Dr. George Paul Greenacre , DDS, FAACP, McGill 1970
About 45 years ago I was studying at McGill University in the Sir William Osler library and I came across a perplexing quote from the famous Dr. Osler. He said
“THE MOUTH IS THE MIRROR OF ALL DISEASE”!!!
This did not match with my perception at that time of dentistry.
Thus it caught in my imagination and became a lifetime professional curiosity. Now 45 years of observations and studying have passed and I will tell you this… Dr. Osler was right …the mouth is indeed a major indicator of a great many diseases. For example at an American Academy of Craniofacial Pain that I attended in Texas, there was a dentist honoured for research into testing hormonal levels by testing saliva! So far I have discovered over 50 health conditions that medical researchers would say intimately connect medicine and dentistry.
Let us see which whole body diseases relate to TEETH, ORAL ORTHOPEDICS (orthodontics), AND PERIODONTICS (Gum Disease).
But first let me give you a quick summary of dental influences.
Teeth are not just teeth they are highly specialized sensory and functional nerve endings of the two most powerful cranial nerves in your body, trigeminal nerves. The trigeminal nerves are major sensory and motor nerves in the head and neck area and they influence all body and brain functions by virtue of being the first cranial nerves to develop in the embryo. These teeth or special nerve endings are subject to surface attack from mouth bacterial plaque which can progress to eventually become decay or cavities. If the mouth ph or acidity is too high and there are a lot of dietary sugars available then process of bacterial breakdown of teeth can become a relentless, lifelong attack on our body’s hardest secreted substances enamel and dentin. We must all respect the power of flossing in stopping decay happening between the teeth, this concept was first published by Dr. L.S. Parmly who trained all his patients to floss saying “A thread passed between the teeth after every meal will save more teeth form decay than all the brushes and powders that can be used where the waxed thread is neglected.” Teeth are damaged by trauma such as sports or motor vehicle accidents but teeth are even damaged in bed while you sleep! Sleep bruxism or nighttime grinding , leads to tooth fracture and tooth sensitivity and sometimes gum line tooth breakdowns or wedge-like grooves on the sides of our teeth. We all eventually learn the rule of consequences…What you neglect will come back and bite you in the bum..!!Decayed teeth, if left untreated, can become tooth abscesses and pour microbes into your bloodstream. Regrettably many teeth today decay needlessly and are lost when they could be saved. Speaking about the emotional power of our teeth and our smile Dr. Robert Barkley stated “psychiatrists tell us that while teeth are rooted firmly into the bone, they have deeper roots into our psyche.” Twenty baby teeth and another Twenty eight permanent teeth erupt over a twelve to 13 year span in all our children. However these teeth will only have space to grow straight and support a broad full bite for a good airway if all the facial bones are growing properly well in advance of them to create room for all these teeth. Let us look at how faces and airways grow and what can go wrong.
The basis of oral orthopaedics is the airway for breathing is one of several reflexes present at birth. Note this. The only two joints in the body that are functioning at and before birth are the left and right temporomandibular joints. They are also the two most highly innervated joints in the body with more square footage in the brain than any other two joints in the body. Human babies are designed to function from day one with a through the nose breathing reflex, plus other important birth reflexes such as the reflexes for breastfeeding and the reflex for a proper palatal swallow . These three basic reflexes help develop the palate of the child to grow physiologically to become wide and shallow and to grow forward. This ideally will happen and there will thus be a lot of room for all the teeth. Unfortunately often this physiologic process is distorted by allergies, dietary problems, lack of breastfeeding, loss of the proper swallowing reflex and Eustachian tube dysfunction which leads a small narrow and deep upper jaw and this leads to a small posterior positioned lower jaw which both forces the 2 jaw joints to dysfunction and can create a poor airway function. Plus it creates a face that looks wrong to the trained eye. As the top of the (palate) maxilla is the bottom of the nose then the nose and the nasopharynx (upper airway passage) become narrow. Further the oropharynx (lower back of the mouth airway passage) then suffers because it has the tongue jammed into the anterior wall of the airway. Then this can be compounded by jaw joint problems. A childhood trauma can cause one of the 2 jaw joints to be dislocated and the other jaw joint compensates but no dentists or doctors ever tests for this slipping jaw joint disc and no one notices the little headaches, neck aches, earaches and referred pains that begin..And then the child begins to clench or grind or snore or have night terrors or wakes up tired and irritable from sleep disordered breathing and grinding their teeth all night. Then that child can grow into having ADD or ADHD or grow into an adult with sleep bruxism and sometimes ultimately develop sleep apnea. This is how some of the craniomandibular dysfunction cases start as an example. These examples help you realize how complicated craniofacial growth really is. Unfortunately we have fallen behind in recognizing early airway problems, swallowing problems, facial growth problems and jaw joint problems. So much can go wrong without us noticing it as parents or clinicians.
