Transcript Document

My Mission
To help people
live better
longer
Dr. Mike Milligan
To help people live better longer
• Dentistry
• Dental Health Products, Inc
– Cold Sores
– Canker Sores
– Periodontal Health
• Systemic Immune Support Nutritional Products
• Improve Your Health Three Ways
– Improve Periodontal Health
– Oral-Systemic Link: Better Perio => Better Total Health
– Health Benefits of Nutrition Irrespective of Perio
The Dental Patient’s Little Book of
History, Humor, and Trivia
by Don Dible
“According to Merriam-Webster OnLine,
The word receiving more clicks on their website than
any other in 2005 was “integrity.”
Year-after-year,
Gallop poll numbers consistently tell us,
That term perfectly characterizes
the profession of dentistry!”
“The RealAge Makeover”
by Michael F. Roizen, M.D.
• The RealAge scientific advisory team voted
unanimously to include hs-CRP in the RealAge program.
• Hs-CRP is the high-sensitivity assay (measurement) of Creactive protein. This value is elevated when inflammation of
virtually any type exists in the body.
• Inflammation may be the most important of all factors in heart
attacks and strokes other than hypertension.
• The data are clear. Infection and inflammation are the two
major causes of aging of both the arteries and immune system.
• Having a normal C-reactive protein level – meaning one that is
normal in your doctors office and on three different occasions
over a two-year period – will make your RealAge four years
younger.
What are Your
Patients Hearing?
• Inflammation is the body's first
defense against infection, but when
it goes awry, it can lead to heart attacks, colon cancer,
Alzheimer's and a host of other diseases.
• Perhaps a long-running bacterial infection, like gum
disease, keeps the internal fires burning and tips the
balance toward chronic inflammation.
• Flossing your teeth combats gum disease, another
source of chronic inflammation. Fruits, vegetables and
fish are full of substances that disable free radicals.
What are Your
Patients Hearing?
How Your Dentist Can Save Your Life
The dentist may be the most
important doctor you see this year.
From Reader's Digest
December 2005
By Dan Ferber
• Gum disease may also heighten the risk for heart disease, diabetes,
pneumonia and premature birth
• Your dentist can do much more than save your teeth and gums. Your
dentist can save your life.
• People with periodontitis were twice as likely to die from a heart attack
and three times as likely to die from a stroke
• Pregnant women with serious periodontal disease have about four
times the risk of delivering preterm babies, and they face an increased
risk of preeclampsia, in which blood pressure climbs sky-high after the
20th week, threatening the lives of both mother and fetus.
What are Your
Patients Hearing?
• Our research finds that people with high
inflammation levels but low cholesterol
have a worse survival rate than people with
high cholesterol and low inflammation," says Ridker
•
• A simple blood test can determine your inflammation level
by measuring the C-reactive protein (CRP)
• Here's how to lower your CRP level:
1. Brush and floss
Research now links gum disease and tooth loss with a
higher risk of atherosclerosis and higher CRP levels; one
study even suggests that cavities, gingivitis, and missing
teeth are stronger predictors of cardiovascular problems
than high cholesterol or triglycerides.
Fish Oil + 1 Hour “Cleaning”
22 patients
Perio sites
6mm
5mm
4mm
Total
# @ 0 Days
4
18
74
# @ 30 Days
0
7
47
96
Perio sites reduced 44%
Bleeding sites
604
Bleeding sites reduced 65%
54
212
Ongoing Studies
• New product by $500 million nutrition company
–
–
–
–
50 patients in 10 dental offices
30 days product only, then clean, then 30 days
Even better results than fish oil, esp. pocket depth
Relapse if quit taking supplement
• Green tea product
• New product + fish oil (40-100 patients)
– Would you like to participate (1 patient for 60 days)?
• Topical CoQ10 product
1966
2001
Dad
• Periodontal disease, missing teeth, smoker, a little
overweight; not much exercise
• 1980 - age 53 – first heart surgery – triple bypass; blood
transfusion – didn’t screen blood for Hepatitis C
• 1986 – second triple bypass operation
• 1990 – cirrhosis of liver from the hepatitis
• 1991 – liver transplant – Presbyterian Hospital; recovery
was difficult – determined liver had probably been
damaged in transport from Montana to Pittsburg
• Sent him home at Christmas to die at home with family
• 1992 – April – dad passed away
Our Mission as Dentists
“More than 90% of systemic
diseases reveal signs and
symptoms in the mouth. Most
patients see their dentist on a
regular basis more frequently
than they do their physician.
We are in a unique position to
help our patients. Our mission
as general dentists is no longer
merely to wipe out dental decay
but to correct diseases in the
mouth so that the patient’s
overall health also benefits.”
David A. Tecosky, DMD,
MAGD
General Dentistry, a peer-reviewed Journal of the AGD, Dec. 2002
Who do you care about?
Periodontal Health = Total Body Health
• If you have periodontal disease, then you have a much higher risk for:
Heart Attack 2xs Higher
Oral Cancer 4xs Higher
Stroke up to 3xs Higher
Osteoporosis 2xs Higher
Low birth weight babies & Spontaneous pre-term births 2xs Higher
Plus, you have a higher risk of diabetes, respiratory disease, arthritis,
stomach ulcer, obesity, and other diseases.
