Is a Root Canal with Ozone Any Better?

tooth anatomy diagramOne reason why root canal treatment is such a challenge is that it’s not just the root canals themselves that must be cleaned out and disinfected. There are also the miles of microscopic tubules that form dentin, the tooth’s middle layer of tissue – a perfect harbor for bacteria, fungi, and other pathogens.

That’s a big reason why those “biological” dentists who choose to do root canals incorporate ozone into their treatment. The idea is that ozone gas, a powerful disinfectant, can get into the tubules more thoroughly than conventional chemicals, while also reportedly being less toxic to oral cells.

Yet it’s not a panacea. As we’ve noted before,

the tubules will always carry the DNA of any pathogens. Even if you saturated the inside of the tooth with ozone or could somehow autoclave the tooth 24/7 for a couple weeks, those traces would remain.

Now, a new review of the science suggests that ozone may not actually be all that much better for endodontic disinfection.

Published last fall in the International Endodontic Journal, the review looked at 180 studies on ozone in root canal treatment, narrowing down to 8 that met the researchers’ criteria. Most were considered at low risk of bias, but only one was a random clinical trial. The others were lab studies.

Overall, the evidence showed that ozone actually reduced bacteria less than sodium hypochlorite (NaOCl), the most commonly used solution for disinfecting root canal teeth.

Nor did ozone seem to boost the effectiveness of NaOCl when the two were used together.

Although the selected studies have limitations, this review reached a satisfactory methodological quality and moderate evidence to provide important preliminary information regarding ozone therapy. As regards microbial load reduction for patients undergoing root canal treatment, ozone therapy has inferior results when compared with conventional chemomechanical techniques using NaOCl. As an adjunct during chemomechanical preparation, ozone intervention was ineffective in increasing the antimicrobial effect of NaOCl. Therefore, ozone is not indicated either to replace nor to complement the antimicrobial action of NaOCl.

Of course, this is all a non-issue if you avoid root canals altogether, which we generally recommend. While there are rare instances in which root canal treatment accompanied by active terrain management might be considered “the least worst option” for dealing with a severely decayed or damaged tooth, extraction is usually the safer bet, followed by tooth replacement with a partial or bridge. (Yes, one-tooth “pop-in” partials are an option.)

Always and ever, it depends on the individual and their unique health history and current health situation. One size does not fit all.

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Originally from Gary M. Verigin, DDS, inc.

Toothpaste: To Foam or Not to Foam?

guy brushing teeth with lots of foamIf you’ve been using a regular toothpaste all your life, it can feel pretty strange to use something like the tooth powder we told you about last month or a product like “Toothy Tabs.” They just don’t foam.

Just as a minty flavor has come to be associated with freshness, so foam has come to deliver a signal that the mouth is getting clean. To many, when it’s missing, something just seems wrong.

In 1972 Colgate Palmolive (CP) launched the world first non foaming toothpaste but it was a sales nightmare. From 1972 to 1974 CP was able to sale on 1000 packets in US. CP went back to its customers to ask for their preference and most preferred foaming toothpaste. The reason behind was psychological, most people who used non foaming toothpaste felt that their teeth were not enough clean, while some felt the brushing was incomplete and hence reversed to foaming toothpaste.

But is there any reason why a toothpaste should foam? Some folks argue as much, calling it “an important aspect of toothpaste.”

Foam helps distribute the cleansing ingredients throughout your mouth, including between teeth, and helps remove plaque and other debris from the mouth.

Evidence doesn’t really seem to support its importance, though.

For instance, a 2016 study in Clinical Oral Investigations found no difference between foaming and non-foaming toothpaste with respect to plaque (biofilm) removal and the health of the gums. Both were effective.

A similar study the following year in the International Journal of Dental Hygiene reached a similar conclusion, comparing pastes with sodium lauryl sulfate (SLS), the most common foaming agent, to those without.

No significant differences could be observed with respect to the effect on plaque and gingivitis between SLS-containing and SLS-free dentifrice containing enzymes, colostrum and low concentration zinc.

Yet both also found that participants preferred the SLS pastes for their flavor, “freshness,” and, yes, the foaming effect.

