You asked for a better array of services, a better location and easier access, and Dr. Daniel Vinograd is pleased to serve you better than ever. His commitment to always doing the best possible job for his clients really shows at the beautiful new state-of-the-art facility that his practice now calls home. Designed especially for him and his clients like you, it’s everything you could want in a dental office and more.
At his new San Diego holistic dental office, Dr. Vinograd provides non-toxic, biocompatible dental services in pleasant surroundings that will help put you at ease. Even if you’ve been injured or turned off by other dentists, you can visit Brighton Gentle Dental with complete confident — knowing everyone there is committed to your comfort and your overall health.
So where is the new place? That’s easy. When Dr. Vinograd moved from Alpha Dental, he only moved three miles down the road — to a charming and elegant new dentist’s office with plenty of FREE parking and easier freeway access than before. The details — including the new phone number you need to make your appointment — are:
10450 Friars Road Suite G
San Diego, CA 92120 (map)
You Benefit: Dr. Vinograd Moved From Alpha Dental
Today, Dr. Vinograd’s decades of experience and extensive educational background are available to you at Brighton Dental. And so are a complete array of modern dental practices, including digital x-rays that expose you to less radiation than before and can be stored easily so they never become lost or disorganized.
Dr. Vinograd’s new office at Brighton Dental also uses diagnostic lasers to get you answers about your tooth problems quicker than you ever thought possible. If a filling is necessary, injection-free fillings and no-drill fillings are possible when prescribed.
And because Dr. Vinograd is a holistic dentist, he uses only non-toxic, mercury-free materials for bridges, onlays, crowns and fillings. That means fillings are always tooth-colored, and other materials are always biocompatible and don’t result in toxins being released in your body.
Because Dr. Vinograd knows how important your looks are to you, he installs Invisalign braces, performs safe and effective teeth whitening procedures and can put on porcelain veneers for you that will restore a more youthful and healthy appearance to your smile — or make it look better than it ever has.
Remember: Dr. Vinograd Is At Brighton Dental
If you want a dentist who has been committed to mercury-free fillings for decades, choose Brighton Dental. If you want a USC-educated dentist who teaches for his alma mater, choose Brighton Dental. If you want a committed professional who serves his patients, serves his community and serves the world through dental mission trips, choose Brighton Dental. And if you want the choice of communicating with your dentist in English or Spanish, choose Brighton Dental.
Dr. Vinograd moved from Alpha Dental to Brighton Gentle Dental to serve you better. Won’t you call now to schedule your appointment so you can come see the new facility?
Further details available at: http://besttoothpaste.net/fluoride-free/alpha-dental/
A few words on the influence of detoxification on fitness, from Personal Trainer San Diego Phil Landman:
“Movement and activity are the natural states of the human body. A sedentary body creates an environment in which body systems do not work optimally. The detoxification systems of the body work this way also. While I do not suggest over-training, regular physical activity is necessary for overall body health and detoxification.
A stagnant body has stagnant body systems, including the lymphatic and circulatory systems. These both play a huge part in body detoxification. Lacking a pump like the circulatory system, the lymphatic system requires motion to keep the lymph flowing properly. Exercise also facilitates oxygen flow throughout the body and helps the expelling of toxins through the repertory system and lungs.
As stated above, excessive exercise is not required to help you detoxify your body. Consider taking a walk or bike ride, doing yoga, tai chi, Pilates, or some fun activity like a basketball game or dancing. Any habit that gets your body moving will work. Find something you find enjoyable and incorporate it into your regular schedule. Rather than seeing exercise as a chore, which increases the likelihood of stopping, have fun, relieve stress and get the quality physical benefits as well.”
Phil Landman is both a world class personal trainer, as well as the owner of several sports clothing labels.
The idea of “detoxification” is often mentioned by all manner of exercise gurus. Yoga instructors demonstrated detoxifying twists; aerobics class leaders tell their students the benefits of detoxifying sweat and dieters adopt fasts and specific eating plans to detox their bodies. Health professionals remain skeptical, however.
Shirley Archer, a yoga and fitness expert, is also an author and the spokeswoman for the American Council on Exercise (ACE). She recently stated that exercise assists body systems, such as the lungs and kidneys, to remove things that can cause disease from our bodies. A complete healthy lifestyle which includes nutritious food, proper hydration and exercise, keeps the body working at optimum health, which includes detoxification.
“As for specific yoga moves, I’m not so sure,” she added.
Some believe particular yoga moves and positions squeeze the organs and help push blood out of them so new, filtered blood can rush in. Archer agrees that improved circulation helps to eliminate toxic waste products from the body and that certain yoga movements can help facilitate this.
Deep breathing techniques practiced in yoga can help introduce more oxygen to the body and rid the lungs of excess carbon dioxide. Oxygen is used by all cells and the practice helps improve circulation.
Mental detoxification can be just as important as physical detox. Meditation and associated physical activities such as tai chi and yoga can help you improve attitude and mind set as you improve your body. They encourage present mindfulness, which helps eliminate toxic thoughts of the past.
Tracy Anderson, a popular trainer of celebrities, ran Detox Weeks last summer for groups of around 40 women. These involved three or more hours of workouts every day and a whole series of lectures on nutrition, exercise and how to make lasting and effective lifestyle changes.
Similar weeklong events are planned for 2013 in other cities.
She says that many women focus on physical results when they exercise. They want to get rid of love handles or their muffin top instead of focusing on the regular and consistent practice of exercise as a part of their lifestyle.
While people should start out with an exercise regime or yoga class they are capable of completing, it is important to strive for more as time goes on. For example start with 10 minutes of exercise your first week, work up to 20 minutes or more as soon as possible.
“Detoxification is a big topic.” Anderson states that detoxification covers a wide range of practices from sweating to rid the body of toxins to improving mental states by clearing the mind of negative thought patterns.
For more information regarding Phil Landman’s sports clothing and personal training, visit: www.sportsclothing.me
Natural Detox Foot Pads (used to cleanse mercury from amalgams)
The Benefits of Foot Detox Pads: Science says They Work
The modern person is often assaulted by a toxic burden from our polluted environment; unavoidable toxins from the water, food and the air we breathe. After all, poisons are everywhere; in fact, the majority of food consumed by the ordinary person contains chemicals, toxins, additives and other artificial substances that can harm the human body. The accumulation of these toxins leads to loss of energy, illnesses, back pains and our overall body performance slows down.
With regular cleansing, or body detoxification as many call it, you can reverse the damage and keep your body organs functioning smoothly. People use different methods to detoxify their bodies and get rid of the accumulated toxins. A detox diet, though a common detoxification method, can be rough on some people. Fortunately, you do not have to force your body adapt a rigorous detox diet. That’s because you can always use foot detox pads to achieve the same effect; body detoxification.
What are detox foot pads?
These are adhesive detox foot patches that naturally suck toxins from your body while you sleep. You wear them by simply attaching the pads to the sores of your feet. Toxins will be drawn right out of you.
How do they work?
Most feet pads contain natural detox ingredients such as a mix of plants, herbs, wood vinegar and other ingredients that help remove toxins from your body, but how exactly?
In the case of BodyPure 2x detox pads, you place them on the central-anterior area of the sole of the foot—an area that connects to the liver, kidney and spleen. The natural herbs interact with your body and emit far infrared energy; as a result, the natural excretion process is accelerated. In addition, the energy helps the body remove toxins at a faster rate through the pores.
