Table of Contents[Hide][Show]
- Dental Implants Usually Involve LOTS of Antibiotics
- Natural Dental Implants
- Types of Bone Grafts
- How Natural Bone Grafting Works
- Titanium vs Ceramic Implants
- Health Risks from Titanium Implants
- Benefits of Ceramic Implants over Metal
- Less Reactive than Titanium
- Aesthetics
- Non-conductive and Inert
- Dental Implant Cost
- Consider Medical Tourism for Implants
- Recovery Time
Many years ago, I had a “series of unfortunate events” involving my front teeth. To summarize yet spare you the gory details, they decided to become detached from the rest of me on four different occasions. While the dentist put them back in each time, it was only a matter of time until they would need to come out, and I would need dental implants.
In my late twenties, that time began to approach. My body began to reabsorb the teeth. I began to look at options for what would come next. A bridge? Some kind of dentures like mouthpiece? A permanent rural KY farmer smile with year-round singing of “all I want for Christmas is my two front teeth…”?
I eventually settled on dental implants, and the discussion below covers what I learned about them along the way.
Dental Implants Usually Involve LOTS of Antibiotics
My first concern when looking at implants was the number of antibiotics often used in the process. Since I had damaged and degraded bone, I needed bone grafts on top of the tooth implants proper.
The materials used in bone grafts often come from a cadaver or porcine sources. This material is impregnated with antibiotics. Then, on top of those antibiotics, many doctors will also give prescription antibiotics post-surgery.
Some will also do antibiotics during surgery. Getting dental implants, especially if you have other issues to address at the same time, can turn into an antibiotic storm that can have a years-long negative impact on your health.
Since I didn’t want to destroy my gut and crush my immune system as a side effect of the procedure, I looked for a biological dentist to minimize these risks.
Natural Dental Implants
Many of the holistic dentists who do low to no antibiotics with implants make use of a mixture of ultra-modern and traditional means to prevent infection.
For my team (my local dentist and the doctor who performed the implants), this involved ozone injections and treatments a week before surgery, the use of ozonated ice cubes and iodine applied via a toothbrush post-surgery, and a number of tools and techniques used during surgery.
As a result, I used no antibiotics whatsoever!
During surgery, the doctor used ozone to keep the surgical site sterile and protected from any unwanted pathogens from getting trapped inside. This is one of the main drawbacks of modern dentistry, especially cavities.
Dentists drill them out, only to then apply a filling or dental sealant high in BPA that seals harmful bacteria in between the filling and the healthy tooth. Root canals have the same problem.
Years later the problem resurfaces, often having done immense damage in the meantime. But like with plumbing hidden behind walls, you don’t know just how bad the damage is until it is really, really, really bad.
Ozone or a similar method that keeps areas sterile is crucial to good, modern dentistry! I wouldn’t get any dental procedures done without it, especially tooth implants!
Types of Bone Grafts
Dental implants can frequently involve the use of bone grafts. When this occurs, there is a concern that the body may reject them.
While bone isn’t as big a deal as other organ transplants, I still had concerns over foreign material. Many doctors use animal or human bone materials to make bone grafts. This introduces foreign materials into your body, which can sometimes lead to known and unknown issues. Implantation of tissues especially from another species can cause a negative immune response and ongoing problems with inflammation.
The journal BMC Medical Ethics points out that bone grafts made from your own body are best.
Autologous bone grafts come from donor sites in the patient’s own body and have osteoconductive and osteoinductive properties. Such autologous bone grafts also contain osteogenic cells that help reduce the bone healing time. Allografts are another type of bone graft in which the bone is taken from another donor of the same species, and are typically obtained from human cadavers and subsequently subjected to processing. Xenografts consist of bone tissue taken from a different species and have osteoconductive properties and preserve the original bone mineral structure, which is more complex than that of synthetic materials, i.e., alloplastics. (1)
How Natural Bone Grafting Works
As a result, I sought out a dentist who was able to use autologous bone grafts for my implants. I wanted to avoid allografts and xenografts if at all possible to avoid future health issues.
Some biological dentists now make bio-identical bone grafts on site. All the fine details are beyond me, but this is a good summary.
First, they start with a sterile bone matrix, similar to what your body lays down in the space between a broken bone to begin the repair process. To this they add your own purified blood, isolating specific healing compounds. Sometimes, they also take very small amounts of your existing bone to add to this mix. It is then packed into the graft site and given a number of months for the body to “turnover” the mixture into the bone.
It is an AMAZING process. Also, it has the added benefit of helping to reduce the risk of infection and the need for antibiotics. Since the surgical site is filled with the most powerful components of your own blood, immunity factors included, the risk of infection is far, far lower from the get-go! Because it is just “you” in there, your risk of rejection, inflammation, and immune response issues is greatly reduced.