Now, in so far as those things help encourage a person to brush the full two minutes twice daily that dentists recommend, they’re great. On the downside, SLS appears to be not so great for the rest of your mouth.

The main reason SLS is put into toothpaste is for the foam it creates. It doesn’t do anything else – well, except make orange juice taste terrible right after you’ve brushed. And damage the soft tissues of the mouth. As one dentist recently reported in a letter to the BDJ,

Recently, a systematic review reported on SLS based dentifrices and their influence on recurrent aphthous stomatitis. The results also mentioned that SLS-free dentifrices showed significant reduction on number, duration, episodes and pain among recurrent aphthous ulceration (Sutton’s disease) patients. In addition, SLS has been linked with other adverse effects likely to compromise oral health such as local irritation of mucosa leading to desquamation. Due to desquamation the integrity of the oral mucosa is compromised, thus initiating aphthous stomatitis. Globally, aphthous stomatitis is reported as being among the most common oral mucosal pathologies.

To put it in plain English, evidence suggests that SLS may damage cells, leading to recurring canker sores – and that patients with mouth ulcers improved after switching to an SLS-free toothpaste.

It can also increase mouth dryness and make the oral environment more acidic.

We recommend that you opt for SLS-free, as well as fluoride-free, products for cleaning your teeth – if you choose to use a product at all. For research also has shown that toothpaste actually makes little difference on plaque (biofilm) removal. Brush with the proper technique, and you’ll be doing a good job either way.

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Originally from Gary M. Verigin, DDS, inc.

Biological Dental Health in 2019 – A Last Look Back

It might be safe to say that 2019 was the year of the root canal – or, rather, the year of surging interest in the potential impact of root canal treatment on overall health and well-being.

x-ray showing root canal toothAnd for that, you can thank the 2018 documentary film Root Cause, which made it onto Netflix and Amazon Prime early in the year, much to the dismay of the American Association of Endodontists, the American Dental Association, and other orthordox organizations.

Suddenly, dentists everywhere were reporting a flood of phone calls from folks concerned about their root canal teeth. They wanted them all out. They wondered if it would help “cure” their current health problems or keep chronic conditions from arising in the first place. They wanted answers.

And our blog was one place they came looking for them – even after Netflix and Amazon caved in to industry pressure and removed the film from their catalog. Three of the ten most popular posts this past year dealt directly with the film and its fallout. Two more dealt with the importance of addressing the biological terrain before any dental or other health burdens such as root canal teeth, one of the key points missed by the filmmakers in their oversimplification of the subject.

  1. When It Comes to Your Health, Are You Deciding – or Letting a Movie Decide for You? Some Thoughts on Health Choices After Seeing Root Cause
  2. But Does Fluoride Stop Decay? Not So Much, Suggests New Study
  3. You’ve Seen Root Cause. Now What?
  4. Use Probiotics Wisely
  5. The Great Toothbrush Debate, Part 572
  6. Another Toothbrush Option: Is It Worth It?
  7. Root Canal Teeth & the Need for a Terrain-Based Approach
  8. It’s Not Just Vaccines
  9. Reason to Steer Clear of Chemical Cleaners
  10. Why We Start with the Biological Terrain: Sarah’s Story

The terrain, as they say, is everything.

All of us here at Dr. V’s office wish you the happiest of holiday seasons and a healthy start to 2020! See you back here after the first of the year!

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Another New Natural Toothpaste Arrives. Is It Worth a Try?

“The toothpaste aisle is the worst.”

There are only like two toothpaste companies and they make about 1,000 different types. The Crest and Colgate racks are clearly delineated by their conveniently — maybe too conveniently — recognizable color patterns. Each of Crest’s 500 toothpaste varieties comes inside a box that is some shade of blue. Colgate is red and white, whether the product is best at removing plaque, stopping gingivitis, whitening your teeth or some type of new breath-freshening innovation that could even do something special like combat coffee stains or help you stop smoking cigarettes.

Why the [bleep] are there so many different types of toothpaste, seriously?

Seriously.

