Endodontics is the dental specialty that deals with tissues and structures located inside the tooth. One of the most common endodontic treatments is root canal therapy, a procedure which effectively eases the pain associated with a bacterial infection deep within the pulp of the tooth. Of course, root canal treatment doesn't just relieve pain — it also stops the infection by removing dead and dying tissue from the tooth's pulp. Plus, it helps to save the tooth, which is in danger of being lost if left untreated.

Yet root canal therapy isn't the only treatment endodontics offers. This field also deals with cases of dental trauma, performs microsurgery on the tips of the tooth's roots, and even helps figure out what's going on when tooth pain seems to come and go intermittently, or when the pain isn't localized at one tooth. So when it comes to preserving your natural teeth, endodontics has plenty of ways to help.

The Inside Story

Healthy Tooth.What's inside your teeth? Behind the tough, shiny enamel of the tooth's visible crown lies the sturdy inner tissue called dentin. Dentin is also found behind the cementum that forms the outer layer of the tooth's roots — in fact, it makes up the bulk of the tooth's structure. Similar in many ways to bone tissue, dentin is composed of many tiny tubules which can transmit sensations to nerve cells when it is stimulated.

At the core of the tooth, inside small, branching chambers called the root canals, we find the soft pulp tissue. This consists of nerves, connective tissues and blood vessels which extend into the center of the tooth and exit through canals near the apex (tip) of the tooth's roots. When problems (such as infection and inflammation) develop in the pulp tissue, your first indication of trouble may be tooth sensitivity — or intense pain. In time, as the nerves die, the pain may go away… but the problem won't. In fact, if left untreated, the end result may be tooth loss.

The “Root” of the Problem

Root canal treatment.What could cause the pulp tissue to become diseased and lead to root canal problems? One potential source of infection is untreated tooth decay, which can allow bacteria from the tooth's surface to work its way deep inside. A crack or fracture in a tooth could offer another pathway for microorganisms to infect the pulp.

Dental trauma — from a sports injury, for example — may also damage dentin or pulp, or expose it to infection. Extensive dental procedures (such as multiple fillings or restorations on the same tooth) may cause trouble; occasionally, even routine procedures like orthodontics may eventually lead to root canal problems.

Endodontic Treatment

The old gag line “I'd rather have a root canal” may still get a laugh — but root canal problems are no joke. It's important to remember that root canal treatment doesn't cause pain; it relieves pain. A typical root canal procedure is performed with local anesthetics, and doesn't cause any more discomfort than having a filling. Here's what to expect:

First, you will receive anesthesia (usually a numbing shot) — and for many patients, the worst is now over. Next, a small opening is made in the tooth surface to give access to the pulp chamber and root canals. Then, tiny instruments are used — often with the aid of a microscope — to remove dead and dying tissue from inside the narrow passages. These passages are then cleaned, disinfected, and filled with a safe, inert material. Finally, the opening in the tooth is sealed to prevent contamination.

Other endodontic treatments may be recommended for removing sources of infection and preventing future problems. Following an endodontic procedure, it may be necessary to have a restoration (such as a crown) placed on the tooth to restore it to full function and aesthetic appearance. After that, with proper care the restored tooth should last for many years.

Related Articles

Root Canal Treatment - Dear Doctor Magazine

Common Concerns About Root Canal Treatment The term “root canal” can send shivers down many a spine. However, preconceived notions that root canal treatment is filled with pain and discomfort are nothing more than outdated myths. In fact, root canal treatment doesn't cause pain but actually relieves it... Read Article

Root Canal Treatment for Children - Dear Doctor Magazine

Root Canal Treatment for Children's Teeth You may think that if a baby tooth comes out prematurely, it's no great loss; after all, it was going to fall out anyway, right? Wrong! Primary (baby) teeth serve as important guides for the permanent teeth that will replace them. Losing baby teeth prematurely can allow bite problems to develop. Root canal treatment for children can prevent this. Learn what to look for in your child and what can be done to save baby teeth until they are ready to be lost naturally... Read Article

