Patient Education · About the Specialty

What is an
endodontist?

An endodontist is a dental specialist who has completed two to three additional years of full-time university residency training after dental school, focused exclusively on saving the natural tooth — root canal treatment, endodontic microsurgery, dental trauma, and the diagnosis of difficult tooth pain.

Medically reviewed by Dr. Jason Kung, DDS, MS · Specialist Endodontist · UCLA DDS · OHSU MS ·
JK

Reviewed by Dr. Jason Kung, DDS, MS — Specialist Endodontist, Sunnyvale CA

UCLA School of Dentistry (DDS), Oregon Health & Science University (MS, Endodontics). Member, American Association of Endodontists.

Only 44% of US adults know what an endodontist is. A May 2026 national survey commissioned by the American Association of Endodontists (n=2,000 US adults, Atomik Research, ±2pp at 95% CI) — yet endodontists are the specialists whose entire focus is saving natural teeth. Read the survey breakdown →

2–3 yrs
Postgraduate residency
Full-time, after a 4-year dental degree.
1 in 50
Of all U.S. dentists are endodontists
Roughly 5,800 endodontists serve the entire country.
25×
Microscope magnification used in every case
Carl Zeiss surgical operating microscope, standard in modern endodontic practice.
Training pathway

How endodontists are trained

Stage 1 · 4 years

Undergraduate degree

A four-year bachelor's degree, typically with prerequisite coursework in biology, chemistry, biochemistry, and physics. The Dental Admission Test (DAT) is taken in the third year.

Stage 2 · 4 years

Dental school (DDS or DMD)

Four years of dental school. Graduates earn either a DDS (Doctor of Dental Surgery) or DMD (Doctor of Medicine in Dentistry) — the two degrees are equivalent.

Stage 3 · 2–3 years

Endodontic residency

Two to three years of full-time, university-based residency accredited by the Commission on Dental Accreditation (CODA). Residents complete intensive coursework in pulp biology, microbiology, pharmacology, biomaterials, and dental traumatology, plus thousands of hours of supervised clinical training under the surgical operating microscope.

Optional · MS or Certificate

Master's degree in endodontics

Many residency programs award a Master of Science (MS) in addition to the specialty certificate, requiring an original research thesis and publication. Dr. Kung completed his MS at Oregon Health & Science University.

Total: 10 to 11 years of full-time post-secondary education before independent practice as a Specialist Endodontist.

The American Association of Endodontists' patient-facing introduction to the endodontic specialty.Video courtesy of the American Association of Endodontists.Watch on its own page
Scope of practice

What endodontists do

Endodontists focus on the inside of the tooth and the bone immediately surrounding the root tip — the pulp, the root canal system, and the periapical tissues. The day-to-day clinical scope includes:

  • Root canal treatment — initial endodontic therapy on infected or inflamed pulp.
  • Root canal retreatment — non-surgical re-treatment of a previously root-canaled tooth that has not healed or has become re-infected.
  • Apicoectomy — microsurgical removal of the root tip and surrounding infected tissue when retreatment is not feasible.
  • Dental trauma management — staged treatment of avulsed, luxated, intruded, and fractured teeth following IADT guidelines.
  • Cracked tooth diagnosis — bite testing, transillumination, and microscope-guided crack tracing to determine whether a tooth is restorable.
  • Regenerative endodontics — biology-based revitalization procedures for immature permanent teeth with necrotic pulp.
  • Diagnosis of complex orofacial pain when the source is unclear, including cases of non-odontogenic pain.
  • Emergency endodontic care — same-day evaluation for severe tooth pain, dental abscess, and acute trauma.
Specialty equipment

The equipment that defines a modern endodontic practice

Endodontic residency teaches the use of equipment that is designed specifically for treating the canal system at high magnification. Our practice uses:

  • Carl Zeiss surgical operating microscope — magnification from 4× to 25× for every case, used for canal location, micro-instrumentation, and crack tracing.
  • J. Morita Veraview X800 CBCT 3D imaging — true three-dimensional imaging of the root system, used to identify missed canals, root fractures, and the relationship between root tips and adjacent anatomy.
  • Nickel-titanium rotary instrumentation with electronic apex location and bioceramic obturation.
  • Microsurgical instrumentation for endodontic surgery — ultrasonic root-end preparation tips, micromirrors, and bioceramic root-end filling materials.

Endodontist vs. general dentist vs. prosthodontist

All three are dentists, but each has a distinct training pathway, scope of practice, and place in your care. Here is how the roles actually differ.