And that’s just talking about the kinds you might find in your nearest drug or big box store. Then there are all the “natural” pastes, powders, and tabs available in organic markets, body care shops, online, and at your dentist’s office. There are even “luxury” toothpastes. (Yes, really.)

And now another has entered the market.

At the recent meeting of the International Academy of Biological Dentistry & Medicine, we received samples of a couple products from a new company called Frau Fowler: a tooth powder and a tube of tablets described as a “breath freshener and mouth cleanser.”

The story behind the company is a rather interesting one, which apparently started with a trip to a biological dentist that helped turn its founder’s health around:

The tabs we received were the “Fire Spice” flavor – that “fire” coming courtesy of a blend of cinnamon, clove, peppermint, and cardamom oils. All of these are known antimicrobials that have proven effective against common oral bacteria.

Sur'Se oral health tabsThey also contain stevia and xylitol, zero-calorie sweeteners that seem to be protective against decay.

The other key ingredients are sea salt and Himalayan pink salt. Not only does salt help reduce oral pathogens by creating a more alkaline environment in the mouth; it also delivers trace minerals that, unlike fluoride, your teeth actually need.

Trying the product, we found that the lozenges crumble easily and cleanly, seeming to leave no debris on or between the teeth. The taste is strong, pleasant, and refreshing.

Truth be told, this is actually a pretty neat idea. While it’s no replacement for proper brushing and flossing, it could be a help when you’re on-the-go and not able to do your whole hygiene routine relatively soon after eating.

There are other flavors available – Berry Good, Pom Chill, Birch Chill, and Peppermint Chamomile – which contain other botanicals known to support good oral health, though a couple also contain the somewhat mysterious ingredient “natural flavor.”

Frau Fowler Mouth Medic Tooth PowderThe tooth powder we tried out contained the same botanical blend as the Fire Spice tabs, along with the same salts and baking soda. Here, we found that less was better than the “generous” amount that the instructions recommend. “Generous” was a little overwhelming – at least at first. Maybe it was the unfamiliarity of brushing with a salt-based powder that made it seem a little too intense.

Still, just a light coating on the brush seems sufficient. After all, the main reason for a tooth paste or powder or tab is to provide a bit of abrasion to help remove sticky biofilm (plaque) from your teeth. Anything else it provides – minerals, botanicals, probiotics – is extra. The mechanical action of brushing is what does most of the work.

Here, too, we found the overall flavor pleasant and refreshing, and the faint lingering flavor of salt afterward produced a natural feeling of cleanliness. That said, if you’ve only brushed with minty, foaming pastes before, it might feel a bit odd at first and take some getting used to.

Like the tabs, the powders come in several flavors, including Orange Love, Licorice Mint, Power Mint, and Citrus Mint. They also have a blend with activated charcoal for whitening. The oil blends differ, but all make sense for supporting oral health.

All products are fluoride-free and gluten-free. Most ingredients are organic.

All in all, these seem to be good quality products for home hygiene at a reasonable price. We can’t say that we see a big reason to switch, especially if you like what you’re using now and it’s working for you. But if you’re looking to try something new, Frau Fowler seems a brand worth trying out.

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When Drugs & Botanicals Collide

plants in mortar with pestleA lot of folks don’t think to mention herbal supplements and such when their doctor or dentist asks about medication use. Sometimes, it’s from fear of disapproval; others, because botanicals seem so benign compared to “drugs.” They’re “natural,” so they must not count.

But truth be told, mixing pharmaceuticals and herbal medications can in some cases interact badly.

Which brings us to a recent news item out of Oregon State University, where a couple of scientists were testing a new method for evaluating potential interactions.

The method involves rapid protein precipitation and ultra high pressure liquid chromatography and is being used to support clinical studies. In the clinical studies, participants take a drug cocktail along with a botanical supplement — hops, licorice or red clover — to see if the supplement causes any of the drugs to be metabolized differently than they otherwise would.

“Botanicals basically contain natural products with drug-like activities,” [study author Richard] van Breemen said. “Just as a drug may alter the drug-metabolizing enzymes, so can natural products. It can become a real problem when someone takes a botanical supplement and is also on prescription drugs — how do those two interact? It’s not straightforward or necessarily predictable, thus the need for methods to look for these interactions.”

