Root Canal Treatment
When not to have it done.
- No root canal treatment for cracked root
- Medical practitioner finds tooth too disruptive to your body’s good health
- You simply rather have it removed and rid yourself of the tooth (always better than keeping an untreated, infected tooth)
- Sensitivity to all types of root canal filling materials
Some say that all “root canals” are bad. It is bad to keep a treated or untreated tooth in your mouth that is still infecting your body 24 hours a day. Bacteria, their toxins, and the inflammation products spread via the blood stream to the rest of the body. This is what occurs with traditional gutta percha filling material. It is true that with only the main canal(s) filled most pain and swelling does subside.
What remains unstopped is exposure to toxins produced from bacteria still living in the thousands of tiny pore (dentinal tubules) opening that reach from the root surface to the center of the tooth. These pores are too small to access and get into to be cleaned. Lasers may barely clean just the inside openings, but no further. This means the tissue and bone anchoring the root are still chronically infected from these tubules even after “successful” treatment of the root canal.
The standard criteria for successful treatment is:
- It stopped hurting
- X-ray shows healing of infection
Health centered or biological dentistry goes one step further:
- No remaining bacteria/toxins in tubules that continuously leak to the body and overwork an already busy immune system.
When are posts needed?
Previously it was taught the metal posts were needed after all root canal fillings. It was found that a flexing tooth with a non-flexing post resulted in cracked teeth. It was later determined that a post was seldom needed where there was sufficient tooth structure remaining to support a reinforcing build-up prior to crown replacement.
When a post is required, they are now made of non-metal and similar physical properties to tooth structure.
It’s these infected teeth and their surrounding infected bone and tissue that set the stage for resulting incomplete healing then, and later after such teeth are extracted. This is often referred to as a “cavitation” or bony necrosis with or without resulting pain.
To accomplish the third criteria just mentioned, these additional steps are used:
- Irrigate canals with ozonated water
- Cleanse and file with ozonated olive oil
- Sterilize tooth by exposing all canals to oxygen ozone gas that permeates to the tubules and eliminates the bacteria in those hard to reach areas
- Fill with Endocal 10, which is heavy calcium oxide. This wet paste is drawn into the tubules before it hardens from the main canal by “wicking” as in a kerosene lamp. This results in a very clean tooth then filled quite thoroughly both vertically and horizontally. This isn’t a perfect tooth but has the best chance to not contribute to the downfall of your teeth.
Root Canal Fill Material
I have been using heavy calcium oxide as in Endocal 10 for over 20 years. I have found it very effective and successful in treating infected root canals. I mix it with Yttrium oxide to show up better in an x-ray and also a pro biotic powder to improve the environment inside the tooth.
I routinely never prescribe antibiotics nor pain medication as it is only needed if there is already swelling in the surrounding tissues with acute infection. I know root canal specialists who prescribe those medications for every patient.
There was a study with 15 extracted teeth using Endocal 10. 3 of them resulted in cracked teeth. I never see this with teeth still in the mouth. Root canal specialists love to quote this study without finding out for themselves how effective this treatment really is. Some claim the material expands to crack the teeth – not so. There is no expansion in volume. It does expands linearly – or is drawn toward moisture and “wicks” into the small tubules in the roots and fills and seals them. This is a very positive characteristic. It is also drawn by moisture to infection in the bone around the root where its alkaline properties help neutralize the infection and quickly restore comfort.
If there are no pre-existing cracks (Note: there can be hairline cracks not visible at first. Many teeth thathave or previously had mercury amalgam fillings, have vertical cracks. This results from the metal filling expanding.) These cracks, if extending down into the root, will cause the root canal therapy to fail. The moisture in the cracks will draw in the paste filling material by “wicking” or capillary action. This paste is very beneficial in non-cracked teeth as it is drawn into the microscope dentine tubules to neutralize the bacteria that are there.
Again, the paste does not expand by volume, but moves linearly. Once in the tubules it sets up and seals the tubules. If it can be predetermined that cracks are present that extend to the roots, then root canal therapy will not be started or at least you will be informed of decrease chance of successful treatment. You can then weigh the risk involved before proceeding. No matter what root canal filling material is used, if there are vertical cracks extending to the roots, it is a matter of time until they fail.