Endodontist vs general dentist vs prosthodontist: side-by-side comparison of training, scope, technology, and when to see each.
FactorEndodontistGeneral DentistProsthodontist
Training after dental school2–3 year ADA-accredited residency in endodontics (MS or certificate).No required residency; general practice.3 year ADA-accredited residency in prosthodontics.
Scope of practiceLimited exclusively to diseases of the dental pulp and roots — root canal, retreatment, microsurgery, dental trauma, cracked teeth.Broad general care: cleanings, fillings, crowns, simple extractions, basic root canals on straightforward teeth.Restorative and replacement work — crowns, bridges, dentures, implants, full-mouth rehabilitation.
Technology you should expectSurgical microscope, CBCT 3D imaging, ultrasonic instrumentation, bioceramic sealers.Digital x-rays, intra-oral cameras, sometimes loupes.Digital scanners, CAD/CAM milling, smile design software.
Sees how many root canals per yearRoughly 25 per week — exclusively endodontic cases.Highly variable — many do fewer than one per week.Rarely performs root canals; refers to endodontists.
Referral required?No — patients can self-refer.Usually your primary point of contact.No — but often coordinated through your general dentist.
When to see this providerPersistent or unexplained tooth pain, prior root canal not healing, dental trauma, suspected cracked tooth, second opinion before extraction.Routine cleanings, exams, fillings, basic crowns, first stop for any tooth complaint.Multiple missing teeth, full-mouth reconstruction, complex bite or jaw issues.

When to see an endodontist

You can schedule directly with an endodontist — no referral required. Common reasons patients come to our office:

  • You've been told you need a root canal and want it performed by a specialist.
  • A previous root canal isn't healing or has become re-infected.
  • Persistent or unexplained tooth pain — bite-stick or cold sensitivity.
  • A tooth has been knocked out, fractured, or displaced (call immediately).
  • You'd like a second opinion on a recommended extraction or implant.

No referral needed.

We're an out-of-network specialty practice that accepts most PPO insurance and provides clear cost estimates before any treatment is scheduled.

Frequently asked questions

What is an endodontist?

An endodontist is a dentist who has completed two to three additional years of full-time university residency training after dental school, focused exclusively on diagnosing tooth pain and performing root canal treatment, endodontic microsurgery, dental trauma management, and related procedures that save the natural tooth. Endodontists are recognized as specialists by the American Dental Association.

How is endodontic training structured?

After earning a DDS or DMD degree (4 years), an endodontist completes an accredited 2- to 3-year postgraduate residency program. The residency includes intensive coursework in pulp biology, microbiology, pharmacology, and biomaterials, plus thousands of hours of supervised clinical training using surgical operating microscopes, ultrasonics, CBCT 3D imaging, and microsurgical instrumentation that are not standard equipment in general dentistry.

What procedures do endodontists perform?

Root canal treatment, root canal retreatment, apicoectomy (microsurgical root-end resection), management of dental trauma (avulsed, luxated, or fractured teeth), diagnosis of cracked teeth and tooth resorption, regenerative endodontics for immature permanent teeth, and pulpotomy. Endodontists also serve as a diagnostic resource when the source of dental pain is unclear.

Do I need a referral to see an endodontist?

No. You can schedule directly without a referral from your general dentist, although many of our patients do come on referral. We will share treatment notes and final radiographs with your dentist after care is complete so the restorative phase (typically a crown for posterior teeth) can be coordinated.

How long does endodontic training last?

Endodontic specialty training is 2 to 3 years of full-time, hospital- or university-based residency completed after the 4-year dental degree — for a total of 10 to 11 years of post-secondary education. Programs are accredited by the Commission on Dental Accreditation (CODA).

What is the difference between an endodontist and a dental specialist?

Endodontics is one of twelve recognized dental specialties in the United States, alongside oral surgery, orthodontics, periodontics, prosthodontics, pediatric dentistry, and others. Each specialty has its own residency training pathway and scope of practice. Endodontists focus on the inside of the tooth and the surrounding bone — the pulp, the root canal system, and the periapical tissues.

Ready to see a Specialist Endodontist?

We see patients from across the South Bay — Sunnyvale, Cupertino, Mountain View, Santa Clara, San Jose, Los Altos, and Palo Alto. Out-of-network with all PPOs; we'll give you a clear estimate before any treatment is scheduled.

Specialist endodontic care — serving 30+ Bay Area cities

Dr. Jason Kung provides specialist endodontic care to patients across Silicon Valley from our Sunnyvale office. Evening and weekend hours, same-day emergencies, free on-site parking.