Detoxify The Mouth For A Healthy Body ft Nordic Naturals

So if any of you have a thought on something i'm saying or you know a different way to do it you know we're more than open to discussing things i definitely don't want to lecture at you because what i find is when we do these events is like i always learn something new myself from somebody who was commenting about oh did you hear about this or did you hear about that either product or different technique like is it valuable you were already teaching me about something oh four hours with vitamin c regarding mercury detoxification i'm like okay once the mercury.

Is removed because you get the vapor sucked in through the gum you want to give an iv vitamin c to help with the detoxification process of that mercury it's got to be done yeah quickly to get it out see that.

Was my lesson my first lesson of the day okay but we have we have a lot of patients that actually come to us and look like this but this won't work actually on my screen because it's an led screen so you know this is actually one of our patients she comes in with a lot of metals in her mouth and what's wrong with metals galvanic current galvanic current would drain your batteries that's the way i explain it to patients it drains the batteries because it creates electric charges in the mouth essentially a current that will drain and some people actually come in with symptoms i've had patients that have symptoms on the whole side of the body just because let's say they had a mercury filling and a gold crown touching by the afternoon she was getting a headache and the whole side she could feel the moment we changed those two we removed the mercury her symptoms went away so it's that powerful so actually now you know she looks like this when we see all kinds of different patients we have patients you know that are missing teeth we have patients that come in with advanced periodontal disease like the gentleman in the middle that now has a full set of teeth on implants and patients that you know are not even aware about what's possible today and i think my goal today is just to share with you the different techniques that are available today in dentistry that weren't available even ten years ago so dentistry has gotten healthier that's the good news i think we still have ways to go in certain aspects like root canal therapy we still need research to see how well can we clean those canals we're not one hundred percent there yet but i have one of my dear colleagues doctor valerie kantor she's working on it she's doing research trying to see how can we hold the structure without the bacteria because really that's the problem with root canals it's the bacteria that's trapped inside but today i want to talk about some biological dental principles probably most of you here are familiar with biological dentistry already but also when it comes to periodontics we're into changing the microbiome of the mouse and that's the big topic for us and a couple of medical conferences that i've been to i know that's a big subject for you as well where are we with cavitations what's the best way to remove them and maybe some of you how many of you are not familiar with cavitations okay so we'll go over that not a cavity i think not a cavity but it's still a hole so cavities a hole cavitation is another hole but just deeper so i'll go over that and why is there a problem with cavalry cavitations dental implants where are we with that i myself have a dental implant but we're moving more into ceramics we've had some recent studies when it comes to autoimmunity and titanium so now we're looking a little bit differently at dental implants so i'm gonna mention a couple articles about that and also mercury safe removal why do we do it how do we do it to keep our patients safe and i would love your input in how you would take the patient from there and also biocompatible materials we have some really amazing materials today that are filled with ceramic particles even fillings that are bpa free filled with ceramics so not necessarily having to go to a crown like what's the best way to restore you know the old technique where you have to shave a whole tooth and basically destroy the whole tooth we don't practice that way in biological dentistry we're about conserving tooth structure so in our practice i'm very fortunate to have an amazing team of friends and we have three restorative doctors who do biological dentistry and make pre safe removal i'm the periodontist and i do most of the surgeries so removal infected teeth cavitations dental implants periodontal disease laser periodontal treatment which is non surgical and we have doctor magami she's a prosthodontist and she really she's a maxillofacial prosthodontist so she actually treats cancer patients she does prosthesis to you know occlude the palate i mean what she does is pretty amazing and replaces eyes and all these things yes so biological dentistry how is it different than just holistic a lot of people ask that well how are you different than a holistic dentist we belong to an association called the iaomt and we go by what's scientifically based to be true sometimes holistic you know has gotten a batter up because we just well let's just try something that's you know put honey on the tooth and see what happens non evidence based things and i have patients that come and say oh you know if i do this concoction and put it on my tooth what's it gonna it's gonna take away the infection i don't know that because there's been no research to show that that's even gonna help so we go more by we have to have some kind of scientific basis for what we recommend and we love technology in our office so this is one of our operatories we have a tv screen on each side it's actually a three d microscope that we work out of we actually wear three d glasses and in the middle we have laser therapy both of the lasers are meant to not only reduce the gum but we also use them to reduce the tooth so it's a lot less dramatic they create a lot less heat when we work around the tooth versus a traditional drill and then of course we have a ct scan this is our three d microscope i'm wearing the three d glasses but i'm not looking inside the mouth i'm actually just looking at the screen so i'm able to really magnify a tooth and see what's really happening we see micro cracks so it's really dentistry is so much fun today yeah because we have a lot of different tools except you know my staff is like oh no here comes another gadget that we have to learn about that's the only downside with that and this is the little microscope actually that sits right in front of the patient's mouth we also have a digital scanner on the left hand side so you know the old traditional technique to take impressions with goop now we use a three d camera which is a lot more accurate so it gets rid also of some toxins because some of those materials are chemicals but the three d image is a three d image we don't use any kind of chemical materials to it so a big principle with biological dentistry is this biocompatibility testing because we know we're all individual we have our own genetics and genetic expression so we don't want to introduce a certain material that might be toxic to that patient even though we choose in our office the safer materials that are out there but they're still synthetics right when you're dealing with fillings and crowns are synthetic materials so clifford testing are you familiar with clifford biocompatibility clifford testing is a blood test that we do on our patients before undergoing major restorations to see what is compatible with their body like is the filling compatible to their body is their cement is the implant compatible to their body so it's a blood test we usually get it back within twenty four hours and it's not one hundred percent but it's still a better guideline than just guessing especially some of our patients that have autoimmune diseases they're sick they're allergic to everything we need to know you know for a healthy patient probably won't make much difference but for somebody who's already suffering and their immune system is on overdrive it won't matter so acupuncture meridian system i'm sure some of you are familiar with this already and this chart was first introduced to me by one of the chiropractors we work with and i made a copy and put it in the operatories and essentially every tooth is related to an organ usually the molars are related to digestive premolars to breast health and as a matter of fact we had a study that was published not in our office but it was published on pubmed a few hundred women with breast cancer they all had root canals in their teeth in the premolar area so i'm going to share a case study with you that's related to that so the thing is root canals don't hurt so you can have these underlying infections without even knowing that there's a problem and that meridian somewhere in that meridian will suffer galvanic current we actually have a little machine that we can measure people's galvanic current in the mouth so if you're ever interested you're welcome to come for a field trip to our office yes i know doctor tennant very well i've taken some of his classes for those of you who don't know jerry tennant he was an ophthalmologist had was bedridden for a couple years because of a tumor he had chronic fatigue then he found out he had a bad chronic infection in one of his molars that was root canal he had the tooth removed then he started getting better his tumor just went.

Away from his surgeries he's an ophthalmologist.

Using laser and he got into cephalitis i don't know that story he just talks about his tooth story all the time so now he only practices so that's how i know but it's fascinating and he has a book called healing is voltage so in which he relates all the electrical stimuli and he talks about how disease actually has to exist only on a certain voltage and i remember if it's positive or negative but yeah it's fascinating his studies so he's no longer an ophthalmologist he hasn't been for years he went completely into this direction he became an acupuncturist and now he just talks about how everything is related and he has courses and he has a microcurrent machine we use microcurrent treatments in our office in order to help heal the area tenant t e n a n t michelle can you lower the blinds because doctor tanya is getting tan than half of the face yes thank you so i mentioned already oral galvanism and really the only solution is to take out the metal that's really metal does not belong in the map it doesn't it did in the past because we didn't have better materials but now we really have good ceramics more biocompatible that are metal free so this is what we typically see you see a gold crown touching amalgam filling and amalgam fillings typically are fifty percent mercury that's the problem so i had i grew up in romania i had sixteen huge mercury fillings in my mouth so i've gone through it i had them all removed unfortunately not safely so i ended up with mercury toxicity and it took me a couple of good years for me to chelate it out so you know i've gone through it and it helps me explain it to patients but i wish i knew that.

Yes your last slide was about the world got banned in testing the metal yes now are you able to for a patient who thinks they may have a mercury filling still within even though it's all showing as white that there might be a remnant will this show.

It will show on an x ray and we actually have patients that come in like that with mercury still stuck underneath the tooth but if the tooth is vital that mercury will travel i'm happy to look at it okay yeah good question and we do see that on x rays excuse me what about.

Gold i've heard gold is the best.

Thing for the teeth so the question is what about gold is gold the best thing for the teeth unfortunately it's not pure gold so if you look at my previous slide this one it can even have cadmium in it and cadmium is a toxic metal so we do recommend also removal of gold because we don't know what kind of other alloys and patients don't know and a lot of them are twenty years old who are they going to contact to find out what lab did it if they did it correctly there is a lab in the valley that actually does biocompatible gold inlays only for patients but nowadays we don't recommend really gold material because of the ions it does and.

I forget where he's at but he.

Probably does that yeah it's intense though.

To go in there he tests you.

