Specialized endodontic care for East Texas, combining compassion, experience, and advanced technology to help you keep your natural teeth and get back to life.
Our mission at Tyler Endodontics is to provide you with exceptional endodontic therapy in a committed, caring environment. If you have been referred to our office by your dentist, it is because they want you to receive the highest level of customized care.
Our promise is to help you feel cared for, from the time you make an appointment until your problem is resolved. We thank you for trusting Tyler Endodontics with your treatment needs.
Our friendly and experienced staff is always happy to answer any questions you may have by phone or email.
Specialized training, advanced technology, and a focus on saving your natural teeth.
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Advanced Education
Endodontists complete two or more years of specialty training beyond dental school, focusing exclusively on diseases inside teeth.
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Experience & Efficiency
On average, endodontists perform 25 root canals each week — giving unique insight into every tooth for quicker, more comfortable treatment.
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Emergency Availability
We work hard to accommodate emergency cases and avoid treatment delays. Our goal is to get you out of pain as quickly as possible.
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Cutting-Edge Technology
We use operating microscopes, digital X-rays, and 3D Cone Beam CT imaging to diagnose more accurately and treat patients comfortably.
Our Procedures
Advanced endodontic treatments designed to save your natural teeth and relieve your pain.
Root Canal Therapy
Root canal therapy is required when bacteria irreversibly damage the tooth's pulp. The procedure removes the infected tissue, saves the natural tooth, and relieves pain — and today it's no more uncomfortable than a filling.
Endodontic Retreatment
With good care, some root canal-treated teeth can last a lifetime. If a previous root canal breaks down or becomes reinfected, retreatment reopens the tooth, cleans the canals thoroughly, and reseals them.
Apicoectomy
When inflammation persists after a root canal, an apicoectomy removes the tip of the root and seals the end of the canal. Most patients return to normal activities the next day with mild post-surgical discomfort.
Cracked Teeth
Tyler Endodontics specializes in saving cracked teeth. Treatment is tailored to the type, location, and extent of the crack. The sooner your tooth is treated, the better the outcome.
Calming Dental Fears
We offer nitrous oxide, oral sedation, and IV sedation for anxious patients. Our team understands your concerns and will do whatever we can to help you through your experience with care and compassion.
Your First Visit
At your initial appointment, we will perform simple diagnostic tests, take specific X-rays, and discuss all treatment options with you. In many instances, we are able to begin treatment at your first appointment.
Meet Our Doctors
Board-trained endodontists with decades of combined experience serving East Texas.
Endodontist
Dr. Caleb Rossall
Dr. Rossall moved to Tyler in 2006 with his wife Carrie and four children. He has served as President of the East Texas Dental Society, actively lectures and writes articles to promote excellence in patient care. Dr. Rossall believes that clear communication between patients and dental professionals is critical to helping care for patients.
Education
Endodontic Residency Training & Masters in Medical Sciences (MMSc) in Oral Immunology — Harvard University, Boston
DDS — University of California, San Francisco
BS Biochemistry and BA Chemistry — New Mexico State University
Fellowships
National Institute of Health (NIH), Washington D.C.
University Hospital, Graz, Austria
Affiliations
American Dental Association • Texas Dental Association
East Texas Dental Society • American Association of Endodontics
Endo/Perio Study Club
Endodontist
Dr. Brent Herrington
A Palestine native, Dr. Herrington comes from a family of practicing dentists. He practiced general dentistry in Austin before discovering his passion for endodontic care, including volunteering through Manos de Cristo. He is the recipient of the prestigious Cohen Scholarship, awarded to the top resident, and has completed extensive research in Stem Cell Regeneration published in the Journal of Endodontics.
Education
Endodontic Residency Training & Masters (MS) — Detroit Mercy Health Science Center
DDS — Baylor College of Dentistry, Dallas
BS — Texas A&M University, College Station
Affiliations
American Dental Association • Texas Dental Association
American Association of Endodontists • East Texas Dental Society
Advanced Technology
Precision Tools for Better Outcomes
Over the years, great leaps in technology have made endodontic therapy more precise, successful, and safer. Our office utilizes state-of-the-art equipment to ensure every patient receives the best treatment possible.
Cone Beam 3D CT Imaging
Allows unprecedented detail for accurate diagnosis. Concentrated to specific areas of need, requiring far less radiation than a conventional CT scan.
Operating Microscopes
Surgical operating microscopes give our doctors an unrivaled view of the root canal system, enabling precise, minimally invasive treatment.
