Moonlight Beach Dental, Encinitas dentist Dr. Nicole Vane
     

(760) 632-0320

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The Use of Ozone in Root Canals
 

 

The use of Ozone in Root Canals: How can a root canal be "Holistic?"
There is a lot of controversy surrounding root canals. Many naturopathic doctors feel that leaving a "dead tooth" within the jaws, which can result in many harmful pathogens and powerful toxic bacteria throughout the body. Studies have shown that following endodontic therapy, some bacteria, fungi and viruses remain in the multitude of the very small lateral canals and dentinal tubules that transverse the tooth root and communicate with the periodontal tissue. These studies have shown that the obligate anaerobes (which can include bacteria, virus and fungi) can remain within these canals. ( See: "Rooted" a documentary on root canals or the book " Rescued by my Dentist" for additional information). Many naturopaths will recommend that all root canalled teeth should be extracted.

To save a dying tooth, root canal therapy is needed. Endodontic (root canal) treatment of infected teeth has long been a treatment of choice and the standard of care in dentistry for an infected tooth. Endodontic treatment involves cleaning out the main canal or canals of a tooth with instrumentation, irrigation and chemicals (sodium hypochlorite-bleach). These canal(s) are then filled with a material called gutta percha before the tooth is finally restored with a crown. This procedure is supposed to sterilize the tooth from all the invading bacteria that subsequently caused the tooth and the surrounding bone to become infected.

How does ozone work differently than typical root canals? Ozone is one of the most powerful antimicrobial agents available for use in medicine or dentistry.1 As failure of root canal therapy is mainly caused by microorganisms, it is not surprising that there are enormous advantages to killing these pathogens. Numerous peer-reviewed published research papers have proven the antimicrobial effectiveness of ozone as a gas and as ozonated water. Root canals are done using instruments to clean out the nerve and debris, and then Sodium Hypochlorite and/or EDTA are used to clean out the bacteria which may remain sitting inside of the porous dentinal tubules. This can be argued as ineffective, as none of these medicaments are drawn into the tubules where the bacteria are harbored, nor do they go beyond the apex of the tooth. Oxygen has a dramatically toxic effect to microaerophilic and anaerobic bacteria. The use of ozonated water and Ozone gas within the tooth causes an oxidative reaction with the moisture inside of the dentinal tubules, actually drawing the ozone into the tubules with almost a suction effect. In addition, ozone gas applied into the moist root canal, dissolves in canal fluids, thereby resulting in aqueous ozone which then comes into contact with tissues. As such, it is also drawn out through the terminal end of the tooth, disinfecting this area as well.
  • In Endodontics (root canals), ozone gas is used to reach and penetrate
  areas such as: carious dentin, dentinal tubules, and accessory canals where
  no other antibiotic or disinfectant can reach.

Ozone is an effective, easy, cheap and fast treatment to help disinfect root canals. Ozone is much stronger than chlorine and acts 3000 times faster without producing harmful decomposition products. This is possible because the infection/inflammation is positively charged (acidic) and ozone is negatively charged. (basic) Therefore, the chemistry of the infection and/or inflammation attracts the ozone to the area. A Japanese study published in 20046 demonstrated that the use of ozonated water had the same antimicrobial activity as 2.5 percent sodium hypochlorite without the tissue toxicity. The study also showed that following ozone therapy there was high metabolic activity of the associated fibroblasts indicating an increase in the healing process.

As ozone is the most powerful antimicrobial and oxidant we can use in root canal therapy, and as aqueous ozone revealed the highest level of biocompatibility compared to commonly used antiseptics, then it is fairly obvious that ozone should be used to help combat the microorganisms associated with infected root canals.


In summary,
a. Patient uses ozonated water as a pretreatment rinse
b. Ozonated water is used in the unit water supply bottles
c. Lubricate the files with ozonated oil
d. Irrigate canals with ozonated water to debride the canals and remove biofilm
e. Insufflate canals with ozone GAS to eliminate pathogens and oxidize organic materials in the dentinal tubules, accessory canals and lateral canals

 

 



 
 
 

 

Moonlight Beach Dental
345 S. Coast Hwy 101, Suite E
Encinitas, CA 92024
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invisalign
 
 
Invisalign braces
in San Diego
 
   
 
San Diego Dentist Dr. Nicole Vane provides Invisalign braces at competitive prices.
Depending on the Invisalign program thatís right for you, patients have seen results within as little time as six months to one year. Results may vary but please contact us at (760) 632-0320 to set up a free consultation with Dr. Vane.
 
   
 
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Each month, Dr. Vane posts her favorite case, from simple cosmetic procedures to smile makeovers.
 
     

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