Are Root Canals Necessary? Answers by Dr Dana Rockey Newport Beach Dentist
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- Опубликовано: 13 авг 2018
- Are Root Canals Necessary? Answers by Dr Dana Rockey Newport Beach Dentist
Dr. Rockey answers a question about root canals that we hear increasingly from patients and from our RUclips viewers - whether root canals are effective, if they’re good for you, and if they are necessary.
In this video Dana reviews several xray slides to show you illustrate several recent examples. In one extreme case, a patient contacted our office in a lot of pain. We took an x-ray and it was obvious right away that there was an issue. A large cavity inside the tooth was very close to the nerve, which is a vital, living tissue that pumps blood in and out of the area. When the bacteria from the decay actually get in to the pulp chamber and infects the tissue, that’s when we get inflammation and swelling. Our immune system kicks in to action to fix a problem, to fight infection.
As the immune system sends germ killers and other cells into the infected area to fix the problem we experience swelling, which we refer to as inflammation. The technical term is “pulpits” - the inflammation of the dental pulp tissue.
Symptoms of an infected tooth can range from:
- Zero (0) to some cold sensitivity
- Lingering cold sensitivity to some heat sensitivity
- Some cycling on and off a little bit of pain all the way to excruciating pain
The example shown in this video is a straight-forward case: large cavity into the nerve, we have problems, we’ve got to do something. Based on what we saw, that a bulk of the tooth is left, we would be able to put a restoration on the tooth, likely a crown. So, I would send this patient to a root canal specialist; they’re going to do a root canal and that should be all that this tooth and person needs.
In answer to the question, are root canals good for you and are they necessary:
First, in our practice, we don’t deal in generalities. We strongly believe that each patients and each tooth must be approached and treated on their own merits. Every person and situation is unique with their own medical history. We would treat someone with multiple artificial joints, or cardiovascular issues who would not do well with a large active infection around their teeth, differently than someone else. Given the example of the large infection shown earlier in the video, if that patient had artificial joints or cardiovascular issues, we might suggest that the tooth be removed in order to remove the infection. In the second example shown in the video where a greater portion of the tooth is viable, we might recommend another way of treating the infection other than a root canal.
As an integrative healthcare provider, we take a whole person view and consider past medical history of each person when making a diagnose and making recommendations on how to treat root causes.
If you have questions or concerns, please contact our office at 949.642.4632 or send an email to Team @ DanaRockey.com.
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My ex was told he needed a root canal. He freaked out in the chair and left. He used clove oil on it and never went back. He hasn’t had a problem since
Great video!!! Thank you 😊
Thank you soo much!
I have a bump on my 2nd to last molar on my lower jaw. This is about 1 year after my root canal on it (until i noticed it). It has a total area of about a dime, and is shaped like a triangle relative to the teeth. It is hard to feel it from the inside of my mouth and is best felt from the outide, it is pretty deep. The bump starts broadly at the bottom of the chin bone and narrows to that tooth. I also feel a thickened line, like a nerve or vein, that runs parallel to it. I was hoping to getting any information on what it might be and the procedure that might have to be done. I currently have no pain. I am concerned and pretty scared as a 18 year old on what might happen and the costs as well.
Graet informative video you are honest dentist not a money hungery one thank you so much
Thank you Mohamed.
He says he's sending the patient to get a root canal, but he doesn't answer the question if their necessary, i.e., he didn't explain well the answer to the title of the video. Annoying!
He does answer it . He explains that it depends on the circumstances . For some teeth it's better to extract it, but for some a root canal can work and save the tooth .
Any dentist that advises you on a root canal just run!
For real
@@Hungrybird474 For real brother.
Why?
@@janegreen191 Research Hal Huggins and Dr Weston Price's work.