When toxins are removed, proper circulation in the body is achieved and the various body processes increase in efficiency. Some people wear the foot pads on different body parts as long as high amount of blood is flowing through them. However, the feet have proven to be the most effective place to wear the foot pads.
Is the effect of using a detox foot pad instant?
Many people, usually, report feeling changes in their bodies within the first few days of using them. As a matter of fact, the white pads will turn filthy gray by morning, a clear indication that the pad has removed toxins from your body. But you should not be concerned if you don’t feel any noticeable change within the first few days. As long as the foot pads have a filthy gray discoloration, believe that your body is eliminating toxins.
As days go on, you will discover that the pads are less discolored in the morning. This shows that the amount of toxins in your body is beginning to reduce. The full effect of the foot detox pads, however, kicks in after around 30 days though many people have reported immediate improvement in their overall well-being within the first week of using them.
Benefits of using detox foot pads
Now, we all know the health benefits of natural detoxification; we prevent premature aging and diseases after reducing the toxin levels in our bodies. These are the same benefits that are enjoyed by those who use detox foot pads. BodyPure detox pads, for instance, provides relief for those people who have joint pains, have trouble sleeping, fatigue easily and experience high levels of stress. Here’s a brief overview of the benefits;
- Help lift depression and reduce stress
- Lower blood pressure
- Improve energy levels
- Diminish headaches and arthritis pain
- Enhance circulation
- Treats skin rashes
- Boost the immune system, and many more
But detox pads are scam…
Well, maybe you are skeptical about using pads due to this statement you read on various blogs on the Internet. So here is a proof that the detox foot patch works.
- First, the visual proof after using the foot pads is credible; that we cannot argue about. The improvements reported by various users cannot be planned. I mean, users live in different parts of the world—America, Europe, Asia, you name it—so the chances that they are lying are next to zero.
- Multiple samples of used foot pads were analyzed by SRC Analytical Lab, a highly accredited Environmental laboratory. They discovered traces of heavy metals such as mercury, Arsenic and nickel among others.
- Some scientists decided to analyze the hair of people before and after using the detox foot pads. They discovered that toxin levels were higher before people used the foot pads.
- Foot pads were shown to promote healing and relaxation processes. That’s because a scientific study showed that foot pads increase the amount of alpha brain waves. In addition, Japan scientists discovered that the pads quicken circulation, thus enhancing detoxification of the body.
And the list could go on and on.
Cheap, fake detox foot patches are widely sold in the market. They contain lower quality or harmful substances that yield unsatisfactory results or even worse, harm your body. When purchasing detox foot pads make sure the pads you take home do not contain synthetic and artificial ingredients.
Proven and tested foot pads provide the best way to hit the ‘restore factory settings’ button on your body. That’s because they help reset the body to natural health and complete freedom from toxins, the way it should be naturally. You’ll find that foot pads provide one of the easiest, cheapest and natural ways in promoting your overall health condition.
With a growing multitude of health products, it takes a tested product with amazing results to stand out. Body pure detox pads have surely jumped that block. Sure, the pads deserve to get the attention. Figure this; they are made of genuine natural detox ingredients, and boast a 2x the active ingredients of any detox pad in the market. They contain bamboo extract that contain rich minerals with strong absorption capabilities that fasten the elimination process. In addition, they contain tourmaline, a mineral that enhances the cell’s functions and promotes healing.
Grab for yourself a body pure detox pad as it will help you return to your full potential; you will feel happier and better overall.
A Foot Detox Skeptic
Writing on foot detox is a hard thing to do for a writer because when it comes to its production, purchase and use, it means different things to different people. I believe I am going to hurt some people with this article. Though I do not mean to let anybody down, I believe many people will end up reading this. Therefore, I do not want them to be misled. I will write on the pads from my perspective of and belief in them.
What are Foot Patches?
They are a foot patch containing wood vinegar and other materials. They are attached to the soles of the feet when sleeping at night to stimulate the pressure points and open them up to remove the toxins present in the body via the feet. Toxicity is the root cause of some ailments in the body, and when toxin is in abundance, it results in adrenal fatigue and other ailments such as depression of the immune system, causing the immune system to be vulnerable to other harmful microorganisms and viruses.
The foot detox pads were introduced into the market to help remove, or at least reduce, the toxins in the body before they overload the two primary organs of toxic elimination (liver and kidney). The early manufacturers of these pads believed they would remove toxins from your body and help you come off diseases and ailments caused by a high level of toxins in your body. The pads work by causing the feet to sweat and excrete fluid which is absorbed into the patches, making the pads become lighter and appear darker in the morning, while the lightening is correlated with feeling better.
The flop from fake manufacturers
Different companies feature different trees; those they should use and those they shouldn’t have. That was the downfall of foot detox pads. The motive to make money led many companies to start the production of fake toxin removal pads. This kept multiplying, while each manufacturer claimed their own as “the best”.
Presently, there are still a few manufacturers of foot detox pads such as “Takara”, “Kinoki”, “Chikusaku”, and “Nova” etc. Some of the pads produced had fillers and some did not. They were all manufactured to make a difference for those with various ailments such as fibromyalgia, inflammation, joint pain, chronic illnesses, migraines, etc. But did they all stand the test of a gentle push?
Do Foot Detox Pads work?
This is a question that demands a valid and honest answer. Yes! Some of them still work, but only a very few of them. Though there is no scientific proof for this answer, you would actually be able to see visual evidence of the toxins soaked up by the patches. This alone is not enough evidence however; seeing the toxins sink into the patches should be coupled with feeling better, which few folks I interviewed testified to. It is paramount that your body becomes detoxified. That is when it works! Seeing the toxins soaked in the pads or becoming darker and lighter does not indicate effectiveness, not until you see changes in your own body.
Market witnessed the production of fake products, while the vast number of affiliate blogs led to the selling of these poorly produced detox pads to people. It was the complaints of these people which led to the banning of the pads. To be truthful, we should not use the flop of one product to generalize the whole when it comes to health. What should have happened to enable the whole world to identify quality products is a careful evaluation and an in-depth research on each individual product. But who will blame the government when the manufacturers were just multiplying every day? It would have being a waste of funds and time for the government.
Now, you can either believe the detox patch works and go for one.. or avoid buying one. No one will blame you for this. After all, foot pads are not the only methods of detoxification. There are several measures, such as the cleansing of your living environment, the reduction of your daily exposure and consumption of toxic compounds, purging and regular intake of water, sweating, timely urinating and defecating, etc.
How to identify quality Foot Detox Pads
As it stands now, I believe there are just two ways to identifying quality detox pads:
- Recommendation from a trusted person: There are quite a good number of websites out there claiming to sell the best products. There are also many reviews written on these websites but not all of them are truthful. Therefore, recommendation received by a friend, colleagues or any of your family members can enable you to choose the best pads out there. This does not only enable you choose the best, but also saves you from wasting your hard-earned dollars on fake and poorly produced foot pads.
- Trial by error: Foot detox pads prices range from 15-30 dollars. It’s a big amount, but you may decide to give one a try to see if it works or not. If it works fine, good, and if it doesn’t, you may want to try from another manufacturer or let it go. You may eventually identify the best after trying two or three products from different sources. This may be hard to do, considering that you may end up spending your money foolishly, but since research, which should include how each pad is manufactured, the ingredients used during its manufacture, and, most of all, the person or company promoting the product, is not embarked upon by the government, I believe you don’t have more than these two options. It’s my candid opinion.
