11/13 Lecture: Holistic Dental Health (Transcribed) P5

Daniel Vinograd

Removable bridge.  For some people, successful.  They have a lot of tolerance.  They put that in, out.  They’re comfortable.  They feel good. From a biocompatible point-of-view, one of the best answers. From a lifestyle point-of-view, one of the worst answers. It’s very, very difficult to have a good quality of life when you have this thing in and out of your mouth.

Fixed bridge.  Now, we can actually do very nice fixed bridges without any metal. Advantage, you replace it.  It’s very biocompatible, but disadvantage is that you have to grind the two adjacent teeth. If you have two adjacent teeth that are broken down, have fillings, then it’s a no-brainer. If you have two very good teeth, nice quality teeth on the two sides of that tooth, I would really think twice before I go ahead and grind those teeth down.

Then, a Maryland Bridge, which is a much more conservative three-unit bridge where you don’t grind the adjacent teeth quite as much is a very nice compromise, but it is a compromise because those bridges tend to get dislodged.

So, again, the magic pill isn’t here, and I’m not here to give you a magic pill. I’m just giving you facts so that you really can make good decisions again. This is a design of a Maryland Bridge.

Now, let’s talk about root canals, biocompatible root canals. I really stopped doing root canals for about 20 years because I just saw what was a root canal and what a really poor job a root canal was doing in really sealing off the canals and preventing biological invasion.

Today, there’s a material called BC Sealer, which is a calcium-based material, which is a very biocompatible, osteogenic, which means it actually helps bone being laid out that is being used in a lot of parts of the body to actually promote bone growth. It’s also hydrophilic.  This is the key.  Hydrophilic means that they like moisture, and what does a material do when it likes moisture? With slight moisture, it tends to absorb a little of moisture, and when you absorb the moisture, it expands.  So, it expands, and it creates a much better seal.

The other advantage of BC Sealer is that it has a pH of 12.4. No living organism survives at 12.4 pH for very long, and this material actually takes 48 hours to set. So, it’s actually actively disinfecting the canal for 48 hours. So, now, I’m doing again biocompatible root canals, and, so far, in seven years, I’ve had zero failures so far.  I mean, I may have had some that I don’t know about, but they’ve been quite.

Now, having said that, if I have a person that has a lot of challenges like cancer, some systemic challenges that are very serious, would I consider extracting a tooth and not doing a root canal? Of course. I may want to do that for a patient that is immune-compromised.  If I have a very healthy patient that is not immune compromised, and this is a particularly important tooth where having that tooth out is going to create a lot of challenges in your lifestyle and your quality of life, I would not hesitate to do a biocompatible root canal.

So, again, you’re going to hear a lot of pros and cons, and you still may disagree strongly with me, but at least now you have some idea of what’s available and what the problems are with root canals. Okay.  Again, you know, it’s your responsibility to take your health into your own hands, and I know I don’t have to tell you this.  You guys are here.  This is the wrong group to be preaching to absolutely.

You guys are the exception. You are the cream of the crop.  You are aware.  So, I don’t have to remind you too much about the fact that in the last decade or so, corporations have basically taken over the decision-making process in this country and in the world where I don’t know if anybody saw this documentary called “Corporation”. Corporations, really their only requirement is to make profits for their shareholders.  There’s really nothing that says there that they have to be moral, that they have a responsibility to the greater good. Nothing.

So, legally, they actually have the responsibility to make money before they have a responsibility to create a good product or a health product. What does that mean?  That we have to really make decisions now for ourselves.  So, there are great number of people out there that are going to help you do this.

There are a lot of very committed people.  I often go to missions, dental and medical missions in Guatemala and Central America. I meet some amazing doctors, amazing dentists with their heart in the right place.  So, people are out there to support you, people that are doing the right things for the right reasons. Your job is to find them, and to make them part of your network.

Again, this is my personal website.  You can get a lot of information there.  Personal website about not just about dentistry but how I grow my own fish and my own vegetables and how I make my own toothpaste, a little bit of a more personal website.  Actually, my son built that website for me, and I told him that’s a great memorial. I can die now and leave something behind.

Then, there’s our office website and personal e-mail if you guys have some questions. Of course, I’d be more than happy to communicate with Gerson with any questions that you might have. You can ask them through the Gerson Institute.

Do you have time for just a few?

Absolutely.  Please. Yeah, speak up because the drill over the ears has actually taken a toll. So, you have a root canal with a tooth broken, and it’s kind of deep. You want to get rid of the tooth and put in a fixed bridge. How long would you wait for that to heal before you would do it?

Well, in our office, what we do is we extract the tooth, we prepare the adjacent teeth for a bridge, and we put a temporary.  Then, we wait from six to eight weeks with the temporary bridge in place for that area to heal.  The reason you want to put a bridge there is because as soon as you extract the tooth, the teeth tend to collapse into this space.

So, you actually want to stabilize that area first, but you don’t want to make that bridge prematurely.

Otherwise, you still will be healing underneath the bridge, and you have a gap in between.

How hard is it to pull the rest of the tooth out?

It just depends how much experience you have.

Yeah.  Thanks, man.

I’m sorry.  Could you raise your hand?  There was another one here some place.

Gold inlay.  What are the complications of that?

Gold, as a material, has been used over many, many years.  It’s a good material.  It’s more biocompatible than many other things, but you have to realize that gold is not pure gold.  If you use pure gold, it would be wonderful from a biocompatible point-of-view, but pure gold is too soft.  So, the gold has to be mixed with copper, with tin, with a few other things. So, it’s still a good option.  I would say that today bruxor inlay would be more biocompatible,  a better solution altogether.  Does it mix well with the bruxor?  Yes because it’s basically not a true metal. It’s just a porcelain piece.  So, yeah, it would.

