Advanced Integrative Dental Strategies for Abundant Health

Home , Erethism, Mercury poisoning, Tinnitus

By Michaela McKenzie, DDS, A-IAOMT Presented to The American College of Advancement in Medicine ACAM Meeting – September 17, 2016 in Tucson, AZ https://iaomt.org Dr. Michaela McKenzie ©

Dr. Michaela McKenzie

Accredited Board Member of the International Academy of Oral and Medical Toxicology (A-IAOMT)

First Biologic Dentist to bring all ceramic implants to the State of Georgia. Owner of Dazzling Smiles, P.C. in Atlanta, GA

Dr. Michaela McKenzie © Objectives:

Attendees will learn about:

o Mercury o Root Canals o Ozone Therapy o Cavitations: JON and NICO o Metal Titanium Implants vs Biocompatible All-Ceramic White Implants o Periodontitis

• Receive hands-on resources and questionnaires to help your practices

Dr. Michaela McKenzie ©

What is mercury? • Heavy metal – atomic number 80 (gold is #79); atomic wt. 200.59) • The only metal liquid at room temperature • Gas (vapor): colorless, odorless, tasteless • Vaporizes at any temperature over -38o C • Vaporization rate doubles every 10° C • Very reactive (oxidizes easily)

Photo credit: https://commons.wikimedia.org/wi ki/File:Quecksilber_1.jpg Photo credit: https://commons.wikimedia.org/wiki/Periodic_Table_of_Elements Dr. Michaela McKenzie © How was mercury first discovered to be poisonous?

Dr. Michaela McKenzie ©

The use of Mercury dates back to the 17th Century

France was the first to use inorganic mercury in the form of mercuric nitrate to treat the fur of small animals for the manufacture of felt hats.

From there it spread to England by the Huguenots.

By the Victorian era the hatters' condition had become proverbial, as reflected in popular expressions like "mad as a hatter" and "hatters' shakes"

Mad hatter disease, or mad hatter syndrome, is occupational chronic mercury poisoning among hatmakers whose felting work involved prolonged exposure to mercury vapours. The neurotoxic effects included tremor and the pathological shyness and irritability characteristic of erethism. Some of the steps in the manufacture of felt hats are illustrated in this image from 1858. Dr. Michaela McKenzie © Felt Hats were made using mercury

Picture postcard of a hat factory in Danbury, Connecticut (postmarked 1911)

A man working in hat manufacture with no protective equipment, putting him at risk for mercury poisoning

Dr. Michaela McKenzie ©

Signs and symptoms: red fingers, red toes, red cheeks, sweating, loss of hearing, bleeding from the ears and mouth, loss of appendages such as teeth, hair, and nails, lack of coordination, poor memory, shyness, insomnia, nervousness, tremors, and dizziness.

Dr. Michaela McKenzie © Minamata disease (Japanese: Ỉಛ⑓ Hepburn: Minamata-byō?), sometimes referred to as Chisso-Minamata disease (ࢳࢵࢯỈಛ⑓ Chisso-Minamata-byō?)

Dr. Michaela McKenzie ©

Minamata Bay was heavily polluted from 1932 through 1968 by wastewater from a fertilizer company. Effects on wildlife were severe! Cats that ate the fish would develop strange body contortions -"dancing cat fever".[1]

Dr. Michaela McKenzie © Minamata Disease •Minamata Disease is a disease that is caused by methyl mercury. Methly mercury is taken into our bodies by eating fish and shellfish, which are polluted by factory drainage.

Symptoms of Minamata Disease

• Attacks the brain and central nervous system

Mercury Toxicity Causes various symptoms: • Numbness in extremities • Unsteadiness in legs and hands • Extreme fatigue • Tinnitus - ringing in ears, and/or loss of hearing • Ocular damage - narrowing field of vision • slurred speech • Ataxia – uncontrolled, awkward movements

• Earlier victims: became unconscious, insane, or died a month after the symptoms started

• Chronic Symptoms: migraine headaches, frequent tiredness, loss of smell and taste, and memory loss, brain fog and forgetfulness. Dr. Michaela McKenzie © Mercury affects all of the following:

How Does Mercury Affect the Brain and Spinal Cord?

Methyl mercury targets and kills neurons in specific areas of the nervous system: Visual Cortex Cerebellum Dorsal root ganglia Mercury loves Sulfur groups

Sulfur groups are found in many areas of the body

Mercury vapor crosses the Blood Brain Barrier - it binds to the sulfur groups in Myelin and Unravels the Myelin --- BRAIN FOG

The thyroid is full of Sulfur Groupss Demyelination - damage to protective covering (myelin sheath) surrounding nerve fibers in your brain & spinal cord

When the myelin sheath is damaged, nerve impulses slow or even stop, causing neurological problems

Dr. Michaela McKenzie ©

Mercury affects the Thyroid Gland

What are the Causes of Hashimoto's Thyroiditis?

