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Medical Forum / General / Dentistry / June 2007

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Root infection can cure even it is cemented?

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catapam - 31 May 2007 19:48 GMT
I've experienced root canal pain right now.
My dentist remove metal pivot from my front tooth inserted 15 years
ago.
I didn't have any problem with that tooth. It was only an aesthetic
issue.

Unfortunately the root have same smell and the dentist told me that
the root is infected.

He injected some drugs inside the root and fill it and told be to came
back in 7 days.
Today I was back to him. He open the tooth root and the smell was
back.
He told me that future treatment is no longer necessary.
He inserted and cemented a new metallic pivot.
I feel it pain inside the root when he did that.
I steel feel pain now (after six hours)

He told me that with some luck the root will be cured despite the
infection.

Is this possible?

Thanks,
John Keiser - 31 May 2007 20:24 GMT
In what country is this dentist located?

Signature

Remove -NOSPAM- to contact me.

catapam - 31 May 2007 20:46 GMT
I'm from Romania.
But I want an opinion about the problem.
An infected root that is cemented despite the pain could be cured in
time because now is properly sealed? I need to mention that the root
was washed before was sealed but I still have pain now (6 hours later)
kimmi - 01 Jun 2007 05:20 GMT
At my dental office, any patient that presents with an infection is
given an antibiotic, unless we are extracting the tooth( in that case
we are removing the
source of the infection so there is no need for antibiotic). But when
a patient presents with an abcess/infected tooth that needs root canal
therapy, they
are given an antibiotic even once the RCT has been completed. I guess
a properly prepared and sealed RCT tooth could heal itself but I have
no idea how
long it would take the body to heal an infection like that. Probably
99% of my patients return to the office after RCT and tell me that as
soon as the numbness
from the injections went away that other than a bit of tenderness
( and that is only if they had some major swelling) they felt
wonderful and had no further pain.
I can't understand why the dentist would want to leave it up to luck
for the infection to heal, why not give it a helping hand and give you
an anitbiotic.

Hope you are feeling better soon.
Sooner Girl
catapam - 01 Jun 2007 06:59 GMT
Hi,

The pain is almost gone this morning.
I didn't take any antibiotic.
I hope the root infection to go toward cure, by itself.
I'm only puzzled why my doctor insisted to cement it and didn't try to
let the root open for future treatment and wash with antibiotics.
He told me that if he close the root after proper wash is better then
to let the root open for future root treatments.
In both cases I have similar chances to loose the tooth or by contrary
the root infection to cure by itself.

He told me that if root infection persist I could have a second
procedure that means cutting the tooth root and remove the infection
without removing dental crown.

What is your opinion.

Thanks for help.

Catalin
Steven Fawks - 01 Jun 2007 13:08 GMT
> At my dental office, any patient that presents with an infection is
> given an antibiotic, unless we are extracting the tooth( in that case
[quoted text clipped - 6 lines]
> no idea how
> long it would take the body to heal an infection like that.

> I can't understand why the dentist would want to leave it up to luck
> for the infection to heal, why not give it a helping hand and give you
> an anitbiotic.

The body's immune system is not "luck".  Antibiotics have been over
used greatly over the last 40 years.  Current recommendations are to
use antibiotics only when there are systemic symptoms (fever, swelling,
etc.).  Not just a 'hot' tooth that needs endo.  Treat the source of
the pain (endo or exo) and be done with it.

Steve
Newbie - 01 Jun 2007 15:16 GMT
>> At my dental office, any patient that presents with an infection is
>> given an antibiotic, unless we are extracting the tooth( in that case
[quoted text clipped - 18 lines]
>
>Steve

Exactamundo big daddy !

Multiple drug resistant strains are becoming a big problem, esp in hospitals.
Nocosomial infection.
Newbie - 01 Jun 2007 14:57 GMT
>At my dental office, any patient that presents with an infection is
>given an antibiotic,

>unless we are extracting the tooth( in that case
>we are removing the
>source of the infection so there is no need for antibiotic).

That's not only untrue it's just plain dumb IMO.

> But when
>a patient presents with an abcess/infected tooth that needs root canal
[quoted text clipped - 3 lines]
>no idea how
>long it would take the body to heal an infection like that.

After RCT sometimes there is a need for post-op ABX, this is the exeption
and not the rule.

> Probably
>99% of my patients return to the office after RCT and tell me that as
>soon as the numbness
>from the injections went away that other than a bit of tenderness
>( and that is only if they had some major swelling) they felt
>wonderful and had no further pain.

I'd say that percentage is a little high.
Most patients have some soreness for a day or two.

>I can't understand why the dentist would want to leave it up to luck
>for the infection to heal, why not give it a helping hand and give you
>an anitbiotic.

It's not luck, it's based on solid scientific principles.
ABX are too frequently used and that's why there are
multiple drug resistant strains of bacteria and other infective
agents.

>Hope you are feeling better soon.
>Sooner Girl
Steven Fawks - 02 Jun 2007 13:16 GMT
>>I can't understand why the dentist would want to leave it up to luck
>>for the infection to heal, why not give it a helping hand and give you
[quoted text clipped - 4 lines]
> multiple drug resistant strains of bacteria and other infective
> agents.

That message has reached rural Missouri.  I wonder why it hasn't made
it to Oklahoma?