There are a few foot detox pads that work fine (www.bodypure.com), but there are others capable of causing problems to your health. My advice is that you go for pads that neither have fillers nor pose any risk to safety. You should only purchase detox pads that have been tested for skin irritations, are free from designated microbial species and are safe and free from microorganisms.
The vast multiplication of online stores and fake foot detox pads makes purchasing quality products daunting but calling my points to mind will enable you to make the best choice – and at the end of the day, if we can really get a ‘spa treatment’ while we sleep, why not give it a shot?
To purchase detox foot patches, visit: http://footpatches.com
The majority of toothpastes (even the fluoride free toothpaste) are full of chemicals. Dr. Vinograd blogs about the pitfalls, and then shares his “secret”, homemade formula for… the BEST Toothpaste. It may be a little less convenient, but there is nothing offered commercially that can compare to this homemade toothpaste.
Read More About Holistic Dentist San Diego, Dr Vinograd, DDS: http://besttoothpaste.net/fluoride-free/holistic-dentist-san-diego/
So, I had to have a long, serious, hard discussion with myself as to what could work and couldn’t work in Ripley, Mississippi. So, at the time in the middle of this cosmetic craze, I’m charging $1200, $1300 for a crown, real fancy crown, and the guys down the street are charging $400. It’s hard to compete with that because around here it’s tough. People think a filling’s a filling, a crown’s a crown. It’s commoditized.
So, I thought I really can’t do it for $400. Can I get anywhere close so I can compete and still make an income where I’m happy and still meet my goals? So, starting 2005, I traveled all around the country trying to find other dentists who had been in similar situations and made it work. I traveled to Florida to visit Vincent Monticello, Baton Rouge to visit Dr. Bob Westinman, Scott Perkinson in Houston, Texas, Roy Smith in Tyler, Texas. I went to 19 places, and I would always visit with them. Some places would let you come but you had to pay a little fee. That’s fine. I didn’t care. I figured I would make it many times over, and I did.
So, I studied that, and I developed a plan where I figured if I could just completely eliminate all the real waste in the practice and systematize every process, then I should be able to steal enough of the time I was spending in a patient day and apply that to doing more dentistry. As long as I was wise enough to market wisely, change the perception of who I was in the community from a high end hoity toity guy to a blue collar guy that just wanted to help you and do work.
So, it was a several year process. We ended up doing that by 2008. I went to a five day week dentist producing about a $500,000 a year gross to a three day week dentist producing three times that, which is about three times the national average that they publish. So, you got to feel pretty good about that, and I felt like the quality was still there. We were doing a lot more dentistry, but I was three a week. You’re not that tired at the end of the day. You get home and everybody’s happy.
So, then, l taught that all around the country about how we did it, and the whole time I was teaching it there was something missing. I really didn’t know what it was until this past winter. So, let me tell you what happened. So, I’d gotten somewhat successful, published a book called “Time Genius”. The president if Mississippi State University actually came to my dental office and talked to me 15, 20 minutes one day and said, “You know, Chris, I think some of our students could really learn from your experience, your successes, your failures, how you went from engineering and all that.”
So, I agreed to go speak to an entrepreneurship class at Mississippi State this winter, and I get down there. It was a real bucket list. I mean can you imagine the president of your alma mater asking you to speak to an actual class where they’re getting credit. I mean that’s amazing. This is actually the room where I took Psychology 101. It held a few hundred people. I mean it was just a dream come true, but we’re down there. I’m talking to them and having a great time. The dean walks me back to my truck.
As we’re leaving the auditorium, the dean says, “Hey Chris. Obviously you studied lean manufacturing. It’s not surprising with your engineering background,” and I said, “Professor, they must not have gotten to that by the time I swapped courses on the engineering because I don’t know what lean manufacturing is.” He stopped and looked funny. He said, “Well, you just got up in front of those kids and described an exact model for making lean manufacturing work in a health care environment.” He said, “You ought to learn more about it because that’s what you’re doing even if you use some of the wrong terminology.”
I said, “Hey.” That’s my personality. I went home. I go to Amazon.com, order about 10 books, and read them cover to cover as soon as they come in. That just opened my eyes to a new world where I always had certain things that work, but I didn’t really understand how to put them together into a blueprint like Lorne talked about earlier, the high capacity blueprint.
When I read those books on lean management and the way that Henry Ford really began the concepts of lean management 100 years ago. After World War II, the greatest business minds in the world went over to Japan to build their economy using those principles, the Japanese took those principles and really took it to another level. They took it to another level. They created a culture based on lean manufacturing principles that had originally come from America.
When you read those books by the Japanese folks it is amazing the detail that they went into. As I read it I realized there is not really one contraction in the system of how they say and do things, let’s say building automobiles, and how we do it in our practice doing teeth. The Japanese, they always talk about continuous improvement. Their word for that is kaizen. I always say this when I’m doing my lecture, “If anybody out there is from Japan, raise your hand,” and if somebody raises their hand, which is rare, I say, “Look. I’m about to butcher your language. Please forgive me.” So, I’m about to mispronounce a bunch of names, but if you’re not Japanese, you’re probably not going to know the difference.
So, kaizen. That concept in of itself is a very simple concept, but that’s what we always try to do here in the dental practice. When we started doing our system a long time ago, I got to thinking it would be nice because there’s a furniture factory in town. Those concepts could turn out a lot of recliners. Maybe those concepts would work in dentistry, but I would always think, “Yeah, but when we’re building a recliner, we’re building 1000 at a time of the same thing.” It doesn’t work in dentistry. You’re doing fillings, root canals, whatever. The end product is far too customized. Even tooth fillings are like snowflakes. There are no two alike, and with root canals, it’s just impossible.
As I read those books I realized that that true end product in dentistry is not the filling. It’s not the crown. It’s not the root canal. The true end product is always chair time. That’s a pretty major concept you need to get into your head if you’re going to follow my sample. You’re not building crowns and fillings. You’re building chair time.
Now, the experience that the patient has in the chair may result in what type of dentistry they get. They get a filling. That’s customer experience. That’s not the end product. In our practice, we’re always conscious. We’re trying to produce as many set up rooms, ready for the patient with chair time as we can in a day, and that chair time, even though it’s an abstract concept, is our end product. That is our Ford Model T. That is our recliner. That is whatever our factor might be producing. Our product is that chair time. If you understand this as we go through this a lot of this will make better sense.
So, to start this out, let me just go through and let me just share some common terminology that they would use in Japan to their clients in the dental office. So, one of my favorites is poke-yoke. Now, this is a term that originally meant to “full proof” something. So, in Japan, they’re always trying to make sure that no matter what, the workers always have a system that never allows them to mess up without a bunch of safeguards coming down.
So, in a dental practice if you think about it, one of the things that whenever I interview a dentist in a seminar, ask their opinion about anything, no matter what, they’re always saying to me, “Hey, Chris. I have trouble with my assistants. I love my assistants. I love my team, but they have trouble. A lot of times, when I come into the room, they get up to go get something from the storage, to get a supply o to get something like that.”
Long ago, before I knew about lean management, we came up with what we call ten flex, and there’s a good example just on that website I gave you. These are in my office, they’re color coded to what I show you. In this particular procedure, orange is going to be a composite resin. So, these are laminated posters, and we lay these down on the counter behind the dental chair 12 o’clock to where the assistant works from.
