Root canal treatment deals with infection inside a tooth. The infected tissue is removed from the canals, the space is cleaned and sealed, and the tooth is kept rather than extracted.
The reputation comes from the pain that brings people in, not from the treatment. The tooth is frozen throughout, and most people find it comparable to a large filling.
Some teeth are completed in one visit, others need two, depending on the tooth and how much infection is present.
A treated tooth has lost internal structure and becomes more brittle, particularly at the back where chewing forces are highest.
Extraction is always an option and sometimes the right one. But losing a tooth changes how the neighbours sit and how you chew, and replacing it later is usually more involved than keeping it.
Saving a tooth whose nerve has become infected.
Dr. George Dumitru is at 2061 Lawrence Avenue West in York, Toronto.