Question 1

What are the signs I need emergency root canal treatment?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Seek immediate emergency endodontic care if you experience: severe tooth pain that keeps you awake, throbbing tooth pain, swollen gums with tooth pain, tooth sensitivity to hot and cold that lingers, or signs of tooth abscess. These infected tooth symptoms require urgent dental care.

Question 2

I have severe tooth pain - can I get same day treatment?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Yes! We provide emergency root canal treatment and same day endodontist appointments for patients experiencing severe tooth pain. Call us immediately at (425) 697-9777 for urgent dental care. We serve patients throughout the greater Seattle area including: Issaquah, Sammamish, Bellevue, Redmond, Newcastle, Renton, Mercer Island, Kirkland, Bothell, Woodinville, Preston, Carnation, Fall City, North Bend, Snoqualmie, Hobart, Covington, Roslyn, Cle Elum, Maple Valley, Black Diamond, Tukwila, Kent, SeaTac, and Seattle. Same-day emergency appointments are available for urgent cases.

Question 3

How quickly can you provide tooth pain relief?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

We prioritize emergency cases and can often provide same day tooth pain relief. Our emergency root canal procedures in Issaquah are designed to eliminate severe tooth pain immediately. Call for urgent appointment scheduling.

Question 4

Do you offer weekend or after hours emergency appointments?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

While our regular office hours are Monday-Friday, we can arrange after hours emergency appointments for severe tooth pain and urgent cases. There is an additional after-hours office fee of $200 for weekend or after-hours emergency visits. Contact us immediately for emergency tooth pain relief.

Question 5

What happens if I delay emergency root canal treatment?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Delaying emergency root canal treatment can lead to serious consequences: The infection will continue to spread, causing more bone loss in your jaw. You may experience increased swelling, severe pain, and difficulty sleeping. The tooth becomes harder to numb for future treatment, making procedures more challenging. The prognosis becomes poorer over time, and you may ultimately lose the tooth entirely. What starts as a treatable emergency can progress to a life-threatening infection requiring hospitalization. Seek immediate emergency endodontic care to prevent these complications.

Question 6

Do you provide translation services for non-English speakers?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Yes! We offer professional live translation services in over 20 languages including Spanish (Español), Chinese Mandarin (中文), Chinese Cantonese (粵語), Korean (한국어), Vietnamese (Tiếng Việt), Japanese (日本語), Russian (Русский), Arabic (العربية), Hindi (हिन्दी), Tagalog, Portuguese (Português), French (Français), German (Deutsch), Italian (Italiano), Polish (Polski), Ukrainian (Українська), Thai (ไทย), Farsi/Persian (فارسی), Somali (Soomaali), and Amharic (አማርኛ). Our certified medical interpreters ensure clear communication about your treatment at no extra cost.

Question 7

¿Hablan español en su oficina? (Do you speak Spanish?)

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

¡Sí! Ofrecemos servicios de traducción profesional en vivo en español y más de 20 idiomas. Nuestros intérpretes médicos certificados aseguran una comunicación clara sobre su tratamiento sin costo adicional. Servimos a pacientes de habla hispana en toda el área de Seattle, incluyendo Issaquah, Bellevue, Redmond, y comunidades circundantes. (Yes! We offer professional live translation services in Spanish and 20+ languages with certified medical interpreters at no extra cost.)

Question 8

你们提供中文翻译服务吗？(Do you provide Chinese translation?)

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

是的！我们提供普通话和粤语的专业现场翻译服务，以及其他20多种语言。我们的认证医疗翻译确保您能清楚了解治疗过程，无需额外费用。我们为西雅图地区的华人社区提供服务，包括Issaquah、Bellevue、Redmond等地区。(Yes! We provide professional live translation in Mandarin and Cantonese, plus 20+ other languages with certified medical interpreters at no extra cost.)

Question 9

한국어 통역 서비스가 있나요? (Do you have Korean interpretation?)

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

네! 한국어를 포함하여 20개 이상의 언어로 전문 실시간 통역 서비스를 제공합니다. 인증된 의료 통역사가 추가 비용 없이 치료에 대한 명확한 의사소통을 보장합니다. 시애틀 지역의 한인 커뮤니티를 위해 Issaquah, Bellevue, Redmond 등에서 서비스를 제공합니다. (Yes! We offer professional live translation in Korean and 20+ languages with certified medical interpreters at no extra cost.)

Question 10

Bạn có dịch vụ phiên dịch tiếng Việt không? (Do you have Vietnamese interpretation?)

