11/13 Lecture: Holistic Dental Health (Transcribed) P4

Then, of course, you want to go to your dentist to make sure that he’s probing. If your dentist is not probing your teeth when you go to see him, I would probably ask him to do that or go to somebody else that will do that for you because this is a critical part of maintaining your health. The other thing is that people don’t realize but crowding on your teeth actually creates a lot of gum pocketing and gum disease. So, that’s something that you might want to consider.

Braces were not for adults for a long time, but nowadays, invisibly braces are great, and about 80% of my braces now go on adults. So, that’s something not just for aesthetics, but if you have a lot of crowding, that’s really promoting gum disease. So, something for you to think about.

A lot of times my patients ask me if the trays that you use for Invisalign or Clear Correct, which is a competitor, if they are BPA-free, and they are. Okay, questions about this segment? Yes?

No, you don’t have to.  You can keep yourself form getting diseased by using the water pick and the ozone.

Most of the bacteria that cause problems in the mouth, decay, periodontal disease, and endodontic problems, most of those bacteria are anaerobes. There’s studies where they should the combination of aerobic and anaerobic bacteria in our mouths.   When there’s disease in the mouth, the anaerobic bacteria take over. So, by actually maintaining the population of anaerobic bacteria in the mouth down, you are keeping disease down. So, yeah, it’s not only when you’re diseased.  Prevention is obviously the best answer.

I understand the crowding of the teeth that you were talking about a few minutes ago.        What about when you have gaps on your teeth?  Does that open up for?

Gaps in your teeth are not problematic unless you have a very small gap in between the teeth where you’re getting food trapped.  If you have large gaps, some people genetically just have large gaps in between their teeth, that’s usually not a problem at all for gum disease, and you’ll know when the dentist probes you. If you have a pocket there, it’s a problem. If you don’t, it isn’t basically.

It’s only when there’s very narrow spaces between the teeth where food is getting trapped and actually impacting the gums that it becomes a problem.  Yes?

Oil pulling is wonderful.  I think it’s a great therapy, and it’s been used for a long time.  I’m very pro it. I, actually, because of the great results I’ve had with ozone, have actually, it’s the treatment of choice in my eyes.

The question was, “How do you feel about oil pulling?”  Does everybody know what oil pulling is? It’s where you put a table spoon of organic oil, oftentimes it’s organic olive oil or organic coconut oil, and you keep it in your mouth.  You swish it vigorously in your mouth for about 10 to 15 minutes.  Some people do it for less, but really get the effect.  It has to be, I believe, for at least 10 minutes.   That’s pulling a lot of toxins out.  Then, you spit it out and make sure you get every last drop of it out of your mouth because you don’t want to swallow any of that back down.  That’s oil pulling.

So, oil pulling is actually quite good, especially if you have metals in your mouth, it is actually beneficial, but really, a lot of the toxins in the mouth are produced by bacteria. So, if you’re really taking care of the bacteria, you’re really taking care of most of the problem.

Now, having said that, I use most of my own home made paste in our office and I encourage my own patients to make their own toothpaste at home.  This toothpaste has a base of virgin coconut oil.  We use that, and then we use that and a few other ingredients, but the base of coconut oil gives you exactly the same kind of effect, especially if you brush or a prolong period of time. It would be like a short mini-oil pulling session.

There’s a question from the live stream, Dr. Vinograd.  It says, “Where do you buy the ozonators?” Now, I assume that means if you already have a water pick and you want to add the ozonator to that.

Right.  They’re actually two separate purchases. One is the water pick, and the second is the ozone machine. I actually put a website where you can actually buy it, but I encourage you to just go on the internet and look for one that has the characteristics that I’ve described.

I was just wondering about hydrogen peroxide.  You said oxygen?

Not nearly as effective as the ozone.  Ozone is O3, quite a bit more concentrated, and it actually kills bacteria a lot of more effectively.  You don’t have to be purchasing hydrogen peroxide for the rest of your life. You just buy your machine once.  I’ve had my ozone generator for about 25 years.

How do you make you own toothpaste?

I actually give the recipe to all my patients when they come in and get their propiece, but I have posted it in our blog. You know, what we’re going to do.

Next week, when we send you the link to the website to go to so that you can watch this for an entire month again, we’re going to include the link to his slide presentation for you and we might actually get his recipe to send to you.

Yeah.  I can actually make it available to send to you guys, and it’s also in my blog.  If you go to drvinograd.com, I have it there. I actually wrote an article about toothpastes, and if you want to see what they’re putting on your toothpaste, it’s like a Halloween story.  It’s kind of scary.

Okay.  So, we’re going to move on, and I’ll take some more questions at the end as well. The root canal controversy.  This is the biggie.  This is the mother of all questions, at least in my practice. I just had a lady contact me from Toronto, and she went to see a naturopathic doctor. She had eight root canals, and they wanted to extract the eight teeth.