According to their study, published last month in the Journal of Pharmaceutical and Biomedical Analysis, this method was indeed successful. And they found something else along the way: All 18 of the allegedly “pure” blood samples they originally obtained for their study contained drugs.

Every single one contained caffeine. Over 70% contained alprazolam, a/k/a Xanax. Nearly 45% contained dextromethorphan, a common ingredient in over-the-counter cough medicines.

So to put it another way, if you were ever to need a blood transfusion, “your odds of also receiving caffeine, cough medicine and an anti-anxiety drug [would be] pretty good.”

The blood samples came from medical suppliers, who get their stock from blood banks. “Without doing a comprehensive survey of vendors and blood banks,” said van Breemen, “we can only speculate on how widespread the problem is.”

Another thing to consider is that we found drugs that we just happened to be looking for in doing the drug interaction assay validation — how many others are in there too that we weren’t looking for?

No doubt, plenty. According to the most recent CDC data, nearly half of all Americans have taken at least one prescription drug in the past 30 days. That number skyrockets to nearly 70% among adults between the ages of 40 and 79, and 22.4% used at least five drugs.

But that’s life in a culture of a pill for every ill

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“The Only Appropriate Response Is Gratefulness”

I would maintain that thanks are the highest form of thought,
and that gratitude is happiness doubled by wonder.

– GK Chesterton

We’ll be taking a break from blogging through Thanksgiving weekend and will see you back here on December 4.

If you’ll be on the road in the coming week, we wish you safe and easy travels. To all, a very happy Thanksgiving and a joyful start to the holiday season!

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Originally from Gary M. Verigin, DDS, inc.

Not “Side Effects.” Effects.

pills The drug companies have done such an amazing job of drilling it into people’s brains that their products are “safe and effective” and often the best option for coping with whatever ails you, there’s a point that bears repeating: Drugs do not have “side effects,” per se.

They have effects.

Some of those effects are desirable. Others, not so much. They may be called “side effects,” but they’re just as direct as any other. They’re caused by the way the drug works.

And despite the testing that is done before a drug is put on or withheld from the market, no one is really sure of all the effects any given medication might have, especially over time periods longer than that of your typical clinical trial.

This brings us to some interesting research presented last month at United European Gastroenterology Week in Barcelona.

For their study, Dutch researchers looked at 41 common drug categories and analyzed 1883 fecal samples from two patient groups, one healthy and one diagnosed with inflammatory bowel disease or syndrome. The researchers then compared the test results of those who took prescription drugs against those who did not, as well as the effects of single drugs versus combinations.

All told,

They found that 18 common drug categories have an important impact on the bacterial composition of the gut microbiome, which could lead to undesired consequences for health.

Four groups of drugs were found to have the greatest impact on bacterial balance: proton pump inhibitors, metaformin, antibiotics, and laxatives.

The analyses revealed that people who took PPIs had more upper gastrointestinal tract bacteria, and that their bodies produced more fatty acid. Meanwhile, those who took metformin had higher levels of Escherichia coli, a bacterium that can cause diarrhea and urinary tract infections.

Also, a class of antidepressants called selective serotonin reuptake inhibitors was associated with increased levels of Eubacterium ramulus — another potentially harmful bacterium — in people with IBS.

Meanwhile, oral steroids were associated with higher levels of methane-producing bacteria, which could contribute to weight gain and obesity.

And this doesn’t even consider the impact of these drugs on the biological terrain, even as pharmaceuticals are one of the most common pollutants that get in the way of the body’s inherent ability to self-regulate. (For more on the terrain, start here.)

Simply put, drugs are intended to force particular actions in the body rather than support the body’s own natural healing abilities. Studies like the above provide a potent reminder that they trigger other actions – and reactions – as well.

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KTH Flashback: Yes, Dental Care Can Cost. Avoiding It? Even More So.

empty dental chair According to a new report from the ADA Health Policy Institute, about 1 in 5 American adults skip needed dental care. Far and away, the main reason they give is cost. They say they just can’t afford it or don’t want to spend the money.

