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Root Canal Procedures
The importance of maintaining good oral health for overall well-being cannot be overstated. Endodontics is crucial in ensuring our teeth and mouth stay healthy by treating infections, alleviating pain, and preserving our natural teeth.
Dentists have a vital role in reassuring patients about the safety of endodontic procedures, emphasizing that their health is the top priority. For those feeling anxious, the American Association of Endodontists website (www.aae.org) is a valuable resource for comprehensive information on the safety and effectiveness of endodontics and root canal treatments.
Despite the availability of accurate information online from reputable sources like the AAE, patients sometimes come to the dental office with misinformation. One such example is the outdated "focal infection theory" in endodontics, which was introduced in the early 1900s. Dr. Weston A. Price's research in the 1920s suggested that bacteria trapped in dentinal tubules during root canal treatment could cause various systemic diseases. However, modern research has discredited his findings, and well-designed studies have shown that endodontic treatment is safe and effective.
In 1951, the Journal of the American Dental Association reviewed the scientific literature and recommended endodontic treatment for teeth with non-vital pulp. More recent research has further supported the safety of dental treatment in relation to overall systemic health. The American Heart Association updated its guidelines in 2007, reducing the need for premedication for dental procedures and excluding endodontic treatment from those requiring premedication. Additionally, the AHA found no scientific evidence linking periodontal disease and heart disease in 2012.
Despite decades of research contradicting the "focal infection" theory, some patients still hear about it. There is no valid scientific evidence linking endodontically treated teeth to systemic disease.
Dentists are requested to follow these guidelines when discussing with patients who ask about a potential link between root canal treatment and illness:
- Validate the patient's concerns and emphasize that achieving optimal health is the primary objective for all dental patients.
- Offer the patient informational materials on endodontic treatment and have a discussion about it. The AAE has a range of patient education brochures available for purchase at www.aae.org/onlinestore.
- Share resources from the AAE website debunking common myths about root canals: www.aae.org/patients/treatments-and-procedures/root-canals/myths-about-root-canals-and-root-canal-pain.aspx#2.
- Assure the patient that they have the final say in deciding whether to proceed with any dental procedure, and reaffirm a commitment to delivering top-notch dental care.