•Environmental Toxins Such as Mercury and Pesticides (Heavy Metal Poisoning!)

•Hashimoto’s is leading cause of hypothyroidism and goiter in the United States.atess.

•25 percent may develop additional conditions such as Type 1 diabetes, rheumatoid arthritis, pernicious anemia, adrenal insufficiency, lupus, and other autoimmune disorders.

Dr. Michaela McKenzie © Several mechanisms have been proposed to explain how mercury kills neurons: • Protein inhibition • Disruption of mitochondria function Porphyrin biosynthesis pathways inhibited by toxic metalssss

• Disruption of neurotransmitters • Direct affect on ion exchange in a neuron • Destruction of the structural framework of neurons

Dr. Michaela McKenzie ©

Scientific studies have identified Dental Mercury as a potentially causational or exacerbating factor in the following conditions:

Dr. Michaela McKenzie © Highlight On: Mercury Fillings with High Copper

• 1975 High levels of copper were added to amalgam fillings • Were touted by the ADA to be “state of the art” because they didn’t release mercury • European studies found high-copper amalgams released 50 times more mercury • 1976 – increase in autoimmune disorders. Specifically onset of ALS or Lou Gehrig’s Disease • 1976 – incidence of Multiple Sclerosis (MS) jumped from 8,800 per year to 123,000 in one year. The year high copper was added to amalgams.

History of Hg in Dentistry

Dr. Michaela McKenzie © The History of Mercury Amalgam Dental Fillings:

In 1819 the English Chemist – Bell, first discovered that he could combine silver and mercury and it would form an amalgamation.

In 1826 amalgam was first used in England and France to fill dental cavities. Photo Credit: Randall Mooore; Evidenc e of Harm

Barbers became the first dentists in the U.S. – because of their reclining chairs

●In 1833 the Crawcour Brothers came over from France and introduced Mercury Amalgam fillings to the U.S.

●In the 1850's, the American Society of Dental Surgeons banned the use of mercury fillings for its members.

●The pro-mercury faction of dentists founded the American Dental Association (ADA) in 1859. Dr. Michaela McKenzie ©

History of the Dental Amalgam Controversy 1819 Invention of silver/mercury amalgam by the English chemist, Bell.

1826 First use of dental amalgam in England and France.

1830 Amalgam fillings first used in the U.S.

1840 Organized dentistry

American Society of Dental Surgeons formed. Members were required to sign a pledge promising not to use mercury fillings. 1859 American Dental Association was formed. The ADA supported the use of silver amalgam then as the filling material of choice, as it still does today. 1926 The German chemist, Dr. Alfred Stock researched mercury poisoning and identified through his research that silver amalgam fillings in the mouth were a source of mercury vapor. 1957 Dr. Karl 0. Frykholm's studies in Sweden concluded that when saliva covered the amalgam filling, mercury is no longer released. 1976 The Federal Drug Administration pronounced acceptance of amalgam fillings and "grandfathered" their approval under the G.R.A.S. (generally recognized as safe) category, due to its long term usage. 1979 Research began appearing in the literature documenting that mercury vapor was constantly being released from amalgam fillings, especially when the fillings were stimulated by chewing, brushing, or heat exposure. 1984 Human autopsy studies were published which demonstrated that the amount of mercury found in brain and kidney tissue was directly related to the amount of mercury amalgam fillings in the teeth.

Significant research at the University of Calgary School of Medicine demonstrated that mercury from dental amalgam fillings could be found in the blood and tissues of pregnant mothers and their babies within a few days. 1990 The first controlled researches on the effects of dental amalgam were published. The research cited significant effects of mercury amalgam on various tissues and organs in experiments with monkeys and sheep. The media became involved when the T.V. show "60 Minutes" aired a segment entitled, "Is There A Poison In Your Mouth?" 1991 Many D.A.M.S. (Dental Amalgam Mercury Syndrome) support groups became more active in consumer awareness of the mercury amalgam issue. The F.D.A. "reviewed" amalgam as a filling material and declared that current evidence was insufficient to condemn amalgam. They did recommend, however, further studies be done. August, 1991 The National Institute of Health Technology Assessment Panel on Dental Materials issued a statement that amalgams are safe. 1992 February: At the annual meeting of the Society of Toxicology, medical scientists presented five studies demonstrating adverse health effects of mercury exposure from amalgam fillings.