So, you know you really have to start thinking.  You really have to start using your head when you’re going to make a decision like this. Our root canal’s a problem.  Do we leave it?  Do we treat it? Do we extract it? What I was talking about before in the internet and getting a lot of information, there are patients that come to me and say, “Doc, I heard root canals are the greatest evil in this world. There’s just nothing worse than a root canal. I want you to take my tooth out.” Ultimately I will if I understand that the patient understands what they’re doing.

If they have all the facts and I can make a decision with him based on intelligent information because I’m not going to be making the decisions for them unless it’s something that I don’t feel comfortable doing that are going to impact their lives.  I think you have to make the decisions that are going to impact your lives by having good information.

So, let’s talk about what a root canal is.  Basically, the pulp, which is a combination of a nerve and some vessels, a vein and an artery, run through the inside of the tooth. Now, when there’s decay and the decay invades the nerve, that nerve becomes diseased.  It becomes infected, and then, we have to decide what we’re going to do with it.

So, let’s go back. So, what do we do?  In the past, people have gone in there. They’ve created a little perforation on the top of the tooth, go in there, remove the pulp, the nerve, and it really is a very painless procedure.  It sounds awful, but it’s really a painless procedure, at least in our office, and then, you actually enlarge the canals a little bit, clean them out, disinfect them. Then, you fill them with material.

Now, in a perfect world, if you could fill them and seal them, you would have a viable situation.  What has given root canals such a bad name is that 99% of all root canals being done today are being filled with gutta purcha which is a rubber with some sealant, like a paste, that hardens, and a few other pieces of rubber. Some of them use heat to melt their rubber.

Some dentists will actually condense it and push it to try to get some kind of mass to fill that area. All of that has been terribly inappropriate and insufficient to really create a proper seal. First of all, the sealers that have been very toxic, and secondly, by both of these methods, you cannot really get a good seal where you don’t have voids.

Now, those little voids, mini-voids that you get by doing a traditional root canal is what creates the problem because when you have those little voids they get invaded by bacteria, anaerobic bacteria, and there’s no way to get them once they get in there.  How do you get them out? So, that has been the problem in the past.

People say you have a dead tooth and a lot of other things. Well, not totally.  It’s a functional tooth.  You still have blood supply from the outside. Do they get more brittle?  Yes. Is that a perfect situation?  No, but you have to understand. How is this going to impact your life?

My advice to this lady from Toronto that called me. I said, “You know, send me your x-rays. I’ll look at them.” I looked at the x-rays.  There was one particular tooth that I felt was really not a good candidate for a root canal.

I said, “Why don’t you extract this tooth, have the dentist put some kind of organic material to maintain the bone quality just in case you want to change your mind later and put something in there so that you don’t lose your bone. Then, go for three months, and get a fill how it is to live without this tooth.”

Then, multiply that times however many teeth they want to take out and see what the quality of your life going to be? What is the quality of your life going to be with a removable denture? Our quality of life impacts our health, too. So, the decision to go black or white sometimes are not the best decisions. We have to really see how immune compromised we are, what the situation is, what the quality of life is going to be post-decision and so forth. So, again, just have good information to make your decisions.

So, options to replace extracted teeth. Let’s say you decide to get rid of the tooth.  We could do an implant, and there a couple of different kinds of implants.  There are implants made of titanium, and recently, from Europe, some dentists have been importing a new technology which they’re doing.  They’re zirconium implants. I don’t do zirconium implants in my practice because I think they still have a lot of challenges. They’re still one piece.  They’re very large.  They’re very invasive. So, I don’t feel that they’re just where we need them to be yet.

You can use a fixed bridge to replace missing tooth. You can use a removable bridge or a Maryland Bridge. Here is an implant.  What is an implant? It’s basically a piece of titanium that’s embedded on your bone, and a crown gets placed.  Is that perfect?  No. Is that something that you have to think about twice before doing?  Of course.

Again, they integrate well into the bone, but it is a metal in your bone. There’s no way around it.  People are going to try to sell you.  “This is the right answer.  This is good.  This is bad.” There’s no good.  There’s no bad.  It’s what’s right for you.

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11/13 Lecture: Holistic Dental Health (Transcribed) P3

Dentists exposed to the mercury get some damage, too?

Yes, absolutely.  The reason I’m standing here today is because over 30 years ago, I felt really sick, and I was wondering, “Oh god, I’m in my 30s. This is what getting old must feel like.” I felt really lousy. I said, “Okay, I accept.  I’m getting older.” Then, I realized that I was incredibly mercury toxic. So, I had a lot of memory problems, constant fatigue. So, this is how I really got started into becoming a naturopath and getting interested. So, yeah, especially dentists that continue to use amalgam are quite exposed, not so much now as we used to be because 35 years ago, we were not using gloves and masks and so forth, but, even today, when we remove the amalgams, we actually protect ourselves.

