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Medical Forum / General / Dentistry / August 2006

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Root Canal ??? Really???

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bgirelay@yahoo.com - 14 Aug 2006 00:53 GMT
Hi,

I recently went to my dentist for some slight tooth sensitivity. I
thought I had the starting of a cavity. The sensitivity is on and off
and very mild.

Well, they took lots of x-rays and then started testing my teeth. She
tapped on them, put warm water in my mouth, then tested for cold
sensitivity with ice. The ice was the only thing that was painful,
though it took about 2 seconds to be sensitive and once she removed the
ice, the pain went away. After looking at the ice, I realized it was
DRY ICE, not regular ice from the freezer.

She informed me that I needed a root canal. There were no cavities.
They didn't really explain it to me, except for the cost of the
proceedure and what my insurance would cover and what I was required to
cover.

During the next visit, I looked at my Xrays of the tooth, and realized
it was the tooth that has a 6 year old cap/crown, made of
porcalin/gold. She couldn't show me anything on the X-Rays, or any
other test, except for placing dry ice on my tooth. But to me, using
dry ice seems like selling snake oil. That ice is sooo cold, it can
burn holes in skin, so why wouldn't
it be senstive if placed for a prolonged period anyhwere?

Am I being a ninny and denying treatment I need or does this just sound
like a rash pre-judgement to rush to a root canal??

Thank you,

m
Steven Bornfeld - 14 Aug 2006 02:53 GMT
> Hi,
>
[quoted text clipped - 28 lines]
>
> m

    Tough to say.  I can't imagine keeping dry ice around to test
sensitivity to cold.  In any case, while I can't rule out the need for
root canal treatment, cold sensitivity that only lasts a second or two
after the source of cold is removed is consistant with a nerve that may
well be healthy.  I'd suggest a second opinion.  If nothing shows up on
x-ray and the sensitivity is only to cold you have little to lose trying
a desensitizing toothpaste such as Sensodyne or Dequel for a month or so.

Steve
bgirelay@yahoo.com - 14 Aug 2006 18:23 GMT
> > Hi,
> >
[quoted text clipped - 38 lines]
>
> Steve

Thanks for the post. Yes, I think the toothpaste and keeping an eye on
it is my plan of action. My friend also suggested ACT to help restore
any soft spots too. For now I'll forgo the proceedure.

m
Jan - 14 Aug 2006 17:14 GMT
> Hi,
>
[quoted text clipped - 28 lines]
>
> m

Please be aware of the risks of root canals.

[haven't checked these links in a while.  Some may not work].
Still you can hopefully get the picture.

http://www.toothwisdom.net/r.root_canals.html

http://www.integratedhealthpractice.com/treatment.asp#Root

 ll root cancel fillings have the potential to casue bad health. This
is because, althought the nerve has been removed, bacteria still
colonise in the minute tubules of a tooth. These bacteria produce
toxins which enter the body causing potential harm.
An area of residual infection which is left under the gum, usually
following, but sometimes a long time after an extraction can cause
problems. Symptoms can be coincided with the energetic links to the
body as well as localised problems.

http://www.zip.com.au/~rgammal/RCTframeset.htm

http://www.ericdavisdental.com/root_canals.htm

http://www.whale.to/d/root2.html

http://www.drshankland.com/rootcanal.html

http://webpages.charter.net/kyarbrough/rootcanals.htm

http://www.dentistry-toothtruth.com/faq.htm

http://www.cfsn.com/maz/

http://cnorman.best.vwh.net/blazing/dental.html

http://rheumatic.org/teeth.htm

http://www.zip.com.au/~rgammal/root_therapies.htm

http://zap.intergate.ca/root.html

http://www.dentistryholistic.com/education.html

http://www.hugnet.com/Root_Canals.html

http://www.karlloren.com/ultrasound/p25.htm

http://www.hallvtox.dircon.co.uk/hallvt.html

Root Canals. A tooth has miles of tiny canals running through the root.
A dead
or root filled tooth will have bacteria in these canals. There is no
way of
removing the bacteria once they are in there.