Digital X-Rays
Instant, high-resolution digital radiography with significantly reduced radiation exposure compared to traditional film X-rays.
Patient Information
Everything you need to know before, during, and after your visit.
What to Expect at Your Appointment
On your initial appointment, we will perform a few simple tests on your tooth to confirm the recommended treatment and take specific X-rays to allow us to make a correct diagnosis. The doctor will ask you about your symptoms, make a diagnosis, and give you treatment options available to you.
In many instances, we are able to treat patients at their first appointment. Depending on your specific case, your first appointment may be an evaluation — these usually take 20–30 minutes.
Please bring the following:
Your referral form from your dentist
A current list of your medications and/or medical conditions
Your dental insurance information, if you have it
A parent or legal guardian must accompany any patient under the age of 18
Before Treatment Care
Treatment is performed using local anesthesia. Typically, there are no restrictions after the procedure regarding driving or returning to work.
Patients should continue all medications for blood pressure, diabetes, thyroid, and any other conditions as recommended by your physician. Remember to eat a normal breakfast or lunch prior to your appointment.
If your physician or dentist recommends antibiotic premedication because of mitral valve prolapse, hip, knee, cardiac or other prosthesis, or rheumatic heart disease, please make sure you take the appropriate antibiotic 1hr prior to your appointment.
If you have any questions, please call our friendly staff.
After Treatment Care
Your tooth and surrounding gums may be tender to bite or chew for as a result of treatment and the previous condition of your tooth. This tenderness is normal and is not a cause for concern.
It is best to avoid chewing on the affected side until your endodontic therapy is completed by your dentist in the form of a protective restoration. Continue your regular dental hygiene routine.
Discomfort can be reduced by taking ibuprofen (Advil) or acetaminophen (Tylenol) as directed. We do not recommend consuming alcohol while taking these medications.
Should you have discomfort that is not controlled with Advil or Tylenol, or should swelling develop, please contact our office for further guidance.
Financial Policy & Insurance
We make every effort to offer payment options that will allow you to stay within your budget. At Tyler Endodontics, we accept Visa, MasterCard, Discover, American Express, Cherry, and CareCredit®.
We offer 6-month, interest-free financing through both Cherry and CareCredit®. We will gladly submit your insurance claims; however, we do ask that your estimated portion be due at the time of service.
We work hand in hand with you to maximize your insurance reimbursement for covered procedures. Our staff can give an estimate of what your insurance carrier will pay toward your care. Once treatment is completed and your insurance pays its portion, any remaining balance is your responsibility.
For further questions about your insurance coverage, please call us!
Our Ethics
Our office follows the Golden Rule — treating our patients with the dignity, integrity, and respect we would expect for ourselves. An accurate diagnosis of oral pain is often quite difficult, and we will always take the time and effort to identify the source of your pain and recommend appropriate treatment.
We will educate you about your prognosis and all options available to you. When properly performed and adequately restored, the rate of success is very high. However, there are certain circumstances, such as cracks in tooth structure, that are not always evident during treatment, which could ultimately affect the outcome. We will always be transparent with you.
Honest Diagnosis
We take the time to accurately identify the source of your pain and will never recommend unnecessary treatment.
Full Transparency
You will be fully informed of your diagnosis, prognosis, and all available treatment options before any procedure begins.
Respect & Dignity
Every patient is treated with the dignity and respect we would want for our own family members.
Calming Your Dental Fears
Does the thought of going to the dentist cause you anxiety? Rest assured, you're not alone. Our team understands and honors your concerns, and will do whatever we can to help you through your experience. We offer several sedation options:
Nitrous Oxide
Better known as "laughing gas," nitrous oxide helps many patients feel more relaxed during treatment without putting you to sleep. Because it doesn't enter your bloodstream, you can drive yourself afterward if needed.
Oral Sedation
Anxious patients can be prescribed a pill to help relax them while having work done. You will remain conscious but will feel calm and at ease throughout the procedure.
IV Sedation
For patients who want to be completely asleep, our office works closely with an anesthesiologist who will place you in a light sleep and monitor you throughout. A driver is required.
Save Time At Your Visit
New Patient Paperwork
Please complete the forms below before your appointment. You can fill them out right here on this page, then print a copy or email the completed form directly to our office.
Health Questionnaire
Takes about 5 minutes. Most questions just need a quick yes or no — type or tap as you go, your progress is saved on this page until you print or download.