As Dr. Janet Travell one of the most influential medical teachers of the 20th century used to admonish our classes “when in doubt, try more diagnosis.”
(See www.downtown orthodontics.ca)
Periodontal diseases pour microbes into our bloodstream daily and we don’t feel it or think about it. Babies are born with no bacterial flora in their mouths and acquire the flora of their family. Teething may be a physiologic process as it is the first time an infant’s bloodstream is inundated with oral flora to stimulate the maturation of our immune system. So at about 6 months of age the immune system get its first clinical trials featuring bacterial attack from within so to speak. Different children inherit different bacterial floras from their parents or caregivers through direct or indirect organism transmission. Mom kisses their hands and then the fingers or whole hand goes into the infant’s mouth. The bacterial films that grow on children’s teeth mature as time goes on can progress until they lay down a virtual bath tub ring of hard calcified deposits, called tartar. This and the gum plaque can lead to loose teeth and loss of ligamentary tooth to jaw bone attachment and eventual tooth loss. Periodontal plaques feature hundreds of different organisms from bacteria that cause strept throat or stain teeth to helicobacter that can cause stomach upset to fungi like Candida albicans and to viruses that can cause viral pneumonias and even 2 types of parasites like entamoeba gingivalis. (Anton van Leeuwenhoek discovered dental plaque in 1683. He called the bacteria he saw animalcules. He reported this discovery to the members of The Royal Society of England who included Isaac Newton. ) When gums bleed, this causes a bloodstream bacteraemia, in which 14 diseases have been researched in relation to this phenomenon. Gums diseases are hard to stop but laser technology is now doing gum disease miracles. To see how lasers stop and reverse gum disease go to www.lasergumcentre.com.
Now that you have had a little background on dental diseases, let us see what medicine has said about oral health. Historically, there have been several physicians who in their professional lives were well versed in the oral health-total health continuum. Here are a few of their observations.
In the foreword of a book “Oral Health Bible “written by Mark Bonner DDS , Dr. Marcus Gitterle stated in 2003 “The oral-systemic connection is about integration. Who would guess that the data would lead us to the knowledge that heart attacks, strokes, premature births, rheumatic diseases and perhaps many more conditions would be so intimately linked to oral health and hygiene?…As you will soon find out, the oral-systemic connection is a concept bolstered by years of research and reams of solid data that establishes, not just an ordinary connection, but a connection of incredible gravity and import. Simply put, people are dying for lack of knowledge of this ongoing health crisis.
Dr. A.B. Leeds M.D. Was a presidential physician for both President Roosevelt and President Eisenhauer and retired early from medicine because of head and neck pain and tremors. He had this to say about his rapid recovery after appliance therapy due to craniomandibular rehabilitation by a dentist Dr. W. May. (In fact he left his retirement and he went back to work for 10 more years.)
“If this treatment is done at middle age, it should extend life at least ten years.”
‘When this treatment is fully researched and understood, it will be capable of revising every medical diagnosis, treatment procedure and prognosis in the medical world.”
“This will be a focus around which all modalities in the medical world will begin to agree.”
