.
Jose-Maria Malfaz. DDS MD PhD

Dr. Jose-Maria Malfaz received his dental degrees from the Dental School University of Granada, Spain. He
completed his specialty certificate in Endodontics at University of Southern California, USA, under Dr. James
H. Simon. Also he graduated in Medicine and Surgery from the University of La Laguna, Tenerife (Spain),
and earned a PhD degree in Medicine and Surgery from the University of Granada. He is Specialist Member
of the American Association of Endodontists, Member of the Spanish Association of Endodontists (AEDE)
and European Society of Endodontics (ESE). He is the current Elected-President of the Spanish Association
of Endodontists (AEDE) and was President of the XXIX Annual Meeting of the Spanish Association of
Endodontists (AEDE). He received American Association of Endodontists Resident Award in 2006. He has
published clinical and scientific articles nationally and internationally. Dr. Malfaz teaches at different
post-graduate and Continuum Education programs of endodontics, and lecturer nationally and internationally.
He maintains a private practice limited to Endodontics and Endodontic Surgery since 1994 in Valladolid,
Spain.
Procedures

  • Endodontic testing and treatment planning
  • Conventional root canal therapy, entirely
    utilizing the operating microscope
  • Endodontic surgery with retrograde filling and
    exploratory surgery
  • Retreatments – conventional and surgical
  • Broken instrument and post removal/retrieval
  • Perforation repairs – surgical/non-surgical
  • Internal bleaching
  • Root amputations and
    resections/hemisections
  • Management of trauma/facial pain diagnosis
What is Endodontics?

Endodontics is a specialty of dentistry that deals with diseases of the dental pulp and its supporting structures. Endodontists are dentists with special post-
graduate training in this field. 

Endodontists are also experienced at finding the cause of oral and facial pain that has been difficult to diagnose. 

Although general
dentists can perform endodontic treatment, patients are often referred to an endodontist when the case is complicated or more difficult than 
usual.
In order to understand endodontic treatment, it helps to know something about the anatomy of a tooth. Teeth have several layers. 

The outside layer of the tooth
is composed of a hard layer called enamel. Enamel is supported by an inner layer called dentin, which has at its center a soft tissue known as the pulp. 

The pulp
contains blood vessels, nerves, and connective tissue that are responsible for forming the surrounding dentin and enamel during tooth development. The pulp
receives its nourishment supply from vessels which enter the end of the root. 

Although the pulp is important during development of the tooth, it is not necessary
for function of the adult tooth. The tooth continues to be nourished by the tissues surrounding it even after the pulp is removed.
Will I feel pain during or after the procedure?

Toothache pain is the main reason for patients seeking treatment. Fortunately, modern anesthetics can make the procedure pain-free in most cases. Seeking
treatment early makes the procedure more comfortable, so don't wait. When caught early, treatment should feel no different than having a regular filling. For the
first few days after treatment, there may be some sensitivity to biting pressure, especially if there was pain or infection before the procedure. If there are no
contra-indications, 600mg of ibuprofen combined with 1000mg acetaminophen every six hours is recommended for 24 to 48 hours after the procedure. The
typical inflammatory response peaks at 48 hours then subsides. Do not be alarmed if you feel your tooth a little more two days later. Your endodontist can
prescribe other medications but they are rarely required.
Office Hours
Monday to Thursday  9:00am to 5:00pm
Our Office provides superior patient care

First and foremost, we strive to help patients retain their teeth for a lifetime. Our office places a high priority on attending to your comfort, emergency needs, and
follow-up care. A thorough medical history, dental history, and pre-treatment diagnostic protocol is standard to insure that you receive the most appropriate and
thorough treatment. We also perform thorough follow-up and recall examinations when necessary.
New Technologies

Our office employs the most advanced technologies available to ensure your comfort and the best results as possible.

Dr. Malfaz uses a Limited Field Cone Beam Computed Tomography (CBCT). Our practice is the first limited endodontic specialty practice in the Spain to employ
this new high-resolution radiographic technology. Our new Kodak CS 9300 3D Premium provides very detailed three-dimensional digital radiographs of the jaws to
image areas of interest with greatly reduced radiation when compared to others CBCT units.

Digital Panoramic Radiography: Our new Kodak CS 9300 3D Premium equipment has two options, one dedicated to producing CBCT images and a second for
surveying the entire mouth in a very high resolution panoramic radiograph.

Intraoral Digital Radiography: All radiographs are taken with digital sensors, providing instant viewing on our computer monitors while significantly reducing radiation
levels compared to film-based x-rays. This technology also allows for secure electronic transfer of medical information to our patient’s co-therapists.

Operating Microscopes: Specialized operating microscopes are used during all phases of your endodontic treatment. Magnification and fiber optic illumination
enable us to see small-often missed-details such as calcified canals and fractures. Our practice is one of the first limited endodontic specialty practice in the Spain
to employ this Specialized operating microscopes.
Dr. MALFAZ
ADVANCED ENDODONTIC AND
ENDODONTIC MICROSURGERY CLINIC
Duque de la Victoria 1                      47001 VALLADOLID (SPAIN)                          Telefono:  (+34)  983 37 71 17