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Are Root Canals Safe? What is Involved in Root Canal Removal?

root canal removal dentistThe jury is out. The safety of root canals is a complicated question and must consider many things. What to do about a root canal can also get complicated if you already have a root canal and especially if you have several root canals in your mouth. If you are considering getting a root canal, alternatives to root canals should be considered. Especially the issue of whether you should do a root canal or dental implant ?

There are many potential concerns about root canal safety:

  1. Root Canal Teeth may leak bacteria into my jawbone and other parts of my body. The truth of the matter is that roots of teeth are relatively porous and bacteria do leak out of dead root canal teeth all the time. The bacteria leaking out of the root canals is free to infect the jawbone and enter the blood supply. Most of the time the bacteria will be intercepted by the immune system and destroyed.
  2. Root canal teeth have foreign material in the roots called gutta percha. Gutta percha is latex based and can contain metals, phenols and formocreasol. Needless to say, particles of these chemicals can leak out the roots and become immunological systemic irritants.
  3. If an allergist or another doctor believes a root canal may be contributing to systemic illnesses such as Cancer, Lupus, Hoshimotos, Thyroid dysfunction.
  4. Cleaners such as bleach are used to clean the roots of the teeth during root canal treatment. No question some of the bleach can leak out of the tooth and into your jawbone. When getting a root canal re-treatment a dangerous chemical called chloroform is placed into the tooth to dissolve old contaminated gutta percha.

Should I do after I get my Root Canal Removed?

root canal removalRoot Canal Removal has many considerations and alternatives. Theoretically it would be a good idea not to have any root canals, but what happens when you remove the root canals and how many root canals do you have? If you have several root canals or your front tooth is a root canal, can you live without the tooth? Can you afford to place dental implants to replace the root canal teeth? Of course you can remove the root canals and get a partial dentures. What are the conditions of the root canals you have anyway. You should most definitely remove the root canals if:

  1. there is evidence of acute infection – bone loss in a dental x-ray. Bone loss means something must be eating away at your bone. That something eating bone is bacteria, fungus and your immune system.
  2. if there is pain – pain on biting indicates acute infection and inflammation in the bone and gum surrounding a root canal tooth
  3. if there is swelling – swelling means bacteria are in such high numbers that they have spread to another space such as your mouth, cheek or sinus.
  4. if the root canal tooth smells bad – the bad smell is usually coming from bad gases produced by the bacteria and fungus in your tooth
  5. if the root canal tooth is significantly darkened – dark teeth are usually full of fungus and bacteria. Dark teeth are usually leaking bacteria and fungus in higher numbers and are a huge risk for abscess.

Root Canal Alternative Video:

Root Canal Alternatives: Implant vs Partial Denture vs Bridge

  1. Implant – an implant is the best replacement for a tooth. Most of the time, implants cannot be placed immediately after removing a root canal because of the damage and infection caused to the bone by the root canal tooth. Root canal removal followed by a bone graft and platelet rich fibrin treatment will be necessary followed by a 3-6 month healing period. After the healing period typically a dental implant can be placed by a dental implant surgeon.
  2. Partial Denture – a partial denture is usually not acceptable to most patients in the civilized educated world of Rockville Maryland, DC metro area and many other parts of the world. Dentures are not permanent, the rub the gums during eating and feel thick and uncomfortable. Partial dentures over the long-term will lead to more tooth loss. For most, the partial denture is only a temporary solution if one at all.
  3. Bridging teeth is a poor idea because it connects teeth making it more difficult to clean. It also places more pressure on fewer teeth. Ultimately bridging teeth leads to more tooth loss. Bridge vs Dental Implant.

Should I get a metal free zirconia implant or a titanium implant?

Both are a good option, but metal free Zirconia Implants may be better near the front of the mouth because they are natural or tooth colored and more cosmetic. Gum tissue will also never look dark or metallic around zirconia implants. If you are a clencher or grinder, titanium implants may be better. If you need a large implant bridge such as All on 4 dental implants, titanium implants may be better.

How are root canals removed and will any Dentist remove a root canal?

Dentists who remove root canals can be difficult to find. Especially dentists who remove root canals carefully and properly. Not all root canal removals are the same. The Root can removal dentists needs to evaluate the tooth, remove it carefully and finally clean and repair any and all damage to the underlying bone and gum. Root canal teeth are dead. Dead teeth are brittle and can break into little pieces and be difficult to remove. Removal of a root canal tooth is a lot more difficult than removal of a regular tooth. The best strategy is to remove the root canal by taking out the roots one at a time. Once the roots are removed, the dentist can evaluate the root canal extraction site for bone damage, cysts and bacterial and fungal infection. The dentist will need to remove the PDL, any cysts, remove any dead bone, clean all the bacterial and fungal infections. Once the root canal site has been treated, a natural bone graft can be placed to facilitate new and healthy bone growth back into the extraction site.

A natural bone graft involves treating the pores of the bone with dental Ozone gas, and placing a mixture of PRF and bone minerals and membranes. The process described may be easy or very complex and difficult depending on the extent of the damage caused by the root canal tooth. In extreme cases of infection of the upper teeth, infection can involve the sinus and can be very difficult or impossible to repair. Bone damage and risks of severe infection is one reason why to consider avoiding root canal treatment whenever possible.