How many years do you think a dentist gets damaged with the mercury?

How many years?

How many years does it take for a mercury to damage a dentist? I’m telling this because my daughter’s a dentist.             I don’t know if she’s doing the same with the thing like you are.

Yeah.  Well, whatever she’s doing, whether she’s placing the amalgams or not, she’s probably is removing them all the time every day. So, she really should protect herself well against a lot of the fumes, a lot of the powders that are coming out. Definitely, it’s a great risk to her health. So, for you to intervene or give her some awareness would be an act of love and kindness.

Hello, doc. I have a question. It’s kind of a stretch, but is there any chance for people pulling their wisdom teeth, reusing some of their own material and growing your teeth back in some form, or using any form of material in your body like a bone of some sort that really can regrow itself and not have to use a foreign material outside your body?

Yeah, you know, in maybe 20, 30 years, but not at this point. Now, they are now developing tooth germs, where you can actually take the tooth out and place a tooth germ and grow it. That’s happening already.  It’s just not happening fast enough because those germs take about seven to eight years to grow, and most of us don’t want go without a tooth for about seven to eight years. Stem cell?  Yeah. All that is coming.  All that is coming. Unfortunately, not here for us today yet.

Do you refer any of your clients who have had their amalgams removed before and not that way to a certain naturopath who can detox because I know I’ve had mine removed before, [and I still have some left. My doctor never thought they were a problem no matter how much I told him, and I would have pieces of it left in my mouth.  He would suction it out, and I would swallow some.  I know, and I know I’m feeling the effects of it every day, but is there a certain protocol?

So, your experience is not unique.  This is the norm.  This is what happens in dental offices all the time, not all of them. Yeah, a lot of the stuff that has gone systemic unfortunately the mercury gets lodged in the fatty tissues, and so they’re very, very hard to get rid of.

So, the first thing that you should do is maybe consult with a naturopath. I do work with naturopaths now, and they sometimes do some chelation, some testing, and so forth, but the first thing for you to do is to test yourself. There are different ways of doing it.

There’s a rough estimate of how you can do it with hair analysis. Then, there are other ways where you chelate and they test either your urine or feces to find out, but in order to do that, you have to dislodge a certain amount of the embedded toxins because if you just take a blood test they’re not going to appear because the toxin’s really embedded in the fatty tissues.

So, you have to take something like DMSA, DMTS, which is a little harsh. So, you don’t want to be doing this all the time. You want to do it with supervision to actually dislodge some of that from your fatty tissues  into the bloodstream or into the urine or into the feces or fecal matter and test it. Once you know what you have, then, you can work with it because to detox, you also would need to know what it is you’re detoxing.

A lot of the heavy metals that are lower in the chart are more difficult to get rid of unless you get rid of some of the lighter heavy metals.  So, there are protocols in which to do this. Okay. I’m going to continue, then, and we’re going to talk a little bit about oral disease and systemic disease. What’s interesting with a lot of the research that’s coming out lately is that they have found the same bacteria that you have in gum disease, in some decay, sometimes in root canals, that bacteria doesn’t stay in your mouth. It actually has access to the bloodstream.  So, that bloodstream is actually carrying this bacteria to different parts of the body.

A lot of the really big problems is gum disease.      This is something that you really need to be aware of because the gum disease actually is hosting a number of anaerobic bacteria, oxygen-hating bacteria in there. That’s why they hide inside the gums because they hate oxygen. So, they’re in there doing their thing.  So, this is a more advanced case where you can see the gum disease, the inflammation, and there’s usually pockets right in between. So, you can see clearly.  There’s a periodontal pocket. It’s the space between your tooth and your gum. That is a critical piece of information for you.

If you have two or three millimeters of space between your tooth and your gum, you can actually get in there and clean it with your toothbrush. If you start getting into four, five, six millimeters, now it starts becoming impossible to really clean this area with a toothbrush. So, up to here, I can go with a toothbrush. Down here, it’s untouchable.  It’s bacteria right there as happy as could be. They’re throwing a party, 24/7.  So, what’s happening with that? More inflammation, more bacteria, and our bone starts coming down, creating even more pocket depth.

So, this is one of the most critical things you can do for your health is to check to make sure that you don’t have deep pockets that are hosting a lot of anaerobic bacteria, oxygen-hating bacteria. Interesting that the same bacteria that have been found in some decays and some root canals, have been found in the heart of people that have been ill with heart disease, and in pancreatic research. There’s really some good, solid research done by some respected institutions that have found the same type of bacteria in the mouth and in some of these life-threatening diseases.

So, what do you do about periodontal disease?  A lot of people have that.  Some of us are aware of it. Some of us are not aware of that.  Obviously, traditional is brushing, make sure that you use youth toothbrush, just a soft toothbrush with some water, and you actually introduce it into the pockets and clean them.

