In the past, patients have not needed, nor were told, anything about dental materials to be placed into their mouth because dentists have decided which materials were to be used. This decision is usually based on structural criteria, aesthetics and cost.
Because of changing paradigms, controversial issues, and my knowledge of alternative healthcare philosophies, I no longer feel it is proper or possible for me to make that choice for my patients without their participation.
Being a patient in this practice now means you will be made aware of options so that you can help choose the material best for you. This decision is based on your healthcare philosophy, time, cost, practicality, and lifestyle. It is you, not I, who will live with that decision 24/7.
How do you know what materials are best for you? Contemporary or regular, non-biocompatible dentist believe, for the ADA says so, that all materials are OK! But the dental literature has a lot of information and research showing that one can be toxic or allergic to a material. It is widely held by the ADA and hence, most of dentistry that there is no toxicity to dental materials! If something is toxic ... it is poisonous! Mercury is a poison. This is basic chemistry! When it is sold to dentist to use the mercury portion has a "Skull and Crossbones" on the label! Interestingly, the ADA has a Safe Handling Practices Guidelines Program for how a dentist and staff should handle mercury amalgam before, during and after placement of a mercury filling due to it’s poisonous nature but “it is safe in your mouth!” How absurd!
So how do you figure out what material is safe to use: The ADA, because it “feels” (not a scientifically supported position) that all materials are safe, frowns upon any testing.
One can use one or more of the following:
- Health History: As it turns out, your health history is extremely important. If you cannot wear jewelry, you have a nickel allergy and should not have any base metals in your mouth. They are common in metal crowns, bridges, and partial dentures and well as braces due to the low cost to the dentist. Also your history will tell if you have immune challenges like food or chemical sensitivities. This information definitely raises a red flag for us to evaluate further.
- Clifford Material Reactivity Test: This is an old allergy test that has a great application in dental material choices today. The test is performed from a blood draw, spinning down the red and white blood cells leaving only the serum. This is what you see when you get a cut. You bleed and as it stops, a clear fluid appears. That serum is sent to Clifford Lab and pre-measured drops are put into various wells in a special plate that has various corrosion by-products in each well. If your the serum becomes cloudy when it comes in contact any of the corrosion by-products, you are sensitive to that by-product. Clifford Lab has acquired the chemical composition or make-up for every dental material. So if you react to a corrosion by-product that has its precursor is in the material you would like to use, then you can say that this material is not suitable for you and it would be best for you to avoid it. You get a very lengthy report from Clifford with a list of all materials available in dentistry. The report tells you what is not suitable and what MAY be suitable for you. Now, your replacement materials are chosen for you with useful information relating to your personal biocompatibility.
- Kinesiology or muscle testing: Used but subject to operator bias. With this test as with EDS described below, you need little vials of each dental material that may be used. That vial is placed in your hand and your body is interrogated by muscle strength. If a muscle is strong before the material is in your hand and strong as it is in your hand, then that dental material is OK. However, if you become weak when the material is in your energy field, then it should not be used. This test can be subject to operator error. There are, however, many very good kinesiologist who successfully do this test.
- Electro Dermal Screening: There are acupuncture points on the hands and feet that are used to measure if there is a burden on an acupuncture meridian. With a sophisticated instrument you can then tell if a material is okay. This test is considered more accurate than muscle testing and it can be helpful, but also is subject to operator error. Many dentist have been accused of practicing medicine without a license by using this test.
I have done all of the above but really prefer your Health History and Clifford test to help determine what is best to use for you. You need to know that dental licensing boards really frown on kinesiology and EDS as their members believe that there is no problem with any dental material!
**** Of particular importance is that no testing should be used as a reason for
filling replacement but only as a guide to what new replacement material
can or should be used or not used.****
Choosing Dental Materials
Midwest Integrative Dentistry