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Old 01-19-2014, 05:04 PM #7
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Bryanna Bryanna is offline
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Bryanna Bryanna is offline
Grand Magnate
Bryanna's Avatar
 
Join Date: Feb 2007
Posts: 4,624
15 yr Member
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Hi PriME,

The tooth numbering system may be different in Canada.

I can tell you without any hesitation that all root canaled teeth become chronically infected and that is due to the anatomy of the tooth and having no access to the tiny canals to remove the nerve tissue. It is also due to the fact that all teeth require blood as nutrition in order to remain healthy. During the rc procedure, the blood vessel that feeds the tooth is severed meaning the tooth is no longer fed nutrition. This process progresses into necrosis and ischemia in the surrounding bone and tissue of the tooth.,.... and beyond.

Healthy teeth that have been root canaled, meaning those that were traumatized but treated immediately with a rc procedure may have a longer "retainment" in the bone than those teeth that are already infected prior to the rc procedure. The reason being is due to the lack of pathology at the time of the root canal. However, as with all root canaled teeth, the necrosis will occur as I have explained above.

In the case of your dentist who had a hockey accident as a child and received several root canals... he may very well still have some of those teeth at this time. This is due in part to the fact that he was a child, the tooth may not have been fully formed yet AND there was no infection prior to the rc's. However, I would venture to say he has had those teeth re treated and/or had apicoectomies done. Neither of which "cure" the bacteria that is now residing inside those tiny canals.

Some people who have very healthy immune systems, no chronic health conditions, no chronic stress, eat very wholesomely and have impeccable dental health may "retain" their rc teeth without obvious symptoms longer than those in a different category. But the end result is unfortunately the same.... the teeth are what they are and there is no procedure to "cure" the problem.

Bryanna



Quote:
Originally Posted by PriME View Post
Thanks for the reply Bryanna! Do you think there is a different naming convention in Canada? Pretty sure they said #27 in reference to the last upper molar on the left side. (It's not a wisdom tooth, bc I had all 4 removed about 7 years ago.)

I've made an appointment with my dentist for next week. I'm going to see how my symptoms go, and then discuss with him my options for removal of the tooth.

Bryanna, just wondering - in your experience, is there anytime you would suggest NOT extracting? ie, do you ever think root canals are better than the alternative, or at least, not as harmful? Are some more stable than others? I find this a very fascinating subject - I've found several research articles looking into the presence of bacteria in RC teeth, and most studies suggest that the sterilization process does not clear tooth of much bacteria... My endodontist mentioned that he had had several RCs as a child due to a hockey accident...he still has all of them - I guess some people are less susceptible to complications than others?
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