Then, after that, if you want to use toothpaste or whatever for your teeth, that’s fine, but you really should spend the time with water and a toothbrush physically removing.  This is only going to remove the first two or three millimeters-worth of bacteria, right?

Now, this is something that I’ve actually been promoting for a long time.  I thought I was the inventor of this, but when my son went to check this, [there were like 500 other people that had been using this irrigating device and also one form or the other.  So, I guess I wasn’t so smart anymore, but this is some that I really work with my patients a lot and I really, highly recommend this as a much enhanced way to do your oral hygiene.

What you do is you actually purchase a water pick.  You can purchase at any store.  Any major store will carry them, Costco, Target. Any of them will have it, very, very moderately priced, and you start using the water pick. What the water pick will do is the water pick will actually access more than 3 millimeters. It will access the 4, 5, 6, and 7 millimeters if you actually get that water pick in between your tooth and your gum. So, now, we’re doing some physical removal of that bacteria.

Is this more important than going to see your dentist for gum disease? Don’t quote me on this, but yes. Why is this more important? Of course, it’s important to go every six months to get your pockets checked and get everything cleaned up.  Of course, it’s important, but this you can do every day. I can’t come to your house.  I would love to if you invite me, but you know.  I can’t come to your house every day and clean your pockets out. You can.  You are your best dentist.

Now, when you start introducing and ozonator, an ozone generator, it’s actually bubble the ozone into the container of your water pick. Using that water into your gums, now you’re taking O3, and hitting this anaerobic bacteria, which hate oxygen, which die on contact.

So, here, you have, without chemicals, without having to pay for a lot of expensive mouth rinses and medicated and chemically-filled washes, you can actually kill all the anaerobic bacteria that is causing all that disease. So, we found this of tremendous help.

In my own practice, I’ve kept a great number of patients from going into periodontal surgery, and they’re able to maintain it because, in essence, what does a periodontal surgeon do?  They actually cut the pockets to make them 2 or 3 millimeters again so you can make them clean again so you can clean them.  That’s basically what they do. I mean, they will also go in there and reshape the bone underneath, but really the bottom line is they’re just creating a situation where you can maintain it again without all these bacteria.

So, by using an ozone machine and a water pick, you’re enabling yourself, you’re empowering yourself to do this and keeping yourself from really having a lot of gum disease, which affects your body. So, some suggestions about the ozone. Use it in a well-ventilated area because ozone, in the air, is highly irritating to your GI tract, but in water it is perfectly safe.

The kind of ozonator that you want should have this specific specifications. It should be a corona discharge, preferably 1000 milligrams per hour because, otherwise, you’re going to be sitting there for two hours ozonating your water. With 1000 milligrams, you will actually ozonate your water in maybe 10 minutes. So, you just put it in there and go do something else. Ten minutes later, you come back, and you use your water with your water pick.

You want a sealed box around the elements.  There are actually some people on the internet that are actually making their own machines.  You know, I’m a little suspect of that. I actually had my son who has a company source this particular one. So, if you don’t find it anywhere else, you can always go to this website and get it. I’m not encouraging you to go buy it from him, if you find it somewhere else with those specs, I think you should get one. It’s wonderful for your whole family.  I’ll let you read that yourselves.

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How To Brush Your Teeth & Gums Correctly

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Associate Dentist Wanted | San Diego, CA


Job Listing – San Diego Associate Dentist Position

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11/13 Lecture: Holistic Dental Health (Transcribed) P2

Just ask your dentist to read the labels on the packaging from the amalgam manufacturers. It scares you.  If you read that, it really scares you. It talks about toxicity, how it can affect your nervous system, your liver, your kidneys. In the state of California, for most of you that are from here, we now have a proposition where a dentist has to disclose to a patient, if they’re going to use amalgams, that there could be birth defects, especially for women of child-bearing age.  This is what I see in my office every day. People say, “But doc, I’ve had these amalgams in my mouth since I was 12.”Yeah, I know.  I know.

So, some of the problems with amalgams when they’re first placed in, the fresh amalgam, the fresh mercury, is very, very active. This is when I’m most concerned.  There’s a period that could be called a period of inactivity, relatively speaking.  I think it’s always a problem to have those things in your mouth.

Then, as the amalgams start getting older, the amalgams start oxidizing.  The margin starts opening up, and the amalgam has the tendency to swell up with time. Why does that happen? Just from a mechanical point-of-view, forget about the biocompatible point-of-view, they start actually creating cracks on the teeth. Again, I must do a few crowns a week from people that have had amalgams and have had cracks from the amalgam. So, even if you don’t feel that this is a problem with your health, on a biocompatible perspective, just from a physical perspective, it’s not a good material.

