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Root Canal Treatment (RCT) Solutions or Problematic? --- Can Ozone Help?

Posted on March 22, 2010 at 2:00 PM

Can Ozone Therapy help?

 

YES, RCT can be a success and can be problematic.  It all depends on individual health condition. We know the outside layer of tooth isenamel inside is dentin. The dentin is made up of millions of microscopic dentinal tubules. These tubules are colonized by microbes from the infected main canals. Studies have shown that bacteria from infected teeth have been found all over inside the microscopic tubules. Even dentists find extra canal or a lateral canal and fill it. The vast majority of the microbes in tubules are stillthere, and are anaerobes, such as viruses, bacterial, and fungi. When your immunity isstrong those microbes hiding in the tubules will be in dormant. In this casethe RCT can be considered a solution. It can turn alive and produce toxin when your immunity diminishes. Thus I always say the main problem of RCT is not in the filling material , GuttaPercha, it is the microbes inside the tubules. Many forms of therapy have beendeveloped and used to solve this problem with varying degrees of success. A study published in 2004 in the Journal of Endodontics showed that the use of ozonated water had the same antimicrobial activity as 2.5 percent sodium hypochlorite with none of the toxicity. The same study also showed metabolic activity in the associated fibroblasts was high with exposure to ozonated water, indicative of a healing process occurring. Another interesting fact is that anaerobic-type microbes produce a positive-charged infection environment. Since oxygen is the only gas that can carry an electrical charge, this opposite charge phenomena attracts ozone to the area and the pathogens are killed. Standard-of-care diagnostics and canal preparation remain the same. Taking into consideration the routes of oxygen/ozone application, root canal therapy goes through a paradigm change.


The additions to traditional treatment are as follows:

1.The file coated withozonated olive oil oppose to ordinary file lubricant

2. Irrigation the canalwith ozonated water profusely

3. Insufflating allcanals with oxygen/ozone gas slowly.

The insufflation processallows the molecularoxygen/ozone to travel into the canals, lateral canals, andtubules.


The molecular oxygen/ozone can travel through thetubules and kill the positively charged microbes andperform a true sterilization. The insufflation process allows the molecularoxygen/ozone to travel into the canals, lateral canals, andtubules. The molecular oxygen/ozone can travel through thetubules and kill the positively charged microbes andperform a true sterilization.

 

 

InSeptember 2005, at the IAOMT meeting

in Las Vegas, Dr. Boyd Haley stated, “The use of ozone in dentistry to create an infection-free root canal tooth will create a paradigmshift in the practice of dentistry.”

 


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9 Comments

Reply steve333
11:00 PM on April 27, 2010
If I currently have a root canal with a porcelain fused to metal crown, can the root canal be reversed with the GuttaPercha removed and then the area treated with ozone and a new Lava or other non metal crown placed over it?
This tooth has been a problem ever since I got a root canal (I also had a apicoectomy) and I remember getting an allergic reaction during the root canal.
Thanks
Reply Dr, chen
03:56 AM on May 01, 2010
Hi Steve,

Thanks for visiting our blog and posting an inquiry.
1. Yes. root canal treated tooth can be Re-Treated. The procedures are removing Gutta Percha, recleaning the canals and refill gutta percha, after the canals are re-cleaned ozone therapy can be done before the canals are re-filled. But there're other ways to do ozone therapy without re-do the root canal. Homeopathic remedies injection can be helpful also it all depends on the clinical picture of each case.
2. Gutta percha is rarely the cause of root canal failure. The re-infection came from the microbes hiding inside the microscopic tubules inside the dentin. That's why ozone therapy works so well in tooth with primary infected or re-infected root canal cases.
3.PFM crown can be replaced with Lava or e-max crown.

Hope this helps.

Best,
Dr. Chen
Reply steve333
10:48 AM on May 01, 2010
Hi Dr. Chen,
Thanks for the reply.
What if someone has an allergy to the gutta percha? I have latex allergies and I had read that there is a possibility of a cross allergic reaction to the gutta percha or possibly gutta balata, which is sometimes mixed with it.
Thanks
Reply Dr. Chen
02:32 AM on May 02, 2010
Hi Steve,
You can take a blood test for dental material sensitivity to see you react to Gutta Percha or not.
I also like to show you an article about Cross-reactivity between gutta-percha and natural rubber latex.
Again it showed that toxicity coming from G.P. is very unlikely. Best, Dr. Chen

"Can Gutta Percha be used for root canals in (NRL)Latex-Allergic individuals?"
By Robert Hamilton, PhD

The question of gutta percha use in latex-allergic individuals has been a topic for debate for many years. Previous discussions(1) seemed to indicate that the use of gutta-percha might cause an allergic reaction in latex-allergic individuals. Recent research may demonstrate that gutta-percha products can be safely used in latex-allergic individuals.

