Here is a response I got when I asked Ray Peat about replacing root canals and if x-rays should be avoided when getting root canals replaced :
"There's normally no need to replace root canals, and x-rays aren't necessary even when having a root canal done if the dentist is very competent. The Japanese are probably more aware than Americans of the damage done by diagnositic x-rays. Systemic toxic effects have been demonstrated from a single set of dental x-rays.
Nippon Hoshasen Gijutsu Gakkai Zasshi. 2009 Feb 20;65(2):254-62.
[Factors impacting public acceptance of medical radiation exposure]
[Article in Japanese]
Tsuji S, Kanda R.
Regulatory Sciences Research Group, Research Center for Radiation Protection,
National Institute of Radiological Sciences, Japan.
We undertook a survey to determine the public acceptance of medical radiation
exposure throughout Japan, and 1,357 responses (67.9% response rate) were
obtained using a two-stage systematic stratified random sampling method. The
acceptance of exposure of children was generally similar to that of adults. For
each of the attributes, 45-60% of the participants were accepting of exposure for
cancer treatment and diagnosis, but only 30% were accepting of exposure for X-ray
diagnoses of bone fractures and dental caries. In general, the presence of a
child did not markedly affect women's acceptance of exposure. Factor analyses
identified 3 factors influencing the acceptance of child exposure: symptomatic
diseases to determine treatment, the possibility of high-risk diseases (or major
organ diseases), and the association with cancer. Cluster analysis showed 4
clusters: a positive group regarding children's exposure for the diagnosis of
bone fractures and dental caries (12.9% of all participants), a positive group
for major organ disease and cancer (15.5%), a negative group excluding cancer
(55.2%), and a positive group for all cases (16.4%). The cluster distributions
revealed that mothers with 10-to 18-year-old firstborn children showed a tendency
to accept the medical radiation exposure of their children in all cases.
Oral Oncol. 2009 Sep;45(9):e80-4. Epub 2009 May 12.
The influence of different irradiation doses and desensitizer application on
demineralization of human dentin.
Bekes K, Francke U, Schaller HG, Kuhnt T, Gerlach R, Vordermark D, Gernhardt CR.
Department of Operative Dentistry and Periodontology, University School of Dental
Medicine, Martin-Luther-University Halle-Wittenberg, Halle, Germany.
[email protected]
The aim of the present study was to evaluate the effect of different irradiation
doses after desensitizer application on the onset of initial demineralization of
human dentin in situ. The root surfaces of 45 freshly extracted caries-free human
molars were cleaned, thereby removing the cementum. From each tooth two root
dentin specimens were prepared. The specimens were distributed among the
following experimental groups: 0, 0.5, 1, 2 and 5Gy. The irradiation dose was
fractionally applied (0.5Gy/day). One dentin specimen of each group was inserted
into both buccal aspects of nine intraoral mandibular appliances. On one side the
specimens were additionally coated with the desensitizer Hyposen (H). On the
other side, the specimens were left untreated (C). The appliances were worn by
nine persons for five weeks day and night. During meals, the appliance was stored
in 10% sucrose solution. After the in situ period, slabs (150microm) were ground
and studied using a polarized light microscope. Concerning radiation dose,
significant differences were observed between the control and 5Gy group (p<0.05,
Tukey s test). Pairwise comparison showed that lesion depths in groups treated
with Hyposen were significantly decreased. Within the limitations of this study
it can be concluded that higher radiation doses seem to increase the caries
susceptibility of dentin. The additional application of a desensitizer hampers
the demineralization and might have a caries-protective effect on exposed
irradiated root surfaces.
Z Med Phys. 2006;16(2):148-54.
Effect of tumor therapeutic irradiation on the mechanical properties of teeth
tissue.
Fränzel W, Gerlach R, Hein HJ, Schaller HG.
Department of Physics, Martin Luther University Halle, 06099 Halle, Germany.
[email protected]
Tumor irradiation of the head-neck area is accompanied by the development of a
so-called radiation caries in the treated patients. In spite of conservative
therapeutic measures, the process results in tooth destruction. The present study
investigated the effects of irradiation on the demineralization and
remineralization of the dental tissue. For this purpose, retained third molars
were prepared and assigned either to a test group, which was exposed to
fractional irradiation up to 60 Gy, or to a non-irradiated control group.
Irradiated and non-irradiated teeth were then demineralized using acidic
hydroxyl-cellulose gel; afterwards the teeth were remineralized using either
Bifluorid12 or elmex gelee. The nanoindentation technique was used to measure the
mechanical properties, hardness and elasticity, of the teeth in each of the
conditions. The values were compared to the non-irradiated control group.
Irradiation decreased dramatically the mechanical parameters of enamel and
dentine. In nonirradiated teeth, demineralization had nearly the same effects of
irradiation on the mechanical properties. In irradiated teeth, the effects of
demineralization were negligible in comparison to non-irradiated teeth.
Remineralization with Bifluorid12 or elmex gelee led to a partial improvement of
the mechanical properties of the teeth. The enamel was more positively affected
by remineralization than the dentine.
SADJ. 2008 Nov;63(10):532, 534-7.