So, I think those are incredibly toxic restorations.  So, if any of you still have amalgams, I would take a look at it, see what they look like, talk to your health practitioners about them. Run some tests.  See how toxic you are with heavy metals. Those are a lot of things that could influence your health. Now, this is what I find under the amalgams.   That’s very typical.  You can see on this side what the amalgam has created. That’s after the amalgam has been removed.   It’s actually interacted with the tooth in a significant way.  You can see, on your right, the crack line, very, very clearly there between those two spaces. That’s very typical, and we see that often. This is not a seldom case.  This is something that we see all the time.

So, after we’ve restored the teeth, obviously much cleaner, much healthier,

and obviously, the opportunities for those teeth to be lost due to cracks diminishes tremendously. So, a lot of people that come to the office ask me, “Well, doc.  I get it.  I really shouldn’t have the amalgams in my mouth, but what do I do?  How do I take them out?” I often talk to them about how would you talk any toxic material out of a building. Asbestos was big, right, in the 60s?  In some buildings, they have special people that come and actually take the asbestos out.

So, there is a certain protocol as to how we can take the amalgams out of your mouth and how we can do it safely because that’s very, very important. To have your amalgams taken out in an unsafe way, it really subjects you to have a lot of that material reintroduced to your body and lodge in some of your fatty tissues like your liver, like your brain. So, a lot of people that have gone to the internet have read and have asked me, “Well, doc.  What kind of protocol do you use? Do you use Huggins Protocol?  Do you use the International Academy of Oral Medicine and Toxicology? Do you use,” I don’t know.  There’s probably seven, eight different varieties. All of those protocols are good, but here’s where you have to start thinking. Here’s where you have to start developing trust in your health professional. A lot of times, because we get so involved in our head and we forget to really feel or trust or really get guided by something other than just our thoughts or the internet, we tend to choose the person who has the best protocol, but, really, you don’t take the eye out of the eight ball. What does that mean? The most important thing about a protocol is the practitioner behind it.

How meticulous is this person about implementing the protocol? A lot of people say, “Well, Dr. Huggins says you should never do this on Tuesdays and Thursdays.” Well, maybe. I’m not disputing that, but it’s much more important that you have a practitioner that’s going to put a rubber dam and make sure it seals really well. So, again, the important thing is that you have somebody you can trust that will do a good job for you, that you know is meticulous, that you know has your health as their primary concern.

So, the basics really is that the rubber dam is the key to this all, and has anybody had a rubber dam placed on them? Right, and so a rubber dam is just a physical barrier, and in our office, we actually place the rubber dam and then put a seal around each tooth in addition to that. Then, we actually pour water on the rubber dam to make sure nothing is really coming through. Once you’ve done that, and this is something you can ask your dentist to do.  “Could you check?  Could you put some water there to see if anything is leaking? before the amalgam gets taken out.

Then, the second part is a lot of the powder, a lot of the gas that is being produced with the heat of the drill, you also want to be protected about inhaling it. So, that’s again what I’m talking about is you guys using common sense, understanding what’s going on. It’s less important that you read on the internet that somebody has such protocol and more that somebody’s actually using oxygen, protecting what you’re inhaling, and protecting what’s going behind.

You can read the rest. So, a lot of the really proper protocol is to segment the amalgam so you’re not grinding it whole and taking them out by pieces. Some people have equipment that allow them to do that. In our office, we additionally use some homeopathy and some natural ventilation,  nutritional guidance, and we do quadrant dentistry. So, we place the rubber dam, and we actually remove everything by quadrants so we don’t have to be revisiting the same area over and over.

So, one of the interesting things is, well, you’re going to take them out.  You made that decision, “I’m taking my amalgams out” or “My amalgam’s out”.  “What am I going to replace them with?” This is a very interesting part of the process because there are basically two major way to replace an amalgam restoration. One is with composites and the other one is with some kind of a casted piece, and I will explain. The composites are basically powder, glass, and plastic. That’s what a composite restoration is. Those white fillings that are put in your mouth is basically powder, glass, and plastic. Most often than not, and so far in my research, I have found that just about every composite has BPAs with the exception of one, and I’ll talk about that one.

Then, the other possibility is the only one that does not have BPAs is a mix of a composite, what we call glass ionomer cement. Glass ionomer cement is a very, very good material. The only problem with that material is that it has fluoride. Now, here I’m being honest with you.  I’m talking candidly with you about what the options are. We live in an imperfect world,and you have to make good decisions. You’re going to have to make a decision about whether you’re going to go with the composite. Are you going to go with a composite that has BPAs or a composite that has some fluoride? No other option’s in the market.   So, when you’re making your decisions, you have to really understand there’s no perfect world.  There’s no perfect solutions when you’re using a composite.

As much as I am totally against the use of fluoride, here’s no fluoride in my office, the effects that I’ve seen with BPAs are quite a bit more devastating I think than the very minute amount of fluoride that is one this material, and the fluoride stays active for a short time. Then, it stops being active.  What do we use?  Which one of the two do we use? Well, it depends on you, your situation.

