Our key services
Treatment process
We have clear guidelines to assure excellent care to our patients
Welcome
Please send any relevant X-rays and notes about the specific tooth to info@centennialendo.com.
Before referring, please assess whether the tooth can be restored. If it's clearly fractured or has severe decay, we might not be able to proceed with treatment and may need to refer the patient back to you for further evaluation. This helps avoid unnecessary appointments and ensures the patient receives appropriate care.
For cases needing attention in more than two areas, please inform the patient they may require multiple visits.
Our Imaging Practices
We'll take our own periapical and bitewing X-rays during every visit.
We'll often perform our own 3D scans (CBCT) as well.
Assessing the Patient
We'll interview the patient, evaluate them, and diagnose based on their symptoms and our images on the day of their visit.
When Symptoms Aren't Clear
If we can't pinpoint the problem during the visit (perhaps due to medication or fading symptoms), we'll schedule another appointment to reassess and keep you updated.
Treatment Timing
If we identify the issue, we can offer same-day treatment or set up another time that suits the patient.
Looking for Cracks
During treatment, we'll carefully check for cracks or fractures.
If a Crack is Found
We'll discuss the situation with the patient:
Sometimes, it's not advisable to try saving the tooth. In this case, we will clean the tooth, medicate it, and place a temporary restoration instead of completing the root canal. We'll advise them to consider extraction and encourage them to seek your guidance regarding what to do next.
Other times, we may proceed to ease pain or infection while they consider extraction and replacement options.
The choice is theirs, but we might suggest they consult with you, as they trust your guidance
Proceeding Without Visible Cracks
If we don't see a crack and have no reason to suspect one, we'll proceed with treatment.
If there are hints that a crack might exist, we'll be cautious. Signs that may suggest a possible crack include:
Multiple worn or cracked back teeth
Large metal fillings with visible lines
History of cracked teeth leading to extractions Previous implant placements and bite issues causing extra stress on remaining teeth
Single-standing teeth that are upright or tilted, leading to increased wear
Visible dark lines seen under composite fillings running from mesial to distal
Recent trauma to the area X-rays showing possible fractures
Temporary vs. Permanent Restorations
We'll place a temporary filling over a sterile sponge for easy removal and a proper seal.
If the patient can't return to you soon (e.g., they're traveling), we may place a permanent restoration.
We always instruct patients to return to you for their final restoration.
We're open to discussing permanent restoration preferences in our Preferred Partner Program.
Emergency Cases
If a patient requires immediate attention due to severe pain or infection, please contact us directly. We'll make every effort to see them promptly.
