Month: January 2023

If you have recently seen Dr. Berwitz for root canal therapy, you likely have a temporary crown placed over the tooth until the permanent crown is molded and created for your unique mouth. While some patients are eager to get through the entire process, some patients may be less eager to return for additional, necessary dental work and wondering how long they can get away with wearing the temporary crown.  

So, how long can you wear the temporary crown? Well, the answer is, “It depends.” The permanent crown is typically placed within a few weeks to a month after dental procedures. The tooth and soft tissue are given time to heal, and the lab needs time to manufacture the one-of-a-kind crown. Placing the final crown may be delayed if Dr. Berwitz has recommended other dental procedures. Ideally, the permanent crown should be placed as soon as possible. 

What Happens if the Temporary Crown Has Been in Longer than a Few Weeks? 

The longer the temporary crown is in your mouth, the more likely the crown is to significantly wear. This can cause a shift in tooth position and the occlusion. Dr. Berwitz will advise you on how long your temporary crown can last based on placement and your oral habits. Remember, even if you can get away with leaving a temporary crown longer than the recommended time frame, it doesn’t mean you should. Contact Dr. Berwitz if you have a question about your crown, or to schedule an appointment for your root canal therapy.

First, What Does an Endodontist Do? 

Unlike general dentists, endodontists do not clean teeth—they focus solely on diagnosing and treating infection with the dental pulp. Endodontists are the experts for pulp inflammation, infection, and root canal treatments. In addition to the four years of undergraduate and four years of dental school required, endodontists undergo an additional two to three years of training in specialized programs preparing them in their field. The advanced training Dr. Berwitz received prepared him to work in the microscopic environment inside the teeth.  

Endodontic Technology 

Endodontists utilize NASA technology and state-of-the-art tools to work inside the teeth.  

Operating microscopes. Endodontists utilize magnification and fiber optic illumination to view and work inside the tooth’s tiny interior. They also can use a small video camera attached to the operating microscope to record images of your tooth. 

Ultrasonics. Endodontists use high-frequency ultrasonic instruments to irrigate root canal spaces and remove debris to help clean and prepare during endodontic procedures. 

Nickel titanium. Endodontists use nickel titanium technology used by NASA in satellites to ensure flexibility and memory of instruments, ensuring more precise and efficient movements. More precise movements mean better results and less risk for the patient. 

Dental dam. At first glance, the dental dam may not seem impressive, but this thin square sheet—usually made of latex or nitrile—is imperative for cleaning the effected tooth and keeping it clean and dry during dental procedures. Dr. Berwitz uses the dental dam to prevent microorganisms found in saliva from contaminating the site, and it helps keep filling materials dry during placement and curing. A dental dam can also help some patients feel more relaxed and comfortable during endodontic procedures since it creates a layer of separation from the drill and other tools and may help them feel more disassociated from the procedure. While some patients may find comfort in using the dental dam, some may feel claustrophobic or vulnerable with reduced access to the care provider. Dr. Berwitz will regularly check in with you to ensure your comfort. If you are concerned about infection, contact Dr. Berwitz at to schedule an in-office visit.