http://www.toothwisdom.net/

Toxicity from Root Canals

The next subject to be discussed are root canals and their possible
source of
toxicity. Approximately twenty five million Americans undergo root
canal
therapy every year in an effort to prevent the loss of teeth that have
abscessed. The root canal is the left portion of the tooth which houses
the
vital organs such as the nerve and blood vessels. The dentist endeavors
to
clean and sterilize this canal and fill it with a sterile, non toxic
inert
material. This usually renders this tooth serviceable and non painful;
however,
the entire inner hard core of the tooth is made of dentin which has
several
million dentinal tubules. These tubules allow the circulation of
lymphatic type
fluid to circulate from the vital organs of the root canal to the
outside of
the tooth. This is a viable circulatory phenomenon which has a purpose.
It
services the periodontal ligament as well as the sensory aspect of the
nerve
and blood centers in the root canal. If the body chemistry is healthy,
the flow
of lymphatic fluid is from the root canal to the outside of the tooth.
This
creates an irrigation for the tooth and usually prevents the
accumulation of
plaque to form. When the body chemistry is not healthy, then the
circulation is
from the outside of the tooth to the inner root canal. This allows for
no
irrigation, but rather an accumulation of plaque to form. There are
many more
reasons for maintaining the integrity of the circulation in the
dentinal
tubules. Root canal therapy completely destroys this integrity, and
what
happens to the non-circulating fluid in these tubules? This fluid as it
ages
becomes stagnant and becomes a toxic substance. This porous structure
now
becomes a septic mass emanating poisons into the body. Is this what you
want?
Mercury amalgams are said to be the caskets of the body. Root canals
are said
to be the cadavers of the body.

I do not recommend root canals for anyone. Each individual has a right
to their
decisions. Many people simply do not wish to lose a member of their
body. I
respect this, and I always discuss the consequences.

The next area of discussion is whether the root canal filling actually
sterilizes the apical end of the tooth. There are so many lateral
canals at the
root end of the tooth where bacteria can harbor that it is unlikely
that a
complete aseptic condition exists. This, however, is a debateable
subject.
Again, the complete acceptance of root canal therapy as a viable
substitution
for extraction is completely and whole heartedly supported by organized
dentistry. You are in violation of the code of ethics if you speak out
against
root canal therapy. When I was a practicing dentist, I always let the
patient
make that decision after explaining all pros and cons.

FOR IMMEDIATE RELEASE:

>California Judge Approves Landmark Warning on Mercury Use in Dentistry.

>(San Francisco, CA) - For the first time anywhere, dentists will be
>required to post a warning about the dangers of mercury in their dental
>fillings. A California Superior court judge finalized the language for
>the warning to be posted in dentists' offices here today.

>The warning will read as follows:

>Notice to Patients, Proposition 65:

>Warning on dental amalgams, used in many dental fillings, causes exposure
>to mercury, a chemical known to the state of California to cause birth
>defects or other reproductive harm.

>Root canal treatments and restorations including fillings, crowns and
>bridges, use chemicals known to the state of California to cause cancer.

>The U.S. Food and Drug Administration has studied the situation and
>approved for use all dental restorative materials.

>Consult your dentist to determine which materials are appropriate for your
>treatment.

>The exact language of the warning was argued and then finalized before
>Superior Court Judge James A. Robertson II between the California Dental
[quoted text clipped - 3 lines]
>mercury dental fillings and root canals. The agreement also allows non-CDA
>dentists to opt in to the agreement and post the warning.

>The warning is the result of a lawsuit filed by The Law Offices of Shawn
>Khorrami on behalf of As You Sow, a not-for-profit foundation dedicated to
>advocacy and activism in the public interest.

>"This is the first admission by organized dentistry that amalgams pose a
>potential health risk," says Shawn Khorrami, lead attorney. "The only
>problem is that it's about 100 years too late."

>This California consent judgment follows on the heels of recent lawsuits
>filed in Georgia, Texas, Ohio and Los Angeles, California charging that
[quoted text clipped - 6 lines]
>risks to certain users. Mercury, a highly toxic substance, is the most
>widely used substance in dental fillings today.

>The use of mercury-based thimerosal in vaccines also has been the source
>of the recent controversy in the Homeland Security legislation.

>Khorrami filed the lawsuit against Roger Fieldman D.D.S., Inc., the
>Citadel Dental Group, Inc. dental offices, dental laboratories and
>private dental schools and training programs with more than nine
>employees. The suit won the enforcement of Proposition 65, Safe Drinking
>Water and Toxics Enforcement Act [Health & Safety Code § 25249.6].

>Proposition 65 requires that a clear and reasonable warning be provided to
>persons prior to their exposure to a chemical known to cause cancer or
>reproductive harm. This statute lists mercury, contained in dental
>amalgam, as a substance that can cause reproductive toxicity. The lawsuit
>was based on the absence of warnings to patients treated with amalgam
>restorative materials in dental offices.

