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Failed Root Canal, pain won't go away - what now?



Question:

About 14 months ago I had a root canal. The pain did not go away - it got worse. The endodontist said that I had an atypical root structure, with two branches to the root. Originally she went into the larger of the two roots. Since the pain didn't end, she tried to go into the smaller one, but couldn't really get all the way in to clean it all out. There was still pain after this second procedure. She recommended yet another procedure, the name of which I can't remember, but I was so sick of the lack of results that I just dealt with it, and eventually the pain faded.

About 3 months ago the pain returned with a vengence. I was six months pregnant at the time. I went to my dentist first. I was concerned about having X-rays while pregnant, so through question, answer and probing he determined that the tooth next to the one that had been worked on previously had decay, and he filled it. That didn't do the trick. I asked my OB, who okayed another X-ray, and went back to the endodontist. Upon examination of the X-ray, she could not see any sign of infection or other problems. She thought maybe the pain was due to the hormonal changes of pregnancy, but wanted to lift the gum and file down the root once I had the baby.

I am now about a week from delivery, but I have doubts about going ahead with the procedure above. It sounds like she's just guessing about the efficacy of the procedure she wants to do. I live in a town with just 2 endodontists, and the other one takes 6-8 months to get an appointment with. What should I do?


Answer:

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.toothwisdom.net/

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

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

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 anyone other than Mrs. Drew, I apologize in advance for my selfish need to get this out of my system. I have nothing of scientific value to add, so please do scroll to the next message if you're simply tired and fed up with boring insults and barbs...yet I must say this.

Jan, until this moment I saw you as nothing more than an annoyance, sort of like a swarm of Mayflies at an Oakland County Metropark, or perhaps as a clump of horse manure packed into the grooves of an otherwise wonderful pair of hiking boots. Sometimes your over-zealous blatherings amused me, but more often than not I simply found you to be boring and repetitive, and any message you may have meant for someone like me to heed was absolutely wasted due entirely to your obnoxious and disrespectful attitude.

But this time you have gone too far; you have crossed the line from being a moronic Usenet bothersome spammer and troll and have now personally attacked a good man and his wife, for whom he naturally, of course, feels love and concern.

Let's get the easy one out of the way first: "Vaughn thinks the only important thing to discuss is Beryllium." Oh, good lord. Pot - kettle - BLACK! Why don't you do one of your cute little Googlizations and let us all know the ratio of Dr. Vaughn's Beryllium posts to your incessant, waste-of-time mercury posts. Jan, that was a line of bullshit from you that surprised even me. I guess I was giving you too much intelligence credit. I won't make that mistake again.

Oh, but what you wrote next! Quoted: "Others [sic] suffering seem to be of no concern, just to his own family." JesusHChrist on a stick, Jan! Could you be any more cruel than that? Do you personally know Dr. Vaughn? Have you ever been his patient, are you his neighbor, do you regularly deliver mail to his home? No. And yet you have made such a NASTY and VILE blanket statement about a man you don't know and you have nothing to back that horrid accusation up. I don't know Dr. Vaughn personally, but in our one interaction via NG he very compassionately wrote words of kindness and comfort to *me*, someone he didn't know save for the short history I wrote to this group. He didn't have to do that. He doesn't know me.

In one of the very first Beryllium posts, he was asked to describe the situation of his wife's condition and his reply was something to the effect of, "Sure, I'll start anywhere, but I don't want to be a bore." Those are words you might do well to heed yourself, Mrs, Drew, for Dr. Vaughn showed concern for the group in general because he didn't want to bore anyone. You, on the other hand don't seem to care whether or not you bore or insult anyone, or else you'd drastically change your mode of preaching to ears you killed off long ago.

"Others [sic] suffering seem to be of no concern, just to his own family."

Have you even bothered to read what he has written in the past, or do you just skim the group until you find your own name on your own posts so you can read them over and over? Before you shoot off your mouth and once again prove your boorishness, you might want to search many more of Dr. Vaughn's posts and take note of the *free* advice he willingly gives in his spare time, and also notice that the man does, indeed, feel compassion and concern of suffering for more than "just his own family."

You made the egregious mistake of maligning a good man without any basis for your wicked remark. You owe Dr. Vaughn an apology.

Oh -- by the way, when was the last time you offered compassion or empathy for anyone in this NG? Or is it that your anti-amalgam message is SO important that you don't have time to post actual, sincere words of human kindness?

Kindness? Compassion? Oh, pish, just over-rated useless emotions that get in the way of your own personal rant (over and over and over and over and over and over...) You are a heartless and loathsome being, Mrs. Drew.

Dr. Vaughn, please extend to your wife my warm thoughts and hopes that she will feel better as time continues. And a personal thank you for taking some moments out of your free time and your own set of personal problems to address the problems and concerns of total strangers, such as myself.

Well, I have seen perfectly performed root canals and twelve months later, the little black ball, the abscess, has not resolved. This happened on a strong healthy 21-year old, so it does happen.

Now if the ball is not enlarging, and if it causes no pain, then perhaps we leave it alone. If it is causing pain, then it needs to be addressed.

The procedure is not complicated (less so in the anterior ~ front, more so in the posterior ~ back), therefore the decision whether to do it or not is evidence-based.


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