That'S good you have to go in three visits for one tooth yes but most dentists don't do that you know it's unfortunately we don't know what other alloys go in gold it depends what they ask for they can be mixed with different metals yeah so electrical currents produced by amalgam can cause other problems in the mouth for example burning mouth syndrome or lichen planus we actually do see the changes and what's interesting is that we also see the microbes are different in areas where there is a current for example now that we're doing studies with titanium dental implants and zirconia dental implants completely different microflora around them because we think bacteria and you know pathogens actually communicate via electrical currents so of course they would like an electrical current as a matter of fact they actually when we look for cavitations in the jaw they go straight for the nerve because they like to use our nerve system also as a way to communicate between colonies they're a lot smarter than we gave them credit for essentially i think we just ignore them for the longest time even in periodontics hi doctor moss even in periodontics we used to treat everyone the same you have periodontal disease okay we do deep cleaning then we do surgery but then three percent of those people always got worse why because of the certain bacteria that was existing together with their genetic makeup no matter what we did so now what we're trying to do in periodontics is really change the flora so we're basically wiping out the whole flora with ozone and laser and then rebuilding it back with probiotics that's where we're at essentially so and i'm really seeing a huge difference when we treat patients that way they're actually you can download them if you text seven two zero zero zero i forgot to put that slide in and text the word tooth then you can download the slides on your phone but you're welcome to take pictures too so seven two zero zero zero and the password is tooth so if you dial seven two zero zero zero and then you type tooth you can it'll give you an option to download all the slides seven two zero zero.

Zero okay you're saying you're changing the.

Flora yes we're changing the flora i'm going to talk more about that but we do see this as soon as we remove the metals we see an immediate change patients with metal restorations essentially we see the following symptoms bell's palsy tinnitus vision disturbance chronic headaches trigeminal neuralgia bruxism severe depression burning mouth syndrome all these things can improve just by removing metals so long term influence of the most tested galvanic currents significantly decreased the cellular proliferation that's really the problem it doesn't allow healing it really interferes with the normal cellular metabolism and for those of you if you haven't ordered dinner yet we ordered so oh you ordered already okay and we had okay you guys are good okay perfect and it's informal by the way so feel free to ask questions and we already introduced ourselves and i would love to meet you hi yasmin sanda pleasure what do you practice acupuncture and stem cell wear.

Changing from central city mexico plaza to.

Ocean and tony sun to ocean and tony san okay welcome and then we have somebody new over here a couple of you hi good oh hi mona lisa general dennis anna lisa mona lisa general dennis yes where very nice which street okay you're a block over from us yes from roxbury okay welcome and then we oh i work with doctor zai doctor rina zai i've known her for twelve years oh she is okay yeah yeah i go to her for acupuncture first for twelve years plus i think my practice is across from.

My practice the garnet the two thousand five.

Great and we have doctor fantastic we're glad you're here because the root canal topic is coming up we didn't want to have a dull moment around it okay so of course the perfect way to eliminate electrogalvinism is really to remove the metals now when it comes to titanium okay which is also a metal as long as it's sitting at the bone level and it's not exposed to the oral cavity we don't see issues with it okay when it comes to but however if the titanium is exposed in the mouth and they have another metal crown it will create problems so titanium implants are meant to be in the bone not exposed and then from the bone up we do ceramic restorations so let's talk about periodontal conditions conditions and the oral sorry i have to put the slide right when the salad arrives next time i have to plan it better but i always look at tongues and actually i learned from doctor zai yeah that means something absolutely yes and you know she taught me a lot over the years and i would always send her actually if i have a patient i don't know what's wrong with her tongue i send her a text message what do you think about this tongue and she would tell me oh this is autoimmune issues this patient needs to get tested yeah so somebody like this i really just look in the office for how is the microbiome how is the digestion so when i see a coated tongue that's whitish that's dysbiosis we know that and if you know the mouth is the opening of the gi tract so i know that if the tongue looks like that they can't have a healthy floor on the mouth we want then the bottom what's wrong with the bottom is a shiny glossy tongue that's also dysbiosis it's not a healthy environment what's healthy is this tongue on the right where we see a nice pink tongue with no inflammation if we see somebody with a shiny tongue usually could be even a nutritional deficiency like an iron deficiency for example so next time just check your tongue check in and also you know we have tongue scrapers as well like and i have some patients that scrape their tongue away but from a chinese medicine perspective your tongue is supposed to be healthy without cleaning it right yes right and that's usually true what's interesting about probiotics and the friendly bacteria for the mouth is that we know a lot more about it than we used to and i've been really fascinated with the research in the oral microbiome and the oral microbiome study starting about twenty ten we have the oral microbiome research going on in san diego and a lot of the studies are coming out of there and this is actually a study from twenty eleven a probiotic taken orally like l rhamnosis specifically can even affect the the stress levels just by taking one single bacteria it lowers the cortisol level which i think is pretty amazing so how does that happen we know bacteria talks to our genes and it can turn genes on and off essentially that's how that happens so l rhombosis is actually one of the probiotics that's present in our chewable probiotic or asana which i directly was involved in formulating and it's a vegan probiotic and we see big differences when our patients are using so this is what it looks like it's a chillborobiotic you let it dissolve in the mouth and some of this bacteria interestingly enough and this has five different strains in it it can kick off or ward off some bad pathogens and they lodge themselves that's how that works so they have research on this particular strains they have not only an anti inflammatory effect they actually reduce il one illinois eight in the serum anti cavity we have quite a few studies on cavities in children and adults but mostly children that we're looking at when they take a probiotic a day it actually lowers the level of cavities and also bad breath is another one because bad breath is not just from the mouth right comes from the stomach can be from sinuses so it really affects the whole flora so in this particular case it's actually a case on peri implant disease which is an inflammatory disease and what amazed me about this case is that you know they had only taken it for thirty days one chewable probiotic and after thirty days they measure not only the gingival fluid but also the il one and il eight which really gives us the real picture right because okay the bleeding scores can be a little bit subjective so it depends how hard you're probing you can definitely get bleeding right so in this case they showed lower il one and il eight in both groups both the healthy ones and the ones that had peri implantitis meaning inflammation around implants just by taking a bacteria that's the only thing in the study that they did polyphenols it's another very interesting thing so i want to bring up a product here that we love in our office curcumin this is curcumin omega an anti inflammatory product but what we know now is that the polyphenols in curcumin actually have an anti inflammatory effect but also an antibacterial effect so when we're talking about the pathogens in the mouth we actually also like this let's see do i have that one not yet it's the curcumin gummies which are sweetened with xylitol with some xylitol those and they're delicious after dinner treats yes they're quite addicting though i have to warn you but yes it's a good way for patients to instead of taking another supplement it's more like a treat for them and i like that this curcumin actually stays in the mouth a little bit for us but periodontal diseases that's how they manifest so you as practitioners can definitely add you know this you probably a lot of you are already looking in the mouth but just you know have them smile or just get a tongue blade and lift the lips and if you see anything like this this kind of inflammation i mean this lady actually ended up with leukemia because we know gums that look like this and they have spontaneous bleeding that's one thing that's a sign of so the mouth really shows us a lot of sign about overall health on the right we actually have you see that darkness over the tooth on the right side and on the left it has this nice white white halo the white halo is good but on the left that's actually bone loss okay so that's what it looks like inflammation this is an abscess right here that's an abscess over a tooth it doesn't even show a lot of inflammation it's just a white dot and it's not cancer though maybe could be but in her case it was actually i could put an instrument through that white pimple and you know pus comes out essentially that's what happens and she has several implants that's what the grayish look is here in the front when we do a saliva test and in our office that's how i know what everybody's oral microbiome is we look at eleven different periodontal pathogens it's an easy task you can when i was a resident we used to do paper points because we cultured live bacteria this was like you know eighteen years ago and then we would send it to the lab but the problem is by the time the live bacteria gets to the lab to grow it'll die so we wasn't that accurate so now we're doing pcr testing we have the patient switch back and forth we have them spit in a test tube so we're looking at the z bacteria that comes from the pocket so around a tooth there's a river it's called the gingivore clavicular fluid when there's inflammation that fluid spits out trash that's the best way for me to describe it that trash now we collect in a saliva test and we send it to the lab this lady was actually in her forties she was a fitness model and you know she takes care of her body she eats well she eats right but then all of a sudden she ends up at forty she when she came to see me she had advanced periodontitis with a couple implants that were infected and she's actually the one that i showed you earlier with the abscess in the front so when i take an oral dna test this is probably the worst i've ever seen when every single level of bacteria on her mouth was at extremely high levels so when we look here it's because high risk pathogens on the left what does that mean in that group those are the invasive groups these guys travel they travel to the heart they travel to the joints to the unborn baby they travel to the brain to the lungs they're very invasive and they in very low amounts they're pathogen meaning they cause disease and she has high bars like usually when we see no bars we're happy but she has high bars of everything in the moderate risk group there's actually one called fusobacterium nucleatum you might be familiar with fusobacterium it's been in the news lately and i was asked to comment on it a couple times by different media sources it's been linked to colon cancer and esophageal cancer so in her case high levels it's the highest bar and it's one that i commonly see with my patients who have a bad breath and bleeding gums as the human oral microbiome research continues and they're not even close to identifying all the microorganisms in the mouth i know we're gonna you know it's gonna change the way we practice now so how do we treat somebody like this obviously she's infected ozone exactly that's a great one but we also have to give her support for her body because if i just treated the mouth or if i just started scaling and root planing a patient like this which is what traditionally is done it's the worst thing i could do for her because when you're scraping all this bacteria goes straight in the bloodstream you know it's probably already there but least now you're like and we have studies from the va the poor va right we did studies to show that after a dental cleaning not scalene replaning there's a transient bacteremia in the blood so every time your patients go in for a regular cleaning they're gonna have more bacteria in the blood so in our practice we always start with ozone especially in patients with issues we ozoned for first to kill the biofilm and then we clean because of this we're just a little more careful about how we do things okay so how do we treat somebody like that we do ozone so essentially i have a scannula that actually bubbles ozone under the gum and it reaches i can reach as deep as you know six ten millimeters depending how deep the pocket is we might have to numb them at that point depending how sensitive they are but we can ozonate deeply and we use ozone gas but we can also use ozone water and of course ozone i know you mentioned you use ozone already here and probably a lot of you are already familiar with ozone and then i also use a laser for periodontal diseases this is a chromium yag and the nice thing about it allows me to curette the episode inside the pocket without having to raise a flap so at a certain frequency it has that ability the other ability that it has is to bring osteoblasts which are the bone forming cells from the bone up into the pocket to regenerate bone and there's only two lasers on the market that are fda approved for for bone regeneration around teeth so that's how we do things nowadays in the past how did we do it bone grafts just add a bone graft and hope it will take but typically that's not the case so we find much better success rates this way yes have you.

