Ask a doctor

Is Root Canal Treatment RCT always better than no treatment to a painless dead nerve tooth?

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.

Doctor Answers (1)

Dead tooth verses root canaled tooth?

+2

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.

Springfield Cosmetic Dentist

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.