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Misconceptions about Root Canals and Pain
There are several misconceptions about root canal (endodontic) treatment and whether patients experience pain during the procedure. The American Association of Endodontists wants to provide you with accurate information. It is important to gather as much information as possible about all your options when considering any medical procedure. Your dentist or endodontist can address many of your concerns, and if you still have questions, seeking a second opinion is a wise decision.
Myth #1—Root canal treatment is painful.
Truth: Root canal treatment is not painful, it actually relieves pain. The misconception that root canals are painful dates back decades, but with modern advancements in technology and anesthesia, the procedure is no more uncomfortable than getting a filling. A recent survey found that patients who have undergone root canal treatment are six times more likely to describe it as "painless" compared to those who have not had the treatment.
Most patients visit their dentist or endodontist when they are experiencing a severe toothache, which can be caused by damaged tissues in the tooth. Root canal treatment removes this damaged tissue, effectively relieving the pain.
Myth #2—Root canal treatment causes illness.
Myth #2 — Root canal treatment does not cause illness.
The myth: Some websites claim that root canal treatment can lead to illness and disease in the body. This false belief stems from outdated and poorly conducted research done almost a century ago by Dr. Weston A. Price, who advocated for tooth extraction over endodontic treatment in the 1920s.
The truth: There is no scientific evidence linking root canal treatment to disease in the body. Root canals are safe and effective procedures designed to eliminate bacteria from infected teeth, prevent reinfection, and save the natural tooth.
- Bacteria in the mouth is normal and not necessarily harmful to health.
- Tooth extraction is more traumatic and can lead to more bacteria entering the bloodstream compared to endodontic treatment.
- Saving the natural tooth through root canal treatment is cost-effective and allows patients to keep their teeth for a lifetime.
The misinformation about root canals on the Internet is based on Dr. Price's discredited research from the 1920s. Modern studies have debunked his findings, and reputable sources like the Journal of the American Dental Association recommend endodontic treatment for saving teeth whenever possible.
Recent research even suggests that multiple endodontic treatments may reduce the risk of cancer.
Myth #3—A good alternative to root canal treatment is extraction (pulling the tooth).
It is best to save your natural teeth whenever possible.
There is no replacement for your natural tooth. Artificial teeth may limit your ability to eat certain foods. Keeping your own teeth is important for maintaining a balanced diet. If extraction is recommended, ask about the possibility of root canal treatment.
Root canal treatment, along with proper restoration, is a cost-effective way to treat damaged teeth and is often less expensive than extraction or implants. The success rate of endodontic treatment is very high, with many treated teeth lasting a lifetime.
Bridges or implants require more time and may lead to additional procedures on surrounding teeth. Endodontically treated teeth can last for many years, helping patients chew, maintain their smile, and enjoy life. Endodontic treatment allows patients to keep their natural teeth for a lifetime.