Ozone in root canal?
Robert
disinfectant. Is that now standard procedure, or is it still considered
"experimental"? Thanks.
Steven Bornfeld
I don't know of any dentist personally who takes it seriously. Why
would you want to introduce any gas into a root canal? Esp. when we
have very effective and cheap irrigants that are strongly antiseptic?
The aim of successful endodontic therapy is to remove the dead and
decaying tissue, disinfect the root canal system and fill it. There are
some weaknesses in the procedure; having an effective canal disinfectant
is not one of them.
Steve
Robert
Someone mentioned it and then I looked it up. Came across these couple of
abstracts:
http://iadr.confex.com/iadr/pef08/techprogram/abstract_111660.htm
http://iadr.confex.com/iadr/pef08/techprogram/abstract_110609.htm
Based on the publication dates it looks like it might be a very new usage.
Steven Bornfeld
I don't know how much ozone dissolves in sodium hypochlorite solution,
but that at least makes more sense.
Steve
Steven Bornfeld
> On Sat, 23 Aug 2008 22:54:15 -0400, Steven Bornfeld
> <dentalt...@earthlink.net> wrote:
>
>>> Based on the publication dates it looks like it might be a very new usage.
>>>
>>>
>>>
>>>
>>
>> I don't know how much ozone dissolves in sodium hypochlorite solution,
>> but that at least makes more sense.
>>
>> Steve
>
>
> It is considered more effective if agitated.
>
> Sure you can buy an ultrasonic endo unit, but
> a twirl with a lentulo is quite effective IMO.
> Plus you can coat the canals with sealer, after
> drying, with the same instrument <also dry>
>
> Most any material past the apex is likely to be inflammatory,
> except for a bit of CaOH.
What conc. of chlorhexidene are you using?
Steve
Mark & Steven Bornfeld
>
> Not sure. It comes in these little unit dose pipettes.
> Convenient. Will get the brand and conc. for you
> Mon.
Thanks.
S
--
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001
Steven Bornfeld
> On Mon, 25 Aug 2008 14:34:02 GMT, Mark & Steven Bornfeld
> <bornfe...@dentaltwins.com> wrote:
>
>> New...@bix.nex wrote:
>>> Not sure. It comes in these little unit dose pipettes.
>>> Convenient. Will get the brand and conc. for you
>>> Mon.
>> Thanks.
>>
>> S
>
>
>
> Miltex Chlorhexadine Juniors
>
> 2% CHX
>
> Part # 033-39212P
Thanks!
S.
Mark & Steven Bornfeld
> Any chance you can make it to San Antonio ?
Is that the ADA? No, this isn't an easy time of year for me to travel.
Steve
dlzc
On Aug 23, 5:59 pm, Steven Bornfeld <dentaltwinm...@earthlink.net>
wrote:
> Robert wrote:
> > I read a lot of interest and study in the use of
> > Ozone as a root canal disinfectant. Is that now
> > standard procedure, or is it still considered
> > "experimental"? Thanks.
>
> I don't know of any dentist personally who
> takes it seriously. Why would you want to
> introduce any gas into a root canal?
It makes no sense to introduce it as a gas, since everyone in the room
will also be breathing it in, and its effectiveness is reduced unless
it is in solution.
> Esp. when we have very effective and cheap
> irrigants that are strongly antiseptic?
Ozone can be dissolved into the dental rinse stream prior to being
used (even routinely), and leaves no residue the body's immune system
has to deal with later.
Ozone also is being used to stop exterior decay in Europe, but of
course this leaves open sites for reinfection unless some filler is
added.
And I don't know of anyone using it locally either... I wish I did.
David A. Smith
Mark & Steven Bornfeld
> Dear Steven Bornfeld:
>
> On Aug 23, 5:59 pm, Steven Bornfeld <dentaltwinm...@earthlink.net>
> wrote:
>> Robert wrote:
>>> I read a lot of interest and study in the use of
>>> Ozone as a root canal disinfectant. Is that now
>>> standard procedure, or is it still considered
>>> "experimental"? Thanks.
>> I don't know of any dentist personally who
>> takes it seriously. Why would you want to
>> introduce any gas into a root canal?
>
> It makes no sense to introduce it as a gas, since everyone in the room
> will also be breathing it in, and its effectiveness is reduced unless
> it is in solution.
>
>> Esp. when we have very effective and cheap
>> irrigants that are strongly antiseptic?
>
> Ozone can be dissolved into the dental rinse stream prior to being
> used (even routinely), and leaves no residue the body's immune system
> has to deal with later.
Please elaborate. Ozone of course is both irritating and toxic. Is it
removed with another rinse afterward? Certainly I wouldn't leave
chlorinated soda in a canal; I would expect the same would apply to an
ozonated irrigant.
Steve
>
> Ozone also is being used to stop exterior decay in Europe, but of
> course this leaves open sites for reinfection unless some filler is
> added.
>
> And I don't know of anyone using it locally either... I wish I did.
