Root Canal Controversy

Welcome to another edition of the Doctor’s Note where we talk about what’s on our minds when it comes to your health.

This week I had the pleasure of chatting once again with Dr. Susan Creech, a dedicated and forward-thinking dentist, about the ongoing debate and numerous myths surrounding root canals. We kicked off the conversation with a brush-up on best oral health practices—like the need for routine dental probing and more frequent cleanings—and then moved deeper into why root canals are so misunderstood. Dr. Creech clarified what exactly happens during a root canal, who needs them, and why fears about them are often overblown, thanks to outdated research and modern advancements in dentistry.

We also talked about the importance of patient involvement in dental care and the value of trusting relationships with your providers. Dr. Creech emphasized that keeping your teeth and gums healthy is really about prevention and maintenance—much more than just treating issues as they arise. By staying proactive, asking questions, and seeking out skilled specialists when needed, patients can better manage their oral health while reducing the fear and confusion around complex dental procedures like root canals. An important video to pass along!

PODCAST NOTES

• Dental probing is a vital part of preventive care: Probing involves gently measuring the space between your teeth and gums at six points per tooth to check for bone loss and signs of inflammation. It’s a quick process that can reveal early-stage periodontal issues, and both the American Periodontal Association and Dr. Creech recommend it at least once per year to catch problems before they become significant.

• Frequent dental cleanings may be more beneficial than you think: While most people rely on twice-yearly cleanings, Dr. Creech advocates for quarterly professional cleanings—especially if you have risk factors for gum disease or have had past dental issues. More frequent cleanings help control plaque, reduce inflammation, and can be a crucial measure in preventing more serious oral health problems.

• A root canal is a tooth-saving procedure, not something to be feared: This common procedure removes infected pulp from within the tooth, fills and seals it, and then typically places a crown over the remaining structure. Root canals are intended to save your natural tooth and avoid extraction, thereby preserving the spacing, bite, and overall function of your mouth.

• The controversy around root canals is rooted in outdated science: Concerns about root canals often stem from research dating back to the 1920s, and have recently been promoted by misleading media. Decades of rigorous peer-reviewed studies contradict the idea that root canals cause systemic illness, and today’s dental associations strongly support their safety and efficacy.

• Modern technology has transformed root canal experiences for patients: Dr. Creech explains that many dentists now refer patients to endodontists—root canal specialists equipped with surgical microscopes, advanced imaging, and painless techniques. As a result, root canals today are far less painful and more reliable than their old reputation would suggest.

• Post-root canal care is essential for long-term tooth health: If you’ve had a root canal, maintaining excellent oral hygiene is crucial. This includes flossing around the crown, using recommended rinses, regular professional cleanings, and periodic X-rays to make sure the bone and tissue around the tooth remain healthy and infection-free.

• Not all root canal recommendations are urgent: Sometimes teeth that appear to need a root canal are asymptomatic. In those cases, it’s possible to safely monitor the tooth with periodic X-rays and checkups, provided there’s no active infection or swelling. The decision to proceed should be based on symptoms, risk, and the advice of a trusted provider.

• Trust, communication, and prevention are at the heart of great dental care: Dr. Creech talks about the importance of patient-centered dentistry—educating patients, involving them in care decisions, and allocating enough time in appointments to perform comprehensive assessments. Prevention, honest communication, and individualized treatment all contribute to better outcomes and less dental anxiety.

Taking great care of your teeth and gums isn’t just about preventing cavities—it’s about a proactive strategy that involves regular checkups, professional cleanings, and active involvement in your own care. Don’t let outdated perceptions keep you from seeking the treatments you need, especially when it comes to root canals or other major dental decisions. Find a provider you trust, ask the right questions, and make prevention your priority. 

If you’re overdue for a checkup, or want to learn more about your own dental health, now’s the time to reach out and schedule that appointment—your future self will thank you!

Stay educated. Stay healthy. 

Till next week.