Are Root Canals Dangerous?

[@satieritraj6822]

Dear Dr. Jazayeri, I just discovered your channel and I have learned more from you in this 37.25 mins video that all the years I have been seeing my dentist endodontist and periodontist ... and currently am dealing with 3 root canal teeth with infections. Did a CBCT scan and no one took the time to explain the findings like you just did in this video. Thank you for sharing and caring.

[@lynnkowalla1315]

My husband had a brain infection shortly after a root canal. The doctor did not think to do a spinal tap that would have shown it.An investigate journalism show in Canada demonstrated several cases of same. Suspicion was aroused due to several cases where married couples both had cases of the infection after root canals at the same dentist. They concluded it was poor maintenance of the water flushing lines used in the mouth and had recommended posting of when it was last cleaned. Oddly, not too long afterwards I could not find this episode again. Now I know why

[@Jared199503]

What did your husband do? Did he get it removed? How is he now?

[@AM-tn4om]

Root canals pay for every Porsche

[@johnjazayeri]

LOL, they probably do for many dentists. This is why you need to learn about dentistry so that you can be your own advocate and not get scammed by the dentist. Cheers!

[@cathyjennings5580]

How can we LEARN ABOUT DENTISTRY, WITHOUT GOING TO COLLEGE 🎓 FOR YEARS??? Why don't ALL DENTISTS BE responsible to TEACH the FACTs of reasons for rootcanals to be the solutions at that time?????????

[@Krausebag]

That’s funny because the dentist that gave me my fatal root canal literally had a Porsche 😢

[@voldr0n]

i saw 2 dentists and couldnt figure this out. I started having severe dizziness and vertigo due to it. Its criminal how useless most dentists are.

[@johnjazayeri]

Hi there. I'm sorry about your bad experience! Unfortunately, many dentists overlook this particular issue. Some just don't care. Others don't understand it too well. Some don't want to be bothered by it. How do I feel about a re-infected root canal? I think this is one of the most important issues I need to address regarding patient's overall health. I would absolutely prioritize ridding the patient of an infection over any other dental issues. I mean, the patient will get rid of infection and feel better. The dentist gets to do a bone graft and extraction, possibly a dental implant, and charge thousands of dollars to the patient and his or her insurance. Win-win situation! I hope that any dentist that is watching this will start to pay more attention to root canal teeth. Root canal teeth need to be monitored regularly. Whenever there's an issue, you need to take a CT scan and look for an infection. This helps the patient, it helps the dentist grow their practice, and it is part of the oath we took becoming a dentist!

[@MariaLewis-kl3ui]

Don't get a root canal. Get your tooth out ASAP. Root Canals and even crowns you can"t see an infection behind them on exrays, it's very dangerous

[@jerrysanders7773]

I had a root canal done at a very young age, and it’s starting to develope a severe odor. I go to the dentist twice a year for cleanings, and the dentist mentioned it needed a new “crown”. Now that I want the tooth pulled they’re pushing it out to a year basically.. now I may need to find a new dentist. This all takes so much time.

[@deemelody2396]

​@@jerrysanders7773Find a new dentist FAST, and DO NOT wait a year!! That dentist does not care about you, extraction is too little money for him! Odor can be a sign of infection & necrosis - rotting stuff smells, right? You don't want that infection entering your blood stream - it can be costly hospital stay or deadly!! And it doesn't hurt because you've already killed the nerve, so tooth can't feel anything. If infection spreads into surrounding bone & flesh, it risks killing you. If you just want it removed, go find a reputable DDS, they may want you to take some antibiotics first, & get it out ASAP. Maybe ask your medical doctor their opinion too, but just don't put it off! Best of luck to you.

[@Metronidazo]

Les dentistes sont les prédateurs des humains sur Terre

[@Dawn-tv1bk]

Love the video! Super helpful. Needing a root canal could also be due to trauma to the tooth that compromises the tooth or from grinding your teeth in your sleep and you don’t even know it’s happening. Not all teeth grinders wake up with jaw pain after grinding their teeth at night so they have no idea of the damage they are doing. So all that to say that not all root canals are preventable or due to patient negligence. Sometimes it’s just unfortunate circumstances. 🤷🏽‍♀️

[@Alex-mt7vg]

Dr Jazayeri, I'm a dental student and this video is so so so helpful as someone who's looking to go into endo and am researching the current stigmas, pros and cons of root canals. Really appreciate what you do in educating patients and dentists alike! Best wishes.

[@johnjazayeri]

Hi Alex. Best of luck in your career! Being an endodontist is tough. Difficult job, and an uncertain future. Nevertheless, it is wonderful to take people out of pain when they're experiencing the worse pain of their lives!

[@DanielGuzman83]

Just had my first root canal. I had an infection but never had pain. I thought I had another canker sore. Luckily my check up appointment was scheduled for 4 days after my abscess grew. I was very naive until I went to the dentist. My jaw was being eaten by the infection. I am on some strong antibiotics. I think I got lucky with the timing. Hopefully my infection goes away. My gums shrunk and the redness went away from the infection.

[@kenneththeg742]

how are u now

[@kathleenestremadura7606]

Hi Dr. Jazayeri, last month I had a tooth extraction on my right upper molar due to an abscesses failed root canal (I did not have a bone graft right after).Next to it is another root canal tooth which I think was affected during the extraction process because of all the maneuvering. Eventually the crown of the other tooth became loose and fell off (a month after) and it has very little structure left. Since that was the case I was opting to go with extracting it and plan to do dental implants instead of retreating it. I’m afraid of going through infection and excruciating pain again. Since my initial tooth extraction did not have a bone graft, the dentist advised me to do it after 4 months of healing. Now im in the situation of wanting to do the dental bone graft right after the 2nd tooth extraction. However, the dentist said it will be pointless to do it because I’ll be doing the bone graft of the other missing tooth so he said it should just be done at the same time. In the meantime he is advising to wait for healing after the extractions then do bone graft for both at the same time. But my feeling is I still want to do a bone graft right after the 2nd tooth extraction for socket preservation/more bone structure for the future dental implant. Needing your advise. Thank you.

[@johnjazayeri]

Hi Kathleen. Thank you for sharing. It sounds like you've had some serious bone loss in that region. The upper molars are a difficult area for dental implants. Not only does this region have the weakest jawbone, but there is also the issue of proximity to sinuses. If your sinuses are low, meaning you have very little jawbone, then you may have to get a sinus surgery to restore the missing jawbone. This may be the reason why your dentist is saying what he or she is saying. Still, I do not see the disadvantage of placing a graft at the time to tooth removal. I always do a grafting after tooth removal, especially in the upper back which is one of the hardest areas to do implants. Does your dentist have a plan on how to place dental implants and fix your problem? Feel free to attach your X-rays (Panoramic preferred) so that I can give you more guidance on your situation. Good luck!

[@starlink_Tanzania]

You are amazing Dr John

[@nancyk5203]

@kathleenestremadura7606 How are you doing now?

[@Kiraisking]

Dr. Jazayeri! I would give you a big hug and kiss if I could! Just had 4 root canals done and it was the most painful experience of my life because 2 of them were so badly infected with pus and the nerves turned black. You better bet I will keep an eye on it like an hawk and will keep taking CT scans Yearly. Also will visit my dentist every 6 months and keep on track with my dental hygiene. My infection was not because of poor dental hygiene but of 2 chipped teeth i had 11 years ago because of an accident, and that I time i decided to do nothing about it because it didn’t hurt after it healed. Never again will i take that chance with my dental health. Once again thank you so much for this valuable information and you say it with such sincerity.

[@baqarmangrani]

Worth every second to watch this video. Thanks.

[@jactac838]

Great video Doc! Was difficult to understand you with bad acoustics in office. Thanks again

[@butterflyj685]

Dr. J, Thank you for your videos! I just had a serious tooth infection. My tooth was in excruciating pain an my gums were swollen. I thought I was going to die. I started losing my hearing and my neck was also in pain. After attempting several home remedies, I went to a dentist 2 weeks later. They wouldn't do a 3D CT scan that I requested, they just did an xray. They said they used that equipment only for patients with existing root canals and other dental procedures. I told them I chose them because their ad boasted about using the latest technology. I was disappointed. He concluded that my filling was damaged, there serious decay into the other layers if my teeth, I had an infection and needed a root canal. He referred me to an endodontist. I told him I wasn't comfortable in getting a root canal because of the dangers and that I'd rather remove the tooth. He stated removing the tooth could have more issues leaving a gap for other teeth to drift into the space and that if I decided later to have an implant or other procedure there would be nothing to graft onto and work with because the bone will wear out over time. He said leaving a gap in the location of the tooth was closer in the front and would leave an undesirable smile. He assured me it's the best option and insisted I make the appointment to see the endodontist . He sent me home with 1 weeks antibiotics and steroids. I had to cancel my endodontist appointment 1 week later because I couldn't stop vomiting everytime I sat up or stood up. This lasted another month. I still have pain in my tooth & swelling in my gums but not as bad as before and have to use caution when chewing on that side. My hearing has returned but higher pitched noises still hurts so working "mixing and master music" has become a painful task. I was preparing to make the appointment for the root canal so I can work again that's when I came across your videos today. Now I'm not sure if I should get a root canal based on what you are saying because it is obvious there is still an infection. You didn't make clear in your video, if your patient had an abscess whether or not it could be drained and then a root canal done later? Or is a root canal still not an option regardless because it's a much greater chance of the abcess returning even if it were drained. Can you please clarify your position? I wish you were in Georgia so you could advice me.

