Functional Medicine & Dental Health:
Is There Something To It?

      Alvin H. Danenberg, DDS     February 2, 2016   [printfriendly]
 
 

Have you heard the term “functional medicine” floating around the Internet? Do you know what it means?

 

Functional Medicine & Dental HealthMany traditional medical practitioners do not embrace the concepts of functional medicine, but I do. Let me explain how functional medicine could actually benefit your dental health.

 

I am a traditionally educated periodontist and have been in practice for almost 42 years. Three years ago I began extensive functional-medicine training and subsequently earned the designation of Certified Functional Medicine Practitioner. I have found incorporating the concepts of functional medicine with my traditional practice of treating gum disease can enhance the treatment I offer my patients.

 

So, what is Functional Medicine? Functional medicine is the science of looking deeper and deeper for the causes of disease and not just managing the symptoms of disease. Everything starts on the cellular level. Since there are 10 trillion human cells, there is a lot going on. Cells communicate with one another. A breakdown in that communication for whatever reasons can lead to improper function down the line – in the mouth and in the entire body.

 

In my experience with patients over the years, most have wanted to know the cause of their gum problems. The obvious causes are dental plaque, poor oral hygiene, and unhealthy biting forces on the teeth. These play an important role in the progression of gum disease. However, in certain situations, there may be more to gum disease than these obvious causes.

 

For example, some patients brush and floss daily, but still have bleeding gums. Others may see their dentist every six months, but they still are loosing their teeth. What’s going on here? Could there be deeper problems that have not been identified?

 

Functional medicine helps me look deeper into the not-so-obvious causes and mechanisms involved with gum diseases, which also may be causing other chronic diseases.

 

I believe that every patient is an individual and does not just fit into a group statistic. Each person has unique cellular qualities that respond to different things in different ways. My job is to find the individual differences that are causing disease and to help my patients become healthier. Specific functional medicine tests may take me a step closer to learning what is going on for that individual.

 

Since the mouth is just the beginning of the digestive tract that ends at the anus, anything that affects one part of this tube could affect other parts. Various tests can be performed using blood, saliva, urine, stool, and breath to help put the pieces of the puzzle together. Damage to the gut lining, overgrowth of bad bacteria and other microbes, and toxic chemicals interfering with the functions of cells can all be studied by using specific functional testing. If damage to some of the cells could be traced back to specific offenders, and if those offenders could be removed or corrected, then other cells might heal. Improving the health of individual cells could improve the health of tissues and organ systems. The mouth as well as the entire body could benefit from discovering the underlying causes.

 

In future articles, I will describe several of the most reliable functional medicine tests that could be considered.

 

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I’m A Periodontist:
What Makes Me Different?

      Alvin H. Danenberg, DDS          January 5, 2016

 

What makes me different? functional medicine

I am a periodontist (a dentist specializing in gum disease) and have been in practice for almost 42 years. I have been trained traditionally, and therefore I would be considered a conventional periodontist.

 

However, for the last 6 years I have abandoned the conventional surgical procedures of treating advanced gum disease and have embraced the LANAP® Protocol (Laser Assisted New Attachment Procedure). This laser treatment kills specific bacteria that cause periodontitis and assists the patient in growing new bone around diseased teeth. The procedure does not require scalpels or sutures, and the patient returns to his or her normal schedule the next day.

 

In addition, I also have been trained in functional medicine and awarded the designation of Certified Functional Medicine Practitioner. That means I not only treat the signs and symptoms of gum diseases. I also actively seek the core causes of these diseases to improve cellular function that could turn these diseases around. Many of these causes are related to our species’ specific nutritional and lifestyle requirements, which have evolved over the last 2.5 million years.

 

With my training in functional medicine, I view the mouth as interconnected to the whole body. I appreciate that anything affecting an individual cell will ultimately affect the entire body. I recognize that underlying issues can trigger numerous and diverse manifestations of disease. Science now is demonstrating the benefits of functional medicine. These include addressing basic causes of disease on a cellular level and finding the right tools at the right time for each individual to improve health and prevent future disease.

 

I see my patients as unique individuals who are experiencing common but advancing periodontal diseases. My goal is to explore each patient’s unique nutritional and lifestyle issues that may be compromising her or his oral health and overall health.

 

In this way, I am different than most periodontists. I combine periodontal treatment, functional medicine concepts, and ancestral nutrition and lifestyle requirements to treat my patients. I offer my patients a health-oriented, patient-centered, holistic approach to periodontal treatment.

 

While I am a gum specialist, my approach is more diverse than that of most others in my profession.

How I Changed My Life

      Alvin H. Danenberg, DDS     October 1, 2014   [printfriendly]
 
 
     
 

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My story is interesting because I could have died.
 
You would think that a healthcare professional like myself would have learned everything that was necessary to be personally healthy. But, not true. Medical and dental professionals have a paltry amount of nutritional training – and no training in the importance of primal nutrition and lifestyle.
 
My story begins in December 2006:
 
I had been in practice for 32 years. I was treating my body as well as I thought was appropriate. I ate low fat, high fiber foods including grains, skim milk, fish, and meat. I didn’t like non-starchy veggies, but I thought I was doing just fine. I exercised aerobically 4-5 days a week for about 40 minutes a day. One of my loves was to snack on popcorn, which I believed supplied me with healthy fiber.
 