But one thing wasn’t exactly clear in the news coverage on this report: Does “needed dental care” include preventive exams and cleanings, or were the researchers just looking at problems such as decay and gum disease that require more extensive treatment?

If it does include regular care, skipping lower cost preventive visits is a pretty poor strategy for keeping costs in check.

Would you avoid taking your car in for regular maintenance just to save a few bucks? Of course not. You know that without that ongoing care, your car won’t run as well, meaning hefty repair bills in your future.

The same kind of thing goes for your mouth, as well.

The Cost of Dental Work – & the Cost of Avoiding It

Originally posted March 1, 2010; updated

A few months ago, one of our dental team members was out shopping when a store manager, not knowing her occupation, asked if she had any good tips for dealing with a toothache. One of his employees had a broken root canal tooth and was in severe pain. Indeed, the employee – a young man of about 20 – looked very pale and held onto the counter the whole time they spoke, as if he would fall over were he to let go. Explaining that although she wasn’t a dentist, our team member said that she did work for a dental office and suggested some stop-gap remedies.

“But really, you should see a dentist as soon as possible,” she insisted. “You shouldn’t let something like that go for too long. It’s not just hellish to endure the pain and not being able to eat. If there’s infection, it can be really dangerous.”

“I know, but I can’t afford it,” replied the clerk. “I’m on my mom’s insurance, but it won’t kick in until February. I don’t get insurance here. And I just paid $1700 to Western Dental for the root canal.”

Our team member sympathized and shared some of the tips and resources for finding affordable care that we’ve shared with you here. The young man thanked her, then went on break to buy some ibuprofen and Anbesol to try to kill the pain so he could at least make it through the rest of his shift.

This is an all too common occurrence, with many folks feeling economic pressure as never before and looking for more and more ways to cut back our spending to make sure their money lasts.

Unfortunately, a good number of people are cutting back on dental care, or at minimum, putting it off as long as possible and then looking for the lowest cost option possible, whether or not it’s the best option. Consequently, many dentists are seeing a significant uptick in emergency cases. According to a Wealthy Dentist survey, 63% of dentists report such an increase. Emergency room visits for dental problems have skyrocketed, as well.

But economic hardship isn’t the only reason people defer care. After all, before the economic crisis, dentists still saw many people putting off treatment as long as possible.

We think there are a couple reasons why deferring dental care is so easy. For starters, many dental conditions – such as periodontitis (gum disease) and caries – don’t cause pain or discomfort until the problems become severe. Only then will some people contact a dentist. But at this point, problems typically require much more treatment at much greater cost than they would had they been treated earlier in the disease process.

Second, there is still a strong tendency – even amongst those in dentistry – to view the dentist as a sort of glorified mouth mechanic. Consider this bit of a post from the now defunct blog Dentist Love:

As I guy, I like to think of myself as a handyman.

I’ve fixed leaky faucets, broken toys, faulty light switches … you know, lots of around-the-house projects.

But when it comes to my truck or my motorcycle, I must admit I leave it ALL to my mechanic. Why? Because I’ve tried engine repair on my own in the past and had horrible results.

I think the same goes for my dentist.

When you take this perspective, it’s easy to think as dental care being only something you pursue when something goes wrong. But as Dr. Verigin writes,

I question their philosophy, which I variously call “industrial dental medicine,” “corporate dental medicine” or “Western school medicine.” This outlook views the decay process as an abnormality in a functioning machine. Primary symptoms are suppressed with specific “silver bullets.” The patient plays victim. The dentist is a glorified mouth mechanic, tooth engineer or oral plumber. Disease processes are reduced to computer code.

Our 21st century outlook, integrated, biological dentistry, focuses first on the parents and their children. We work together to develop health strategies for their lives. They become clients and students, not patients. The dentist by definition is a doctor, which also means “teacher.” Since our dentistry focuses on the underlying mechanisms of the disease process, my staff and I teach and coach our clients by enhancing awareness of the whole body implications of dental disease. Beyond teaching basic cleaning techniques, we encourage proper nutrition to chemically and electrically enhance the body and reduce the risks of decay.

