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Medical Forum / General / Dentistry / August 2006

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root canal failure

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Susan - 29 Aug 2006 01:45 GMT
I went in to the dentist to have 2 root canals done, side by side. The
one came out ok. Then he started working on the other one. Then the sh__
hit the fan.

I let out a scream and within moments my right cheek swelled up so big I
look like a freak show. By that night, not only was I all swelled on my
cheek, jaw and down my neck, I was also black and blue.

Did this guy know what the heck he was doing or what? He said as a
result of the needle hitting a vein, it was hematoma.

Now, I have had many root canals over course of time. But never like
this. Talked to many people and they are shocked too

He never did get the chance to finish it. And I had to be out of work
Thursday and Friday taking sick leave. Could hardly open my mouth to
talk. Let alone not being able to eat much of anything

I am at a loss here, and don't know whether I should go back and have
him finish it (and hit another vein) or find someone else. Really confused

Any suggestions?

Susan
Steven Bornfeld - 29 Aug 2006 02:41 GMT
> I went in to the dentist to have 2 root canals done, side by side. The
> one came out ok. Then he started working on the other one. Then the sh__
[quoted text clipped - 20 lines]
>
> Susan

    If this is in the upper premolar or first molar area, your dentist
doubtless damaged a vein in the pterygoid venous plexus.  I've seen this
only once--the patient in the cubicle next to me in dental school.  I
think the instructor may have given the injection.
    It's almost certainly just one of those things.  You have to stay close
to the bone  to try to avoid the plexus.  My guess is (based on the
rarity of this happening) than unless you have a very unusually
prominent plexus this is unlikely to happen again.
    You probably should be followed by an oral surgeon to manage the
hematoma, and may need to be on antibiotics to lessen the chance of
infection.

Steve
Susan - 29 Aug 2006 03:02 GMT
This was on the bottom right. Which is one of the reasons why my entire
right cheek, jaw and down my neck swelled up and became black and blue

This is very unusual, the dentist even said that too. Perhaps he was
inexperienced in this field.

Has to be finished up at some point. Wondering if I should even go back
to him or not. Afraid it will happen again

It has improved since last Wednesday. But a bit concerned that the
dentist has not made a call to see how I am doing since last Thursday

>> I went in to the dentist to have 2 root canals done, side by side. The
>> one came out ok. Then he started working on the other one. Then the
[quoted text clipped - 35 lines]
>
> Steve
C.J. Thomas - 29 Aug 2006 13:06 GMT
Hmmm...wonder if there was a sodium hypochlorite incident here.  Was the
dentist injecting any sort of medicine directly into the tooth itself when
this happened?  If this was a lower tooth, did he numb up the entire jaw
with one injection in the beginning?  If he had started the root canal, was
inside the pulp, and injected the cleaning solution into the tooth which
resulted in this feeling of pain, let me know ASAP.

> This was on the bottom right. Which is one of the reasons why my entire
> right cheek, jaw and down my neck swelled up and became black and blue
[quoted text clipped - 47 lines]
>>
>> Steve
Mark & Steven Bornfeld - 29 Aug 2006 16:30 GMT
> Hmmm...wonder if there was a sodium hypochlorite incident here.  Was the
> dentist injecting any sort of medicine directly into the tooth itself when
> this happened?  If this was a lower tooth, did he numb up the entire jaw
> with one injection in the beginning?  If he had started the root canal, was
> inside the pulp, and injected the cleaning solution into the tooth which
> resulted in this feeling of pain, let me know ASAP.

    I hadn't even thought of that.  I'm thinking no--the swelling wouldn't
have been immediate.  Obviously, if this is a reaction to sodium
hypochlorite this is very serious.

Steve

>>This was on the bottom right. Which is one of the reasons why my entire
>>right cheek, jaw and down my neck swelled up and became black and blue
[quoted text clipped - 47 lines]
>>>
>>>Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

C.J. Thomas - 29 Aug 2006 16:45 GMT
"Recognition of an irrigant-related mishap will be readily apparent.  The
patient may immediately complain of severe pain, and swelling can be violent
and alarming."

