What Exactly Does an Endodontist Do? A Simple Guide

Most people are familiar with dentists — you go for regular check-ups, cleanings, and the occasional filling. But if your dentist ever says you need to see an endodontist, you might be left wondering what that actually means.

Endodontists are dental specialists, and while they aren’t as well-known as general dentists, they play a vital role in saving teeth that would otherwise be lost. If you’ve been dealing with ongoing tooth pain, deep decay, or issues after a dental injury, an endodontist is likely the person who can help.

Focused on the Inside of the Tooth

The main area endodontists deal with is the inside of the tooth — specifically the pulp and root canals. The pulp is the soft tissue inside your tooth that contains nerves and blood vessels. It’s protected by layers of enamel and dentin, but if the pulp becomes inflamed or infected, it can cause serious pain.

This is where root canal treatment comes in. A general dentist may perform basic root canals, but more complex or high-risk cases are often referred to a specialist. An endodontist in Sydney has advanced training to perform this type of treatment with greater precision, especially in teeth with narrow or curved canals.

They use specialised tools, techniques, and often microscopes to clean out the infected tissue, disinfect the area, and seal the canal to stop future problems.

When You Might Be Referred to an Endodontist

You may be sent to an endodontist if your tooth pain doesn’t go away, even after a filling or other dental work. In some cases, an old root canal may need to be redone, which requires delicate work that general dentists might not offer.

Teeth that are cracked, badly injured, or have hidden canals that don’t show up easily on X-rays are also common reasons to see an endodontist. These types of problems can be tricky to treat, and that’s why specialist care is often needed to save the tooth instead of removing it.

Root canals done by endodontists tend to have higher success rates because of their extra training and equipment.

What to Expect During a Visit

If you’re booked in with an endodontist, your visit will usually start with a full review of your dental history and a close look at the problem tooth. They may take new X-rays or even 3D scans to see the full shape and condition of the root canals.

If a root canal is needed, they’ll explain the process in detail and talk about the expected outcome. Most procedures are done under local anaesthetic and are no more uncomfortable than a standard filling. In fact, many patients feel better straight after treatment, especially if the tooth was causing pain before.

In cases where the infection is advanced or the structure of the tooth is weak, you may need a follow-up or additional care to make sure the tooth stays strong over time.

Saving Natural Teeth Whenever Possible

The goal of every endodontist is to help patients keep their natural teeth for as long as possible. While extractions are sometimes necessary, they’re usually seen as a last resort. Keeping your own teeth helps with chewing, speaking, and maintaining the natural shape of your face.

If you’re unsure about a dental recommendation or looking for a second opinion, seeing an endodontist in Sydney can give you a clearer idea of what’s possible. In many cases, what seems like a hopeless tooth can still be saved with the right treatment.