Tooth Pain - Dear Doctor Magazine

Tooth Pain? Don't Wait! Pain is a protective response that informs the body that something is wrong. Tooth pain, specifically, is caused by a reaction of the nerves inside a tooth's pulp chamber, with the severity dependent upon the type and degree of the stimulus. This article gives some examples of pain symptoms and their possible causes... Read Article

  • Root Canal Treatment

    Root canal treatment — also called endodontics (“endo” – inside, “dont” – tooth) — is a set of specialized procedures designed to treat problems of the soft pulp (nerve) tissue inside the tooth. While some mistakenly think of it as an unusually painful treatment, in most cases the procedure

    Read more
  • Root Canal Retreatment

    Most of the time, root canal therapy is effective at permanently relieving tooth pain and halting infection of the soft tissues deep inside the teeth and gums. But occasionally, as in any medical procedure, the body may not heal as we expect it to. After a period of time, you may experience pain in the

    Read more
  • Root Canal Surgery (Apicoectomy)

    Occasionally, root canal treatment proves unsuccessful at resolving an infection in the tissues near a tooth's roots. That's when a minor surgical procedure called an apicoectomy may be recommended. Because this procedure is often performed with the aid of a microscope and other small specialized tools,

    Read more
  • Whitening Traumatized Teeth

    Teeth whitening is one of the most popular cosmetic dental treatments — and it's easy to see why. Having whiter teeth can make you look years younger, and the procedure itself is among the most conservative (and cost-effective) cosmetic treatments dentistry offers. Sometimes, however, achieving a pleasing,

    Read more
  • Tooth Sensitivity

    If your teeth seem especially sensitive after you brush them or when you consume certain foods or beverages, you're hardly alone: By one estimate, around 35 percent of the U.S. population experiences some degree of tooth sensitivity. While the difference between sensitivity and pain may be somewhat blurry,

    Read more
  • Cracked Teeth

    Firmly anchored in your jaw and protected by an outer coating of tough enamel, your teeth are remarkably strong — yet it's still possible for them to chip, crack, or even break. In fact, there is some evidence that today, our teeth are developing cracks at a record rate. This may be due to the fact

    Read more
  • Root Canal Treatment for Children

    Root canal treatment is a safe and effective way to stop many kinds of tooth pain, and to keep a tooth from being lost due to decay or injury. But if a root canal is recommended for your young child, you may wonder why: Isn't that baby tooth going to fall out in a few years anyway? That's true —

    Read more
  • Root Canal Treatment FAQs

    If you have been told you need root canal treatment, you may be feeling a bit nervous. Not to worry — treating root canal problems is a routine part of dentistry that can relieve certain kinds of tooth pain and help your teeth last longer. As you learn more about this beneficial procedure, you will

    Read more
  • Combined Root Canal & Gum Problems

    When you experience pain in your mouth, it's sometimes abundantly clear which tooth is causing it. At other times, the sensation of discomfort is more diffuse, generalized or hard to pinpoint. On occasion, it can even be challenging to determine exactly what problem or combination of problems is causing

    Read more

Our Locations

Find us on the map

Hours of Operation

Our Regular Schedule

Long Island City

Monday:

9:00 am-6:30 pm

Tuesday:

9:00 am-5:00 pm

Wednesday:

9:00 am-6:30 pm

Thursday:

9:00 am-5:30 pm

Friday:

Closed

Saturday:

9:00 am-2:00 pm

Sunday:

Closed

Manhattan

Monday:

Closed

Tuesday:

Closed

Wednesday:

Closed

Thursday:

9:00 am-5:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

  • "Dr Steve Manson... Superb! Janese... Top notch manager

    Jan 14, 2016 5/5 stars"
    - Morison, Jacqueline
  • "best dentist in town, very modern.

    Dec 27, 2015 5/5 Stars"
    -Toure, Elhadji
  • "The stairs will become more difficult as I age.

    Nov 5, 2015"
    - Hogan, Debra
  • "great dentist great secretary most important his treatment is outstanding. special treatment who have fear!!