Each block represents one item that I need to complete a composite resin. So, here, you see PDL syringe, loaded syringes, all this stuff. So, the concept is if the assistant lays the correct template down behind the chair, and they place each of the items on the block where it says composite gun, curing light, if they lay it right there. Each of these blocks fits, by the way, the item you’re laying on there. Then, after they’re through putting the supplies behind the patient, they look at this template. If every block is covered, then the procedure is ready to go. There’s no supply missing. That’s the whole concept of full proofing a room setup.
Here’s a good one, the concept of kanban. Now, in a furniture factory or a car plant, a kanban, the word actually means single card, but above everything else, there might be a giant illustrator. There might be a big TV screen, and it’s going to keep statistics on it. It’s going to let them know where they’re at, how their doing, how they’re proceeding throughout the day. There’s a Toyota plant 20 miles from Ripley, Mississippi now, and a lot of these concepts is right there for me to look at.
So, in our office, we try to figure out how we can put something somewhere in the office that keeps everyone on target and let’s everyone know how the day’s going, what needs to be done next so the doctor can look it at a glance and know where they need to go to next because, in my opinion, the doctor should never be rushed with the patient. The patient comes here to get treatment from us. No matter how much dentistry you’re doing, you owe it to that patient to be calm, collected, and focused on them when you’re seeing them.
I will not condone somebody that rushes through the day and tries to be fast for the sake of being fast. No way. You’ve got to be focused. You’ve got to do the patient right, and you’ve got to do good dentistry. This kanban board, we call ours the route board, allows us to do this on our practice, and this board is kept in a central location. It’s in our sterilization room now. It used to be in our hallway. Now it’s in our sterilization room now. We actually have a closer look at a TV feed that shoots it around the office all the time. So, I’m never more than two steps away from seeing everything that goes on in the office.
Obviously, you could do a whole day’s lecture on this thing. We can’t get into a lot of detail, but the whole concept is there is a board somewhere in the office that everyone can look at. Don’t tell me I’ve got software, I’ve got live systems because I’ve done it all. I’ve done it all in combination, but this board, broadcasted around the office, will beat any other hands down if it’s utilized properly. That’s just like anything around here. You have to utilize it properly.
You don’t have to live with toenail fungus. There are dozens of things you can do to treat your painful, yellowed or deformed toenails. They range from simple home treatments to highly effective medications to surgical intervention.
Millions of people just like you live with toenail fungus when the don’t have to. If you can clear the fungus from the nail and from the nail bed, you can grow an entirely new, clean and beautiful toenail. While a new nail can take up to a year to grow, it will never happen if you don’t take action now.
There are safe and effective things you can do to get the process started, including the following seven very smart ideas
1. Take systemic antifungal medication pills. These include clotrimazole, itraconazole, terbinafine and others. They very literally cure the problem from the inside out.
2. Turn to topical antifungal medications that you paint on infected toenails or apply as an ointment or cream with a swab. In some cases, the topical medication can be combined with systemic medications for quicker, better results. Topical drugs include ciclopiroxolamine and ciclopirox, among others.
3. Consider laser treatments. Designed just for this purpose, there are many types of laser treatments than have proven effective, including Fox Diode laser therapy and Pinpointe-type therapy. They disrupt the infection by killing the fungi so healthy nails can grow.
4. Explore surgical debridement. That’s the technical name for the removal of the infected toenail or a portion of it. With the damaged part taken away, healing and regrowth is easier.
5. Opt for surgical nail matrix destruction. This is a last-ditch effort to completely destroy the toenail. With this kind of surgery, the nail never grows back but it eliminates the problem. This is only done when other treatments have failed and there’s nothing else left to try.
6. Try one of the many different oils that help kill nail fungus. This includes tea tree oil — a smelly but effective antimicrobial agent — as well as grapefruit seed oil and thyme oil. Pure orange oil is also believed to work to cure toenail fungus, but very little evidence is available.
7. Use home remedies. These include a homemade mixture of rubbing alcohol and vinegar that’s said to be especially effective as well as snakeroot leaf extract — and even Vicks VapoRub applied before putting on socks.
You also might get good results from increasing your overall health with vitamin and mineral supplements that can improve your immune system. Massaging to improve circulation helps too. And the list goes on. It’s also important to clip away as much of the bad nail as possible as soon as you can to prevent spreading of the fungus and to allow treatments to get to the nail bed.
Whatever you do, don’t sit idly by and let the problem persist, getting worse and worse with each passing day. There are good options available to treat toenail fungus.
For more information, visit: http://www.mommyedition.com/how-to-get-rid-of-bad-toenail-fungus
see the video: http://vimeo.com/66419383
Well, we’re going to go ahead and get started here. Welcome, everyone. This is Dr. Lorne Lavine. Many of you know me as the Digital Dentist. Many of you are aware of the fact that I’ve been doing these webinars for a number of years. I’ve done close to 160 webinars, and anytime I present a new speaker, a new topic, I’m always a little nervous. I never know how many people are going to register. My fears were very much unfounded tonight because, as of this morning, we had over 725 people that were registered for the webinar, and a good chunk of you are already here.
I’m only going to speak for a couple of minutes. I want to make sure that Dr. Griffin can talk for as long as he’d like. He also said he wants to leave as much time as possible for questions in the end. All of you, on your screen, if you haven’t been on a webinar before, you should see a little webinar Go To Panel. You can go ahead and type your questions as you think about them. We’re probably not going to get to the questions until Chris is done speaking, but as you think about them, type them in. We’re going to do our best to get to all those questions by the end of the evening.
Within a couple of days, you’re all going to get a number of things. First off, when you log out tonight, just indicate if you would like Dr. Griffin or myself to follow up with you. That only takes a few seconds to fill that out. We are recording this webinar. So, in case you can’t stay until the end or you get distracted, don’t worry about it. All of you will be sent a link the next day or so that you can download the entire webinar so that you won’t miss a thing.
Again, for those of you who don’t know me, I’m Dr. Lorne Lavine, and many of you have hear of me before. I’m sure. Many call me the Digital Dentist. What I’ve tried to do over the last number of years is present webinars that I think are interesting. They may not be my areas of expertise, which is technology and computers and networking and data backup, but, really, the focus here is just to provide some content that I think is interesting and stimulating. If it’s controversial, it’s okay, but at the end of the day, it’s got to be something valuable. I have no doubt that we’re going to hit on all those things tonight.
Tonight’s presentation is called “High Capacity Dentistry”, and I was talking to our speaker before. It’s just amazing some of the concepts that he has been able to develop. There’s something which he calls his high capacity dental blueprint, which was created over 100 years ago, but it’s only been recently that it’s been rediscovered and translated into modern practice. It pretty much works every time it’s tried. We’re certainly going to hit on that.
What are the seven deadly dental waste that almost every practice suffers, and how do you get rid of it? Does is really require terminating people, which is what we all want to avoid? What about the seven ways to stay relevant within the next three years and lay a foundation for the practice of tomorrow? I’m sure many of you are wondering what the most overlooked daily production booster in the history of practice is. We’ll talk about that. When it comes to something like diagnosing, is there a process? We’re going to look at his three step diagnosis that pretty much eliminates case rejection. These are all things.