Ever oated from the blood itself and given them back the infusion before you.

I haven't done that to actually take.

Out blood yeah so we would draw in these sixty c sixty to one hundred twenty cc's of the patient's own blood okay infuse intel two hundred and fifty cc sealing bag and then when we take the ozone we mix one to one so we take out sixty cc's of ozone inject it back into the bag now that blood is ozonated and it drips back through the body.

So it ozonates oh that's great from a systemic standpoint yeah i wish can we work together no i don't because the ozone machine yeah we're not it's out of my scope of you know yeah but yeah that's that's the benefit about you know working together you guys.

Are doing it in your practice as therapy md got it you're doing ozone therapy as an md.

There are states that is not legal in oh i didn't know that oh no so we have the first fda ozone water generator that was approved in california actually it was designed by a dentist it's called therazone so that's an easy thing to implement at least in the dental office to just make ozonated water because that in itself you know it's it's great so when our hygienist cleans uses ozonated water and we use ozonated water to clean the dental lines cuz the dental lines can be really filthy unless we clean them so there was like sixty minute report on how dirty the the lines are at your dentist so yeah oh sorry i'm sure it was fine but yeah we you know it's important.

To.

So when we talk about gingival health this is another product that i love is coq ten and low levels of coq ten are actually linked to periodontal disease because it's actually found mostly in the heart and gingiva so that's why also there's a correlation between periodontal disease and heart we know that there's an increased risk of cardiovascular disease with untreated gum disease yes of periodontal disease.

On patients instead.

I did not know that there's a risk of peri disease you know i knew about the hormonal issue but i i didn't know okay thanks because it depletes that yes interesting i didn't know okay so we have studies to show that actually coq ten in conjunction with a deep cleaning like scaling or planing it actually improves our results than if you just do scaling replaning by ourselves and by itself without any kind of supplementation especially this is a study on coq ten curcumin gummies i mentioned this earlier we use this also for people with especially we have people that say i don't want to take any pills okay well this is an alternative and it also has xylitol in it and xylitol has been shown to decrease periodontal pathogens and also cavities so we like this product so you.

Said the coq chen you use that.

Before and after also before and after and usually have somebody if somebody's prone to periodontal disease because genetically they're prone to it i would just have them stay on coq ten indefinitely and how.

Much do you give them before you.

Clean your teeth so we recommend this is i believe the two hundred milligrams so you can take three of these before cleaning you mean these are what these particular ones so six hundred milligrams of curcumin that gives you total oh you talking about coq ten sorry because.

You said you used that before they.

Clean the teeth so this particular one and actually i put the i put the omega d three here but it was meant to be the coq ten bottle so the coq ten itself you can give them again i would say five hundred to one thousand milligrams of coq ten and of course vitamin d three very important for periodontal health we have and cavities it lowers the risk of cavities with optimum levels of d and we know that we have less missing teeth with people that have a good adequate d level any thoughts or what are your thoughts about the optimum d level sixty to eighty sixty to eighty sixty to one hundred okay okay because i still have patients that come in oh no my doctor said i'm good at fifty but also we have a lot of patients were vegan and you know working in los angeles i'm sure you do too and algae omega actually and i love this product myself because sometimes i you know i have nausea from fish but this particular one is really amazing we really have a lot of our patients who like the algae omega it's not as much epa dha as in the fish one but you can certainly get that you just take more tablets but what do we know some interesting facts about omega three fatty acids p gingivalis is one of those aggressive gum pathogens periodontal pathogens and these are animal studies have less alveolar bone resorption if they had a diet with omega three so less bone loss around the teeth also fusobacterium whom i mentioned earlier about being related to esophageal cancer omega three fatty acids suppress this bacterium we don't know the exact mechanism we just see definitely that there's a reduction just by actually taking omega three fatty acids some dental implants okay it looks painful no it's well so this is somebody without upper teeth okay and they might come to you and they might look with all teeth so it's good to ask him do you have any prosthesis in your mouth this patient you know when you look at him he smiles he talks he has a full set of teeth but when he takes them off this is all you see it's all metal top and bottom so but he functions fine you know he's eighty years old now you know the only problem is the swelling of the gingiva and again probably some of the galvanic current but also you can actually see the white of the palette this is actually taking a view from the top and that red all around the metal so what's the issue here he was wearing his dentures that's his palate yes that's the palette that's not a mouth no this is the palette and that's actually not a tongue i know it looks like one but it's the roof of the mouth that's the roof of the mouth it's like looking up at somebody like it's supposed to be that color white everything else is bad color because he has a fungal infection in his mouth so it's reddish the tissues become red when we hold so with dentures this is the problem with dentures or prostheses that are removable they're plastic and they hold they harbor bacteria and they're porous a lot of times and they harbor especially fungus so if you're working on your patients they have a yeast overgrowth ask them if they have removable prosthesis because that's could be a lot of your problem and then we look at the gums and they look red and inflamed this is a fungal issue so how do we treat these people we actually make a ozone tray and we actually put it in the mouth it looks like this and through these tubes we actually have ozone gas that floods the tissues and ten minutes for the top ten minutes for the bottom and then we put them on probiotics and we can really turn around and we of course have to soak the dentures in ozone water and that's the only way to really get rid of a fungal infection how many treatments do you take we do three treatments to begin with and then we evaluate them but once we make them the trays every week we do every week one treatment and then we have them use the sometimes we give them ozone oil continue at home as an ozonated oil like we actually make it and we don't make it because it does take two weeks to make so we buy it you can buy ozoned oil ozonated oil in little jars pure o three is the one that we use but there's a couple other brands i don't know if you use any ozone longevity has yes that's a canadian company yeah they can rub it on but then we have to be careful with ozone okay because you don't want to wipe off all the flora without introducing some good ones because they can get ulcerations just by having no flora that happened to me when i was experimenting on my own gums you know let's see what this oil does i literally sloughed off the gum because and not by rubbing it's because when you were killing good bacteria we're gonna have issues and i have patients that are so obsessed with getting their mouth sterile that they're endangering their own well being so it's about you know living in harmony as well with our microbiome how long do you do the tray treatments for ten minutes each charge so after ten minutes we already see the color coming back especially in the back there i mean we're already seeing oxygenation of the tissues right away what are.

You recommending that they actually clean their.

Their dental implant the actual prosthesis so we actually soak it for a good thirty forty minutes in the office in the office yeah yeah good question since we can't give them ozonated water their only chance is really to soak it there is actually doctor berlin who's a dentist he makes this really great soaking tablets that have been shown to kill fungus and bacteria and they're not as toxic as some of the stuff that that's on the market it's more clinic.

Acid sf seven hundred twenty two i.

Don'T even know what what exactly it's not acid it's not hydrochloric acid many people soak their dentures in this yes anybody anybody where do you get them we have it at our office i don't know where else is that carla can give you some information where else to buy it cuz i'm not sure if they doctor berland b e r l a n d it could help but i'm not familiar with the studies with peroxide and fungus fungal killing no there's like food grade food grade peroxide.

Yeah so what about if you have if you have plastic or you know in your mouth or tooth understanding that is all even when you take it out at night is that still really.

Good so the question is if you just have one tooth and you know just pay attention to the tissues like if you look just take out the you know piece and look at the gum tissue see what it is if it's red then it's a problem if it's the same color as the other gums then it's not an issue yeah it is a very common problem though to see fungus associated with dentures or removable type of prosthesis so this is a like an ozone water maker that we do make in the office you see here the ozone is actually bubbling i also in the meantime i i have a ozone machine that just you press the button and it gives you ozone water which is amazing that's my favorite one to use because obviously it takes some time to make ozone water otherwise in a flask this needs to bubble for about twenty minutes you have a swish and spit that yes it's a pre surgical rinse you know use it in hygiene we use it for a lot of different reasons you have them drink it as well yep we have them drink it that's pretty what is that machine this is actually a cylinder and we have just ozone bubbling inside of it it's not the name for it it's just a switch has special effects you can drink ozone should you you can yes i mean doctor collins might know more about it huh you can yeah absolutely it oxygenates and if you have i do it i drink ozone water not all the time once in a while enemas with ozone it's amazing it detoxifies the liver definitely.