    Oct 22, 2015 5/5 Stars"
    - Scime, Rose
  • "There was time between appointments.. You don't feel that the doctor has no time for you. Dr Manson has time for your individual needs... What a great man!

    Aug 27, 2015 5/5 Stars"
    - Morison, Jacqueline
  • "The visit was with staff that was friendly and professional.
    June 27, 2015 5/5 Stars"
    - McEvoy, Joe
  • "Professional staff, make you feel comfortable as you can be in the dental chair. Any questions you have are always answered & explained to the fullest. Taken for your appt. on time.

    Jun 25, 2015 5/5 Stars"
    - Phelps, Ruth
  • "Dr Steve Manson exceeds the standards of excellence in dentistry. We need another ten more of Dr Steve around New York City.

    May 21, 2015 5/5 Stars"
    - Morison, Jacqueline
  • "The Staff is wonderful. Dr. Manson is the best Dentist I ever went to. Does excellent work, and NO PAIN... Hes mine forever. I tell everyone I know to only go to him...He is a professional in every way. 5 STARS ALL THE WAY!!!

    May 8, 2015 5/5 Stars"
    - scime, Rose
  • "I was treated by staff and colleagues very well.

    June 27, 2015 5/5 Stars"
    - Rywak, Tamara
  • "Always feel confident I am getting the best advice possible on any dental situation.

    Mar 24, 2015 4/5 Stars"
    - Phelps, Ruth
  • "You guys are awesome!!!
    Aug 5, 2014 5/5 Stars"
    - Antoian, Kerrianne
  • "Besides being a great dentist, Dr. Manson is kind and caring.

    Jul 2, 2014 5/5 Stars"
    - Immordino, Rosary
  • "Fantastic dentist; been going to him for 15 years. Very nice and professional receptionist/assistant. Dr. Manson is the best of all professionals: he is meticulous, extremely skilled and has a warm but focused manner. The best old school professionalism with state-of-the art dental care.

    Jun 20, 2014 5/5 stars"
    - DiLeo, Leslie
  • "the office is run in a very professional manner. No changes are really needed.

    Jun 17, 2014 5/5 Stars"
    - Daly, William
  • "As always Dr. Manson and his assistant Janice are excellent. I travel from eastern Long Island because they are excellent! I have been a patient for approximately 40 years.

    June 12, 2014 5/5 Stars"
    - Tavano, Claudia
  • "Fantastic office. Fantastic work.

    Jun 11, 2014 5/5 stars"
    - Rusin, Ruza
  • "Janice is excellent!!!!!!

    May 6, 2014 5/5 Stars"
    -Tavano, Lawrence
  • "ALL'S WELL THAT ENDS WELL!

    Apr 24, 2014 5/5 stars"
    - Mushorn, William
  • "Janiece is a wonderful addition to Dr. Manson's practice. She is so helpful and wonderful with a calm demeanor. Perfect hire Dr. Steve!

    Apr 21, 2014 5/5 Stars"
    - Duffy, Robin
  • "No issues. Dr. Manson seemed very knowledgeable and I really appreciated his hands on approach.

    Apr 8, 2014 5/5 Stars"
    - Lodato, Anthony
  • "Dr. Manson was thorough, gentle and very understanding. Would absolutely recommend!"
    - Ikeguchi, Jennifer
  • "Don't change a thing...continue to do the excellent job and service I receive every three months.

    Mar 18, 2014 5/5 stars"
    - Morison, Jacqueline
  • "A fast thorough no nonsense cleaning procedure performed in a pleasant friendly manner.

    Mar 11, 2014 5/5 Stars"
    - Chu Mun, Donald
  • "No pain! Janice is great!

    1/19/2014"
    – K. Dicicco 5/5 Star
  • "PAINLESS....FOR ME....THAT SAYS IT ALL.!

    11/12/2013"
    - B. Mushorn 5/5 Stars
  • "Caring, efficient, meticulous, professional. What more do you want?

