Dr. Nivine Y. El-refai BDS,DDS,MSD
Endodontist | Endodontics
3985 Medina Rd Suite 250 Medina OH, 44256About
Dr. Nivine El-refai is an endodonist practicing in Medina, OH. Dr. El-refai is a specialist dentist, focusing on tooth pain, root canals and other issues related to the interior part of the tooth. Endodonists can diagnose problems and perform procedures to fix them. Treatment from an endodonist can often save a diseased tooth. Root canal treatment is one of the most common procedures performed by an endodonist.
Education and Training
Case Western Reserve School of Dentistry DDS 1998
Board Certification
American Board of EndodonticsAmerican Board of EndodonticsABE- 2014
Provider Details
Dr. Nivine Y. El-refai BDS,DDS,MSD's Expert Contributions
How long does a root canal take?
Depending on case complexity an hour to 2 hours and might require more than one visit. READ MORE
What are the signs of a failed root canal?
Pain, swelling, drainage READ MORE
I think I have infected soft pulp tissue in my back tooth. What's the treatment for this?
You should see a root canal specialist READ MORE
Can a root canal have prolonged recovery?
Usually not. You should probably be examined by a root canal specialist READ MORE
Does an anesthesia injection in the mouth cause pain?
No just a small prick and some pressure READ MORE
I let a cavity go way too far, and it's causing a lot of pain. What should I do?
You need to see a root canal specialist to evaluate the condition of your nerve and if the tooth is restorable or not. READ MORE
Can a tooth hurt after a root canal?
Yes, after a root canal, it is normal for the tooth to be sore for a few weeks. If you have no contraindication to taking ibuprofen, take 600mg Ibuprofen 6 hrs for 2 days. Also, make sure you get your permanent restoration with your dentist. If discomfort persists, see your dentist or a root canal specialist. READ MORE
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 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. READ MORE
What does endodontic retreatment involve?
If you got to the aae.org website, you will find detailed explanation of the procedure with a video READ MORE
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 READ MORE
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 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. READ MORE
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 side until then. READ MORE
How often should I get my teeth cleaned from a dentist?
You should see your dentist for cleaning, bitewing and exams every 6 months. READ MORE
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 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. READ MORE
Expert Publications
Data provided by the National Library of MedicineTreatments
- Diagnosis & Treatment Planning
- Root Canal Treatment
- Retreat Root Canals
- Vital Pulp Therapy
- Pulp Regeneration
- Dental Trauma
- Surgical root canal therapy
- Resorption Repair
Professional Memberships
- Past President Medina County Dental Society 2001
Experience & Accolades
- Assistant Clinical Professor2001Case Western Reserve UniversityClinical instructor at the Dept. of Endodontics
Dr. Nivine Y. El-refai BDS,DDS,MSD's Practice location
Dr. David Myers, MD
3985 Medina Rd Suite 250 -Medina, OH 44256Get Direction
Dr. Nivine Y. El-refai BDS,DDS,MSD's reviews
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Nearest Hospitals
MEDINA HOSPITALl
1000 EAST WASHINGTON STREET MEDINA OH 44256LODI COMMUNITY HOSPITALl
225 ELYRIA STREET LODI OH 44254AKRON GENERAL MEDICAL CENTERl
400 WABASH AVENUE AKRON OH 44307