Oral Health

Oral Health

Oral Health

Periodontal Program – UPDATE!

Congratulations to everyone who has joined our periodontal health program. So far we have tested 158 patients and staff members! Of those tested, over 60% had harmful bacteria growing in their mouths, and started our anti-microbial protocol. Good news for them, because reducing these harmful bacteria significantly decreases heart attacks, strokes and other inflammatory diseases, as well as prevents the immune problems found with deeper gum infections. Minimizing the harmful bacteria in the mouth is the key factor in preventing all gum disease and promoting good health in general.

Find out if you have a gum infection. Ask your dentist if you are not sure.

Signs of Gum Disease

Early stages: redness, puffiness, easy bleeding, bad breath

Later stages: receding gums, deep pockets around the teeth, and even tooth loss

Our Healthy Gums Protocol

  • Take our Micro-Ident test to identify any offending bacteria
  • Take the appropriate antibiotics if needed
  • Use our herbal antimicrobial rinse (see herb of the month)
  • Use our magic gum solution for added anti-microbial activity (see below)
  • Use our perio tooth paste
  • Take our probiotics during and after the antibiotics
  • Repeat the test 8 weeks later
  • Consider seeing one of our naturopathic doctors to monitor your progress

Intraosseous Neural Therapy (I.O.N.T)

by: Ara Elmajian D.D.S.

In the early 1990’s, while reading through a dental products journal, I discovered a new system of delivering dental anesthesia called the Stabident system. This system provides anesthesia to the immediate area of an individual tooth by delivering the anesthetic intraosseously.

The procedure is simple. After the gingiva in the area of the tooth site is anesthetised, a small puncture penetrating through the cortical plate and extending into the cancellous bone proximal to the tooth is made utilizing a special 27 gauge dental drill. The local anaesthetic is then delivered via a needle through the puncture site directly to the bone. The advantage of this system is that the tooth and its surrounding tissue become fully anesthetised while the lips and tongue are not affected.

In my mind this new discovery opened up a vast array of possibilities in the field of dental medicine. I took this delivery system one step further and developed the procedure I coined, “Intraosseous Neural Therapy” (I.O.N.T.). I began experimenting in my practice by combining 1% procaine with various homotoxicological and sanum remedies. This procedure has been used successfully since the early 90’s to diagnose, detoxify and treat the areas affected thereby rejuvenating the autonomic nervous system (A.N.S.) both directly and indirectly. The results have been rewarding.

This article primarily deals with Autonomic Nervous System (A.N.S.) dysfunction due to electrical disturbances, infection and toxicity in the maxilla and the mandible. These structures are extremely vascular and highly innervated by the A.N.S.

The A.N.S. plays a major role in orchestrating the diverse functions of these structures. It also coordinates and regulates the rhythm and activity of the visceral organs. The A.N.S. is controlled by the hypothalamus, which is in turn controlled by the limbic system. The hypothalamus itself is involved in the endocrine – immune system. Since most communication between neurons in the A.N.S. circuits occur via synaptic transmission, the function of the transmission depends on the distribution, elimination, identification and production of specific neurochemicals.

Most patients with chronic illness or pain require the multidisciplinary approach to treatment. In chronic pain patients the A.N.S. is overloaded. In extreme cases random chaos involving the A.N.S could trigger a series of far-reaching ill effects.

One of the major disciplines dealing with chronic illness and pain is Dental Medicine.

The dental component in chronic pain management can play an important role in removing much of the burden placed on the A.N.S.

The A.N.S. is affected in the following major areas:

Post Operative Instructions for Extractions

  1. Bite on gauze for at least 30 minutes.
  2. Try to avoid touching area with fingers or tongue.
  3. Do not rinse your mouth for 24 hours, although it is permissible to drink cool or lukewarm liquids.
  4. Avoid anything that causes suction in your mouth. No drinking out of a straw, no spiting and if you have to cough or sneeze be as gentle as possible for the first 48 hours. Smoking should be avoided for the first 24 hours.
  5. Starting tomorrow morning for the next few days, rinse with a salt water solution of ½ teaspoon of salt in a cup of warm water.
  6. No strenuous physical activity for 48 hours
  7. Diet – for the first 4-6 hours, cold or lukewarm liquids may be taken. After this, any soft food is permissible.
  8. Bleeding – it is normal for saliva to be streaked with blood for the first 24 hours. If frank bleeding is present, fold gauze twice into a firm wad and place it directly on the bleeding area. Maintain firm pressure by biting for 20 minutes. The gauze may be substituted by a warm, wet tea bag. The tannic acid in tea has a clotting effect.
  9. Swelling and Discolouration – to be expected in certain areas, usually reaching its maximum two days after surgery. It will disappear gradually and is not a concern. Ice pads may be applied for the first 6-8 hours only, alternating for 20 minutes on, 20 minutes off.
  10. Sutures (Stitches) – if required, they are removed without discomfort in about 5-7 days. An appointment will be schedule for suture removal.
  11. Do not hesitate to call the office with any questions or concerns or if discomfort persists.

Post Operative Instructions for Extractions with Bone Grafting, Bone Grafting/and or Sinus augmentation, Implant placement and Periodontal Surgery.

  1. Day of Surgery: Physical exercise increases blood flow to the surgical site and promotes post-operative bleeding; therefore you should avoid all strenuous physical activity for 48 hours after the procedure. On the day after surgery you may resume your normal activities with the exception of heavy exercise.
  2. Periodontal Dressing: Periodontal dressing is used after surgery to protect a surgical site. It should remain in place until your next appointment when it will be removed. Small particles of the dressing may chip off, but this is of no consequence unless it causes discomfort. Please do not brush the area where the dressing has been placed. The dressing/protective pack on the roof of your mouth/palate is purely for comfort and it is not necessary for it to stay for more than 48 hours. If this pack falls out and it is not painful it is of no long term consequence.
  3. Pain: You may feel some discomfort when the anesthesia disappears, and for a day or two afterwards. Ibuprofen (such as Advil) or other anti-inflammatory or pain medication may provide adequate control of the pain. Aspirin and aspirin compounds interfere with blood clotting and therefore are not recommended. Antibiotics are sometimes prescribed to avoid post-surgical infections. Please take all medications as prescribed and follow exactly the instructions given on the label.
  4. Swelling: In some cases swelling is to be expected. To help alleviate this, ice packs may be applied to the outside of the face over the surgical areas for half an hour on and half an hour off for the first 6-8 hours. Swelling is a normal part of the healing process and may persist for 2-4 days. If you are concerned after this time please contact the office.
  5. Bleeding: Do not be concerned if traces of blood are noticed in the first couple of days after surgery. DO NOT rinse the mouth vigorously for 48 hours as disruption of the clot may occur. If you have any concerns regarding bleeding you should call our office.
  6. Oral Hygiene: Meticulous oral hygiene (brushing and flossing etc.) should be continued in all areas of the mouth except in the area of surgery. Chlorhexidine rinse may be prescribed for you to make you oral hygiene easier after surgery. Please follow the instructions given.
  7. Chlorhexidine: Antimicrobial oral rinse. Rinse full strength with 5-10ml (1cap full) for one minute twice daily (last thing at night essential). For best results do not eat or drink for 10 minutes. Do not swallow.
  8. Nutrition: Observe a soft diet for the week after surgery. Avoid chewing on the surgery site; you can chew on the opposite side. Avoid extremely hard or spicy foods.