Safer and Healthier Alternatives to Root Canals and Other Common, Yet Harmful, Tooth Restoration Techniques
May 03, 2014
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By Carol Vander Stoep, RDH, BSDH, OMT
Viper venom is an efficient killer. Its swirls of toxic proteins
multitask. Some paralyze the nervous system of the victim by blocking
nerve-to-muscle messages. Others can misdirect messenger hormones,
dissolve tissues, or make blood so sticky the resulting clots stop the
heart, or thin it to the point that the victim quickly bleeds out.
Just as surely, dead or dying human teeth can harbor similarly lethal
agents working on at least as many levels throughout your body. The
sophisticated multi-level attack of oral microbes, their metabolic waste
products, and their interaction with dental materials can similarly
give rise to an immune system crash, which can manifest in a multitude
of disguises. Is a root canal procedure a gamble you really want to
take?
Economics versus Health: There Is Always a Price
The complexity of interactions and time delay before oral toxins
express noticeable symptoms, compared to fast-acting snake venom, work
well for the institution of dentistry and dental insurance companies,
but it does not bode well for you.
Institutions are by nature invested in the status quo. The insurance
industry's business model is no different from most other business
models – it values their bottom line over your health. We are left on
our own to tease out root causes of disease.
It is only after the scare of cancer, the exhaustion of chronic
fatigue, a nervous system derailment causing Parkinson's tremors,
Multiple Sclerosis (MS), or Bell's Palsy, or even autoimmune issues such
as lupus or ALS (Lou Gehrig's disease), that some people make the
difficult decision to consider a "dental revision" to help their body
recover.
A dental revision is no less than removing all possible toxic
stressors of oral origin – dead teeth, dead jawbone, heavy metals like
mercury, nickel, and chromium, gum disease therapy, and often, removing
meridian blockers like implants.
A dental revision may seem like a drastic and expensive step, but
what is the cost of poor health to which these contribute? You can
escape to clean mountain air or the ocean's cleansing waves, but you can
never escape your internal environment.
The two lab reports in this file1
are but two examples of DNA sequenced microbial profiles found in the
jawbone socket of an extracted root canal treated tooth, and in
cavitations. The root canal treated tooth showed no clinical or physical
signs of failing. These interesting lab reports also connect the
pathogens with their waste products' target tissues.
What Is a Root Canal?
A root canal is an embalming procedure dentists perform on a tooth.
Root canals are designed to keep a dead tooth mechanically functioning
in a live body.
Teeth die as a result of trauma (including sometimes, the trauma of a
high speed drill creating too much heat or sucking the organic material
from the microscopic tubules that assist in keeping it alive), or from
microbial invasion from deep decay or gum disease into the pulp that
nourishes each tooth. The following video offers key considerations
about root canals.
It is no longer a huge secret that root canals crank out microbial
metabolic toxins. Even some root canal specialists (endodontists) are
starting to "own" it. For instance, they acknowledge that "condensing
osteitis" around a root-canal treated tooth is common.
As the video above mentions, condensing osteitis is a thickening of
the bone around a dead tooth as your body tries to wall off the
infective toxins seeping from it. On the other hand, the American
Association of Endodontists (AAE) position statement2 on the matter (2012) states that:
"…the practice of recommending the extraction of endodontically treated
teeth for the prevention of NICO [painful jawbone death due to poor
blood supply], or any other disease, is unethical and should be reported
immediately to the appropriate state board of dentistry."
And yet, according to a 2006 study published in the Journal of Evidence Based Dental Practice:3
"[A] recent evidence-based review of the outcomes of both treatment
modalities noted that if evidence-based principles are applied to the
data available for both treatment modalities, few implant or endodontic
outcome studies can be classified as being high in the evidence
hierarchy."
Is a Root Canal Right for Your Situation?
Image shows a root canal treated tooth anchoring one side of a bridge, an implant anchoring the other side |
No
doubt about it, losing a tooth can be emotionally charged. I think it
is one reason dentists work so hard to perfect tooth embalming
procedures. The decision tree for considering tooth replacement is
complex, and the solutions all involve compromise. There are a lot of
hop off places for people to enter into De Nile.
Examine your own health status, priorities and philosophies and go with your best solution. "I have three root canals? What do I do now? Are all root canals toxic? "
Probably. Eventually. Yet people have varying abilities to sustain the
stress of toxins – and of course that ability varies over time.