-Ingle and Bakland, Endodontics 5th addition 2002.

I  would disagree about the rate of swelling...a quick look at the lit and a
few case reviews of the matter reveal that both pain and swelling are
immediate.  Here are a few references:

Hales JJ. Jackson CR. Everett AP. Moore SH. Treatment protocol for the
management of a sodium hypochlorite accident during endodontic therapy.
General Dentistry. 49(3):278-81, 2001 May-Jun.

Neaverth EJ. Swindle R. A serious complication following the inadvertent
injection of sodium hypochlorite outside the root canal system. Compendium.
11(8):474, 476, 478-81, 1990 Aug.

Gatot A. Arbelle J. Leiberman A. Yanai-Inbar I. Effects of sodium
hypochlorite on soft tissues after its inadvertent injection beyond the root
apex. [Review] [9 refs] Journal of Endodontics. 17(11):573-4, 1991 Nov.

Gernhardt CR. Eppendorf K. Kozlowski A. Brandt M. Toxicity of concentrated
sodium hypochlorite used as an endodontic irrigant. International Endodontic
Journal. 37(4):272-80, 2004 Apr.

The severe pain, swelling, and even coloration sounds like it could be a
hypochlorite incident.  I would also be willing to wager that a lot of
dentists wouldn't even consider this occurring or have any idea what we were
even talking about.  I have been to dental school...and it is scary!!!

>> Hmmm...wonder if there was a sodium hypochlorite incident here.  Was the
>> dentist injecting any sort of medicine directly into the tooth itself
[quoted text clipped - 60 lines]
>>>>
>>>>Steve
Mark & Steven Bornfeld - 29 Aug 2006 18:49 GMT
> "Recognition of an irrigant-related mishap will be readily apparent.  The
> patient may immediately complain of severe pain, and swelling can be violent
[quoted text clipped - 26 lines]
> dentists wouldn't even consider this occurring or have any idea what we were
> even talking about.  I have been to dental school...and it is scary!!!

    There was a case report a couple of years ago in one of the journals
(I'm thinking it was General Dentistry, but I'm not sure).  It was scary
for sure.  Hopefully the OP will respond.

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Mark & Steven Bornfeld - 29 Aug 2006 16:32 GMT
> This was on the bottom right. Which is one of the reasons why my entire
> right cheek, jaw and down my neck swelled up and became black and blue
[quoted text clipped - 7 lines]
> It has improved since last Wednesday. But a bit concerned that the
> dentist has not made a call to see how I am doing since last Thursday

    I have changed the header and hope our resident oral surgeon will read
this.  I'm thinking it may still be possible with an errant injection to
the pterygoid plexus if the injection is a bit high and lateral.
    Before I start to dig out my anatomy and anesthesia texts, maybe Dr.
King will read this.

Steve

>>> I went in to the dentist to have 2 root canals done, side by side.
>>> The one came out ok. Then he started working on the other one. Then
[quoted text clipped - 35 lines]
>>
>> Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

C.J. Thomas - 29 Aug 2006 16:46 GMT
but for this case, the tooth was mandibular, correct?

>> This was on the bottom right. Which is one of the reasons why my entire
>> right cheek, jaw and down my neck swelled up and became black and blue
[quoted text clipped - 55 lines]
>>>
>>> Steve
Mark & Steven Bornfeld - 29 Aug 2006 18:53 GMT
> but for this case, the tooth was mandibular, correct?

That is what the patient reported.  The only thing I can say (until the
OP responds) is that my memory of the case reports of NaHClO3 extrusion
were so awful--progressing to noma if memory serves--that the patient's
complaint of having to take last Thurs. and Fri. off would have been
followed by an even more serious story line.

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

C.J. Thomas - 29 Aug 2006 19:03 GMT
I have heard everything from patients having to be hospitalized for the
condition versus others doing ok as outpatients.  I think it depends on the
situation.  This discussion could be completed if we could just ask the
dentist what he/she was doing at the time of the incident.

