Root canal therapy is considered to be the most feared dental procedure. Does that surprise you? A survey conducted by the American Association of Endodontists reveals that most people with a fear of the dentist base their fear on someone else's experiences, not their own.
The inaccurate information about root canal therapy prevents patients from making an informed decision regarding their teeth. There are many patients that go as far as requesting that a tooth is extracted, rather than save it with a root canal.
Before you believe the hype, take a look at the top root canal myths, and learn the truth for yourself.
Root canal therapy is almost always preformed because a tooth is causing pain from an irreversible condition. Pulpitis, an infected pulp, broken teeth, or a slowly dying nerve are all common reasons for root canal therapy.
Root canal therapy is used to alleviate pain. Most people who have root canal therapy admit they did not experience any pain during the appointment and felt better afterward.
According to the American Association of Endodontists, the perception that root canal therapy is painful stems from early treatment methods used to perform the procedure. In addition, if you are suffering from pain on the day of your appointment, your apprehension and fear may heighten the sensations you feel during the procedure.
Root canal therapy may be completed in one to two appointments. Factors that determine the number of appointments necessary to complete a root canal include:
Restoring the tooth after root canal therapy is necessary in order to ensure the tooth functions properly. The appointments necessary to completely restore the tooth, in essence, should not be considered part of the root canal process.
The idea that bacteria trapped inside an endodontically-treated tooth will cause illness, such as heart disease, kidney disease, or arthritis, stems from research conducted by Dr. Weston Price from 1910 to 1930 -- almost 100 years ago. Recent attempts to confirm Dr. Price's research has been unsuccessful in proving that root canal treatment causes illness.
Bacteria can be found in the mouth at anytime. Even teeth free from decay and gum disease have tested positive for bacteria.
Teeth that require root canal therapy are not always painful. In fact, teeth that are already dead may require root canal therapy to prevent the tooth from becoming infected.
Your dentist will examine your teeth thoroughly during your regular check-up. It is usually during this routine appointment where your dentist will discover a tooth that has died or is on its way. Tests used to confirm a dead tooth include:
A common misconception is that the benefits of root canal therapy don't last very long after the procedure has been completed. This myth originated after patients experienced their tooth breaking months after a root canal was performed on their tooth.
When the nerve is removed from the inside of the tooth, the blood supply is eliminated from inside the tooth. The tooth eventually becomes brittle, and depending on the size of the filling used to close the tooth after the root canal, the forces from grinding, eating, and even talking may cause the tooth to break. Failing to have a crown placed on the tooth may cause this to happen.
Technically, it is not the root canal that has failed; it is the restoration on the tooth that has failed.
Truth—Root canal treatment doesn't cause pain, it relieves it.
The perception of root canals being painful began decades ago but with the latest technologies and anesthetics, root canal treatment today is no more uncomfortable than having a filling placed. In fact, a recent survey showed that patients who have experienced root canal treatment are six times more likely to describe it as "painless" than patients who have not had root canal treatment.
Most patients see their dentist or endodontist when they have a severe toothache. The toothache can be caused by damaged tissues in the tooth. Root canal treatment removes this damaged tissue from the tooth, thereby relieving the pain you feel.
Truth—Root canal treatment is a safe and effective procedure.
Research studies performed in the 1930s and 1940s and those conducted in later years showed no relationship between the presence of endodontically treated teeth and the presence of illness. Instead, researchers found that people with root canal fillings were no more likely to be ill than people without them.
Over the past several years, however, a very small number of dentists and physicians have been claiming that teeth that have received root canal treatment (endodontic treatment) contribute to the occurrence of illness and disease in the body. This claim is based on the outdated research performed by Dr. Weston Price from 1910-1930. His research stated that bacteria trapped in the teeth during root canal treatment can cause almost any type of disease, including arthritis, heart disease, kidney disease and others.
The presence of bacteria in teeth and the mouth has been an accepted fact for many years. But presence of bacteria does not constitute "infection" and is not necessarily a threat to a person's health. Bacteria are present in the mouth and teeth at all times, even in teeth that have never had a cavity or other trauma.
More recent attempts to copy the research of Dr. Price (and to check its accuracy) have been unsuccessful. Researchers now believe that the earlier findings may have been caused by poor sanitation and imprecise research techniques that were common in the early 1900s.
These more recent studies support the truth we report today—that teeth that receive proper endodontic treatment do not cause illness.
Truth—Saving your natural teeth, if possible, is the very best option.
Nothing can completely replace your natural tooth. An artificial tooth can sometimes cause you to avoid certain foods. Keeping your own teeth is important so that you can continue to enjoy the wide variety of foods necessary to maintain the proper nutrient balance in your diet.
Endodontic treatment, along with appropriate restoration, is a cost-effective way to treat teeth with damaged pulp and is usually less expensive than extraction and placement of a bridge or an implant.
Endodontic treatment also has a very high success rate. Many root canal-treated teeth last a lifetime.
Placement of a bridge or an implant will require significantly more time in treatment and may result in further procedures to adjacent teeth and supporting tissues.
Millions of healthy endodontically treated teeth serve patients all over the world, years and years after treatment. Those healthy teeth are helping patients chew efficiently, maintain the natural appearance of their smiles and enhance their enjoyment of life. Through endodontic treatment, endodontists and dentists worldwide enable patients to keep their natural teeth for a lifetime.
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Dr. Rita Kilislian practices Endodontic Dentistry at Kawartha Endodontics in Peterborough ON
providing Root Canal Therapy, Endodontic Retreatment, Apicoectomy - Endodontic Surgery, treatment of Traumatic Injuries and Cracked Teeth.
Address: 425 Water Street • Suite 200 • Peterborough ON K9H 3L9 • Telephone: 705-750-0700 • Fax: 705-750-1041
Address: 12 Finch Ave West • Toronto, ON M2N 6l1 • Telephone: 416-733-0500 • Fax: 416-223-5383
Toll Free: 877-313-7066
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