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Persistent bacteria after root canal
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February 3, 2014
12:46 pm
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Ewa
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Dear all, 

Wonder if you could throw some light on my daughter's case. She is a Silica constitution. Six months ago she had a root canal treatment, following an abscess. There has been a lot of pus discharging with halitosis since then. The abscess goes up and down and doesn't hurt. There are no other symptoms. An xray last week showed that there is still bacteria at the external root. She now requires the work to be re-done with the potential of losing the tooth, if the bacteria doesn't clear up.

It is the 3rd molar on the bottom right. I gave her some pyrogen. That has got rid of the bad breath. Are there any other specific remedies that could clear the bacteria and save her tooth? An homeopath dentist suggest Myrticus. She had a few doses after the initial surgery but obviously that didn't clear up the bacteria. Also tried hepar.

Any suggestions would be greatly appreciated. She is having the second treatment on Wednesday, 5th. A month after the cleaning of the root, they will decide what to do next if there is still infection. The reason it didn't work the first time round is because the infection is on the external root rather than within, hence difficult to access.

Thank you very much.

 

 

February 3, 2014
11:07 pm
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David Kempson
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Have you used the Silicea again? It is fairly well indicated for that kind of problem.

I would really be continuing constitutional treatment rather than trying to isolate local problems in this way.

February 4, 2014
3:44 pm
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Surabhi Sharma
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Her remedy is Nat sulph. Moving painless suppurating abscess on lower gums - classic Nat sulph! She will lose her teeth if you go ahead with the so-called constitutional. Silicea IS NOT INDICATED in this case.

February 4, 2014
4:24 pm
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Ewa
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Hi David, thank you. She had Silica 10m since her first surgery, a few months ago, as part of her constitutional treatment but it doesn't appear to have touched the infection as the xray shows. Unless lower potency acts better with a localised condition.

 Thank you Surabhi, I will look up Nat Sulph. What potency and doses would you suggest please?

She was put on anti-biotics last week by her dentist but since then the root canal surgeon said that anti-biotics wont help so we stopped it after three days. I don't know if this disturbs the case. 

 

February 5, 2014
12:43 am
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David Kempson
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10M? That is a very high potency - was that the first potency tried? I rarely even use those potencies. I am not sure how well such a potency might deal with something like this even if the remedy was correct.

Obviously I don't know the case so it is hard to say what may or may not happen here. Without a complete case nobody can be completely confident in any prescription and I was really just asking if the Silicea had been repeated if it was successful in the past, rather than implying it would definitely cure here.

I treat a lot of so-called acutes in children with the remedy that suited the chronic state, as it really was a chronic flare-up rather than a true acute. A symptom that has existed for 6 months is not an acute, and will be maintained by whatever disturbance exists in the vital energy over that longer period. This is why I asked if the remedy that may have been previously used had been tried again.  However it is important when repeating such remedies to make sure that there has not been a definite change of state which calls for a new remedy.

In any long-term state of ill-health, it is important not to fall into the trap of chasing local symptoms around. The general chronic state must be addressed if you are going to prevent recurrences or new more serious illnesses appearing. How you arrive at a remedy for that state might vary, as different homoeopaths have different methods.  As long as important symptoms are not being ignored you will usually get a good result.

 

 

February 5, 2014
1:38 pm
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Ewa
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Hi David, You are absolutely right where something has hung around for awhile requires constitutional treatment. My daughter is 20 and has gone up the potencies over a period of time. Sil has kept her in good form from the time she was little except when the abscess turned up last year, due to a faulty filling which wasn't attended to on time.

She went to a homeopathic dentist for her root canal treatment - the procedures are allopathic although he did suggest a couple of remedies. She was on anti-biotics as well. Since then, of course, she had her constitutional top up, and as I mentioned earlier, it didn't clear the infection. Her remedy picture hasn't really changed over the years.

 Surabhi is looking at the modalities of the abscess (the current presenting picture) where the chronic hasn't helped. This is also a successful way of dealing with these inbetween cases.

However, I am taking my daughter to an homeopath (with over 50 years experience) tomorrow. Will keep you posted on the outcome. Daughter had the second root canal treatment today. The surgeon said that if the abscess does not clear up in ta month's time, they would be looking at more invasive treatments or an implant.

Thank you once again for your input. I value everyone's contributions here. Homeopathy is an extremely difficult system of medicine where no one solution is the right one or wrong one. The more we learn and practice, the harder it seems!

February 5, 2014
2:35 pm
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drofart
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Hello,

 Don't take seriously but playing with constitutional remedies in so high potency without complete knowledge of the nature of a constitution is serious. However, for now i can only say that when there is no pain{If i have read your first post correctly} neither silicia nor hepar are indicated, both of them are quite sensitive & full of pain.

Rather Nat. Sulph.(It a deep acting constitutional remedy, more than one dose is hardly needed and is injurious if not completely indicated as it will disturb the constitution of man and will gonna delay further curative treatment), Staphysagria, sulphur etc.. are more indicated but have not been thoughtof even, however i hope your girl will gonna be ok.

 

W

 

February 6, 2014
10:17 am
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Surabhi Sharma
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Anna P said
Thank you Surabhi, I will look up Nat Sulph. What potency and doses would you suggest please?

She was put on anti-biotics last week by her dentist but since then the root canal surgeon said that anti-biotics won't help so we stopped it after three days. I don't know if this disturbs the case. 

 

If your description is correct, I will go 10M or higher, 2 doses only, separated by 12 hours each and then re-assess post a couple of days. By then, I would expect the infection to have cleared or much improved.

Stopping antibiotics mid-way is never advisable. You either should not give them in the first place or complete the full course.

Best,

February 8, 2014
11:46 pm
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Shirley Reischman
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Before even considering a homeopathic remedy, I would have the tooth pulled.  If in doubt about the inadvisability of having a root canal, please read this link.  You may have to copy and paste it into your address bar.

** you don't have permission to see this link **

February 11, 2014
12:41 am
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David Kempson
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Hi Anna,

How have things gone so far?

 

regards,

David

February 12, 2014
12:45 pm
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Ewa
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Hi David,

 

My daughter is put on Pyrogen 200 which she took two days ago. This will be followed up by her constitutional remedy but first she needs to report back after the Pyr. 

I will update after a few weeks.

Kind regards

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