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Old 02-08-2016, 09:53 PM #1
steve999 steve999 is offline
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Default Root canal problem if no inflammation markers?

I have two suspect root canals. The first one has a black halo around the root visible under X rays, but has no pain symptoms whatsoever. The endodontist has been watching it but says it's not a problem. The second one had a fistula on the gum when it was first done, and had to have a additional surgery with a root amputation to eliminate it. The second one sort of aches a little bit, but that has been attributed to the fact that the crown over that tooth is a bit large and the bite centers on that tooth too much.

I also have several other health problems, including acid reflux causing excessive heartburn, and a torn tendon in my elbow. The tests done on the acid reflux do not show that it should hurt as much as it does. The MRI done on the elbow says it should be healing but it's been over a year and it just won't get better despite surgery and physical therapy.

I had a blood test and it did not show any inflammatory markers.

Is it possible that these problems are caused by the root canal even though I have no inflammatory markers in the blood test, and the symptoms of the root canals are minor?
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Old 02-09-2016, 03:40 PM #2
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Hi steve,

There really is no such thing as a "suspect root canal tooth" given that all root canaled teeth are unhealthy, harbor necrotic infected nerve tissue and due to the lack of vitality, create an unhealthy ischemic reaction to occur in the ligament and bone surrounding the tooth. There are no exceptions to what occurs with these teeth... there are just different time frames and patterns that they occur dependent upon the persons individual situation and overall health of their immune system.

Any tooth, root canaled or not, that has a radio-graphic halo around the apex or any other area of the tooth clearly indicates abnormal pathology. The area is either a pool of infection, cystic or tumor related and is always associated with loss of bone. Again there are no exceptions to this.

All dentists commonly see these radio graphic areas associated with root canaled teeth, therefore, they expect to see them. That does not mean there is not a problem.... it just means it's a common occurrence. Conventional dentists tend to play it off unless or until the patient has pain, swelling, severe bone loss, and proliferation of the infection to the adjacent areas or teeth. Biological dentists accept that the lack of symptoms does not indicate the severity of the problem and that this infection is a proliferation of infectious bacteria that will continue to spread, deteriorate the jaw bone and sooner or later become systemic beyond the area of the tooth.

The second rc tooth that had the fistula and root amputation... is not healthy. A root amputation of a tooth does not "cure" an infected tooth. It is an invasive procedure that removes the most infected root while leaving the less infected root(s) present. A single rooted tooth can not have a root amputation as the root is what holds the tooth in the jaw bone, so this has to be a multi rooted tooth meaning there is at least one if not two infected roots still holding this tooth in. The pain that you have with this tooth is due to the infection brewing inside of the tooth and it's root system. The large crown is just an added irritant as it may be leading to gum irritation that you may not yet be aware of.

It is common and highly probable for infections of the mouth and teeth, irrelevant of symptoms, to be connected to a systemic health concern even connected to a delayed or abnormal healing from an injury or surgery any place in or on the body. Simply because the bacteria, both good and bad, that lives in our mouths and teeth filters through the blood stream into every vessel and organ of the body. All dentists are taught about this systemic connection but the emphasis of their education is on the technical aspect of dentistry much more so than the oral and systemic connection. Biological dentists have that same education but have sought further teachings on the systemic connection to offer their patients health oriented and less toxic dentistry.

I am going to attach the following:

1) A diagram of the anatomy of a tooth showing the hundreds upon hundreds of microscopic canals called Dentin Tubules that are not accessible and contain life nerve tissue in healthy teeth and necrotic infected nerve tissue after a root canal procedure.

2) A tooth and organ chart which has been in use since ancient Chinese medicine and is still used to this day as it tends to be incredibly accurate.

3) Here's a few specific blood markers for inflammation. None of which should be inclusive of the other as they are all important for measuring inflammation.
Erythrocyte sedimentation rate (ESR), Fibrinogen, Plasma viscosity (PV), High Sensitivity C-Reactive Protein (HS-CRP), Homocysteine, Ferritin, VAP plus Lipid Panel, Monocytes along with other White Blood Cells, and Blood Glucose.