If those types of accolades are not enough, then let us see what Hans Selye wrote in the foreword to ‘The Dental Physician. Selye stated”dental research and practice appear to be an effective means of combating excessive stress in the daily life of many people. Dr. Fonder has probed so deeply into the stress concept in relation to dental distress and its effects and its effect on the patient. In this book, Dr. Fonder’s greatest contribution is the realization that dental problems are ‘focal’ manifestations of stress in a unit, the patient. I fully support his plea to dentists to realize that they are ‘treating persons who are united wholes, not simply complex dentin and periodontal tissues.’….’stress of dental origin…pervades man’s life in health and disease to such an extent that any professional stress researcher is naturally curious to learn as much about it as circumstances permit…stress in any area of the body can lead to somatic maladies. ..I feel that medicine would benefit most by a closer alliance between members of the medical and dental profession.”
Also, we have founder of the myofascial pain concept Dr. Janet Travell who developed the trigger point therapy concept and was Presidential Physician to JFK.
“A multidisciplinary approach to head, face and neck pain and dysfunction is greatly needed ………..
Effective control of the persistent, debilitating pain of craniomandibular disorders requires close teamwork between dental and medical professionals. The challenge of successfully treating such problems is great, and the rewards of the clinical triumph are even greater.”
Finally we have Dr. Everitt Koop an ex- surgeon general saying
“You’re not healthy unless you have good oral health.”
So now let us look at the 50 plus diseases that demonstrate the oral health –total health connection.
1 . Simple tooth decay can be painful in itself. However when caries progresses to be an abscessed tooth this becomes a whole body problem and puts bacteria into our bloodstream. Then it can progress to be a swollen face and then become even more complicated developing into cellulites. This is a severe facial swelling and life threatening. Still occasionally people do actually die from a brain abscess complication from a tooth abscess.
2. Sinus problems-Tooth infections in the upper arch can become chronic and cause a chronic sinusitis since many back upper teeth have their roots almost in or very near the sinus .Only the schneiderian membrane separates the sinus from the tooth and we believe organisms can access the sinus.
3. Wisdom teeth infections often happen around teeth that lack the space to erupt fully. This almost immediately becomes a full body infection .This results not in a bacteraemia and a general feeling of illness but also with pain and trismus (or the inability to open wide).This situation requires immediate antibiotic attention and/or surgical intervention.
4-Earaches (otalgia) these are earaches without signs of infection that are often related to the teeth and jaw dysfunction because the common embryonic origin of the lower jaw and the ear which is called Meckel’s cartilage. Also jaw joint and myofascial problems cause referred pain to the ear i.e. medial and lateral pterygoid, sternocleidomastoid and masseter muscles as documented by Janet Travell in her book called Myofascial Pain and Dysfunction written with David Simons .Two more brilliant medical doctors and diagnosticians I do not know.
One reason jaw problems relate to ear problems is those 50 years ago a Dr. Pinto, Brazilion doctor found a new ligament from the jaw to the ear called the malleomandibular ligament. It is also called pinto’s ligament.
One Ears Nose and Throat specialist Dr. Harold Arlen wrote an article called The Otomandibular Syndrome and commented succinctly on ear-dental issues. He said “This article deals with the patient who has one or more symptoms-ear pain, fullness, hearing loss, loss of equilibrium- but have no positive findings in the usual otolaryngology examination……….. The trigeminal nerve innervates the muscles of mastication….However there are two other muscles that are innervated by the same nerve.
a-the tensor tympani which distributes onto the neck of the malleus and has its origin in the long canal above the osseous portion of the auditory tube…the tensor tympani (tenses the ear drum to dampen the noise of chewing)
b-the second muscle, not related to mastication but also innervated by the…trigeminal nerve…is the tensor veli palatine .it is the only muscle that functions to open the Eustachian tube.
This is the key to the relationship between the jaw and ear dysfunction that is plaguing modern man, along with the deterioration of other parts of the jaw and the dental apparatus.”
5- Heart Disease- Many heart diseases including rheumatic heart disease relate to all 3 divisions of dental diagnosis because
a- Tooth abscesses can seed the bloodstream with bacteria harmful to the heart.
b- Bacteria from gum disease do indeed seed the bloodstream and harm the heart as well.
c- orthodontic problems often mean poor airways and sleep disordered breathing and sleep bruxism and sometimes this can become sleep apnea .All of these problems can adversely affect the heart.