Some biological doctors may recommend a root canal if a patient has a
strong immune system, great genetics, and superior lifestyle. They
suggest if one's immune system crashes it can always be extracted later.
But we are besieged by so many unavoidable immune system challenges in
today's world; I'm personally moving further and further away from the
idea of assaulting my immune system with avoidable challenges.
Proper Diagnosis Is Key for Failing Root Canals and Cavitations
Since health effects of root canals and cavitations are similar, and
one can arise from the other, I'll digress to talk about cavitations for
a moment. The existence of cavitations, also known as ischemic
osteonecrosis (death of bone due to lack of adequate blood supply) when
there is no pain present, and NICO when there is pain, seems to equate
to a religious belief. Do cavitations exist or don't they?
The preferred answer might depend on if you have skin in the game.
Root canal specialists, state dental boards, and insurance companies
cast aspersions on their existence, and (as noted above) even threaten
to take away a dentist's credentials should they acknowledge cavitations
and recommend surgically treating the dead bone or extracting a root
canal treated tooth to prevent them. Like the huge disservice of the
domestic cooking oil manufacturers' vilification of tropical fats
decades ago, the stance of these special interests may equally hurt
public health.
Part of the problem is that diagnosis is difficult. Typical dental
x-rays can no more accurately diagnose cavitations than they can
accurately diagnose subtle root canal pathology. They show only the most
obvious cavitations. CT scans are excellent if all metals are absent
from the mouth, but they are expensive and come with the added price tag
of high radiation exposure.
There is no definitive way to judge how infected a root canal treated
tooth or cavitation is, but a traditional camera-imaged thermogram,
which many also use to detect early stage breast cancer, can offer some
guidance. Thermographic images display infrared heat emissions, with
each color gradation indicating different heat emissions. High-heat
emissions are suggestive of inflammation, which may indicate root canal
toxicity or a cavitation—even if you're asymptomatic. You can read more
about the use of thermography on PositiveHealth.com's website.4
Regulation Thermometry
A new type of system, the AlfaSight™ 9000, offers a more
comprehensive and precise thermograph than the more widely known
digital-imaging camera thermography mentioned above. This more objective
thermometry system delivers a functional physiologic assessment of your
body's bio-regulation system and offers insights into underlying
dysfunction that both precedes and provokes developing disease
processes.
Infrared measurements of skin temperature at over 100 points on your
body including your head, torso, and back, taken both before and after
exposure to a cool ambient room temperature assess how your body
regulates temperature stress via the autonomic nervous system. Connected
organs, glands, and other tissues influence the capillary blood vessel
bed beneath each skin point location. Changes indicate either clear or
blocked channels.
Scientific evidence shows that internal physiological abnormalities
and dysfunction affect skin surface temperatures and that, therefore,
skin temperatures and behavioral responses can reveal information about
associated organ function. Medical clinics worldwide have studied,
correlated, and validated over 40 temperature patterns that define
regulation incapacities, called signature recognitions. Alfa
Thermodiagnostics' AlfaSight™ 9000 captures these signature patterns and
provides a vivid integrative, computerized summary report5 that illustrates a system-wide overview and detailed dental, breast, and prostate evaluations.
Other Diagnostic Tools
- Cavitat. Just as seismologists use acoustic energy
to look for oil and obstetricians image fetuses with ultrasound, some
dentists use a Cavitat to explore 3D images of cavitations in jawbone.
As with first generation Thermography, it requires a skilled clinician
and there is room for error. In the process of gaining FDA approval,
tests using the Cavitat showed that 94 percent of old extraction sites
were positive for bone lesions. Perhaps not surprisingly, Aetna
Insurance discredited cavitations and the Cavitat. As Dr. Wes Shankland states in an open letter:
"Aetna Insurance Company contacted other insurance companies and
reported that jaw bone cavitations did not exist. Aetna Insurance
Company also informed others that the Cavitat was inaccurate and those
who used this device were 'quacks.'"
Such negative and inaccurate publicity literally ruined Cavitat
sales. With no other recourse, Cavitat Medical Technologies made a
decision to file a federal lawsuit, in Denver, against Aetna Insurance
Company. Aetna lost and was ordered to pay a serious judgment, but the
damage was done.
