Welcome to Haymore Endodontics

Thank your for your interest in Haymore Endodontics. Dr. Brian Haymore is a specialist whose practice is exclusively dedicated to endodontic care. Haymore Endodontics includes an experienced endodontic staff and provides the highest standard of professional care in a friendly, and comfortable environment.

We hope that the information provided answers many of your questions, however if you would like additional information, please don't hesitate to contact us at our office 702-586-0955.

FAQ's And Answers

Can I see a specialist if I am not referred by a local dentist?

Yes, you can be seen by Dr. Haymore but you will still need to follow up with a dentist after the root canal. If you don't have a dentist, our office will be happy to recommend a reputable dentist to you. Your initial appointment will consist of diagnosing the problem and initiating the best treatment.

What should I bring, and what should I expect on my first visit?

If you are referred by a Dentist you will need to have the referral slip, insurance card, and a list of medicines if any. Your Dentist will have already sent us all of your x-rays, if we need any additional x-rays we will take them at our office. If you have not been seen by a Dentist prior to seeing Dr. Haymore, we will do a full evaluation and diagnosis to determine what type of treatment you need. Most treatments can be performed on the same day of your evaluation.

Why do I need a specialist?

Although a General Dentist is capable of performing root canals, there are times where certain complications require the care of a Specialist. Dr. Brian Haymore has undergone specific training and uses special instruments, equipment, and the latest technology to ensure the highest quality in endodontic care. We are able to perform the fastest, most efficient treatments because we are dedicated solely to endodontics.

What is the benefit of root canal therapy?

Having a root canal performed on a tooth is a treatment that will save the tooth that would have otherwise died resulting in removal of that tooth. Many patients believe that removing a tooth is a solution, but what is not realized is that extracting a tooth will be more costly and cause problems in adjacent teeth. Nothing on the dental market is as effective and lasting as your natural teeth.

Will the procedure hurt?

The procedure will not be painful because the modern technology of doing root canals has reduced the time and misconceptions of root canal therapy.

How long does the procedure take?

With current modern technology we are able to perform the procedure in one appointment.

Misconceptions Regarding Root Canals

There are so many misleading misconceptions regarding root canal therapy. Usually the greatest misconception is that there will be pain, or that it will take a lot of time.

There is no pain associated with Root Canal Therapy. Dr. Haymore is so gentle and proficient that many of our patients do not even feel the needle used for local anesthetics.

Receiving root canal therapy is a lot easier today because of modern technology. Our patients are usually in and out within the hour but we ask that you plan to be with us for at least ninety minutes.

Implants vs. Endodontic Retreatment

Nothing is as good as your natural tooth!

Saving your natural tooth should always be your first choice when dental care is needed. Nothing, not even the most advanced bridges and implants, can truly replace your natural tooth.

  • If your dentist recommends extracting your tooth, ask if it can be saved with an endodontic procedure, also known as root canal treatment. Endodontic treatment removes the injured pulp (soft inner tissue) of your tooth and fills and seals the space.
  • Your tooth is then restored and can function just like any other tooth for the rest of your life, ensuring comfortable chewing and a natural appearance.
  • Endodontists can often save the most severely injured teeth.
  • If your tooth cannot be saved — and some cannot — you may consider replacements such as a bridge or dental implant. Your options may depend upon the condition of surrounding teeth and bone structure.
  • Dental implant procedures can be complex, costly and they often require several visits and several month’s healing time before the procedure can be completed.

Do everything possible to save your teeth before considering extraction. Nothing is as good as your natural tooth!

What's Inside a Tooth?
From the outside, a tooth looks like a hard, solid substance. But this cut-away illustration reveals that a tooth is really a complex system of specialized tissues.

---------------------

From a news release posted by the American Association of Endodontists:

AAE: Issue in Implant Debate Comes Down to Saving Teeth

CHICAGO (September 21, 2009) – The American Association of Endodontists today expressed serious concerns over recent assertions by the American Academy of Implant Dentistry that reinforce outdated myths about root canal treatment.

“Not only has it been proven that both treatments have the same success rates,” said Dr. Gerald N. Glickman, President of the AAE, “but several studies show that root-canal treated teeth are retained at about 95% to 97% after eight years, versus implant retention of 85% to 90% during a similar time period. The AAID chose to ignore the scientific literature in its news release.”

“Do patients with a broken arm expect the doctor to give them a prosthetic arm?” he asked. “Why would the same patients believe they need to get a prosthetic tooth screwed into their jaw if the real tooth could be healed?”

“And arguments that root canal treatment is more costly are fatuous,” Dr. Glickman added. “Recent research has proven that saving the natural tooth with a root canal rarely requires follow-up treatment and generally lasts a lifetime; implants, on the other hand, have more post-operative complications, and therefore would probably present the more significant ‘financial burden.’”

Patients are encouraged to visit the AAE Website for reliable information and resources about root canal treatment and implants.

---------------------

Implants Require More Postoperative Treatments

A "Comparison of Success of Implants versus Endodontically Treated Teeth" can be found at the Journal of Endodontics site.

Fron the article: " The success of implant and endodontically treated teeth was essentially identical, but implants required more postoperative treatments to maintain them."

---------------------

From the Journal "Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontics",

"It is easy to forget in today's debate that competently performed endodontic therapy is one of the most predictable dental therapy forms available, with a well documented superb long-term retention of endodontically treated teeth. Dental implants are excellent treatment options in cases when natural teeth have been lost and require replacement."

"Teeth with failed endodontic treatment are often candidates for some form of retreatment to achieve complete elimination of periradicular disease. However, a case is often made that these teeth, scheduled for retreatment, are at high risk of repeated failure. This misunderstanding has resulted in a never-ending large pool of teeth being candidates for single tooth implants identified by uncritical interests. There is ample evidence that in most of these cases, other treatment options are available to maintain a restorable tooth."

"It is also rather clear that implants tend to fail in increasing numbers with time, with a 7-year retention rate close to 90%, and with more stringent success criteria the rate falls to 83%."

"Those studies show how endodontically treated teeth are retained at about 95%-97% after 8 years compared with implant retention of 85%-90% during a similar time period. It is also important to notice that implant data available today are from carefully controlled clinical studies with intensive maintenance. No objective long-term data are available on implant survival in a general dental practice setting. On the other hand, endodontic numbers discussed here are retention data from average nonspecialized dentists."

"However, these treatment complications may be more associated with substandard prosthetic work and poor material choices than with an endodontic complication."

"Implant is an excellent treatment option for the replacement of a missing tooth."

"A recent literature review and meta-analysis found that natural teeth surrounded by healthy periodontal tissues yield a very high longevity of up to 99.5% over 50 years. Periodontally compromised teeth that are treated and maintained regularly have a survival rate of 92%-93%. That study concluded that oral implants, when evaluated after 10 years of service, do not surpass the longevity of even compromised but successfully treated natural teeth. Therefore, an implant should not be a treatment alternative for teeth that a reasonable competent dentist can restore and care for."

"Endodontic orthograde or retrograde treatment should always be the first treatment choice of a tooth having ongoing endodontic disease."

Read the full article here at the "Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontics" website.