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Có! Chúng tôi cung cấp dịch vụ phiên dịch trực tiếp chuyên nghiệp bằng tiếng Việt và hơn 20 ngôn ngữ khác. Các phiên dịch viên y tế được chứng nhận của chúng tôi đảm bảo giao tiếp rõ ràng về việc điều trị của bạn mà không tốn thêm chi phí. (Yes! We offer professional live translation in Vietnamese and 20+ languages with certified medical interpreters at no extra cost.)

Question 11

Есть ли у вас переводчики русского языка? (Do you have Russian interpreters?)

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Да! Мы предоставляем профессиональные услуги живого перевода на русском языке и более чем на 20 других языках. Наши сертифицированные медицинские переводчики обеспечивают четкое общение о вашем лечении без дополнительной платы. (Yes! We offer professional live translation in Russian and 20+ languages with certified medical interpreters at no extra cost.)

Question 12

هل تقدمون خدمات الترجمة باللغة العربية؟ (Do you provide Arabic translation services?)

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

نعم! نحن نقدم خدمات الترجمة المباشرة المهنية باللغة العربية وأكثر من 20 لغة أخرى. مترجمونا الطبيون المعتمدون يضمنون التواصل الواضح حول علاجك دون أي تكلفة إضافية. (Yes! We offer professional live translation in Arabic and 20+ languages with certified medical interpreters at no extra cost.)

Question 13

Why am I having tooth discomfort and pain?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Tooth discomfort and pain typically occur when bacteria invade the inner pulp of your tooth, causing inflammation and infection. This can happen due to deep decay, repeated dental procedures, large fillings, cracks, or trauma. When bacteria reach the pulp (the soft tissue inside your tooth containing nerves and blood vessels), your body's immune system responds with inflammation, which creates pressure inside the tooth and causes pain. If left untreated, the infection can spread to the surrounding bone and tissues, leading to abscesses and more serious complications.

Question 14

What happens if pain goes away, does that mean it's ok?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

No! When tooth pain suddenly goes away, it often means the situation has actually gotten worse, not better. Think of sensitivity to hot and cold as your tooth's 'check engine light' - it's an early warning system. When this sensitivity disappears, it usually means the nerve inside your tooth has died and the tooth is now infected. A dead, infected tooth won't hurt initially, but the infection will continue to spread to the surrounding bone and tissues. If not treated promptly, this can lead to serious complications including bone loss, abscess formation, facial swelling, and ultimately tooth loss. Don't ignore the temporary relief - seek endodontic evaluation immediately.

Question 15

Why does the X-ray show bone loss around the tip of the roots?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Bone loss around the tip of tooth roots occurs when bacteria and toxins from an infected or dead nerve leak out through the root tip into the surrounding bone. Your body's immune system responds to this infection by breaking down and removing the infected bone tissue, creating a dark area (radiolucency) visible on X-rays. This bone loss, called a periapical lesion or abscess, will continue to grow if the infection source is not eliminated. Root canal treatment removes the infected nerve tissue and seals the root canals, allowing your body to heal and regenerate the lost bone over time. Without treatment, the bone loss will continue to expand and may affect neighboring teeth.

Question 16

Why is my tooth discolored?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Tooth discoloration after root canal treatment occurs for several reasons: Nerve Death: When the nerve inside your tooth dies (from trauma, decay, or infection), it can cause the tooth to darken from the inside out, similar to how a bruise changes color. Blood Breakdown: Dead blood vessels and tissue inside the tooth break down and release pigments that stain the tooth structure. Medications: Some medications used during root canal treatment can cause temporary discoloration. Age and Trauma: Previous trauma to the tooth, even years ago, can cause gradual darkening over time. Good News: Tooth discoloration after root canal treatment can often be corrected with internal bleaching (whitening from inside the tooth) or external whitening treatments. We offer professional internal bleaching services to restore your tooth's natural color and improve your smile's appearance.

Question 17

Why do I have to take X-rays again if I took them at my dentist?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Even if you had X-rays taken at your dentist yesterday, we need our own 2D X-rays for several important reasons: Different Angles: Think of it like taking photos of a car accident - the police, insurance adjuster, and mechanic each need their own photos from different angles to see what they need to see. Your dentist takes X-rays to check for cavities and general health, but we need specific angles to see the root canals and surrounding bone. Specialized Views: It's like the difference between a family photo and a passport photo - both are pictures of you, but they serve different purposes. We need periapical X-rays that show the entire root and surrounding bone, not just the crown of the tooth. Treatment Planning: Just like a surgeon needs their own MRI or CT scan before surgery (even if you had one elsewhere), we need our own images to plan your specific treatment safely and effectively. Quality Control: We need to ensure the images are the right quality and angles for endodontic diagnosis - sometimes images from other offices aren't optimal for our specialized needs.