WHY IS THERE THE NEED FOR MERCURY-FREE & MERCURY-SAFE DENTISTRY? BECAUSE MERCURY is Toxic to HUMANS…

֏֏֏ A 2005 - World Health Organization report warned of mercury:

“It may cause harmful effects to the nervous, digestive, respiratory, immune systems and to the kidneys, besides causing lung damage. Adverse health effects from mercury exposure can be: tremors, impaired vision and hearing, paralysis, insomnia, emotional instability, developmental deficits during fetal development, and attention deficit and developmental delays during childhood.

Recent studies suggest that mercury may have no threshold below which some adverse effects do not occur.” [Emphasis added]

World Health Organization. Mercury in Health Care: Policy Paper. Geneva, Switzerland; August 2005. Available from WHO Web site: http://www.who.int/water_sanitation_health/medicalwaste/mercurypolpaper.pdf. Accessed December 22, 2015. Patients with severe mercury allergies and sensitivities get red and painful skin irritations and rashes - all over their bodies.

Often these patients get mis- diagnosed and undiagnosed for many years. Unexplained RASHES They go from doctor to doctor – never realizing that the cause is from mercury toxicity.

There are patient’s who can not excrete mercury from their kidneys and liver.

Dr. Michaela McKenzie ©

Images of before and after dental amalgam Mercury filling removal of an actual patient. Patient was severely ill for many years.

Dr. Michaela McKenzie © MERCURY FILLINGS ARE…

• Often referred to silver fillings, or silver amalgam fillings, because they are an amalgamation, or a mixture, of different materials • Made up of o 50% elemental – liquid mercury o 50% a powdered alloy – combination of silver, copper, tin and zinc • Created by a mixing process referred to as trituration: 1. Once mixed together, the metals combine into a semi-soft condensable metallic material which can be placed and condensed into a tooth and then carved and shaped to conform to the dental anatomy of that tooth. 2. The amalgam then hardens and sets up in the tooth as a filling.

Dr. Michaela McKenzie ©

In dental school - we were taught that the liquid mercury in the capsule, once combined with the other metals, was safe because it would remain bound to the other alloys.

Í Close-up of surface of a tooth with a silver filling Í See puddles of mercury bubbling up Í This happens in the mouth.

Video from the IAOMT library called “The Smoking Tooth Video” demonstrates scientific proof of the mercury vapor continuously coming off a recently extracted tooth - years after it had been in a patient’s mouth. Î

Dr. Michaela McKenzie © TOXICITY FROM DENTAL MERCURY The Three Costumes of Mercury-- 1) Mercury vapor 2) Ionic mercury 3) Methylmercury Mercury vapor (Hg°) coming off the tooth

Hg++ - Ionic Mercury Ch3Hg+ (MeHg) - Methyl Mercury

Excerpted from: Huggins H. Toxicity from Dental Mercury: The Three Costumes of Mercury. Colorado Springs, CO: Dragon Slayer Publications. 2002. Glossary of Terms Relevant to Dental Practices Today:

• “Mercury-free” – widely used to just mean that they do not place mercury amalgam fillings, but they don’t always remove Hg safely. No office is truly free of mercury.

• “Mercury-safe” - use safety measures when removing previously existing dental mercury amalgam fillings. Replaces them with non- mercury alternatives.

• “Biological” or “Biocompatible” – safely removes mercury while protecting both the patient and the dental staff. Uses science as the basis in selecting dental materials that are biocompatible with the patient’s overall systemic health. Usually accredited members of the IAOMT

• Other terms used include “Holistic dentistry,” “Integrative dentistry”’ “Green Dentistry – protects the environment,” “Whole body dentistry,” etc.

Dr. Michaela McKenzie © OTHER ASPECTS OF This interactive tooth meridian chart is available at the IAOMT website: BIOLOGICAL DENTISTRY https://iaomt.org/media-resources/tooth- meridian-chart/

DENTAL Clifford Material Reactivity Testing BIOCOMPATIBILITY TESTING A patient’s blood sample is sent to a laboratory

Their serum is evaluated for the presence of IgG and IgM antibodies to the chemical ingredients used in 16,900 dental products.

Two labs that currently offer this service are Biocomp Laboratories, and Clifford Consulting and Research, Inc.

