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the truth about root
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canals I'm Dr Ellie and in this video
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we're going to talk about things that
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you may not have been told about root
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canals have you been told you need a
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root canal maybe you have maybe you know
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what it is but so many people sit there
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without knowing what a root canal is and
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there's a lot of fear these days there
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was a documentary that was up on the
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internet for a short while I actually
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knew the people who were involved in
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that and then was a lot of editing that
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was a little bit upsetting because it's
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very easy to get the wrong impression of
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a root canal that's the first thing to
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misunderstand the value of having a root
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canal if you have a dead tooth the
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dangers of a root canal and what are
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your other options and compare and
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contrast those options it's a very
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important decision so I want to run
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through it a little bit today so if
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you're told you need a root canal what's
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happened to your tooth you may not even
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have a big cavity in it so what's
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occurred inside your tooth are live
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Parts there's a live part right in the
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center and it runs all the way down the
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roots all of this here is full of cells
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and blood vessels and nerves and this is
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basically the life of your tooth is in
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the inside of it now every time a tooth
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is damaged and it can be a hit from the
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outside that's one way a tooth is
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damaged and you don't always see
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immediately the fact that your tooth has
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died you see when you have an accident
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say you're in a car accident this blood
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supply that goes down your roots can get
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severed it gets cut off and then the
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problem is that this tooth won't have a
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proper blood supply and the space or the
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place where all this live tissue was
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actually dies and bacteria can get into
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this empty space and make it their home
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and all of this procedure the dying of
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the tooth the replacement with bad
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bacteria that can take up to 10 years
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before you have an absolute problem and
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the problem is that all this space the
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pulp the inside of the tooth has now
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become hugely infected and there's
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nowhere for the infection to go it's
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bubbling it's got liquids it's got bad
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bacteria producing toxins the whole of
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this thing is on fire that's when your
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tooth is painful you bite on it and it
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feels painful and that's because there's
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so much pressure buildup inside the
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tooth and if there's no way for it to
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get out it will actually burst like a
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volcano into the bone area at the bottom
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of your tooth that's why a dead tooth
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that forms an abscess
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is not only so dangerous but it's so
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painful so you go to the dentist and you
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say that you have a tooth that you can't
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bite on or maybe it didn't burst out it
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just has died quietly and without so
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much infection then this tooth might
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turn a different color it might turn
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gray or black completely the whole of
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the color of the tooth will become
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darkened so your dentist tells you you
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need a root canal what is a root canal
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well a root canal will be a process that
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a dentist who is specialized in this
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treatment and I would always recommend
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you go to an
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endodontist Endo means inside and
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dontist and inside dentist they want to
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clean out all this inside area and
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they'll do it by making a hole in the
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top of your tooth and they'll go through
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that hole and literally clean out so
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that this entire area is now clean
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there's no more bacteria there's no more
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blood supply there's nothing and your
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endodontist will
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fill instead of all this being bad this
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all will now be clean and your
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endodontist will put a filling in this
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space on the inside of your tooth in the
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1980s regular dentists started doing
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root canals it was the beginning of root
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canals prior to that very few people
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ever did them and the people who did
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were usually very expert and they used
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silver I have one from when I was at
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Dental School uh I put myself in as a
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candidate for an examination this the
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final exams and this senior actually
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failed his exam because he drilled into
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the inside of my tooth when that happens
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automatically the tooth is going to die
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they filled my tooth with silver and
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it's still there and it's perfect but in
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the 1980s silver was very expensive so
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root canals were done with plastic and
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very toxic materials and they didn't
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have the equipment or the magnification
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to know what they were doing and many of
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these root canals were poorly done and
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it gave root canals a very bad name
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there have been so many advances in the
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world of
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Endodontics and today an endodontist
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will be able to go in here do a really
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nice cleanup of all the problems inside
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the tooth
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and then fill it with a really good
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filling right to the very end of each
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roote and then you can maintain that
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tooth and here's the interesting part
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this is what I want to teach you about