Yeah can you buy those machines okay.

So you you can buy with the home generators they're not as strong but if you have a practitioner license you can buy a more professional one cuz you need to purchase we use medical oxygen that's becomes a limitation but if you can get medical oxygen then you can make ozone you can buy an ozone generator and make it at home yes and who do you buy it through longevity is a great one we have a longevity machine and we have a pure is it puro three i think they make a machine as well the same as medical oxygen really oxygen.

Canister and you tell them you want to get it for water purification and it's industrial you don't have to have a doctor license to do it and you can do it for water purification.

For yourself oh that's good information yeah that's that's really good so industrial accident is the same as medical i had no idea okay oh okay okay are you using ozone in your practice no.

I use it personally my brother has prostate cancer he's doing it for rectal.

Cancer but it's used for the rectal.

And the vaginal and the oral but.

Not for the iv industrial person and there's a doctor shalom berger has a book you know you know he's got that book on ozone so he talks about different applications because i'm not i don't do really major auto hemotherapy and all that but you know and i have patients that have done it and they ended up with like no more veins what's that doctor's name with the book shallon burke yeah so how does ozone work for those of you who are maybe new to ozone it's three atoms of oxygen there's a weak bond between two ozone two oxygen molecules and when that oxygen comes off it has a negative charge and that negative charge really pokes holes in all the membranes of pathogens because they don't have antioxidant capacity but it's actually not toxic to human cells so it's non discriminatory between bacteria parasites fungus it kills everything that's the nice thing about it but on the other end it actually primes the immune system and doctor bocchi from italy he did a lot of studies on you know how ozone works to create a hole biological cascade to prime the immune system and activate it to help the healing so it has this dual effect which is very beneficial for periodontal diseases so now that you got your dinner we gotta talk about some cavitations anyway so when i went to school i learned nothing about cavitations and you know we used to ask what's that hole in the bone oh it's just a hole you know got no importance whatsoever and then i started going to conferences biological dentistry i heard the word cavitation i had no idea what it was and i actually spent some time with a couple of colleagues that have been doing cavitations for ten plus years years and i really learned from them why is it important and how to do it properly so now you know we get together at our conferences and we discuss what's the best way to do it and essentially three things are essential for cavitations okay we need to use ozone laser and prf people do it different ways not all cavitation doctors do the same thing some people don't have a laser so they only do ozone so they scrape they ozonate they close some people do prf platelet rich fibrin and i'm going to talk about that or you know some people don't have ozone they use hydrogen peroxide so you're gonna see a lot of different varieties but from what we know this is like best most effective way and this is actually sarah's ct scan and what does that look like in the jawbone this is a cross section so the only way to identify or the best way should i say is ct scan we need a ct scan to see cavitations properly so this is a three d ct scan of the jaws and we have a machine in our office i couldn't live without it i think everyone should get a scan to identify are the root canals infected do you have cavitations are sinus you know what's going on so in her case she's twenty seven years old she developed this condition muscle atrophy and nobody has any idea why it starts to happen she started becoming weak in her legs she now is using a wheelchair by the time she came to us she's seeing a lot of different practitioners also integrative she said nobody can tell me she has ehlers danlos syndrome as well and she's very frail at this time so she came to us we saw what i saw in the jawbone so this is normal bone these little specks this is the nerve the jawbone this is the lower jawbone everything here you see it's the same color as the outside that's the cheek this is inside the bone it's pretty much the same so it's a big open hole there's no bone in that jaw above the nerve that's that's one of the largest cavitations i've seen so the white the line that so basically that's the cortical plate of the lower jaw so when we look inside the jaw you see the the cortical plate and the round thing is the inferior alveolar nerve it's this thing that courses in the jaw right here so i need to know where that is so when i so we ended up doing your cavitations and you know essentially when we go in we actually use a special instrument and it just we drop into a cave there's no bone oftentimes there's stuff oozing from the jawbone either yellowish one time i actually saw black like it was black black material that was coming out from the jawbone and every time we test these things they're never stuck sterile so every single cavitation i do i sent out to i work with dna connections because i feel they have a better panel or at least that's the one that i found to be the best so far i want to know what's in there so i can see i don't know if there's another maybe we can help the patient from a medical perspective they're systemic so so in her case this is what it looks like like sideways essentially for cavitation same thing you know we just look for holes in the bone when we get reports back from dna connections this is what i typically get so on the left here you see a list of bacteria one of them i think on the right side we have amoebas is this one with amoebas no these don't have amoebas but oftentimes i throw we find single cell microorganisms i mean what is an amoeba doing inside the jawbone we have no clue how it got there most likely so these are area where wisdom teeth used to be and they were removed and we all know oral surgeons i think they have a contest sometimes on how fast they can remove a wisdom tooth and move to the next patient so they leave open holes or maybe they don't clean the area properly so the bacteria gets trapped in the jawbone and a lot of them are anaerobes they don't need oxygen and they survive just fine and then we get cavitations essentially it's a colony of bacteria that lives in the jawbone where it shouldn't be there and i don't know if you're familiar doctor bredesen is the director of alzheimer's at ucla he wrote a book called the end of alzheimer's and he has a whole program that's integrative in which he basically showed the reason why alzheimer's happens is as a protective mechanism against the biofilm that's growing in the brain but the question is how does the biofilm get in the brain so we think it's from the mouth right because it wants bacteria it's trapped in the jaw yes.

His research shows that there are seven.

Times more oral pathogens in alzheimer's interesting.

And i think normal people probably should.

Have lower as well exactly very interesting thanks for sharing that yeah so as we're getting this new information you know we have to look at these cavitations more and more again underlying infected teeth dead teeth that people are just living with and that are have underlying infection they're not feeling it that's why we need to check because bacteria travels it doesn't stay in the mouth that's the problem so what do we do with this once i know this even had a virus so they look for viruses parasites bacteria fungus they look at the whole spectrum sometimes i only see one thing or two things sometimes we see a whole list of organisms and right now we're just gathering this data we don't know exactly what to do with this okay we're cleaning it out i know i get ozone laser but is this bacteria and the rest of the pathogens in the body do we need to do further we don't really know exactly we don't have specific guidelines we know we're cleaning things out and the patient i was sharing with you yesterday i mean yesterday earlier she had her wisdom teeth removed and she remember actually having dry sockets in those areas if you have patients that have dry sockets usually they will have cavitations ninety nine.

Percent of the time.

I did her cavitations then you know she comes to the office like two three months later you know we're checking on her she's like i'm starting to feel better i have no explanation i mean i'm i all i did is decrease the burden of pathogens on her body now she's even walking without a wheelchair she's using a walker but she's feeling better and nobody has any explanation for what happened except all i did was cavitations on her and we see we see patients like this and we have there's just a correlation that we don't know exactly if certain microorganisms are more responsible for certain things or not so i think it's an exciting time to figure things out you inserted the ozone into your cavitation is that what you said you did yeah so essentially this is the steps that that i use for cavitation surgery piezo it's actually an electrical like it vibrates bone off essentially i scrape bone i biopsied i ozone laser prf and for those of you who are not familiar with prf this is the prf over here on the right we actually draw blood we spin it down in a centrifuge and unlike prp which is liquid prf is solid so i'm able to pick it up there you see on the right hand side i'm able to pack it and actually condense it in a site and i like prf better because it has immune cells in it and it's solid so i can actually manipulate it versus just the liquid in itself yes does that help the bone grow back so prf stays in place for about two weeks and it basically is full with growth factors so it helps with the healing yes yeah so stimulates healing it has vascular endothelial growth factor it has fgf in it so it has a lot of good growth factors to help stimulate yes what have you done if we want.

The cavitations to your laser that stimulates.

The bone growth i do that yeah that's the kind of laser i use that's exactly right yes so that's why we use it to help stick stimulate the osteoblasts do you have photos of pre and post cavitation treatments i don't i don't have photos i actually have on my youtube channel at doctor saunda i do have videos of cavitation surgery i have a patient who actually didn't mind to share his experience about how he felt before and after cavitation with that treatment with this treatment i think i posted that video maybe a couple years ago and the way we would check for results let's say to see if the bone filled in so typically it takes a year and a half but typically patients feel better and all of a sudden you know they're like don't come back they come back for cleaning and we never scan them again nobody usually wants to get radiated again with another scan that's the only way to really identify so vitamin d three again we talked about it in k two very very important for bone regeneration i will not do bone surgery on somebody that we you know has low vitamin d it's we're not going to see good healing oh wow yeah i usually just use use it in a mixture i never recommend it by itself yeah d three k two so i.

Don'T know.

And k two is not of k two okay collagen is another very interesting supplement that i've been using lately because of the studies that have been coming out about collagen you know i thought it was okay good for osteoporosis actually no it came out as a beauty thing right for wrinkles and now the started the studies are starting so some of the things that i found is that it may support the activity of other antioxidant enzymes such as sod glutathione peroxidase it also can improve the skin by the number and the diameter of the collagen definitely improves that as well as elastin fibers because what it does is stimulates the fibroblasts for producing more that's how it works collagen peptides administered daily over twelve months improved bone mineral density and if you're looking interested in this article this is from fullscript dot com this is a very interesting article talks about like even lowering diabetes and kinds of things on collagen so i do use it with my patients i recommend for them to get it for healing post surgical whether it's cavitation or there's implants as we age unfortunately our collagen production goes down which brand do you use collagen nordic naturals i like marine collagen so from all the research that i've done marine is best absorbed i know there's cow collagen there's porcine there's chicken but marine has.