It depends on your condition, or do you not want to use either?   Well, you have another option, which is inlays and onlays. The advantage of an inlay and an onlay is that it’s a baked porcelain, significantly more stable, no BPAs, no fluoride. The big problem with that?  Yeah, they’re quite a bit more expensive.

Now, when you have a large restoration, in my book, there’s no choice. You can’t put a large composite that you’re going to be grinding down all the time. So, basically, that’s why. Then, when it comes to your inlays and onlays, there are different kinds of porcelains that you can use.  There are indirect composites, which are baked composites. Then, you have pure ceramic restoration, which is called bruxor crown.  Then, you have some combination porcelain inlays and onlays. So, when it comes to the onlays and inlays, here are your different choices. You have porcelain.  This is onlays and inlays as well as for crowns when you have to have a crown. You can have a porcelain fused to metal.   The different metals that you have is non-precious.  You can see what the non-precious contains, which is something that I would definitely not recommend. Precious, which people think is all gold, and it’s all grey. It also has some additional metals mixed into it. Gold by itself is a bit too soft, and semi-precious.

Today, I hardly ever use metal in the mouth.  would say that would be a very rare case when I would be forced to use a metal, and in that case, I would probably use just a metal, just a pure titanium, but most of the time, we don’t need to do them. We have bilayer type of restoration, which either are aluminum or zirconia oxide with veneer porcelain on top, or we have pure zirconia bruxor crowns, which are just pure zirconia crowns, which is really the advent of dentistry. This is the newest type of crown.

Any of this perfect?  No, and this is where I’m asking you guys to really understand what’s going on so that you can make good choices. I would say that if I had to use something in my mouth, I would definitely use either an onlay or a crown made of pure zirconia. That’s probably the cleanest material that you can find at this point. So, because patients are now demanding different materials, better materials, more biocompatible materials, dentists are responding.   People respond to demand.  Demand and supply.  If people start demanding biocompatible materials, biocompatible materials will be going through the pipeline.

So, more and more dentists are abandoning the old guard Okay, any questions about this so far? Okay, we’ll move on then.  Yeah?  Mixing of amalgams, of metals in the mouth? You mean having one tooth with one and one with a different kind of metal? Yes, that’s really not a good idea because the saliva will conduct electricity between them. It’s called galvanism.  So, to have two types of different metals, to have metals, in general, is not a great idea in your mouth. Two kinds of different metals is even worse.  So, thanks for bringing that up. Yes?

Yes, all those materials can be applied except, of course, the composites are only for fillings but the crowns and bridges can all be done with metal, metal fused to porcelain,  and porcelain by itself or pure zirconia, which is the bruxor crown. That is the different.

Yes.  Actually, when we remove the amalgam, you have a choice of either using composite or any filling can be replaced with a porcelain piece instead of composite. So, that would be the optimal, but obviously you have to factor in the cost at some point.

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How To Restore A Chipped Tooth (Infographic)

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11/13 Lecture: Holistic Dental Health (Transcribed)

We’re going to get to the final portion of our workshop.  I know that Dr. Smith and Caroll talked a little about dental issues as regarding to the Gerson Therapy before, and one of the things that you may have noticed although they didn’t come right out and say that is they don’t seem to have the greatest respect for the vast majority in the dental business because of a lot of things that they have done that have been very harmful to people with the best of intentions, many of them, inadvertently through bad knowledge that’s been passed on for a long time.

So, we’re very fortunate to have one of the good guys here who does not represent the majority of those in his field and who actually does recognize that they mouth is part of the greater human body and not something completely separate from it. So, please welcome Dr. Daniel Vinograd.

Thank you so much. It’s great being here once again. It’s not once again for you.  It’s probably your first time. Where are you guys from?  Can you give me, more or less, an idea?  US? Mostly.  Louisiana?  Wonderful.  Great, great.  Awesome. Well, it never ceases to amaze me how people from all over the globe will come together when they have a certain commonality, and so I’m very, very pleased to be with you guys today.

I’d like to start by talking a little bit about the internet, and why am I starting this talk about the internet? Most of my patients or the first time patients that come to see me have done a tremendous amount of research, mostly on the internet, right? So, the internet is a fantastic tool for us to gain information. However, we gain a lot of really good information from the internet, and we get a lot of really bad information from the internet.

So, we always used to say, “They said this…”, “They said that…” Who is they? In the internet, who is “they”?  Who is writing all this stuff?  Over the years, the people that are actually dominating the internet have gotten quite sophisticated. You have very, very smart people now helping people dominate the internet. So, who’s dominating the internet now? People that are savvy about how to work the internet. So, the information that is apparent on the internet is not always the best. How do we know what is good information and what is bad information?  [That is the key.  Does that mean that we say, “No the internet is evil. I’m never going to go back there again” because it’s got a bunch of lies and information?