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because it's not understood or well
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known see many people will say oh take
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out the tooth and put an implant in
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there and I would advise you to think
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very very carefully before you do that
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if you can have a good root canal that
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keeps your tooth safe it is dead yes but
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it is no more dead than a fingernail
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it's still attached to your body it's
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attached in fact by All These Little
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Fibers all the way around and these
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fibers are called the perodontal
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ligament and they go from the bone of
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the jaw to the side wall of the root of
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your tooth everywhere it's not just
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two-dimensional think of this it's all
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around the roots of all this of the root
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roots that are part of this tooth they
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often three roots for a Moler maybe even
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four all these tiny hairs they are 100th
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the width of the hair on your head so
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they are tiny tiny little fibers and
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they should not be forgotten because it
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transpires that as we bite down on a
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tooth and we stimulate by biting down
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these little
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hairs they have a connection to the
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nerves in our brain and when the brain
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feels the pressure our brain releases
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something called orexin and orexin
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actually is a a hormone type substance
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that helps your thinking your decision
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making it's a very important part of
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your brain and so we don't want to give
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up this ereen unless it's really
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necessary this is why I would advise you
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to really consider the value
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of keeping a well
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filled even though it may be dead it's
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not like something it's not a a sliver
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in your finger this is a
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natural way to retain a tooth by getting
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rid of the infection and just as you
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would get rid of an infection in a
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cavity you clean up the area and you put
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in a filling the only difference here is
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that the endodontist has cleaned up
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further into the tooth and put in a
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filling there's really very little
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difference except that the nerves and
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the blood supply were involved but there
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were nerves and there were cells
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involved in in your filling too uh in
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the sense that Denton has cells that are
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alive at least parts of cells that are
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alive in the Denton so it really is a
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filling that goes through the root and
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this would allow you to keep this
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perodontal ligament and its nervous
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attachment as it were to the brain we
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know that when people lose all their
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teeth particularly women there are
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studies to show it can affect cognitive
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function so taking out teeth needs to be
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done with great concern and thought the
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alternative is to put in an implant and
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one of the things that people don't
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realize is that an implant does not have
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the these fibers there is no perodontal
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ligament for an implant when the an
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implant is basically a screw similar to
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the screw in your toolkit and it is
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literally screwed into the bone and then
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the fake tooth is screwed onto the top
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of it it's pure mechanics there is none
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of this beautiful natural attachment and
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so you will not get any of these signals
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sent to your brain and this is where we
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need to be assessing this and with
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today's big Push by a very lucrative
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industry the implant industry I think a
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lot of people are not necessarily
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considering their options before you
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have a tooth extracted think about your
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parodontal ligament but then why have I
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got all these products here because
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keeping your parodontal ligament healthy
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is what my complete mouth care system
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really addresses it's one of the things
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it keeps your whole mouth healthy but
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this parodontal ligament is so important
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I teach gum massage with the right kind
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of toothbrushes I teach this three rinse
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system specific mouthwash that I'm not
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sponsored by any of these companies that
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make these oral care products but I
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recommend the use of them in a specific
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order because it will prevent plaque
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from forming that happens with xylol yes
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this is my company zelis but other zotol
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if you're in other parts of the world
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can work just as well as well and then
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the mouthwash system keeps all of the
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mouth and around the perodontal area
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healthy this is equally important if you
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decide to have an implant and maybe even
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more important because an implant
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doesn't have the same kind of seal
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around it that a normal tooth does an
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implants are
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notorious for developing implantitis
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which would be inflammation instead of
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these Little Fibers here inflammation
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occurs all around the implant and then
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it fails it is a very difficult delicate
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connection to the liquids in your mouth
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and the bacteria in your mouth and that
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is why it's so important to have a
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healthy mouth ideally before you have an
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implant and if you already have one I
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would recommend get moving on my
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complete mouth care system massage your
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gums use the sequence of products twice
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a day and throughout the day have enough
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salol to keep your mouth plaque free and
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full of healthy mouth bacteria
