RCT Method - An "_Alternative_ Alternative" 
Author Message
 RCT Method - An "_Alternative_ Alternative"

Quote:

>x-no-archive: yes
>I'm curious to know what your take is on this guy's root-c{*filter*}
>method.  Basically, he's responding to those in the "holistic" crowd
>who scare patients about the "dangers" of root canals and recommend
>extractions instead - which he finds unacceptable.  This page seems to
>be an attempt on his part to persuade such patients to abandon the
>notion of extractions and reconsider root c{*filter*}- albeit using a
>specific method....
>Please try to read past his references to all that Price/Meinig "Root
>C{*filter*}Cover-Up"/Biocalex/Altcorp stuff without getting too upset and
>automatically dismissing everything else this guy has to say -

Its nonsense!

Quote:
> I've
>been to Deja and I already know how most of you feel about *that*
>whole can o' worms.

Because it is nonsense. Scientifically speaking.

Quote:
> Besides, maybe there's method to this guy's
>madness: by purposely trying *not* to sound critical of that stuff
>(though he does knock Biocalex), his arguments for root c{*filter*}will be
>more credible to people who take that stuff seriously.
>...But that's just the bathwater.  Here's the baby:  I'm mainly
>interested in your reaction to what he calls his "_alternative_
>alternative" root-c{*filter*}method.  Specifically, how do you feel about:
>"When I do the root c{*filter*}treatment, I use calcium hydroxide as the
>medication inside the tooth and I leave it there for a full month.
>Not a week, not 10 or 14 days, a full month.  In severe cases I have
>re-medicated for one to several months after that before finalizing
>the treatment."

Yeh, but plenty of very successful  root canals are filled with gutta
percha within 60 minutes of beginning treatment. They are still
functional 25 years later. Why argue with success?

Cheers,

Joel

---

Quote:
>Here's the whole page, if you can stand it:
> http://www.***.com/
>Thanks!
>--
>MG



Thu, 30 May 2002 03:00:00 GMT
 RCT Method - An "_Alternative_ Alternative"
Dear MG,

Most failed RCT's are due to fractured teeth.  These teeth have cracks
running down the length of the root.  Because of the position of the
fracture and the symptoms given, the crack is not diagnosed until the RCT
fails and the tooth is extracted.  If the entire root system can be
instrumentated, cleaned, shaped and filled, the RCT does NOT fail!

Yes, there are some failures due to missed canals, or not instrumentating
the entire canal.  But, these are not very common.

The type of filling material and the number of visits have no bearing on the
success rate.  A well done RCT is a well done RCT, period.

You choose what makes you more comfortable, but don't choose an alternative
treatment regimen not based on scientific fact.

Dr. Steve


| x-no-archive: yes
|

|
| > Yeh, but plenty of very successful  root canals are filled with
| > gutta percha within 60 minutes of beginning treatment. They are
| > still functional 25 years later.
|
| Agreed... but what I want to know is: is there any *harm* in doing it
| that other way?
|
| > Why argue with success?
|
| Why?  I'm not arguing with success; I'm arguing with failure.  My
| first root c{*filter*}(which was done by a highly-recommended endo) was
| followed many months later by the most incredible pain I ever had in
| my life (far worse than 7 childbirths and a bowel obstruction from
| Crohn's disease put together): an infection that resulted in an
| emergency apicoectomy.  (I don't blame the endo; I just chalk it up to
| my own body having reacted that way for whatever reason).  So, I'd
| prefer to take as conservative an approach as possible with any future
| root canals (without going to the extreme of avoiding root canals
| altogether), to reduce the risk of repeating *that* experience.
|
| So... is there any harm in doing it that other way?
|
| --
| MG



Fri, 31 May 2002 03:00:00 GMT
 RCT Method - An "_Alternative_ Alternative"
MG,

In my office, (that does NOT mean every office), most of the molars which
need RCT are teeth which are causing pain.  Those that do not cause pain
have difficult canals in them for us to treat.  I, personally, find it less
stressful (for me) to do these RCT's in 2-3 appts.  I normally spread the
appt's with 1-2 weeks between them.  Doing it this way, makes it much easier
for me to predict how long I will have the patient in the dental chair, and
allows me the time I need to perform each step to my personal satisfaction.

BTW,  I did understand your statement about the accepted/non-accepted nature
of the proposed treatment.

I want you to make wise decisions.

Dr. Steve


| x-no-archive: yes
|
|
| > You choose what makes you more comfortable, but don't choose an
| > alternative treatment regimen not based on scientific fact.
|
| Thank you for responding.  I wasn't asking whether or not this
| alternative treatment regimen is based in scientific fact or not - in
| fact, if you read my initial post carefully, you'd discern that, like
| most of you, I also seriously question the underlying premise of that
| webpage.  Obviously, it was a mistake for me to include references to
| it in my post, as they distracted from the heart of my question.
|
| But that's all water under the bridge (no pun intended)...
|
| All I really want to know is: If a patient prefers that a root c{*filter*}
| be treated that way (one month between start and finish), for
| *whatever* reason - whether it's due to time constraints, financial
| considerations, fear from a previous negative root-c{*filter*}outcome, or
| G-d-knows-what - is there any risk to to having it done that way?
| That's all I want to know.
|
| --
| MG



Fri, 31 May 2002 03:00:00 GMT
 
 [ 3 post ] 

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