Root Canal Therapy

Alternatives to Root Canal Therapy (RCT) with Holistic Dentistry and Ozone Therapy

“Nothing Technology Has to Offer Today is as Good as a Natural Teeth” So Let's Do Preventive Care

In the past, if you had a tooth with a diseased nerve, you would probably lose that tooth. Today, with a special dental procedure called "Root Canal Therapy or Endodontic Therapy", your tooth can be saved. This therapy is one of the most common dental procedures performed, well over 15 million every year and 41000 per day. The Root Canal Therapy is needed when inner nerve and pulp, which is the center of your tooth become infected by trauma to the tooth, deep decay, cracks and chips. Root Canal Therapy is a simple non-surgical treatment that can possibly save your natural tooth and retain even the most severely damaged tooth while relieving your symptoms such as visible injury or swelling of the tooth, sensitivity to temperature, or pain the tooth and gums. Although people fear root canals, the truth is that this procedure does not cause pain, it eliminates it. BUT IS IT HEALTHY TO DO ROOT CANAL THERAPY? 

Our holistic, biological, and integrative dentist, Dr. Horiyat, is committed to whole-body health and understanding of the relationship between systemic infections that originate from oral infection- something that often happens after even “successful” root canal therapy. Thus, she offers alternative options to root canal therapy. 

Our professional team at Aria Dental are dedicated providing you pleasant and comfortable experience each time you visit our office. To learn more about root canal treatment and alternative options, we welcome you to call (949) 364-9600 or in Mission Viejo today for an appointment.

What Is Root Canal Therapy (RCT)?

What Is Root Canal Treatment (RCT)?

It is a procedure where a badly decayed or fractured or dead tooth is saved by removing its soft part (pulp) from the crown and the root of the tooth. Pulp is in the core of the crown and root of the tooth.

The Drawbacks to Conventional Root Canal Treatments

Why Some People Says,"Don’t Destroy Your Health, Don’t Get Root Canal!"

Some dentists talk about root canals as a way to save your natural tooth. The truth is when a tooth’s pulp and root are removed during root canal therapy, that tooth is dead.

Root-canaled teeth are dead body parts that we allow to remain attached to our body. Where else in the body do we allow that to occur? Nowhere.

It is well established that it is impossible to remove all the necrotic tissues (dead tissues) and bacteria inside a tooth during a root canal therapy because the root canal cavity housing the tooth’s never, lymphatic tissue and blood supply is not a straight tube. Thus, your immune system must continue fighting off chronic infection that left behind in this anerobic (oxygen-free) area, which will ultimately compromise your body.Remember your body is a series of connected systems and if they’re not working in harmony, the result is less than optimal health.

What are the Indications of RCT?

  • Decayed Tooth
  • Painful Tooth 
  • Non-vital or Dead Tooth
  • Trauma Exposing the Pulp
  • Grossly Attired Tooth
  • IntentionalRC

The Structure of Root Canal

At the center of your tooth beneath the white enamel and hard layer of dentin is soft tissue called pulp. Pulp is a collection of blood vessels, nerves, and connective tissue, which help growth of your tooth during its development. A fully developed tooth can survive without pulp because the tooth continues to be nourished by tissues surrounding it. Infection of pulp can be caused by trauma to the tooth, deep decay, cracks and chips, or repeated dental procedures. 

The root canal therapy is often recommended if the tooth pulp and nerves become infected or damaged. This may occur if injury or decay reaches deep into the tooth, past the outer enamel layer. When left untreated, this type of infection and disease may cause the tooth to die and necessitate tooth extraction.

To restore the health of the tooth and avoid the need for extraction, most dentists will try to remove the infected and injured tissues from within the tooth, clean the tooth, and fill it with a medicated materials. Then, they will then cap the tooth with a restoration, such as a dental crown.

To follow Interntational Academy of Oral Medicine Toxicology (IAOMT), our certified holistic dentist also recommend alternative options to root canal therapy. 

5 Holistic Alternatives to A Root Canal Therapy

When a traditional dentist recommends root canal treatment (known as endodontic treatment) to a patient due to infected and injured dental pulp, the most common question is “what an alternative treatment is to root canal?” because most patients are apprehensive and anxious about a root canal.