Only dental products that are safe are then used on the patient. Sample Clifford Consulting Test Dr. Michaela McKenzie © Specific standards of a Biological Dental Practice • Composite fillings – organic based white material – no bisphenols, no BPA’s • Biocompatibility Testing - patient’s blood against 14,ooo different dental materials to see what materials they are not allergic to, that are safe to use • Patient has fresh oxygen going up their nose to protect them from the odorless vapors • Rubber Dam is used to stop mercury from going down the patient’s mouth • 3 separate vacuums used: 1).in the patient’s mouth – to capture Hg water, 2). around the tooth to capture Hg particles, 3). outside the mouth to capture Hg vapor • Hg Binding Cream that goes around the tooth on the rubber dam to sticks to any particulates • Special mercury binding wipes that remove any trace amounts of mercury on instruments before they get sterilized and heat activated Dr. Michaela McKenzie ©

Some Dentists and staff wear gas masks and Tyvek suits to protect them from mercury vapor and particulates

Dr. Michaela McKenzie © Photo credit: WSBTV-2. 2 Investigates: Are the fillings in your mouth toxic? Atlanta, GA: WSBTV-2. May 18, 2015. http://www.wsbtv.com/news/news/loc al/2-investigates-are-fillings-your- mouth-toxic/nmJXk/.

Dr. Michaela McKenzie ©

Photo credit: WSBTV-2. 2 Investigates: Are the fillings in your mouth toxic? Atlanta, GA: WSBTV-2. May 18, 2015. http://www.wsbtv.com/news/news/local/2-investigates-are-fillings- your-mouth-toxic/nmJXk/.

Dr. Michaela McKenzie © Different Dentists of the IAOMT have different barrier techniques and methods for protecting themselves and their patients.

Here the dentist and his assistant breath pure oxygen and do not wear a gas mask.

Every dentist has their own style – while still adhering to the strict IAOMT protocol.

Jack Kall, DMD, FAGD, MIAOMT Chairman, Board of Directors International Academy of Oral Medicine & Toxicology

Mark A Wisniewski DDS, AIAOMT, AAO, HDA President International Academy of Oral Medicine and Toxicology New England Dental Wellness 78 Country Club Rd Greenfield, MA 413.774.5591 http://www.NewEnglandDentalWellness.com Patient completely covered from head to toe to protect them from Hg particulates.

Patient’s head, hair and neck is covered by a Tyvek hood. Eyes are covered with protective glasses.

Fresh pure oxygen is placed on the patient’s nose.

Dr. Michaela McKenzie ©

In room air conditioner – brings fresh Ionic Filter - blows over the Dental Air Vacuum – suctions mercury air into the room, and sends air from patient to pull the Hg ions vapor away from the patient’s mouth the room outside away from the patient and traps it in a mercury filter

Dr. Michaela McKenzie © Over the patient Ion flow

In the mouth isolation and water retractor

El Foust – Air Purifier and Hg vapor remover is mandatory

Mandatory Protocol Fresh Oxygen goes up the patient’s nose to protect them from dangerous mercury vapor

Isolating the tooth with an Isolite and a protective Rubber Dental Dam to stop water & mercury particulate ingestion Hg Barrier cream on the rubber dam to bind to mercury particles

Dr. Michaela McKenzie © SAFE REMOVAL OF DENTAL MERCURY AMALGAM FILLINGS:

IAOMT has developed a safe mercury amalgam removal technique (SMART):

1. Cutting out the fillings in chunks, and keeping the temperature cool with plenty of water.

2. Utilizing special HVE (high volume evacuation) to minimize mercury vapors.

3. Using a non-latex dental dam with a saliva ejector or an isolite suction underneath it. www.iaomt.org/safe-removal-amalgam-fillings/. 4. Covering the patient’s body with a barrier to prevent splattered amalgam particles from Clean Up Suction that goes around the tooth – landing on the hair, clothing, skin, and eyes. from Sweden

5. Providing the patient piped in oxygen to breathe through a nasal mask during the

removal. Dr. Michaela McKenzie ©

Safe removal & disposal of metal in crowns – notice the metal erosion inside the old porcelain fused to metal crown(PFM). Often we find mercury fillings under old crowns!

Dr. Michaela McKenzie © Pre and Post Dental Therapy

The Patient’s tooth is treated with ozone gas and rinsed with ozonated water prior to doing any restorative work. The mouth is then rinsed and flushed with Ozonated water to kill microorganisms.

Charcoal tablets given to patient to help bind to any minute particles that may get in the patient’s mouth

Arnicare given to reduce swelling and inflammation

Mercury in the dental waste water goes into a special Amalgam Separator To stop it from leaching out into the environment – Liberty Boss by Mars

Makes the office a Green Dental Practice!