Obviously, this is much more involved and more demanding of the individual’s active participation in maintaining his or her dental – as well as systemic – health. But it also provides the tools and knowledge for the most cost-effective approach to dental and oral health: preventive care. If you take care of your teeth and oral tissues through proper hygiene, nutrition, exercise and lifestyle choices, you minimize the risk of chronic and costly dental health problems that will really put a dent in your bank account.

If problems do arise – say, an accident occurs and you lose, break or loosen a tooth, or a tooth or the gums become painful for any reason – it is vital to your overall health to see a dentist as quickly as possible. Not only can a dentist help with pain relief but correct the problem and prevent infection which, if left untreated, can affect other areas of the body and even, in extreme cases, cause death.

One handy resource for knowing what to do – including how quickly to seek help for dental injuries – is Dear Doctor’s “Field-Side Guide to Dental Injuries” (PDF). This simple and clear chart lets you know in what cases immediate treatment is called for and those in which treatment is less urgent. It also provides some useful tips for tending the injury until you can get to a dentist.

Of course, there are situations other than direct injury that should also prompt you to see a dentist as soon as possible for evaluation and treatment – particularly if you have pain and/or sensitivity that doesn’t go away, or if you have heavy bleeding in the mouth or abscesses. These are all signs of oral problems such as decay, infection and exposed roots that will not fix themselves on their own or get better over time. Once you are aware of the problem, again, it is in your best interest to contact a dentist immediately. An untreated problem will only get worse and be more expensive to take care of properly.

Fortunately, when it comes to the financials, you do have options for paying for the care you need:

If you have dental insurance, it will likely cover at least part of the cost. If you don’t have insurance, there are other financing options you can pursue, from in-office payment plans to consumer credit plans (e.g., CareCredit) specifically designed to cover dental and medical costs.

If money is an issue, be up front about it. If you get public assistance of some kind but can’t find a dentist who will accept it, ask about other payment options. If you live near a city with a dental school, you can get low-cost services at their clinic.

For more information on finding a dental school clinic or other source of reduced-cost services, see the NIDCR’s website or contact your state dental association about available assistance programs where you live.

Just don’t do nothing.

Image by me and the sysop, via Flickr

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What Every Jack o’Lantern Needs Is…a Good Dental Theme?

About 10 years ago, we found out just how sacred the Halloween candy tradition is to some people when our post on alternative treats drove an extreme amount of new traffic to our blog – and a whole lot of spirited (pardon the pun) comments. Many were supportive, but of course there were others that suggested we wanted to ruin Halloween.

Since then, rising concerns about sugar and campaigns such as the Teal Pumpkin Project have made the concept of healthier or non-food treats seem far less weird, let alone potential cause for your house getting egged or TPed.

Still, think “Halloween,” and “candy” is likely one of the first thoughts that comes to mind – which is probably why more than a few people think that what every jack o’lantern needs is a good dental theme. What could be more suited to a sugar saturated holiday?

So without further ado, here are some of our favorites…
 
carved pumpkin saying did you floss
 
carved pumpkin decorated with dental floss and floss picks
 
toothless jack o'lantern with plastic fangs in glass of water
 
pumpkin with realistic teeth carved
 
jack o'lantern dentist and patient
 
smile makover jack o'lanterns before and after
 
jack o'lantern with braces
 
jack o'lantern saying smile
 
Have an amazing jack o’lantern – dentally themed or otherwise – to share? Post it in the comments!

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Originally from Gary M. Verigin, DDS, inc.

Why We Start with the Biological Terrain: Sarah’s Story

man looking out windowIf you’ve been dealing with long term illness and then learn about the impact that things like cavitations, root canals, or mercury amalgam can have on your health, it’s easy to think that simply addressing them is all that you need to finally begin healing.

But despite what you hear from some corners of the internet, these aren’t actually “root causes.”

According to the concepts of regulative medicine that inform actual biological dentistry, the ultimate root cause of any illness or dysfunction is an acidic, polluted, disordered biological terrain – the extracellular matrix, which you can think of as the body’s internal environment.