Dr. Anita Eckberg, who is one of Sweden’s leading dental educators and professors paraphrased. “One more important clinical fact about heart disease is to remember pain referred to the jaw is an important warning symptom of heart disease or an impending heart attack. However in some 12 to 15 per cent of cases, the only symptom experienced before having a heart attack is jaw pain”.
Dr. Charles Bass M.D. was the former dean of Tulane Medical School. He was the first microscopic pathologist to discover how to differentiate malaria from typhoid. When he retired his curiosity about the mouth lead him to study the organisms in the mouth associated with dental and periodontal infections. In 1965 he ominously and prophetically published his findings in the American Heart Journal (27-pp 718 -719)
“In almost all ailments of the heart caused by bacteria, the source of the infection is known to be the pathologic and infected environment of the teeth…the health, welfare, and even life itself, of persons who have heart conditions which predispose to infections may depend upon prevention and control of dental disease…caries is a source of bacteraemia only, and then temporarily, from advanced –stage infections involving infections of the pulp. Bacteraemia in the periodontal pocket and in the diseased periodontal tissues are the source of almost all bacteraemia from the environment of the teeth…I believe that, at some time in the future, leading cardiologists will wonder , in retrospect, how information so needed by their patients could have been overlooked or neglected for so long. “
6-Strokes are in the same category as heart attacks in that all 3 divisions of dental disease can contribute to strokes in the same way as they contribute to heart attacks.
7 –Atherosclerosis problems can again relate to dentistry in the same way as strokes and heart disease. Bacteria in our bloodstream cause a generalized chronic inflammatory reaction!
8-Diabetes has been correlated with gum disease and with airway distress and sleep disorders that in turn are associated with growth or orthodontic problems. Every diabetic should get an airway and an orthodontic assessment as well as getting laser gum therapy.
9-Kidney disease has the same bloodstream connection to bacterial seeding from tooth abscesses or chronic gum diseases.
10-Osteoporosis again relates to bloodstream inflammation secondary to tooth and periodontal infections.
11-Aspiration pneumonia is called the old man’s friend and it implies an acquired infection possibly from bacteria associated with bacterial oral infections. Poor hygiene is common in the oral cavity of many of the elderly.
12-Premature births are documented to happen in mothers with gum infections and poor airways this may contribute to the problem.
13- Lower birth weight babies are related as well to gum disease and a high bloodstream bacterial titre. A poor airway can also be a factor.
14-Stomach ailments or ulcers can be caused by some of the 400 or so organisms found on the tongue or in our saliva.
15 -Duodenal ulcers are often caused by the same source mouth bacteria that migrate in saliva as we swallow. Dyspepsia can sometimes also be symptoms of an oral infection but not always!
16-Scoliosis has had some reversal by doing jaw realignment and airway development due to head posture changes which in turn affect cervical and thoracic alignment. All children with scoliosis should be triaged with a conservative craniocervical and structural alignment system (the best system I have seen and experienced is Rolfing) prior to considering more aggressive therapies.
17- Alzheimer’s disease has been suspected to be related either one of or both of bloodstream infections and chronic oxygen deprivation associated with chronic undiagnosed sleep apnea.
18- Arthritis. Some forms of arthritis may be influenced by chronic bacteraemia from periodontal disease or infected teeth. Finally poor craniocervical and craniomandibular posture can affect the entire spinal system adversely. This should be part of any arthritis workup to be thorough.
19- Oral cancers are increasing in incidence. They are found more often in patients with unhealthy teeth and gums and a bad bite or airway. However, there are many other factors like nutrition and smoking to consider.
20- Breast cancer. A new theory states that when certain oral organisms(such as the oral parasite entamoeba gingivalis which I have seen aggressively consume red blood cells and white blood cells) are introduced into the large ducts of the breasts there could be potential for a cancer to develop. Veterinary medicine seems more informed about the significance of parasites to cancer development.