Dr. Michaela McKenzie ©

Mercury Removal includes giving patients:

• Activated Charcoal to bind to Mercury particles

• Chlorella – given to patient’s after Hg removal

• Arnicare to help decrease with swelling and bruising

Dr. Michaela McKenzie © Mercon Wipes –

used to bind to Mercury and remove Hg particles from dental gas masks, Dental handpieces, dental instruments, burs, equipment and ion filters

Dr. Michaela McKenzie ©

Auto Clave – especially important that the mercury is removed from instruments before being heated in the sterilizer – to avoid mercury vapor creation

Dr. Michaela McKenzie © Amalgam Separator

Green Dental Practice

Attaches to the dental water line and collects the mercury from going out into the water system

Protects the environment from Mercury Contamination

Dr.Michaela McKenzie © Dental Mercury Harms the Environment

1) Wastewater from Dental Offices • Use of mercury for dental amalgam in the U.S. estimated at 35.2 tons/year, and the discharge per dentist is an average of 250 milligrams/day • US EPA has recognized dental mercury for 50% of mercury releases into publicly owned treatment works 2) Human Waste • Patients with amalgam excrete more than ten times more mercury in their feces than those without mercury fillings. • IAOMT estimated that in the U.S., this is over 8 tons of mercury flushed out to sewers, streams, and lakes per year.

Once in the environment, mercury creates “hotspots” that last for centuries and harm all parts of the ecosystem, including plants, animals, and water. 3) Cremation and Burial • UNEP: In 2010, cremation of human remains released approximately 3.6 tons of mercury into the environment • Burying an individual with amalgam fillings means that the mercury is deposited directly into the soil. 4) Mercury Vapor • Has been found in air inside and outside of dental offices at high levels • Mercury vapor is consistently emitted from dental amalgam fillings Mercury Detoxification: Pathways of Excretion

Root Canals

https://commons.wikimedia.org/wiki/Category:Root_canal#/media /File:ZELLFAZE_MN02_MP_016.JPG Dr. Michaela McKenzie © Abscess, Sinus infections, Swelling, and Pain

Root Canals

Dr. Michaela McKenzie ©

Root Canals – How are they performed? • From Abscess to filling with traditional Gutta Percha material X-ray of a typical root canal treated tooth

• Note: infection at Apex of tooth Note: Different root morphologies

Problem: Don’t remove all the accessory canals • Removing the nerve is like removing a plant – leave some of the roots Highly Toxic Root Canal Infections

• Traditional Root Canal teeth continue to excrete dangerous endotoxins such as:

1) Black pigmented Gram negative anaerobic rods include species formerly known as Bacteroides melaninogenicusSubcategorized. as: (a) saccharolytic species – Prevotella and (b) asaccharolytic species – Porphyromonas.[7] 2) Tannerella forsythia (previously called Bacteroides forsythus or Tannerella forsythenis) 3) Dialister species are asaccharolytic obligately anaerobic Gram negative coccobacilli 4) Fusobacterium

5) Spirochetes are highly motile, spiral-shaped, Gram negative bacteria

6) Gram positive anaerobic rods

7) Gram positive cocci

Dr. Michaela McKenzie ©

“OOther Bacteria Lurking in Root Canals” From Huggins H. Root Canal Dangers: DNA Studies Confirm Dr. Weston Price’s Century-Old Findings. Posted June 25, 2010. Available from Weston A. Price Foundation Web site: http://www.westonaprice.org/holistic-healthcare/root-canal-dangers/. Accessed January 9, 2016.

1. Capnocytophaga ochracea – found in brain abcesses 2. Fusobacterium nucleatum – inhibit fibroblast cell division and wound healing. Infect the heart, joints, liver and spleen 3. Gemella morbillorum – acute invasive endocarditis, meningitis and septic arthritis 4. Leptotrichia buccalis – reduces neutrophils in white blood cells, thus lowering immune competence 5. Porphyromonas gingivalis – destroys red blood cells by drilling holes in them, causing cells to bleed to death. Leads to bleeding in the inner lining of blood vessels which causes atherogenesis – leading to heart attacks. Root Canals What are the causes? 1. Bacterial infection from decay 2. Crack or fracture that enters the pulp chamber 2. Injury and Trauma to the mouth

Result: 1. Pain 2. Swelling 3. Abscess and Pus Exudate

4. Tooth death Dr. Michaela McKenzie ©

Injury Worst case scenario – the tooth dies and needs a root canal. How can I tell if it needs a root canal?

1. The tooth discolors and turns dark over time – can take many years to change color

2. The tooth dies and produces pus which comes out of the root as an abscess, or the exudate finds a way out of the socket or bone and drains

3. The periodontal ligament widens and it is visible on an x-ray Dr. Michaela McKenzie © The tooth has unfortunately died – What are my choices?

