The Dangers of dental crowns, root canals, and pulling teeth
Beware: If you consistently go to your regular 6 month dental check-ups, and your dentist tells you that you need a dental crown, a root canal, or a tooth pulled, it is your dentist’s fault (assuming no physical trauma).
It means that your dentist missed a cavity that was forming when it was at the point where it could have been easily drilled and filled. Or it means that when your cavities were being drilled and filled, they were not done correctly. Either the decay was not entirely drilled out, or the filling was not properly installed, or the hole was not adequately sterilized prior to filling the hole.
It’s something we don’t like to think about, but picture it: if the hole is not sterilized well before filling it, bacteria will fester under the filling and slowly burrow its way deeper into your tooth. It may take years as the bacteria lie dormant, then stress levels go up in your life for a few weeks (which lowers your immune system) and the bacteria wake up and begin to eat your tooth pulp again. At this point it will begin to hurt again.
In an attempt to address your pain, the dentist will redo the filling because “it wore out” or it “cracked.” The old filling will be drilled out and the new decay will be drilled out and then poorly sterilized and refilled, again. Then the cycle can repeat until a crown is needed.
Crowns
When a crown is needed, the top of the tooth has decayed so much that it can’t be filled properly, so the top is entirely ground down to just a nub and then a fake tooth is glued to the top of the nub. Again, the same sterilization problem exists. If not done right, the bacteria under the crown will continue to eat away at your tooth until it has found its way into your root. This requires either a root canal or to pull the tooth.
If you have a crown on a tooth, and then later are told that you need a root canal on that same tooth, there is a 99% chance that it is the fault of whoever installed your crown. The only way I can imagine that a tooth with a crown could possibly need a root canal is if the ground down nub was not sterilized well before gluing on the crown. Or if all the decay wasn’t ground off before installing the crown.
Crowns can’t get cavities because bacteria can’t eat crown material. The only way it wouldn’t be the dentist’s fault is if you let your plaque build up so much that your gums recede and expose the root allowing for a cavity to form into the side of the root. Or maybe some other exotic dental disease of which I’ve never heard. So pretty much the dentist’s fault.
Root Canals
The problem with actually doing a root canal once the problem already exists is that sometimes they are not needed because a talented crown installer may be able to save the tooth by installing a crown instead of doing a root canal. So get a few second opinions first. If it ever fails, my dentist will credit you the cost of the crowns he installs toward your next procedure.
The second problem of root canals is that it is impossible to do them in a way where they are sterilized well. Again let’s visualize it. A tooth has two to three thin roots extending from the crown. Each one of these must be drilled out inside down the center of each root without accidentally bursting through the side while making sure to remove all the decay. Then this thin canal that has been made has to be well sterilized so that zero bacteria remain before filling the roots with filler. If some dentists seem to not be able to sterilize the big flat nub of a tooth before installing a crown, how on earth are they going to properly sterilize these super thin, long, and deep root holes?
And if these two reasons weren’t enough, even if the procedure could be done perfectly, the outer edge of the root has poors in it where bacteria reside but are kept in check by a constant flow of natural tooth fluids that are produced inside the root and washed out of the pores, keeping the bacteria from infecting the tooth. But once the root canal is performed, the nerve has been destroyed along with the fluid producing organ. So in a root canaled tooth, the root pores can fill with bacteria without being kept in check by the tooth fluids because there are no more tooth fluids. These bacteria often don’t eat your tooth since they are residing in the enamel rather than the pulp, but instead they feed on the food particles in your saliva. They constantly release bacterial toxins into your body. A healthy adult can usually break down these small amounts of toxins without much trouble, but if you have a chronic illness or begin to age, your body may not be able to deal with these toxins so well anymore.
If decay has reached your tooth’s root, the safest option is to pull the tooth out rather than get a root canal.
Tooth Extraction
Pulling teeth has similar problems to the above. Depending on how deep the root decay went, if the dentist does not get all the pieces of the root (often the root breaks when extracting it or the dentist may break it on purpose to more easily extract it piece by piece), a piece of decayed tooth can be left inside the socket in your jaw bone. And the gum can heal over the top of it. This can lead to a slow progression of an abscess that can sometimes migrate up into the sinuses undetected. Or it can just sit there and fester, releasing toxins little by little throughout your life, speeding up the aging process, and wasting your body’s resources needed to fight other illnesses.
But a good dentist takes extra precautions to make sure that all of the decayed tooth has been removed and that the socket is thoroughly disinfected before sewing up the hole.
Once a tooth is pulled, if there is a tooth above or below it, then it needs to be replaced. This can be done by installing an artificial root called a post, and then installing a crown on the post. Or you can have a “bridge” installed, or you can wear a denture with a plate that you take out each day to clean.
The bridge is a lower cost than the implant, but it requires grinding down the two perfectly good teeth on either side of the empty socket and installing a crown on each one of them with a bar connecting the two crowns whereby a fake tooth can be suspended over the empty socket.
If possible, I recommend the implant, though this is the most costly. But the most important thing no matter what you decide to do is to have a competent person with high integrity and high skill and experience do the work. It will come back to haunt you eventually if you don’t.
Email me if you want to get the referral to my dentist here in the Fresno area. They never do root canals because they feel they are unethical. They never use metal of any kind because many people can have unusual issues with metal in the mouth. If you are going to insist on the most cutting edge for just one thing in your life, it needs to be your dental health.
Looking Forward!
Yours in health,
Dr. Campise
Fresno Chiropractor
559 930 1034
P.S. If you have the time, kindly give us a review in Google Maps – https://goo.gl/73Kz2R. Thanks!
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I read some important dental tips from your blog. It can be helpful for our dental problems.
This was very helpful to me as I am going through veneers and crowns falling off, becoming abscessed, root canals, etc. Recently, my front tooth veneer came of in a tuna fish sandwich! I still have it. But this tooth is a nub because I had six teeth, I think, across the top front veneered in 2006. My teeth were sort of yellow is the reason I decided to do it. But I did not realize the procedure would leave my teeth as small nubs. I really wish I had not done it. So now as they begin to fail, my dentist now is replacing them, but in this year I have had two abscessed, one was a jaw tooth and has a new root canal and a new crown in recommended soon. This is a different dentist since the one who did the original veneers specializes in dentures now. So my front tooth, the one the veneer just came off, is a nub.
the abscess is very high, like right under my nose. It only hurts if I press on it. Can they even do root canals on so small a tooth? So if I end up pulling it and getting an implant, will the veneers on either side have to be redone? Lots of questions still…but I called my original dentist and ask him to at least have a look and hopefully he will because I have lost confidence in my current dentist.