(1) Gutta-percha allergy in a healthcare worker with latex allergy; Boxer,Grammer,Orfan; J ALLERGY CLIN IMMUNOL, MAY 1994

Cross-Reactivity Studies of Gutta-Percha, Gutta-Balata, and Natural Rubber Latex (Hevea brasiliensis)

Guido E. Costa, DMD, MS, James D. Johnson, DDS, MS, and Robert G. Hamilton, PhD, DABMLI

Journal of Endodontics Vol.27, No.9, September 2001ABMLI

Abstract:
Gutta-percha and gutta-balata are derived from the Paliquium gutta and Mimusops globsa trees, respectively, that are in the same botanical family as the rubber tree Hevea brasilienisis. For this reason the potential for immunological cross-reactivity between the gutta-percha and gutta-balata used in endodontics and natural rubber latex (NRL) has been the subject of some controversy, because these products may be used in latex-allergic individuals. The objective of this study was to investigate the potential cross-reactivity between gutta percha, gutta balata, and NRL. Physiological extracts of seven commercially available gutta percha products, raw gutta-percha, raw gutta-balata, and synthetic trans-polyisoprene were each analyzed for cross reactivity with NRL in a competitive radioallergosorbent test inhibition assay. No detectable cross-reactivity was observed with any of the raw or clinically used gutta-percha products. In contrast the raw gutta-balata released proteins that were cross-reactive with Hevea latex. We conclude that the absence of gutta?percha proteins that can react with Hevea latex-specific IgE antibody supports the minimal potential for commercially available gutta-percha to introduce allergic symptoms in individual sensitized to NRL. Because gutta-balata is sometimes added to commercial gutta-percha products caution should be exercised if products containing gutta-balata are used in endodontic care of latex-allergic individuals.

Dr. Robert Hamilton one of the authors of this research writes-

These are my "opinions" on the significance of the study. The practical implications of this work are as follows: 1. Root canals with gutta percha should represent no risk for latex allergen exposure from the gutta percha itself. It is inert and based on our testing does not contain cross-reactive latex allergen. 2. If the gutta percha is supplemented with gutta balata, then there is a potential for latex allergen exposure. However, this potential risk should be viewed as minimal since gutta balata is mixed with inert gutta percha and is not likely to be released from the tooth cavity. 3. Symptoms of pain associated with root canals in latex allergic individuals can occur as a result of gutta percha packing that extends beyond the root canal cavity and are not a result of latex allergen exposure.

Robert Hamilton, PhD, is an Immunologist at the Johns Hopkins School of Medicine in Baltimore Maryland. Professor: Dept. of Medicine, School of Medicine, Johns Hopkins University. Associate Professor: Pathology, School of Medicine, Johns Hopkins University
Reply steve333
02:27 PM on May 02, 2010
Hi Dr. Chen,
I just got the Clifford Test done so if it measures sensitivity to gutta percha than we will know. I would also be able to tell if you have the material in your office if it irritates my nose I will be able to tell this way also.
Perhaps my root canal had gutta-balata mixed in with the gutta percha and that is bothering me? Not too sure. I also had an apicoectomy in that area and I don't know what they use for that surgery.
Reply Dr.Chen
01:24 AM on May 03, 2010
[Hi Steve,

I need Clifford test report and x-ray to fully understand your problem. I'll explain further on your visit.

Best,
Dr. Chen
Reply steve333
10:38 AM on May 03, 2010
OK, sounds good.
Reply Elena Cecchetto
02:08 PM on August 04, 2010
Homeopathic injections sound a bit invasive. Why not just take some Arnica, Homeopathic Remedy pellets afterwards? Works wonders. Then follow with Hypericum for any shooting nerve pains.
Reply Dr. Fen-Hui Chen
01:24 AM on August 10, 2010
I use Arnica and Hypericum also. But for root canal infection, arnica and hypericum only can not cure the infection. I do use Guna remedy. In very early stage of infection Guna remedy itself can heal it, because it enhances immunity. But most of the time when patient seeks treatment it usually far beyond the initial stage of inflammation. Combination of Guna remedy and ozone therapy are very effective---the best.

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