1. Root Canal –using Ozone 2. Extract the tooth 3. Extract – Replace Cover it with a crown and build upUsing Ozone and either: with a dental implant 1. do nothing 2. Replace with a bridge 3. Replace with a partial or denture

Dr. Michaela McKenzie ©

Ozone Therapy Multiple uses in dentistry

1. Under fillings, crowns and restorations 2. In the water bottle in dental chair to sterilize the mouth while working 3. Sterilize Root Canals 4. Treat Cavitations 5. Periodontal therapy Why is Ozone Used in Dentistry? Because it kills:

1. Bacteria 2. Fungi 3. Viruses

Fungi

Ozone Therapy in Dentistry

Dr.Michaela McKenzie © Ozonated - Distilled Water in the dental chairs – reduces infection Dr. Michaela McKenzie © There are approximately 3 miles of dentinal tubules in molars.

It is impossible to sterilize 3 miles with just Bleach and H2O

Imagine 3 miles

Cleaning Root Canals: Traditional Bleach vs Ozone Traditional Root Canals * Biologically Treated Root Canals use Oxygen • Bleach and H20 Medical Grade Ozone – Kills anaerobic bacteria One molecule of ozone is equal to 3,000- 10,000 molecules of chlorine. Ozone kills pathogenic organism′s 3,500 times faster then bleach. Cavitations

WHAT IS A CAVITATION?

• A hollow place in the bone

• Contains dead or starved bone

• caused by slow unexplained cell death of cancellous bone and marrow resulting from poor blood flow.

• The hole in the bone is often located around a root-canal treated tooth or after an extraction

Dr. Michaela McKenzie © Causes of CAVITATIONS

Photo credit: Dr. Joe Palmer, FIAOMT

1. Trauma: physical, bacterial, toxic – dental materials

2. Predisposing factors: blood clotting disorders, chemotherapy, radiation, bone dysplasia, atmospheric pressure changes, age, thyroid dysfunction, Lupus, sickle cell anemia, gout and physical inactivity

3. Risk Factors: smoking, pregnancy, alcoholism, long-term cortisone usage

Dr. Michaela McKenzie ©

Ozone has been used in medicine for over 100 years

Ozone helps heal wounds, stimulates circulation, sterilizes the bone and socket site after extractions & treats periodontal disease Treatment modalities of Cavitations:

1. Surgical removal of the dead bone & curettage of the lesion 2. Medical Grade Ozone – Oxygen Injection therapy - sterilizes & kills the anaerobic bacteria 3. PRF – Platelet--rich fibrin graft to fill in the osseous void 4. Homeopathic supportive therapies 5. Hyperbaric oxygen 6. Anti--coagulation modalities 7. Sanum Remedies 8. Nutrition and Nutriceuticals 9. Energy Treatments 10. Electrical Stimulation 11. Radiation – laser and infrared 12. Detoxification

Dr. Michaela McKenzie ©

JAWBONE OSTEONECROSIS (JON)

-Does not cause pain

- Asymptomatic for years - usualy about 6 years

- May trigger pain in other parts of the face, head or even distant parts of the body

- invisible on standard radiographic dental films

- frequently in middle aged women in the molar region

- 75 % are either completely hollow cavities, or boned filled with soft, grayish-brown mushy tissue with a yellowish oily material (oil cysts)

- Lesions are histologically similar to the necrosis of other bones of the body.

Neuralgia-Inducing cavitational osteonecrosis (NICO) – Chronic avascular osteonecrosis

Painful, atypical facial neuralgia and is chronic in nature.

Methods for Detecting JON & NICO Cavitations:

1. Cone--Beam Computed Tomography (CBCT) a. Identifies size, extent and 3 dimensional position b. Helps to determine treatment modality c. Follow up images determine re--treatment needs

2. Systemic Implications a. RANTES – high levels of inflammatory chemical messengers b. Fibroblast growth factor (FGF--2)

3. Cavitat Device was an ultrasonic device that has been used in the past to diagnose osseous pathology, but is now considered controversial.

Metal Vs All Ceramic

Titanium VS. All Ceramic International Organization for Standardization held it’s 50th meeting in Berlin, Germany. Independent experts from all over the world gathered to discuss new standards for dental implants.