- EAV (Electro Acupuncture according to Voll). An EKG
measures electrical flow through your heart. Expressed as a graph, it
pinpoints heart damage, since current does not flow through dead
tissues. EAV works the same way. The EAV test uses an ohmmeter to
measure energy flow along meridians at acupuncture points. If you
understand meridians and you've signed on to "Healing is Voltage," "The
Body Electric" and understand the science behind "Earthing", you know
low-functioning organs are low in negative ions.
This state hinders electron flow along your body's energy meridians. Dr.
WA Tiller, Professor Emeritus of Materials Science at Stanford
University, set out to discredit the EAV, but became an advocate as his
research verified organ degeneration correlated with low conductance. In
fact, it was Dr. Tiller who mapped the Meridian Tooth Chart,6
which correlates each tooth with its associated organs, glands, and
anatomical structures on the same meridian. Infected or diseased teeth,
as well as dental implants, block electrical conductivity on meridians
and so can alter the health of other organs located on the same meridian
and vice versa.
The Dark Side of Implants
Perhaps you have decided you must extract your root canal treated
teeth to maintain or regain health—against the clear position stated by
the American Association of Endodontists above. You chose a biological
dentist who can help you avoid cavitations, and boosted your immune
system. How should you replace the space? Interestingly, the more
complex and biologically incompatible the option, the more costly it is.
Costs vary widely, as do longevity estimates.
Implants are essentially an artificial root screwed into your
jawbone, topped with an artificial tooth or used as an anchor for a
bridge or partial denture. Implants are displacing root canals because
they look, feel, and function very much like a natural tooth, and do not
interfere with normal oral activities.
They help maintain bone
that normally dissolves over time after a tooth is extracted. They can
last a long time, and do not require grinding down adjacent teeth, as a
fixed bridge would require. But you have to remember success is not
measured only by tooth function, but function within your body as a
whole.
Here are a few important aspects of dental implants you must
seriously consider before making the decision to go forward with this
major investment. Dead tissues do not conduct energy, implants
therefore, whether titanium or zirconium, slow energy flow along
meridians. Your body must constantly compensate for this. As with root
canals, your associated organs, glands, or anatomical structures may
functionally decline.
Most people with a dental implant have other metallic dental repairs
present, which only exacerbates energetic chaos. In fact, the implant
screw and replacement tooth are usually different metals. These two
dissimilar metals within an electrolyte (saliva) effectively turn your
mouth into a battery. Additionally, if you still have gold, mercury,
copper, tin, silver filings, or nickel-based crowns in your mouth, these
will also contribute to the galvanic currents being generated.
What You Need to Know About Titanium Implants
Most implants used today are made of titanium. So when your mouth is
functioning as a battery due to the dissimilar metals present, there are
resulting chaotic galvanic currents that continuously drive ions from
the titanium or its alloys, which include small amounts of vanadium or
aluminum. These metallic ions are then transported around your body,
around the clock, where they bind to proteins and can wreak havoc with
your health. Some people are more susceptible to the resulting
inflammatory, allergy, and autoimmune problems than others. There is a
blood test7 to help determine this sensitivity.
Though you're exposed to fluoride through many avenues, tap drinking
water and dental products remain your most significant sources. If you
drink tap water or use fluoridated toothpaste, it is important to know
that fluoride accelerates titanium corrosion in the extreme (up to 500
microg/(cm2 x d)). Low pH values (acidity in the mouth or a dry mouth)
accelerate this effect profoundly.8 Of course, corrosion of the other metals also accelerates ion release.
Previous research9 has documented that:
"The amounts of tin released by the enhanced corrosion of amalgam
[in the presence of titanium] might contribute measurably to the daily
intake of this element; the corrosion current generated reached values
known to cause taste sensations. If the buffer systems of adjacent
tissues… are not able to cope with the high pH generated around the
titanium, local tissue damage may ensue; this relationship is liable to
be overlooked, as it leaves no evidence in the form of corrosion
products."
