QUICK

Seongmo Dental Clinic · Seongbuk-gu, Seoul

Seongmo Dental Library · Since 1998

What You Heard at the Dentist,
What does it actually mean?

“They say I need root canal treatment — is it really necessary?”
“Does this tooth really have to be extracted?”

The questions we hear most often in our clinic, explained term by term are laid out in full here. We have gathered in one place the clinical standards Seongmo Dental has upheld since 1998, together with records verified directly by the press. It is never too late to decide once you understand the explanation.

Before You Decide on Treatment, Just Three Things to Check

The three statements below are the principles Seongmo Dental explains to every patient, in the same order.

1. First, check whether the tooth can be saved

Save first

Extraction cannot be undone. That is why it must be the last resort. We first check whether the tooth can be kept through root canal treatment, pulp preservation, or partial restoration, and only then decide.

Seongmo Standard — If you have been advised to have a tooth extracted, it is perfectly normal to seek a second opinion from another dentist.

2. Painful treatment gets postponed

Painless care

During the six months you put it off out of fear of pain, the tooth only gets worse. Reducing pain is not a matter of comfort — it is what makes timely treatment possible.

Seongmo Standard — We control the anesthetic injection speed mechanically to reduce numbness and pressure.

3. The less you grind away, the longer it lasts

Minimal intervention

A tooth does not grow back once it has been ground down. Prioritizing minimal or no reduction extends the life of the natural tooth.

Seongmo Standard — We first consider whether a partial restoration (inlay/onlay) can solve the problem instead of a crown.

Contents

Contents — Start by Understanding the Terms

We have organized this so you can look up the exact words you heard during your visit. Under each entry we have also noted the standards Seongmo Dental actually applies when making a judgment.

Symptoms · Conditions

Dental Caries (Cavities)

Dental caries

A disease in which acid produced by oral bacteria dissolves the hard layers of the tooth and creates a cavity. There is almost no pain in the early stages, and by the time it feels sensitive it has often already reached the inner layers.

Seongmo Standard — We do not immediately drill early caries; we monitor its progress and confirm whether it is advancing.

Pulpitis

Pulpitis

Inflammation of the pulp, where the nerve and blood vessels inside the tooth are gathered. If it is only sensitive to cold there is a chance of recovery, but throbbing at night and poor response to painkillers indicate a stage that is difficult to reverse.

Seongmo Standard — If the stage is still reversible, we first try methods that keep the nerve alive rather than removing it.

Periodontitis (Gum Disease)

Periodontitis

A state in which inflammation has descended into the bone that holds the gums and teeth in place. It begins with bleeding and swelling, and as it progresses the tooth becomes loose. Bone that has been lost does not recover on its own.

Seongmo Standard — Even when there is mobility, if bone remains the tooth can sometimes be maintained with periodontal treatment, so we do not extract immediately.

Cervical Abrasion

Cervical abrasion

A condition in which the neck of the tooth near the gum becomes notched. Hard brushing, grinding, and improper occlusion are causes, and it is especially sensitive to cold water.

Seongmo Standard — We look for the cause first. Filling it without addressing the cause means the same spot will wear away again.

Tooth Crack

Cracked tooth

If the tooth looks fine but there is a sharp pain only when chewing, we suspect a microcrack. It is easy to miss because it often does not show up on radiographs.

Seongmo Standard — We confirm the location of the crack with magnified vision and an occlusal examination, then determine the scope of treatment.

Impacted Wisdom Tooth

Impacted third molar

A wisdom tooth that has failed to erupt properly and remains buried in the gum or bone. Extraction is considered when the surrounding gum swells repeatedly or it causes decay in the tooth in front.

Seongmo Standard — After confirming the distance to the nerve canal on imaging, if there are no symptoms we do not rush to remove it.

Sensitive Teeth (Dentin Hypersensitivity)

Dentin hypersensitivity

A symptom in which exposed dentin causes momentary sensitivity to cold, sweet foods, or air. In many cases it is not caused by a cavity.