As a certified and accredited member of holistic and biologic dental association such as HDA, IAOMT and IABDM, Dr. Maryam Horiyat’s concern is about possible negative effects of root canal to overall health and well-being; she understands that many researches prove that root canal can cause many serious medical condition.

 Root Canal Therapy Procedure 

 Is a Tooth Dead Before RCT?

Symptoms of An Infected Tooth

Teeth that require root therapy are not always painful. Some of the symptoms of an infected or damaged tooth can be:

What Is A Root Canal Therapy Processs?

Is Root Canal Therapy Painful?

No. Modern endodontic treatment is nothing like those old saying! It’s very similar to a routing filling and in most cases, a root canal can be completed in two comfortable visits to Endodontist office. Getting a root canal is relatively painless and extremely effective to save a dead tooth. You might be back to smiling, biting and chewing, but is it healthy to your body to leave a dead tooth stay connected to rest of your body? Success of this type of treatment occurs in about 85% to 97%, depending on circumstances.  If your tooth is not amenable to endodontic treatment or the chance of success is unfavorable, you will be informed at the time of consultation or when a complication becomes evident during or after treatment. We use local anesthesia to eliminate discomfort, but we also offer distinct types of sedation such as Nitrous Oxide and Oral sedation.

Risk of No Treatment, Waiting or Delaying Treatment:

The risk involved with no treatment choices may include, but are not limited to:

The Advantages of Root Canal Therapy (RTC)

Saving the natural tooth with root canal treatment has many advantages:

Types of Endodontic Services

At Aria dental, we only utilize the latest in advanced dentistry techniques and equipment with biological approaches that will help to make our alternative procedures to endodontics quick, effective, natural, and as comfortable as possible.

Microscopic Root Canal Treatment 

In endodontics, accurate treatment is not only dependent on the technical skills and knowledge of the dentist, but also on clear, detailed visualization of the surgical field. 

As the outcome of an endodontic therapy is influenced by many factors that are not visible to the naked eye – e.g. additional root canals or anatomical variations – the high magnification and illumination provided by a dental microscope has become indispensable for both diagnosis and therapy. Today, it is widely agreed that the use of dental microscopes has helped to extend endodontic treatment potential.

A dental microscope such as the Leica M320 can provide significant visualization benefits at all stages of endodontic treatment, from diagnosis and exposure of the access cavity to preparation, and from three-dimensional obturation to post endodontic management. 

High magnification, large depth of field and bright, coaxial illumination of the surgical field can reveal fine details, helping the dentist to manage difficult cases with increased precision.

Endodontic Retreatment of a Failing Root Canal

With the appropriate care, your teeth that have endodontic treatment will last as long as other natural teeth. If a root canaled tooth fails to heal and pain continue to occur, the endodontic retreatment may be needed.

Some of the reasons for failure of root canal therapy:

Endodontic Surgery – Apicoectomy or Root-End Resection

What is an Apicoectomy? Apicoectomy also known as root-end resection is a minor surgical procedure performed with your endodontist. This surgery is performed when inflammation or infection persists in bony area around the end of your tooth. It also can be used to locate fractures or hidden canals that do not appear on X-rays but still manifest pain the tooth.

To perform Apicoectomy, an incision is made in the gum tissue to expose the bone and surrounding inflamed tissue.  Root tip or apex is removed along with infected tissue. Finally, a filling is place to seal the end of the root.  

Apexification - Traumatic Injuries 

Aria Dental has state-of-the-art dental equipment with skilled, precise, caring, and experienced holistic and biological dentists! We are located in center of Orange County, CA in the City of Mission in proximity of many other cities of Orange County like Ladera Ranch, Laguna Hills, San Juan Capistrano, Nail Gail, San Clemente and more. We see patients coming from North Orange County all the way to San Diego County. We welcome you to our modern dental practice where you receive an excellent service for general and cosmetic dentistry to all board-certified specialties under one roof. 