While most people do not notice galvanic currents, others experience
unexplained nerve shocks, ulcerations, a salty or metallic taste or a
burning sensation in their mouth. Noticeable or not, oral galvanic
currents are commonly as high as 100 micro-amps, yet your brain operates
on 7 to 9 nano-amps—a current more than 1,000 times weaker. Given your
brain's proximity to your mouth, biological dentists are concerned the
constant high and chaotic electrical activity may misdirect brain
impulses. These currents can contribute to insomnia, brain fog,
ear-ringing, epilepsy, and dizziness.
The possibility that titanium implants may act as antennas that
direct microwaves from your cell phone and cellular transmission towers
into your body also deserves study. As Dr. Douglas Swartzendruber, a
professor at the University of Colorado has said: "Anything implanted in bone will create an autoimmune response. The only difference is the length of time it takes."
Titanium
implants are certainly known to suppress important immune cells such as
your T-cells, white blood cells critical to immune system function, and
create oxidative stress as measured by rH2 values (a measurement of
oxidation-reduction potential under a specific pH). Diseases associated
with implants are not all that different from those associated with root
canals, and include a number of different autoimmune and neurological
disorders, such as:
| Cancer | Multiple sclerosis (MS) | Alzheimer's disease |
| Parkinson's disease | Chronic fatigue | Fibromyalgia |
Other complications of implanted titanium include occasional facial
eczema as your skin tries to detoxify the titanium ions. Dental implants
also have no fibrous "seal" to prevent microbial invasion. If you make
the decision to get a dental implant, it's wise to use floss impregnated
with ozonated oil around the neck of each implant daily.
Alternatives to Titanium Implants
Zirconium implants are a newer innovation in dentistry and many
biological dentists now use them. These implants bypass some of the
problems of titanium mentioned above. They still block energy flow, but
at least they are electrically neutral, eliminating the potential to
interfere with your brain impulses. The implant itself also does not
contribute to electrical galvanic currents being generated in your
mouth. But you still need to be careful as the artificial tooth that is
ultimately screwed onto the zirconium implant may have a metal base.
Zirconium implants also release ions, but at a much slower rate than
titanium implants.
These implants seem to last quite a long time. One systematic review
showed that over the 10-30 year period studied, there was only a 1.3
percent to five percent loss of implanted teeth in clinically
well-maintained mouths. For those with less optimal maintenance, it was
more like a 14-20 percent loss of implanted teeth over that time. Don't
even think about smoking though! Endodontic literature has a very
different slant on the benefits of implants, of course.
Traditional Bridges Can Be Costly and Relatively Impermanent
First
off, bridges don't last all that long. The average bridge lasts eight
years, with a range of five to 15 years. For this reason, "permanent
bridges" are no longer considered "permanent." A traditional bridge is
comprised of several units – the artificial teeth and the abutments.
Abutments are the crowns (caps) made to cover the anchor teeth. The
bridge is permanently bonded in place to span a gap that replaces at
least one missing tooth. Broken down or completely intact, the abutment
teeth to each side of the gap are aggressively cut away to accept the
covering crown.
Or should I say smothering crown? In my video above, I used an
analogy of a healthy tooth being like a fountain. A crown stifles the
natural nutritive, cleansing, hydrating flow of lymph. It can no longer
"breathe." Why do this to two good teeth that need no dental work for
the sake of one (or two) missing teeth? Some biological doctors think
these should be removed periodically so the underlying teeth can be
cleaned up.
If one of the supporting crowned teeth breaks or develops decay or
nerve damage, the bridge and its three or more crowns must be removed
and replaced. As a hygienist, I can tell you that most people are
terrible about cleaning around the abutment teeth and under the
artificial tooth. Margins are very susceptible to decay. Again, I advise
my clients to use ozonated oil around all crown margins as an extra
degree of caution. Good personal care is one key to longevity. And once
again, avoid smoking!
I am no fan of crowns as I explained in a previous interview
with Dr. Mercola. The more a tooth is destroyed during restoration, the
less able it is to withstand chewing forces. Also, forces which once
could transfer through the organic, flexible bulk of the tooth to the
root now must travel along the outside of a stiff crown to concentrate
at the gum margin – hardly a recipe for longevity of either the
underlying tooth or the crown itself.
Biomimetic Considerations to Take into Account
Biomimetic means mimicking nature. In choosing dental materials, a
dentist must weigh the ability of the body's immune system to ignore
dental materials after recognition, called biocompatibility, with the
beauty and function patients demand. They must find materials that match
the flexibility of teeth so they can absorb daily chewing and clenching
stresses. Materials should expand and contract at the same rate as
teeth do when exposed to oral temperature fluctuations and they must
resist wear and fracture.
