expert type icon EXPERT

Dr. Nivine Y. El-refai, BDS,DDS,MSD

Endodontist

Dr. Nivine Y. El-refai BDS,DDS,MSD is a top Endodontist in Medina, . With a passion for the field and an unwavering commitment to their specialty, Dr. Nivine Y. El-refai BDS,DDS,MSD is an expert in changing the lives of their patients for the better. Through their designated cause and expertise in the field, Dr. Nivine Y. El-refai BDS,DDS,MSD is a prime example of a true leader in healthcare. As a leader and expert in their field, Dr. Nivine Y. El-refai BDS,DDS,MSD is passionate about enhancing patient quality of life. They embody the values of communication, safety, and trust when dealing directly with patients. In Medina, OH, Dr. Nivine Y. El-refai BDS,DDS,MSD is a true asset to their field and dedicated to the profession of medicine.
21 years Experience
Dr. Nivine Y. El-refai, BDS,DDS,MSD
  • Medina, OH
  • Case Western Reserve School of Dentistry
  • Accepting new patients

What can be the risks involved in an endodontic surgery?

Yes. There are always risks with any procedure. Some of the possible risks are permanent nerve damage where you could feel numb in the area for months to years or forever. The READ MORE
Yes. There are always risks with any procedure. Some of the possible risks are permanent nerve damage where you could feel numb in the area for months to years or forever. The position of the hebtooth in relation to nerves and vessels in the area will determine the percentage of risk. There is also risk of bleeding, bruising, nausea, damage to other teeth. Possible presence of vertical root fracture and the need to extract the tooth. Your endodontist could send you for a specific radiograph called CBCT to determine proximity to important anatomical landmarks and weigh the risks. Also being a diabetic, there is a higher risk of delayed healing.
I hope I opened your eyes to further discuss your risks and options with your endodntist before proceeding.

What does endodontic retreatment involve?

If you got to the aae.org website, you will find detailed explanation of the procedure with a video

How successful is an apicoectomy?

The success rate depends on a lot of factors: patient health, oral hygiene, tooth position, reasons for failure, integrity of the root canal and restoration

Is a root canal treatment permanent?

Root canal success is affected by several factors like: speed of getting the permanent restoration within 2-3 weeks after root canal completion. Also if you grind or clench this READ MORE
Root canal success is affected by several factors like: speed of getting the permanent restoration within 2-3 weeks after root canal completion. Also if you grind or clench this could cause cracks in the tooth. If you don’t maintain excellent our hygiene, leakage could happen and lead to failure of root canal and reinfection.

I have a cracked tooth. Does this expose me to an infection?

Depending on the depth of the crack. If it involves the dentine, you will be sensitive to hot and cold liquids and food. It is best to see your dentist ASAP and avoid using this READ MORE
Depending on the depth of the crack. If it involves the dentine, you will be sensitive to hot and cold liquids and food. It is best to see your dentist ASAP and avoid using this side until then.

How often should I get my teeth cleaned from a dentist?

You should see your dentist for cleaning, bitewing and exams every 6 months.

Endodontists and root canals?

Retreatment or non-surgical treatment of a previously done root canal is a more involved procedure and requires the use of magnification to be able to remove the material placed READ MORE
Retreatment or non-surgical treatment of a previously done root canal is a more involved procedure and requires the use of magnification to be able to remove the material placed in the canals and possibly locate missed canals. Root canal specialists usually perform their procedures under a microscope that allows magnification up to 20 times and have more specific instruments for more involved procedures that a general dentist usually does not have. I definitely recommend seeing a root canal specialist for all retreatments.