The best absorption that's very hard to digest lots of bloating and some people.

Have constipation the marine one no like.

I don't know what's the brand that's why i try to find phytoproteins indigestion yes phyllo proteins is very popular right now they're very in right now but the problem is a lot of those bovine and porcine collagens the molecule is actually very large and that's why your patient would be finding it difficult to digest we specifically work with marine collagen because the peptide size is much smaller and we hydrolyze the peptide in the studies that we did before we even formulated this product because we're so particular about our products and what we've got there we found that using marine collagen the smaller hydrolyzed peptides actually used the gut and did its job to stimulate collagen production so people who were having the justice discomfort with the typical products out there in the market today typically do much better with marine collagen it actually comes from the skin of our norwegian cod that we catch garbage so we're repurposing the skin and putting it into its product which is great and.

I have a sample of it but.

It'S it doesn't smell fishy at all.

I actually put it in my coffee.

Yeah doctor puts in her coffee every.

Morning yeah so i put it in the coffee it has a little strawberry flavor but i like it in the coffee it's like this it's a powder what's that does it come in chocolate i don't think it does there's only strawberry flavor it should come in chocolate.

We really should yeah my coffee every.

Morning and you know i yeah chocolate coffee that's great collagen chocolate coffee very nice and it dissolves very easily that's another nice thing that i like about it so how many flavors do you have only one strawberry why did you pick strawberry flavor yeah it be interesting.

To inject that into the tissue around an implant to get it tumbling tighter.

Tangent collagen yeah yeah i don't know what even forms of injectable collagens are out there i've never i mean the kind of skin collagen i guess for beauty or i don't know but it'll be interesting yeah we don't have any studies on that at all we don't.

Do it injectable collagen.

Okay so root canals topics very hot topic i have so many patients have you guys seen root cause yeah so many patients that i've called after that they took it off because you know i think i think the ada went up in arms about it i had a lot of patients that called i want my root canals out you know i'm like oh wait a second you know let's get them and see what's going on but what our root canals exactly okay we take out the nerve we want to prolong the life of the tooth the life so to speak the presence of the tooth in the mouth without the pain so the only way to get rid of the pain when somebody's in pain is to remove the nerve so we remove the nerve on doctor masra i don't do it he does but you remove the nerve so instead so for example this is a healthy tooth right here you see that dark line and next door there's a white line so that's filled with a material it could be different things the traditional thing is actually cork from a tree called gutta percha that's true i think you know but endodontics is going through a little bit of a you know renewal because now we have better materials and you could probably talk more about this bio ceramics right to help with the sealing but the bigger problem is the bacteria that we cannot clean from the tooth so there's better techniques now i was mentioning to you earlier so this is the canal this is what it looks like inside the tooth and these are courtesy of doctor valerie kantor she gave me these photos and this is where the nerve used to be and now it's just a hole so it needs to be filled with something we can't just leave it all bacteria gets in but the problem with the gutta percha or with a rubber as you know just like a wine bottle which has a cork this winemaker told me after ten years they have to replace the cork that's interesting that makes sense why root canals years after ten years we got to replace that cork because usually when we enter it and i've seen them through the microscope the guarapurcha surrounded by colonies of bacteria even though it has no lesions on the x ray so but it does smell if you ever open up a root canal that has a little you know it has it gases off so we have to take a ct scan in our office like we can't work without it to see where exactly the lesion is in canal that's not filled perhaps if you actually look at an x ray this is an x ray regular x ray you don't see anything above this tooth with the white line on the right huge infection the dark thing is an infection regular x ray connecticut scan that's the big difference big difference we cannot i think every single root canal tooth should be three d scanned every single one i would agree thank you yeah you would not agree much yeah it's very important we can't see anything so you know we looked the studies actually showed that we are only able to diagnose about fifty five percent of the problems using regular x rays that's pretty low fifty five percent to diagnose so we need we have better technology today so a lot of us are getting on board with this so we do know that often times when a tooth is cleaned the person who cleans it misses canals and bacteria is stagnant inside the canal and that's why it fails that's why the bacteria goes inside the bone and we get an infection so here you see the white dots those are fill canals where you see the black dot it quote s a missed canal that needs to be filled you see the dark there that that's what it looks like inside the tooth instead of being white we see dark and the orange material that's actually the cork that i was telling you about so i know some people that are doing nowadays are not doing any more gutta percha at all are you still using gutta percha or are you moving more towards bio ceramic gutta purchase though and you know what's interesting testing the biocompatibility testing most people don't don't show that they're compatible with gutta percha clifford so it causes some kind of you know reactivity yes so the clifford is a blood test so we don't know so basically they take the gutta percha and they put it they do the testing and you know mister clifford owns a lab i mean he's very friendly and everything so basically he sees a reaction like an immune reaction to gutta percha he says not suitable for that patient and most gutta percha is not suitable yeah you should i can give you his contact and see what that's about so so that's why we're moving more towards diacerin clifford so it's called clifford labs yeah he's been around for a while maybe twenty years yes and he does he's got a list of seven hundred different materials for biocompatibility so this is from actually endodontics root canal implants and disinfectants which they actually found that current solutions and techniques fail to completely remove all irritants dissolve all tissue and remove this mirror layer that's the problem you know so we need to get better at cleaning inside the tooth.

I have a question about yes clifford lab if you have it done is it good indefinitely or do you have to have it redone.

He says it's not good indefinitely because our bodies change and depending on what we're exposed to we'll need to redo it let's say if it's two years old need a new test okay he doesn't have exact guidelines how old old test ahead yeah then if it's probably need to redo it so this is the issue this is looking inside a tooth going up towards the top of the tooth see the dark holes are the holes inside the tooth now the tooth splits so all these little things need to be filled properly and cleaned properly that's really the limitation look at all the little little tiny little holes where bacteria could be okay and it's still going all the way to the top of the tooth many little crevices that that becomes very difficult thank you yes the doctor from brazil shared that with us so.

What'S his name again doctor or where.

And from brazil or denola so this is the association between chronic apical problems with root canals and coronary artery disease it shows that there's three times more likely to develop cardiovascular issues with the uncleaned root canals so what kind of things are inside the canal again we don't really know which ones are worse than others specifically but they found endodontic bacteria in almost eighty percent of thrombi and then periodontal pathogens in about thirty five percent of thrombi so we know they travel we know they travel so we're just i think now at a good time to figure out exactly how we can you know more effectively keep a balance between positive bacteria and pathogens questions about that root canals so there's studies being done essentially how to clean these better with layers lasers i think there's a new machine the one that i don't know okay what's your experience.

With that i actually ended up purchasing one about eight months ago okay with that in anatomy is a little slight huh a lot of those surfaces you don't really touch so typically when you do root cat therapy you have rotary files you put in the instrument and it just rotates and you go in and out of cat to remove the impact of error but a lot of times they have little deltas little intricacies little pockets where yeah well curves the nickel titanium can get around but there are little deltas they're anatomical areas where no matter what instrument you use you're never going to get into it so there's a machine where imagine once a tooth is you make a hole to start to recap therapy then there's the handpiece goes over it it creates a suction and it spits out solution typical solutions that we use for rooting technically and it kind of flushes the tooth out so but and by the time you finish your root canal you kind of see sealer going through all the little areas where you would normally typically.

Okay so what's the se as well no.

Where the canals when you take an x ray you see this little like cool anatomy inside it flushes it out we don't fill the space with.

Gu.

But you do see see the seal and really in endodontics it's the sealer that seals the root canal therapy it's not the gutta percha gutta percho this is like a fluid like a paste oh there different types is along with calcium hydroxide depending on what condition of the nerve is when you when you finish your depends what you use some are more toxic and can cause.

Some.

Sensitivity so you use calcium hydroxide if it's at the normal.

Yeah so i think we do have better materials now but the question is you know which anatomy can we clean best obviously the ones with single roots much easier than molars molars are so intricate you know in terms of i was showing you molar earlier but you know single rooted teeth are a lot easier to treat yes the research that i've done.

I mean i read doctor mining's book doctor george mining's book who uncovered doctor weston's price's work and he said that no canal is good and i'm not sure if i'm getting this right but.

The two holes in a tooth if.

They are miles long and no matter how long while we clean them remember because it's always exposed so bacteria is always going to get there so doctor price who invented endodontics who invented root canals said after he did it that he knew that he'd done wrong and he was trying to undo it when it had already gone on too long into the system so that book root canal no more i mean i read that book a long time ago i remember biological dentist that told me that root canals weren't good which is how.

You told the truth what you're saying is absolutely true even with a successful root canal you'll never you're never really removing all the bacteria all the bacteria inside your so imagine if you have a front tooth with one nerve the nerve will go up as it's going up when she's referring to tubules as this little tubes that kind of go towards the cementum or the dental and bacteria can harboring those little tumors.

The.

Only way the only way typically i clean those canals is just with leach to clean out redwood household leech to clean out the bacteria and then refill them and then with the cement the cement kind of goes into the little tunios and kind of fills them up but are the tubules getting completely flushed out from where the nervous to the cementum absolutely not i don't think there'll ever be a machine that will ever do that but good but i have.

A question so when you clean it out though ultimately there are symptoms.

