Orthodontics and endodontics are both essential fields of dental care, but they focus on different aspects of your teeth. 

If you've ever wondered whether an orthodontist can perform a root canal, you're not alone! 

In this guide, we'll break down the key differences between these two specialties, explain why orthodontists don’t typically handle root canals, and what you can do if you need one.

Does an orthodontist do root canals?

No, orthodontists don’t perform root canals. They specialize in teeth alignment. If you need a root canal, your dentist or an endodontist will take care of it.

Key Takeaways

• Orthodontists focus on correcting the alignment of teeth and jaw issues using braces, aligners, and other devices.
• Root canals are performed by endodontists, specialists who deal with issues related to the soft tissue inside the tooth.
• If you need a root canal, your general dentist or an endodontist will be the right professional for the job.

Understanding Orthodontics vs. Endodontics

To understand why orthodontists don't perform root canals, it's important to first clarify the difference between orthodontics and endodontics.

Orthodontics is the field of dentistry that deals with the diagnosis, prevention, and correction of malpositioned teeth and jaws. 

Orthodontists are primarily concerned with straightening teeth, correcting bite issues, and improving the overall alignment of the teeth and jaw.

On the other hand, endodontics is focused on the treatment of the inside of the tooth, specifically the pulp (the soft tissue in the centre of the tooth), which includes performing procedures like root canals. 

Endodontists are specially trained to deal with tooth infections and the treatment of the pulp, which is something that orthodontists don’t typically handle.

Why Doesn’t an Orthodontist Perform Root Canals?

As mentioned earlier, the roles of an orthodontist and an endodontist are distinctly different. Here's why an orthodontist doesn’t perform root canals:

Specialized Training

Orthodontists undergo years of specialized training to learn how to straighten teeth, correct bites, and align jaws. 

They are not trained to perform procedures involving the pulp of the tooth. 

Root canals are complex procedures that require a specific set of skills and knowledge about tooth anatomy, infections, and dental procedures that fall under the scope of endodontics.

Scope of Practice

Orthodontists focus on the mechanical and structural aspects of your teeth and jaw, using devices like braces, retainers, and clear aligners to make adjustments. 

A root canal, however, is a procedure aimed at treating infections or damage inside the tooth, which falls under the domain of endodontists.

Different Equipment and Techniques

The tools and techniques required to perform a root canal are different from those used in orthodontics. 

Root canal therapy involves accessing the tooth’s pulp chamber, cleaning the infected area, and filling it to prevent further infection. 

This requires specialized instruments and materials, and it’s a procedure that orthodontists aren’t equipped or licensed to perform.

What to Do if You Need a Root Canal

If you’re experiencing severe tooth pain or sensitivity, it could be a sign that you need a root canal. Here’s what to do:

Visit Your General Dentist

If you suspect that you need a root canal, the first step is to visit your general dentist. 

They will examine your tooth, take X-rays, and determine if you need a root canal. If necessary, your dentist will refer you to an endodontist who specializes in root canals.

Consult with an Endodontist. An endodontist is a specialist trained to perform root canal treatments. 

Once referred to an endodontist, they will evaluate your tooth and determine if a root canal is the best solution. 

The procedure typically involves cleaning out the infected area and sealing the tooth to prevent further damage or infection.

Orthodontic Care and Root Canals If you are undergoing orthodontic treatment with braces or aligners and need a root canal, your orthodontist will continue to monitor your alignment while your general dentist or endodontist handles the root canal procedure. 

In some cases, the timing of the root canal may need to be coordinated to ensure the best possible outcome for your teeth and treatment.

Can an Orthodontist Help After a Root Canal?

While orthodontists don’t perform root canals, they can help in the post-treatment process. Here’s how:

Maintaining Alignment Post-Root Canal After having a root canal, your tooth may require a crown or some other form of restoration to ensure it functions properly and doesn’t become weakened. 

If you’re undergoing orthodontic treatment, your orthodontist will ensure that any changes to the tooth, such as the placement of a crown, do not interfere with your braces or aligners.

Keeping Your Teeth Healthy Maintaining good oral health during orthodontic treatment is essential. 

Orthodontists can advise on the best oral hygiene practices to keep your teeth and gums healthy, especially after a root canal, when the tooth may be more susceptible to infection.

Frequently Asked Questions 

1. Can an orthodontist perform a root canal?

No, an orthodontist is not trained to perform root canals. Root canals are performed by an endodontist, a specialist trained to deal with the inside of the tooth.

2. What is the difference between an orthodontist and an endodontist?

An orthodontist focuses on the alignment and straightening of teeth and jaws, while an endodontist specializes in treating issues related to the pulp of the tooth, such as root canals.

3. How do I know if I need a root canal?

If you experience severe tooth pain, sensitivity to hot or cold, or swelling in your gums, it could indicate that you need a root canal. Visit your dentist for a thorough evaluation.

Conclusion

While an orthodontist plays a key role in improving the alignment of your teeth and jaws, they do not perform root canals. 

Root canals are specialized procedures that fall under the domain of endodontists, who are trained to address infections and issues within the tooth pulp. 

If you suspect you need a root canal, your general dentist or an endodontist will be the right professional to consult. 

After your root canal, your orthodontist can continue to monitor your progress if you are undergoing orthodontic treatment. 

With the right care from both professionals, you can maintain both healthy teeth and a beautiful smile.