What Is Endodontics?
Endodontics is the dental specialty centered on the treatment of the dental pulp and tissues surrounding the root of a tooth. Most commonly, this includes root canal therapy, along with retreatment, endodontic surgery, and complex trauma care—especially for preserving teeth that would otherwise be lost.
Services We Provide
Root Canal Therapy
Treats deep infection or irreversible inflammation in the pulp to relieve pain and save the tooth
Involves access, cleaning, shaping, sealing with biocompatible cements, and restoration with a crown or filling.
Nonsurgical Retreatment
If a previous root canal fails or symptoms recur, Dr. Middleton can retreat the tooth to address lingering infection or structural issues.
Endodontic Microsurgery (Apicoectomy)
When nonsurgical methods aren’t enough, precision surgery is performed to remove infection at the root tip and seal the canal to prevent further decay.
Traumatic Tooth Repair & Cracked Tooth Treatment
For teeth damaged by injury or cracks, specialized endodontic care can restore function and prevent extraction. For many patients, the prospects of saving their natural tooth gives them peace of mind and saves them on their bottom line.
Why Choose Mason Dental and Dr. Middleton?
Advanced Diagnostic Tools
Dr. Middleton and our team use the most advanced CT imaging and magnification technology to view complex root anatomies and hidden canals. This allows them to plan the most complete and effective treatment for your case.
Patient Comfort & Personal Care
We ensure that you are comfortable when you’re in our chair. Whether it be a pillow and blanket or soft music playing to pass the time, we want to give you the best possible experience.
IV sedation options are available for patients who want to enjoy a completely stress-free time and simply wake up once the procedure is over!
The Treatment Process
Consultation & Imaging: We conduct an initial evaluation with digital X‑rays and CBCT to understand your specific case.
Cleaning & Disinfection: Infected pulp is removed; canals are shaped and disinfected using advanced techniques and irrigants.
Filling & Sealing: Canals are sealed to prevent reinfection.
Restoration: A final restoration—typically a crown—is placed to reinforce the tooth.
Follow-up & Maintenance: Post‑procedure guidance and check-ups ensure long-term success.
Frequently Asked Questions
How many visits are required? Most treatments are completed in one to two visits unless a multi-stage approach is necessary.
Is it painful? With local anesthetic and sedation, discomfort is minimal. Some soreness afterward is normal.
What if symptoms return? Root canal retreatment or surgical options are available.
Does everyone need a crown afterward? Molars typically require crowns; front teeth may only need fillings, depending on preservation of structure.
Meet Dr. Gary “Randy” Middleton II
Dr. Gary “Randy” Middleton is the leader of the EndoConnect team here in North Texas and is excited to provide his Endodontic services to our patients at Mason Dental! He is a Dallas native who became fascinated by endodontics after observing the great attention required for such treatments.
Dr. Middleton prides himself on taking care of his patients and giving them his undivided attention. He takes joy in helping them feel comfortable and educated throughout the entire process.
Dr. Middleton is committed to ongoing professional education in the endodontic field. As a member of the American Association of Endodontists, he regularly attends conferences and programs to gain additional knowledge and insights. Dr. Middleton and his wife live in Plano, Texas, with their two sons. In addition to his busy family life, he enjoys playing golf and traveling.
Ready to book with Dr. Middleton? Call our office at 817-796-6697 and our appointment coordinator will be happy to help!
Ready to Save Your Tooth?
If you’re experiencing ongoing dental pain, sensitivity, swelling, or a previous root canal that isn’t healing, let our team in Grapevine, TX help. Contact Mason Dental to schedule a consultation with our office. We’re committed to delivering expert care with integrity, compassion, and lasting results.
Call 817‑481‑4717 or schedule online today.
