Why Do Root canals Have a Bad Reputation?

How are root canals bad for you

In the same way, there are some disadvantages to root canal treatments. However, these drawbacks shouldn’t be why not take care of root canals. Here are some of the negatives of root canals:

  • Following the root canal procedure done to the tooth, the tooth will cease to be vital, which means it is fragile. A tooth treated for a root canal is more prone to breakage. However, one can strengthen it with a post and porcelain crown.
  • The procedure of root canals costs more than a tooth extraction. However, a root canal procedure can help to save teeth from injury. Tooth extraction may cause dental problems in other teeth, which can treat with root canal treatment.
  • A root canal procedure is more complex and time-consuming than a tooth extraction.

The procedure of root canals may be costly. However, it could save you from other dental issues that can be much more costly and complex.

What are the root canals?

How are root canals bad for youTo fully comprehend what a root canal treatment procedure can do, it’s helpful to know precisely what the root canals are.

Let’s begin with the fundamentals of the anatomy of teeth. Teeth consist of four fundamental parts, 3 of which are hard, and the softest part is the inside.

The topmost layer of your teeth that you can see is enamel. Within that is a layer referred to as dentin, the other tough tissue which gives teeth structure. Under the gum line, a fine protective layer known as cementum is protective layer that covers the root of the teeth.

The inside of the tooth’s structure is called the pulp chamber. In the pulp’s soft tissue, all the blood vessels and nerves help support the tooth. The pulp extends across the tooth to the root and jawbone.

Depending on the tooth being treated, the tooth could be a combination of one to four distinct roots, with more supporting the molars in the rear of the jaw.

What Is The Procedure For Root Canals?

  1. The Endodontist administers anesthesia to make your gums feel numb.
  2. They place a rubber dam over the area to isolate the tooth and keep it dry.
  3. The root canal dentist will make a small incision in your crown for easy access to the infected pulp.
  4. They remove the pulp (which consists of nerves, tissues, and blood vessels) by using small dental instruments that are very small.
  5. The pulp chamber and root canals have been cleaned and disinfected to prevent reinfection.
  6. To replace the pulp, the Endodontist will fill your canals with gutta-percha, a flexible and rubbery dental material.
  7. The crown opening is sealed with a temporary tooth filling to prevent bacteria from returning to the tooth. This temporary filling will be removed within a few weeks to allow for a permanent restoration.
  8. The final restoration is usually a custom-made crown that protects your tooth and restores your bite.

Alternatives to root canal treatment

There are a variety of alternatives for root canals. Let’s look at each in more detail.

Direct pulp capping

Direct pulp caps are a kind of treatment for dental patients that may be utilized to treat severe decay or damage which causes the tooth to be exposed. Dental professionals may suggest stopping getting a root canal or extraction of a tooth shortly.

In this process, the material is placed directly on the pulp. Two examples of materials used for direct capping of pulp are calcium hydroxide and minerals trioxide aggregate (MTA).

This substance creates a barrier of minerals that can help shield the pulp from damage and encourage the healing of tissues. Once the material for capping the pulp is placed on the tooth, it will be filled.

There are a few caveats to this, however. The direct capping of pulp is usually only advised when the risk is low, and the exposed pulp is healthy and has no indications of decay or inflammation. It is also more effective for young people.


A pulpotomy procedure is where the pulp is removed. Like direct pulp capping, the process can be carried out after the pulp has been exposed because of dental decay or other damage.

It is essential to understand that a pulpotomy differs from pulp removal within the tooth canal. This is because, unlike the root canal, in the pulpotomy, the canals and the tooth nerves are protected.
In a pulpotomy procedure, the pulp that is inflamed is removed. Then, a substance is placed inside the tooth to speed up healing and stop the growth of bacteria. Examples of such materials include calcium hydroxide, formocresol, and MTA.

Following this, the interior of the tooth will be filled. A crown is generally used to restore the tooth and protect it from harm.

Tooth extraction

Tooth extraction refers to the process of having the entire tooth extracted. You might also see this process described as pulling a tooth.

Tooth extraction is recommended when there is significant dental decay or damage. Sometimes, your dentist decides that other methods like the root canal cannot fix the problem.

If a tooth has been removed, it could utilize a variety of things for replacement. Some examples include:

  • Dental implants: Dental implants are an element that is inserted directly into the jawbone. Once the bone heals the implant, a dental crown is connected to the implant.
  • Dental bridges: There are various kinds of bridges for dental use. They comprise a fake tooth fitted to crowns specifically made to fit over the adjacent teeth.
  • Removable partial denture: A removable partial dental appliance comprises an artificial tooth and an upper and lower part that match the color of the gums. It is secured with fixtures that attach to adjacent teeth.

Why Does Endodontics Have a Bad Reputation?

One of the most commonly performed procedures by specialist endodontics is root canals. A root canal is often necessary when a person has a severe toothache or other pain. Pain can be caused by abscesses, trauma, or infections that affect the inner canals.

Root canal treatments require access to the inner canals of the teeth. This could have taken several visits to a specialist in the past. Patients may feel uncomfortable if they have to go back multiple times before they can resolve the problem. Endodontic treatments such as root canal therapy are now more comfortable and less painful than ever. Root canal therapy has a bad reputation because of outdated procedures that have been abandoned.

Thanks to new techniques and advanced technology, endodontic treatment is now as comfortable as other dental procedures. Root canals are now possible in just one visit. They can be done with the same discomfort as filling a cavity and removing it. Although the tooth may feel tender, the root canal procedure will relieve and not cause severe pain.

Complications from the root canal procedure

In addition to the complications caused by bacteria and the infected tooth may cause, root canal procedures may also cause challenging and expensive complications to address. Potential complications include:

  • Infection following a root canal: after having performed the procedure for root canals, the infection can spread within or outside the place where the root canal procedure was carried out.
  • The accumulation of undesirable substances: Cholesterol crystals can accumulate and cause irritation to the tissues affected when the root canal procedure is made and cause cystic lesions and scar tissue.
  • Immune system response: process can trigger an overactive immune response within your body, leading to adverse health effects.
  • Materials that are toxic when filling dental fillings: Many dentists utilize materials like amalgam in filling the dental cavity after a root canal has been completed, which is dangerous for your health due to mercury and other elements in the filling material.

Does a Root Canal Hurt?

It is almost always a no. In reality, the root canal procedure eases discomfort. Root canals are known as being painful because the time when dental technology was not as sophisticated as it is today. The discomfort you experience now is due to the infection before we get started. We employ local anesthesia, and many patients going through root canal surgery will feel relaxed during the procedure. But there are several days afterward. There could be some sensitivities. This is particularly true in the case of pain that occurred before the procedure, and it’s moderate enough to ease by prescription medication.

Root canal dangers for long-term health

The condition of your mouth is directly connected to the overall general health of your body. Research has shown a link between gum diseases and chronic health problems like heart disease, diabetes, osteoporosis, respiratory diseases, and cancer. In addition, new evidence suggests that root canals can pose identical health risks.

The adverse health effects of gum disease and root canals are linked to the same source: harmful bacteria that have accumulated in your mouth settling within your body. The bacteria that reside in your gums or remnants of the tooth that is infected can easily travel throughout your bloodstream to the other parts of your body and trigger systemic issues.

Although a root canal eliminates certain bacteria that are the source of decay or infection within your teeth, it never ultimately gets rid of the bacteria. The bacteria then spread throughout your body and trigger dangerous and chronic illnesses like strokes, heart attacks, and cancer.

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