Seongmo Standard — We first determine whether the cause is decay, a crack, or gum recession, and then treat accordingly.

Treatments · Procedures

Root Canal Treatment (Endodontics)

Root canal treatment

Treatment in which the inflamed pulp is removed, the inner canals are disinfected and then filled, so that the tooth itself is preserved. It is the most representative way of avoiding extraction.

Seongmo Standard — Even if it means several visits, we do not rush to finish until disinfection is sufficient.

Root Canal Retreatment

Endodontic retreatment

The process of removing the existing filling material and treating again when inflammation recurs in a tooth that has previously had root canal treatment. It is more demanding than the initial treatment.

Seongmo Standard — We will also continue treating teeth that were treated at another dental clinic.

Pulp Preservation Treatment

Vital pulp therapy

Treatment in which, when decay has reached close to the nerve but the nerve is still alive, the nerve is covered with a protective material and kept alive instead of being removed entirely.

Seongmo Standard — Before moving straight to root canal treatment, we always review once whether there is room to save the nerve.

Tooth Extraction

Tooth extraction

A procedure to remove a tooth. It is chosen when pain and infection would recur even if the tooth were kept — for example when the root is split or most of the supporting bone is gone.

Seongmo Standard — Extraction is the last resort. We show you the imaging and explain together why the tooth cannot be saved.

Dental Implant

Dental implant

A method in which an artificial root is placed in the jawbone where a tooth is missing, and a tooth-shaped restoration is mounted on top. It has the advantage of not requiring the adjacent teeth to be ground down.

Seongmo Standard — If a natural tooth can be saved, that approach takes priority over an implant.

Crown · Inlay

Crown & Inlay

A crown covers the entire tooth, while an inlay or onlay fills only the damaged portion. Which is used is determined by how much tooth structure remains.

Seongmo Standard — Before covering the whole tooth, we first check whether a partial restoration will solve the problem.

Periodontal Treatment (Root Planing)

Scaling & root planing

Treatment that removes calculus and inflamed tissue attached to the root surface beneath the gum, creating an environment in which the gum can reattach.

Seongmo Standard — Because sore gums make this treatment easy to postpone, we divide anesthesia and recovery into separate stages.

Anesthesia · Pain

Painless Anesthesia

Computerized anesthesia

A method in which the speed and pressure of the anesthetic being delivered are kept constant by a machine. The aim is to reduce the pressure and stinging that occur when it is pushed in quickly.

Seongmo Standard — The more you have put off treatment out of fear of pain, the more we start slowly from this stage.

Local Anesthesia

Local anesthesia

Only the nerves around the area to be treated are temporarily blocked. You remain conscious, and sensation usually returns after two to three hours.

Seongmo Standard — We give separate instructions so that you do not bite your lip or cheek while the anesthesia is wearing off.

Managing Dental Anxiety

Dental anxiety care

It is common to postpone appointments simply out of fear of the dentist. Explaining the procedure in advance and agreeing on a stop signal greatly reduces anxiety.

Seongmo Standard — Raise your hand and we stop immediately. We make this promise before treatment begins.

Prevention · Care

Scaling

Scaling

A procedure to remove calculus that cannot be brushed away. Korean national health insurance covers one session per year for those aged 19 and over.

Seongmo Standard — For those with severe sensitivity, we adjust the intensity and sequence as we proceed.

Powder Scaling

Powder polishing

A method in which a fine powder is sprayed with water to remove staining and thin deposits from the tooth surface. There is less irritation from metal instruments touching the tooth.

Seongmo Standard — We recommend it to those sensitive to pain and cold, and to those concerned about staining.

Fluoride Application · Sealants

Fluoride & Sealant

Fluoride makes the tooth surface less soluble in acid, while sealants fill in the grooves of the molars in advance so that food does not become trapped. They are mainly applied to children and adolescents.

Seongmo Standard — Preventing decay before it forms costs far less than drilling after it appears.

Dental Floss · Interdental Brushes

Interdental cleaning

A toothbrush cannot clean between the teeth. Those gaps are exactly where cavities and gum disease most often begin.

