Preventive Programme “A Generation without Caries”

The Clinic Aukštėja has been implementing the preventive programme “A Generation without Caries” for more than ten years.. Not only has it used preventive dental programmes developed by the Vestfold County Dental Health Centre in Norway, Danish NEXO, and German SOLO, but also original in-house developed methodologies. Their scientific basis is the monumental monograph entitled “Nutrition and Physical Degeneration” authored by Dr Weston Price as well as works by researchers from Loma Linda University (USA) Dr Ralph R. Steinman and Dr John Leonora, and discoveries in neurology and endocrinology that view caries as a systematic disorder.

Outputs of the US researcher Dr Steinman provided evidence that caries is not only an external lesion of a tooth resulting from acid-producing bacteria but rather an outcome of the systematic disorder in metabolism. This means that your oral health depends on the overall health of your body, which necessitates the involvement of a dental professional and other specialists and, most importantly, your motivation to participate in the treatment process.

DDS, MS Professor Dr Ralph R. Steinman from the Loma Linda University and professor of physiology, biophysics and endocrinology Dr John Leonora devoted 40 years to scientific research of metabolic interaction of oral cavity, teeth, and the entire body. Dentine is not solid but rather has multiple ducts and parallel enamel prisms. Dr Steinman proved that substances could enter the oral cavity with interstitial fluid via the pulp chamber, dentine ducts, and enamel.

He called this phenomenon the dentinal fluid transport and proved it to be the self-contained dental cleansing mechanism. Tests were carried out with mice, injecting radioactive Acriflavine Hydrochloride into the abdominal cavity. Six minutes later, the radioactive agent was discovered in dentine ducts and an hour later — in enamel.

Thanks to the flow of dentinal fluid, the continuous self-contained cleansing of a tooth protects it from microbe attachment to enamel and entrance into the tooth as well as eliminates the negative acidic effect of bacteria present in the oral cavity. At the same time, nutrients from the pulp chamber get into dentinal canals and create the environment necessary for regeneration. The regulation of this transport is determined by the hypothalamus and the endocrine part of parotid glands. Scientifically, this is referred to as hypothalamus–parotid gland endocrine axis. Odontoblasts — cells present in dental canals — pump the dentinal fluid. The key problems arise when inadequate nutrition, oxidative stress, and the lack of mineral and microelements negatively impact on the hypothalamus, which regulates the parotid gland, which is responsible for odontoblasts. Professor R. Steinman demonstrated that odontoblasts have a hormone-based and biochemical relationship to the metabolism of the entire body, consequently, it also affects the health and functioning of teeth. In the case of dysfunctional odontoblasts, the pressure of intra-dental fluid drops. Capillary phenomena reverse the flow of the fluid in the opposite direction and toxic substances from the mouth, or the surrounding periodontal tissues enter the pulp chamber causing the inflammatory response of the pulp. Shortly speaking, caries does not start developing from the demineralisation of enamel but is caused by the dysfunction of the hypothalamus, endocrine part of the parotid glands, odontoblasts, and, finally, tooth metabolism. Thus, caries prevention should not be firstly aimed at the external protection and cleaning of a tooth but rather at the restoration of the neuroendocrine function and homoeostasis. For example, Dr Steinman determined that enrichment of food with copper, iron and manganese compounds, which are necessary for the metabolism of odontoblasts, can significantly reduce the risk of caries development.

The following are seven most important factors that determine the oral health:

  1. Your saliva is rich in minerals and microelements. Dental demineralisation and the loss of micro and macro elements can be reversed by the opposite process, i.e. dental re-mineralisation. In other words, the medium in which your teeth are present has a very important and even determining role for the health of teeth. The composition of your saliva largely determines the microflora of your mouth and the buffer qualities of saliva neutralise the effect of acid produced by microflora. A healthy individual produces high-quality saliva, has healthy oral microflora and healthy teeth. Disturbance of microflora with bactericidal mouth rinses disrupts this chain and kills bacteria living in tongue crypts, which are necessary for the production of NO (nitrogen monoxide) used as one of the key bio-mediators in the regulation of the dilatation of blood vessels. This increases the risk of blood vessel diseases. Rinse your mouth with organic and non-toxic mouth rinses.
  2. Your blood is rich in minerals, microelements, and other nutrients. As teeth are mostly mineralised from the inside (via the pulp chamber and dentine canals) rather than externally, it is very important to ensure that blood contains nutrients, minerals, and microelements. Otherwise, the body might start borrowing minerals from your teeth to ensure the overall homoeostasis.
  3. Undisrupted dentinal fluid transport. This item has been extensively explained in items above.
  4. Appropriate saliva pH is one of the most precise and important health indicators of the oral cavity as well as the entire body. It shows whether our cell mitochondria produce sufficient ATF — energy “batteries” for cell proteins to do their work. Please, read more on pH therapy at www.ladika.lt
  5. Sufficient quantity of saliva. Here, sufficient amount of water in our bodies plays an important role as approx. 90 % of our body molecules are made from water. Also, a significant role is played by the health of the neuroendocrine system.
  6. Sufficient chewing. The main function of teeth is to chew, i.e. to crush food. This is how teeth get mechanically cleaned, and periodontal tissues are stimulated. It is important to consume natural, thermally unprocessed, non-blended food rich in minerals and microelements.
  7. Clean surface of teeth. In Europe, toothbrushes have been put into mass production as late as in 1780. Even the discovered prehistoric skulls of our ancestors demonstrate a lower prevalence of caries compared to the current times. This gives us some food for thought. Unfortunately, following the so-called green revolution that forced the majority of people into the habit of eating industrial fast food, which contains very little nutrients and plenty of toxins (e.g. pesticides, fungicides, sweeteners, fluoride, preservatives, etc.), the change in nutrition led to physical degeneration of people as well as disruption of natural protective mechanisms. Consequently, oral hygiene procedures have become a necessity. This means that we can no longer do without the help of professional dentists and hygienists as our bodies are incapable of dealing with such changes.

Specialists of the Clinic recommend having the professional oral hygiene procedure twice a year. It takes about one hour and is followed with the measuring of salivary pH, assessment of the neuroendocrine system, prescription of required minerals and microelements and provision of practical and exhaustive information on the holistic approach to health and treatment solutions. As mentioned before, these solutions are based on scientific outputs of researchers from the US, which have been tested in the clinical practice of the Clinic Aukštėja.

The preventive programme “A Generation without Caries” targets the oral health of children before they are even born. A tooth germ forms during pregnancy; thus, preventive care should start while planning a pregnancy, to ensure sufficient availability of nutrients and microelements. Special focus should be placed on oral and general health of the mother-to-be, which means appropriate nutrition, correction of minerals and microelements, and salivary pH. Later, children of all age groups are provided with individual, personal and professional oral hygiene procedures. Prenatal months and pre-primary school age are named as “the golden age” in the prevention of caries.

Healthy mouth and teeth are more than just a charming smile!

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