21- Halitosis. The Halitosis of periodontal diseases is a serious oral sign and symptom it also has a strong social stigma and in old biblical law was once grounds for divorce or dismissal from public office.
22- Headaches-many headaches are very often problems in the counterbalancing musculo-skeletal systems of the craniofacial system and the craniocervical system.
23- Neck aches happen to be the number one symptoms of a TMJ problem. Simply put jaw clenching and dysfunction reflexively causes neck dysfunction as sure as night follows day.
24-Migraines that are long term and chronic often respond well to the TMJ rehab protocol of the American Academy of Craniofacial Pain. Orthodontically correcting a deep bite or a posterior bite to a more forward bite has helped many migraine sufferers. Since migraine sufferers have such terrible life stories, they are very appreciative of long term relief. Their stories make me think of Dr. Albert Schweitzer’s quote about pain…”We all must die. But that I can save him days of torture, that is what I feel is my greatest privilege. Pain is the more terrible lord of mankind than even death itself.”
25 Myofascial pain or head and neck pain around the mouth, jaw and facial areas ( as described in Travell and Simons classic book Myofascial Pain and Dysfunction ) respond equally well to the AACP 90 day first phase system of diagnostic and treatment protocols . Again let me quote Dr. A.B. Leeds who said “This is … the greatest treatment of chronic pain symptoms that I have come across in over fifty years of medical practice.”
Then we must hear the expert Dr. Janet Travell express her thoughts on head and neck Myofascial pain…
“It is unfortunate that the skeletal muscles, which are an essential part of the masticator apparatus, are often ignored as sources of pain in the teeth ,gums ,jaws ,ears, throat, face and ,in fact, in all parts of the head and neck…Pain can be referred to the neck by noxious stimulation of the teeth, but more commonly trigger points in these masticator and neck muscles refer pain to various regions of the head …and give rise to autonomic concomitants sweating, pallor, tearing, dizziness, and tinnitus. Dentists generally possess a high degree of manual dexterity that is needed for localizing trigger points. Trigger point therapy (stretching under vapocoolant spray, massage, injections, laser-acupuncture therapy et cetera} usually provides temporary relief unless steps are taken to eliminate the perpetuating factors…they may be both mechanical and systemic. Mechanical causes of muscle strain may be obvious premature contact of a tooth, anterior displacement of the tmj disc, a short leg and a small hemi pelvis (causing functional scoliosis),poor posture, and inefficient body mechanics, or even sitting in a chair that is unphysiologically designed….Systemic factors include a focus if chronic infection, recurrent oral herpes simplex, borderline anaemia , vitamin deficiencies and other nutritional deficiencies…endocrine disorders(thyroid), uncontrolled allergies and reflex viscerosomatic trigger points. Emotional tension may also be a factor. “Dr. Travell should have been nominated for a Nobel Prize in her lifetime but never did receive full credit for her contribution to chronic pain. She was one special doctor and Dr. Simons her co-author, is in the same category.
An especially good screening tool to use is range of motion testing for the jaw, neck and shoulders. Also Dr. John Beck’s neurologic or ANS (Autonomic Nervous System) screening for inflammation or dystrophy or dysfunction in the musculoskeletal system. This testing system is used to confirm where in the peripheral nervous system is the cause of the chronic pain. Note: usually the site of chronic pain (unlike acute pain) is seldom the source of the chronic pain.
Dr. John Beck, orthopaedic surgeon, is one of four living medical legends that I personally know who I feel should be nominated for a Nobel Prize for Medicine.
26. Simple snoring often responds to mandibular advancement device (MAD) therapy if the problem is associated with the oropharynx but voice lessons and Rolfing (an advanced form of Physical therapy) also helps immensely.
