Here’s what we do
At Horizon Endodontics, we combine board-certified endodontic treatment with a calming, patient‑first approach. Our treatment is backed by years of education, experience, and certification from the best in the business. But we understand excellent treatment isn’t the whole experience. We’re also committed to caring for our patients by creating a calming, welcoming environment, from your first interaction with our staff to your entire treatment experience with our professionals.
Here’s what we do
At Horizon Endodontics, we combine board-certified endodontic treatment with a calming, patient‑first approach. Our treatment is backed by years of education, experience, and certification from the best in the business. But we understand excellent treatment isn’t the whole experience. We’re also committed to caring for our patients by creating a calming, welcoming environment, from your first interaction with our staff to your entire treatment experience with our professionals.
Dental Diagnosis
Assessment of the tooth and surrounding tissues that are experiencing discomfort.
Root Canal Retreatment
Addressing persistent or recurring issues in a previously treated tooth.
Apical Microsurgery (Apicoectomy)
Surgical treatment to remove infection from the root tip when standard root canal therapy is not enough.
Fractured & Cracked Teeth Management
Diagnosis & treatment to preserve teeth affected by cracks, fractures, or trauma.
Root Resorption Management
Diagnosis & treatment of root breakdown caused by injury or disease.
Vital Pulp Therapy with Bioceramics
A minimally invasive treatment that protects and heals the tooth’s pulp using advanced bioceramics.
Internal Bleaching
A treatment to brighten discolored teeth from within after root canal therapy.
Dental Diagnosis
Assessment of the tooth and surrounding tissues that are experiencing discomfort.
Root Canal Retreatment
Addressing persistent or recurring issues in a previously treated tooth.
Apical Microsurgery (Apicoectomy)
Surgical treatment to remove infection from the root tip when standard root canal therapy is not enough.
Fractured & Cracked Teeth Management
Diagnosis & treatment to preserve teeth affected by cracks, fractures, or trauma.
Root Resorption Management
Diagnosis & treatment of root breakdown caused by injury or disease.
Vital Pulp Therapy with Bioceramics
A minimally invasive treatment that protects and heals the tooth’s pulp using advanced bioceramics.
Internal Bleaching
A treatment to brighten discolored teeth from within after root canal therapy.
Schedule Your Visit
Schedule Your Visit
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Dental Diagnosis
Tooth pain doesn’t always mean you need a root canal. In fact, not all dental discomfort comes from the teeth themselves. That’s why a thorough diagnosis is the first and most important step in your care.
During your initial consultation, your endodontist will carefully evaluate your symptoms through a series of specialized diagnostic procedures. This may include sensitivity testing (such as cold response), gentle pressure and tapping on the teeth, and detailed 3D imaging or digital X-rays. Your medical and dental history also play a key role in identifying the source of pain.
Some dental issues can mimic others. Pain may originate from a cracked tooth, sinus pressure, jaw joint (TMJ) problems, or even referred pain from the neck or head. Endodontists are trained to distinguish between these conditions and determine whether your pain is tooth-related (odontogenic) or non-dental in origin.
If your issue is not related to the tooth, we’ll help guide you to the appropriate specialist—such as a different dental specialist, Neurologist, ENT, or pain management provider.
By identifying the true source of your symptoms, we can ensure you get the right treatment—not just fast relief, but lasting results.
Root Canal Therapy
Root Canal Therapy is a safe, effective way to save a tooth that’s become inflamed or infected inside. The most common reasons for this include deep decay, trauma, cracks, or multiple prior dental procedures.
When the pulp (the living tissue inside the tooth) becomes infected, it can cause a range of symptoms:
- Throbbing or sharp pain
- Sensitivity to hot or cold
- Discomfort when chewing
- Swelling or gum tenderness
- Discoloration of the tooth
- Pain that wakes you at night
Left untreated, the infection can spread to surrounding tissues and lead to abscess formation, bone loss, or systemic issues. During root canal treatment, your endodontist removes the diseased pulp, thoroughly cleans and disinfects the canal system using advanced microscopes and techniques, then fills the space with a biocompatible material. A temporary filling is placed until your general dentist completes the final restoration (usually a crown). Thanks to modern technology and training, root canal treatment is far more comfortable and efficient than it used to be—and it can save your natural tooth for decades to come.
Root Canal Retreatment
Even with high-quality initial treatment, new problems can emerge over time, sometimes without any noticeable signs or symptoms. If issues arise with your tooth after a root canal, or if problems are identified through radiographs, you might benefit from a procedure known as Root Canal Retreatment. Common reasons a tooth might require retreatment include:
- Missed or narrow canals not fully treated the first time
- Delays in placing the final crown or restoration
- New decay compromising the original work
- Cracks or fractures in the tooth or crown
- Infection from a failing filling or crown
During retreatment, the original root canal material is carefully removed. The entire canal system is re-cleaned, disinfected, and examined under a microscope to check for hidden canals or fractures. Once thoroughly cleaned, the canals are resealed with a new biocompatible material. After the procedure, your general dentist will place a new crown or restoration to protect the tooth and restore function. While no treatment can guarantee success, retreatment gives your tooth another chance—and preserving your natural tooth is almost always the best long-term option.