So.

The bacteria is significantly reduced right where there's yeah gold we know even if the nerves to get out right so it's like like because they can get reinfected like twenty percent so i think they it's like lowered to a certain point right where they're not knock on.

Wood there's there's a reason i'm in.

Business.

So root canal therapy or any general dentist that goes root canal therapy the suggestions are pretty high anywhere between ninety two to ninety eight percent much like implants you know when a tooth goes bad guess what we refer to a doctor like our doctor here because it's sticky tooth after the beautiful implant and as good as new what are.

We really looking at we're looking at the children the candy you know world c's and all the candies that we feed our children one more woman that i know she's about ninety and i asked her do you still have all your teeth and she said yes i do and i said well how did you eat when you were a child she said my father grew all our food my father they ate very clean so in the modern world that we have we've created all this in our environment and it's rotting our teeth all this sugar so i look at it as like it's just really important that we educate your children i said as.

We'Re eating desserts you're telling us about how we're seeing.

Because i've had issues because when i was a kid i.

Had a lot of sugar and so.

I i can't eat it anymore i can either eat it or else i.

But no there's some sprouts in the.

Middle so i i look at it but it but i i i mean i'm grateful that i have to you.

Know anyway and i'm with you i grew up with sugar i ended up that's how i ended up with all that those fillings and i already have an implant so you know and and it is traumatic i have patients that come in the door with twelve root canal teeth what are we going to tell them take out all your root canals is very traumatic for a person to lose their teeth yes yes a.

Lot of times people also said if there's a tooth health also there's quite a lot of relate to the genetic.

Is that right absolutely the way we respond to things it's also you know has a genetic predisposition yeah it's really important and speaking of how we respond to things i'm going to talk about the autoimmunity issues with titanium implants right because now we're saying oh we're doing implants but what kind of implants because they're not all yes yes i myself have a titanium implant in my mouth i wouldn't remove it i wouldn't go ahead and remove it i'm doing fine with it but i have a handful of patients that have had titanium one of my cousin included she said just take them out i feel them i don't like them yeah even though the blood test at clifford actually showed that she was okay but i think some people just you know i don't know is it clinically relevant what is it doing now we don't know yet we don't know what are the titanium particles doing in the lymph nodes and is it a problem is it clinically relevant you know we really don't know yet so we've had titanium dental implants since nineteen seventies fifty years a long time millions and millions of implants have in place and a lot of them have stayed in the mouth for thirty forty years we have titanium hips we have titanium knees we also make zirconia hips and knees but again some of the things we don't really know who's a cannon and who's not so the way doctor von baer explained it is really an unspecific reaction and he links it to a polymorphism or which is the genetics of il one a il one b and il one rn if you have a polymorphism and all these three basically said you're going to see peri implantitis guaranteed so you're going to see what peri implantitis meaning bone loss and inflammation around implant it's like a foreign body reaction people will have these three polymorphisms have an exacerbated foreign body reaction so it's he says that it's impossible to be allergic to titanium because the particle itself is very small so when the particle is very small you cannot trigger a specific reaction but you can trigger the macrophages for non specific reaction so that's what we're seeing people with this polymorph but we're not testing for this we're not we're not there so but i have had a there is a test for it yes genetic testing but i don't environmental mds do it i mean i don't really do it the only thing i could test is il one which is linked to also periodontal disease but it doesn't break it down into these three components yes but there's also titanium dioxide you know from food right they add that so and milk i didn't know i was in milk and have you read the studies.

Doctor said about how roundup the artiste can spray on everything stop the detoxing of heavy metals on my brain it.

Actually picks up alum aluminum from your.

Gut puts it to your oh my.

Gosh i didn't know that wow well we all have roundup i don't think there's one person on this planet that doesn't have round apps by the way really no well he knows better you know but you know the good thing is we're winning there was a couple that actually won like that's amazing i'm glad that we're finally seeing that you know they're winning against mon so does the filters take out glyphosate it does so we all have to have filters yeah that's literally it bear stuff is down forty percent yes all right.

Anyone.

Buy that so now we're at ceramic implants and what do we know from the literature actually you know it has lower plaque less plaque accumulates around zircon ceramic implants zirconia than it does around teeth or implants repeat that again less plaque adhesion around implants around ceramic implants than other areas like teeth are titanium it's just we see healthier tissues less inflammation around zirconia and that goes not just with titania oh not with the ceramic but also crowns there are zirconia crowns the gingival tissues look beautiful yeah so because we make zirconia crowns we make ceramic dental implants out of zirconia is it common no it's not let me see do i have a zirconia partial i think i have a slide somewhere coming up can you make a zirconia partial you can make a prosthesis which is supported on implants which is like a horseshoe but not a not one that will just rest on your gums it needs to have implant support yes we can but not without it not without implants because probably you know it's rocking so you'll break it you know and it's moving around too much it has to be supported by implants i've never seen one without implants so zirconium dioxide that's what it is and do i have a slide i think i have a slide in here i wanted to show you some cases i have a slide coming up and i'll show you exactly what the zirconium looks zirconium is a metal essentially so let's go back here but the other thing that we're seeing is better vascularity around mucosa when it comes to the ceramic dental implants so it's clearly about biocompatible material usually we see constriction of blood vessels around let's say chronic infections or materials that are not biocompatible but in this case we actually see good vascularity i wanted to share a case with you two endodontically treated teeth that actually were getting resorbed so the body does something very interesting when it doesn't want something it starts eating it up okay saying okay i'm done with this okay that's what's happening with this lady her two front teeth so these right here if you see they're kind of severed they're chopped off the neighboring teeth still look nice and long but the two front teeth are resort and she developed the cyst the darkness around both of those roots or cysts so of course they're loose at this point because of that much but the only option is to remove them and of course she's terrified you know it's two front teeth it's psychologically it's very difficult so she just didn't even want to be awake for this procedure and i do want to show you this this procedure how we do things i hope you're okay with a little it's after dinner so so essentially you know we measure everything and then the way i want to see where the bone is essentially that's why i remove it and then once the teeth are removed this is called a piezo machine in which we clean the actual cyst from inside the jawbone and you're actually gonna see it probably coming out a little bit it's there's ozone water that actually goes through the machine in order to clean and it vibrates and essentially that's a cyst that's coming out of the bone and it's got this like yellowish white appearance and i'm gonna post this on my youtube channel if i want to watch it again i haven't no so i have to the thing is she has holes going right through the buccal plate so you're gonna see when i open this up there's a hole there there's no bone so we actually have to raise the gums for me to be able to clean this properly so you can see the water coming out right through that hole where there's no bone you can see there's bone on the side but that's what infections do they eat up the bone that was the cyst good question so in her case i'm actually harvesting her bone so you can see the implants here so as i'm drilling i'm harvesting her own bone with a special suction from her huh from right when i was drilling so as i was drilling i'm collecting the bone chips in a suction in a white suction and then this is prf that we put in the side to reconstruct the buccal plate and the white in sierra are already the implants that went.

In.

So then we put stitches there on the side and then this is i'm i'm packing a little bit more bone here this is her native bone that actually came out from the suction is that cancellous bone it's it's cancellous yes because it's just drilling from inside so that's what the white implants look like like then we actually put temporaries the same day and we're gonna make her some teeth so she's actually leaving with something so when she woke up she had teeth and that's where we're at today you know we can we can actually do these kind of treatments for patients and she's gonna have a temporary here and then on the right is her temporary and that's her healing about a month after the procedure yes.

Can i pause you're going through this.

So fast sorry people that don't see.

This all day long that right there is the most difficult procedure a gum surgeon can ever do it's such a difficult area to address so that is.

Phenomenal no thank you very much thank.

You for that you just went through.

Like this like it's like it's nothing like it's nothing yeah yeah sorry okay.

Very difficult to do you said those.

Were temporary teeth that's what i love to do you know it's really easy those are temporary front teeth and she's gonna this is how she started on the left and that's her temporary on the right and we're just waiting for the healing the implants need integration time and those bone particles are all going to fuse together and in six months she can have final crowns but essentially the goal is nobody should be able to tell that you of implants in your front teeth right that's the goal so that's what they look like inside instead of those seeds so we can see the bone is filled in nicely on the side there's no gaps but i wanted to share this article with you it's delay type hypersensitivity to metals and connective tissue disease and fibromyalgia so they are mentioning titanium as an issue in exacerbation of the these conditions so now and this is not the only article out there of this sort so whoever has this i you know there's not titanium is not even an option.

Yes and actually there's five causes of fibromyalgia okay it doesn't exist no these are the five causes okay number one fluoroquinolone antibiotics top number one cause eighty percent of people with five fibromyalgia have taken either simple level one at one point in their life wow yes second is going to be breast implant illness that's why the majority of women have it the silicone leaves there is a tooth issues either root canal or some type of as you said a hypersensitivity to a metal and you have things like mold and lyme disease but that's pretty much that rounds of the top.

Five for it breast implants would cause fibromyalgia breast implants illness.

Yeah they take a while they're good we have a.

Few of our patients taking out their breast implants and they feel much better yeah yeah interesting you get you get.

A micro condensate was irrelevant to the stop it but you get this but if you get the implant and take it out and push your fingers together it'll stick so it's a condensation happening like a water cup having condensation through the blood that it's not leaking but.