;-(
Steve
Newbie - 04 Jun 2007 14:51 GMT
>>>I can't understand why the dentist would want to leave it up to luck
>>>for the infection to heal, why not give it a helping hand and give you
[quoted text clipped - 10 lines]
>;-(
>Steve

Down here in Mexico the news is slowly spreading ;-0
catapam - 31 May 2007 23:29 GMT
I'm from Romania.
But I want an opinion about the problem.
catapam - 01 Jun 2007 03:19 GMT
I'm from Romania.
But I want an opinion about the problem.
catapam - 01 Jun 2007 04:56 GMT
I'm from Romania.
But I want an opinion about the problem.
Steven Fawks - 01 Jun 2007 13:15 GMT
> I've experienced root canal pain right now.
> My dentist remove metal pivot from my front tooth inserted 15 years
[quoted text clipped - 20 lines]
>
> Thanks,

I'm sorry, but I'm not sure of exactly what condition the tooth
was in before it was treated.  Plus I'm not sure exactly what
treatment was rendered.

Some pain the day of treatment and even for a few days after
treatment does happen.  Pain should not be severe, and it should
gradually disappear over time.

Continued pain, or any signs of infection are telling you that
something is wrong.

Retreating old root canals is not always successful.

JMO,
Steve
Amatus Cremona - 01 Jun 2007 13:56 GMT
I wonder what the "metallic pivot" is ??  [Post?  Silver point?  Pins?
Amalgam? Cast P&C?]

I think that re-treating RCT teeth that were previously fine for years has a
poor prognosis.  If the tooth NEVER was "fine" after initial RCT, then
prognosis is much better.  Too many teeth planed for re-treatment of RCT
actually have cracked roots.

I find that using "today's" concept of preparing to the apex (rather than
1-2 mm short) and getting a *puff* of sealant out the tip, tends to leave
many teeth a bit sore to biting pressure for 4-10 days.

Signature

/

Amatus

/

>
>> I've experienced root canal pain right now.
[quoted text clipped - 37 lines]
> JMO,
> Steve
Newbie - 01 Jun 2007 15:11 GMT
>I wonder what the "metallic pivot" is ??  [Post?  Silver point?  Pins?
>Amalgam? Cast P&C?]
[quoted text clipped - 3 lines]
>prognosis is much better.  Too many teeth planed for re-treatment of RCT
>actually have cracked roots.

Yeppers. Only re-treat those that can possibly be improved.

>I find that using "today's" concept of preparing to the apex (rather than
>1-2 mm short) and getting a *puff* of sealant out the tip, tends to leave
>many teeth a bit sore to biting pressure for 4-10 days.

So it's true, you're a 'puff daddy' ;-]]

Heard one endo say if there is a 'puff', I meant to do it.
If not... well... I didn't.

You do want to be to the apex based on an apex locator reading.
The radiographic apex is not always concurrent with the actual.
gordongaskill@netzero.com - 02 Jun 2007 05:10 GMT
> I've experienced root canal pain right now.
> My dentist remove metal pivot from my front tooth inserted 15 years
[quoted text clipped - 20 lines]
>
> Thanks,

Catalin,
Does your tooth have the pulp in the root canal?
Gordon
catapam - 02 Jun 2007 21:42 GMT
> Catalin,
> Does your tooth have the pulp in the root canal?
> Gordon

No,
The pulp was extracted 15 years ago.
I've had metallic pivots inside and crowns on those metallic pivots.
When dentist remove the crown and pivots for esthetic reasons he
noticed that the roots have some smell and concluded that roots was
infected.
He put some drugs and washes them up and let the roots obturated for 1
week.
One of them continues to look bad when I was back.
I instead to continue to treat that root but the dentist decided to
cement it.
He said that there are equal chances to heal by itself or not
regardless farther treatment.
Maybe he was right, the pain is almost gone.
Maybe my body has the power to heal or by the contrary the infection
will remain there.
The question is:
Can infection still by present without pain?
Or the lack of pain means that infection is cured?

Please can u explain me the meaning of words:

apex
ABX
endo
exo

that I found in my post answer.

I'm not a native english speaker.

Thanks,

Catalin
Dartos - 04 Jun 2007 14:17 GMT
>>Catalin,
>>Does your tooth have the pulp in the root canal?
[quoted text clipped - 23 lines]
>
> apex

The end of the root in the bone.

> ABX

Antibiotic drugs

> endo

Short for root canal treatment (removing the nerve)

> exo

Short for exodontia (removing the whole tooth)

In general, no pain is a very good sign.  However, it does not
mean that everything is perfect.  The tooth should be re-checked
on future dental visits.

If the tooth has three roots, is it an upper molar (jaw tooth)?

One root of upper molars often has a second canal (meaning a total
of 4 canals withing the tooth).  Treating only three of these
is unlikely to be successful.  The fourth needs to be found and
treated also.

Hope the words translate well,
D

> that I found in my post answer.
>
[quoted text clipped - 3 lines]
>
> Catalin
Jan Drew - 04 Jun 2007 04:44 GMT
> I've experienced root canal pain right now.
> My dentist remove metal pivot from my front tooth inserted 15 years
[quoted text clipped - 20 lines]
>
> Thanks,

He lied.

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

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

 all root cancel fillings have the potential to cause bad health. This is
because, although the nerve has been removed, bacteria still colonies 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
localized problems.

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

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

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

http://www.bikerchick.freehomepage.com/custom2.html

http://www.wholebodymed.com/library_education_details.php?pid=42

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/

[this url has been highjacked, nevertheless still true].

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 debatable 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
[quoted text clipped - 55 lines]
>415-225-7970; call Attorney Shawn Khorrami at 818-947-5111.
>###

Jan
catapam - 04 Jun 2007 08:44 GMT
Mr. Jan Drew,

I have Root Canal Therapy for most of my teeth.
I'm 43 y.o.
So, from your post seems that I should be dead by now.
I think you are over reacting. Things like this could bring for you
and for people that believe you more serious illness like anxiety or
even depression.

Catalin
 
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