Parent of Minor
Your answers are for our records only and will be considered confidential.
Are you in good health?
Has there been any change in your general health in the past year?
Are you currently under the care of a physician?
Hospitalized / serious illness or operation in the past 5 years?
Circle / check any conditions which you have had or have at present
Any disease, condition, or problem not listed above I should know about?
Are you taking any of the following drugs (include dosage and frequency)?
a. Antibiotics or sulfa drugs
b. Anticoagulants (blood thinners)
c. Medicine for high blood pressure
d. Cortisone
e. Tranquilizers
f. Antihistamines
g. Aspirin
h. Insulin, tolbutamide, (Onnase) or similar drug
i. Digitalis or drugs for heart trouble
j. Nitroglycerin
k. Oral contraceptive or other hormonal therapy
Are you allergic or have you reacted adversely to:
a. Codeine
b. Penicillin or other antibiotics ***please list***
c. Barbiturates, sedatives, or sleeping pills
d. Latex
e. Aspirin
f. Local anesthetics
Dental Insurance
I, the undersigned, certify that I (or my dependent) have insurance coverage and assign directly to Tyler Endodontics all insurance benefits, if any, otherwise payable to me for services rendered. I understand that I am financially responsible for all charges whether or not paid by insurance. I am also responsible for benefits verification and provider participation. I hereby authorize the doctor to release all information necessary to secure the benefits. I understand that a partial or full payment is due at the time of treatment. I authorize the use of this signature on all insurance submissions.
Tyler Endodontics offers a 6 month no-interest plan with CareCredit, if paid in full by promotional plan period. All refunds will be issued in check form, except for CareCredit. CareCredit refunds will be credited back to your CareCredit account. Payment arrangements will not be made at time of appointment.
Informed Consent
I understand that Root Canal treatment is a procedure to retain a tooth which may otherwise require extraction. Although Root Canal therapy has a very high degree of clinical success, it is still a biological procedure, so it cannot be guaranteed. Occasionally a tooth which has had Root Canal therapy may require retreatment, surgery, or even extraction. I also understand that the permanent outside restoration (crown) will be done by my regular dentist.
Although rare, the following complications may occur in endodontic therapy in the following percentages: pain and swelling 5%, damage to an existing crown or filling 1/2%, fracture of a root less than 1%, fracture of a fine instrument in root canal 1%, overfill, underfill or perforation of a root less than 5%.
To the best of my knowledge, all the preceding answers are true and correct. If I ever have any change in my health, or if my medicines change, I will inform the doctor without fail. I hereby give my consent to perform necessary diagnostic tests (including x-rays), evaluation and treatment. I understand that I am responsible to pay for services rendered in this office. As a result of the injection or use of anesthesia, there may be swelling, jaw muscle tenderness or even result numbness of the tongue, lips, teeth, jaws and/or facial tissues, which is typically temporary, but in rare instances, may be permanent.
In the print window, choose your printer — or select "Save as PDF" to download a copy you can email to info@tylerendodontics.com.
Tyler Endodontics, PLLC
J. Caleb Rossall, D.D.S., M.M.Sc. • J. Brent Herrington, D.D.S., M.Sc.
Notice of Privacy Practices Patient Acknowledgement
I have received this practice's Notice of Privacy Practices written in plain language. The Notice provides in detail the uses and disclosures of my protected health information that may be made by this practice, my individual rights, how I may exercise these rights, and the practice's legal duties with respect to my information.
I understand that this practice reserves the right to change the terms of its Notice of Privacy Practices, and to make changes regarding all protected health information resident at, or controlled by, this practice. I understand I can obtain this practice's current Notice of Privacy Practices on request.
Tyler Endodontics, PLLC is authorized to disclose information regarding my Personal Health Information with the following:
You have the right to refuse to sign this document.
In the print window, choose your printer — or select "Save as PDF" to download a copy you can email to info@tylerendodontics.com.
For Dental Professionals
Referring Doctors
We are grateful for the trust you place in us when referring your patients. Our goal is to provide the highest level of specialty care and return your patients to you promptly. Please use the form below to send a referral — it can be filled out and printed directly from this page.
Referrals can be faxed, emailed, or submitted by phone. You may also print and complete the referral form on the right and fax or bring it with your patient.
Patient Referral Form
J. Caleb Rossall, DDS, MMSc • J. Brent Herrington Jr., DDS, MSc
