根管安全

Smiling man

The relationship of our teeth and mouth to overall good health is indisputable. Dentistry plays a critical role in maintaining good oral health by eliminating infection and pain, and preserving our natural dentition.

A key responsibility of any dentist is to reassure patients who are concerned about the safety of endodontic treatment that their overall well-being is a top priority. The American Association of Endodontists website (www.aae.org) is the best place for anxious patients to obtain comprehensive information on the safety and efficacy of endodontics根管治疗.

While plenty of good information is available online from the AAE and other reliable resources, patients sometimes arrive in the dental office with misinformation. This has occurred with the long-dispelled “focal infection theoryin endodontics, introduced in the early 1900s. 在 20 世纪 20 年代, 博士. 韦斯顿 A. Price presented research suggesting that bacteria trapped in dentinal tubules during root canal treatment could “leakand cause almost any type of generative systemic disease (e.g., arthritis; diseases of the kidney, heart, nervous, gastroinestinal, endocrine and other systems). This was before medicine understood the causes of such disease.

博士. 价格主张拔牙—造成最大创伤的牙科程序—在根管治疗. This theory resulted in a frightening era of tooth extraction both for treatment of systemic disease and as a prophylactic measure against future illness. 博士. 价格的研究技术被批判了当时他们被出版, 和早期的 20 世纪 30 年代, 大量的使用更加现代的研究技术精心设计研究抹黑他的调查结果.

Decades of research have contradicted Dr. Price’s findings since then. 在 1951, 的 美国牙科协会杂志 published a special edition reviewing the scientific literature and shifted the standard of practice back to endodontic treatment for teeth with non-vital pulp in instances where the tooth could be saved. 的 贾达 审查博士. Price’s research techniques from the 1920s and noted that they lacked many aspects of modern scientific research, 包括没有适当控制组和诱导细菌过量.

More recent research continues to support the safety of dental treatment as it relates to overall systemic health. 在 2007, the American Heart Association updated its guidelines on the prevention of infective endocarditis, drastically curbing the indications for premedication for dental procedures and excluding endodontic treatment from dental procedures requiring premedication. In April 2012, the AHA found no scientific evidence linking periodontal disease and heart disease, concluding that heart disease and periodontal disease often coincidentally occur in the same person due to common risk factors of smoking, age and diabetes mellitus.

Decades of research contradict the beliefs of “focal infectionproponents; there is no valid, scientific evidence linking endodontically treated teeth and systemic disease. Yet some patients still hear about this long-dispelled theory.

 
 
Doctor addressing the patient

Dentists are asked to use the following guidelines to address patients who inquire about a connection between root canal treatment and illness:

  • Acknowledge the patient’s concerns; stress that optimum health is the goal for every dental patient.
  • Provide the patient with written information about endodontic treatment, and discuss it. The AAE has a variety of patient education brochures available for purchase (www.aae.org/onlinestore).
  • Provide the patient with information from the AAE website about common root canal myths:
    www.aae.org/patients/treatments-and-procedures/root-canals/myths-about-root-canals-and-root-canal-pain.aspx#2.
  • Indicate that the patient is in control of his/her own decision to move forward with any dental procedure, and reiterate a commitment to the highest quality dental care.

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