What Does an Endodontist Do on the First Visit?

Being referred to an endodontist for the first time can bring up a lot of questions—especially if you’re not quite sure what to expect.
At Global Surgical, we’ve worked alongside endodontic specialists for over 30 years, providing them with the precision dental microscopes that help make their work as comfortable, efficient, and effective as possible. We understand how important it is for patients to feel confident and informed during every step of their care.
So what actually happens during that first visit to the endodontist? Let’s walk through it together.
Step 1: A Comprehensive Evaluation
Your first visit begins with a thorough review of your dental and medical history, followed by a clinical examination and diagnostics. The endodontist’s goal is to determine what’s causing your tooth pain or discomfort and assess whether endodontic treatment—like a root canal—is necessary.
This evaluation may include:
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A visual and tactile examination of the affected tooth and surrounding area
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High-resolution digital X-rays or 3D CBCT imaging
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Tests to evaluate pulp vitality, bite sensitivity, or temperature response
This step is about gathering all the facts. Endodontists are trained to detect subtle symptoms that might not be visible to the naked eye—especially with the help of high-powered dental microscopes like those we manufacture here at Global Surgical.
Step 2: Diagnosis and Consultation
Once the examination is complete, the endodontist will explain the diagnosis in clear, patient-friendly language. Whether it’s an infected pulp, a cracked tooth, or a previously treated tooth in need of retreatment, you’ll learn:
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What’s causing your symptoms
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What treatment is recommended and why
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What the procedure will involve
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Your options for anesthesia and sedation (if necessary)
This is also the time to ask questions. Many patients are relieved to learn that modern endodontic procedures are efficient and far more comfortable than they might have imagined.
Step 3: Treatment (Sometimes the Same Day)
In many cases, your endodontist may begin treatment during the first visit—especially if you’re in pain or the tooth is at risk of further damage. The most common procedure is nonsurgical root canal therapy, which involves:
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Gently numbing the area
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Placing a small rubber dam to isolate the tooth
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Removing the infected or inflamed pulp
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Cleaning, shaping, and disinfecting the root canal system
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Sealing the canals to prevent reinfection
Using a dental operating microscope, the endodontist can perform the entire procedure with exceptional visibility and control. These microscopes provide:
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Enhanced magnification to identify hidden canals or fractures
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Shadow-free lighting for optimal clarity
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Improved ergonomics, allowing the doctor to work more comfortably and precisely
Sometimes, treatment is scheduled for a follow-up visit depending on the complexity of the case.
Step 4: Post-Treatment Guidance
After treatment, the endodontist will review what was done and provide guidance for post-procedure care. You’ll be advised on what to expect in terms of recovery, how to manage discomfort (if any), and when to return to your general dentist for a permanent restoration like a crown.
How Global Surgical Supports Your Care
At Global Surgical, we’re proud to supply the microscopes that endodontists rely on to perform their work with greater accuracy and comfort. When your endodontist uses one of our A-Series microscopes, they’re equipped to:
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Save more natural teeth
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Reduce procedure times
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Improve treatment outcomes
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Work in a posture-friendly, ergonomically sound way
It’s not just about seeing better—it’s about providing a higher standard of care.
Final Thoughts
Your first visit to an endodontist is an important step toward diagnosing and treating the source of your dental discomfort. Whether it results in immediate treatment or simply a clearer path forward, you can expect precision, professionalism, and a focus on saving your natural tooth.
And behind the scenes, companies like Global Surgical are helping make that possible—one microscope, one clinician, and one patient at a time.
Global Surgical – Precision That Supports Better Outcomes. Proudly Made in the USA.