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Endodontics & Periodontics

Endodontics

We offer our patients the latest in root canal therapy. When the damage goes beyond what can be treated with a filling, we can perform a root canal to preserve the tooth and retain its original integrity. A root canal is a procedure that extracts decayed pulp from the central part of the tooth, reshapes the canal and replaces it with strengthened filler.

The common misconception is that a root canal is a painful procedure. Actually, root canals are similar to having a cavity filled.

Problems That May Require a Root Canal

  • Inflamed/infected tooth pulp
  • Swelling or tenderness near the infected tooth
  • Severe sensitivity to hot and cold elements
  • Tooth decay
  • Chipped or broken tooth
  • Blow to the tooth
  • Repeat dental procedures on a single tooth

When left untreated, these problems can lead to severe tooth decay reaching the root of the tooth, causing extensive damage to the tooth structure.

Steps of a Root Canal

  • You undergo anesthesia.
  • A dental dam is used to isolate the tooth.
  • The tooth is opened to allow for removal of infected or dead dental pulp.
  • The tooth is comprehensively cleaned.
  • With special tools, the canal is reshaped.
  • The tooth is filled with biocompatible filling material.
  • A temporary covering is used over the access opening.
  • Following a recovery period, you will return for the placement of a permanent restoration.

We will work with each patient individually to discuss the details of your treatment and any possible alternatives. Our top priority is to provide you with the highest standard of care.

Periodontics

Periodontal disease affects the gums and bone supporting the teeth. Gum disease can cause inflammation, tooth loss and bone damage. The infection starts when the gums become inflamed due to bacteria in plaque, a sticky, colorless film that forms on your teeth.

Risk Factors Leading to Gum Disease

  • Smoking
  • Chew Tobacco  
  • Stress
  • Genetics
  • Pregnancy
  • Medications
  • Diabetes
  • Poor Nutrition

Types of Gum Disease 

  • Gingivitis is the mildest form of gum disease, causing the gums to become red, swollen and bleed easily. There is no or very little discomfort associated with this stage of the disease. With a good oral hygiene regimen, the results of gingivitis can be reversed.

  • Aggressive periodontitis displays rapid bone destruction and attachment loss in clinically healthy patients.

  • Chronic periodontitis is one of the most common forms of gum disease and is frequently seen in adults. The stages progress slowly and can be recognized by gum recession and pocket formation.

Preventing Gum Disease 

Maintaining a good oral hygiene routine and paying regular visits to your dentist can prevent gum disease. Daily brushing and flossing can keep plaque to a minimum. Professional cleanings every six months are also recommended.

Treating Gum Disease

In certain cases, periodontal surgery may be recommended to treat gum disease when non-surgical treatment is ineffective. We may recommend procedures such as pocket reduction, soft tissue grafts or bone regeneration to treat gum disease. If a tooth has been lost due to gum disease, dental implants are always an option for permanent tooth replacement.

Hanna G. Hanania, DDS, PC

  • The Office of Dr. Hanna G. Hanania - 4319 Dale Boulevard, Dale City, VA 22193 Phone: 703-897-8554 Fax: 703-897-9615

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