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Rockie58
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Joined: Tue Jan 12th, 2010
Location: Ontario Canada
Posts: 14
Status:  Offline
 Posted: Sun Mar 14th, 2010 22:41

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Hi there,

I was surprised to learn that some peoples root canals have healed or stopped becoming  a source of infection while on MP.  I would like to know how common this is and what questions one needs to ask in order to decide whether a tooth with root canal can be salvaged (ie not having the tooth extracted)?   

I have a tooth extraction procedure coming up because I was scared that the infection in my gums might be a source of bad health.  As my immune system started ramping up this month, the gum around the root canal has developed a black and blue mascara line about 1 mm in thickness on the inner side and 0.5 mm on the outside.  The gum/tooth is a little sensitive at the base and I have some really minor ear pain at the moment.  At first I thought I wasn't going to make it through the weekend without getting a heart attack.  Even though the gum is a little sore, I still have some faith in the tooth and my body to heal and may decide to put off the root extraction if I feel that it doesn't need to go. 

My understanding was that a root canal can shelter bacteria, and since it is essentially nonliving, it offers a place where biofilms can form.  I suppose that  these elaborate networks can shuttle in nutrients from pathways extenting to the living body but don't know about this for sure.  For that reason, I thought that tooth extraction is necessary in any event.  But I have heard of others on this site that think it might be possible to live with a root canal afterall like I was able to before I supplemented with vitamin D.

My dentist is not really up on the MP and wasn't really impressed by the black and blue mascara line around the tooth.  My gums have major recession.  She also noted that their is a lot of bone resorption (due to my obviously high 1,25D levels I suspect) at the root of the tooth and thus is not really worth saving.  She may be hard to convince but as long as I am in no immediate danger I wonder if I should wait and see.

Perhaps, the reason I am putting this off is that I am not really looking forward to any trauma jaw as I do tend to heal slowly (My tongue would not heal properly when I bit it unless I put salt on the wound).  Thus, putting off the surgery might afford me some time for the body to adjust (I have only been on MP for 1 month and would like to give it a chance to save my tooth from an unnecessary extraction) and as my gum develops an absess, it will become obvious at that point whether an extraction would be necessary or not. Moreover, it may allow my body to better heal itself after a trauma?

Any thoughts?  

 



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Lyme(Joints Skin Nervous system)/125D71,25D40Jan10/Ph1Feb10/125D51,25D28April10
Marysue
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Joined: Fri Sep 26th, 2008
Location: Gainesville, Florida USA
Posts: 412
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 Posted: Mon Mar 15th, 2010 06:27

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Rockie,
If you are able to wait a little and see how it goes, you might be more clear about any decision you and your dentist make to remove the tooth. Dental related IP is common and sometimes, given a few days or even a few weeks if possible, many times the symptoms resolve. During my first several months on Benicar only, I had three separate episodes of severe dental IP, including a loosening tooth with a root canal and a slight crack that my dentist was determined to remove. Even that tooth became more secure as the gums tightened and the pain subsided after about a week.

Because a tooth removal is permanent, and if there are no signs of immediate "danger", I recommend waiting.

Marysue



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Thanks Dr. Marshall and staff for all the support!
CFS/FM '95; infert/endomet '02; hypotension; cardiac IP; start light restrict. Oct08; 125D=70 25D=30 (Feb09); Benicar26Apr09; NoIRs, low light, no sun; 25D=10 (Jun09); 25D=5 (Nov09)
Rockie58
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Joined: Tue Jan 12th, 2010
Location: Ontario Canada
Posts: 14
Status:  Offline
 Posted: Tue Mar 16th, 2010 17:38

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Dear MarieSue,

Thanks a million for jumping in.  I had already decided before yesterday that I needed to save my tooth as it just didn't feel right to have the surgery and I talked to a friend who suggested rifing.   In any event, I probably clued in to what you were writing as I am somewhat psychic and too believe to save your teeth and the injury of the surgery.  Both my doctor and my dentist believe the tooth should be removed but I decided to experiment and see what rifing does.  It may be palliative but I honesty think that it really kills the bugs as well.  In any event, it will give me a few more days or weeks and perhaps end up saving the tooth?  After rifing yesterday, I have a small herx and feel comfortable for about a day.  I have a feeling that this is the right way to go.  It is nice to know that there are people that have patience as most dentists can not think outside the box and are just "drill, fill and Bill"

Many thanks  again



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Lyme(Joints Skin Nervous system)/125D71,25D40Jan10/Ph1Feb10/125D51,25D28April10
Joyful
Foundation Staff


Joined: Fri Oct 19th, 2007
Location: USA
Posts: 879
Status:  Offline
 Posted: Wed Mar 17th, 2010 06:18

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Hi Rockie,

When I added a particular antibiotic, clindamycin, to the MP it was a time for some serious dental IP. It mostly resolved on it's own and the pain was mostly from the swelling due to the IP.

However, after I was more stable on the MP I did get a root canal on the problem tooth (after about 22 months on the MP).

I think these decisions are very individual, but saving a tooth sounds right for me. :):D:)



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