A Root canal is a treatment, not a diagnosis. Good dentistry, like good medicine, starts with a proper diagnosis of the tooth.
In order to confirm a proper diagnosis, we need to establish two facts: the cause and the effect.Some dentists argue that a diagnosis is academic and a waste of a patient’s time. The result is always the same, they say, a root canal. However, establishing a true diagnosis of tooth pain may avert an unnecessary root canal of an otherwise healthy tooth.
WHAT ARE MY OPTIONS ONCE A ROOT CANAL IS INEVITABLE?
It is important to understand that all teeth problems are unique. No treatment is universal. Individual circumstances may dictate that a specific treatment is not an option. Alternatively, perhaps one option will offer a superior result over another.
Once the dental nerve has been properly diagnosed as dead, we can assume that the dental nerve space inside the tooth (called the root canal system) and the bone surrounding the tooth are now infected. At this point, either the tooth must be extracted or a root canal performed. If a patient is undecided about which procedure to pursue, a dentist can perform a lumpectomy (removal of the nerve) to alleviate pain and buy time for the patient to make his decision.
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