[@johnjazayeri]

Hi there. I'm glad my video helped you. Ok, so this comment is for you, and for anyone else who has almost died from an infected tooth. Do not do a root canal! Once the infection has gone well past the tooth, into the bloodstream, sinus, etc. you simply can not eliminate the source of infection by treating the tooth. All that draining, disinfecting, etc. does not work. The root canal may make your pain go away, but it will not stop the drain of bacteria into your body. There are two types of dentists that push and push their patients to do a root canal over a dental implant, even when the root canal is a terrible choice: Dentists who trained years ago before dental implants became commonplace, and dentists who don't know how to do surgeries and implants and are scared of losing you as the patient by referring you out. They know that if the patient goes to a dentist that does their dental implant, they will likely switch dentists and lose them as a patient. My recommendation to you is to go find a local dentist who does implants AND root canals. Only a dentist like this will give you a fair and unbiased prognosis. Having said that, in your case, you already know that you need to remove this tooth. Cut your losses and go find another dentist. Also, do not chase down an "in-network dentist". If you have to spend money, do it. If you can not afford a dental implant, simply have the tooth removed and grafted. Yes, having a gap in your mouth is not all that desirable, but it is better than having a 24/7 source of infection in your mouth which could lead to serious medical issues down the line. I hope this helps. Good luck with your treatment!

[@John-ds6jz]

I don’t trust any doctor anymore

[@lrduffy]

@@johnjazayeri You do not need to have a gap! You can get what they call a “flipper”! Even just for one tooth! That's what I have. I'm not compromising my future health by leaving a dead infected tooth in my bone. A tooth that is in direct contact with the blood system! Every root canal tooth is infected, no exceptions... It's just a matter of how much infection… Root canals are undoubtedly a form of "Russian roulette"!

[@rayshoesmith]

​@@lrduffyI've just had 3 of mine removed! The hell they have given me over the last ten years. All three removed have gone dry socket because of residual infected bone! I had to see three dentists to get the extractions, two refused because they were "healthy teeth" on examination, 3rd dentist did a cone beam and was shocked at the bone loss from infections all infected with no pain or inflammation. As soon as I hear a dentist say route canal all I hear is incompetent!

[@gratitudetouniverse3754]

​@@lrduffyHello. I am thinking of getting a flipper on my front tooth. Do you have any issue on the flipper tooth ? Is it fitted well in your teeth ? Does it bother you ? Thank you for answering.

[@UltimateGoldenGirl]

Thank you for this video Dr. Jazayeri. I truly appreciate it. I am going to my 2nd Oral Surgeon tomorrow and ask him to take out a back molar that I had a root canal in by a traditional dentist. As soon as I had the root canal I got tongue blistering terrible to the point that over several weeks I ended up with many symptoms putting me in the ER. Of course ER drs didn't know what they were looking for or at. So the tongue pain was horrendous. That has subsided and one side of blisters is gone, but I don't trust this healing process. I want the tooth out. The tooth itself started to hurt where the root canal was done so I know something is up. Truly I will never have a root canal again. I had perfect health until I had the root canal. I have no idea if he will take it out but I will find someone who will. I would rather have a bridge or go without it as it is in the back. Thank you so much for the video.

[@johnjazayeri]

You're quite welcome! A CT scan would be the most accurate way to evaluate the healing process. It looks like you've made up your mind so best of luck to you!

[@UltimateGoldenGirl]

@@johnjazayeri Thank you. I would say I am 95% better, but keeping a close eye on things as I feel in someway I had a reaction to what was put into the tooth (root). So I have several specialists. At some point I will likely have the tooth removed either way. Thank you for your amazing videos.

[@LadiesofPurposeTV]

⁠​⁠@@UltimateGoldenGirlglad you’re feeling better! Thanks for sharing this! I don’t want a root canal bc I’m nervous if side affects & I’m already sensitive to chemicals. I’m on day 4 extreme pain from a crown I had put in July nkw has abscess 😩😩. It’s the most pain I’ve felt in long time. It’s in my jaw/lymph node. I just want the tooth pulled them I’ll get an implant or bridge. Looking for holistic dentist

[@AvaBurnham]

Hi Dr. Jazayeri, thanks so much for this information! I have a follow-up question. I heard a statistic that only 40% of bacteria is removed during a root canal, and a root canaled tooth will forever leak bacteria which could cause systemic disease. Is that true? Is it true that root canaled teeth are always blackened by bacteria when they eventually come out?

[@User-357A]

After my root canal, I started to have flu, severe coughing and fever, and I am suspecting that it’s root canal, I watched the root canal documentary and I will remove the tooth soon,

[@ee7369]

I had an Apicoectomy a few days ago on a massive infected root canal on tooth 13 upper jaw. Given this video I’m thinking that I should have removed it but the Endodontics never told me about the extraction option. I even had a bump on my upper gum and that’s how I knew something was wrong. Should I still remove it?

[@johnjazayeri]

Hi there. For those who don't know, apicoectomy is a procedure where the dentist cleans out the infection that remains at the end of a root on a tooth which has previously been treated with a root canal. In other words, if the root canal fails to clean up the infection, you can do an apicoectomy to remove the remaining infection inside the jawbone. Apicoectomy works best on teeth with a single canal (anterior teeth). It usually does not work well on posterior teeth (back ones). I wouldn't worry about it, if your dentist suggested to do the procedure, I'm sure he or she is confident that the tooth will last several more years. Most apicoectomies fail within a few years. Plus, the tooth can remains infected even though there is no pain symptom. Eventually, the tooth needs to be removed and replaced with a dental implant. Hope this helps and best of luck with your treatment!

[@ee7369]

@@johnjazayeri Thank you. I just had the stitches removed, and he is putting me on antibiotics (even though I didn't need them after the surgery). He said the area is a little bit "opened." Is that normal? I am now regretting not having the tooth removed.

[@LiveLoveLaughEveryday]

​@@ee7369I'd remove it. My dentist recommended the same procedure. I got it extracted by a renowned implants expert and plan for the dental implants. My health is more important.

[@ventamed7564]

Hi Dr. Jazayeri, What is the silent infection risk for a implant vs a root canal? Based on your description, neither should be "showing" regular symptoms as there is no tooth/nerve in either situation - should cbct be done ~ 3 years after either procedure?

[@Drewpost19]

I currently have a root canal that is severely infected due in part to them missing a canal. I’ll find out this week if they can do another root canal or need to pull it out

[@johnjazayeri]

Hi Drew. Sorry for your dilemma. Generally speaking, if it's "severely infected" I wouldn't redo the root canal. It's only delaying the inevitable. Retreatments for missing canals are best for cases with pain, not those with infection. Either way, best of luck to you!

[@Drewpost19]

@@johnjazayeri Thank you. That was my original thought but the oral surgeon sent me to an endodontist because he felt it would be worth saving, which is what the endodontist told me. They said it’s about 98% success first root canal and 95% for retreatment. Not sure if that’s true

[@Metronidazo]

​@@Drewpost19100% de gain pour eux c'est certain

[@melindamcclain835]

That happend to me. Bad dentist missed accessory canal. Tooth was surgically removed. 😢

[@mounirsaifi3735]

That was captivating, and I am not even a dentist.

[@neatapeace4266]

Hi dr. I had a root canal done with the crown 11 years ago on my lower jaw next to my pulled wisdom tooth. Unfortunately a year later when I was touching my chin it was still sensitive. I went to a new dentist and said there is a sack of infection underneath the tooth and the tooth has be extracted and implant done. I had a second opinion and the dentist said we monitor it. Well recently half of its crown broke and went back and had it filled twice and broke again first in 9 days then whitin 3 weeks. I suffer from migraines and muscle aches every week for 11 years now shorty started after I had the root canal done. I have heard that an abscess under root canal could be the cause of all these headaches. Thinking of having the tooth extracted asap. What do you think?

