Robert Kulacz, D.D.S.- Contact Informayion
in [Dentistry]
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From: Mark & Steven Bornfeld on 20 Oct 2005 14:21 Clinton wrote: > letsconnect wrote: > >>Clinton wrote: >> >>>Did you look at Haley's site? I took a quick look at: >>> >>>http://www.altcorp.com/AffinityLaboratory/sterilerct.htm >>> >>>The first thing is recent research showing how all RC are >>>not sterile. Haley has done a lot of research in this >>>area. >> >> >>I don't think anyone doubts that not *all* RCs are sterile. From the >>link: >> >>"The microbiological analysis carried out in this study after >>endodontic treatment demonstrated the efficacy of the therapeutic >>procedures in reducing the microbial population present in previously >>infected root canals. No obligate anaerobic bacteria were recovered >>after treatment." > > > I'm not sure what "obligate bacteria" means, but right below that > which you conviently snipped (either addedd by Haley or part of > the original discussion) > > "interactions, are able to promote a decrease in the anaerobic > population present at those sites (9). If on the one hand, the results > of this study confirm the effectiveness of endodontic treatment in > reducing the microbial population, on the other hand they also show the > permanence of viable microorganisms inside the root canals due to their > survival after treatment, contamination during the different > manipulation phases or even due to the penetration of microorganisms > from the oral cavity through inadequate temporary sealing. Initially, > aerobic bacteria are rarely found in infected root canals but may be > introduced into the canal during treatment (28), as observed for > Psuedomonas, which was recovered from one canal after chemomechanical > preparation and the use" > > We could have snipping wars all day, snipping the parts of one paper > that seem to favor our view, and ignoring what is written just below > it. This is ridiculous. It is also ridiculous to ask for large > "controlled" studies when guess who? I give up--who? Steve probably hasn't done any > meaningful research on this for 50 years. I personally never had a RC, > nor am i an expert in root canals. I'm just saying that there is > research and controversy out there. > -- Mark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001
From: Clinton on 20 Oct 2005 14:26 Tony Bad wrote: > "letsconnect" <letsconnect(a)myway.com> wrote in message > news:1129826561.544776.111490(a)g44g2000cwa.googlegroups.com... > > > > Clinton wrote: > > > > > > Did you look at Haley's site? I took a quick look at: > > > > > > http://www.altcorp.com/AffinityLaboratory/sterilerct.htm > > > > > > The first thing is recent research showing how all RC are > > > not sterile. Haley has done a lot of research in this > > > area. > > > > > > I don't think anyone doubts that not *all* RCs are sterile. From the > > link: > > > > "The microbiological analysis carried out in this study after > > endodontic treatment demonstrated the efficacy of the therapeutic > > procedures in reducing the microbial population present in previously > > infected root canals. No obligate anaerobic bacteria were recovered > > after treatment." > > > > What part of the body IS sterile? > > http://textbookofbacteriology.net/normalflora.html > > The key question is can we function and remain healthy despite this flora? > > T My understanding is Haley also has tested the toxicity of root canals and found the bacteria that remains, or the toxins they produce to be very toxic. Keep in Mind this was the first research haley did and he was a chemistry professor NOt a dentist. I guess the former head of the entire chemistry department is mistaken as well? I really haven't formed an opinion on the overall safety of RC treatment because my concern is more about amalgam but I can see where the controversy is. YOu also haven't given a straight answer about the diagnostic capabilities of x-rays, NOtice how the AEE even admits they are virtually useless for diagnosing NICO legions, and I guess x-rays can determine the bacterial counts in root canals too?
From: Clinton on 20 Oct 2005 14:36 Mark & Steven Bornfeld wrote: > > Interestingly, in my school days we ALWAYS cultured root canals. We > were not allowed to obturate until we achieved a negative culture. > Now, I would be the last to proclaim that a negative culture means there > are no bacteria hiding in the dentinal tubules. But it seems intuitive > to me that a negative culture implies a lower bacterial load. > But we stopped doing cultures, because repeated studies showed no > improvement in clinical outcomes, so long as good technique were followed. Just curious, How did you measure "clinical outcome". It's hard for me to imagine a study follwing a patient for a long time or having a meaningful way of measuring health effects. In fact even many people who get really sick from infection from poor dental work and have posted here are usually misdiagnosed initially.
From: Clinton on 20 Oct 2005 14:43 Mark & Steven Bornfeld wrote: .. It is also ridiculous to ask for large > > "controlled" studies when guess who? > > I give up--who? Can you quote any controlled studies done by the NIDCR, NIH, AEE, ADA etc. This also holds true for amalgam where NO large studies have been done. It's pretty easy to say, look there are no controlled studies when no one does them.
From: Mark & Steven Bornfeld on 20 Oct 2005 14:44
Clinton wrote: > Mark & Steven Bornfeld wrote: > >> Interestingly, in my school days we ALWAYS cultured root canals. We >>were not allowed to obturate until we achieved a negative culture. >>Now, I would be the last to proclaim that a negative culture means there >>are no bacteria hiding in the dentinal tubules. But it seems intuitive >>to me that a negative culture implies a lower bacterial load. >> But we stopped doing cultures, because repeated studies showed no >>improvement in clinical outcomes, so long as good technique were followed. > > > Just curious, How did you measure "clinical outcome". It's hard for me > to imagine a study follwing a patient for a long time or having a > meaningful way of measuring health effects. In fact even many people > who get really sick from infection from poor dental work and have > posted here are usually misdiagnosed initially. > Obviously I didn't measure it, and I don't have the studies at hand. The usual criteria for clinical success are retention of the tooth without symptoms, and with neither clinical nor radiological evidence of pathosis. Mind you, I'm not commenting on theoretical late sequellae of disseminated disease viz. focal infection. I'm talking about local signs of disease that can be clearly linked to a failed root canal. Steve -- Mark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 |