Can you just repeat what he said?  He was asking if.

He was asking if it would mix with gold or other metals in the mouth.

I have a dentist like what you mentioned at the beginning. He’s into business, big money maker, but I’m looking for a dentist that is more economical so that this can get done.  Does your website mention resources in different cities in this country?

It doesn’t, and I really don’t know enough good dentists everywhere to recommend them.I know a few.  So, you can always e-mail me, and I’ll see if I can help you out with that, but most importantly, ask questions, see how people are doing, look into people’s hearts why they’re doing what they’re doing. Then, take responsibility.  Take this information and make sure they’re applying a lot of these basic concepts in the way they’re taking care of you.

Do you recommend that people go to the IONT as a starting point?

It’s not a bad place.  Most of these places where they list dentists, all you need is to pay your dues and become part of their group. So, unless you’ve done something really wrong, they kick you out. So, it’s not a bad place. It’ll weed a lot of dentists out, at least the dentists that have this kind of vision or are trying to work within the parameters, but that does not guarantee that you’re going to get somebody that’s truly biocompatible.

You could start with a list from that in your area, and then go from there.

Absolutely.  You can go interview the dentist, but I would still interview the dentist.

Regarding the BCC Sealer, or is it just BC?

BC Sealer.

Is it BCC Sealer or just BC Sealer?

BC.  BC for biocompatible.  It’s actually not biocompatible.  It’s bioceramic, but you can remember it by BC.

I have a question about that.  That’s for root canal, is that something that since it’s new, it’s not as harmful as others.  Is that something they can use on children’s sealants because they’re putting sealants on young kids to keep it from getting cavities on their molars?

No, no.  This is strictly for root canal.  This is really not strong enough to withstand the masticational forces. So, you use it inside the root canal, and it’s very good at sealing the canal, but it’s not something that you can use in children’s sealants.

Is there one that’s better that I can ask for?          

Yup.  See, when it comes to sealants, when they’re not placed properly sometimes sealants are worse than no sealants at all.  I’ve seen often sealants coming undone and a lot of decay getting in between the sealant and the tooth.

So, you have to make sure that they’re placed properly, number one, and number two, all sealants are basically composite resins. So, you have to go back to what we talked about which composite resin you want to put in there, the one that has the BPAs or the one that was small amounts of fluoride.

She promised us this would be really fast.

Actually, do you know any other professional who can answer? I just wanted to know with the ozone machine, can it be used for other purposes other than just the importance of?

Yes, an ozone machine can be used for multiple purposes.  People use them to disinfect rooms, their cars, or whatever. I don’t recommend that you use it for any purposes in which the ozone goes into the air because it tends to create a lot of irritation on your respiratory tract, but once you place it in the water, you could actually use it for multiple things. Any place that you can use that to actually kill anaerobic bacteria, you can use it for, You could actually irrigate a wound with that.

If you already have a root canal with a toxic sealant, can you have it redone using the biocompatible sealant?

Excellent question.  We end up in our office doing a lot of retreatments, but really the key is often when you have had a root canal, often dentists will place a metal post in the canal to rebuild the tooth, and then put a crown on it. We don’t use metal posts, and a lot of dentists have given up metal posts because they found the metal posts actually end up cracking the roots and creating a bigger problem.

So, if you do have a metal post in a root, usually that tooth is not retreatable. If you don’t have a metal post, depending on what materials they used, it can be retreated.  I find other people come to get retreated about 60%, 65% of those teeth can be retreated, and the other 35% are not.  We’d be happy if you want to send an x-ray of your tooth so I can give you some feedback on that.

Well, we can’t keep him here any longer, and he talked a lot about options. I think probably you’re all thinking two options: One, you’re going to stick him in your pocket and take him home with you, and the second one is all of you from out of town are going to move to San Diego so Dr. Vinograd can be your dentist.

Thank you so much, Dr. Vinograd. This was just terrific.

Thank you. I appreciate your time being here, and I commend you all. Thank you to the Gerson Institute.  They’re a magnificent institution.

And he is Dr. Smith’s dentist.  So, you know, she is incredibly picky so.

Thank you very much.

You’re not allowed to leave without turning in your evaluation. So, we are at the end, and I just want to tell you it’s been so wonderful spending the weekend with you guys.  I wanted to leave you with one thought also, and I’m not making this up when I tell you this.  This is absolutely true.

Right now, mental health professionals are actually treating people for a condition that they have created called orthorexia.  Orthorexia, by definition, someone with orthorexia, is an individual with an unhealthy obsession with clean, organic, and healthy food. They are actually prescribing psychotropic drugs to treat this condition.

Again, I am not making this up.  After you leave here this weekend, you may have contracted this disease, this problem with your mental health, but I just want to let you know that I would be thrilled to sit in the loony bin with every one of you, and we will all toast each other with a healthy glass of carrot juice.

Again, thank you very much for giving us these few days out of your life.

Be well. Safe home and stay bold.

 

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Dr. Daniel Vinograd, DDS |
10450 Friars Rd, San Diego, CA 92120 |
Phone: 619-630-7174    •    Dr. Vinograd, DDS, is a Dentist in San Diego, CA, offering services as a periodontist, and providing teeth whitening, dental crowns, invisalign, implants, lumineers, dentures, root canals, holistic, family and cosmetic dentistry.


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