Do Root Canals Fail? Should I Have an Extraction Instead?

There has been more talk recently about root canals. In some circles there is the idea that root canals should never be done. Some research which has not been well-proven suggests that there is a link between root canal therapy and cancer. There are also some oral surgeons who do not see the advantage of root canal therapy; they would rather patients have an extraction and a dental implant. On this last point, oral surgeons do not perform root canals but they do perform extractions and dental implants. So what gives? To be bitterly honest with you it would be malpractice for me to state that root canals are dangerous, that root canals are associated with cancer, and that extractions and dental implants are always preferred over root canals. If I told you these things I could lose my dental license. The reason for this is that very well-done scientific studies do not prove these mentioned talking points. Well-done research does not indicate the root canals should never be done. Well-done research does not link root canal treatment to cancer. Well-done research does not prove that extractions and dental implants are generally preferred over root canal treatment. The evidence does not support it. So evidence-based dentistry has proven that root canal therapy is a very good treatment option. However, with the help of your reputable dentist, the advantages and disadvantages of either root canal therapy and extraction followed by dental implant placement can be identified. On an individual tooth basis an extraction may be best if the tooth is too damaged or if the bone support of the tooth is too compromised. While there are times when root canals fail, they are still amongst the most successful procedures we have in dentistry. According to the American Association of Endodontists, a root canal treated tooth can last for “many years and up to a lifetime”. Clearly, in dentistry today, root canals are still a very viable treatment option. With your dentist discuss the particulars of your mouth and your teeth. After discussing the advantages and disadvantages the decision on what treatment to pursue is often clearly evident. If you have any questions over this or if you are interested in visiting my office for a consultation, we invite you to call us at (972) 250-2580, or contact us in any way you feel comfortable that is available within this web page. Thank you for your interest in my web site.