The common misconception that endodontic care is painful can be put to rest as endodontists drastically improve on the administering of anesthetics.

One of the most common concerns among dental and endodontic patients is that restorative dentistry and endodontics are inseparable from pain. The best example of this is the stigma surrounding root canal treatment that deems it a painful and frightening procedure. Professional Endodontics is here to tell you that this is simply not true. Advances in anesthetics and the methods for administering them have led to an immense reduction in the level of pain experienced and the time of recovery needed for most endodontic procedures.

Past Problems with Pulpal Anesthesia

The cause of most dental discomfort, past and present, is due to misunderstandings in pulpal anesthesia. The most common of these misunderstandings is that achieving lip numbness indicates pulpal (tooth) numbness as well. Unfortunately, this is not always the case. In fact, it’s difficult to determine whether pulpal numbness has been achieved prior to patient discomfort during treatment. The failure to fully anesthetize pulpal regions is due to any number of reasons. However, failure to anesthetize just means that the anesthetic solution did not diffuse into the nerve trunk, so not all the nerves were reached, and an adequate nerve block was not produced.

Helpful tip: Apply Endo Ice to vital teeth prior to access opening to confirm anesthesia to the pulp!

Developments in Pulpal Anesthesia

The latest developments in administering pulpal anesthesia have greatly reduced the risk of failure to numb. These developments play a role in patient comfort for endodontics and restorative dentistry. However, both practices have made developments in different ways. Here are a few examples of recent innovations within them both.

Restorative Dentistry

  • By evaluating pulpal anesthesia before beginning treatment, specialists can assure that the affected area is numb. Evaluation can be conducted by pressing a cold refrigerant against the tooth, or by using an electric pulp tester.
  • Slowing down the process of injection from 15 seconds to 60 seconds greatly increases the success of anesthesia.
  • Substituting articaine for lidocaine resulted in an increased success rate from 71% to 88%.


  • New systems for administering anesthesia directly into the marrow of the bone have reported success rates of 86%-91%, indicating mild or no pain when successful.
  • By administering anesthesia within the folds of a nearby ligament (often used in procedures involving the mandible), endodontists have reported success rates of 75% and higher.

Professional Endodontics believes it’s important that our patients are aware of the reduction—and in some cases, complete exoneration—of pain in endodontic procedures and restorative dentistry. Our main objective is for our patients to retain their natural teeth, while keeping them healthy and efficient. It is disappointing for us to see a patient’s teeth suffer due to anxiety or fear of pain. That’s why we encourage our patients to ask us questions, so we can help them to understand the full scope of the treatment they require. Contact us at Professional Endodontics to learn more about our staff and endodontic services.

About Professional Endodontics

Professional Endodontics has been exceeding the standard of care in Wayne and Macomb counties for over 50 years. The team specializes with treating issues with the inside of the tooth and goes out of its way to provide a safe easy environment for patients. Each member of the practice is dedicated to providing excellence in patient care and values high-quality relationships with referring dentists and specialists. Each endodontist at Professional Endodontics has been individually chosen as Best Dentists. Thanks to contemporary advances in endodontics, Professional Endodontics is able to use innovative technology to treat and save teeth that have suffered damage to the soft tissue within the roots of the tooth.

Professional Endodontics now offers three state-of-the art facilities in Clinton Township, St. Clair Shores, and a fully renovated Southfield location in the Comerica Tower. All locations offer the latest in advanced dental deliver systems, microscopy, and digital radiography.

Professional Endodontics
29201 Telegraph Road
Suite 110
Southfield, MI 48034
(248) 358-2910