27. Sleep apnea – mild to moderate sleep apnea again responds well to tongue advancement (MAD) if the problem originates at the level of the tongue but again weight loss, Rolfing and voice lessons techniques also help greatly. Traditionally CPAP (continuous positive airway pressure) has been the gold standard but compliance is the weakness of this type of machine therapy. Oral Appliance Therapy (OAT) is popular with sleep specialists like Dr. Jerald Simmons M.D. a Texas neurologist who specializes in sleep disorders and encourages dentists to “help in making what could be a critical initial diagnosis” …”At least 10% of all people suffer a significant degree of obstructive breathing during sleep ranging from snoring to obstructive sleep apnea…as a result these patients can have problems ranging from fatigue to heart attacks and strokes….I clearly recognize the benefits I’ve been able to provide some of my patients who have been fitted with a mandibular advancing dental appliance.”
28. Foreward Head Posture is a huge structural problem that makes the whole body compensate for the problem. Airway therapy and TMJ therapy together with physical therapy produce well to excellent results if the treating team works together. In a recent research study lead by Dr. Steve Olmos, they found that after orthodontic correction the average patient’s forward head realigned and improved by over 4 inches!
Dr. Rene Caillet M.D., Physical Medicine and Rehabilitation Director at USC explained “It is an axiom…that the body follows the head…you can realign your entire body by moving your head…your head held in a forward position can pull your entire body out of line and vital lung capacity can be reduced by as much as 30 per cent …and gastrointestinal function is adversely affected.”
29. High Blood Pressure can sometimes increase at night in those patients who have deep posterior bites and clench their teeth severely. After many years this nighttime high blood pressure problem can become chronic.
30. GERD gastroesophageal reflux disorder is often a side effect of undiagnosed TMJ dysfunction and airway problems. Correcting the airway can stop or reduce GERD.
31. Concussions from car accidents or sports injuries or any trauma respond faster and better if craniomandibular night time appliances are used to stop sleep bruxism in combination with an initial daytime orthotic. Many other therapies also help but more on that in another article.
32. Enuresis or bed wetting is often cured in youngsters when we get their facial growth curve back to normal and support their sleeping habits with oral orthotics and good expansive –style orthodontics.
33. Movement disorders in adults (some cases of Parkinson) often respond well to creating better jaw joint and airway function and thus an improved sleeping ability plus we should teach sleep hygiene to create the best sleeping environment possible.
34 RLS Restless legs syndrome is also going to improve in some cases with improved airway function day and night as well as decompression of both jaw joints.
35-Tourettes Syndrome starts at about 5 to 7 years of age while the first few permanent teeth are starting to erupt .This disease to date has no known diagnosis or treatment but it sometimes responds well to good airway and tmj corrective orthodontics as taught by Brendon Stack.
Dr. Stack is the second doctor who I have studied with who should be nominated for a Nobel Prize for Medicine.
36.ADHD often responds well to a combination of good functional airway orthodontics ,good nutrition{Google Dr. Michael Lyons a Canadian physician who has written about food allergies ) and Rolfing( Rolfing is a method of physical therapy taught in 2 schools in Boulder Colorado. It is a 10 session system of physical rehabilitation developed by Ida Rolf .) Conscientious parents who practice conscious, concerned parenting find this combination therapy a blessing.
Two physicians have commented on childhood snoring and their words are worth repeating
“Every chronically snoring child should be examined thoroughly. Snoring and obstructive breathing are never normal; in childhood.” Drs, David Fairbanks and Shiro Fujita
37. Tinnitus or ringing in the ear or ears can sometimes respond to corrective functional and airway orthodontics. Unilateral tinnitus has the best prognosis.
38 Vertigo or balance problems have responded positively to the same therapy.
39, Coryza or sore throat without infection is another disease that is hard to diagnose and even harder to treat, yet it sometimes responds to expensive and advancement orthodontics combined with night time (sleep) appliances as retainers.
40. Laryngitis is again in this category of diseases that respond sometimes to night orthotic and orthodontic therapy.
41. Dysphagia or swallowing difficulties and also throat tightness, feelings of a foreign object without anything present or voice fluctuation without known cause can again be signs of orthopaedic growth and functional disturbances.
42. Glossalgia or tongue pain as well as palatal pain of unknown origins can be treated successfully with good orthopaedic dentistry.
