treated early, healing is faster. In more serious cases, endodontic treatment may be uncomfortable, and it is recommended that a patient take antibiotics to calm symptoms before continuing with the treatment. 
An endodontist, such as Dr. Mac, is a dentist who has had 2-3 additional years of advanced specialty education after dental school in diagnosis and root canal treatment. They specialize in endodontic treatment because they typically practice surgical or root canal treatment exclusively. They use their special training and experience to help diagnose and treat more difficult cases, such as abscessed teeth, narrow or calcified canals, or unusual anatomy. Endodontists may also use specialized technology, such as microscopes or digital imaging, to help in treatment.
For a more visual representation of root canal therapy, click here to watch a video provided by the American Association of Endodontics. If you are interested in understanding more about root canals or what you need to do to prepare for treatment, feel free to contact our office. 



While a root canal is nonsurgical treatment, there is an alternative procedure to save the tooth. This procedure is called an apicoectomy, which involves removing the tip of the tooth's root. This is an option when a previoius root canal has failed. 
An apicoectomy is a microsurgical treatment. Dr. Mac will make a small incision on the gums to gain access to the tooth. He will remove the root tip, clean any infection, and fill the space with bone graft and other materials to help the tooth heal and bone regenerate. Besides potential tenderness after treatment, the tooth is fully functional, and we will make follow-up appointments, one at 2 weeks and another at 6 months, to ensure healing. 
For another visual representation of an apicoectomy, click here.

Extraction and Implants

Endodontic procedures are usually the last options for saving the natural tooth. However, there are circumstances, such as root fractures, in which the tooth may need to be extracted or removed. A patient may wish to replace the space with a single-tooth implant. This process involves placing an implant where the tooth would normally be, providing a space for a crown to be fitted and giving the look of a natural tooth. Dr. Mac is able to work with those who need either of these procedures. He understands the importance of preserving your natural teeth whenever possible and employs advanced techniques to ensure the best possible outcomes. Whether it's an endodontic treatment to save your existing tooth or collaborating with you on the process of getting a single-tooth implant, Dr. Mac is dedicated to providing comprehensive and personalized care tailored to your your unique dental needs.