From: Joel M. Eichen on


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Hello xxxxxxx!

Thanks for the question!

About root canal therapy in general ...... we dentists are presented
with different clinical conditions that vary for each individual
patient. As example, how "infected" or how far gone that tooth is at
the beginning often influences the final outcome and prognosis.

The most important part of the process is a "well-cleaned" or
well-instrumented root canal chamber. The root canal chamber is then
filled, most often with gutta percha. Gutta percha is a rubber-like
substance that is also used as insulation in transatlantic cables, and
was formerly used in golf balls.

There are no scientific reports of adverse reaction to gutta percha.
One can substantiate that by searching PubMed which is the National
Library of Medicine repository.

Biocalyx or calcium hydroxide is never contraindicated in root canal
therapy.

I completely understand the fistuation process, its etiology, and its
resolution. Step one would be to get a second opinion ~ mine ~
concerning how the tooth stands today. It is necessary to obtain your
film, either by U.S. mail, e-mail, or other means. Then we can offer
an opinion, and offer some possible solutions!

If you need advice about how to obtain the x-ray, please reply.

Joel M. Eichen DDS
Philadelphia PA