Why?
• Research shows that you have FOUR times more harmful bacteria
products in your blood if you have severe periodontal disease. The
general mechanism behind the systemic effects of periodontal disease is
thought to involve, in part, a SYSTEMIC INFLAMMATORY
RESPONSE through blood-borne oral bacteria and their products.
What is a Cold Sore?
• Fever Blister, Herpes Labialis, Oral Herpes,
HSV-1, Herpes Simplex Virus –1, #?*!%!!!
• Prodrome, skin eruption, vesicles, ulcer,
weep – contagious, dry, scab, heal 8-14 days
• Lips, nose, eye, fingers, arm, leg
• Painful, embarrassing, contagious
– United Airlines – don’t come to work!
How common are Cold Sores?
•
•
•
•
•
•
•
90% people have the virus
40% of those get cold sores
1/3 of the population
150 million people in U.S.
Average 3 lesions per person per year
338 million treatable outbreaks/yr in U.S.
And GROWING!
Triggers
•
•
•
•
•
Fever
Cold
Stress
Allergy
Sun
A Wolf in Sheep’s Clothing
• Seen as trivial – heal spontaneously 8-14 days
• Highly contagious – kiss, human contact,
eating utensil, glass, towels, lipstick, razor
• Eyes – may lead to blindness
• Baby or immune compromised – very serious
and possibly death
HSV-1 and HSV-2
• HSV-1 – traditionally above the belt
• HSV-2 – traditionally below the belt
• Today over 50% genital herpes is HSV-1
• Auto-transmission, oral-genital behaviors
• 25% females over age 12 have genital herpes
• Usual ages of transmission: 3-7 and 12-21
•
•
•
•
•
•
•
•
Topical – I much prefer topical to systemic
Apply ONCE per outbreak – when properly applied
Stops the pain – within minutes of application
Heals faster – in 3 to 4 days rather than 8-14 days
Germicidal – disrupts lipid coat and kills virus on contact
Clear Liquid
Unique applicator reduces auto-inoculation
Costs less – $13.32 per vial suggested retail price
Why Add Viroxyn?
• Hero to Your Patients
• Reactivate Previous Patients
• New Patients
• Income
Doctor, thank you so much!
YOU
SAVED
MY
WEDDING!
Viroxyn Research
Clinical Research Associates
Dr. Gordon Christensen
December, 2005
“86 % of 29 CRA evaluators stated they
would incorporate this product into their
practice. 90% rated it excellent or good, and
worthy of trial by colleagues.”
Testimonials
“Viroxyn allows you to provide a solution to a
painful, embarrassing, highly contagious problem.
You can now help people who have been mislead
with advertising, confused and disappointed from
wasting their money on poor results from
ineffective products.”
Dr. Tom Orent
1000 GEMS
Independent Dentist Newsletter
OUCH!
OOOOUCH!!!!!!
Aphthous Ulcer
Canker Sore
#!?*#@!!!
What Are Canker Sores?
• Canker sores are a common form of mouth
ulcer. They affect about 25% of the
population.
• They occur in women more often than men.
• They may occur at any age, but usually first
appear between the ages of 10 and 40.
What Causes Canker Sores?
• The cause is unknown.
• There may be an inherited predisposition to
their development.
• There may also be an immune system link.
• Ulcers may develop in response to mouth
injury such as dental procedures or
aggressive tooth cleaning.
DEBACTEROL
Stop Canker Sores In 5 Seconds Flat
•Immediately stops the pain
•Seals damaged oral mucosal tissues
•Aids in natural healing
•Single application when properly applied
How Does Debacterol Work?
The overall chemical activity of Debacterol is
characterized by the modified tissue
penetrating and denaturing activity of
sulphonated phenolics and by the dehydrating
and oxidizing activity of moderately
concentrated sulfuric acid.
It Cauterizes it.
Affects Only Damaged Tissue
• The total of the denaturing properties of
Debacterol is such that it provides for effective
debridement and cauterization of damaged tissues
when applied properly, but it lacks sufficient
denaturing potential to damage normal epithelial
tissues or healthy tissue.
• The overall effect is to produce a pain free site that
is cleared of necrotic debris and ready for natural
healing to begin.
Application Tips
• The initial sting when applying Debacterol is less if you
have refrigerated the Debacterol. This is especially
important for youngsters.
• Allergy to sulfa and phenols is a contraindication.
• Don’t treat an aphthous ulcer larger than the size of a
quarter. If you do it may be too painful and swell up
because deeper tissue layers are involved. Rather, catch it
and treat it at an earlier stage when it is smaller than a
quarter.
• You can anesthetize before treating, but not with topical as
this may coat the lesion and prevent the active ingredient
in Debacterol from getting to the diseased tissue and
working properly.
Testimonials
Debacterol
• Debacterol is an Rx product
• Use it to treat patients in your office
• Give or sell it to your patients to use at
home at the earliest symptom
• Help your current patients
• Reactive patients
• New patients
Total Oral Sore Management
The “System”
• Sore inside your mouth – usually Debacterol
• Sore outside your mouth – usually Viroxyn