Q: Which criteria should be followed for to decide whether a tooth should go for endodontic treatment, in which only bone loss is present?
A: The criteria for performing a root canal are clearly stated by the American Academy of Endodontists. Generally speaking, if a tooth has decay into the nerve or is necrotic (dead) or has symptoms of severe pain which could include cold or hot sensitivity, and/or shows a radiographic periapical lesion (PAP), then root canal therapy is indicated. Teeth can be tested as well to see if they are vital (alive) or necrotic (dead). This is called pulp testing. Just having bone loss alone is not an indication for endodontic treatment. However, having bone loss would justify a consult with a highly trained Periodontal Laser Specialist certified by the American Academy of Periodontology and having additional certification in performing laser surgery with FDA clearance.