43. Intracapsular TMJ problems such as chronically locking disc displacement problems and other TMJ dysfunctional problems can sometimes be reversed or controlled by doing corrective orthodontics plus a sleep bruxism night time appliances. Harold Gelb of New York City was one of the early pioneers in teaching joint decompression and muscular distraction methods. He created the daytime orthotic, the Gelb appliance, which was named after him as well as the TMJ centre at Tufts University. One man can do no more.
Dr. Harold Gelb should be Nobel Prize nominee number three.
44. Sleep Bruxism is a common and serious medical problem. It is seen most often in patients with class 2 or posterior bites that are also deep bites .This is a diagnosis that daily dentists should be assisting the physicians of their patients to make this important diagnosis. Every dentist sees tooth wear either on the front teeth or on the back molars, hypersensitive dentin and gum line groove fillings and these are all caused by sleep bruxism!! Actually most dentists and physicians just plain miss this critical diagnosis because we were never trained to connect the dots.
In fact Sleep bruxism is part of the trio of diseases that occur together
A- Various head and neck pain syndromes caused by the intense bruxing or grinding.
B- Sleep disorders from snoring to sleep apnea because the airway is muscular and sensitive
C- Sleep bruxism which is often the first a sign of sleep distress
Sir William Osler said it all “the eye cannot see, what the mind does not know.”
The acclaimed clinician Dr. Steve Olmos has done more in a short time to bring awareness of all these inter-related conditions to our attention than anyone else.
Dr. Steve Olmos is the fourth man who deserves Nobel Prize nomination and Steve has only just begun to teach the world of dentistry and Medicine about how “the mouth is the mirror of all disease.” (I have to thank Dr. Brock Rondeau for encouraging me to study with Steve Olmos.)
45. Eye pain (retro-orbital pain or pain above and below the eye)and dysfunction such as watering(lacrimation) blurring of the vision, bloodshot eyes, photophobia or light sensitivity and even drooping eyelids or slightly bulging eyes can ALL be related to craniomandibular and cranio facial dysfunction and growth disturbances . All conscious and aware doctors who do orthodontics have seen these problems disappear with appliance therapy.
46. Speech difficulties can sometimes be positively affected by craniofacial corrections by orthodontic means. Poor swallow patterns affect speech and many children learn to say their‘s’ sound off their lower front teeth rather than off the palate which is considered the norm.
47. Daytime fatigue, irritability and even depression can sometimes be caused by craniofacial and airway dysfunction. When the trigeminal nerve complex is distressed the whole person is distressed. Why you ask? Well it is simple. The embryo grows in developmental stages or arches and the nerve of the first stage is the trigeminal nerve. This trigeminal nerve is the master cranial nerve and it dominates the other 4 developmental stage cranial nerves ( 2nd arch is the facial nerve , 3rd arch is the gloss pharyngeal nerve , the 4th arch is the vagus nerve and 6th arch is the spinal accessory nerve and the vagus again) by this factor of cranial nerve dominance.
48. Mouthbreathing and the long face syndrome are craniofacial growth disturbances.
We are losing the proper “tongue on the roof of the mouth “swallowing method since many modern mothers do not have support system or the free time or the motivation to breast feed… This distorts how the upper jawbone (the maxilla) grows. Then everything else changes…for the worse. (Where have all the wet nurses gone?? We doctors and babies need them desperately.)
Upper jaws now measure dimensionally much smaller than in our ancestors who had very wide and flat palates. Now we see deep and narrow palates in the orthodontically challenged young kids today. This is more than sad. It bodes ill for our future survival as a species.
Quite frankly we have a serious epidemic of narrow jaw bones and deep bites in our “civilized diet” kids. This is now an international health crisis. Who is ready to do battle for these children??
The nose is supposed to be the primary breathing tube but allergies from dust, dirt, dander and changes in our human diet notably no breastfeeding and a food supply that is being manipulated more for profit margin than for nutritional content. This I find nutritionally and morally disgusting.