Seongmo Standard — Depending on the condition of your gums, we select the right tool for you between floss and an interdental brush.

Equipment · Technology

Plasma Root Canal Treatment

Plasma endodontics

A method that applies plasma technology to the disinfection of the interior of the root canal. The aim is to help disinfect even narrow canals that instruments have difficulty reaching.

Seongmo Standard — Seongmo Dental has introduced and operates the plasma root canal device ‘Plagen’.

Digital Imaging Diagnostics

Digital X-ray & CT

Digital sensors reduce radiation exposure compared with film, and the images can be viewed together on screen while we explain.

Seongmo Standard — Rather than explaining in words alone, we have you see it for yourself before deciding on treatment.

Treatment Under Magnification

Magnification

Treating while viewing the tooth larger than the naked eye allows through loupes makes it possible to distinguish the boundary between what to keep and what to remove far more accurately.

Seongmo Standard — The prerequisite for minimal reduction is seeing accurately.

Treatment Guides

If terms alone are not enough,
go deeper with our treatment-by-treatment guides

From cost and process to duration and aftercare, we have grouped and organized the questions we actually receive in the clinic. Written and supervised personally by Director Dr. Jang Tae-yoon.

Each guide is intended to provide general information; please confirm an accurate diagnosis and treatment plan through an in-person consultation. View all dental information →

Frequently Asked

The Most Frequently Asked Six Questions

Does root canal treatment kill the tooth?

Because the nerve tissue inside the tooth is removed, sensation disappears, but the tooth itself remains and continues to function for chewing. Unlike extraction, it is treatment that preserves the root, and after treatment we also plan a protective restoration to prevent fracture.

Another dentist told me it should be pulled — can it be saved?

The judgment depends on how much tooth structure remains, how much supporting bone is left, and whether the root is split. Even looking at the same images, opinions can differ, so if you have been advised to have a tooth extracted it is perfectly normal to check once more. We look at the imaging together and explain why the tooth can or cannot be saved.

Will you continue treating a tooth that another dental clinic started?

Yes, we can. Teeth in the middle of root canal treatment, teeth with temporary fillings, and prosthetics placed long ago are all continued after we check their current condition. Rather than evaluating previous treatment, we focus on explaining what is needed from now on.

I am putting it off because I am afraid of the anesthetic injection.

Often it is the pressure of the fluid being pushed in, rather than the needle itself, that feels uncomfortable. Keeping the injection speed and pressure of the anesthetic constant by machine reduces that burden. We agree on a stop signal before we begin, and if you raise your hand we stop immediately.

How often should I have scaling done?

Generally an interval of six months to a year is recommended, and national health insurance covers one session per year for those aged 19 and over. If you have gum disease or smoke, a shorter interval may be necessary.

Can I know the treatment cost in advance?

After the examination we first explain the necessary treatment items and their costs, and then proceed. We distinguish between items covered by national health insurance and non-covered items, and we also discuss ways of dividing the treatment sequence to manage the burden.

In the Press

Not what the clinic says,
but facts verified directly by the press

These are not promotional copy but records reported by outside media after their own reporting. You can read the originals directly on each outlet’s website.

The articles above are original works written and published by each media outlet, and copyright belongs to those outlets. The links are provided so you can read the originals; Seongmo Dental does not alter the content of the articles.
The explanations on this page are general dental information. Individual diagnosis and treatment methods are always determined by examination results after a visit.

Seongmo Dental Clinic

If you have questions, asking us is faster

If, even after reading, it is unclear which case applies to you, that is the most normal state to be in. Looking at the images together usually clears most of it up.

3F, 2 Dongsomun-ro 20ga-gil, Seongbuk-gu, Seoul · near Sungshin Women’s University Station
Mon·Wed·Fri 9:30–18:30 | Tue 9:30–20:00 | Sat 9:30–14:30 (open through lunch)
Lunch break 13:00–14:30 | Closed Thu, Sun & public holidays