[@johnjazayeri]

Hi there. An infection under a root canal is like a silent killer. You should NOT monitor it. In fact, there is no way to monitor such an infection. I mean, does your dentist take a sample of the tissue and send it for biopsy? Of course not! They look at the Xray to see if the cyst gets bigger or not. That is not monitoring anything. If the abscess does not go away completely after a root canal, you should remove the infected tooth. It sounds to me like you should have removed the tooth a long time ago. Hopefully, your symptoms will improve soon afterward.

[@neatapeace4266]

@@johnjazayeri Thank you very much for prompt response.

[@lfrost6718]

Thank you! I've been watching videos endlessly and yours has finally answered my question! I have a big infection on tooth #3 with no pain. The endodontist has suggested either pull or continue with third root canal within 3 weeks because she can't find the roots due to calcification. I really wanted to keep my tooth but now understanding the issue of infection and sinus. Thanks again!

[@elsak1875]

Omg I’m going through this too on #3! I’m stressed trying to make a decision to have a root canal or extraction. I’m so conflicted cuz it’s a life changing decision 😭

[@hillhiker1468]

​@@elsak1875 Did you get another root canal or have it extracted?

[@elsak1875]

@@hillhiker1468 I went with the root canal with a crown on it and it’s been a year since. So far no pain or any sign of infection. It’s my one and only root canal.

[@hillhiker1468]

@@elsak1875 Thanks for the reply. I ask because I am scheduled for a root canal soon on a tooth. I am hoping it works fine since I'd prefer to keep the tooth and keep it from getting infected again. I had to make a choice between root canal or extraction. The dentist I saw seemed to lean toward root canal. I understand the stress of the decision.

[@edaerkol7841]

Hi. One question please. I ve had a very good root canal treatment 4 months ago, it was my first one. However only thing l have noticed is that l can floss so much easier after the RC treatment meaning that next to one side of the RC treated tooth, the floss enters way too easily. Why did this happen and how can l get this fixed? Thank you.

[@gail6553]

Amazing video! Thank You! Best description I've heard on issues.

[@arthury3224]

I read that apical periodontitis (infection) is present in 40%-61% of endodontically treated teeth. Does that mean that these 40%-61% of patients need them pulled? Or should they be monitored and only pulled when it turns into an obvious access?

[@johnjazayeri]

Hi Arthur. Great question. Unfortunately, there is no clear answer to your question. You can monitor the root canal treated tooth/teeth via X-rays. Since there is no nerve, you can't rely on pain symptoms for feedback. Taking periodic CT scans is not a safe or effective solution either. Essentially, it's nearly impossible to monitor the condition of root canal treated teeth in your mouth over the long term, especially if you have multiple root canals. If this causes a health concerns, then the only actual solution is to remove the root canal tooth/teeth. Of course, this comes with lots of pain, expenses, etc. There is no actual solution other than avoiding root canals in the first place. I've had several patients who have come to me over the years with concerns about their root canals. One of them had recurring bouts of cancer and wanted all of his teeth removed. He had 5-6 root canal teeth. I discussed the pros and cons of the treatment. Ultimately, he decided to remove all of his teeth as he was convinced the teeth were somehow contributing to his cancer. This is a personal decision that only you can make. Having a bunch of teeth missing sucks, but if it's going to kill you, then I would say most of us are okay with being alive with a few missing teeth than being 6 feet under with a full set of teeth!

[@jL-zc4bw]

@@johnjazayeri Hi Doctor, you mentioned taking periodic CT scans is not a safe or effective solution either. When you said CT scan, I assume you mean CBCT (Cone beam computed tomography) ? Why do you think taking periodic CBCT is not safe ? Are you worried about the radiation ? Thanks.

[@larrygarcia9336]

Hi Dr. Jazayeri. Quick question, if there is an infection and abscess is present, can this be treated by oral meds like antibiotic without undergoing root canal? Tnx.

[@johnjazayeri]

Hi Larry. Excellent question! Unfortunately, contrary to what patients believe, antibiotics do NOT resolve tooth infections. Once a tooth is infected, it will remain infected until it's treated (via root canal or extraction). Antibiotics can mask the symptoms temporarily, but the infection remains dormant. The pain could go away over time, but the infection remains. The tooth may crumble and break off, but the infection will continue to remain in place. The only solution to an infected tooth is a root canal (if it works) or removing the bad tooth. Do I think you should take antibiotics for a tooth infection? Sure, but only with a plan to treat the tooth. Otherwise, you're only masking the symptoms temporarily and building resistance to antibiotics. Take antibiotics and do the root canal, or take antibiotics and remove the tooth. But do not take antibiotics alone thinking that it will resolve the problem, because it won't!

[@larrygarcia9336]

@@johnjazayeri very thankful for you taking time to respond. I greatly appreciate it.

[@MORCOPOLO0817]

There is something weird about this dentitst"s affect. But most dentists who have been around for a while suffer from "Mad hatter's" syndrome from years of Mercury exposure.

[@johnjazayeri]

Hi there. You're probably on to something. It's a stressful job.

[@boyscout-p3u]

what percentage of people who get root canals develope infection in the tooth without them knowing it for months to years is my question

[@johnjazayeri]

Hi James. There really is no solid statistics on this matter as far as I know. Based on my experience, I would say about 15 to 20 % of root canals become infected over the course of a lifetime (like 20+ years). The risk is much higher for molar teeth as well as teeth with multiple root nerves.

[@boyscout-p3u]

@@johnjazayeri for patients who opt for root canal, how do you address this issue, should you get an xray every 3-5 yrs just to make sure your root canal tooth isnt infected or just wait for symptoms you can feel or see

[@user-gu6vf3je1d]

⁠@@boyscout-p3u Yes. They tell you to watch it with X-ray which is also toxic. Having a dead tooth with no blood supply in your mouth is toxic. You will constantly use all your immune function to protect it from infection. No worth it. Especially if you are over 40. You immune function is lower after this age.

[@Bradmurphy13]

100% of root canals are infected

[@Bradmurphy13]

I had 2 removed the other day that are 10+ years old and I felt IMMEDIATELY better as each one was taken out - all organic matter gets eaten by bacteria is biology

[@Eron55555]

Hello Dr. John. This is the best video I've ever seen on the topic of Root Canals and the possible toxicity of them. This completely aligns with what I was thinking was the issue. Now, should one with root canal's simply ask for a CT scan every so often? And if so how often? May dentists take the standard x-rays and say everything is fine..

[@haticeergun7618]

Root canal treatment only delays the tooth extraction a little bit longer than it has to be and basically is a waste of money and is an empty hope. When the nerves are removed from a tooth that tooth is no longer alive and a dead part of any organism causes more harm than good.. Idk why dentists are so in love with rct..!

[@escapelina]

Because you need your teeth to chew. And that's important, right? And also missing teeth have an impact on your psychological state, social interactions and self perception. Besides, root canals are a success most of the time. So, of course, dentists will continue to do them

[@fernwehtwl]

what is the netflix movie he is referring?

[@Metronidazo]

Root Cause kzbin.info/www/bejne/rHjYpHd_q6p7d9Esi=OiM8TfaUhmmc4ISa

[@beltingtokra]

Hello, this is so helpful, i probably need RCT for a lower incisor, but the tooth is so small, how can they do it without destroying the tooth? Never had a filling so am nervous about the whole drilling part of this 😮

[@johnjazayeri]

Hi there. The lower incisors are indeed small teeth. If you need a root canal, your dentist may be able to avoid putting a crown on the tooth. So long as they make a small access hole, this is possible. What made you need a root canal in this tooth? It is not a very common tooth to become infected.

[@beltingtokra]

@johnjazayeri thanks for your reply! I've had a painless lump in my gum nearby for over a year and I plucked up the courage to see the emergency dentist last week, they noticed the tooth above it was a slightly different colour to the others so they did an xray and it had a dark patch under the root, so the dentist thinks the tooth is dead. I've not fallen over or impacted it, but I did have braces for a few years and I sometimes wear my retainer and I used to play woodwind instruments regularly. I also drink tea and so there's a chance the cup had impacted my tooth...? I really have no idea what has caused it, it may have been dead for years but now the lump suggests it has an abcess and the dentist was super keen to do a rct (of course!) But I said I needed to think about it. While I have your attention, if you had the option, would you have your rct done in a hospital potentially with a (supervised) Dentistry student or stick to the dentist? Same price (thank you nhs) just I'm not sure which is the best option, would the dentist want to upsell me items or private treatment the hospital wouldn't?

