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Medical Forum / General / Dentistry / August 2008Ozone in root canal?
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 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? 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 "Steven Bornfeld" <dentaltwinmung@earthlink.net> wrote in message >> 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 [quoted text clipped - 5 lines] > 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. 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" <dentaltwinmung@earthlink.net> wrote in message >>> I read a lot of interest and study in the use of Ozone as a root canal [quoted text clipped - 13 lines] > > 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 >> 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 Skip the ozone and use CHX as your final rinse. 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. >>> Based on the publication dates it looks like it might be a very new usage. >> [quoted text clipped - 13 lines] > 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 >>>> Based on the publication dates it looks like it might be a very new usage. >>> [quoted text clipped - 17 lines] > >Steve Not sure. It comes in these little unit dose pipettes. Convenient. Will get the brand and conc. for you Mon. > Not sure. It comes in these little unit dose pipettes. > Convenient. Will get the brand and conc. for you > Mon. Thanks. S  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 >> Not sure. It comes in these little unit dose pipettes. >> Convenient. Will get the brand and conc. for you [quoted text clipped - 3 lines] > >S OK, Will you settle for Tues. ? Miltex Chlorhexadine Juniors 2% CHX Part # 033-39212P >>> Not sure. It comes in these little unit dose pipettes. >>> Convenient. Will get the brand and conc. for you [quoted text clipped - 10 lines] > > Part # 033-39212P Thanks! S. >>>> Not sure. It comes in these little unit dose pipettes. >>>> Convenient. Will get the brand and conc. for you [quoted text clipped - 14 lines] > >S. No prob , Bro. Any chance you can make it to San Antonio ? >>>>> Not sure. It comes in these little unit dose pipettes. >>>>> Convenient. Will get the brand and conc. for you [quoted text clipped - 17 lines] > No prob , Bro. > 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 SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 Dear Steven Bornfeld: On Aug 23, 5:59 pm, Steven Bornfeld <dentaltwinm...@earthlink.net> wrote: > > I read a lot of interest and study in the use of > > Ozone as a root canal disinfectant. Is that now [quoted text clipped - 4 lines] > 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 > Dear Steven Bornfeld: > [quoted text clipped - 18 lines] > 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 [quoted text clipped - 3 lines] > > David A. Smith SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 Dear Mark & Steven Bornfeld: On Aug 27, 12:40 pm, Mark & Steven Bornfeld <bornfeldm...@dentaltwins.com> 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? [quoted text clipped - 5 lines] > > 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 > Dear Mark & Steven Bornfeld: > [quoted text clipped - 37 lines] > > David A. Smith 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 SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 Dear Mark & Steven Bornfeld: On Aug 27, 2:28 pm, Mark & Steven Bornfeld <bornfeldm...@dentaltwins.com> wrote: ... > >> Please elaborate. > [quoted text clipped - 31 lines] > > 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. > Peace? > > David A. Smith > formerly in two companies that made ozone generating equipment, and > ozone contacting equipment, and now employed by neither. Peace. SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 > 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. 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 |
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