An endodontist is a dental specialist trained to treat tooth pulp and nerve-related conditions, commonly performing root canal procedures. Patients are often referred to an endodontist for severe tooth pain, infection, or complex cases requiring advanced care.
When tooth pain becomes severe, persistent, or associated with infection, a referral to an endodontist may be recommended. An endodontist is a dental specialist focused on diagnosing and treating problems inside the tooth, particularly those involving the pulp and nerve.
Brightest Smiles Dentist Finder helps patients compare endodontists in Houston, San Antonio, and Lubbock when advanced care is needed.
If you are reviewing your options, you can also explore related treatments in our full services directory.
What Does an Endodontist Do?
An endodontist specializes in treating conditions that affect the inner portion of the tooth. Their advanced training focuses on:
- Root canal therapy
- Retreatment of previous root canals
- Diagnosing complex tooth pain
- Managing dental trauma involving the pulp
- Treating cracked or infected teeth
While general dentists perform many root canal procedures, more complex cases are often referred to an endodontist.
When Should You See an Endodontist?
You may be referred to an endodontist if you experience:
- Persistent or throbbing tooth pain
- Sensitivity that lingers after hot or cold exposure
- Swelling around a specific tooth
- Darkening of a tooth following trauma
- Infection that has not resolved
In many cases, the recommended treatment may be a root canal to remove infected pulp and preserve the natural tooth.
Endodontist vs General Dentist
Patients often ask whether they need a specialist or if a general dentist can perform the procedure.
A general dentist can handle many straightforward cases. However, referral to an endodontist may be suggested when:
- The anatomy of the tooth is complex
- Infection has spread significantly
- Previous root canal treatment failed
- Symptoms are difficult to diagnose
Endodontists use advanced imaging and specialized tools designed for precision within the tooth structure.
What Happens During a Root Canal Procedure?
During root canal therapy, the endodontist:
- Removes infected or inflamed pulp
- Cleans and disinfects the canal space
- Fills and seals the inner chamber
- Prepares the tooth for restoration
After the procedure, the tooth is often restored by your general dentist, sometimes with a crown for added protection.
What If the Tooth Cannot Be Saved?
In certain cases, severe damage may prevent the tooth from being preserved. If extraction is necessary, replacement options such as dental implants or dentures may be discussed once healing occurs.
Prompt evaluation increases the likelihood of saving the natural tooth.
Is Endodontic Treatment Painful?
Modern endodontic procedures are performed using local anesthesia. Many patients describe the experience as manageable and comparable to other dental treatments.
If anxiety is a concern, discussing comfort measures in advance may help. In some cases, options similar to those used in sedation dentistry may be considered depending on the provider and clinical situation.
Endodontic Emergencies
Severe infection or sudden swelling may require urgent evaluation. If you are experiencing acute symptoms, beginning with an emergency dentist visit can help stabilize the situation and determine whether referral to an endodontist is appropriate.
Early treatment reduces the risk of complications.
Recovery After Endodontic Treatment
After a root canal procedure, mild sensitivity is common for a few days. Your dentist or endodontist will provide aftercare instructions to promote healing.
Maintaining oral hygiene and attending regular visits, including professional teeth cleaning, supports long-term tooth health.
Areas We Serve in Texas
Brightest Smiles Dentist Finder connects patients with endodontic specialists across Texas, including San Antonio, Houston, and Lubbock.
Each location page allows you to compare local providers offering advanced root canal care.
Frequently Asked Questions
What is the difference between a dentist and an endodontist?
An endodontist receives additional training focused specifically on diagnosing and treating conditions affecting the inside of the tooth.
How do I know if I need a root canal?
Persistent pain, prolonged sensitivity, swelling, or infection may indicate the need for root canal treatment. An exam and imaging confirm the diagnosis.
Can a tooth still hurt after a root canal?
Mild sensitivity during healing is common. Persistent or severe pain should be evaluated promptly.
Is retreatment possible if a root canal fails?
Yes. Endodontists can often perform retreatment procedures when previous therapy has not resolved the issue.
Are endodontists only for emergencies?
No. While many patients see endodontists for urgent pain, they also manage non-emergency referrals and complex cases.
This page is intended for informational purposes and does not replace a professional dental consultation. Treatment recommendations are individualized based on clinical evaluation and patient needs.
