3mix-mp Endodontic treatment

Zardoz

Are there any dentists in Ireland providing 3mix-mp Endodontic treatment ?

It seems to be popular in Japan and looks like a viable alternative to root canals .

It uses a unique vehicle for the antibiotics, propylene glycol, which has been shown to successfully penetrate and spread through dentinal tubules.
The 3 antibiotics are metronidazole, cipro and minocycline.

The research showed that a mere removal of the bacteria responsible for the tooth decay with this antibiotic treatment allowed the patients to keep their teeth.
In most cases damaged pulp regenerates fully and dentin remineralizes.

I much prefer the idea of a living tooth than a dead one and it doesn't cost much more than a filling .

btkm8unsl0w5r4

Its just a fancy pulpectomy which has been around for years. Standard root canal treatment done by an expert is so successful I would not favour any experimental treatment over it.

Big_G

Revascularisation is experimental but shows promising results.

btkm8unsl0w5r4

Only if the tooth is not dead already, I assume that it only works for reversible pulpitis? There is nothing wrong with having a dead tooth, its the access that weakens it not the root canal persay.

Zardoz

Erik Quick Firefighter wrote: »

Its just a fancy pulpectomy which has been around for years. Standard root canal treatment done by an expert is so successful I would not favour any experimental treatment over it.

Root canals are not cheap ,especially on molar teeth.
You also have the possible added cost of a crown and perhaps a post and core .

Its alot of money to restore a tooth that will never be as strong as a good living tooth .

With the 3mix-mp Endodontic treatment the cost is low and as the pulp regenerates and dentin remineralizes, the tooth is still living and strong so a filling is sufficient for restoration.

I'd be willing to give it a go before resorting to more root canals if the service was provided in Ireland or even the UK.

btkm8unsl0w5r4

I doubt this specific experimental medicament is readily available and if so that its cheap. Dentists use antibiotic and steroid pastes to avoid root canals all the time, its been around years. Its called leadermix. It doesn't avoid root canals only delays them.

Success rates are not good http://www.ncbi.nlm.nih.gov/pubmed/21951271 certainly on primary teeth.

The Access to the pulp is the same, so the tooth will be equally as weak, its the access as I said that weakens the tooth the same way. Crowns are still needed.

It only works for teeth that have living nerves that are inflamed, that rules out most teeth that need root canal. Otherwise a standard root canal is required although these paste can be used also to enhance cleaning. If no obturation is done, MTA is used over a blood clot, this will be very very expensive to have done.

Your barking up the wrong tree here, but whatever you want yourself. I think there is some Japanese dentist doing it. No research yet published, they would be glad of a guinea pig.

Zardoz

Erik Quick Firefighter wrote: »

I doubt this specific experimental medicament is readily available and if so that its cheap.

The antibiotics are cheap and freely available,there are even instructions online as to how to mix them .:)
http://www.lstr.jp/e/information.html

Success rates are not good http://www.ncbi.nlm.nih.gov/pubmed/21951271 certainly on primary teeth.

That paper only includes teeth that were topped with stainless steel crowns. The need for a crown speaks of advanced decay. The usual restoration for this procedure calls for a composite resin inlay on top of glass-ionomer cement.
The result criteria is cherry picked as they ignored the vast majority that had this procedure and did not need crowns. Why?

The Access to the pulp is the same, so the tooth will be equally as weak, its the access as I said that weakens the tooth the same way. Crowns are still needed.

But its a living tooth so it doesnt dry out like a dead root canalled tooth ,so it may not need a crown ?

It only works for teeth that have living nerves that are inflamed, that rules out most teeth that need root canal.

So it wont work on infected pulp ?

Your barking up the wrong tree here, but whatever you want yourself. I think there is some Japanese dentist doing it. No research yet published, they would be glad of a guinea pig.

I'm only exploring a possible alternative to root canals ,its surely worth discussion at least ,is it not ?

btkm8unsl0w5r4

root treated teeth don't dehydrate, that and old wives tale totally disproved. http://endoexperience.com/documents/JOE1562-1565.pdf
Root treated teeth need crowns cause there is a massive hole in them from the decay, trauma and accescc to the pulp, so basically all root treated teeth need crowns or coverage of some sort.

The point of the article is that this technique is mostly used for immature teeth that have a wide apex that allows revascularisation even then Long term success is poor. All primary teeth get ss crowns after root canal.

Your tooth needs a root canal for one of three reasons, the nerve is dead, dying or inflamed. If its inflamed due to decay, then removing the decay and allowing the nerve to settle will work (simple filling with or without pulp capping), if the nerve is dead it need to be removed as its rotten meat festering in the tooth. If its dying then that where this comes in. However the procedure is time consuming and materials ( the mta not the 3mix) expensive with uncertain results.

I am discussing it with you, my point is if you need a root canal you need one, there is no dodging it, only delaying it.you can have an extraction I suppose. I have found that messing around with things like this only cost you more in the long run. You will find dentists a cautious bunch. And we don't like experimenting on patients. With root canal treatments when done correctly having success in the high 90 per net range, this is an answer the a question nobody is asking, your not avoiding the drilling, anaesthetic, time or expense of a root canal, only changing the materials for untested ones.

If in doubt go see a root canal specialist or endodontist, doctor google is a quack.

park500

Most endodontists and some dentists here have experience with triple antibiotic type therapy.
The articles linked mention deciduous teeth- these are "baby" teeth and there are more proven alternatives here.
The adult teeth talked about are dead teeth with immature apex's .This scenario is very unusual - possible trauma at a young age.The use of triple therapy is going out of fashion as the revascularisation is with bone type cells leading to ankylosis.
The tetracycline also causes discolouration which is often extensive and not treatable with bleaching.