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Medical Forum / General / Dentistry / February 2006

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YouGoFirst - 17 Feb 2006 15:57 GMT
I just had a dental checkup, and he said that it looked like one of my
molars was being dissolved from the inside out.  He said that it is a
somewhat rare condition where the cells begin to dissolve an adult tooth,
just like a baby tooth.  It isn't any type of dental or mouth disease, and
on the X-Rays of my mouth you can see that the tooth is being dissolved form
the inside out.  He compared a full mouth X-Ray from 3 years ago to one done
that day, and on that tooth you can see that the area in the center of the
tooth is a lot bigger.

I don't remember the exact term, for it, so I would appreciate it if
somebody knew the term, and if they know the treatment options
Gabe - 18 Feb 2006 06:15 GMT
the name is: internal (or external) root resorption
to stop it a root cannal treatment is indicated, might be good to take the
nerve out , widen the cannals and place a temporary paste based on OhCa
(Calcium Hydroxyde), it seems to stop most cases of internal resorption, and
might stop external root resorption also, no guaranties anyway, just a try
to avoid extraction, if in the future the tooth should be extracted, then it
means you're in for a bridge or an implant.

Cheers!

Gabe

>I just had a dental checkup, and he said that it looked like one of my
>molars was being dissolved from the inside out.  He said that it is a
[quoted text clipped - 7 lines]
> I don't remember the exact term, for it, so I would appreciate it if
> somebody knew the term, and if they know the treatment options
steve - 18 Feb 2006 09:36 GMT
> the name is: internal (or external) root resorption to stop it a root
> cannal treatment is indicated, might be good to take the nerve out , widen
> the cannals and place a temporary paste based on OhCa

What is OhCa?
Do you mean CaOH perhaps?

> (Calcium Hydroxyde),
spelling?

I'm not being picky here Gabe, just wondering if chemistry was not an
requirement at some stage in your training.
Gabe - 18 Feb 2006 17:17 GMT
CaOh in english Calcium Hidroxyde
OhCa in Spanish Hidroxido de Calcio

Cheers!

NotKnowingGabe
;-)

PS: I was the best student in my chemistry class and I NEVER studied
English, I just speak it from the air so if I ever miss-spell some word I
beg your pardon, yes, it IS a little picky, but to your information I speak
write and read only 5 languages, so...

>> the name is: internal (or external) root resorption to stop it a root
>> cannal treatment is indicated, might be good to take the nerve out ,
[quoted text clipped - 9 lines]
> I'm not being picky here Gabe, just wondering if chemistry was not an
> requirement at some stage in your training.
steve - 19 Feb 2006 09:05 GMT
> CaOh in english Calcium Hidroxyde

wrong

> OhCa in Spanish Hidroxido de Calcio

1 out of 2

> Cheers!
>
[quoted text clipped - 5 lines]
> beg your pardon, yes, it IS a little picky, but to your information I
> speak write and read only 5 languages, so...

You just repeated your errors - AGAIN Duh!

CaOh is WRONG!
CaOH is correct.

Hydroxyde (English) is wrong.
Hydroxide (English) is correct.

As a medical person you must write chemical nomenclature accurately.
Gabe - 19 Feb 2006 09:49 GMT
the important thing is that I meant calcium hidroxyde, and ALL dentists and
many patients must've understood what I meant as CaOH
(OhCa-caOH-CAoh-CaoH-etcwhatever you want it to be) calsiyum high-drug-side
I didn't know you MUST write the oxydrile group as OH or Oh or oh, I'm not
giving any lecture here, not writing a book which anyway should be
controlled by a text corrector or someone whobelogs both to the spanish
language academy and the english language academy (if there is one), so
don't get the discussion to pointless items, where talking dentistry here
not spelling, we're on tha in'ernet, remember?
going back to the bone... the big problem is an internal root resorption,
should get root cannal therapy, with Calcium Hidroxyde, and that's it, you
picky micky leaky tricky freaky stevie
nununu!!!

Cheers!

Gabe

Gabe's tip for steve: start doing some high-drug-side pal and relax a bit

;-P

>> CaOh in english Calcium Hidroxyde
>
[quoted text clipped - 23 lines]
>
> As a medical person you must write chemical nomenclature accurately.
steve - 19 Feb 2006 10:13 GMT
> the important thing is that I meant calcium hidroxyde, and ALL dentists
> and many patients must've understood what I meant as CaOH
[quoted text clipped - 8 lines]
> root cannal therapy, with Calcium Hidroxyde, and that's it, you picky
> micky leaky tricky freaky stevie nununu!!!

:-)

> Cheers!
>
[quoted text clipped - 31 lines]
>>
>> As a medical person you must write chemical nomenclature accurately.
Joel - 18 Feb 2006 13:03 GMT
This I gotta see!

Please post an x-ray!

Joely

> I just had a dental checkup, and he said that it looked like one of my
> molars was being dissolved from the inside out.  He said that it is a
[quoted text clipped - 7 lines]
> I don't remember the exact term, for it, so I would appreciate it if
> somebody knew the term, and if they know the treatment options
Bill - 18 Feb 2006 16:55 GMT
Sure sounds like internal resorption to me, Joel.

If it hasn't progressed too far, YouGoFirst, then endodontic treatment
is generally the way to go. In a molar, that would be followed up with
a crown over the surface.

- dentaldoc
____________________________

> This I gotta see!
>
[quoted text clipped - 13 lines]
> > I don't remember the exact term, for it, so I would appreciate it if
> > somebody knew the term, and if they know the treatment options
YouGoFirst - 20 Feb 2006 00:29 GMT
My dentist said that it is about 30% gone.  I don't know if that is too far,
but from what I have seen, unless it is discovered in the initial stages,
root canals are not very successful.  My dentist also said that he has only
seen 1 case where the root canal worked.

Since I don't have the X-Rays handy, I can't follow up with how they looked.

Do you know how far gone a tooth has to be before the only viable treatment
is extraction and replacement with an artificial tooth?

> Sure sounds like internal resorption to me, Joel.
>
[quoted text clipped - 27 lines]
>> > I don't remember the exact term, for it, so I would appreciate it if
>> > somebody knew the term, and if they know the treatment options
Gabe - 21 Feb 2006 20:48 GMT
root cannal therapy is the one way to try to avoid or delay extraction.
when a tooth is extracted the bone around starts to dissappear, that bone
could be used for implants and for dentures, so the idea is to keep the bone
the most we can. of course now it's possible to have bone implanted, but it
doesn't take out our willing to keep the natural teeth the most we can.
internal root resorption IS STOPPED by rct with Calcium hidroxyde, and
depending on how big the internal hole is, it's a function of how much
proned to fracture the tooth is.
when the resorption has been stopped, and checked for some time that there's
no fracture a NORMAL root cannal obturation should be placed.
and then a restoration (post and core, and crown.
if your dentist says he's seen only 1 case then he's no endodontist, check
the matter with a licensed endodontist, but have the rct started right away

Cheers!

Gabe

> My dentist said that it is about 30% gone.  I don't know if that is too
> far, but from what I have seen, unless it is discovered in the initial
[quoted text clipped - 38 lines]
>>> > I don't remember the exact term, for it, so I would appreciate it if
>>> > somebody knew the term, and if they know the treatment options
 
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