If we are on this planet to raise human consciousness, we better start with breastfeeding our children and creating broad wide palates by encouraging less allergies and better food choices. PhD Christine Laurel colleague of Dr. Michael Lyons Midland has already written a book describing these foods that cause childhood allergies. Further the book Green for Life by Victoria Boutenko gives you another slant on how a family can eat better and get healthier. Read these books and follow them!
49. Lowered immunity and slower healing time.
When you have Inflammation in your bloodstream from gum disease bacteria invading your bloodstream on a daily basis and you have lower night time and day time oxygen levels from a poor airway caused by bad bite, you have a lowered immune system. Fortune favours the person with the stronger immune system to thrive and to survive. Dr. Marcus Gitterle Diplomat American Board of Anti-aging medicine, says it well.”What was formerly perceived as a window might moiré appropriately be called a doorway-to enhanced health, performance ,and protection for all body systems, but especially for the cardiovascular and immune system.”
50. Fertility or Infertility can be strongly influenced by a bite or airway problem or a dental distress issue. That connection is the dominance of the trigeminal nerve over the other cranial nerves and the spinal cord connection of the trigeminal nuclei in the cervical spine… As we explained above the trigeminal nerve is the master cranial nerve in the developing embryo and it maintains that status in life. When a patient has a orthodontic imbalance or a bite and a bad airway, their body tells the brain via the trigeminal nerve that we are under attack or stressed out and this sympathetic dystrophy and dysfunction danger message goes out to all the cranial nerves in the body plus (via the spinal nucleus of the trigeminal nerve which is located in the neck) the message goes out to each spinal nerve tract plexus. When the uterine nerve plexus hears the danger message it knows that when a woman is under stress it is not a good time to conceive. So it tells the uterus, ovaries and fallopian tubes to avoid conception. When the trigeminal nerve tells the pelvic parasympathetic nerve plexus, “times are good we are back to homeostasis now “. Then the spinal tract nerve plexus tells the uterus to relax, that all is well so you can tilt the uterus into a “let’s conceive now “posture. In summary, the danger is gone when the sympathetic dystrophy of a bad bite, bad gums or a bad airway has been resolved. This is our goal with everyone Homeostasis or maximum medical improvement…or relative freedom form Inflammation, distress, dysfunction and disease. Then life is good and this is a good time for fertility.
So ends the story of how oral health affects total health……or as Sir William Osler said how ……. “The Mouth is the mirror of all disease.”
Osler also said when he wanted to stump his brightest students he would give them a facial pain to diagnose. This we can all doctors and patients alike can appreciate.
Finally Osler also taught another important concept of perception.
“What the brain does not know, the eye cannot see.”
Now you can see what he meant?
Dr. George-Paul Greenacre DDS, FAACP, FICOI gpgreenacre@gmail.com
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pgreen, forgive me if this is a bit off topic, but… This will make just about anyone angry: Diets in reality cause you
to gain pounds in the long term which has become more and more evident within
the excess weight epidemic that\\\\\\\’s
hurting this kind of junk food, minimal activity generation. Are you aware that arena seating have
to be increased in order to aid the increase in peoples expanding, ahem…girth? It suggests that we are being
a even larger place (and by
no means in a smart way) individuals than all of us have ever have before which is previously 2 full decades only. Our young ones experience excessive weight related
conditions for instance having diabetes and also cardiovascular illnesses.
I read that in a research project 70 overweight Western children from the age group of 6 to nineteen have been subjected to
several battery of exams to observe the result that the eating routine rich in fat had on their younger physiques. The results were eye opening. All suffered from
high cholesterol levels and also were within the high-risk group of getting heart problems and coronary heart failure that a number of subjects ended up already expressing indications of.
Will there be virtually any a cure for everybody? I believe the
correct answer is of course. Apparently
pretty much all we need is definitely plenty of diet and exercise. We virtually all will need to start get started Immediately!
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pgreen,
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I would would like to ask you a favor and that is that it would be great if you could enter into a little more detail. Or perhaps you can point us to some other websites where we could get more information.
By the way, Have you seen anything with regards to MUFAs (Mono Unsaturated Fatty Acids). If you have then could you please post an article about that?
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