>> but for this case, the tooth was mandibular, correct?
>
[quoted text clipped - 5 lines]
>
> Steve
Dave King - 29 Aug 2006 19:53 GMT
>> but for this case, the tooth was mandibular, correct?
>
[quoted text clipped - 5 lines]
>
>Steve

Your thinking what I am. That stuff should be considered a WMD when it
escapes from where it belongs. The instantaneous pain and swelling are
tell-tale.

Dave
Mark & Steven Bornfeld - 29 Aug 2006 20:50 GMT
>>>but for this case, the tooth was mandibular, correct?
>>
[quoted text clipped - 11 lines]
>
> Dave

    So you agree it's probably bleeding from the pterygoid venous plexus?

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Dave King - 29 Aug 2006 21:03 GMT
>>>>but for this case, the tooth was mandibular, correct?
>>>
[quoted text clipped - 15 lines]
>
>Steve

Nah, the bleach. Too rapid for the venous plexus.
Mark & Steven Bornfeld - 29 Aug 2006 21:36 GMT
>>>>>but for this case, the tooth was mandibular, correct?
>>>>
[quoted text clipped - 17 lines]
>
> Nah, the bleach. Too rapid for the venous plexus.

    Really?  I saw the side of someone's face blow up like a balloon once
after a maxillary infiltration--very striking, and certainly no bleach
involved.

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

C.J. Thomas - 29 Aug 2006 22:58 GMT
What if it was a hematoma associated with the mental neurovascular bundle?
However, that shout of pain really reminds me of what I have read and seen
in lit review and in the undergrad clinic.

>>>>>>but for this case, the tooth was mandibular, correct?
>>>>>
[quoted text clipped - 23 lines]
>
> Steve
C.J. Thomas - 30 Aug 2006 21:52 GMT
Susan?!?  Oh Susan?  Are you still with us?  Inquiring minds want to know.
:)

> This was on the bottom right. Which is one of the reasons why my entire
> right cheek, jaw and down my neck swelled up and became black and blue
[quoted text clipped - 47 lines]
>>
>> Steve
Susan - 31 Aug 2006 07:35 GMT
Hello.. Still here.. In fact. Most of the swelling has gone down. Only
thing confusisng me is this thick mass of something inside, by the gums.
I guess the blood clot is just taking a rest at the bottom of my jaw..
I would think to put heat on it, dentist said put cold on it.

Dentist said it should go away in time. I hope sometime in next few
days.  I guess the blood clot (hematoma)

> Susan?!?  Oh Susan?  Are you still with us?  Inquiring minds want to know.
> :)
[quoted text clipped - 50 lines]
>>>
>>>Steve
Mark & Steven Bornfeld - 31 Aug 2006 14:28 GMT
> Hello.. Still here.. In fact. Most of the swelling has gone down. Only
> thing confusisng me is this thick mass of something inside, by the gums.
[quoted text clipped - 3 lines]
> Dentist said it should go away in time. I hope sometime in next few
> days.  I guess the blood clot (hematoma)

    Most likely.  Has he seen it?

Steve

>> Susan?!?  Oh Susan?  Are you still with us?  Inquiring minds want to
>> know. :)
[quoted text clipped - 51 lines]
>>>>
>>>> Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Jan - 29 Aug 2006 17:42 GMT
> I went in to the dentist to have 2 root canals done, side by side. The
> one came out ok. Then he started working on the other one. Then the sh__
[quoted text clipped - 20 lines]
>
> Susan

Root canal failure  275 on this newsgroup.

For the umpteenth, or hundredth time.................

http://www.altcorp.com/AffinityLaboratory/rcttreatment.htm

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
C.J. Thomas - 29 Aug 2006 18:29 GMT
Wow....is this focal infection theory stuff?  That was so 1910.

Susan wrote:
> I went in to the dentist to have 2 root canals done, side by side. The
> one came out ok. Then he started working on the other one. Then the sh__
[quoted text clipped - 20 lines]
>
> Susan

Root canal failure  275 on this newsgroup.

For the umpteenth, or hundredth time.................

http://www.altcorp.com/AffinityLaboratory/rcttreatment.htm

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
 
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