I was told I need rct by my dentist I've a dead nerve tooth and there is a quite a large infection in it to be removed what should I do keep in mind it's my front incisor one of my front 2 teeth so I don't wanna remove it and be gummy for a while before getitng implant. Will rct save it I been told 70 percent chance it will work 30 percent chance it wont
Can't you just ride out the pain until the nerve dies? While using H2O2 35% food grade hydrogen peroxide to remove bacteria and infection? A waterpik with hydrogen peroxide and water on a low pressure setting works wonders. And using 35% food grade hydrogen peroxide 3x daily from 3 to 12 drops will eliminate any bacteria and disease. Disease and bacteria can NOT live in an oxygenated environment. Far too many major dangers of removing tissue with root canals. Obviously, these dentists are going to be pro root canal to line their pockets. Certainly a conflict of interest.
I’ve had over six root canals and “ride out the pain” was not an option. When my teeth were infected, it was below the enamel and I wouldn’t have been able to get at the infection with the method you described.
@@lilalightandlove421 Trust me, I had a root canal recently and it was excruciating! As the Blake Shelton song, Some Beach starting drilling before I was numb. I wish riding it out was an option.
no way bro
What about Gentlewave procedure?
I was looking into Gentlewave recently...it sounds good, there's just not a lot out there on it yet...
@@rachelr8837 update?
Why does the tooth that hasn't reached the pulp and hasn't infected it yet need a root canal? Doesn't that make it worse?
@@fuckjewtube69 because you would drill through tooth to the center.
When the damage is so close to the nerve, and the trauma to the tooth to fix it might be to much stress on the tooth. The tooth can “die” from the trauma causing more pain and need more dental intervention like a root canal.
@@lilalightandlove421 not true bc u could try pulp capping indirect or direct nit everything has to wind dwn to root canal unless infection or absess
I tell people, if you ever get a root canal go to a endodontic dentist who uses a microscope.
A microscope will show you if the canals split. A regular dentist does not use a microscope and if you do a root canal with a regular dentist it wont work if the canals split. An Xray or one of those magnifying glasses dentists use wont show if the canals split. If your canals split and you have a dentist do the root canal with out using a microscope, the Root canal will not be successful.
I can tell you, even my dentist admitted, he wouldn't be able to do the root canal correctly if the canal's split. Dentists don't want to tell people this.
I only found out about this, cause this happened to a friend of mine, who got a root canal from a dentist who didn't use a microscope and the root canal failed.
He had to get another root canal from a endodontic dentist who uses a microscope. Then he had to get that same tooth re-crowned. That cost a lot of money. So if you need a root canal, make sure you go to a endodontist.
Yup I don't recall the dentist who did my root canal in middle school use a microscope. I just got done with retreatment with around a 50 percent success rate
@@jonahallen6636 When did you get the root canal. Was this recently or years ago?
I have had two root canals by a regular dentist. Both went bad after 20 years because all the nerve didn't get removed first time.
@@thepitpatrol Shane, are you saying the dentist didn't remove the nerve when he did the root canal. Was that tooth or crown you got after the root canal in any pain over the last 20 years.
@@danlivni2097what happened was I went to a dentist when I was much younger, a regular dentist with pretty severe tooth pain, they did xrays and said I needed a root canal. They did the whole thing, drilled, used the files and then put a crown on it. About 20 years later I developed a pain in that area and went back to the dentist. He took xrays and said that they had never got all the nerve out of the tooth on my first root canal and then sent mr to a endodontist to have it redone. This has happened twice to me. I have considered getting all on 4's if I can afford it. I was a proffesional Firefighter and had a really bad back and shoulder injury and have also cut two fingers off. I have never had pain like I did when the root canal went bad.
I got my cavity filled. But when I tap my cheekbone with my palm I feel the nerve of my tooth. All the other teeth are fine but I feel this one
Same with me
Same with me did your nerve pain go away
Same! What happened after?
@@Dasharobloxa they killed the nerve of that tooth and after a few days I had no pain left. It was a really bad cavity so killing the nerve was the last option left
@@rumchata6569 oh thank u im actually thinking of doing that its my last resort lol
mine hurts like hell after every half hour. i had to compress cold water to calm it down. whats teh solution
I’m 15 I was told today that I might need a root canal but none of my teeth hurt so I don’t understand
William Zimmerman did you get the root canal?
