What is it and why? A root canal treatment is indicated when the living tissue inside the tooth—the pulp with blood vessels and nerves—dies or becomes infected. This can occur due to deep cavities or trauma that disrupts blood flow. Without treatment, this space becomes colonized with bacteria, and a painful abscess can form at the root tip.
How is it done? According to the video, the endodontist opens the tooth, cleans and disinfects the canals, and fills and seals the root system. The author points out that although materials and techniques became popular in the 1980s, which yielded poor results in some cases, today there are advances in instrumentation, magnification, and sealants that improve the prognosis.
What are the alternatives? The main alternative is extraction with implant replacement. The author argues that conserving the tooth with root canal treatment preserves the periodontal ligament—the fibers that connect the tooth to the bone—which provides the mechano-sensory feedback lacking in implants. She also warns that implants can develop peri-implantitis if rigorous hygiene is not maintained.
What do you recommend? The video suggests considering preserving the tooth that can be treated with a root canal performed by a specialist and supporting it with regular oral hygiene. For those who opt for implants, it emphasizes plaque control and periodontal care to reduce complications. If you experience persistent pain, tooth discoloration, or signs of infection, you should seek prompt medical attention.