Treatment and maintenance of a dentate patient with 'radiation caries'.
Craddock HL.
Division of Restorative Dentistry, Leeds Dental Institute, The Worsley Building,
Clarendon Way, Leeds LS2 9LU, UK.
Republished from:
Dent Update. 2006 Oct;33(8):462-4, 467-8.
Patients with xerostomia are presenting dental practitioners with challenges in
caries control, long-term restoration and prosthodontic difficulties. In many
cases, extraction may be the best option, but for younger, dentate patients, this
may be inappropriate. This paper describes the management of a young partially
dentate patient with severe xerostomia following irradiation of the salivary
glands. Preventive and restorative management are discussed, together with
treatment and healing of peri-radicular pathology. The case report demonstrates
that long-term stabilization and management of caries and peri-radicular lesions
are possible over a seven-year period for a patient with severe radiation caries.
Caries Res. 2009;43(1):43-9. Epub 2009 Jan 19.
Patterns of demineralization and dentin reactions in radiation-related caries.
Silva AR, Alves FA, Antunes A, Goes MF, Lopes MA.
Department of Oral Diagnosis, Piracicaba Dental School, UNICAMP, Piracicaba, Brazil.
Radiation-related caries is a unique form of rampant decay and is a complication
of head and neck radiotherapy that frequently causes generalized dental
destruction and impairs quality of life in cancer patients. The aim of this study
was to investigate the patterns of demineralization of caries in irradiated
patients and to establish whether direct radiogenic damage to the dentition might
be important in the progression of radiation-related caries. Teeth from patients
who had concluded radiotherapy were examined histologically by polarized light
microscopy, and the ultrastructure was examined by scanning backscattered
electron microscopy. Cervical caries and incisal caries, a very unusual sort of
lesion, were widely detected. Additionally, diffuse brown discoloration of the
smooth surface of enamel was frequently observed. Polarized light microscopy
suggested that these areas were incipient caries. Evidence of normal odontoblast
function was observed in the detection of reactionary dentin and intratubular
dentin deposition. In conclusion, radiation-related caries seems to have the same
morphological and demineralization pattern as ordinary caries, with the presence
of demineralized dentin, a translucent zone, dentin dead tracts, reactionary
dentin and intratubular dentin deposition. Based on these findings, direct
radiogenic destruction of the teeth seems to be not essential to the microscopic
progression of radiation-related caries. Copyright 2009 S. Karger AG, Basel."
And when I asked him about mercury leaching from root canals continuously and replacing it with a metal / mercury-free alternative:
"It depends on what the filling material was (my dentist used calcium oxide), but the amount absorbed from amalgam fillings and food is probably much more significant."
"There's normally no need to replace root canals, and x-rays aren't necessary even when having a root canal done if the dentist is very competent. The Japanese are probably more aware than Americans of the damage done by diagnositic x-rays. Systemic toxic effects have been demonstrated from a single set of dental x-rays.
Nippon Hoshasen Gijutsu Gakkai Zasshi. 2009 Feb 20;65(2):254-62.
[Factors impacting public acceptance of medical radiation exposure]
[Article in Japanese]
Tsuji S, Kanda R.
Regulatory Sciences Research Group, Research Center for Radiation Protection,
National Institute of Radiological Sciences, Japan.
We undertook a survey to determine the public acceptance of medical radiation
exposure throughout Japan, and 1,357 responses (67.9% response rate) were
obtained using a two-stage systematic stratified random sampling method. The
acceptance of exposure of children was generally similar to that of adults. For
each of the attributes, 45-60% of the participants were accepting of exposure for
cancer treatment and diagnosis, but only 30% were accepting of exposure for X-ray
diagnoses of bone fractures and dental caries. In general, the presence of a
child did not markedly affect women's acceptance of exposure. Factor analyses
identified 3 factors influencing the acceptance of child exposure: symptomatic
diseases to determine treatment, the possibility of high-risk diseases (or major
organ diseases), and the association with cancer. Cluster analysis showed 4
clusters: a positive group regarding children's exposure for the diagnosis of
bone fractures and dental caries (12.9% of all participants), a positive group
for major organ disease and cancer (15.5%), a negative group excluding cancer
(55.2%), and a positive group for all cases (16.4%). The cluster distributions
revealed that mothers with 10-to 18-year-old firstborn children showed a tendency
to accept the medical radiation exposure of their children in all cases.
Oral Oncol. 2009 Sep;45(9):e80-4. Epub 2009 May 12.
The influence of different irradiation doses and desensitizer application on
demineralization of human dentin.
Bekes K, Francke U, Schaller HG, Kuhnt T, Gerlach R, Vordermark D, Gernhardt CR.
Department of Operative Dentistry and Periodontology, University School of Dental
Medicine, Martin-Luther-University Halle-Wittenberg, Halle, Germany.