    11/6/2013"
    – D.Chu Mun 5/5 Star
  • "I have been going to Dr. Manson's office for 30 years. Starting with his Dad and then moving on to Dr. Steven Manson who is wonderful! I was someone who avoided dentists for many many years because i was fearful but if you do have that fear he will put you completely at ease. I know for a fact that had i not started when i did with him I would more than likely not have a tooth left in my head. I have very soft teeth with lots of decay from bad eating habits and he has fixed them all just perfectly. I do believe my fear came from having teeth pulled which didn't really have to be at a young age so just give him a try, just once, and your fears will be settled. You should also know I do not write reviews normally and that is how strongly i feel you will be happy with this choice. Good Luck and You're Welcome :)

    11/6/2013"
    – Anonymous 5/5 Star
  • "DR. Manson is highly skilled, caring and professional with an excellent staff that makes a trip to the dentist a pleasant experience. If you're looking for a great dentist in Long Island City- he's your man!

    10/13/2013"
    N. Ricci 5/5 Star
  • "Competent, caring, gentle, friendly. What more could you want?

    10/11/2013"
    – Immordino, R. 5/5 Sta
  • "I started going there with Dr. Roy Manson and when he retired I now see his son, Steven. They have been the most concerned about caring for you and not causing you any pain which other dentists did cause a great deal of pain in my youth. Very knowledgeable and always trying new and better methods of dentistry. I didn't have to wait long this time either which is a BIG plus.

    10/3/2013"
    - B. Trazino 5/5 Star
  • "Dr. Manson is a wonderful dentist that I have been going to for years and would highly recommend him…

    9/26/2013"
    – Costello, M. 5/5 Star
  • "Dr. Manson and his staff are extremely professional. I feel very confident at having my dental health in their care. Typically, my latest visit was a pleasant experience. My cleaning was performed successfully and efficiently.

    9/22/2013"
    – Daly, W. 5/5 Star
  • "Awesome

    8/23/2013"
    – Cheffolway, L. 5/5 Star
  • "The best dentist in all of the city, been going to Dr. Manson for 20+ years, he is kind, gentle and just an amazing dentist.

    8/23/2013"
    - R. Michele Marigliano 5/5 Star
  • "Dr. Manson is probably one of the BEST dentists in the area. Other then the fact that my entire family goes to him he really DOES care about his patients and his work (something that is hard to find these days.)

    8/21/2013"
    -– Anonymous 5/5 Stars
  • "As always the care was tops!

    7/27/2013"
    –Tavano, C. 5/5 Stars
  • "Every time I leave Dr. Manson's office (and it's been well over ten years since I first saw him), I think "what a fantastic dentist." He is skilled and meticulous in his work and senstitive to the patient's comfort. He makes smart use of the latest dental technology, and he is old-fashioned in the best sense of that description: focusing on quality care for the patient.

    7/5/2013"
    – Dileo, L. 5/5 Stars
  • "Another great and gentle dental experience with Dr. Manson!

    6/26/2013"
    – Anonymous 5/5 Stars
  • "Dr. Manson is the greatest. Puts you at ease and has hands of a surgeon.

    6/1/2013"
    – R. Motta 5/5 Stars
  • "Dr Manson is an excellent doctor.

    5/13/2013"
    – R. Tavano 5/5 Stars
  • "I have been a patient of Dr. Manson's for nearly thirty years, and would recommend him to anyone interested in receiving excellent dentistry without pain or stress.

    5/6/2013"
    – R. Owsley 5/5 Stars
  • "I always feel comfortable with Doctor Manson and i always get praise on my teeth and i said Thanks to Dr. Manson

    5/6/2013"
    – R. Cavaliere 5/5 Stars
  • "Dr. Manson is on my opinion the "Best Dentist" in New York. I have been a patient of Dr Manson fit over 25 years and would recommend him to everyone. As a Dentist he makes his patient feel at home and relaxed. Everyone in the office will make your visit as comfortable as you can be.

    5/1/2013"
    – R. Hidalgo 5/5 Stars