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tissues with damaged odontoblasts then have no chance of
survival, and become the potential foci of problems of tomorrow.
In answer to assertions by colleagues to the effect that they
only grind the enamel with their turbines, I would like to reply
that they are in no position to determine macroscopically
whether they are still working in the enamel or are already in the
dentine. Even if the drill only contacts the dentine at one single
point, the suction effect on the dentinal tubules then has already
been produced, causing irreversible damage to the pulp. A
partial statistic for ground or milled teeth speaks for itself: the
application of conventional methods of pulp testing on teeth
treated with turbines merely show changed sensitivity values,
not whether the tooth is dying.
Measurement with CEDS is the only way to determine the
damage in an exact manner. Responses to cold or heat stimuli,
or to electric currents, (the usual clinical "vitality tests"), provide
no evidence for the functionality of the pulp's vitality. I have
been able to provide supporting evidence with test results
involving histological examinations on extracted teeth, which had
previously treated with turbines (high-speed drilling). High
speed drilling is one of the main reasons teeth become sensitive
to hot and cold, and can cause the teeth to die. A tooth that
becomes sensitive after high-speed drilling can remain painful
for days, or even months. Sensitive teeth should be watched
carefully; if symptoms of discomfort increase, the tooth could be
dying. CEDS should be used to cross check the sensitive teeth
with their organ system.
My teeth I have
lost due to high-speed drilling and replaced with partials.
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