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There are many misconceptions surrounding root canal
(endodontic) treatment. The American Association of
Endodontists wants you to have accurate information.
As always, when considering any medical procedure,
you should get as much information as you can about
all of your options. Your dentist or endodontist can
answer many of your questions, and if you still have
concerns, it is often wise to seek a second opinion.
Myth
#1—Root canal treatment is painful.
Truth—Root canal treatment doesn't cause
pain, it relieves it.
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. (For more about root
canal procedures, see
FAQs About Root Canal Treatment.)
The perception of root canals being painful began
decades ago when root canal treatment was painful.
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.
Myth
#2—Root canal treatment causes illness.
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.1,2
Over the past several years, however, a very
small number of dentists and physicians have been
claiming that teeth that have received root canal (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outdated research performed by Dr.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 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.3
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.1
These more recent studies support the truth we
report today—that teeth that receive proper
endodontic treatment do not cause illness.
Myth
#3���A good alternative to root canal treatment is
extraction (pulling the tooth).
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
significanly 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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