If the terrain is neglected, simply removing dental burdens may alleviate symptoms to a degree but generally isn’t enough to fully restore health for the long term. It’s “like fixing a door on a house that’s burning down.”

This is why Dr. V always starts with a biological terrain assessment and EAV diagnostics, in addition to all the usual dental exams and taking a comprehensive health history. If these suggest a compromised terrain, his treatment plan begins with correcting those problems.

This was the case with a woman who, this past summer, traveled all the way from Minnesota to consult with Dr. V about suspected cavitations.

For many years, Sarah had been dealing with Hashimoto’s, an autoimmune disease that damages the thyroid and is considered incurable by conventional medicine. She said that she had seen numerous doctors for it, but while there were some minor improvements, she made no real progress.

She didn’t have any root canal teeth or mercury fillings, though she was advised to have lots of teeth removed after a cone beam scan showed significant bone loss She refused this option, wanting to know WHY the bone loss had occurred and find a way to save her teeth, not just give up on them.

That’s when Sarah reached out to us.

BTA resultsExams and testing showed no strong sign of cavitations but significant disorder in the terrain. After discussing the findings with Dr. V and reviewing his treatment recommendations, Sarah decided to get started right away with Phase One of healing the terrain: cleansing to decongest it and re-establish proper cell-to-cell communication.

For the terrain, you see, is like a sponge. Toxins – both exogenous (coming from outside the body) and endogenous (generated from within through various metabolic processes) – are absorbed by it constantly in order to protect the individual’s cells. If the terrain isn’t cleansed, the individual will become symptomatic.

Symptoms are like a clogged drain. While a more alkaline diet will help slow the running faucet and prevent overflowing, remedies are still needed to open the channels of elimination: skin, bronchi, kidneys,and intestines.

So in addition to following a more alkaline diet – and scheduling LANAP treatment with a provider back in Minnesota to address her advanced gum disease – Dr. V prescribed a regimen of select Pekana and Sanum remedies at a very low dosage in order to keep from overstimulating her body’s immune and other regulative symptoms.

Especially in cases of long-term illness, you want to start gently. As the body adapts to the changes, you can ramp things up.

After about a month of Phase One, Sarah sent us a progress report. She has graciously allowed us to share it – and her whole story – with you here, to show what’s possible when you take a terrain-based approach to healing.

I’ve been meaning to write for a couple weeks and tell you about how well I’m doing, but I have been too busy! And not too busy sleeping, but too busy DOING THINGS! It’s amazing!

I am so very grateful to all of you for your support, knowledge, kindness and caring towards me on this healing journey. While I do not feel 100%, I have more energy than I’ve had in months, and I have more mental interest in things, as well. The last couple mornings, I’ve woken up with enthusiasm, as well. I’ve been working 45 hour weeks in 4 days outside of the house, then putting in more hours in my home office the other 3 days, as well as completing projects around the homestead. I would have been unable to do half of this a month ago, plus I would have needed several days with naps. I’ve only had 1 nap in the last 4 weeks and that was last Sunday when I fell asleep reading after a grueling week.

My digestion has improved, as well as all the symptoms I had listed on the chart. Everything has improved from 20-50%, except for the cholesterol and bone density which have not been tested. I feel less of a need for all the supplements I was taking, though I continue to take them at a reduced level. My TSH level rose out of optimum range on my last test, but rather than up my Armour Thyroid, [my doctor] wants to leave the dose at 45mg for another month and see what happens.

I am at the fully prescribed level of the 3 herbals and at about 14 drops of the homeopathics. I felt like I was maybe pushing too hard with the homeopathics as I had several days of “angst,” so I decided to hold at 14 for a week. I think I am ready to increase with the next bottle (today is an off day).

I’m scheduled for the LANAP procedure in 2 weeks, on the 15th & 16th of October.

So thank you Gary, Joanne, and Jill…for your immense part in my wonderful, new life. My heart is full.

We are so honored to be a part of Sarah’s healing, so happy to see just how well she’s responding to the treatment, and so excited to see how she continues to progress – progress she has agreed to let us share with you along the way. Stay tuned!

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