[@beltingtokra]

I should add, I am hoping to get a Hospital referral ideally to get a more thorough xray and investigation before anyone goes drilling in my mouth, I might contact my gp too to see if they can identify the lump.... the tooth itself feels, different to the others I guess, but there is no pain in the tooth or gum or anything 🤔

[@randomthoughtstoday]

Dr. Are there non-epinephrine shots i can take for a molar 19 root canal that can be effective? Here i had a 1st shot and i dont know if it was anxiety but i soon started to feel heart rate go fast and was scary.

[@johnjazayeri]

Hi there. Great question! Sure, there are no epinephrine shots available. The problem is, these shots also wear off really quickly. Like in 20 to 30 minutes. Which means they only work for fillings, and not for complex treatments like root canals and tooth extractions. Plus, if the numbness was to wear off that quickly, you'd feel a ton of pain afterward. You have a few options to reduce your anxiety: 1. Ask your doctor to administer the shots slowly, over the course of 20 to 30 minutes, while monitoring your BP 2. Come up with an anxiety solution, like taking an anxiety pill or nitrous gas I've used both options with great success. But you need the stronger shots for the root canal so you can't skip the epinephrine. Good luck with your root canal!

[@GordonNash]

Thank you for such a thorough video. I didn’t realize how dangerous upper molars. Also, you saying that you need to keep an eye on the root canal (regular appointments with x-rays) for the rest of your life was very good information.

[@johnjazayeri]

Hi Gordon. Yes, you are spot on with both points.

[@joenarb]

Excellent, and very informative. Thank You!

[@edaerkol7841]

By the way l had no tooth pain but was told l got a deep cavity cause it showed on the scan. I wonder if it was a scam.. Would one still need a RC if there is no pain? Thank you.

[@johnjazayeri]

Hi there. This is totally possible. If a filling or cavity encroaches the nerve then you might need a root canal. A pulp cap or temporary filling might also work. Some dentists choose these more conservative options, others go straight to a root canal. Glad your treatment didn’t hurt!

[@edaerkol7841]

@@johnjazayeri thank you!

[@edaerkol7841]

Does that mean my root canal would be more successful since l didn t have pain? I mean a more simple procedure. Thank you.

[@manxydom9879]

This is a good balanced perspective. It would be good to find a dentist who also uses ozone and does PIPS or SWEEPS such as Dr. Valerie Kanter in California. She is an endodontist that was recently endorsed by the IAOMT (a holistic dental / medical organization) for being able to actually clean the canal totally. Your best bet is to have an endodontist do your root canal. There are also some general dentists who are excellent, but harder to come by. Many general dentists are average to good at root canals, but you want one who is excellent and most up to date on protocols for best longterm results both for your tooth and whole body.

[@rocknral]

My Daughter was diagnosed with an infection on her front tooth by her orthodontist and confirmed by her general dentist. She had a significant injury to that tooth about 2 years earlier when she was 9. Our dentist said the tooth was dead and infected and needed a RC. I asked him, "if it was his 11yo daughter, knowing that she would be dealing with this for the rest of her life ( including orthodontic treatment), would he do the work?" Immediately, he wrote out a referral to "the best endodontic practitioner in our state". He was fantastic. Two visits, not 3, cost about the same as general dentist. The 3 hr round trips were worth it.

[@manxydom9879]

@@rocknral That’s both a good general dentist and endodontist. Anterior root canals are easy money for everyone (usually) because the anatomy is much easier to deal with (usually). So for your general dentist to do that referral is great on him for integrity. A lot of patients want all their dentistry at the same place, and that’s fine too!

[@keithvlogs1]

Currently suffering...from a reocurance of root canal infection which was already infected 4 years ago. Is it right that I was advised either to take it out OR* antibiotics again. Being surprised by the thought of loosing my teeth I went with antibiotics my i can feel my left jaw swollen and hurts more. So will try and get it removed. BUT just wana THANK YOU SO MUCH!!! I personaly think... that your XRAY and ct scan comparision should be taught MANDATORY in ANY DENTAL SCHOOL! Dentists should be shown what they can "MISS" from Xray alone. as you said... that other tooth was swimming is puss. The problem is I think some dentist have this atittude that " that little thing is just in your head its fine" ... when really they should have a ... if theres a smore theres a fire attitude.

[@johnjazayeri]

Hi Keith. You are welcome! It is a misconception that antibiotics resolve tooth infections. They don't. They could resolve gum infections, but a tooth infection is something that is embedded inside the tooth nerve. Antibiotics will mask the symptom for a short while, but they do not treat the infection. A root canal that was re-infected 4 years after a root canal treatment is a problem. In all likelihood, the tooth has remained infected the entire time, and is now showing signs and symptoms. I know the thought of having a missing tooth sucks, but it is much better than living with a 24/7 infection in your mouth (which drains into the rest of the body). Hope this helps a bit. Good luck!

[@jum3aa439]

Hello Dr. j, thank you so much for the informative video. I have huge pain on my right 2nd molar. I have a very high pain tolerance but this is extreme. Do you think a root canal is a good option or should I extract. The pain reached my ear and front jaw it also gave me very bad stinging headaches. I have to decide today or tomorrow, i cannot manage the pain anymore.

[@johnjazayeri]

Hi there. It sure sounds like you have a root canal infection. You either need a root canal treatment or you have to remove your tooth. I would have to look at your X-rays to determine the best outcome. Also, I have a video that compares the two procedures. Check it out and it might help you make the right decision: kzbin.info/www/bejne/aIe2o5ueoJ6LgNU

[@jum3aa439]

@@johnjazayeri thank you so much for your reply i did watch the whole video my jawline or my facial features will change after extracting my second moral

[@anis9587]

Hello, I'm concerned about a very bad smell developing in my mouth, specifically between my teeth, after a root canal treatment. The smell is particularly noticeable when I use dental floss. Could this indicate an infection or something else? X-rays show that the two root canals I had done so far on my lower molars were not done properly. My new dentist suggests that they need to be redone but says she won't do it and that this requires machine-assisted endodontic treatment, which involves a longer waiting period to get an appointment. The unpleasant smell started two days after the root canal, and prior to that, I had severe infections in those teeth and the entire right side of my mouth. Additionally, small red spots have appeared on the right side of my face at the level of my upper and lower jaw. Based on this history, could you explain what might be going on and what I should do next? I would greatly appreciate your advice. Thank you!

[@johnjazayeri]

Hi there. Unfortunately, your symptoms do not sound good. First off, root canals do not work for severely infected teeth. Period. Trauma, sure. Mild infection, maybe. But a tooth with severe infection does not need a root canal. It needs to be removed. Everything else you mentioned about your teeth points to the fact that the infection is spread well beyond the tooth and into the jawbone. Keep in mind, you can not see the extent of the infection on traditional X-rays, despite most dentists wrongly assuming that you can. You MUST take a CT scan to see if the infection is still there, or if it has been cleared. IMO, cut your losses and remove the teeth. Your body will thank you for it. Feel free to send me your X-rays if you want me to take a closer look at the teeth. Either way, good luck!

[@rahulpr2687]

Hi doctor.. Do every tooth extraction need to filled with bone graft? Please reply

[@fernwehtwl]

Also doing an implant can lead to another infection again right ?

[@johnjazayeri]

Hi Fern. You actually can't get an infection on a dental implant. Allow me to explain. Dental implant is a foreign object. Your body can reject the dental implant. You can have allergic reaction to the implant (extremely rare, I haven't seen one yet). However, you don't get an actual infection on a foreign object, because the body would simply reject the implant. Plus, the bacteria that eat teeth, gums, and jawbone, have no interest in a metal based object. Again, I'm not saying you can't have issues with dental implants, you certainly can. However, a true infection, is not something that is generally associated with dental implants. It would be more like bone loss, rejection, pain, and stuff like that.

[@minlou4639]

FYI. I like the way you talk. It’s every entertaining.

[@death_page666]

hello me dear colleage. if you dont mind, can you tell the price of root canal treatment. thx

[@johnjazayeri]

Root canal prices in the US range between $500 to $1,500. The front teeth which have one nerve are the least expensive. The molars which have the most number of nerves, and are harder to do, are the most expensive. Don't forget, you also need a crown most of the times which nearly doubles the cost.

[@death_page666]

@@johnjazayeri thank you so much.just for fun. in my own clinic in Moscow the one nerve canal costs 63$ . and it is the capital of russia!