It really gives me great pleasure tonight to introduce Dr. Chris Griffin. Most of us know Dr. Woody. He’s one of the most educated dental educators. He’s called Dr. Griffin as “Ripley’s Believe or Not Dentist”, and it’s a play on the fact that his practice is in a town called Ripley, Mississippi. It’s a small town. There’s five other dentists there, but he is not competing with them. He’s just dominating over them.
He’s got 3000 active patients. He routinely schedules over 50 patients each and every month. He’s been called the most efficient man in dentistry, and he’s practically giving away some of his practice secrets. So, it really gives me great pleasure to turn the screen and the mic over to Chris. Chris, we are so excited to have you hear tonight and really looking forward to tonight’s presentation.
Lorne, hey man. It is such an honor and such a pleasure to be talking to you and your folks. Honestly, I don’t speak a lot to people. I know there are a lot of people who have registered for this, it looks like, are on the West Coast and of course all over the country and all over North America, too, but I don’t speak a lot to people out West.
So, first off, let me just apologize for my accent. I promise you I’ve tried to get rid of it. There’s not much I can do about it. I’m from Mississippi, born and raised. I grew up in a farm. It’s the truth, and that’s just the way that I talk. So, forgive me for that, but I think I got a lot to share with everybody that’ll help everybody out. So, whenever you say “go” Lorne, I’ll just head out and start talking about it. I guess that’s my okay.
Yeah. You go for it, Chris. We’re ready.
Okay. Alright. So, first off, let me just go ahead and show this. I went ahead and took the liberty because a couple of things I’m going to be talking about, when I’m giving lectures like this to big groups, a lot of times, we’ll print out worksheets that help you follow along with the lecture. It’s not completely necessary that you have this worksheet, but I put a couple of items on a website for you.
So, if you get a chance, you can go to my company website, www.thecapacityacademy.com/digital-dentist. That’s for Dr. Lorne, and we put these sheets on there just to help you follow along. We’re not going to even talk about the part of the worksheet probably for a little while, but it’s there if you need it.
Alright, about me. Let’s just talk a touch about me, and I don’t want to talk long about me because that’s not why you’re here. You here to help your practice, and I want you to help your practice. You probably need to know where I’m coming from and how I came to these conclusions that I’ve drawn.
In high school, I was the kid that was always really good at math. So, that led me to think that I wanted a career in engineering. I went to Mississippi State University. That’s 110 miles from my house. That’s the furthest I’ve been from home at that time, and I go down there. I’m happy as could be in engineering school. Actually, I had a roommate, a good friend from [06:39]. This will just show you how jealous I am. He just had his company valued at $1 billion, and I just couldn’t be happier. I was the guy that was pulling him through all those classes at State, but now he’s the famous guy. That’s okay.
So, we’re down in Mississippi State. We’re doing engineering, and we love it. About my junior year, it came time to decide if I was going to be serious about engineering. I had to go get a job at an engineering firm for a summer job. So, I was getting ready to do that. About that time, I was approached by my family dentist, and he said, “Well, Chris. I believe you’d do real well in dental school. Why don’t you go to dental school and come back and be my partner in Ripley, Mississippi?” I thought, “That sounds a lot better than me going to Houston, Texas to work for an old company,” because I’d never really been far from home.
So, I had the engineering background, but in my third year at Mississippi State, I went ahead and swapped my majors. I finished up all my core curriculum, got accepted in dental school after three years, went to University of Tennessee, and I got out. I thought, “Hey, the rest of my life I’m going to go with my family dentist, and we’re going to be happy. This is going to last forever. We’re going to have one of the best practices in North Mississippi.”
How many times does it work out when you’re going with your hometown dentist and you just think it’s going to work out? Well, I can tell you. In my class of 90 people, about 70 went in with someone in their first year out of school, and I think 69 of them did not work out. So, it’s very uncommon for it to work out. I was no different. We had a split up. It got a little bit ugly.
I ended up building a practice here in Ripley because I didn’t sign a [08:23] because I’m from here. I wouldn’t have done that. So, I’m building a practice, and it’s tough. Actually, a lot of building, bought some land and remodeled it in less than 90 days. We remodeled the whole thing, me and one guy doing all the work ourselves, working 14 hour days. I personally did that, did the construction work myself, and I build the building. We’re open.
Things are going good. I’m thinking, “Great. We’re going to have a great general practice.” Within six months, I started liking cosmetic dentistry. Now, if you think back to the 1990s when I was doing this, it was probably the peak of cosmetic dentistry. So, what did I do? I thought, “Let’s just go ahead and sign up for the big institutes.”
So, I went out to one institute out West a bunch of times, a bunch of money. I got pretty good at doing veneers, pretty good at doing all porcelain work. I was somewhat good at doing full mouth reconstruction, and then, I thought, “These full mouth reconstructions. They work sometimes, but other times they don’t work that well.”
So, I went down to an institute down in Florida, went there a bunch of times, and I got in. So, I felt I’m really educated. So, I come back to Ripley, and what do you do when you think you’re so well educated? You say, “I have a nice general practice, but I think I’m just going to try to have a completely cosmetic boutique practice in a town of 6,500 blue collar workers whose main industry which is a furniture factory just closed.”
Now, you would have I would have better common sense that that, but I didn’t because I thought I’m such an amazingly skilled great dentist now that I can just do it anywhere. At the institutes they tell you that you can do any kind of practice anywhere, and I believed them. I was gullible and young. I got out of dental school when I was 24 so at this time, I was still 25, 26. I’m obviously not very wise, but I tried it for a few years.
I just about ran the practice into the ground. I just about went broke, and that’s embarrassing. My grandfather had actually put down some money for me to start the practice. It’s all very embarrassing. I’m not doing well. I was always the golden child. I always thought I was going to be the guy to beat the world, and here I am failing.
You can prevent cavities and maintain basic dental hygiene for the health of teeth, and you should get healthy and nutritious diets which can help the teeth stay stronger and healthier. This blog can help you discover which healthy foods you should eat to gain nice smile with healthy teeth.
1. Healthy Celery
The celery is one of the great sources of the strongest weapon which can kill all the bacteria inside the mouth. Celery contains various benefits for dental health. Moreover, this kind of food will be able to produce more saliva in the mouth which can protect your teeth from the plaque production. You should eat a little of celery, one time per week to brush your teeth in the natural and healthy way.
2. Healthy Onions
If someone doesn’t scare the bad and stinky breath because of eating the raw onion, they are gaining the remarkable benefits of this healthy food. Onions can be the natural cleaner for your mouth by eliminating the harmful bacteria. It can kick bacteria away and prevent the tooth decay.
3. Healthy Sugar-Free Gums
You should chew a sugar-free gum after all the meals to prevent the tooth decay, and whiten your teeth in an effective way. The good sugar alternative in this kind of gums can prevent the bacteria and protect your tooth enamel. Moreover, keep chewing this sugar-free gum can strengthen your jaw and help you get more exciting.
4. Healthy Whole Grains
Whole grains such as wheat, brown rice, buckwheat, and oats are rich in complex carbohydrates, various vitamins and fiber. You should consume a lot of these foods to help you feel full in the long time while reducing the need of the metabolized protein for your energy in a long day. Whole grains improve your muscle tissues, they also protect your bone because they contains a volume of magnesium for the absorption. Therefore, whole grains can help your bones and your teeth become healthy and strong.
