Reply to thread

Message: [QUOTE="Brause, post: 135522, member: 18450"] A friend of mine went through two (cracked) crowns on tooth 36, then had it pulled...and replaced by an implant. There is one big advantage, though: no more periodontal ligament (PDL). [I]The PDL has two primary functions: 1) to transmit and absorb mechanical stresses, and 2) to provide vascular supply and nutrients to the cementum, alveolar bone and the PDL itself [3]. The PDL is a connective tissue and shares certain similarities with tendons and other ligaments in the appendicular skeleton [4].[/I] I picture travelling through the African hinterland and an endodontically treated tooth starts coming on...strong. My personal experience with RCT is so negative (success rate ZERO) that I will decline the endodontist's forthcoming suggestion of doing another one...mandibular molars carry much stress and are prone to cracking. On the other hand, Moral & Ahnemann published in 1921: [I]"It is only humanly understandable to finally give in to the wish of the patient, who is always complaining about toothache, by removing the tooth that is labeled as the culprit. However, experience also shows that such attempts at healing are as useless as they are harmful, because either the pain is not relieved by the procedure or it is localized elsewhere."[/I] And surgeon Christoph Partsch wrote in 1925: [I]"Above all, with such neuralgic pain radiating into the face, extractions of healthy teeth should be avoided. The teeth should only be removed if they are demonstrably diseased. If the patient states that the pain is located in one tooth in particular, one should never be pressured into extraction. The pain will not disappear despite extraction, the patient's dentition will only be mutilated."[/I] These assessments are still fully valid today (I am told), though I don't know what treatments they suggested. [/QUOTE]

Verification