Snazy831 no luckily they said I didn’t need one right now and fixed the cavity they said it might need one in the future
William Zimmerman I’m suppose to be getting one but I don’t think ima get it ima just live with the pain or try natural ways to fix it
@@snczy7231 I wouldn’t do that it gets really bad and progressively worse the longer you wait I made that mistake worst pain I ever felt in my life
I went to a highly rated, publicized Dr. Never used a dam, had to inject me close to 10 times for a hot tooth, used some hot tool? Now after the crown (same day) my face feels like it was hit by a sledgehammer, skin is peeling in inner cheek and gingival gum area around tooth, black and blue all over. Is this normal?
What happened with your tooth problem John?
I’m so sorry you had an awful experience. I’ve been there too. When an area of your mouth is infected, the novicane to numb your tooth area doesn’t well work because the tissue is infected. Root canals are a lot of trauma to a mouth.
@@lilalightandlove421 yes has sucked, the root canal failed and a little bit of gum had to be lost
If I have a periodontal abscess can it just be drained and treated with antibiotics?
That’s what they say I have A abscess my tooth for the past few days has been in severe pain after a filling I had done to it a year ago I asked my dentist if there was anything else he can do and he said “no there’s nothing else they could do the only thing he can do is root canal. Of coarse there is another alternative the draining which he never wanted to mention.. smh I’m on antibiotics now. They want me to go back next month for a root canal now.
@@joescaletta9665 Well? Any updates?
@@saifshaikh3191 i went with the root canal the dentist said the tooth was dead who knows how true that was tho u can never know for sure
Microbiology and Treatment of Acute Apical Abscesses
José F. Siqueira, Jr. and Isabela N. Rôças and An outcome audit of the treatment of acute dentoalveolar infection: impact of penicillin resistance T Kuriyama, E G Absi, D W Williams & M A O Lewis
3:13, “yes we do clean out the decay and do the root canal”. Healthy patient or not, that X-ray is a bad example of a tooth for root canal- the dark part is a void (he said that in the beginning of the video). That void goes in between where the roots join and under the bone... I hope he doesn’t do a root canal on that... that tooth needs extraction. I’m sure they didn’t do root canal there and just pulled up an X-ray to show a huge cavity.
Another classic case! You need a root canal that you really don't want!
I dont get it
im about to have RCT thats why im watching this.. is it better to have my molar extracted than RCT? it was cracked by my impacted wisdom tooth which I had removed through Odontectomy. So the molar to be RCT-ed is the second molar before thr wisdom tooth (but wisdom tooth already removed)
What did you decide?
had it pulled out, my dentist confirmed that RCT wouldn't save my tooth when she saw the extracted molar since the nerves were already affected..@@happytrails3
Literally did nothing but give us insight on someone else's tooth
Just remove the tooth
Are they necessary or not ??? - clickbait
QUESTION>>>>>>>>>>if your body sends germ killer cells and thats the reason you get pain, why is it called "irreversible" pulpitis? if your cells win, it will evantually get better??
Yeah i have same question. I understand it's a differential equation of bad bacteria growth vs how fast our body can deal with it
True... But always, the soldier cells will not win! Especially in the conditions our teeth are. When our soldier cells are loosing battle, it's a deadly sight and signs, that itself makes doctors to go all guns blazing. It is good to cut the leg and save the man than let him die for the frostbit leg right!? Also, eventhough soldier cells win the damage done by inflammation is irreversible, so why take chance?
That infection can cause worse problems if it is not cured up like an infection of the heart. I think that is why they take such drastic matters.
Won’t antibiotics kill the infection ?
@@mantralife6620 for how long??
The video asks if root canals are necessary, and the guy on the video spends a little less than 5 minutes avoiding the answer.