Porcelain crowns are about four times harder than natural teeth and
accelerate wear on opposing teeth. They fracture far more easily than
zirconia based ceramic crowns, which are biocompatible, beautiful, and
strong. These benefits come at the cost of stiffness. Zirconia based
ceramic crowns are poor shock absorbers, which can be hard on your jaw
joint and the bones that anchor your teeth. A new material, poly-ceramic
DiamondCrown, comes closer to meeting all these requirements, and is
biocompatible for about 80 percent of people tested. More biocompatible
and biomimetic dental materials will emerge as these principals are more
widely recognized.
Other Points to Consider
Your cranial (head) bones rhythmically move. Their gentle movements
are thought to help drain your sinuses, aid nasal breathing, and
influence your nervous system via movement of cerebrospinal fluid, the
fluid that bathes your brain and nerves in your spinal cord.
This rhythmic pumping of cranial bones is particularly important at
night because it helps the glymphatic system flush waste products from
your brain that have built up during the day. Think of the glymphatic
system as your brain's garbage truck; glial cells create high pressure
channels for cerebrospinal fluid that dilate and flow during sleep as
blood pumps through arteries and as cranial bones "breathe." They close
during wakefulness. When movement is restricted, migraines or a
build-up of the amyloid plaques associated with Alzheimers can occur.
The glymphatic system may be one of the most important reasons you
sleep.
TMJ (jaw joint) specialists, osteopaths and craniosacral therapists
recognize the need to maintain cranial bone motion. These clinicians
suggest that no fixed dentistry, whether "permanent" bridgework or metal
partial, should cross the midline of the upper or lower jaw.
If you choose to have a permanent bridge, avoid porcelain fused to
metal, since these metals contain nickel. Some dentists will assure you
that they would never use a nickel-based metal; they use stainless
steel! But stainless steel contains at least 10 percent chromium,
vanadium, and nickel and/or manganese. I recommend going metal-free!
Fixed bridges were once considered premium care, since they, like
implants, look, feel and function much like permanent teeth. In my
experience, both require about the same amount of extra personal and
clinical care. Incidentally, dentists will occasionally recommend a
cantilever bridge, anchoring a false tooth to just one neighbor instead
of two. These are less costly, but can certainly torque the anchor
tooth, which it cannot always withstand.
Resin Bonded Bridge—A Less Costly Alternative, But Just as Impermanent
Resin bonded bridges (Maryland bridges) are a minimally invasive
option for replacing missing teeth in certain situations. They are
generally only considered for anterior tooth replacement. Design,
materials, skill, and patient selection largely dictate longevity and
satisfaction. Fortunately, design and materials have significantly
evolved. Unlike traditional bridges, resin bonded bridges require much
less reduction of supporting teeth. Instead, the dentist slightly
reduces the backs of the neighboring teeth onto which "wings" attached
to the artificial tooth are bonded.
Materials can be all resin, porcelain, porcelain bonded to metal, or
zirconium. Most doctors still fabricate these bridges with a wing to
either side of the artificial tooth, though the literature seems to
suggest it is better to just have one – to cantilever the missing tooth
off one supporting tooth. Interestingly, this is because it is
recognized that cranial bones and teeth move and that the anchoring
teeth do not move equally. This puts stress on the bonds, which can lead
to failure. Also, since it is unlikely that both bonds would break at
the same time, the debonding often goes unnoticed, allowing decay to set
in under the debonded wing.
Resin bonded bridges are a good option for adolescents with missing
teeth, when the bridge is well designed. Most replacement options cannot
be considered until you have finished maturing physically. These
bridges help maintain space and are fairly easy to care for.
If you have teeth that have loosened due to gum disease, some would
add another advantage of resin bonded bridges – they help splint
loosened teeth together. This is true, but unless your gums are
disease-free and cleaned on a daily basis at home, it might be time to
remove them because in this case, it might be extremely difficult to
self-cleanse daily at home. We are not just looking at longevity of the
teeth, but longevity of the host.
The downside of resin bonded bridges is that they're somewhat
fragile. If made with metals, the usual caveats apply: mixed metals lead
to galvanic currents and a panoply of problems already addressed.