5. Healthy Green Leafy Vegetables
Many vegetables like broccoli or bok choy contain the high level of calcium. You should consume this kind of foods every day to get stronger bones. The healthy diet which is rich in these kinds of vegetables can promote the growth of bones by reducing the loss of calcium while supplying more calcium for your blood and bones. That is also the best way for you to get the strong and healthy teeth or cure grinding teeth.
6. Healthy Sardines
Sardines contain the high levels of Vitamin D and calcium. All these supplements play an important role in the growth of bones, especially teeth. You should add three ounces of these healthy sardines in your diet to get strong bones and healthy teeth.
This blog can show you 6 foods for healthy teeth. If you think my blog contains useful information, you can share it with your friends and family members. And if you like this topic, you are free to leave your comment below.
Every time someone speaks about tea the first thing or the first sensation that comes through my mind is the word relaxation. Either you’re at a meeting or in a public place, a cup of tea can make your day sunny. The production of tea has grown considerably in the last couple of years, and the benefit of consuming tea is that your body is wrapped in all the nature’s help that you can get in order to stay healthy and to live well.
What is good to know for your own knowledge and the idea to find out more things about the products that you drink is that the tea occupies the second place in the category of the most consumed drinks on the surface of the globe, of course after water.
As a second detail, it is useful to find out that the green tea among other types of tea like the white one, or the black one come from the same plant that makes them so tasteful and rich in many curable elements, the Camellia Sinensis.
The base that makes all these types of teas so different is due to the different and various processing methods. For example for the green tea leaves are less processed, this indicating a high level of antioxidants. In the case of the black tea, the processing method assures a process of being highly fermented. The great news is that the antioxidants are vital elements that help your body in the process of skincare and much more. The antioxidants that are found in the green tea can assure the protection of the skin against the sun burns and a process of combating the skin cancer. These elements have a high contribution in the process of the cell renewal.
In general even the appearance and the taste vary. Tasting a tea has become an art that has grown to become as important as the art of tasting wine. When you taste green tea or any other tea you’re looking for some specific characteristics. We look for characteristics that can mainly be found in the flavors, the tannins and of course the two main senses: the mouth and the nose that are used to discover the best qualities in the tea.
But if you consider what makes it be a good tea or how you can choose the best of green tea, here are some advices that will help you decide. For this, you’ll have to look at the shape of tea leaf, because each type of tea has a certain shape that makes it have the best quality. For example when looking at the Dragon Well (a certain type of green tea), its leaves should look like a needle with a surface that is flat and straight.
Another idea is to look at the color because the types of tea that exist have different colors before and after the process of brewing. For example, the green tea leaves before the brewing process have a fresh green color. When it comes to smell, good tea should leave a long lasting aroma of natural essences.
And the last thing when choosing a tea is the taste that guarantees the unique perspective of the flavor. Each type of tea has its own characteristics that help you live every moment from when you’ve tasted your first cup of tea. In the case of green tea, the taste should be pure and fresh.
The green tea remains one of the products that are highly preferred in the Chinese culture and many provinces, but also in the Japanese culture. Yet the British prefer to consume the black tea much more. Black tea is a product that in order to be preserved while being in the cargos that were shipped from China is first put through a process of withering, rolling, fermenting and then in the end firing up the leaves.
When it’s about remedies or fighting a disease or cold, the best way to start is to drink a cup of tea. Its natural selection and the careful processing methods will help you overcome the sickness and feel much better. Another method that is applied in such cases is using the herbal infusions, also called tisanes.
Enjoy every single cup of green tea!
original source: http://besttoothpaste.net/fluoride-free/dental-anxiety/
Running related stress injuries are very common with both beginners and more advanced athletes. If you experience pain in the front or medial part of your lower leg – you might have an injury called medial tibial stress syndrome. More commonly known as shin splints, which is a frequent injury for athletes of all skill levels. Over 30% of all running injuries have been estimated to be shin splints.
Runners aren’t the only ones who get it, anyone working on hard surfaces is likely to get shin splints and the condition is often misdiagnosed as the pain might only be felt by touch at the early stages.
Shin pain is no laughing matter. In the beginning, it might be causing only a small discomfort, but as the injury becomes more chronic, it makes becomes difficult run or in worst cases even to walk. Shin splints is generally an impact related injury. That is why running on hard surfaces is a common cause for the problem.
While running, every step creates a certain amount of force or trauma to your shin bone and the connecting muscles and tissues. If certain precautions aren’t taken before building your running mileage, it very likely for anyone to develop shin splints. Sometimes the shin pain might be a sign of stress fracture; some sources attribute the actual cause of shin splints to small micro fractures on the shin bone (tibia). The downside of bone related injuries are that they can take several months to heal.
If you are feeling pain on your shins, you certainly don’t want to continue running and cause more damage to your lower legs. Resting often works best as a treatment, but it is important to get a doctors evaluation of what actually is the cause of your pain.
For the treatment and prevention of shin splints it is necessary to evaluate what caused the lower legs to have too much trauma. A common mistake for runners is to try to run too much too soon. But even many professional athletes also get shin splints. The cause might be repeating the same movements over and over on hard surfaces. Cross training and changing up the workouts might help as a preventing method along with remembering to slowly build up the mileage.
Many athletes also have muscle weaknesses in their lower legs, core or gluteal muscles. These muscles weaknesses might cause excess forces to your shin bone. Strengthening not only lower legs, but the entire body allows it work as one unit and decreases the forces inflicted to any one part of the body.
A common mistake athletes make is to use shoes that are too worn out or simply the wrong type. Everyone has a unique running gait and foot pronation. Having your running style evaluated buy a professional helps in choosing the correct type of running shoe. New shoes should be bought every three months. Several runners also have biomechanical dysfunctions caused by either muscle weaknesses or tightness’s in the calves. Running with a heavy heel strike might cause unnecessary force to your shins.
There are several ways for shin splints rehabilitation and prevention. Using ice and cold therapy in the first week of shin pain is a good way of reduce the inflammation and speed up the recovery. Sometimes custom orthotics or shin sleeves are good at either reducing the stress or correcting the alignment of the feet. Doing non-impact activities such as aqua jogging, rowing or weight training is great way to stay in shape while avoiding further trauma to your shins.
Suffering from shin splints doesn’t have to mean a loss fitness level. With the right kind exercising it is possible for an athlete recover from shin splints in an even better shape than prior to the injury.
Every man wants a better sex life than the one he currently has. By making simple changes to your diet you will be able to improve your overall sexual health. Not only will these natural changes improve your sexual health, but you won’t have to worry about a pharmaceutical company helping you prepare for the moment.
The keys to a better and healthier sex life are a better circulation of blood and your sex hormones. While exercise is great to improve your circulation and blood flow, VITAMIN B3 (Niacin) helps with the creation of sex hormones, improves your circulation and helps regulate sleep patterns and erectile dysfunction. Get your Vitamin B3 from milk and red-meats.
Found in sunflower seeds, peanuts and almonds, Vitamin E is great for your immune system, also helps with the creation of sexual hormones, keeps your blood from clotting and has been shown to improve sperm activity in some studies.
While Vitamin E takes care of your immune system, Vitamin B12 takes care of your nerves and blood cells. A Vitamin B12 deficiency can lead to any one of the over FOUR-HUNDRED types of Anemia, which is a condition that makes you incredibly tired and weak. Vitamin B12 can be found in eggs, beef, lamb, liver, and some cheeses.