Titanium vs Ceramic Implants
For many decades, titanium was the “go-to” material for dental implants. It accounted for approximately 97% of the total dental implant market. The reason is that the use of titanium tooth implants is well-documented in the research, which lauds its high survival and success rates.
Living bone tissue likes titanium. It will attach to it, and do so firmly. In addition, titanium is biocompatible with bone structure and relatively non-reactive. Also, it is incredibly strong. This is kind of important for the next time you accidentally bite down on something hard or if you ever want to enjoy a crisp, juicy apple again!
However, in recent years, more dentists have called into question the use of metals for tooth implants.
Health Risks from Titanium Implants
The risks from titanium dental implants are four-fold.
- Though uncommon, titanium allergy definitely exists with compelling evidence in both clinical and laboratory settings. This may induce implant failure. (2, 3)
- Allergic reactions to metals are associated with delayed healing. (4)
- Implanted metal devices including titanium can trigger a negative immune response. (5)
- Metal ions from titanium implants can accumulate in nearby lymph nodes. This occurs despite the excellent corrosion resistance of titanium. (6)
These problems occur due to bone adhesion and integration. This process is also called “osseointegration,” which means the bone and metal become one!
Benefits of Ceramic Implants over Metal
In recent years, an alternative to titanium has come to market. These are called ceramic implants, and they are made of materials such as zirconium oxide. Not every person or situation will permit the use of ceramic instead of metal for implants. But, when possible, they have a number of advantages.
Less Reactive than Titanium
The main benefit of ceramic implants is that they are even less reactive than titanium. (7)
This is important because a major reason that implants fail is because of inflammation post-surgery. This keeps the implant from integrating into the surrounding bone structure. (8, 9, 10)
This inflammation is driven by a number of factors, but the implant material and type of bone grafts used are the primary culprits. Diet, rest and other lifestyle factors matter as well.
A good biological dentist will perform biocompatibility testing before the implants. While it adds time and additional expense, if you have any concerns or possible reason that you may have an issue with the chosen implant material, it is worth taking the extra precautions. Dental implants are an expensive and time-consuming process. You want to do everything in your power to encourage that they “take”.
For my situation, the ceramic implants were the clear winner.
Aesthetics
Ceramic tooth implants also have a large aesthetic advantage over titanium. Note in the picture above how the shiny metal is easily seen next to the gum tissue. Well, if you have thin or receding gums (a common problem after implants, by the way), ceramic will look a whole lot better.
Non-conductive and Inert
Another growing concern is that most people’s living and work environments are awash in EMF radiation 24/7.
Having metal implanted in your gums opens up the potential for your head to become a cell phone tower, as one doctor bluntly describes it.
On the other hand, ceramic is non-conductive and totally inert. Ceramic implants do not interfere with, attract or carry electromagnetic fields of any kind. In our wired world, it is the preferred material to have installed near your brain!
Dental Implant Cost
Dental implants are expensive. They also require a lot of time to get done properly This is especially so if you need bone or have other complicating factors.
From start to finish my journey included three surgeries across 20 months. In addition, I required a few extra trips to my local dentist beyond normal cleanings and exams. Now, I realize, my implants were close to “a worst-case scenario.”
Costs vary wildly for dental implants. Interestingly, the out of town dentist I settled on was slightly less expensive than local dentists that used older or less holistic approaches to implants, bone grafts, and the like.
Don’t automatically assume that going the natural route is going to cost more!
Consider Medical Tourism for Implants
In addition, be prepared to travel if necessary to get the best care. If you live in an area where natural dental implants are expensive or nonexistent, you might want to consider medical tourism. This can save you many thousands of dollars and/or the health risks from conventional implants!
The trade-off for using an out of town dentist? Each time I needed to see him, it involved at least two lost days. One for travel to the city where his office is and one for the procedure itself. This doesn’t count recovery time once I got home.
To some extent, unless you are fortunate, you are going to have to travel to find a good biological dentist anyway. So, for us, we made the best of being medical tourists. We went up to the city my doctor was in a day or two early, enjoying a few nice dates and meals as part of the package!
Here are a few biological dentists to consider if you don’t have one where you live. There are definitely others, but these are the ones Sarah is aware of.
- Raymond Silkman DDS, Los Angeles CA
- Michael Baylin DDS Baltimore, MD
- Carl McMillan DMD, Cary NC
- Carlo Litano DDS, Pinellas Park FL (this is Sarah’s dentist. He sees children as well. Mention The Healthy Home Economist and receive 10% off your first visit!)
- Michael Gossweiler DDS, Indianapolis IN
Recovery Time
Recovery will vary depending on the severity of your situation, age, and other factors.
My first surgery sidelined me for a week. After that, the other two were pretty minor. I needed just a few days to recover from the second surgery and just a day or so for the final.
The good news is that by doing your homework upfront, the time spent getting and recovering from dental implants will be a one-time thing. It won’t cause future health issues that take even more time and money in the coming years!