[@NikkieRoxxx]

In Netherlands, a one root tooth costed me, total incl x rays ect: 364€

[@chezchezchezchez]

Friend of mine had an implant 3 years ago. Now teeth “feel weak” and when flossing he gets a “smell of death”. Any ideas?

[@ameerdarweesh8550]

I can not thank you enough for this very very informative video. The video is 37 minutes long but it felt 37 seconds because of valuable information, very on point. I feel like I’m a half dentist now. Thank you very much, you definitely deserve my likes, comments, shares and subs.

[@milad8255]

I'm the president of the United States

[@NikkieRoxxx]

He should be teaching! He"s excellent in explaining, getting to the point, sometimes with humor as well!

[@jasonproulx268]

The dentist broke the bit in my root, they couldn't get the piece of titanium out of the root. They told me it would be ok and put the crown on. My health has been depleting ever since, my breathing has been affected and my sinuses are continuously blocked. I tell the doctor and he makes nothing of it, i tell my dentist and he too makes nothing off it! Im contemplating getting the tooth removed. I haven't made the decisions yet

[@johnjazayeri]

Hi Jason. I'm sorry to hear about your experience. Pull the tooth. Your health is more important than one tooth.

[@tonycnote5537]

Sue them

[@megbear7541]

Dear Dr. Jazayeri, Should I take regular X-rays or 3D X-rays CT scans of my painful filling in my decayed teeth to decide if I need root canals? Thank you for this video!

[@johnjazayeri]

Hi Meg. You don't always need a CT scan for root canal diagnosis. CT scans are reserved for massive infections, chronic infections, recurring infections, and teeth with multiple roots. If it's a simple painful tooth, a regular Xray is sufficient. Feel free to post your Xray if you need further advise.

[@bisarowood]

thanks for the great info... I just got quoted $2500 to redo a 20 yr old root canal by an endodontist ... I'm just going to get that tooth pulled . got some numbness in the jaw sometimes , but do have some strange fatigue .

[@johnjazayeri]

Hi there. You're making the right decision :) $2500 to patch up an old root canal, which is unlikely to resolve the underlying medical issues, is a waste.

[@AnneBettelyoun]

I have had all my teeth root canal and I am embarrassed about it is that common

[@3n3rg39]

What would you rec. if youve had two root canals and now are being rec. a apicoectomy, there seems to be an infection and some bone loss on rootcanal, tooth is not mobile. Thank you so much.

[@johnjazayeri]

Hi there. It's hard to answer your question without an X-ray. Obviously, you'll save a lot of headaches if the apicoectomy works, especially since it involves two teeth. On the other hand, most apicoectomies fail after 3 to 5 years. Many of the ones that work, fail to completely resolve the infection. In my experience, anterior teeth do best with apicos, bicuspids do so-so, and molars do very poorly. In other words, the further back your tooth is situated in your mouth, the worse the prognosis of an apicoectomy. FYI, be sure to take a CT scan beforehand, otherwise the doctor won't have a clue what is going on in your mouth!

[@3n3rg39]

@@johnjazayeri thank you doctor! The tooth has has two root canals (sorry for being unclear) it would be preformed on #13 root end resection root end fill + bone graft ( DFDBA - is this a good choice of bone graft?)

[@3n3rg39]

@@johnjazayeri endo recommends I move forward with treatment instead of hoping an implant will work.

[@edaerkol7841]

I have swollen gums and it shows on the xray always, how will l know the difference between the swollen gums and a root canal infection when l get the xray and it shows sth that might be either ? Thank you. Ps : l feel so paranoid now and feel like getting a dental CT scan per year, is it safe? Sorry for too many questions.

[@QUEEN-mv7tm]

Sir.. I want to share my x-ray.. Of RCT tooth... Could I?

[@AvaBurnham]

If you have a root canaled tooth with a reinfection, would the gums be swollen? And would you smell it on the floss? Thank you!

[@johnjazayeri]

Hi Ava. The answer to your questions are yes and yes. Some infections may not have these symptoms, but if you have these symptoms, you probably have an infection (the only other option is an ill-fitting crown on the root canal tooth that needs to be replaced).

[@rayashanazarian781]

I had a root canal done 9 months ago and I still have pain. please tell me what could be the reason and my dentist does not know why.

[@johnjazayeri]

See a specialist, endodontist. Here are the reasons: 1. Missed canal 2. Canals not properly cleaned 3. Fractured tooth The first two require a redo. The last one requires tooth extraction and dental implant. Hope this helps.

[@melindamcclain835]

Missed accessory canal

[@NicoleBarlow-i5b]

Hi Dr Jazayeri, I am trying to work out if I have a failed root canal. I had it because I needed a filling before the Covid lockdown and by the time I could see a dentist, it was a root canal that was needed. I have no pain but slight sensitivity on the tooth when I push it front to back. I never had the tooth crowned so last year half of it broke off as well and it is yet to be crowned. The root canal is short (1.8mm) and the CT scan looks like the initial infection (2 years ago) has not cleared up but it doesn’t look like a massive infection. I want to avoid redoing the root canal due to the success rate of a second root canal and my high intolerance to the rubber dam (claustrophobia). Could you give me some advice please? I am happy to send you X-rays and my CT scan.

[@johnjazayeri]

Hi Nicole. Sure, my email is [e-mail]

[@user-dq9tt9np1o]

Dr I've had 5 rct. After the 3rd rct 3 years ago my gums developed abcesses dentist couldnt figure out why and my tooth also got infected and a different dentist treated the tooth and filled it again Fast forward 3 years later im left with gum recession and pockets. And constant irritated gums around all my rct teeth. My gum specialist did a root scaling and the pain is 75% reduced but my gums continue. To be inflamed and angry after meals. Any advice? Ive also developed a lot of cavities in the last 6 months despite cutting down on sugar and good oral hygiene Im considering having all 5 teeth pulled out Any advice? Really appreciate it I've been in constant pain for the last 3 years Also ive not put on crowns for 4 rct teeth because im traumatised

[@johnjazayeri]

Hi there. I would see a specialist, an oral surgeon, or a dental implant specialist. You need to take a CT scan to see if your root canals are infected or not. Most likely they are. If that is the case, you should not spend any more time and money on them and have them removed. You can email me your Xrays and I will take a closer look at them. Best of luck!

[@user-dq9tt9np1o]

@@johnjazayeri appreciate it dr. I just got my cbct done. How do I email it to you pls

[@WyGuyyy]

Thank you for making this! I was told 2 days ago I needed a root canal on tooth 29 due to a failed filling/trauma, so naturally I started doing my own research. Saw the documentary "root cause" and was scared to death and started considering going straight to an implant from a wholistic dentist. Once I found out the wholistic dentist does root canals too I started to reconsider, and now I'm sure I'll just do the root canal. I was wondering if the lower teeth are less risky, and since its only a bicuspid my dentist said he would do it himself, should I insist on going to an endodontist? And do I need to demand the CT scan at least 1 time a year, or should my dentist already know?

[@celiahedges7777]

Could 5 or so root canals cause Type 1 diabetes?

[@johnjazayeri]

Hi Celia. It’s really not so much about the number of root canals as it is about whether or not your root canal treated teeth have been reinfected. Of course the more root canals you have the higher the chances of developing a recurring infection. Can a tooth infection precipitate or increase the likelihood of developing diabetes? Yes, particularly for type 2 disease diabetes. Take a CT scan of all of your root canals and evaluate them to make sure there’s no infection if that is your suspicion. If a tooth feels “funny”, that’s usually enough to an alarm that it’s infected. Don’t forget, root canal teeth won’t exhibit too much pain, so you need to look for subtle symptoms.

[@raghuarmani8341]

I had 2 root canals on right side 2 on the left. I removed the right ones. My health improved. I eat on left. Now I wish to remove left also. How will I eat. My removable dentures hurt. Are implants any less dangerous than root canal?

[@johnjazayeri]

Hi there. You are correct, dental implants are less dangerous than root canals because they don't get infected. I have a few patients in a similar position. You can start off by removing the infected teeth on one side of your mouth and replacing them with dental implants. Then, the following year, you can treat the opposite side. This way you can continue chewing comfortably while also having time to pay for your treatment. However, I wouldn't leave infected teeth in my mouth due to a fear of being unable to chew. The consequences of chewing less effectively is far less than leaving infected teeth in your mouth.

[@raghuarmani8341]

@@johnjazayeri thanks for your answer. Very informative and analytical. Don't Dental implants get infected?

[@dave9547]

​@@johnjazayeriHi John! Quick question. Would you recommend just going straight to an implant? Both my parents have had infected root canals removed. I'm paranoid about them and being told I need one. Can I just get an implant instead? Seems they have a much longer life and far less chance of becoming infected? Really hope to hear from you soon as I need to decide what to do. Thanks in advance for any answer!