Then, in December 2006 I had a life-changing event. My daughter (who was staying with me and my wife while her family was transitioning to Portland, OR from Charleston, SC,) was sitting on our living room floor while I was standing with my laptop in my hands. All of a sudden I felt a shock travelling from the computer up my arm. I dropped the computer on my sofa, and my daughter exclaimed, “What’s wrong?” I said that I just got a shock from my computer. Her response was, “Dad, don’t be so melodramatic.” A week later, I had a stroke.
 
The stroke must have occurred while I was sleeping. When I woke up, my grandson was at our house, and I attempted to ask him if he wanted to go out for breakfast. But, the words could not come out. I was unable to speak. I felt fine, but I couldn’t speak. My wife, who is a nurse, realized what was happening, and drove me to the hospital. I was lucky.
 
My doctors explained that the “shock” that I thought was from my computer was actually a TIA (Transient Ischemic Attack). Many people who have a stroke will experience a TIA days or weeks before the stroke as a warning sign of an impending crisis. I was not aware of such a warning sign, so I paid no attention to it.
 
While in the hospital for a week, my cardiologist and internist put me on three types of blood pressure meds, a cholesterol med, and an acid reflux med. My vascular surgeon put me on 81mg aspirin and Plavix. Their medical advice was for me to take these meds for the rest of my life. Within three weeks, I was able to speak normally. I returned to work after six weeks.
 
After my stroke in 2006, I knew that I needed to get educated about good nutrition. So, I began my reeducation. For the next 6 years, I actively pursued my needed education in nutrition. I thought I was doing well.
 
In April 2013, I enrolled in a 5-day nutrition course that changed my life. I was excited because I believed that this was going to be the program I had searched for to confirm what I was doing currently was correct. I hoped to learn a few new things to hone my skills and update the knowledge that I already acquired. This program wasn’t about basic nutrition as I had been learning; it was about primal nutrition – the foods and lifestyles that allowed our species to thrive for 2.5 million years. What I learned in those informative and enlightening five days did change my life. I learned that almost everything I was doing was wrong. That blew me away!
 
Among other things, I learned that most processed foods were making us sick. I learned that modern grains of any type were one of the worst things I could put in my body. I learned that healthy fats were essential, and anything that was processed to be low-fat or no-fat was unhealthy. I learned that all the fruit I was eating contributed way too much sugar to my body, and leafy greens and other multicolored veggies were required at every meal. I also learned that exercise needed to be efficient, sleep needed to be restorative, various stresses on my body needed to be reduced, and that sitting most of the day was almost as bad as smoking. Wow!
 
So, I traveled back to my home in Charleston, SC and informed my wife of what I learned. She was not happy. But, she allowed me to make a 30-day test of my new fangled ideas. We removed all the processed foods, grain products, and sugar aliases from our pantry and fridge, which added up to 7 grocery bags that I took to my local Food Bank. We joined our local CSA (Community Supported Agriculture) program to obtain locally grown, organic veggies weekly. The foods we started eating consisted of grass fed beef and wild caught fish; all kinds of shellfish; free range chicken, liver, and eggs; all kinds of vegetables raw and cooked; some deeply colored fruits and occasionally nuts and seeds that we soaked overnight.
 
At that time, my meds were still the same. My HDL was 48, my triglycerides were 120, and my resting blood pressure was 137/87 even with three blood pressure meds. I weighed 184 pounds. My physicians’ advice was, “Continue to take your meds.” Unfortunately, my physicians were ignorant of the science of primal nutrition and lifestyle, as I believe most physicians are.
 
Today, I am still practicing periodontics, and I plan to continue treating my patients for the foreseeable future. As I am writing this, my resting blood pressure is 119/72, and my pulse rate is 54. My HDL is 76, and my triglycerides are 112. I weigh 154 pounds.
 
It has been stated that it takes one month of repairing a nutritionally damaged body for every year of the manifestation of a disease. I am still a work in progress; I have much farther to go to regain optimal health. I am patient, but I am diligent and motivated. I can’t believe the way I used to live was slowly destroying me. I can never return to the way it used to be. I am a changed person, and I want to spread the word.
 
The doctors, whom I depended on in 2006 while I was having a stroke, were exceptional. They saved my life, but I had to learn how to get healthy on my own. I only learned what was going on in my body after I learned about evolution and how our ancestors thrived.
 
Why didn’t my physicians help me understand why I had a stroke, and how I should improve my lifestyle to get healthy? Why didn’t my physicians explain how I should wean off my meds over time? The science is there, but most of the medical profession hasn’t gotten the message.
 
While making a change in my life, I also am making a change in my patients’ lives. In June of 2014, I received the designation of Certified Functional Medicine Practitioner, which helped me understand why and how diseases start at the cellular level. In September, I received the Certified Primal Blueprint Expert designation, which brought the concepts of primal nutrition and primal lifestyle into a cohesive game plan to incorporate with my active periodontal treatment. I teach all my periodontal patients the importance of primal nutrition and primal lifestyle. When you enable each cell in the body to function properly by giving it what it needs – which is nutrient-dense real foods and exercise and sleep and reduction in all types of stresses – each cell will help all other cells to thrive. Your gut will become healthier; your overall body will become healthier; and your mouth will become healthier.
 
I’ve reenergized my life and reengineered my professional career. I offer the knowledge that I have learned to all my patients and to all who want to listen.
 

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