Again, 100 percent zirconium would avoid this. Remember, biological
dentists try to be metal free and avoid metal-based crowns and bridges.
It isn't just the galvanic currents these set up, but the release of
nickel/chromium/manganese/vanadium ions. A better restoration option
might be the Carlson Bridge – a resin bonded bridge that requires no
drilling into adjacent teeth. Placed in one appointment, these
economical, prefabricated, "winged" replacement teeth can last many
years. An advantage is that the bond to adjacent teeth is less rigid, so
cranial bones can shift as they should.
Partials—Your Least Expensive Option
Going back in time, removable partials were all dentistry offered to
replace missing teeth. Our current culture values looking young, so
partials – associated with our grandparents – are a difficult aesthetic
choice. They may however be the choice that offers the best chance for
aging well. Partials are designed based on how many teeth need
replacing. Metal frameworks were once the norm, but the future lies in
non-metal dental repairs. New materials:
- Are less obvious
- Avoid the adverse properties of metal restorations already discussed
- Are able to distribute chewing forces over a greater area compared
to metal framework partials, and are therefore more comfortable
- Relines are less frequent
- According to the Clifford Biocompatibility Test, Flexite and
Valplast (light, flexible, yet strong nylon resins) are biocompatible
for 99 percent of the population. Lucitone FRS is a very similar
biocompatible nylon resin. None of these use a heavy metal (cadmium) as a
pink colorant as some other dental materials do. Many patients choose a
clear framework to avoid any possible reaction to the colorant. Nylon
materials can draw in water and with it, odors and stain, though good
hygiene can mitigate this problem.
- VisiClear is another nylon-free biocompatible partial material
 |
| The
intentional exposed palate design in this partial means the wearer can
continue good oral posture, which means properly keep the tongue in
contact with the palate |
For best aesthetics, biocompatibility, and biomimetic function,
choose DiamondCrown or zirconia teeth in your partial rather than the
default acrylic teeth most often used. If you must add another tooth to
any of the above partials, that is possible, too. The lab simply reuses
the artificial teeth, the most valuable component, and remakes the
framework with the new tooth!
Biocomp Labs10 and the Clifford Consulting and Research Lab11
offer individualized dental materials testing, recommended especially
for those with multiple chemical sensitivities or anyone who needs
dental work and feels their health could be challenged by the wide range
of dental materials available.
Most patients tell me they
consider these newer partials to be comfortable and aesthetically
unnoticeable, though they are annoyed that foods tend to trap under
them. People with spider partials tell me they often take them out to
eat, but wear them the rest of the time to maintain the space until
dentistry offers them more biocompatible "fixed" choices.
At least one reader will likely comment that if only people adopted a
certain lifestyle, these kinds of advanced dentistry would be
unnecessary. I couldn't agree more.
The reality is that most
people's mouths are in deplorable shape. I try not to spend much time
thinking about the rescue dentistry presented here. Most of my advocacy
work centers around changing how we approach dentistry so your children
or their children can avoid these compromising options.
Ultimately,
the answers to better oral and general health start in infancy and
include a radically different model of dentistry and definition of
health. The answers are out there now (see Mouth Matters book and website12)
along with a few clinicians who are well versed in these strategies.
Seek them out, and if you can't find someone who does the kind of
dentistry you want in your area, be ready to ask them to learn it.
Resources to Help You Find a Biological Dentist
If you are seriously considering any of the dental procedures done
above, it is best to have them performed by a biological dentist. The
following organizations can help you to find a mercury-free, biological
dentist that would best serve your needs:
About the Author
Carol Vander Stoep, RDH, BSDH, OMT, is an advocate for change in
dentistry. She believes mid-level providers – dental hygienists with
expanded training – must be empowered to go beyond their serious
limitations in the United States. Training a core of motivated
hygienists at a clinic in Belize, her intent is to help bring an
advanced model of Minimally Invasive Preventive Dentistry and
posture-guided early facial development to India and China based on the
model of "Barefoot Doctors." A clinical hygienist, orofacial
myofunctional therapist, lecturer, and writer, she brought many of these
concepts together in her book "Mouth Matters: How Your Mouth Ages Your
Body and What YOU Can do About It."
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