There are some excellent tooth-replacement options if you have failing or missing teeth. However, if at all possible, it is almost always preferable to save a natural tooth. This is the specialty of dentistry known as endodontics. An endodontist is a dentist who has received advanced training in diagnosing and treating soft tissue problems inside the tooth. These specialists perform routine as well as difficult and extremely complex procedures such as root canal therapy, retreatment, and endodontic microsurgery. A root canal (which removes infected and/or inflamed pulp tissue) can often relieve severe tooth pain right away and save a tooth that would otherwise have to be extracted. Just as a medical doctor can specialize in one area of medicine, dentists can pursue additional training in areas such as surgery or pediatric dentistry. Endodontists must first complete four years of dental school before receiving two to three years of postgraduate training in the diagnosis and treatment of pain and diseases related to the living tissue at the center of the tooth (dental pulp) and its surrounding area.
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