Apical Microsurgery (Apicoectomy)
If a root canal or retreatment doesn’t fully resolve the infection, apical microsurgery—also called an apicoectomy—may be recommended. This minimally invasive procedure targets infection at the very tip of the tooth’s root (the “apex”), often hidden deep within the jawbone.
Here’s what happens:
- A small incision is made in the gum tissue near the affected tooth
- The inflamed or infected tissue at the root tip is removed
- The end of the root is carefully trimmed and sealed with a special bioceramic (biocompatible) filling
- Sutures are placed to help the gum heal properly
Thanks to modern imaging and surgical microscopes, apical microsurgery is precise and conservative. Microsurgery is typically a last-resort option to save a tooth that might otherwise require extraction. It allows us to directly treat areas inaccessible through the inside of the root canal—preserving your tooth and avoiding more invasive alternatives.
Fractured & Cracked Teeth Management
Cracked teeth can be tricky. Some cracks are superficial, while others extend deep into the tooth and may jeopardize its health. Proper diagnosis and timely treatment are key to preserving your natural tooth.
Common signs of a cracked tooth include:
- Sharp pain when biting or releasing
- Sensitivity to temperature changes
- Occasional discomfort without visible damage
Cracks can develop from chewing hard foods, clenching, grinding, or previous large restorations. Over time, these small fractures can reach the inner pulp of the tooth and trigger inflammation or infection—potentially requiring root canal therapy.
Your endodontist will use high-resolution 3D imaging (CBCT) and magnification to assess the location and severity of the crack. In many cases, root canal therapy followed by a crown can relieve symptoms and extend the life of the tooth.
However, if the crack extends below the jaw bone or down the root, the prognosis may be less favorable. In such cases, your endodontist will guide you through the best options—always focused on preserving your comfort, function, and smile.
Dental Trauma Management
Accidents happen—especially during sports, play, or falls. Dental trauma can result in chipped, cracked, displaced, or even knocked-out teeth. Fast, expert care makes a big difference in outcomes.
If your tooth is injured:
- It may feel loose or out of position
- It could become discolored over time
- The nerve (pulp) inside may become damaged
- Infection or inflammation might occur days to weeks later
Our office specializes in managing most levels of dental trauma. We may recommend repositioning a tooth, splinting it to surrounding teeth, or performing root canal therapy to remove damaged pulp tissue and prevent infection.
Children and adults can both experience dental trauma, and timely evaluation is essential—even if symptoms seem mild at first. Monitoring is often necessary for months or even years after an injury.
For athletes and active individuals, we strongly recommend custom mouth guards. These protective devices can reduce the risk of serious dental injuries and are endorsed by the American Association of Endodontists.
Root Resorption Management
Root resorption is a condition in which the body begins breaking down and absorbing the root structure of a tooth. This process can occur either internally (from within the tooth) or externally (from the outer surface), often with no symptoms in the early stages.
Root resorption can be triggered by:
- Dental trauma or injury
- Orthodontic treatment
- Chronic inflammation
- Unknown biological factors
If caught early, root resorption may be managed successfully to preserve the tooth. Diagnosis typically involves advanced 3D imaging (CBCT) to assess the extent and location of the resorption.
Treatment varies based on the severity. In many cases, root canal therapy is needed to remove inflamed or infected tissue and prevent further breakdown. Bioceramic materials may be used to fill defects and promote healing.
If left untreated, resorption can weaken the tooth and lead to loss. Regular dental checkups and early specialist referral are key to catching it in time.
Vital Pulp Therapy with Bioceramics
When a tooth’s inner pulp becomes inflamed—but not fully infected—Vital Pulp Therapy (VPT) offers a gentle, conservative alternative to root canal treatment.
This procedure aims to preserve the living tissue inside the tooth, especially important for younger patients whose teeth are still developing. But adults with early-stage inflammation may also benefit.
Vital Pulp Therapy involves:
- Removing only the damaged portion of pulp
- Placing a bioceramic material that encourages healing and repair
- Sealing the tooth to protect against further irritation or infection
- Regenerating pulp-like tissues in very young teeth
Bioceramic materials are highly biocompatible and support natural healing. They bond well to dentin, have antibacterial properties, and are ideal for preserving the vitality of the tooth.
The benefits of VPT include:
- Maintaining natural tooth strength and function
- Avoiding or delaying full root canal therapy
- Supporting continued root development in young patients
Not every tooth is a candidate, but when conditions are right, Vital Pulp Therapy can be an excellent solution to save and strengthen your tooth without fully removing the pulp.
Internal Bleaching
If you’ve noticed a single darkened tooth—especially after trauma or root canal treatment—internal bleaching can restore its natural color from the inside out.
Unlike over-the-counter whitening that only treats surface stains, internal bleaching targets discoloration inside the tooth, often caused by:
- Bleeding or trauma to the pulp
- Breakdown of internal tissue
- Materials used during root canal treatment Here’s how it works:
- A small opening is made in the back of the tooth
- A safe, whitening agent is placed inside the tooth
- After a few days, the material is removed, and the tooth is sealed
Internal bleaching is often done over one or two visits and provides long-lasting, natural-looking results without harming the tooth structure. It’s a conservative, non-invasive way to improve the appearance of a discolored tooth—so your smile stays even and confident.