It'S fun to see and i've been told that there's a suspicion of mold actually growing in there i think they've been in for too long somebody i know is getting them out because they.

They have my mold and they are any surgeons actually testing that the capsuler about the microorganisms or just in general autoimmunity yeah so so that's the story so nowadays that's a recommendation with ceramics so more and more implant companies are actually coming out with a ceramic and blood but you know what's the some of the challenges with the titanium when we get recession you can actually see the titanium in these cases so we actually have to treat that and it looks inflamed at that point and it's not peri implantitis it's not easy to treat it's very hard to bring back the bone around the titanium implant it's unpredictable again the bacteria once it enters into the micropores of the titanium implant we can't get it out same thing we don't have good methods to clean the implant so we basically have to remove the implants and start all over again so that's somebody with the ceramic implant so they're really really white so that's what ceramics look like again somebody with ceramic dental implants for anterior teeth so when we're done even if you get a little bit of recession this patient is starting to get some recession you see a little white there and the tissue doesn't look great with titanium we tend to look more grayish so do you see less of an occurrence of peripheral yeah and all the studies point that way less this is a patient that had you know we removed the pontic she was part of our study actually when i i was involved with noble biocare this is a nobel biocare ceramic implant and i'm one of their lead educators and we essentially she had a bridge here we cut that off and the middle here now is a ceramic implant and look at the neighboring teeth the ceramic implant looks better and the reason why the front one is turning dark it's a root canal treated tooth you can see on the right but even the back one has a metal crown on it so the gum receded away from it gums don't really like metal especially the kind of metal when you see a corroded metal and the edges of our crowns they're metal but they're probably a base metal so it corrodes easier that's why you see the dark lining around it so you see gum recession typically around that zirconium is a metal so i have this conversation often and i get this asked all the time no it's a metal and it actually looks like that we make screws out of it too like but zirconium zirconium dioxide it's the ceramic so once it's turned into zirconium actually oxide it's white it's a powder and then we compress it into cylinders in order to make implants we cannot so there's no more metal particles here because we cannot turn it back into a metal once it's a ceramic it doesn't have any of the properties of a metal so it doesn't conduct electricity it has no ion release that's why we call it a ceramic okay so it has a it has a late yes it has a matrix of crystals the way the crystals are oriented definitely it's a very organized pattern and the way they figured out because the problem with the ceramic implants they didn't have enough strength so now they figured out they're adding yttrium to it to strengthen it and to help align the crystals in such a way where it gives it more strength so we're not having the breakage issues that we used to yeah so pauline came in paula she had number twelve root canal treated tooth she was diagnosed with breast cancer four months prior to me seeing her she's in you know seventy and she's like i can't believe i have this why do i have this amongst other things she said you know my tooth has been hurting for a year and a half which tooth is it oh it's a premolar she went to somebody in the valley and who's an orofacial pain specialist that she was referred to he made her an appliance in the hopes that by getting the pressure off the root canal tooth the pain would improve it did absolutely nothing and the pain would radiate all the way to the top of the head and she went to endodontist and nobody could see any cracks in the tooth and i looked at her ct scan there was a little bit of inflammation on the tongue very little easy to miss and she explained to me the pain and i told her with your breast cancer diagnosis it's on the same meridian the breast take this tooth out and she first was like how come three other specialists before you didn't tell me this she didn't trust me at first i'm like you have to take this tooth out so that's what we ended up doing we removed the tooth her pain went away three days later she still this just happened earlier this year so she's still working through it but i believe it's really part of her therapy by by removing a tooth and the tooth was cracked it was actually a micro fracture inside that's why i usually have symptoms when we have a micro fracture is that the same laterality as the breast cancer yes same side same side i mean i can't tell you for sure like what started when you know and but we know there's a correlation what's that the tooth started she said that root canalia for like forty years she said but it cracked that's a you know root canal teeth are more prone to fracture so that's why she was having those symptoms so that's the one right there we actually ended up replacing it so i don't think i have time to show you another video but this is very easy i actually just ended up placing the implant after the tooth was removed and the reason why i didn't do it immediate is because i wanted to make sure her pain went away when somebody's coming to me in pain especially radiating to the head i won't place an implant right away okay we need to wait pain is gone then we place an implant so in this case no flap was it was pretty easy procedures very standard for us to place an implant do a tooth right away no stitches i mean that's where we're really at today minimally invasive not to do a major surgery we don't have to make a hole we place the screw so and then we actually measure the cord she does and i told her next step is to remove all your metals absolutely she needs to go but you know she's and then what do we do when somebody's diagnosed with cancer she's working through her treatment they recommend this radiation and chemo for her.

Be careful about.

Removal of amalgams during that time and.

Exactly we have to be careful to remove them so i always told by.

These doctors just one every six months otherwise it's just so dramatic to the body but we do it anyway yeah.

That'S true so yes do zirconium implant.

Have the same structure as a typhoid.

Implant the same structure instructor so they have this good question these are what is called screw retained implants which i like so then i can remove the crown myself whenever i want to because it's with a it has actually a carbon fiber screw the older ceramic implants have only you can only cement the crown they're one piece there's a few problems with that if anything happens you have to remove the crown and start all over again so i prefer a screw retained system for sure for sure those are better because also cement can cause inflammation and then there's some bacteria there's not a fully sealed gap so it's a lot more precise to do screw retention okay so before we close the night here let's say twenty two we are having a very good decision i don't know where time went but i do want to mention a little bit about mercury before we leave and the importance to remove it safely and i shared i think in the beginning how i basically myself i had it removed unsafely and i ended up with toxicity but anytime you have teeth grinding chewing even brushing your teeth there's mercury vapors coming off the fillings and this this has been shown and there was a sheep study that was done initially you know unfortunately the sheep got silver fillings a month later they sacrificed the ship the sheep they looked at their brain kidney liver lung all mercury filled within a month so that's that's the real issue and unfortunately in this country we still have mercury fillings being placed they've been banned in many countries iomt is suing actually the fda first of all and you know and the ada we're in the process of a lawsuit for the last few years because there's so much evidence that mercury is toxic and this is just a list of everything that it can involve parkinson's disease alzheimer's we have autoimmune disorders all kinds of kinds of different things but imt that we have certain guidelines in order to remove mercury safely and i think i have a picture this is actually the removal we have a high suction we use a rubber dam and when you see these kind of fillings this is not exactly corroded but the ones that are starting to look black those are corroded and the other problem with mercury is that it expands and it starts cracking the tooth and that's happened to me that's how i ended up with an implant it cracked the tooth and it takes years for that to happen but the larger the filling the more likelihood that it's going to crack the tooth and you can see here some of the cracks already seem to happen around this filling but on the right we have doctor tavan and one of our assistants they're wearing the masks for mercury removal they have the patient has oxygen and we have the latex the non latex barrier around the tooth to make sure they don't swallow it we try to take every precaution with that yes who did you say is fda iaomt it's an association that i belong to and actually iomt has a conference i a o m t they have a conference together with environmental medicine this year so if you're able to i mean it's it's just fascinating to be able and it's nice to get just like today in this room we have dentists and doctors health practitioners it's amazing what is it i'm not for sure if you go to iaomt dot org i'm not exactly sure what it is so after all the mercury has been removed we definitely recommend to patients or we recommend them to a practitioner to help them with the mercury detoxification because that's not something that you know we can follow through on but one of the things we do recommend for them is actually some fiber to help them eliminate right need to help them eliminate because often we get reabsorption from the mercury we try to eliminate it but if your pipes you know is not functioning really good yes saunas infrared saunas yes very good for detoxification you probably know all about organic and elemental mercury and doctor tevan couldn't be here tonight he's out in russia having fun but he gave me some slides to show you about biometric dentistry and maybe the dentists here know about biomimetics but it's a way to conserve tooth structure so that we're not cutting it away that's really the point the more we traumatize the tooth the worse it is so biomimetic just means lifelike and it's basically creating or rebuilding the tooth in the most ideal like almost like the original in the point where it's actually stronger than what it used to be so what do we use for this we actually use zirconia material as well as filling material that's filled with nanoparticles so a tooth like this you see actually has a fracture here on this.

Side.

What do we do with this tooth if somebody has pain on biting we're going to try to take away this metal get to the point and see if we can get rid of the fracture line and try to save the tooth so inside the tooth a lot of times we see dark stuff right bacteria that's essentially leaked underneath the filling and this has to be cleaned slowly so we don't get to the nerve and then we start to build the tooth in increments because if we put a whole blob all of a sudden then it's not beneficial and as he's building the tooth then it starts to look more like its own anatomy and this itself is eight years it's an actual onlay and you can see how it was cemented you can kind of see the line but we preserve the tooth structure so inlays and onlays are just just a healthier way to restore teeth and we see them lasting a lot longer this is the connection between the actual material and the tooth what's mostly done out there you have a large filling like the one you saw we shave the tooth all the way around and the crown gets placed but at that point it's a lot of trauma to the tooth so that's where biomimetics come into place we say the pol the pulp is the brain of the tooth okay so when we remove the brain with a root canal we say no brain no pain which is mostly the case but when you see the crown here what's the problem with the crown you see the dark underneath the crown that's actually a cavity forming where the crown meets the root that's what it looks like so interesting this tooth cavity here but where you have an actual enamel preserved there's no cavity so that's the goal to keep the fillings and the crowns in the enamel edge not all the way into the dentin so we need to keep that line of enamel that's the whole principle of the biorim or in biomimetics cavity here where there's no enamel and then no cavity where there's enamel because enamel is a very very strong material so no biorema again this is a tooth that's been shaved all the way around so at that point doesn't normally know and then we put a cap on it but it's gonna leak at the edge that's the issue no byron that's how biomimetics works it actually only cuts the part of the tooth that has the issue so we preserve the enamel so we only put a puzzle piece where that tooth structure is missing we don't shave the entire tooth so we preserve the enamel that's the most.