>The judgment on Proposition 65 mandates that all dental offices with more
>than nine employees provide warnings on the dangers of Mercury dental
>fillings to patients. Those in non-compliance could incur a fine of up to
>$2,500 per day.

>Press may contact: Jackie Gladfelter at 650-218-1856 or D. Infusino at
>415-225-7970; call Attorney Shawn Khorrami at 818-947-5111.

>###

Jan
bgirelay@yahoo.com - 14 Aug 2006 18:29 GMT
> > Hi,
> >
[quoted text clipped - 238 lines]
>
> Jan

Thank you.
George - 16 Aug 2006 18:43 GMT
Despite Jan's baseless information, it would be a good idea to try to
save a tooth with root canal treatment instead of just removing it and
ending up with a gap. A 2-second sensitivity to cold is definitely not
a sign that root canal treatment is needed, especially if the tooth
looks ok in the xray. Try a toothpaste or gel for sensitive teeth and
give it some time; if this doesn't help your dentist should have some
kind of desensitising agent (duraphat, gluma, superseal etc) he/she
could apply to the offending tooth.

Regards,
George
Steve Richfie1d - 21 Aug 2006 16:15 GMT
George,

> Despite Jan's baseless information,

This seems to be a gray area where neither side has sufficient
supporting information. Hence, some prudent caution seems to be in order.

One point that I have seen made in other venues is that tooth abscesses
are a somewhat unique situation in the body where an isolated infection
continues for years, sometimes decades. In the process, Darwin does his
thing and the bacteria evolves under continuing immunological pressure,
until eventually it becomes VERY dangerous. Indeed there have been
reports of people actually dying from acute poisoning from inadvertently
swallowing the output from their own tooth abscesses! There is even an
old frontier song about this. While they may have started out as plain
old bacteria in their mouths, what you end up with after a few years can
be something very different. Of course, Darwin usually doesn't do the
same thing twice, so every abscess is different.

> it would be a good idea to try to
> save a tooth with root canal treatment instead of just removing it and
> ending up with a gap.

If it isn't really bothering you, how about just leaving it where it is,
without treating it? What is the threshold where you must do SOMETHING?

From a medical viewpoint (I am a med researcher, not a dentist), one
potential treatment would seem to be to provide a vent, like the ancient
Egyptians did when they stuck boiled chicken bones into deep head wounds
so that the porous marrow provided a vent without admitting bacteria.
They would then gradually withdraw the bone over the course of
months/years. This would seem (to me) to be an alternative to pulling a
tooth to stop infection, but without actually pulling the tooth. Is
anyone doing this with teeth?

> A 2-second sensitivity to cold is definitely not
> a sign that root canal treatment is needed, especially if the tooth
> looks ok in the xray.

What is OK? I have a 2nd molar whose roots look dark on an X-ray, but
with no pockets at their tips, and which gives me no symptoms. The
dentist says to root canal it, but so far I have done nothing until I
get a clearer picture of now necessary this is. What would you do?

> Try a toothpaste or gel for sensitive teeth and
> give it some time; if this doesn't help your dentist should have some
> kind of desensitising agent (duraphat, gluma, superseal etc) he/she
> could apply to the offending tooth.

Are people actually doing root canals on healthy teeth because of minor
(and probably transitory) pain? Isn't this just a case of a nerve doing
its job for some reason that we just don't understand?

Steve Richfie1d
George - 21 Aug 2006 18:42 GMT
> George,
>
> > Despite Jan's baseless information,
>
> This seems to be a gray area where neither side has sufficient
> supporting information. Hence, some prudent caution seems to be in order.

It's not a grey area. The focal infection theory was disproved more
than 70 years ago. A successful root canal will not leave an abscess
behind. An unsuccessful one will leave an infection and then the tooth
can be removed or retreated. There's no reason to remove a tooth that
can be made to work through RCT.

Do you have a reference for those dying from acure poisoning. I have
heard of no such case report, although I have heard of people
developing gastroenteritis after swallowing pus, although it must be
stressed that this will happen with gum disease much more easily than
with an abscessed tooth.

Regards,
George
Joel344 - 15 Aug 2006 02:19 GMT
there is sumbody here called Jane Drew or someone who says route canal
are bad

--
Joel34
 
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