Banner. Girl flossing

simplesteps

MYTHS ABOUT ROOT CANAL TREATMENT

ROOT CANAL IS USUALLY PAINFUL.

When people are told that they need a root canal treatment, they usually think about pain. However, the pain they feel is caused by an infection in the tooth, not by root canal treatment. A root canal is done to eliminate that pain. The root canal procedure itself is usually painless. A local anesthetic numbs the tooth and the surrounding area. Many people may be afraid to have a root canal because they are anxious about having dental work done. Dentists can provide calming medicines, such as nitrous oxide.

THE TOOTH'S NERVES ARE REMOVED, SO I WON'T FEEL ANY PAIN.

Many people believe that once they have had root canal treatment, they will no longer feel pain in the treated tooth. This, however, is incorrect. The tooth will no longer be sensitive to hot or cold food or beverages. But for a few days after treatment, the area around the tooth can be sensitive. If this happens to you, your dentist can prescribe a medicine to reduce inflammation.

WHY BOTHER GETTING A ROOT CANAL DONE WHEN I'M JUST GOING TO NEED THE TOOTH TAKEN OUT EVENTUALLY?

 

It is not correct to assume that the treated tooth will eventually need to be extracted. In fact, most root canal treatments are successful and result in the tooth being saved.

I'M NOT FEELING ANY PAIN, SO I DON'T REALLY NEED A ROOT CANAL.

Many teeth that need root canal therapy will not cause pain. But that does not mean the tooth is okay. Your dentist and endodontist have ways to see if the tooth's pulp is damaged or infected. These diagnostic methods include x-rays, physical examination, and testing the tooth with thermal and electrical stimuli. If it is, then you will need root canal treatment, even if the tooth doesn't hurt. If you see something near a damaged tooth that looks like a pimple, see your dentist. The "pimple," called a fistula, is a tunnel of tissue draining pus from an infection. There is no pain because the fistula keeps pressure from building in the tissue. It can come and go. The infection must be treated, and the tooth probably needs root canal treatment. Without treatment, nearby tissues will become infected.

A ROOT CANAL MEANS I'M HAVING THE ROOTS OF MY TOOTH, OR MY WHOLE TOOTH, REMOVED.

The whole point of root canal therapy is to try to save a tooth, not to remove it. Your tooth and roots are not removed. The canals are cleaned and shaped on the inside only. The nerve tissue and pulp are removed along with some of the inside part of the root to ensure all the bacteria have been removed.

MY TOOTH BECOMES WEAKER ARTER A ROOT CANAL

There is no scientific evidence to show that properly restored root canal treated teeth are weaker than teeth without root canal treatment. Teeth treated with a root canal can be weakened by dental decay, trauma or pre-existing fillings. In fact, these factors may have caused the tooth to require root canal in the first place.

AFTER I GET THE ROOT CANAL, I WON'T HAVE TO GO BACK TO THE DENTIST FOR A WHILE.

Once you have received root canal therapy, you will need to make follow-up appointments to have a permanent filling or crown put on the tooth. The temporary filling that is placed after the pulp has been removed will protect the root from infection for only a short time. A permanent filling or crown must be placed to ensure that bacteria don't leak into the canal. Timely placement of the final restoration is the most critical factor affecting long term survival of teeth after root canal treatment.

AM I BETTER OFF WITH AN EXTRACTION AND AN IMPLANT THAN A ROOT CANAL?

Your dentist should discuss your options with you before treatment. In most, but not all, cases, it would be preferable to save one’s own tooth with a root canal and crown, as opposed to extracting it and getting an implant.

 

Last updated May 7, 2021

 

References:

  • Bansal R, Jain A. An insight into patient's perceptions regarding root canal treatment: A questionnaire-based survey. J Family Med Prim Care. 2020 Feb 28;9(2):1020-1027. doi: 10.4103/jfmpc.jfmpc_880_19. PMID: 32318461; PMCID: PMC7114049.
  • Chandraweera L, Goh K, Lai-Tong J, Newby J, Abbott P. A survey of patients' perceptions about, and their experiences of, root canal treatment. Aust Endod J. 2019 Aug;45(2):225-232. doi: 10.1111/aej.12312. Epub 2018 Oct 19. PMID: 30341798.