Of course not, but it is really important for us to have awareness. Again, the patient’s coming to see doc.    “I read this on the internet,” like it was absolute.   So, we have to backtrack a little bit and say, “Well, where is the information coming from?” How does that fit into your reality?   So, the most important thing that I want to do today, if I’m successful, is I to give you some tools so that you guys can all make sense of what you’re reading, and you can make up your own mind as to what is good information and what is not.

What you don’t know so that you can ask the right questions, that you have the solid knowledge of what it is that you’re going to learn, not only to trust people around you. When you start hearing them talk, you can start separating reality from fiction. You can start separating people who are giving you information  versus people who are trying to sell you something, and most importantly, when can you really trust your own instincts, which is an incredible source for each one of us.

We have an incredible amount of evolutionary intelligence in each of our bodies that we can tap into. So, I would encourage you to tap into that.  Don’t disregard your instincts. Also, start trying to understand who it is that we can trust, and who it is that we can’t. So, I practice what I call biological dentistry, and why do I call it biological dentistry? Because there’s holistic dentistry and amalgam-free dentistry and there are all these terms that have been coined, but bottom line, a dentist will see himself as either a business person,

I know a lot of dentists who are basically just business people. Some of them have large clinics and manage them. I’m not judging anybody.  I’m just basically identifying that they are mostly interested in the business aspect of it.I know a lot of dentists who are incredible engineers.  They’re technicians.They can do a lot of really fine work. There are other dentists who are incredibly caring human beings, and they’re all the combinations above.

In my view, what is a dentist? In my view, a dentist really should be a healer.  Right?   A dentist should be a person that is helping you heal and that is treating you like any other specialist with a certain part of your organism that is actually connected to everything else.

So, for us, and I’ll tell you.  When I came out of dental school, I was treating mouths. I wasn’t treating patients.  I was treating mouths because this is the focus of my training. My training is you have tooth number 18 MOD. This was the lingo.  You have, wait a second. Did we forget that there’s a person behind that?  So, overtime, I have to be honest with you.  When I first started practicing dentistry, it was dissatisfying to me until I finally realized it’s not about a crown. Of course, it is about a crown, but it is not just about a crown. It’s about treating a person, and how is this crown going to affect everything?

So, having said that, I will talk about what is happening with dentistry as a whole. So, from its inception, dentistry has been looking at the repair business of the mouths. So, how do we repair a mouth?  How do we actually take are of broken tooth? That was a big challenge because materials were really not great, and so, the biggest challenge was how do we get something that’s strong enough? I mean, can you imagine the forces that we put on a mouth? Masticational forces.  That’s tremendous. If you’ve ever had a high spot in your mouth between your upper and your lower teeth, you know that can get sore in a hurry because you’re putting incredible amount of pressure in a very, very small area.  You have a lot of muscles.

You have a lot of functional apparatuses that are working towards really grinding the food down. So, it’s very challenging to actually get a material that is going to withstand for many years the masticational forces. So, a lot of the people were really talking about materials that are strong that resist friction, that resist compression.

So, I have a very good friend who was the head of Dental Materials at UCLA, University of California, Los Angeles, and I would always hear him talking about all the research that’s been done about the elasticity of this material, about how this material compares to the expansion and contraction of the tooth, and there was really no regard at all to the physiologic effects of what we’re putting in people’s mouths.

I understand where they’re coming from. They had this huge challenge from an engineering point of view, and they’re just putting their energy and effort into it. Unfortunately, again, we were forgetting we are talking about human beings. Case in point, dental amalgams that a 50% mercury.  I will talk about that a little bit more. They were actually trying to see how they could actually take child’s tooth, and treat it so that they maintain the tooth after the nerve has been infected. The solution?  Formaldehyde.  It’s a form of cresol.  Highly carcinogenic. It’s still being used today, but it actually modifies the nerve. The problems go away.  Obviously, we’re creating a huge amount of new problems when we start using a lot of this.

Root canal sealers were among the most toxic materials as well.  We fail to see the connection between the mouth and the rest of the body isn’t really affected by a lot of materials that we use. Also, by the bacteria that we have in our mouths.  A great deal of information today about how bacteria in the mouth affects the rest of the body.  We’ll talk about that as well.

I will start with mercury amalgams because this is something that I think has been out in the media quite a bit, and it’s really affected a number of us. Anybody ever have amalgams placed in their mouth before? Right.  So, just look around you.  It’s just about everybody, and why were those amalgams placed again? Amalgam is a wonderful material if you’re just looking at a robot where you’re going to put something in physically.

In 1833, there were a couple of French guys that came over to the US and brought amalgam. Then, in 1844, the amalgam was just widely used. In New York, it was used as the restoration of choice. There was a great group of brilliant people, the American Society of Dental Surgeons, that came out, and we’re talking about 1844. We’re not talking about 2010 or 2013. They said, “Wait a minute.  This amalgam is filled with mercury. It’s 50% mercury.” So, they actually were the most prestigious dental group in this era, and they actually said, “If you want to belong to us, the most prestigious organization in the nation, you have to sign a contract that you will not use amalgam.” Brilliant.  Here are our first heroes, right? You could put a cape on them and a big S or whatever you want to put, a big D.

