If pulp inflammation or infection is not treated, it will cause pain and formation of an abscess. The most common signs of pulp disease are spontaneous pain, pain to biting pressure, and prolonged sensitivity to hot or cold. There may also be swelling of the gum tissue or jawbone and tenderness of the gums. Sometimes, especially with traumatic injuries, the tooth may be discolored. In many cases, there is no pain and your dentist will identify the problem through diagnostic testing or routine x-rays.
All dentists receive some training in endodontic treatment in dental school.
Endodontists are dentists with additional advanced specialty training, completing two or three year programs accredited by the American Dental Association, following dental school. Endodontists perform only endodontic procedures in their specialty practices. In addition to routine procedures, they may perform very difficult and complex procedures which may include endodontic surgery. Approximately one-fourth of endodontists have gone on to successfully complete rigorous certification examinations and are certified as Diplomates of the American Board of Endodontics.