Dr. Gilbert graduated from the University of Maryland Dental School in 2001 and then completed his postgraduate training in Endodontics from the University of Maryland Dental School in 2003. He is currently ...
Dr. Brett Evan Gilbert D.D.S.'s Expert Contributions
Endodontic Engagement: The GP and Endodontist Can Achieve More As a Team Brett E. Gilbert, D.D.S.Diplomate, American Board of EndodonticsThe Pulse:To truly feel the current pulse in dentistry, you must listen to what other dentists are thinking and saying. Online message boards are a great place to...
After a root canal procedure, there can be tenderness to touch or bite on the tooth for several days to a week. This is typically mild and depends. READ MORE
It is very common to need root canal treatment even if you have absolutely no symptoms. Typically, an infected tooth will be asymptomatic, not hurting at all, but a big event of swelling or pain can pop up at any time. Radiographs or X-rays often will give your dentist clear evidence of disease even if your tooth is not hurting. Go for it, get the root canal and save yourself much trouble later! Brett E. Gilbert, D.D.S. READ MORE
Tooth sensitivity, especially to temperatures, can have many possibilities as far as what is causing it. Tooth decay is definitely one of the potential causes. If these teeth are upper teeth, sinus pressure can also increase sensitivity. Recession of the gum tissue is another possible cause along with several other possible causes. The only way to determine the source of your sensitivity is to make an appointment with a dentist to evaluate the area. Please don't delay in doing this as you can minimize the damage and severity of the problem by addressing it at your dentist appointment ASAP. Best wishes, Brett E. Gilbert, D.D.S. READ MORE
Please don't worry about the injections used for dental treatment. Techniques today allow for comfortable anesthesia that will allow a comfortable procedure. Most dentists are highly trained in giving local anesthetic in the mouth. The thought of it is much worse than the reality! Good luck on your root canal procedure! Brett E. Gilbert, D.D.S. READ MORE
Small, visible cracks can be considered crazy lines and are more on the surface of the tooth. They don’t necessarily mean the entire tooth is cracked. Over time, they can become stained and could lead to a problem. If the cracks are deeper, a full coverage crown or veneer could be an option. Please consult with a dentist to evaluate your specific condition. READ MORE
You can try over-the-counter pain relievers unless your physician has informed you not to take them. Otherwise, try to get in to see your dentist sooner as an emergency. The fate of your tooth will depend on how severely it is decayed and if there is enough tooth structure to rebuild it. My advice is to inform the dentist that you are in pain and need to be seen as an emergency. Good luck! Brett E. Gilbert, D.D.S. READ MORE
Apicoectomy has a good prognosis. The reason is that at the end of a root of a tooth the anatomy is very complex with lots of little mini canals and hiding spaces for bacteria. If a root canal treatment and maybe even a re-root canal treatment (called retreatment) do not work an apicoectomy may be the answer to save your tooth. The simple description is that the tip of the root (with all of its complexities) is removed and a little filling is placed in the end of the root. This removes all of the bacteria in the hiding places that are not accessible from regular (non-surgical) root canal treatment allowing the tissues and bone around the remaining root structure to heal right up! READ MORE
Teeth that have cavities or decay can be saved if enough good tooth structure remains. The depth of the decay and the location of it would dictate the prognosis or prediction of how it will fare over time. Many times, a root canal and crown are needed and with these treatments your tooth can be as good as new! This is judged on a case by case basis. If there is not enough good tooth structure left then extraction is a better option as the prognosis long term is not favorable. READ MORE
Typically tenderness to touch on a tooth that has had a root canal is an early sign of an issue. Also, the presence of a swelling or a white head pimple on your gum tissue may be a sign that a root canal treated tooth is not healthy. READ MORE
In truth, infections do not spread from one tooth to another. However, sometimes you can get referred pain from a tooth that spreads to other areas. The brain has a harder time discriminating where pain is coming from when a nerve is agitated and painful. A dental exam can reveal the true source of the pain. A referral to an endodontist (a root canal specialist) is advised to assure that a proper diagnosis is attained. Brett E. Gilbert, D.D.S. READ MORE
Typically, after six months, your tooth should be feeling good. If not, I would recommend returning to the dentist who treated the tooth or scheduling a consultation with an endodontist, a root canal specialist. Brett E. Gilbert, D.D.S. READ MORE
Many of the answers regarding endodontic surgery can be found on the AAE website. Here is the link: https://www.aae.org/patients/root-canal-treatment/endodontic-treatment-options/endodontic-surgery/ Brett E. Gilbert, D.D.S. READ MORE
This involves redoing the original root canal in an effort to clean again or potentially revise the previous treatment. The original root canal filling materials will be removed and the inside of the tooth will be disinfected. The root canals are then re-filled. Retreatment can be very effective in getting the tooth back to health. READ MORE
You would want to see your general dentist as it may be as simple as smoothing the area or potentially doing a restoration to replace the missing tooth structure. READ MORE
If your tooth is cracked, it can expose the tissue inside, resulting in pain, inflammation, and potentially infection. You should have the tooth evaluated by a dentist as soon as possible. Brett E. Gilbert, D.D.S. READ MORE
Root canal treatment can be permanent if the tooth stays healthy. The issues that can arise are related to the fact that a tooth that gets root canal treatment is still vulnerable to decay, periodontal disease, injury, wear or breakdown over time. After root canal treatment is completed, a proper restoration is necessary to protect the inside of the tooth. It is also critically important for a patient to take great care of their teeth with excellent oral hygiene to prevent some of the issues that can arise. If a root canal treated tooth is taken care of and kept healthy, it can last for the rest of a patient's life. Brett E. Gilbert, D.D.S. READ MORE
Every patient has different needs in regards to how often you should have dental hygiene visits. In general, patients with healthy teeth who perform good oral hygiene care at home will see their dental hygienist twice a year. READ MORE
Your dentist may be proficient in doing root canals but depending on the tooth anatomy or the extent of disease in the tooth they may opt to refer you to a specialist to assure that your tooth is treated to the highest level of clinical expertise. Your dentist makes a case selection decision on each case as to whether it should be treated in their office or be referred to a specialist. The referral to an Endodontist shows that your dentist is conscientious and wants to be sure that you have the best possible outcome for your root canal! READ MORE
Dr. Brett Evan Gilbert D.D.S.'s Practice location
Niles, IL 60714 Get Direction
CHICAGO, IL 60646 Get Direction
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