While Vitamin B12, Vitamin E, and Vitamin B3 all help with the blood, Vitamin C increases your blood flow and it’s PRESSURIZED blood that not only helps you achieve an erection, but how long and strong of an erection you will have. Vitamin C is also great for your immune system which allows you to fight off those colds and flu bugs. How many ladies do you know who find a man with a runny nose, watery eyes, or can’t hold down his food, desirable? So increase your intake of strawberries, potatoes, peppers, oranges and lemons, as these are all great natural sources of VITAMIN C. Be careful though; too much Vitamin C will cause diarrhea. That will really kill your sex life!
Vitamin B9 is also referred to as Folic Acid which is the man-made supplement. Found in enriched grain products, Vitamin B9 has been shown to reduce abnormal sperm and if combined with zinc, it actually helps to increase the sperm count.
Vitamin B6 helps in the production of red blood cells, serotonin which helps regulate your moods, and dopamine, which motivates you to “go get it”. You can find Vitamin B6 in Bananas, tuna, chicken, bell peppers, and spinach.
Men with a Vitamin A deficiency are commonly impotent. This will kill your sex life, make no questions about it. Boost your Vitamin A with spinach, watermelon, pecans, tomatoes, eggs, and tuna.
So now that you know what the key vitamins are to improve your sexual health and where you can find them naturally, make a shopping list and hit up your local grocery store. A healthier diet with lots of hormone nourishing vitamins is a good long term treatment plan for any man who may be suffering from impotence. As these are the types of foods that will help pump more blood to your penis to give you stronger erections.
For more on the topic, visit: http://www.dreampenisguide.com/erectile-dysfunction-explained-causes-and-treatment-options.html
So the TMJ design probably a little more forgiving in that regard, but you still have to deal with it. You still have to deal with what your local environments are and what the contributions are. We get into an actual dental implant at the tooth level and be subject to what goes on in the mouth itself and corrosion is a big scenario, which is why we won’t stick. It’s typically titanium into a ceramic matted piece of the abutment, so we will see that in a moment.
So I said earlier, titanium is really our most successful implant, primarily that’s a biological but also mechanical issue. Excellent fatigue, total life resistance, so it’s got a very high endurance limit, it’s got good stability. But probably the number one reason is you get good bony in growth. So you get a fantastic osseointegration. So it really is our template for our materials so that Ti6Al4V, the aerospace alloy that we see in the thermal stem is the same material that dominates the implants. And so this is just a nice picture to give you – this is an actual biological tooth just to give you perspective of the root structure so that’s just what ties into the bone. This is the part that we see from a cosmetic standpoint. So we all smile, this is the exposed part of our teeth. So this is our enamel, this enamel has been actually worn away.
So, this is what gives you structural anchor into the jaw bone. This is about the same, obviously same scale, so here’s your titanium implant, it’s threaded. So there’s actual contact stresses or fretting stresses to give you a mechanical interlock. One of the biggest challenges is that hopefully became clear when we talked about orthopedics is we don’t put titanium as the bearing material because it’s soft, it’s got very poor wear resistance. So excellent fatigue, excellent corrosion but it’s got poor fretting resistance and poor wear resistance. So it would scratch easily, it would create debris readily. So lot of times what’s done is as you do a surface treatment, you use ion implantation or ion bombardment. You leave the surface in compression and you make it much more resilient to mechanical damage. So you will see it in some orthopedics, but mostly you will see it in dental where you actually have surface implantation techniques and that actually improves the overall wear or the fretting resistance of that material. And again this shows just our implant on X-ray.
So really where we see titanium do well is just how well it fixates. And so the downside of this – and we will see this again when we get to soft tissues is there is always a trade-off. You want good mechanical integrity, you want wear assistance, fatigue resistance, fracture, corrosion, you want this thing to be stable, right? So you want to implant it, you’ve seen this now in Dr. Ritchie’s lectures. There is a good mechanical interlock, right, this thing is hammered in place. So you got good mechanical fixation or you have bone cement, that thing is not going anywhere, unless you get stress shielding or you get osteolysis and you lose the bony support in which case you’re going to retrieve.
The downside on retrieving and you saw this when Mike took out one of the implants there was no bone left. The downside of – if you get good fixation and the device needs to come up for any other reason is that it’s almost impossible to get these devices out without taking the surrounding bone with it. So if you have a recall of a device or you have inflammation or response to something else and you haven’t had enough bony loss, getting this thing out is a real challenge without losing supporting bone. So it’s always a trade-off, but this material really osteintegrates and so the real scenario for using this is you get good bone interfacing, good bony in-growth to the structure and you get a very good biological shield. So that helps prevent the whole corrosion issue. What you don’t want to happen is put this threaded device down below the jawline and actually have a mechanism by which saliva, food, other items work their shelf down and then you literally are setting yourself up for the crevice corrosion issue, right? You’ve got a very small opening, you get oxygen depletion but if you can get osseointegration all the way round you literally get a biological shield. And so you go through a process by which you can build yourself a shield and it’s a biologically stable one. So this is the real reason that this material dominates the market.
I put this in just for completion sake fatigue issues. So about 1 million cycles annually, I think quite honestly that’s probably on the low side. A typical stress is up to 20 megapascals, so again you’re up to the same stress levels we saw in a new design. Critical crack sizes, again that comes back from back calculating up from the stress 20 megapascals and the fracture toughness, you get a very long crack size. So you get something on the order of meters. In other words, this material has got phenomenal fracture toughness, resilience.
Total life approach even after accounting for stress concentrations, so again you get – if we look at a circular fillet you have a stress concentration factor of three. You’ve got a fatigue limit or an endurance limit for titanium on the order of 600 megapascals. So you’ve got a lot of forgiveness in terms of fatigue resistance. So here’s a material, it’s going to do well in terms of fracture. It’s going to do well in terms of fatigue. And this equation here hopefully that’s very familiar. Here’s your DADN meters per cycle is one times 10 to the minus 11, so that’s C. Here’s your delta K, 3.9 so that’s the old DADN is C delta K to the M.
So for titanium, we said before for alloys it’s typically two to four. So there’s titanium sitting at 3.9 and I said that C was one times 10 to the minus 11, and again that’s meters per cycle. So there’s your funky units. It’s delta K which is megapascal root meters raised to the power 3.9, so you would have that inverse multiply by meters per cycle, that’s the units on C. So C does not have any steady units in case you’ve not figured that out yet. C always depends – yeah, C always depends on what the multiplier is on M, on this megapascal root meter, and that’s a little subtlety that will bug you somewhere probably in your homework, okay, such but remember that C — the easiest way to find C is to always just remember this equation and solve for it, and just remember that M is the scaling parameter.
Okay. This is actually a plot that came out of Professor Ritchie’s group, did a lot of work on fatigue issues on titanium. It’s really that this man not only spent a lot of his time doing fatigue and fracture but also aerospace materials, right? So moving out of aerospace and ceramic materials to dental and bones is actually a pretty good transition. So the only thing you need to really see off this plot is that you’ve got an endurance limit for titanium. So here’s your maximum stress versus cycles to failure. You actually get endurance limit at 600 megapascals. So if you’ve got stresses on the order of 20 megapascals, you’re pretty safe against stress concentration, right?