[email protected]
The aim of the present study was to evaluate the effect of different irradiation
doses after desensitizer application on the onset of initial demineralization of
human dentin in situ. The root surfaces of 45 freshly extracted caries-free human
molars were cleaned, thereby removing the cementum. From each tooth two root
dentin specimens were prepared. The specimens were distributed among the
following experimental groups: 0, 0.5, 1, 2 and 5Gy. The irradiation dose was
fractionally applied (0.5Gy/day). One dentin specimen of each group was inserted
into both buccal aspects of nine intraoral mandibular appliances. On one side the
specimens were additionally coated with the desensitizer Hyposen (H). On the
other side, the specimens were left untreated (C). The appliances were worn by
nine persons for five weeks day and night. During meals, the appliance was stored
in 10% sucrose solution. After the in situ period, slabs (150microm) were ground
and studied using a polarized light microscope. Concerning radiation dose,
significant differences were observed between the control and 5Gy group (p<0.05,
Tukey s test). Pairwise comparison showed that lesion depths in groups treated
with Hyposen were significantly decreased. Within the limitations of this study
it can be concluded that higher radiation doses seem to increase the caries
susceptibility of dentin. The additional application of a desensitizer hampers
the demineralization and might have a caries-protective effect on exposed
irradiated root surfaces.
Z Med Phys. 2006;16(2):148-54.
Effect of tumor therapeutic irradiation on the mechanical properties of teeth
tissue.
Fränzel W, Gerlach R, Hein HJ, Schaller HG.
Department of Physics, Martin Luther University Halle, 06099 Halle, Germany.
[email protected]
Tumor irradiation of the head-neck area is accompanied by the development of a
so-called radiation caries in the treated patients. In spite of conservative
therapeutic measures, the process results in tooth destruction. The present study
investigated the effects of irradiation on the demineralization and
remineralization of the dental tissue. For this purpose, retained third molars
were prepared and assigned either to a test group, which was exposed to
fractional irradiation up to 60 Gy, or to a non-irradiated control group.
Irradiated and non-irradiated teeth were then demineralized using acidic
hydroxyl-cellulose gel; afterwards the teeth were remineralized using either
Bifluorid12 or elmex gelee. The nanoindentation technique was used to measure the
mechanical properties, hardness and elasticity, of the teeth in each of the
conditions. The values were compared to the non-irradiated control group.
Irradiation decreased dramatically the mechanical parameters of enamel and
dentine. In nonirradiated teeth, demineralization had nearly the same effects of
irradiation on the mechanical properties. In irradiated teeth, the effects of
demineralization were negligible in comparison to non-irradiated teeth.
Remineralization with Bifluorid12 or elmex gelee led to a partial improvement of
the mechanical properties of the teeth. The enamel was more positively affected
by remineralization than the dentine.
SADJ. 2008 Nov;63(10):532, 534-7.
Treatment and maintenance of a dentate patient with 'radiation caries'.
Craddock HL.
Division of Restorative Dentistry, Leeds Dental Institute, The Worsley Building,
Clarendon Way, Leeds LS2 9LU, UK.
Republished from:
Dent Update. 2006 Oct;33(8):462-4, 467-8.
Patients with xerostomia are presenting dental practitioners with challenges in
caries control, long-term restoration and prosthodontic difficulties. In many
cases, extraction may be the best option, but for younger, dentate patients, this
may be inappropriate. This paper describes the management of a young partially
dentate patient with severe xerostomia following irradiation of the salivary
glands. Preventive and restorative management are discussed, together with
treatment and healing of peri-radicular pathology. The case report demonstrates
that long-term stabilization and management of caries and peri-radicular lesions
are possible over a seven-year period for a patient with severe radiation caries.
Caries Res. 2009;43(1):43-9. Epub 2009 Jan 19.
Patterns of demineralization and dentin reactions in radiation-related caries.
Silva AR, Alves FA, Antunes A, Goes MF, Lopes MA.
Department of Oral Diagnosis, Piracicaba Dental School, UNICAMP, Piracicaba, Brazil.
Radiation-related caries is a unique form of rampant decay and is a complication
of head and neck radiotherapy that frequently causes generalized dental
destruction and impairs quality of life in cancer patients. The aim of this study
was to investigate the patterns of demineralization of caries in irradiated
patients and to establish whether direct radiogenic damage to the dentition might
be important in the progression of radiation-related caries. Teeth from patients
who had concluded radiotherapy were examined histologically by polarized light
microscopy, and the ultrastructure was examined by scanning backscattered
electron microscopy. Cervical caries and incisal caries, a very unusual sort of
lesion, were widely detected. Additionally, diffuse brown discoloration of the
smooth surface of enamel was frequently observed. Polarized light microscopy
suggested that these areas were incipient caries. Evidence of normal odontoblast
function was observed in the detection of reactionary dentin and intratubular
dentin deposition. In conclusion, radiation-related caries seems to have the same
morphological and demineralization pattern as ordinary caries, with the presence
of demineralized dentin, a translucent zone, dentin dead tracts, reactionary
dentin and intratubular dentin deposition. Based on these findings, direct
radiogenic destruction of the teeth seems to be not essential to the microscopic
progression of radiation-related caries. Copyright 2009 S. Karger AG, Basel."
And when I asked him about mercury leaching from root canals continuously and replacing it with a metal / mercury-free alternative:
"It depends on what the filling material was (my dentist used calcium oxide), but the amount absorbed from amalgam fillings and food is probably much more significant."