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The Importance of Acute Supportive Care in Biological Dentistry

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By Louisa Williams, MS, DC, ND

Immediate nutritive and homeopathic treatment after mercury amalgam removal as well as after dental cavitation surgery leads to a significantly more positive success rate of healing in patients. This has been clearly demonstrated in both clinical and scientific research studies.

Restrictive dental state boards do great harm to patients through outlawing, or greatly discouraging, the prescription by dental physicians of these essential nutrients and homeopathic and herbal remedies. Therefore, those biological dentists who are under the constraints of a more rigid scope of practice need to work closely with holistic physicians and practitioners who can prescribe an acute supplement protocol to their dental patients post-drilling.

The Need for Acute Detoxification After Heavy Metal Removal
In 1991, Swedish researchers (Malmstroem, Hansson, and Nylander) placed one small amalgam filling in an eleven-year old girl who had not had a previous history of cavities or fillings. 1 Through measuring the fecal and urine output over the next few days, they found that in comparison to a control group, the fecal excretion of mercury in this child was enormous the third day after the dental visit (400 micrograms in 24 hours; the WHO standard for total mercury intake is 45 micrograms in a 24 hour period). The authors also found that fecal excretion was four times higher than urinary excretion (80% released through the bowels versus 20% through the urine).2

In the author’s clinical experience, the same phenomenon occurs but in reverse during the removal of heavy metals. That is, the highest excretion of heavy metals occurs on or around the third day after mercury amalgam removal.

A few years later in a 1993 study, the oral and intestinal flora of primates was examined before and after placement of mercury amalgam fillings. A statistically significant increase in both mercury-resistant and antibiotic-resistant bacteria was found five weeks immediately after mercury placement, as well as the five weeks immediately after amalgam filling removal.3 The researchers concluded that mercury released from amalgam fillings increases antibiotic-resistant bacteria, even in the absence of antibiotic drugs. (See Curing CASPERS: A Naturopathic Doctor’s Guide to Treating Chronic Autoimmune Stealth Pathogens Evolved from Resistant Bacteria Syndrome at, for more information on the harm antibiotics do to the gut flora.)

This study not only further underscored the harmful effects on the body after placement of mercury amalgam, but also the negative effects after removal as well. The author has observed this same phenomena clinically for almost 3 decades and has thus developed an acute protocol entitled the “5 Dental Detox Days,” as well as a reduced (regular daily dose) detoxification protocol for the following weeks and months afterwards.

This acute “5 Day” protocol is characterized by strong detoxification measures such as doubling or even tripling the regular dosage of a patient’s chelating supplements, taking extra minerals to replete the mineral stores heavy metals have depleted, specific homeopathic remedies to heal inflamed tissues post-drilling, cell salts to support bone and gum tissue regeneration,
and dietary suggestions to most effectively release these toxic metals through the gut. Following this acute protocol, patients are further
encouraged to continue on a less acute, that is, a reduced “regular daily dose,” of these detoxification supplements for at least 5 weeks (based on the latter cited study), or even better to ensure optimal detoxification, for 3 to 6 months after dental drilling and the removal of heavy metals. (This protocol is itemized in The 5 Dental Detox Days: A Naturopathic Doctor’s Guide to Effective Detoxification of Mercury Amalgam Fillings at

The Need for Acute Support After Cavitation Surgery
The decision whether to pull a tooth is a very important – and a very permanent – one. It therefore requires the active participation of those
involved in this decision-making process: the educated patient, the holistic physician/practitioner, and the biological dentist. After careful examination and discussion, if a tooth extraction (or surgery of a former extraction site) is deemed truly necessary, patients can greatly enhance their chances of a positive surgical outcome by adhering closely to pre- and post-op protocols.
In a study of thirty-eight patients, the author and Dr. Russ Borneman, a Washington state biological dentist, demonstrated a 100% success record in the diagnosis of dental sites requiring cavitation surgery, verified by positive histological signs of ischemic necrosis from laboratory testing through Dr. Boyd Haley and Dr. Jerry Bouquot. Using this 4 same clinical experience and working closely with biological dentists, the author found that in general it takes approximately 5 days to acutely heal after dental cavitation surgery, and thus the “5 Post-Cavitation Surgery Days” was developed. These acute recommendations for the five days post-op include the doubling of nutritional supplements to speed healing of the surgery site; homeopathic remedies to reduce bruising and pain and to help restore normal blood flow; isopathic remedies with natural anti-inflammatory and anti-microbial effects; cell salts to support optimal blood circulation and bone and gum tissue
healing; laser therapy to stimulate healing of the surgical site as well as the neighboring ganglia; and castor oil packs to treat any related
(odontovisceral) disturbed fields in the body.

In the past two decades employing this protocol, as well as diagnosing and treating patients pre- and post-surgery with skillful biological dentists, the author has had a 98% rate of success (no post-osteitis or “dry socket; no need for repeating surgery). Thus, this time-tested post-surgery protocol can ensure a successful outcome, and a more complete and permanent healing of the surgical site. (This protocol, as well as the new Platelet Rich Fibrin method, and other important keys to successful surgery are outlined in The 5 Post-Cavitation Surgery Days: A Naturopathic Doctor’s Guide to Complete Healing After Dental Surgery at

The careful removal of mercury amalgam fillings is an essential step in clearing significant “obstacles to cure” in the body. However, it must be followed up with continued detoxification to ensure the most effective release of this systemic poison, and to further more optimal immune system functioning. The “5 Dental Detox Days” protocol is a way of appropriately detoxifying acutely from this systemic heavy metal poisoning by “fighting fire with fire,” that is, through increasing the dose of needed supplements acutely just after dental drilling.

The removal of an infected tooth, or bone infection, is often required in biological dentistry. Appropriate healing from this dental cavitation surgery necessitates acute treatment with nutritional supplements and remedies for approximately five days immediately following surgery.

Patients who are not under the care of a knowledgeable holistic physician or practitioner require these supportive protocols to come from their biological dentist. However, in many states it is discouraged, or even deemed illegal by dental state boards, for dentists to prescribe these needed supplements. In this case, biological dentists are encouraged to work closely with holistic practitioners in order to ensure the best clinical outcomes for their patients.

1. C. Malmstroem et al., “Amalgam-derived Mercury 1 in Feces” ISTERH Third
International Conference and NTES Fourth Nordic Conference, Stockholm (May
25-29, 1992): 1-8.
2 Ibid
3 A. Summers, et al., “Mercury released from dental ‘silver’ fillings provokes an
increase in mercury- and antibiotic-resistant bacteria in oral and intestinal floras of
primates,” Antimicrob Agents Chemother, (April 1993), 825-34.
4 Borneman, R. and Williams, L. Unpublished research findings from the Head and
Neck Diagnostics of America laboratory, Seattle, Washington, 1995-96.

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