[@margep2821]

Hi Dr, thanks for your video. Will have a RCT done soon. How come never had any pain on that molar #3? My dentist saw on the xray I have cavity, already had a filling on that molar, he said I could either have a crown put or if he sees nerve is affected need a RCT.. and now have to do RCT.. just wondering how come never had pain at all.. is that normal. Thank you

[@Mbs-c8l]

The thing is my tooth is not infected. I had a filling which came out and some coconut got stuck in there causing a gum infection but my dentist said i need a root canal when I only wanted a filling after I did a course of antibiotics. In my appointment I will tell her that i dont want a root canal as it can cause infection unnoticed due to the dead nerve!

[@brahmarupati]

Rct is good or bad???? I am confused whether i can extract or rct??? Please suggest me doctor 😢😢😢😢😢

[@johnjazayeri]

There are many factors to consider here. Personally, I would only recommend root canals for teeth with trauma ,like fractured teeth, pain after receiving a filling/crown, etc. I would avoid root canals on teeth that are already infected. The worse the infection, the lower the chances of a root canal resolving the infection. Similarly, a chronic infection responds much more poorly to a root canal treatment as opposed to an acute scenario. Each case is different and you need to evaluate factors such as source of pain, condition of tooth, remaining tooth structure, etc. to make the right decision.

[@brahmarupati]

@@johnjazayeri thank you doctor

[@Star5dg]

i have a ten year old root canal that gives me mild pain, bad taste from it but no infection on the xray

[@melindamcclain835]

That's because you have a dead and rotten tooth in your mouth.

[@johnjazayeri]

Hi there. It's probably because you;re dentist is relying on a 2-D X-ray. You would need a CT scan to identify infected root canals. The infection could be behind, or in front, of the tooth. This will not show up on standard X-rays, and will only be visible on a CBCT. Also, your dentist can probe around the tooth to look for bone loss. It is very common for infected root canals to not show up on standard X-rays. Most dentists just write it off. It's your body, be your own advocate and get a second opinion. I would bet that the tooth is infected based on what you are telling me. Good luck!

[@Star5dg]

@@johnjazayeri OK thank you. If I get it extracted do I need antibiotics?

[@skaterbras8837]

Dr. J THANK YOU SO MUCH. That video rocked! I'm looking into getting a root canal and that covered everything your a great teacher. Thanks again for all your hard work you put into that vidoe! I'm subscribed.

[@itsaaronlolz]

i have one root canal done by an endo and it’s over 10 years old. i broke it a few years ago and got a zirconia crown on it. i hope it lasts…..

[@jL-zc4bw]

Hi Doctor, you mentioned below that taking periodic CT scans is not a safe or effective solution either. When you said CT scan, I assume you mean CBCT (Cone beam computed tomography) ? Why do you think taking periodic CBCT is not safe ? Are you worried about the radiation ? Thanks.

[@johnjazayeri]

Hi there. You are correct, I meant CBCT. The truth is, no one actually takes annual CBCT to monitor their current root canal conditions. Too much headache, too expensive, too much radiation, etc. You might be able to do it for the first few years, but chances are you will stop doing it after a while. Then, should an infection brew up 5 or 10 years down the line, it will continue to go unnoticed for a long time before it is diagnosed. If it ever is. So yeah, this may be a way to monitor root canals in an ideal world, but it doesn't work in real life. Just my 2 cents. Best of luck!

[@mrgfdrttr155]

@johnjayazeri hi Dr jayazeri. Your video is very informative. Some questions. 1) what is the radiation dose from the cbct ? 2) does an implant have similar silent infection risk like a root canal tooth does ?

[@mrgfdrttr155]

Also why is the root canal riskier on upper molars and not bottom molars ?

[@johnjazayeri]

Hi again. Great question! Here are a few reasons why upper molar root canals are the riskiest ones: 1. Upper molars typically have the most nerves/roots. Most upper molars have 3 roots and 3 to 4 nerve canals. In contrast, lower molars typically have 2 roots and 2 to 3 nerve canals. More roots and nerves means more room for error, more chance for fracture, more opportunity for infection, etc. 2. In many patients, the upper molar teeth sit directly on the sinus membrane. This means that if there is an infection, it goes directly into the sinus causing an infection without any warning. 3. Finally, because the upper molar roots can sit very close to the sinus membrane, it is very difficult to identify infections from X-rays. An upper molar tooth could remain infected for years and go unnoticed on standard X-rays (only a CT scan would identify the infection). This is far less common with lower molars and other teeth since they do not sit directly on the sinuses and the infection shows clearly on the X-ray. I hope this helps answer your question. Sorry for not expanding on the video, as it is too technical. But hey, now you know why! Best of luck with your treatment.

[@mrgfdrttr155]

@@johnjazayeri hi dr jazayeri, thank you for the answer. So would you push for root canal only on bottom or endodontist should make the call vs implant?

[@mrgfdrttr155]

@@johnjazayeri also, does an upper implant have the same silent infection risk ?

[@LiveLoveLaughEveryday]

​@@johnjazayerithanks for the explanation. Great info.

[@Sharon-f7n]

A root canal is leaving a dead bone in the gum and you may not have pain but you are getting a low grade infection!

[@IndigoViolet7]

Thank you so much for the great info!

[@johnjazayeri]

You're welcome!

[@sparrow4313]

What is better zirconia or titanium implants? On back molar?

[@Astralmystique]

My tooth started to show signs of infection after a filling, as I developed a fistula all of the sudden a couple weeks after with no pain. However, this tooth went through trauma after the filling as the bite was left high and I would find myself involuntarily clenching especially after waking up. The doctor also chipped one side of the enamel of that tooth during the procudere. I think that this is the reason my tooth got infected. If this were the reason, could fixing that chip + antibiotics actually save the tooth without a root canal?

[@Astralmystique]

I took antibiotics and the fistula almost disappeared

[@johnjazayeri]

Hi there. Sorry to hear about your condition. I'm guessing the fistula is below the gumline, inside of your jawbone, correct? If so, this most likely occurred because when the dentist hit the tooth nerve when removing the decay. While this can happen under any circumstances, it's most common with deeper fillings, or cavities that have been sitting for a long time and neglected. Leaving the bite high can also be a contributing factor, as it can lead to tooth fracture. If you have an actual fistula, it won't go away by itself. You need to seek treatment for it. The fact that the antibiotics made the "bump" go away, does not mean the infection has been resolved. The antibiotic is only masking the symptoms. You probably need either a root canal or a tooth extraction. It could be something else too, like gum issues, etc., but these are the two most likely outcomes. Ask your dentist to take a CT scan to see if there is an infection and decide upon the next course of action. Best of luck!

[@Astralmystique]

@@johnjazayeri thank you so much for your reply! I subscribed. The fistula was in the gum above my tooth, but yes I’ll be getting a root canal this month. After seeing your video I came to the conclusion that I have had this infection for months because months ago when I still had my cavity unfilled, every time I touched a part of my cheek/sinus, I felt a pain in the exact region of that tooth (but also in that part of the cheek beside my nose). And I can still feel it. I think that this is also why my abscess never caused pain as it spread there. Would be asking for that scan then!

[@paularogers1970]

Dr J. I have 3 root canals. Im feeling pain when I bite with one of them. Going to endodontist to get checked. If it cracked and he wants to do o a redo on the rc would you advise that or get it out? Thank you Paula

[@isabelajatczak]

Awesome video, super appreciate it!

[@Candy-O1776]

I had a mouth full of root canals and crowns and bridges. The decay couldn’t be seen on an x-ray, until it ate into my jawbone. I got Lyme’s disease and it made all the bacteria seem to come alive, I had 5 teeth pulled, an lost two bridges. I just had all my remaining teeth pulled, got implants and am recovering. Always pull it and get an implant!

[@PamelaBooms]

I have a tooth with internal & external resorption. I had a root canal & crown, and I am still having trouble with the tooth. I had been told the tooth absorption has not stopped, what should I do with the tooth? It’s the back top molar. Should I have the tooth removed?

[@avondoysabas-jackson4855]

Thanks for the information doctor. I got into a bike accident and my two front teeth were broken at gumline. It's so heartbreaking because they were healthy and now I have to get a rct. Is there another way of saving my teeth?

