Endodontics – just a rescue attempt.

Endodontics is a branch of dentistry that deals with diseases of the pulp-dentin complex and periapical tissue. Simply put, this affects the “nerve” of the tooth and inflammatory processes that cause symptoms.
If there is inflammation or other damage to the nerves, our treatment initially aims to maintain the vitality of the tooth.
If caries has penetrated too deeply into the tooth or the nerve has been damaged in some other way, an acute inflammatory reaction can occur, which inevitably leads to the complete destruction of the endodontium. Decay processes begin, which the immune system cannot defend against without help.
These decay processes produce thiols and thioethers, organic intermediates that are locally toxic and trigger long-term immunological, inflammatory reactions.
Even with highly complex treatment methods, it is not possible to remove 100 % of organic tissue and microorganisms from the root canal system of the tooth.
The bacteria residing there thus inevitably continue to cause the formation of hydrogen sulphide compounds such as dimethyl sulphides and diethyl sulphides (thiols and thioether compounds).
The toxicity of these products has been scientifically demonstrated for over 30 years.
A simple laboratory blood test can be used to test whether an immune reaction against these substances is currently taking place.
Scientific studies have demonstrated the specificity of this so-called effector cell typing (Jacobi_Gresser 2014).
It has been shown that root canal filling retreatment or tooth extraction can significantly influence the measurement results and more than 90 % of patients then return to the normal range.
The goal of treatment must therefore not be based exclusively on the preservation of a tooth.
The relief of the body and the reduction of inflammatory stimuli make it necessary to critically assess an upcoming root canal treatment.
Many people have an unquestioning desire to keep their “own teeth” and see this as the best solution.
This is perfectly understandable, but completely ignores the immunological component.
As soon as the tooth is no longer vital and the decay process of the internal soft tissue has begun, the above-mentioned thioethers and thiols are formed, resulting in the patient’s own immune system marking the tooth as “foreign”. This is the reason why they are also called “dead teeth”.
A root canal treatment thus only ever provides partial relief for the body. For treatment, the inside of the tooth is cleaned under a microscope with files and disinfecting rinsing solutions.
We will be happy to advise you on existing root fillings and acute inflammations and to test your individual burden with the blood test.

Get in touch with us!


Zahnärztinnen am Rathausmarkt
Dr. med. dent. Birgit Vinkelau (Dentist)
Rathausmarkt 19 | 20095 Hamburg | Germany
Coordinates: N 53.549839 E 9.993245

Phone: +49 (40) 36 46 88 | Email: praxis@birgit-vinkelau.de

Office hours: only by appointment | also on Saturdays