Important how do you say you shave it before if it has a crack.

How is that then we have to remove the crack and that could be basically an elongation you see how this restoration has a line going down so we'll have to remove that crack and kind of make an extension in the restoration yeah sometimes when ninety percent of the tooth is gone we'll still need a crown but most of the times so biomimetics is taught at usc the guy who invented biometric is a usc faculty so typically people who finish at usc they learn biomimetics but it's not taught in most dental schools no not yet but he does teach courses doctor pascal magna is his name and he started biomimetics almost twenty years ago but it's just now becoming a little more popular so to speak you said it's made out of there some this that you see here this is out of zirconia actually so it's a ceramic material but you can also build it we saw earlier out of little composite material with ceramic particles this aquarium was the metal correct what's that that you showed.

This aquarium was the metal that you.

Showed zirconia is actual oxide so it's white so anything that you see white is ceramic ceramic zirconium it would be the metal but we don't use that at all in dentistry as a metal but you said this is made zirconia zirconia yes which is zirconium oxide which is a ceramic like aluminum is a metal aluminum oxide it's a ceramic i know it's just no it's chlorine dioxide exactly yeah it's like that exactly because.

That helps a lot with oxygenation and.

Clearing out i don't use it at all chlorine dioxide okay i have to look into that so why is this working because adhesive dentistry the bonding strengths of materials are so much better than they used to be so high bond low stress you get biomimetics in the past we didn't have these materials so we couldn't do this meaning thirty you know forty years ago so all the we had to do crowns we did metal crowns this is what we typically see a day at our office people coming in with mercury fillings you know some cavities corroded i mean i've never i haven't seen mercury filling that's not corroded they all corrode so when this patient bites down and mercury fillings come in contact they get galvanic current that's what usually happens yes if there's mercury.

And metal in the tube does it actually does mercury hold enough structure to.

Create a charge positive too charged it.

Does yeah so we take out the mercury and we see what's left and then that's what it looks like after with a biomimetic reconstruction not with crowns okay this on the top is essentially some composites and some we work mostly with beverly hills dental lab we use biocompatible materials they're like a mile away from our office so some questions to ask your patients for those of you who are doing something other than dentistry are your gums bleeding okay that would be a sign that there's a problem do you floss or use a water jet regularly most people don't but i have to tell you only if you recommend them like let's say they're gums bleed and the only thing you do you recommend them a water pick or a water jet makes a huge difference for their health these water jets clean amazingly well do you have any root canals you have missing teeth do you have loose teeth that's a sign of gum disease that's untreated if people tell you they have loose teeth even though they don't hurt that's advanced gum disease already metal fillings bad taste in your mouth a bad taste in your mouth can come from gum disease can come from metals that are in the mouth and do you clench or grind at night we also want to know that i mean you would want to know that too but this is one of my patients who tattooed his lower lip read my lips the mouth is really the number one source of unidentified infections when we take a ct scan scan and we've had the scanner now for you know a little over three years we see infections that we don't see and they go undiscovered and you know thank you for sharing about the alzheimer research about you know paranormal pathogens being found in the brain and we know that there's biofilms and they travel and detoxifying the mouth it really helps the patient overall it really helps the immune system that well being and if you have any questions please always i'm happy to chat with you or if you have a question what about oil pulling oil pulling good question there are some studies on oil pulling that it helps with gingivitis it helps with bacteria so when you swish oil back and forth between the teeth it becomes a soap after twenty minutes so that soap can wash away the bacteria bacteria but it doesn't go very deep subgingivally so essentially it's better it's more efficient to use a water jet than to use oil pulling because the water pressure actually goes in and scoops stuff out and the oil pulling i actually found a couple case studies where the oil droplets landed in people's lungs and they ended up with the with like aspiration issues exactly so i'm very careful i don't recommend i think there's better methods today to clean the water jet works definitely we have better studies with the water jet than i've seen with oil point yeah yes favorite toothpaste brand recommend i don't use a fluoride toothpaste i don't think it's needed i i like to try different things so i you know i try different things but i have a couple things that biocidin makes a great toothpaste i like it it's very mild mint yeah you like that one you tried it yeah very nice aramir it's a little bit more herbal you know jason has one that but they do with and without fluoride so you can choose but yeah have you tried david's i haven't david's toothpaste i haven't tried it david's toothpaste i have to try it so any other thoughts at all before we yes i just have a.

Question on insurance coverage and payments for referrals to you and to terms of.

The non conventional things you use and how that works out oh i'll let carla answer that cuz she's the expert with insurance so yeah well like we're a fee for service practice you're asking if it's covered right if well covered.

And then yeah like yeah we'll try.

To get the highest reimbursement certification so.

As a courtesy we'll still file the.

Claims for them and we'll use specific.

Codes even though we're using like ozone.

Which isn't typically covered by insurance we'll use specific codes that will be covered.

And we'll just provide narratives and you.

Usually get i mean as much as.

Insurance does reinforce and then on another topic it just seems that like an oral probiotic rinse would work best with like internal things and i don't know if you've ever experimented with breaking up the capsules and having.

Yeah that's a good actually i'm working on making a powder right now yeah to make a powder to dissolve it and actually swish with it i'm the founder of orasana some of you might know and we started with probiotic chewable mints and i was doing some small studies in my office but i agree with you i think swishing it back and forth or maybe even adding it in a water jet we'll see how that works i mean we don't have any studies on that yet but it'll be interesting good good thought what is your detox protocol if you're removing mercury fillings or amalgams we usually work with a practitioner but for us usually our patients come from already from an integrated physician that's following up but all of them have said remove the fillings first first then we start the detox you don't know if that is specifically the protocol i don't everybody has something different everyone it does include infrared saunas it does include chelation some people do iv chelation some people are against iv chelation so i don't know you know i have not seen one thing that's repeated yeah so there.

Are is there any good studies provide.

Information about that i think there are good studies with it i don't know if you guys do if anybody does mercury detoxification about you know studies on how to detox preferred no but there are studies i mean there are yeah.

Ibd mps when the patients have a.

Million side effects in them quicksilver has.

A package that they sell to public.

That'S right.

And i don't know how effective your brain is but it's a good place to start but you can.

Do like the oral dmsa protocol where you take it every four hours but it's a hassle for the patient have to wake up all the time take.

It take it take it it's very.

Intense so you need to have like you need to do some healing before to try to get more to to have hyper key boundaries like in your kind of brain your lungs your blood vessels so start with some helpful work get your teeth cleaned and then do a little more clean up and then.

You can always do more iv exactly.

Every two or three weeks you have to take minerals with it there's a lot of things you need to do.

Yeah i usually say six weeks to.

Three months of detox before they even.

Get the teeth okay yeah to ask.

For their system to like detox a.

Massive burden on an already burdened system yes i see what yeah sure to make sure the detoxification pathways are open yeah that's integrity yeah what's the what's.

The blood level like i i who has under ten it's considered application eleven she get very nervous i mean how much you think really serious is this.

Provocation test or what is it blood mercury yeah in the blood there a.

Blood test the blood tests we aren't.

Accurate because the one stays in your blood for so long that it leaches out and goes into your tissue.

In.

Terms of the like mouthwash do you recommend it for there's a d mos.

Rinse any good products for just prevent for inflammation yeah so we want to maintain a good microbiome so i don't recommend mouthwashes unless there's a problem you know once in a while is okay but once we don't want to be too antiseptic so it depends on the mouthwash right what kind of mouth i i don't like strong antiseptic mouthwashes unless there is inflammation i think that we can take good care of you know by brushing flossing taking care of your microbiome without using additives one would actually.

Among i heard you know do you i don't know if it's right or not like people using the with salt like two sticks salt to brush the.

Teeth okay it's just a good idea though i don't think salt necessarily does anything if it's maybe mineral salts it might help with minerals but that should be ingested mostly not necessarily applied on the teeth i don't know of any studies that salts are good scratcher now yes right so i don't i don't know not sure what they do it because of the they like salt flavor.

Or.

Antibacterial yeah exactly most people don't brush where they should anyway if you just brush the teeth it kind of doesn't get where you you know yeah exactly do you guys know about the ice earth diatomaceous earth only for gardening.

But yeah they use it for gardening as well but that would be better than the salt because even a little bit harsh but it's not it's very soft nothing like salt but it's much.

Better to put it with water yeah doctor schultz richard schultz he has a good formula it's pretty intense but it's.

A great formula doctor schultz for gingiva no for mouthwash for mouthwash i tried he has some drops or something there were some so spicy he has some spicy drops for the water judd he's a little too strong i know yes again you know i think of course diet is the base of everything right so we always talk to them about diet and lowering the sugar and fiber carbs and carbs carbs can burn into sugar yeah exactly sticky foods those are bad for the teeth so acidity lemons things like that so anyway thank you thank you michelle thank you to all of you for coming tonight thank you.