Mike sumner
Did you really just make fun of Kentucky farmers??
Sarah
John Moody who wrote this post IS a Kentucky farmer 🙂
Phyllis
That is excellent up to date information! Subscribers are lucky to have you. I am chemically sensitive including to metal so when had broken tooth could not have a metal implant. Unfortunately I could not find a zirconium material that did not contain a little metal “for bonding”. I had to have the tooth pulled. I hope others can find a pure ceramic and I urge them to research it to make sure, I believe metal is not good for the body at all and cause other health problems down to road. Keep up the good work!
LIsa M
You mention this: ‘sterile bone matrix’…this is just cleaned up, ‘sterilized’ cadaver bone. Unless your dentist invented something else, this is what I got and they insisted that all tissue related to the donor was gone and there was NO DNA present or anything that would cause rejection. if you dentist called it something else, you may have gotten the wool pulled over your eyes.
You can do the surgery without it, but it takes longer to heal and risks more infection. I think also that the idea of using your own blood and ‘sterile matrix’ is really silly. Your own blood is present in copious amounts around the surgery area for several days and the matrix as I stated above, cadaver bone as far as I know. I just had this done so i’m familar. I did avoid some of the antibiotics for some of the surgeries but I absolutely used the mouthwash. your mouth is just such a dirty place and I have a LOT of dental issues. I didn’t want to risk it. I haven’t had such a clean tooth feeling as I did after using the antibacterial mouth wash. No holistic, flouride free, natural toothpaste has given that to me… and I’ve been using them for many many years. I checked the zirconium implants as well, but being as mine was a molar I did not want to risk it.
Bill Sanders
There is something wrong with the IABDM website. It keeps refreshing itself – even after i disable my ad blockers. It reflects poorly on biological dentists.
Sarah
It was working for me. If you are having trouble, try this website. http://holisticdental.org/find-a-holistic-dentist
Note that some “holistic” dentists, use this description of their practice more as a marketing tool and they are more conventional than they like to admit. Be sure to ask a lot of questions! https://www.thehealthyhomeeconomist.com/10-signs-your-dentist-is-truly-holistic/
Patty
How do you find a good holistic dentitist?
Do you have a check list?
Sarah
There aren’t many … be prepared to travel as described in the post. Here is my checklist. https://www.thehealthyhomeeconomist.com/10-signs-your-dentist-is-truly-holistic/
Letitia
May I have more information about medical tourism ,please ?!
Sarah
Medical tourism is a fancy term for traveling out of town to get a medical procedure done. More people are doing it to either save money, use a practitioner that uses techniques and procedures closely aligned with their preferences or both.
Beverly
I researched titanium vs zirconium and decided upon the latter. One thing not mentioned is that titanium implants are smaller and, as such, less complicated to place. With the Zirconium, I had to get a CBCT Scan ($400) so that they could determine if I was a good candidate but also to supply exact measurements to my oral surgeon. I didn’t like the extra radiation but it was essential if I planned to go with zirconium. Also, zirconium is not considered as durable as titanium but, from what I understand, that difference is reduced because the gum will adhere to Zirconium, but not to titanium. Antibiotics were never brought up at all.
Linda Mulvey
Can you tell me the name and contact information of a holistic, or biological dentist nearest me? I live in Atascadero, CA.
I had a filling that my dentist redid. After that it became sensitive to hot and cold so he recommended a root canal under the filling. After I had the root canal I developed a sinus infection like I’ve never had before. ‘Lost hearing in both ears for awhile, then my hearing came back in one ear but is still impaired in the one above that tooth. I also developed tinnitus.
Well, that tooth fell apart and was pulled. My dentist put in a bridge, capping another tooth to do so. Then the bridge broke, leaving me with a two-tooth gap. I have discussed implants with a local oral surgeon, but he does not do ceramic, and only uses cadaver bone.
I wonder how far I would need to travel for an alternative.
Sarah
There are quite a few biological dentists in California. Raymond Silkman DDS is in Los Angeles CA
Here are some others I am aware of.
Michael Baylin DDS Baltimore, MD
Carl McMillan DMD, Cary NC
Carlo Litano DDS, Pinellas Park FL
Ray Behm DDS, Clearwater FL
Michael Gossweiler DDS, Indianapolis IN
Lynne
My dentist (started with him about 18 months ago) just opened his own independent practice and he is excited to start offering ozone treatments. It is not covered by insurance but was not prohibitively expensive. I got it done as part of my dental cleaning. I’m really interested to see if it makes a difference in the amount of buildup I have between cleanings.
Sarah
Here’s more on how ozone helps with cavity prevention. https://www.thehealthyhomeeconomist.com/diagnodent-laser-cavity-detection/
David J. Potter
Please tell us the name of the dentist?
Sarah
This biological dentists directory can help. https://iabdm.org/location/me/