[@johnjazayeri]

Hi there. I'm sorry to hear about your accident. If your front two teeth have broken at the gumline, then the only way to save them is with a root canal, post and crown. You still need some tooth structure above the gumline for this solution to work long term. Otherwise, if it's really broken at or below the gumline, then removing the teeth and dentures or implants is the better choice. Here are a few tips if you really want to save these teeth: 1. Consider connecting the two crowns: If there is hardly any tooth structure left, then the crowns may fall off. Connecting the crowns improves their longevity. 2. Crown lengthening: If there is almost no tooth structure above the gumline, crown lengthening can extend the useable tooth structure to improve the chances of your crowns staying on. These treatments are not cheap. Make sure that the teeth have a pretty good prognosis with root canals and crowns. Otherwise, remove the teeth and replace them with a denture or implants. So the most important factor here is how much tooth structure is left above the gumline. The more, the merrier! Feel free to send me your Xray if you want me to look more carefully at your situation. Best luck either way!

[@backroadscamaro541]

I have a large abcess they did the root canal anyway am I in trouble

[@johnjazayeri]

Hi there. I would follow up with X-rays and CT scans to make sure the abscess goes away. Give it up to a year. If it goes away, then the root canal was successful and the infection is gone. However, this may not happen and the infection could remain dormant. Unfortunately, there will be no pain at this point to tell you that there is an "infection". So yeah, you could be in trouble depending on how your body responds to the treatment (again, pain has nothing to do with infection being present after a root canal treatment).

[@backroadscamaro541]

@@johnjazayeri wouldn't my gum be swollen if it reinfected

[@humanyoda]

What do you mean by grafting a tooth?

[@georgebanks8804]

Hello Doctor. I had a root canal done at the VA, around 90 days ago. I’m having Tooth Sensitivity on my Root Canal Tooth. When I bite down on the tooth it feels different and mile pain. Any suggestions ?

[@johnjazayeri]

Hi George. This pain sounds like pressure pain. This usually happens after the root canal treatment because the tooth becomes weak. A lot of people get confused by this, since they incorrectly assume that the tooth shouldn't hurt at all following root canal treatment. This pain, which is pressure pain, comes from the PDL (periodontal ligaments) surrounding the tooth, not from inside the tooth itself. The root canal tooth won't respond to hot and cold since it has no nerves, however, it could feel pressure pain since the PDL is still intact. If left untreated, the tooth typically cracks and you will lose the tooth. The solution is to place a crown on the tooth. This will strengthen the tooth and provide it with rigidity to support against the bite forces. Hope this helps, and best of luck to you!

[@georgebanks8804]

@@johnjazayeri Yes it did help. Thank you Doctor for your help. 🤙

[@the_city_gent2856]

​@@johnjazayeriI have exactly this! But my pain started exactly after the crown was put on! It's been painful and throbs for around 9 months now! Would you suggest it needs to be extracted?

[@dreamlify8]

May I ask, if you feel pain does that mean your nerve is still alive and vital? If still vital, won't pulp therapy be a better option instead of invasive root canal?

[@buttercup1798]

Hello Doc. Jazayeri, I've been watching your KZbin channel video for Root Canal treatment doc. Hoping I can get an advice to you about my situation of my failure root canal treatment doc. It's been almost 3months now since I have my first Root Canal treatment for my front tooth. April 11 2024 I visit a dentist to have a check up cause one of my front tooth chipped out then after if my dentist advice me to undergo Root Canal treatment to save my tooth cause its infected due to my long time pasta ( filling) she did x-ray and then i did undergo antibiotics for like a week . Then after a few days all I felt the whole week if sensitivity, twinge on my Root Canal tooth, tingling and very uncomfortable teeth bite. Every week of the whole month is just suffering I've been going back and forth every week because I still suffering the same concern problem till now . Last month May23,2024 they did a retreatment for my root canal cause the infection is still there, I feel that this time my retreatment she really dig deeper than the first time that even I am with 2kinds of anesthesia I still can feel the pain, pressure of drilling and digging that she did for the retreatment root canal procedure then after it she prescribe me a different kind of antibiotic which is clindamycin for 7 days than after retreatment.the whole night and the next couple of days I was is very pain , very twinge , sensitivity, very swollen upper lips and the half of my face and I feel numb . I'm very scared right now they give me a phobia for Root Canal until now I'm not yet done of my Root Canal treatment.. Doc.Jazayeri I really hope that you'll notice me and my msg.. seeking and hoping you can give me an advice to my situation please 🙏🏼 🥺 I am very happy to hear from you hoping sooner.. i am happy to send you my xray results doc..

[@johnjazayeri]

Hi there. Thanks for the detailed explanation. I wish you would mention which tooth it is that is bothering you. Anyways, I personally hate root canal retreatment. If the root canal did not work the first time, why should it work the second time? There are exceptions of course, but generally a root canal retreatment does not clear the tooth from infection (exceptions are one or two nerve teeth where the root canal was performed below the standard of care and there is no infection on the tooth). Having said that, there is a good chance that your tooth is still infected and the root canal is only masking the symptoms. The only way to tell if this is the case or not is a CBCT of the tooth. The infection could be hiding behind the tooth or in between the nerve, and that only shows when you take a CT scan. I just don't understand why people insists on spending so much time and money on extending the life of an infected tooth when they have the option of removing the tooth and replacing it with the implant? This goes for patients, but more so for the dentists. I hope this helps. Feel free to send me an X-ray of the tooth and I will evaluate it more carefully. good luck either way!

[@learniasbhd997]

I had RCT 13 years ago now infection again spotted at bottom, dr recommend again RCT, sd I go for it

[@johnjazayeri]

Hey there. How did your dentist spot an infection? Was there pus visible around the tooth? Or did the X-ray show a cyst developing at the apex of the root? Either way, my answer is the same: pull the tooth! A tooth that has had a root canal for 13 years has served its purpose. If there is an infection on the tooth now, it's been there for a while. Plus, it has likely spread well beyond the tooth into the jawbone, gum tissue, PDL, etc. You can get a new root canal and feel good about it, but the infection is not going to clear up at this point. Chronically infected teeth do not respond to root canals and should be removed. Rid yourself of the infection and your body will thank you for it.

[@learniasbhd997]

@@johnjazayeri Thank you sir, they did X-ray , after that they recommended RCT, I don’t know whether it is infection or something else at root, I have no pain and no sensation at all…what sd be my alternative??

[@Nikki-cx6pc]

Hello doctor i need to contact you please is there any way??

[@Trobynski]

Oh dear, i think i might be in trouble with my 15 yr old root canals in back molars. So grateful to you. 😱🤯✌🏻

[@Mehki227]

I have a question. Had Root redo after an infection. Doctor gave me extra novacain (2x-3x) after I complained of feeling pain during procedure. Later (about 1.5 hours) eating soft noodles, I "sucked" my tooth and immediately tasted and felt something come up out of the tooth. It hit my brain/CNS and I saw stars! I became disoriented, shaky, cognitively "off", tired and had trouble breathing. Today I'm still shaky with vertigo and fatigue. What was it? Novacain? Left behind cleaning solutions? Whatever it was, it's been over 24 hours and I still feel like crap. Can someone explain what possibly happened?

[@mikes4352]

Great explanations and examples Doc. Thank you much for making the subject much clearer. I have one RC with a crown done about 10 yrs ago, knock on wood no problems. I do go for my cleanings every 6months. The problem i have is with bad pain under another crown. I just returned from my dentist who took xrays and a 360. (Is that a CT?) Waiting to here back from the endo who is supposed to review the xrays. In the meantime my consultation is almost 4 weeks away. So unless she sees something on the xray and 360 and moves it up, i have to go hunting for an endo with nearer timeframe openings. UGH. Thanks again for the great info. New subscriber.

[@johnjazayeri]

Hi Mike. Sorry to hear about your pain. Endodontists are very good at telling you what to do. The ones around me let you know if you need a root canal or if it's best to remove the tooth. A 3D Xray will definitely help. Best of luck to you!

[@2kelite320]

@@johnjazayeri what’s your thoughts on Lanap Periodontal regeneration???

[@domingodeanda233]

So cool, thanks

[@Floodland-bn3ol]

I learned a lot from this video. Thanks.

[@bethannc2623]

I just had a root canal, it was a breeze. Everyone had me scared for no reason. Was not painful at all.

[@johnjazayeri]

Hi Beth. Awesome! Sounds like you went to a great dentist/endodontist. How is the recovery process?

[@gooserich3970]

It’s not the initial it’s comes years down the road!!!

[@Gengh13]

The problems don't usually appear in the beginning for most people, they will slowly creep up and you will not realize that it was the cause, it took me 5 years to finally find the source.