Question 18

Why is 3D CBCT imaging important for my treatment?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

3D CBCT imaging is like the difference between a regular photograph and a 3D hologram - it shows us everything we can't see with regular 2D X-rays. Complete Picture: Think of 2D X-rays like looking at a house from the street - you can see the front, but you can't see what's behind it, inside it, or on the other sides. 3D imaging is like having X-ray vision to see through all the walls, rooms, and hidden spaces. Hidden Anatomy: Just like a GPS needs 3D mapping to navigate complex highway interchanges, we need 3D imaging to navigate complex root canal systems. Some teeth have extra canals, curved roots, or unusual anatomy that's completely invisible on 2D X-rays. Safety First: It's like the difference between performing surgery with a flashlight versus full surgical lighting - 3D imaging ensures we can see everything clearly and avoid complications. Treatment Success: Think of it like a surgeon needing an MRI or CT scan before a complex procedure - the 3D information is essential for the highest success rates and safest treatment. While insurance may not always cover 3D imaging, it's often necessary for your safety and the best possible outcome.

Question 19

Why am I having discomfort after a filling or crown with my dentist?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Discomfort after a filling or crown can occur for several reasons: The procedure may have irritated the nerve inside your tooth, especially if the decay was deep or close to the pulp. Sometimes the bite needs adjustment if the restoration is slightly high. However, if you experience persistent pain, sensitivity to hot/cold, or throbbing pain that keeps you awake, this may indicate that the nerve has been damaged and requires root canal treatment. If discomfort persists beyond a few days or worsens over time, contact us at (425) 697-9777 for an endodontic evaluation to determine if root canal treatment is needed.

Question 20

Should I put a crown on a tooth if it's having symptoms without a root canal?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

No, you should not place a crown on a symptomatic tooth without addressing the underlying problem first. If your tooth is experiencing pain, sensitivity, or other symptoms, it likely indicates nerve damage or infection that requires root canal treatment. Placing a crown over an infected or inflamed nerve will not solve the problem and may actually make it worse by sealing in the infection. The proper sequence is: 1) Root canal treatment to remove the infected/inflamed nerve, 2) Allow healing time, then 3) Place the crown. This ensures long-term success and prevents future complications.

Question 21

What is the treatment for cracked teeth (cracked tooth syndrome)?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Treatment for cracked teeth depends on the severity and symptoms. For cracks without symptoms, a crown may be sufficient to protect the tooth and prevent the crack from spreading. However, if you have symptoms like pain when biting, sensitivity to hot/cold, or spontaneous pain, this indicates the nerve inside the tooth has been affected and root canal treatment is needed first, followed by a crown. The sequence matters: if you place a crown on a symptomatic cracked tooth without addressing the nerve problem, symptoms will persist and we would need to drill through your new crown to perform the root canal - an unfortunate and costly situation. Another option is extraction, which is a 100% guarantee to eliminate the problem, but then you have a missing tooth and need to consider replacement options like dental implants, bridges, or partial dentures, which can be significantly more costly than saving your natural tooth. That's why we always evaluate cracked teeth thoroughly with 3D imaging to determine the best treatment approach and whether the tooth can be successfully saved.

Question 22

Will Anbesol help my tooth pain?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Anbesol (benzocaine) is a topical numbing agent that may provide very temporary relief by numbing the surface of your gums and tooth, but it will not address the underlying infection or inflammation causing your pain. It's only a temporary band-aid solution. For true tooth pain relief, you need professional endodontic treatment to remove the infected or inflamed nerve tissue. While over-the-counter pain medications like ibuprofen can help manage discomfort until you can see an endodontist, topical numbing agents like Anbesol are not effective for deep tooth pain and should not delay seeking proper treatment.

Question 23

Will antibiotics cure an infected tooth?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

No, antibiotics alone cannot cure an infected tooth. While antibiotics can help control the spread of infection and reduce swelling temporarily, they cannot reach the source of the infection inside the tooth's root canal system. The infected or dead nerve tissue must be physically removed through root canal treatment. Think of it this way: if you had a splinter in your finger that was infected, antibiotics might help with the surrounding infection, but you'd still need to remove the splinter. Similarly, the infected nerve tissue is like that splinter - it must be removed for complete healing. Antibiotics are often prescribed as an adjunct to root canal treatment, but they are not a substitute for it.

Question 24

Why should I see an endodontist (endodontic dental specialist) for a root canal?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Endodontists are dental specialists who focus exclusively on root canal treatment and have completed 2-3 additional years of specialized training beyond dental school. Here's why this matters: We perform root canals every day (Dr. Nima has completed over 10,000 procedures), while general dentists may only do a few per month. We use advanced technology like surgical microscopes and 3D imaging for more precise treatment. We have specialized instruments and techniques for complex cases. We can handle difficult anatomy and challenging situations that general dentists may refer out. Our success rates are typically higher due to our specialized training and experience. We focus solely on saving teeth, making us experts in endodontic diagnosis and treatment.

