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Medical Forum / General / Dentistry / January 2007

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root canal chemicals

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JayG - 29 Jan 2007 18:43 GMT
I seem to be having trouble with posting through google, so this may
be a repeat.

I'm researching for a  friend who is disabled with CFS, Fibromyalgia
and multiple chemical sensitivity. It looks like she needs a  root
canal or an extraction soon, so I am researching options for her. Any
information on root canal treatment would be appreciated.  She's in a
lot of pain, but wants to save the tooth rather than just extracting
it if possible.

I understand that one problem chemical is eugenol. The endodontist she
consulted says he can't do a root canal without eugenol. Is this true,
or is there a substitute that would be used by a mainstream
endodontist?

Also, does anyone know about the chemical properties of the gutta
percha mixtures that are used?
I understand they contain barium, but assume it isn't radioactive?

Any information would be helpful.
Mark & Steven Bornfeld - 29 Jan 2007 19:43 GMT
> I seem to be having trouble with posting through google, so this may
> be a repeat.
[quoted text clipped - 16 lines]
>
> Any information would be helpful.

    There most certainly are root canal sealers that don't contain eugenol.
 While there is little or no absorbtion, it certainly is possible that
someone may have an unusual sensitivity to this.  It may be that the
endodontist simply doesn't like the properties of the non-eugenol
sealers he's tried.  I think he should screw up his courage and try to
accommodate this patient.
    Yes, there's barium in gutta percha--AFAIK it's there to enhance the
visibility of the material on x-ray.  I never thought of a radiation
risk--may be that a certain percentage of barium produced may be a
radioisotope, but I assume if it is true it probably has a short
half-life.  I have to plead ignorance here.

Steve

Signature

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

JayG - 30 Jan 2007 08:02 GMT
Thanks for the reply. I found an endodontist who had at least heard of
non-eugenol sealers, so that's a possibility. I need to research the
barium question more. I can't think of a reason for radioactivity, but
I always think of barium enemas which are radioactive I think.
Meanwhile she's nursing the tooth, and the pain has subsided, so its
not a crisis yet.

On Jan 29, 11:43 am, Mark & Steven Bornfeld

>         There most certainly are root canal sealers that don't contain eugenol.
>   While there is little or no absorbtion, it certainly is possible that
[quoted text clipped - 14 lines]
> Brooklyn, NY
> 718-258-5001
Bob - 30 Jan 2007 13:22 GMT
Barium is not radioactive
http://www.medic8.com/healthguide/articles/bariumenema.html

milo
> Thanks for the reply. I found an endodontist who had at least heard of
> non-eugenol sealers, so that's a possibility. I need to research the
[quoted text clipped - 25 lines]
>> Brooklyn, NY
>> 718-258-5001
Mark & Steven Bornfeld - 30 Jan 2007 14:57 GMT
> Thanks for the reply. I found an endodontist who had at least heard of
> non-eugenol sealers, so that's a possibility. I need to research the
> barium question more. I can't think of a reason for radioactivity, but
> I always think of barium enemas which are radioactive I think.
> Meanwhile she's nursing the tooth, and the pain has subsided, so its
> not a crisis yet.

    Barium is used as a contrast medium--IOW, it shows up on x-ray.  Same
reason it's used in gutta percha.

Steve

> On Jan 29, 11:43 am, Mark & Steven Bornfeld
>
[quoted text clipped - 16 lines]
>>Brooklyn, NY
>>718-258-5001

Signature

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

Newbie - 30 Jan 2007 22:55 GMT
>Thanks for the reply. I found an endodontist who had at least heard of
>non-eugenol sealers, so that's a possibility.

Look into Resilon.
There is so little eugenol mixed into Grossman's sealer that it's
really a non-issue.

> I need to research the
>barium question more. I can't think of a reason for radioactivity, but
>I always think of barium enemas which are radioactive I think.

Don't think the Barium is radioactive, but it is *radio-opaque*.
Which means it shows up in radiographs (x-ray films)

>Meanwhile she's nursing the tooth, and the pain has subsided, so its
>not a crisis yet.
Dartos - 30 Jan 2007 13:42 GMT
> Any information would be helpful.

There is a filling point and sealer system that is based on
composite resins.  It is called Resilon®.  I have not used
it yet, in that it has not achieved widespread acceptance.

Several dentists I know have switched and I have heard of
nothing wrong with the product.  The filling technique is
basically the same as with gutta percha, just different
materials.

D
Newbie - 30 Jan 2007 21:58 GMT
>I seem to be having trouble with posting through google, so this may
>be a repeat.
[quoted text clipped - 16 lines]
>
>Any information would be helpful.

Try the American Association of Endodontists

www.aae.org

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