Unfortunately, in 1856, they were disbanded, and the American Dental Association was founded. They were a little bit of an opposition group, which really was proactive in promoting dental amalgam. There was a large group within them that was the American Amalgamists Association that was really driving a lot of this amalgam proposing.

You should know that mercury’s one of the most toxic elements known to humans, and I think most of you know that.   When you think about 50% of the amalgam is mercury, it’s mind boggling, but people that are proponents of amalgam say,  “Yeah, but the amalgam gets fixed.  It gets set with the silver. So, it becomes inactive.” I’m not sure I buy that, and even if I would buy that, I’m not sure I would put it in my mouth or anybody that I care for or any of your guys’ mouth. Just in case, they’re wrong.

Here is from the Department of Health and Human Services. They are actually considering mercury to be the third most toxic material known to man. This is not me.  This is not some kind of a health-oriented healer talking.   This is the government of the United States. So, in the 70s, yeah I go back that far and a little more. In the 70s, I started asking my colleagues, “Guys, this is 50% mercury. Are you concerned at all that your putting this in people’s mouths?”

Most of them were good people, honestly, good people, well-intended people. A lot of them came out wanting to help people out in the healing profession. So, I don’t think there was a lot of mal-intent where they said, “I’m out to poison people,” but a lot of them had a mindset that was different. The mindset then was anybody who’s proposing that amalgam is toxic or shouldn’t be used is a quack, and this is mostly what I got from them when I spoke with them. So, you don’t have to take my word for it. You don’t even have to take the government’s word for it.

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Invisalign vs Braces (Infographic)


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The Best Toothpaste is Homemade Toothpaste (Infographic)

the best toothpaste recipe

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Root Canal: Holistic Commentary on Dr. Mercola’s Video


Dear Dr Mercola:

I have followed your work with great enthusiasm over many years and appreciate the tremendous impact you have had through education and good product availability. I am also a Weston Price fan.

I stopped doing root canals in the 80’s when I became aware of the great deficiencies with the treatment and the repercussions of traditionally treated teeth.

I just finished watching your video on root canals and wanted to share some thoughts:

-If my patients decide to extract a tooth that is infected or has existing root canal I provide the following information about their options:

a) No replacement. Sometimes the best option depending on the location and function of the extracted tooth: Often a second molar with limited occlusion.

b) Replace with a removable bridge. Cost is low but quality of life not great.

c) Fixed bridge- no metal. Good option when adjacent teeth already have large restorations.

d) Maryland Bridge. Also a fixed bridge, requiring much less destruction of adjacent teeth. Works well in most instances, but may have to be re cemented on occasion.

e) Implant. I use Bicon implants, which are much less invasive due to their design, but are titanium. the alternative is Zirconia implants, very bio-compatible, but not without problems: large in size and one piece only, which requires more aggressive bone removal for placement have less osseo-integration and can suffer micro-fractures, because the often need to be reshaped in the mouth with a bur.

-I often have patients do a serum test that will give me the bio-reactivity of each patient to hundreds of dental materials, and will use bicons when titanium is not one of them.

-On the question of galvanism (electrical currents moving through the saliva due to dissimilar metals in the mouth) it is a non issue with titanium implants, since the titanium is integrated and surrounded by bone, and fully covered by a ceramic restoration.

-Having said all of the above, I now offer to perform bio-compatible root canals and here is why:

a) The main issue with traditional root canals is that he materials used, were toxic, hydrophobic and failed to properly address the issue of disinfecting and sealing the main and the accessory canals inside the tooth.

b) Today, we can more aggressively remove infected tissue with accurate computer driven rotary instruments. Can disinfect the canals with ozone and most importantly, can seal them with bio-compatible, osteogenic and hydrophilic  materials. The material I use, BC sealer has a ph of 12.8 and does not solidify and maintains this ph  or 24 to 48 hours, sterilizing the main and accessory canals. In addition, because it is hydrophilic, it tends to expand with the natural moisture from the surrounding tissues and created a seal, not allwoing the mini pockets that would host bacteria in the past with the use of hydrophobic sealers. Finally, it has osteogenic properties, which further help create healthy tissue inside and  around the tooth.

I have been performing these procedures selectively (I still would not perform this procedure on a severely immune-compromised patient) for over 5 years, with great results, monitoring the local as well as systemic effects in my patients.

If you have further interest on my views on this topic, I have uploaded my latest talk at the Gerson Institute on my website: http://drvinograd.com/holistic-dentist/june-2013-holistic-dentistry-biocompatible-protocols-lecture-to-gerson-institute/.

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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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