Alternatives to A Root Canal Treatment - Dr. Philip Memoli

WHAT IS A ROOT CANAL?

A root canal-treated (RCT) or root-filled tooth is one in which the dental nerve, commonly called the pulp, is intentionally removed and is filled with an inert material called gutta percha.



Once an RCT is performed, the tooth must be restored with a post and a crown. These will strengthen the tooth and prevent a crack or fracture from developing after treatment. A good analogy is a tree branch. When it’s alive, it flexes or bends when pressure is applied. On the other hand, a dead branch, like an RCT, will break under the same stress.

WHAT ARE THE PROS AND CONS OF ROOT CANALS?

The pro of a root canal is obvious: the painful or dead tooth is treated and extraction is avoided. But we must ask two key questions before starting a root canal.

  •         Can the tooth be restored
  •         Can a predictable RCT be performed, or are there risks for a poor result?


Research has found four major causes of root canal failure:

  •          Tooth or root fracture
  •          Infections including bacteria (primarily enterococcus fecalis, etc), viruses, and fungus (candida, etc).
  •          The body’s reaction to root canal materials, microorganisms, and cements which inadvertently are pushed past the tooth into the bone.
  •           Cysts

The question regarding the safety of failed root canals may never be adequately answered. Also, the basic question about whether a root canal failure can be determined due to pain is still debated. Pain, as we have discussed, shows little correlation to histological findings.

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