Important to note that blood serum tests have a pre determined range of what is considered normal. However, that same range pertains to any age... from infancy to 100+ years old and from the very sick to the very healthy. So of course anything abnormal would be indicated by being out of that range but also anything anywhere near high or low of normal should be questioned. This is why it is essential to never rely on just one or few markers to tell the story as each marker plays a different role in the body and they all have to be taken into consideration to determine the overall inflammation or health of a person.
Attached Thumbnails
Root canal problem if no inflammation markers?-tooth-organ-chart-jpg   Root canal problem if no inflammation markers?-dentin-tubules-jpg  
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***I have been in the dental profession for 4 decades. I am an educator and Certified Dental Assistant extensively experienced in chair side assisting and dental radiography. The information that I provide here is my opinion based on my education and professional experience. It is not meant to be taken as medical advice.***
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Old 02-09-2016, 07:34 PM #3
steve999 steve999 is offline
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Default Endodontist says tooth bad now

Went back to the endodontist today. Even he now says the tooth with the black halo has gotta go.

Bryanna, what's your take on the best way to replace it? Dental implant? I was told it was that or a bridge, but a bridge could cause problems for the other teeth. The dentist also said that individual false teeth aren't even done in this country.

Steve
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Old 02-10-2016, 12:24 PM #4
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Hi Steve,

Well how about that.... the Endodontist and I agree on something...!!

Regarding the replacement of this rc tooth....

1) Dental implant means no cutting down of the adjacent teeth as this would be a single implant with crown. However, the jaw bone above (and possibly around) this tooth is going to be more compromised than it appears on the xray. Implants, placed anywhere in the body, are intended to be implanted in healthy vital bone. Anything less than health and viable elevates the risk of infection and failure pertaining to the implant. So if you were to consider having the implant, it is imperative that you see an oral surgeon for the removal of this tooth and state very clearly that you want him to remove the tooth and periodontal ligament in their entirety as well as all diseased tissue and bone. These procedures are suppose to be done with every tooth extraction but unfortunately (and for no logical reason) they are not. It behooves the patient to never assume that the surgery will be as thorough as it should be and to make the dentist aware that you expect this to be done. Not in an aggressive manner, but in an informative way. Also, most of the time a bone graft will be placed in the bony socket after the extraction of the tooth. Again, this is done routinely and sometimes it's actually better to wait a couple of weeks to put it in. Each case is different. If the site is still infected or there is suspicion of microscopic infection, then the graft could easily become infected. So ideally the site needs to be healthy enough to receive the graft. Again this is information that you should discuss with the oral surgeon so he knows that you want to be cautious about enduring unnecessary post operative complications.

2) A permanent bridge can replace one single tooth. There are several different types of permanent bridges and each one is applicable to each individual case. A multi unit permanent bridge means cutting down at least each adjacent to the extracted one as they would be the anchor teeth holding the fake tooth in the middle. Root canaled or infected teeth are not wise anchor teeth as they are already compromised and the bridge will not have any healthy longevity to it. A maryland bridge or inlay bridge replaces one tooth without severely cutting down the adjacent teeth. However, the adjacent teeth need to be healthy to hold this type of bridge also. Ask you dentist for all of the options available in your particular case.

I don't know what you meant by "individual false teeth are not done in this country".

Bryanna


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Originally Posted by steve999 View Post
Went back to the endodontist today. Even he now says the tooth with the black halo has gotta go.

Bryanna, what's your take on the best way to replace it? Dental implant? I was told it was that or a bridge, but a bridge could cause problems for the other teeth. The dentist also said that individual false teeth aren't even done in this country.

Steve
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Bryanna

***I have been in the dental profession for 4 decades. I am an educator and Certified Dental Assistant extensively experienced in chair side assisting and dental radiography. The information that I provide here is my opinion based on my education and professional experience. It is not meant to be taken as medical advice.***
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