Question 25

How long do root canals last?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Root canals can last many years, often decades, but they don't automatically last a lifetime. Think of it like putting a new tire on your car - you've fixed the problem and the tire can last for years, but you can't control if you hit a nail on the road down the line. Research shows: Root canals have success rates of 85-97% over 8-10 years when properly done and maintained. What affects longevity: The age and quality of your crown is just as important, if not more important, than the root canal itself. An old, leaking crown can let bacteria back into the tooth, contaminating the root canal. Other factors include: tooth cracks or fractures that develop over time, your oral hygiene and gum health, grinding or clenching habits, and the tooth's location and function. Maximizing lifespan: Get a high-quality crown promptly after root canal treatment, maintain excellent oral hygiene, see your dentist regularly for checkups, and protect your teeth from trauma. The bottom line: While we can't guarantee a lifetime, proper treatment and care give your tooth the best chance for long-term success.

Question 26

Are all root canals the same so should I shop around?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

No, all root canals are not the same, and quality varies significantly between providers. Key differences include: Technology used (surgical microscopes vs. naked eye, 3D imaging vs. 2D X-rays), Experience level (specialists vs. general dentists), Time dedicated (we spend 60-90 minutes vs. rushed 30-minute appointments), Technique and materials (latest rotary instruments vs. hand files), Success rates (specialists typically have higher success rates), Comfort measures (various sedation options vs. just local anesthesia). While cost is a consideration, root canal treatment is an investment in saving your natural tooth. A failed root canal often requires retreatment or extraction, which costs more in the long run. Choose based on expertise, technology, and success rates rather than just price.

Question 27

How does dental insurance help me save money?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Insurance saves you money in two big ways: 1. Discounted Rates: We accept much lower rates from insurance companies. Example: A root canal costs $1900 without insurance, but only $1300 with insurance - you save $600 just by having insurance! 2. Insurance Pays Part: Then your insurance covers 50-80% of that $1300. If they cover 80%, they pay $1040 and you only pay $260. Your Total Savings: You pay $260 instead of $1900 - that's $1640 in savings! Plus, cleanings and exams are usually free with insurance.

Question 28

What insurances are you in-network and preferred providers with and how does that help me?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

We are in-network and preferred providers with a wide range of insurance plans, which provides significant benefits to our patients: Major Insurance Providers: Delta Dental, Regence Blue Shield, Premera Blue Cross, Cigna, Aetna, Guardian, Humana, United Healthcare, United Concordia, Metlife, Principal, GEHA, Ameritas, Lifewise, Blue Cross, Anthem, Assurant, Careington, Connection Dental, Maverest, Pacific Source, and Washington Dental Service. Corporate Partnerships: We're preferred providers for major employers including Microsoft, Amazon, Boeing, and Costco, offering enhanced benefits for their employees. How This Helps You: (1) Contracted Rates: We accept significantly discounted rates (often $600+ savings), (2) Maximum Benefits: You receive the highest coverage percentages your plan offers, (3) No Balance Billing: We cannot charge you more than the contracted rate, (4) Streamlined Claims: We handle all paperwork and filing directly with your insurance, (5) Predictable Costs: You know exactly what you'll pay upfront with no surprises. Being in-network can save you hundreds or even thousands of dollars compared to out-of-network providers.

Question 29

What is my annual benefits allowance and how does it work?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Your annual benefits allowance is the maximum dollar amount your insurance will pay toward your dental care each calendar year, typically $1000-2000 (some plans offer up to $3000+). Simple Example: You have $1500 in annual benefits. You get a $1300 root canal. Your insurance covers 80%, so they pay $1040. This uses up $1040 of your $1500 annual allowance, leaving you with $460 remaining for the year. Key Points: Benefits reset every January 1st. Unused benefits expire December 31st - they don't roll over. We help you track your remaining benefits and plan treatments to maximize your coverage.

Question 30

Why do I lose my dental benefits if I don't use them?

Dr. Nima Dejbod, DMD - Vice President, Washington State Association of Endodontists · Accepted Answer

Dental insurance operates on a 'use it or lose it' basis - unused benefits expire on December 31st and do NOT carry over to the next year. This is different from health savings accounts or vacation time that might roll over. Why This Happens: Insurance companies budget for a certain amount of claims each year. Unused benefits become profit for the insurance company, not savings for you. The Reality: You've already paid for these benefits through your premiums (or your employer has). Not using them means you're essentially giving money back to the insurance company. Smart Strategy: Plan your dental care to maximize your benefits each year. If you need treatment, it's often better to complete it before benefits expire rather than wait until next year when you'll have to 'start over' with your deductible and annual maximum.

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