First, is a tooth with root canal no more dead or less vital than is a tooth with a dead nerve? Yes or No? ---- A simple ice cube test after irreversible pulpitis shows the tooth unresponsive to cold. So I wish to clarify that all the bad press about leaving a dead object with anaerobic bacteria mutating inside the tooth APPLIES EQUALLY TO A DEAD NERVE TOOTH AS TO A TOOTH AFTER RCT? Yes or No? Second, if there is MERELY A CHANCE of later focal infection by not treating a dead tooth with RCT, then isn't taking no action but dental check-ups every 3 or 4 months a valid option? I don't know the odds of infection (tooth #20 photo attached). Dental school doesn't seem to teach it. Seems similar to how cancer doctors know nothing of how nutrition affects prevention/cure of cancer, as too outside there narrow field.
Is Root Canal Treatment RCT always better than no treatment to a painless dead nerve tooth?
Doctor Answers 1
Dead tooth verses root canaled tooth?
Just because the nerve in the tooth may be dead doesn't mean you need a root canal the correct answer is are you having any signs or symptoms of infection from a clinical point of view or radiographic if not and your happy with appearance of the tooth I would leave alone, if your not happy with appearance and considering a crown I would suggest doing the root canal first and then the crown. good luck
Kevin Coughlin DMD, MBA, MAGD CEO Baystate Dental PC.