>
> David A. Smith
dlzc
On Aug 27, 12:40 pm, Mark & Steven Bornfeld
<bornfeldm...@dentaltwins.com> wrote:
> dlzc wrote:
> > On Aug 23, 5:59 pm, Steven Bornfeld <dentaltwinm...@earthlink.net>
...
> >> Esp. when we have very effective and cheap
> >> irrigants that are strongly antiseptic?
>
> > Ozone can be dissolved into the dental rinse
> > stream prior to being used (even routinely),
> > and leaves no residue the body's immune
> > system has to deal with later.
>
> Please elaborate.
Ozone is added to bottled water under pressure, and the unsdissolved
bubbles sent to an ozone destruct unit. This leaves a fluid solution
of water with ozone, with a halflife of minutes to hours (hours takes
an ultrapure water source and water temps lower than 70 degF).
> Ozone of course is both irritating and toxic.
It is not "toxic" by its medical definition, however it is not to be
toyed with lightly. Add to irrtating... "inflammation at site of
application".
> Is it removed with another rinse afterward?
http://en.wikipedia.org/wiki/Ozone#Physiology
There is no need to remove a substance the body make incidentally when
fighting infection anyway. (Note that I am not condoning application
of ozone indiscriminately to large portions of the body.)
> Certainly I wouldn't leave chlorinated soda in
> a canal; I would expect the same would apply
> to an ozonated irrigant.
There is no need, in my opinion. If it is water and ozone, in a
matter of minutes to seconds, it is water and hydrogen peroxide
(essentially), and just a few seconds later, it is water and oxygen.
David A. Smith
Mark & Steven Bornfeld
With respect,
Most of the sources are ads, or read like ads. My concern is
controlling the ozone generation in a clinical situation. Since
chlorinated soda is pretty much standard not only for its powerful
antiseptic qualities but also for its ability to liquify and prevent
impaction of dentinal debris, I really don't see that adding ozone to a
rinse can be cost-effective, seeing as it needs significant equipment
for point-of-use production and disposal. We certainly would find
additional antibacterial properties at least potentially helpful; still,
it has been over 30 years that it has been shown that culturing canals
does not lead to improved outcomes. If this sort of evidence is out
there in well-designed studies, I'd be willing to read of them.
Steve
dlzc
On Aug 27, 2:28 pm, Mark & Steven Bornfeld
<bornfeldm...@dentaltwins.com> wrote:
...
> With respect,
... and healthy skepticism.
> Most of the sources are ads, or read like
> ads. My concern is controlling the ozone
> generation in a clinical situation.
It is no problem in bottled water systems.
> Since chlorinated soda is pretty much standard
> not only for its powerful antiseptic qualities but
> also for its ability to liquify and prevent impaction
> of dentinal debris,
Ozone does not have to liquify. Standard soda can act like the
"plumber's bread"... (not being snide)
http://www.doityourself.com/stry/plumbingpipessolder
> I really don't see that adding ozone to a rinse
> can be cost-effective, seeing as it needs
> significant equipment for point-of-use production
> and disposal.
No disposal required. No chemical supplier to deal with. It sucks in
air and makes ozone. And it is expensive capital capital. And it
will keep any system it flows through sterile. And it requires care
with tubing and seals because ozone oxidizes the usual lot (maybe not
in your profession, but water guys get surprised when they switch
over). And it can be used for general oral sterilization. And it is
an instrument that needs occasional attention (recal the DO3 probe).
And it can be used for "teeth whitening".
The yins and the yangs are both there.
> We certainly would find additional antibacterial
> properties at least potentially helpful;
Be a little careful here... ozone's antibacterial properties
dissappear in a few minutes when it decays to oxygen. Unlike
chlorinated products that are toxic for a very long time.
> still, it has
> been over 30 years that it has been shown that
> culturing canals does not lead to improved
> outcomes. If this sort of evidence is out there in
> well-designed studies, I'd be willing to read of them.
As would I.
I am not trying to convince anyone for any particular procedure. I am
not trying to convince anyone because I have any product in mind. It
is a potential goldmine, IMO. Oh, and I am not looking for venture
capital either... ;>)
My only intent was to fill in some detail on ozone for this
application, not to say it is better. Just to help dispell some
myths. Ozone can be applied here, and it does *not* have to be as a
gas.
Peace?
David A. Smith
formerly in two companies that made ozone generating equipment, and
ozone contacting equipment, and now employed by neither.
Mark & Steven Bornfeld
>
> Peace?
>
> David A. Smith
> formerly in two companies that made ozone generating equipment, and
> ozone contacting equipment, and now employed by neither.
Peace.
kris-polanowski
Its working .. However I am not impressed by ozon. I tried laser diode
and other thjiongs Its helpfull.
Recently I am using Cefinal - system made by prof Corneo. I discussed
with him some procedure.
He stopped washig up canals getting some result like Buhannan method..
The problem with any desinfection is : dont harm natural tissue..
The Kavo put on market healZone In my personnal opinion one of the
less usefull equipments ever made for dentists :))
Its only next marketing to attract patients :((
This kind of equipment are helpfull but its possible to get excellent
result of treatment without it
regards kris Polanowski