Dr Jean Paul Davidas – the oldest practising dental implantologist in Europe with 50 years experience and a member of the French National Organizaton for Standardization stated that after years of placing titanium implants he discovered the following: Duschek, C. (2014). Interview: “Ion Release from metal implants is dangerous for human health”. Dental Tribune. http://www.dental-tribune.com/articles/news/europe/ 20140_interview_ion_release_from_metal_implants_is_dangerous_for_human_health.html#.VTUxR2Gv7M c.facebook

Dangers of Titanium Implants: As discussed by Dr. Jean Paul Davidas

• The Metal in the titanium implants corrode, leak and degrade, thereby releasing ions • Ion release can be very dangerous with regard to immuno-toxicology • causing serious systemic diseases in the brain, lungs, and kidneys • Can also cause cancer.

Duschek, C. (2014). Interview: “Ion Release from metal implants is dangerous for human health”. Dental Tribune. http://www.dental-tribune.com/articles/news/europe/ 20140_interview_ion_release_from_metal_implants_is_dangerous_for_human_health.html#.VTUxR2Gv7M c.facebook One-Piece Z5m Implant Transition Metal

Produced as igneous rock erodes in to gravel and sand deposits.

Zirconium Silicate

Zirconium Zirconium Dioxide

Cubic Zirconias!!!

HIP TZP zirconia has a tetragonal polycrystalline structure which gives it 1200 mpa flexural strength and low crack propagation.

Exhibits a self repair mechanism that hinders micro-crack propagation. All Ceramic Implants

• Aesthetically attractive • All White tooth colored • Implant root surface - lazer micro etched to increase Osseo Integration • Great tissue response – tissue grows over the implants

Before and after images of my patient showing an extraction of failed root canal tooth on Front Tooth # 8 • Panoramic Image with tooth * CAT Scan image after tooth extraction

Patient wearingng heherer essixesssix retainerreetainer over her imimplant. She is very happy no one can tell!

Dr. Michaela McKenzie © Replacing a missing front tooth is the most important cosmetic procedure that you can do for a patient!

Final Crown over the implant on her front tooth # 8

Dr. Michaela McKenzie © The first posterior all ceramic zirconium implant placed in the mandibular arch on tooth # 19 in the state of GA, USA

Michael – missing tooth - # 19

• See the lower left bottom arch is missing back teeth

• Day of Surgery

Before Implant After Implant

All Ceramic Implant in # 19 Missing Molar Molar position

After Implant and beautiful crown

Missing

Before implant

Cerec Crowns

• All Ceramic custom crowns – made out of ceramic or zirconia that are made while the patient waits. Periodontal Disease Periodontal Disease – Risk Factors

• Genetic susceptibility/heredity • Gender (males are more likely to have gum disease) • Hormonal changes- pregnancy, pre-menstruation, with oral contraceptives, or after menopause • Poor immunity and illnesses such as diabetes, cancer, and AIDS • Medications: ie). Fosamax for osteoporosis, and bisphosphonate drugs for cancer patients • Drug abuse • Alcohol abuse • Smoking • Issues with dental restorations or bite • Poor oral hygiene • Unsatisfactory diet, especially high consumption of sugar and acids • Mouth breathing • Older age • Oral infection • Oral injury • Oral inflammation

Old & New Research on Periodontal Disease

Results of Gum Disease: Linked to the following health conditions:

• Loss of teeth • Infective Endocarditis • Bad breath • Bacterial Pneumonia • Cardiovascular issues • Low birth weight coronary heart disease and • Diabetes Mellitus stroke • Pancreatic Cancer (in men) • Low birth weight and • Herpes viruses- human cytomegalovirus premature births to mothers (HCMV), and Epstein Barr virus (EBV) with gum disease • Problems for patients with diabetes ¾ Treating inflammation may not only help manage •Respiratory issues, including periodontal diseases but may also help with the asthma management of other chronic inflammatory conditions. •Rheumatoid arthritis ¾ For nearly a century, light microscopy has been applied to locating the parasite Entamoeba gingivalis in diseased gums. This is still used today for a number of pathogen and host-response biomarkers. Periodontal Disease: Can be treated with Ozone

Local ozone application can serve as potent atraumatic, antimicrobial agent to treat periodontal disease - non surgically both for home care and professional practice. It may also serve as good tool during supportive periodontal therapy.

Upper Arch – Lower Arch – Maxillary Ozone Tray Mandibular Ozone Tray – notice black dot!!!!

What can I start doing Monday to help my patients?

1. Have the patient fill out the following dental questionnaires.

2. Quickly look in the patient’s mouth for silver metal mercury fillings, missing teeth, or periodontal disease. Note: Most patient’s don’t realize that their fillings have mercury in them.