  • Extraction –  If a tooth’s health has deteriorated significantly, the most popular and safest alternative to root canals is holistic extraction of the entire damaged or infected tooth and replace it with a bridge, metal-free dental implant, or partial dentures.
  • Natural Remedies – it’s well known that food choices can affect oral health and proponents of natural remedies suggest healing dental infection by eliminating all processed sugars from diet, eating high-quality protein, and avoiding grain product. Dr. Maryam Horiyat always advocates to embrace a healthier lifestyle, but she does not believe that eating fruits and vegetables will restore a cracked tooth or a deep dental cavity.
  • Ozone Oxygen Gas – Another alternative to root canal therapy is to irrigate the root cavity with ozone gas. According to a study in Interventional Neuroradiography, the ozone penetrates into the tubules of the tooth beyond the drilled areas as well as lateral tubules and disinfects the tooth beneath the enamel. However, there is a possibility that the infection can return at a later stage with a need to root canal treatment.
  • Calcium Hydroxide –  A similar alternative option to ozone therapy, an infected or injured tooth can be irrigated with an alkaline substance called calcium hydroxide to deter bacteria growth in tooth canals; however, careful placement within canals should be conducted with file due to its toxicity.
  • GentleWave® Procedure – Depending on the severity of the damage to your tooth, you may be a candidate for non-traditional root canal therapy (RCT), called GentleWave® Procedure. This procedure is an innovative and minimally invasive alternative to standard RCT that utilizes Multisonic Ultracleaning® Technology by enabling procedure fluids to reach and clean through the deepest and most complex portions of the root canal system. 
    • Pain
    • Swelling of Face
    • Swelling or Tenderness in the Nearby Gums
    •  Lingering Sensitivity to Temperature
    • Sensitivity to Pressure or Touch
    • Dark Discoloration of the Tooth
    1. A DEEP INFECTION:  Root canal treatment might be needed when an injury or a large cavity exposes the tooth's pulp and root becomes infected or inflamed.
    2. ROUTE TO REACH THE PULP OF THE TOOTH: An opening is made through the crown of the tooth to the Pulp Chamber.
    3. REMOVING THE INFECTED TISSUE: Infected or inflamed tissue are tried to be removed; the accessible canals are cleaned.
    4. FILLING THE CANALS: Canals filled with a permanent insert rubber material, called Gutta-Percha cones. This helps to fills the dead space.
    5. REBUILDING THE TOOTH: Opening sealed with temporary filling materials. In some case, a post is inserted for extra support.
    6. EXTRA SUPPORT: In some cases, a post is placed into the root next to the gutta-percha. This gives the crown more support. 
    7. CAPPING OF THE ROOT CANAL TREATED TOOTH WITH A CROWN: New crown cemented onto rebuilt tooth.
    1. Pain and swelling
    2. Gum bleeding; pus and abscess
    3. infection around the tooth or in other areas
    4. loss of one or more teeth
    5. Bone loss resulting either partially or complete loss of mandible or Maxilla
    6. Soft tissue loss or discoloration
    7. Spread of infection to surrounding structures in head and neck
    8. Systemic infection and damages to other organs such as heart
    9. Facial deformity due to spread of infection
    10. Life-threatening situation or potential fetal infection.  
    11. Chronic infection may lead to other pathologies, abnormalities, or asymmetry
    12. Internal or external resorption may occur
    • Efficient chewing
    • Normal biting force and sensation
    • Natural appearance
    • Protects other teeth from excessive wear or strain 
    • Microscopic root canal treatment
    • Retreatment of a failing Root Canal
    • Endodontic surgery 
    • Root Apicoectomy or root-end resection
    • Apexification
    • Untreated curved or narrow canals
    • exposure of a root canal filling materials to new decay and infection
    • exposure of the tooth to new infection due to a cracked or loose filling or crown 
    • DISLODGED TEETH:  If injury to the mouth causes teeth pushed back into their sockets or pushed partially out of the socket, you need to go to Aria Dental for an emergency dental care. Your expert dentist, Dr. Maryam Horiyat may reposition and stabilize your tooth. If the pulp becomes damaged or infected, your endodontist may perform root canal treatment few weeks after your injury.  The root canal treatment may be started by placing medication such as calcium hydroxide inside the tooth prior to implementing of permanent root canal filling.
    • AVULSED TOOTH:  If an injury caused a tooth to be completely knocked out of your mouth and displaced from its socket, it is important to immediately replanted for the best possible prognosis. In this situation, immediately call Aria Dental for an emergency dental appointment. The success of delay replantation depends on the vitality of the cell remaining on the root surface. Thus, it is important to keep the tooth moist. Your endodontist may start root can treatment based upon the stage of root development. 

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