[@kb8729]

Keep an eye on it. I had a root canal - 2 years later a bad infection and then an apicoectomy. The pain may be gone but there will be some residual infection which can get worse. Just get it checked every 6 months

[@AngryNorth]

A lot of this was useful and interesting. However, you didn't really address the concerns raised by holistic dentists / biologcal dentists about the procedure and its long term effect on the overall health of the patient. You didn't comment on any of the main issues raised by the dentists and doctors in the Root Cause film (which contributed a lot to the recent "growing belief" that root canals are dangerous) and lots of other places. For example, the fact that the dead "taxidermied" tooth cannot be effectively disinfected, the fact that anaerobic bacteria will continue to grow within the microtubules, and then leach (along with their toxic waste products) into the bloodstream.. the potential links to cancer and heart disease, etc. Surely whether a procedure increases the risk of someone dying early will be an important consideration for them in deciding whether to proceed. You can understand why, for me, it matters whether a procudure might kill me, yes? You do mention cancer in the example with the patient with 10 root canals who is concerned that the cancer might be connected to / caused by them. In THAT situation, you will act.. on the RCs you can see are infected. Otherwise, you just assume the patient is part of the 98% who you claim are fine. What happens when a patient of yours gets cancer but doesn't suggest a link to their RC(s)? (surely this must happen all the time) Do you just assume that in all those case that the RCs are nothing to do with it? If so, why do you (and how can you) make that assumption? What about the claim that 98% of breast cancer patients have a root canal on the same side? what about all the findings of Dr Weston Price (and his rabbits) and Dr Melvin Page?... etc. etc. Why don't you do another video??? In it, could you please explain clearly why, despite all the evidence, you still believe that 98% of root canals are fine???

[@manush746]

Hi doc i done root canal two weeks ago still gum is swelling and i have pain when I bite that side and I already visit doc he says it’s look like ok I don’t understand what can I do

[@gtrdoc911]

Hi Dr. J, fellow dentist here 33 yrs in the field. I'm curious as to why you say case 3 can't have an RCT. Sure it would be challenging. But I see no reason why a very well instrumented and obturated RCT wouldn't work in that case. I didn't see radiolucency on the side of the root so vertical fracture is unlikely, just pulpal necrosis.

[@patriciadelreal9135]

Si tienes root canal puedes agarrar l plate?muy lnteresantbe su video gracias!👍❤

[@lindamcdonald6560]

I've never had a root canal in my entire life! I have one "overlay" thats kinda chipped and one very old amalgam filling in a molar that chipped that tooth, several years ago actually, I need probably two crowns on those two molars. Mind you, I've had NO PAIN ever in those two teeth, and suddenly two dentists, after taking dozens of full x-rays both try to tell me I need root canals done. They dont agree on exactly WHICH TEETH need said root canals, but the one with the amalgam filling is one they both agree need one. They've stated the nerve is dead thats why I dont have any pain. I asked them "wait if I had an infection, this is what they say killed the nerve...., wouldnt I have had pain at that time?" Oh no, not necessarily! I call bullshit. Inflections HURT period! If you've had NO PAIN, you have no infection! Two different offices, two different dentists! I'm afraid to try a third office at this point, they'll only want to take MORE x-rays until I start to have glow in the dark teeth!

[@ilyjcam]

So I just had my RCT molar removed I had it for 11 years and doc said it had to go because it was failing buuuttt it broke into a million pieces and the dentist was LITERALLY digging and scraping to get all the pieces out he was so rough that he chipped one of my other molars 😢 needless to say I will NEVER go back to that dentist again!

[@johnjazayeri]

I'm sorry to hear about your bad experience! Root canal treated teeth are usually harder to extract. This is because the roots become dry and brittle over time due to lack of blood flow. It's not uncommon for these teeth to break during extraction and come out in many pieces. As far as chipping your neighboring tooth during extraction, this is quite a rare occurrence. However, if the neighboring tooth has a filling or crown, there is the possibility of damaging this restoration. Not every dentist is good at extracting teeth. It sounds to me like you probably should've been referred to an Oral Surgeon for your extraction. Hope you recovered well after that. Are you planning on placing a dental implant into the gap? Or just leave it alone? Cheers, and thanks for the comment.

[@AngryNorth]

"any tooth pain that lasts for 20 minutes or more...or that you have to take a painkiller for...you have a root canal... or pull the tooth". You don't seem to acknowledge any possibility of the inflammation or infection resolving itself. Well, that's understandable. There is no money in that for you or your colleagues, is there?

[@Gengh13]

Short answer yes, they are the lobotomy of the dentist industry, hopefully one day the danger of them will be recognized by the mainstream. I had a lot of autoimmune issues growing up due to a root canal done when I was young, even though it didn't show any sign of infection in every available type of imaging. If you have a root canal have it removed as soon as possible, most dentist don't know anything about the immune system.

[@jL-zc4bw]

Did you do the CBCT (Cone Beam 3D) to detect the infection ?

[@Gengh13]

@@jL-zc4bw I did a CT but the infection wasn't visible, what I did see(not the Dr) was some inflammation of the sinuses around that teeth. After taking it out I have a much less congested nose, I still haven't fixed everything but I've had really good days with 0 congestion and finally feeling normal.

[@jL-zc4bw]

@@Gengh13 congratulations. May i ask which tooth was it ? At what age did you do the root canal and what age you start to feel the bad effect ?

[@Gengh13]

@@jL-zc4bw it was the one before the last one, without counting the wisdom tooth. The root canal was done around 20 years ago when I was a teenager. Exactly when I started noticing the symptoms I can't say, I've had some of them for a while, I'm not sure I remember not having some congestion but I don't have good long term memory. My ecz3ma also started when I was a teenager, I don't remember exactly when because it started with just dry skin in the back of my hands.

[@micahdh]

Or a patient can go for a cheaper pulp cap if that's possible.

[@johnjazayeri]

Pulp caps are a hit and miss. I definitely prefer them a full on a root canal. However, if the cavity bugs have infiltrated the nerve, a pulp cap usually doesn't work long term. It's certainly worth a try if the tooth is not infected and the pain is minimal.

[@Caribbeanfrenchie]

The smell leaking from the rct???

[@Typical-gamer-dad]

Garlic removed my absces. I’ve done it 5 times now. So has family. Saved my tooth. Got rid of the infection. No root canal needed. There are other options they don’t tell you. 3 days of garlic on the tooth. Abscess gone.

[@WhatsBenGoingOn]

You're either wrong or you're lying to people or both. 100% of root canals are infected. I've had 5 and they all need to be pulled. They have caused havoc to my overall health just like the guy in the documentary you bashed. The damage you are causing to people by perpetuating these lies is appalling.

[@suesmith3744]

I’ve had several root canals over the years and they all failed ☹️

[@WhatsBenGoingOn]

@@suesmith3744 They all do. I'm sorry to hear that. I only recently learned that a root canal is only expected to make it a decade at best. But do you think my dentist told me that when she was recommending 5 of them in my 20s? Of course not. It's a huge money making repeat customer racket. And at best it's a decade of deadly bacteria releasing toxins directly into your bloodstream

[@johnjazayeri]

Hi Ben. Thank you for sharing your thoughts. I'm not sure if you saw my video or not before making these comments. Personally, I prefer dental implants to root canals in almost all situations. However, there are millions of people with root canals in their mouths. What are they to do? Rip them all out and be toothless? Spend $20,000 replacing all of their root canals with dental implants? Not all root canals are infected, but many of them are. You claim you had 5 root canals which were removed. Why did you get the 4th one, and the 5th one, if the first few were so bad? And what medical issues do you think were caused by these root canals? But yeah, if someone wants to assure that their tooth is not going to EVER get infected, they need to regularly monitor their root canals, or they need to opt for dental implants instead.

[@WhatsBenGoingOn]

@@johnjazayeri there are millions of people with root canals (I believe the statistic is 60 million new ones every year) because there's still a bunch of dentists like you telling them they are 99% safe, which is totally a lie. You're like the doctors saying smoking cigarettes was safe in the 30s. History is gonna look back very unfavorably at you. In my case I got 5 because I also had a dentist that was a dinosaur. I my chronic illness symptoms didn't start to manifest themselves until after the second and third ones, which I did back to back. I did the fourth and fifth the next year, and by that time I still hadn't figured out why I had the symptoms. It took me three years of going down every rabbit hole before I learned that my root canaled teeth were shooting toxins into my blood stream. I am now in the process of getting them all pulled. And yes, I could have bought another house for the expense sunk into this when it's all said and done. That's why I'm here trying to save anyone I can from making the same mistakes.

[@NikkieRoxxx]

You were badlucky, or had a bad dentist..

[@amitbikram9031]

I am telling same to 4 different doctor but everyone saying it's fine no issues. But tip of my teeth is swollen.