3. Send the patient to a biological dentist – preferably a member of the IAOMT

4. Ask the dentist to fill out and email you back a copy of the following form, and a copy of the patient’s full mouth or panoramic x-ray 5. Find out about the patient’s family history of dental treatment. Did their parents and grandparents have all their teeth? Did they have dentures? Did their parents have a lot of decay, weakened enamel, periodontal disease, or metal crowns, or mercury amalgam fillings when they were born?

6. Ask about the onset of their health symptoms as they relate to their dental treatments.

7. Put the puzzle pieces together and see how their oral issues correlate to the patients systemic health issues. Look at the tooth meridian chart Dr. Michaela McKenzie © Patient Questionnaire:

1. Have you ever had chronic bleeding gums, or periodontal disease? Did you ever receive a deep cleaning, or scaling and root plaining cleaning by your hygienist or dentist? Have you been considered a perio patient?

2. Have you had any teeth removed (extractions)? When? Where were they located in the mouth? Any problems since?

3. Have you had silver mercury amalgam fillings placed? When? How many were placed at one time? Did you have any adverse health conditions after the fillings?

4. Did you have any mercury amalgam fillings removed? How many were they removed? Were they removed by a biologically trained dentist? Any adverse health problems after removal?

4. Have you ever had an abscess or root canals? Where? How long were they bothering you before being treated? Have you had any problems with that tooth since being treated? Sinus infections?

5. Have you had any metal implants? Where? When? Metal allergies?

6. Did you ever have metal braces? When did you get them and how long did you wear them? Did you have silver amalgam fillings, porcelain fused to metal crowns, or metal crowns while you had braces?

Resources RESOURCES, page 3

There are many more resources available from the IAOMT. These can be found at the IAOMT web site at www.iaomt.org

Be sure to check out the IAOMT’s new FREE online learning courses, which include videos and other materials about these topics and more: https://iaomt.org/free-online- learning/

Additionally, the references for each of the slides presented today are included below and when available, are hyperlinked to the source articles or abstracts.

RESOURCES, page 1 Patient Questionnaires: Mercury Filling Resources: 1. General Dental Amalgam Page: 1. A new questionnaire is https://iaomt.org/tag/amalgam- being developed and debate/ offered to attendees at this 2. General Mercury Page: meeting https://iaomt.org/tag/mercury/ 2. Online Patient Survey from 3. IAOMT Fact Sheet on Dental Mercury the IAOMT: Risks to Environment and Human https://iaomt.org/symptom Health: https://iaomt.org/amalgam- -surveys/ mercury-fact-sheet-2011/ 4. IAOMT Position Statement on Dental 3. Mercury Symptoms and Amalgam Fillings: Questionnaire from the https://iaomt.org/iaomt-position- IAOMT: paper-dental-mercury-amalgam/ https://iaomt.org/wp- 5. Safe Amalgam Removal: content/uploads/Typical- https://iaomt.org/for-patients/safe- symptom-assays-reported- amalgam-removal/ for-mercury-toxicity1.pdf RESOURCES, page 2

Periodontal Disease: Jawbone Osteonecrosis: 1. IAOMT Periodontics Page: 1. IAOMT Jawbone Osteonecrosis Page: https://iaomt.org/tag/periodontics/ https://iaomt.org/tag/jawbone- 2. Article on Periodontal Disease and cavitations/ Relation to Whole Body Health: 2. Bernie Windham Cavitation Paper: https://iaomt.org/wp- https://iaomt.org/wp- content/uploads/THE-BIOLOGIC- content/uploads/Windham- CONCEPT-PERIO.pdf Cavitations.pdf

Implants: Root Canals: For more information, see the Zirkolith 1. IAOMT Endodontics Page: Web site: http://zsystemsusa.com/ https://iaomt.org/tag/endodontics/ 2. Nunnally Article on Root Canals: https://iaomt.org/wp- Tooth Meridian Chart: content/uploads/Nunnally-RC- Interactive Chart from the IAOMT: Enzyme-Inhibition.pdf https://iaomt.org/media- resources/tooth-meridian-chart/

In Summary – We Need You!!! Biological Dentistry looks at the entire International body starting from the Academy of Oral mouth. As members Medicine and Toxicology of the IAOMT, we Conference want to partner with (IAOMT); Vancouver, ICIM practitioners Canada; 2014 who understand and can help treat the rest • John Kall: DMD, FAGD, MIAOMT, Chair of IAOMT, Board of Directors from Lousville, KY of the body. • Phillip Sukel: DDS, MIAOMT, from Huntley, IL • Amanda Just: MS, IAOMT program Director, from Fort Myers, FL • Kindal Robertson: DDS, MIAOMT, Chair of IAOMT Scientific Review Committee, from Calgary, Canada Thank you for your time and attention. --Dr. Michaela McKenzie