We said total life tells us about initiation plus propagation, what if something already had a flaw in it. Well, again you’ve got a lot of protection with fracture toughness. So here’s predicted lifetime versus an initial crack length and so — but this is meters, so by the time you get out to the 0.1 meter level, you still get a year of life. So all it takes is 0.01 meters and you’re up towards the eight-year mark and so on and so forth. So if we can only do this well in terms of polyethylene we would be golden, right? So in terms of fracture toughness, years of use, very small crack lengths, all it takes is something on the 0.001 meter crack length and you’ve got decades of use. So titanium is a really good material in this capacity.
So you may think well, do we ever have failures then? And the answer is yes, so we don’t have traditional fatigue failures. We don’t have just a typical monotonic fracture failure, but we can have stress cracking, which is environmentally based. So the coupling of corrosion and stress can set you up for failure of that device. Fretting, so again borrowing back from the Morse taper, the study of the micro motion and continue rubbing of titanium, not having good surface properties, taking away that surface oxide sets you up for wear resistance that is actually quite poor, you create wear debris, you create essentially a third-body wear but you also have a mechanism for loosening or osteolysis. So we do see structural failures, but they typically are combination of stress and environments. So this would be where stress corrosion cracking is an issue.
And again just – these are on your hand-out, this should be an example again of the secondary crack or flaw that’s developed due to stress corrosion mechanisms rather than just cyclic mechanisms. So when you start taking away protective oxides and dropping pHs and in those situations the game changes dramatically.
So just let me walk us through how we actually do a tooth replacement? So this is the actual abutment piece. So we’re going to start with the structural peace, which is going to be underlying implanted device for the titanium. It looks very much like just a [peer-out] mechanical fixation. So internal taper for easy fit, try to avoid stress concentrations, it’s actually got a threaded design, smooth external finish and easy removal of the caps. So again you’re going to switch this out and we’ll walk this through the process as we look at this. It’s going to look a lot like orthopedics. So remember the reamer, so you’re going to drill a hole with the reamer appropriate to the dimensions, not nearly as exciting as watching a hip or knee replacement, okay, very small.
But just take the scale, drop it down, actually in my office I have got very tiny drills if you want to see some dental drills, they are pretty — pretty interesting to look at. They are about the size of needles. Come in, you actually drill a hole with a reamer appropriate to the dimensions of your site. So again very much like what we’ve seen in orthopedics. And then that’s going to be the mechanism for which you place your temporary abutment into your device. So you’ve got your mechanical fixation piece. So here’s your titanium. It’s going to be prepared and actually mechanically fixated into the jawline and then we’re going to have a temporary abutment. So again we have titanium, so we’re going to have this little ball that becomes a temporary tooth and the reason for that is going to become obvious as we go along. We need to have this sealed biologically. We need osseointegration, so we need to have good healing around this. Then we will substitute that out.
And I think when you are in surgeries, an example of what one might do in hip replacement as a temporary, there was a case of infection in surgery few weeks ago and Doctor Reese built up a full mask system out of polymethyl methacrylate. So rather than mixing materials and putting in the full implant, you’ve got a temporary system that would come out. So in this case, also you have a temporary system that comes out in about six weeks time or more depending on healing and then you get a full replacement. So if you look at the insertion, so again if you ream out whole hole, here’s your substructures. So here’s the dental sub – substructure that’s threaded, this is going to then be threaded into the jawline. So again you’ve got your bone structure that this is going to be matted too. And so it’s into your prepared socket and then you’re going to have your temporary abutment. So you’ve got mechanical loading or transfer of load to the jawbone. So here is your titanium device. Here’s your temporary abutment. So initially you actually have a little titanium ball that’s actually screwed in and until the whole structure is healed, you get osseointegration and good load bearing capability. So anywhere from 6 to 10 weeks depending on bone growth.
So this little temporary abutment is actually – or this – I will show you about it a bit here. You’re going to have little temporary abutment that’s actually screwed right in. So here is your piece here, you’re actually going to thread that in and so this little piece becomes the temporary, it’s the holding ground until you get full osseointegration of the substructure. So once you’ve got that in place and you’ve got your healed tissue, this would be a top-down view, you’ve actually got a full biological shield. If you try to put the dental replacement on beforehand and you are fully healed, you essentially set yourself up for crevice corrosion, right? Now you’re going to have a material mismatch. If you don’t have good healing around, any type of food or contaminant can actually become a pathway now down towards the crevice. So usually it’s waited until you’ve got absolute full healing, absolute osseointegration, which can be confirmed on X-ray.
So there’s your soft tissue topside looking – before the insertion of the permanent abutment. And then these actually look very much like the human tooth. So these are matched, they can be resin or all ceramic, probably all ceramic is the more common design, but again a lot of resins technology is improving that situation. They can be blended to the exact same color as adjacent teeth. And so now you’ve got an all-ceramic crown and use a dental adhesive. So again it’s that polymethyl methacrylate adhesive and then that’s placed into the abutment below. Now you’ve got your permanent abutment with your integrated crowns, so in cross-section you’ve got your titanium below osseointegration. You’ve got a biological seal and then you’ve got a ceramic crown. And so now you’ve got a tooth that looks like it’s always been there.
And so your net results rather than being without a tooth is you end up with something that looks like it’s always been there. So there’s a lot of work, structural work that’s going on in the field of dentistry and we tend to I think — from an engineering standpoint, we may look at as dentistry is not quite the same caliber as orthopedics in terms of engineering, and it’s absolutely the same caliber if not more. So there’s a lot of mechanical design that goes on into these devices.
So again in the end you have something that’s aesthetically matched with good structural support. And then if you look post-op what this would look like, so here’s your basic radiograph. You would see into the bones your threaded titanium, your abutment attachment and then from the side it looks exactly like an actual tooth. So rest assured if you lose a tooth, it can be recovered.
Okay. So I thought I just saw the same here, because I think in terms of regulatory issues, your first instinct might think class II because it doesn’t seem to be a safety critical application. But because of the osseointegration and because of what’s involved there is actually for this sub part here the underlying structure to the abutment where you’ve got thread titanium you actually have a class II regulation on it. So it requires the PMA or 510(k) and basically you have all the same specifications as our safety critical thermal stems or heart valves. So all these basic specifications, device manufacturing, sterilization, mechanical, bio and clinical studies are in place. So it’s a pretty robust industry in terms of what’s expected mechanically and structurally.
And then just — again just a quick note to finish on the TMJ Concepts. TMJ Concepts are again – actually this is the name of the business TMJ Concepts and it’s right here in Ventura, California and probably the most important thing for us to look at inside view is how similar this device actually is to a hip or knee design. So you’ve got titanium, you’ve got a metal bearing, you’ve got something again that looks a lot like what we see in orthopedics. So the same types of design issues, we have to think about contact stresses, we have to think about fatigue loading. We have to think about wear debris, we have to think about corrosion. So there’s a lot of similarity in terms of what we do with dental work with what we’ve done with orthopedics.
And again here’s just another example that – so nice cast resin of our teeth choppers, and just inside view you can actually see these devices. So I will – I know we are short on times but if anyone wants to come up at the end, you can just take a look. But I think it just gives you a good example of how complex these devices can be and how similar they are in terms of dealing with stresses and design issues that we have in orthopedics. So again just a good appreciation of crossover in our fields. Okay. Let’s stop with that and if anyone wants to come up and take a look, you can check out the devices.