Knowing the difference between a periodontist vs endodontist can help you choose the right dental specialist. A periodontist focuses on diagnosing and treating gum disease and issues affecting the bone and ligaments that support your teeth. In contrast, an endodontist specializes in treating problems inside the tooth, such as infections and damaged dental pulp, with procedures like root canals. Understanding who to visit for your concern can help protect your teeth and keep your oral health in shape.
Periodontist | Endodontist | |
Focus Area | Gums and supporting structures of teeth | Dental pulp and root canal system |
Primary Concern | Gum disease, gum health, and bone loss | Tooth infections, root canal treatments, and dental trauma |
Key Treatments | Scaling & root planing (deep cleaning)Gum graft surgeryDental implant placementTreating advanced periodontal disease | Root canal therapyEndodontic retreatmentApicoectomy (root-end surgery)Diagnosis of severe tooth pain |
When to Visit | Persistent gum inflammation or bleedingReceding gumsLoose teeth due to bone lossNeeding dental implants | Severe tooth pain or sensitivityDeep tooth decayPrevious root canal failureDental trauma or cracked tooth |
What is a Periodontist?
A periodontist is a dental expert who specializes in diagnosing, preventing, and treating gum disease and other conditions affecting the tissues that support your teeth. Their primary focus is keeping your gums healthy to protect oral health. If you have persistent gum inflammation, bleeding, or gum recession, visiting a periodontist is essential. Here are some of the key responsibilities of a periodontist:
- Diagnosing and treating gum disease (gingivitis and periodontitis)
- Performing scaling and root planing (deep cleaning)
- Conducting gum graft surgery for receding gums
- Placing dental implants for tooth replacement
- Treating bone loss related to advanced periodontal disease

What is an Endodontist?
An endodontist is a dental specialist who focuses on treating the inside of the tooth, particularly the dental pulp and root canals. Their main goal is to save natural teeth and relieve pain caused by infections or injuries. If you experience severe tooth pain, sensitivity, or deep decay, an endodontist is the right specialist to consult. Here are some common treatments an endodontist provides:
- Root canal therapy to remove infected or damaged pulp
- Endodontic retreatment for failed previous root canals
- Apicoectomy (root-end surgery) to treat persistent infections
- Diagnosis of tooth pain and dental trauma management
Periodontist vs. Endodontist: Which Specialist Do You Need?
Not sure whether to see a periodontist or an endodontist? Understanding their roles can help you get the proper treatment for your dental needs. Leslie North Dental is here to guide you. Book a consultation today!
Key Differences Between Periodontists and Endodontists
Both periodontists and endodontists are essential in maintaining oral health, but their areas of expertise are quite different. Periodontists are ideal for treating gum disease and bone loss. At the same time, endodontists specialize in saving infected teeth through root canals and related procedures.

“I never realized how different periodontists and endodontists were until I needed treatment. My periodontist helped me manage my gum disease, while my endodontist saved an infected tooth with a root canal. Both specialists played a crucial role in keeping my smile healthy!” Said David, a satisfied patient of our clinic.
When Should You See a Periodontist or an Endodontist?
Taking care of dental issues early is the key to a healthy smile, but knowing which specialist to see is just as important. A periodontist is the right choice if you have swollen gums, gum recession, or loose teeth. An endodontist can help if you’re dealing with severe tooth pain, lasting sensitivity, or an infection. Seeing the right expert at the right time can prevent bigger dental problems.
See a Periodontist If… | See an Endodontist If… | |
Gum Issues | ✅ Swollen, bleeding, or receding gums | 🔴 Not the right specialist |
Bad Breath | ✅ Persistent bad breath due to gum disease | 🔴 Not typically related to endodontic issues |
Tooth Stability | ✅ Loose teeth due to gum infection | 🔴 Not the right specialist |
Pain or Sensitivity | ✅ Gum sensitivity or discomfort when eating | ✅ Severe tooth pain that lingers or worsens |
Temperature Sensitivity | 🔴 Not typically a primary concern | ✅ Sensitivity to hot/cold that lasts after exposure |
Bone Loss | ✅ Bone loss affecting tooth stability | 🔴 Not related to bone loss |
Tooth Discoloration | 🔴 Not typically a primary concern | ✅ Darkening of a tooth (sign of infected or dead pulp) |
Previous Treatment | ✅ Addressing gum disease that worsens over time | ✅ Pain in a previously treated tooth (root canal failure) |
Your smile deserves the best care possible. At Leslie North Dental, we’re committed to helping you achieve a healthy, confident smile in a welcoming and comfortable environment. Schedule your appointment today. Call us now to get started!
FAQs
Should I see a periodontist or endodontist?
It depends on your dental issue. If you have gum disease or receding gums, see a periodontist. Consult an endodontist if you need a root canal or have tooth pain.
Do periodontists perform root canals?
No. Periodontists focus on treating gums and bone structures, while endodontists are specialists in root canals and internal tooth treatments.
Should endodontic and periodontal treatment be done together?
In some cases, both treatments may be needed. For example, if you have advanced gum disease and an infected tooth, you may need care from both specialists.
Why would a dentist recommend an endodontist?
A dentist refers patients to an endodontist when a tooth requires specialized root canal therapy or if an infection is deep within the tooth.