Integrative Dental Medicine

Integrative dental medicine may be defined as the art and science of blending the best of conventional restorative and preventive dentistry with a systems approach to the treatment of the whole patient as well as the physical disorder. It is an understanding of how dental diseases and systemic diseases inter-relate. It means asking, "what type of patient has this illness, rather than what type of illness afflicts this patient." A conservative restorative approach is often best here.

Our oral health is often an indicator of our general health and there is a statistically significant association between oral infection (periodontal disease) and cardiovascular disease, diabetes, spontaneous pre-term births, and stress (Genco). Many medications, illnesses, and treatment modalities can cause a decrease in saliva flow with resultant potential for rampant caries and periodontitis.

There is a growing body of evidence-based science suggesting that chronic stress depresses our immune system, especially in areas of lymphocyte production and natural killer cell activity - white blood cells necessary to fight infection and disease, and that as much as 80% of all illness may be stress-related. This is the realm of psychoneuroimmunology - how our emotions affect our immunity. About half of us seem to naturally cope with stress well, while others do not, and the impact to our overall health can be profound. Often how patients cope with chronic stress is a common underlying factor in the outcome of both the dental and systemic illness.

Integrative medicine, in general, stresses prevention, self-care, and establishing healing partnerships by recognizing all parts of the body - the spiritual and emotional, as well as the physical. It is essentially the "weaving of the best of the scientific and the intuitive, the ancient and the modern, the clinical and the caring to facilitate the emergence of a new medical system, a new paradigm, that provides the most effective healthcare available in a form individually crafted to each person and their particular needs with a minimum of risk of side effects and a maximum of patient understanding and self-empowerment (IBIS)." This is what we try to bring to our dental practice, and our vision of what an ideal fee-for-service dental practice can be in the future.

The following ideas on our approach to mind/body health all have a sound medical and scientific basis, and are all thoroughly researched. Sources are provided for the quoted authors. Among the things that we and the "wellness" community believe are:

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That mind/body health begins with the mind.
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That we must take self-responsibility for the movement and direction of our lives, including our physical and emotional well-being.
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That "emotional intelligence" - the ability to access, label, and express emotions (feelings) as well as the ability to respond to the needs and feelings of others, (Shannon/Simmons & Simmons) is a powerful tool for self-understanding and for maintaining physical and mental health.
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That social support, friendship, and strong, stable relationships protect our health by providing buffers against stress as well as positive emotional outlets.
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That we receive stress in our lives from basically three sources - physical (physiological, injury, exercise), mental (how we feel, attitudes) and psycho-social (interpersonal relationships, conflicts, isolation) (Hafen/Meaney).
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That how we "perceive" stress, and the timing of stressful events has a lot to do with how stress affects us.
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That short-term adaptable "good" stress is necessary in our lives. But when stress becomes chronic, pervasive and uncontrollable, it is implicated in the onset of many serious illnesses including cardiovascular diseases, diabetes, cancer, depression, immunologic disorders and dental diseases, etc.(Laclede)
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That chronic stress, because of stress hormones produced by the adrenal glands, depresses our immune system - especially in areas of t-lymphocyte production and natural killer cell activity - white blood cells necessary to fight infection and disease.
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That our emotions affect our immunity! But we can learn to control our emotions and develop coping strategies rather than allowing our emotions to control us. "Negative" emotions, such as worry, depression, anxiety, hostility and anger, when nurtured, can increase susceptibility to disease. "Positive" emotions, such as optimism, humor, hope, faith, love and determination to live, essentially a positive mental outlook can protect our health and help us to heal when combined with competent medical care. (Hafen, Frandsen and Smith)
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That we can develop our own strategies for promoting physical/mental health by taking self-responsibility, seeking help when necessary, following the directions of our physicians and psychologists, socially interacting with those who support
and understand us, becoming more physically active with moderate exercise, developing a positive mental outlook, having emotional outlets (confidants, friends, pets, etc.), understanding the healing power of forgiveness of ourselves and others, nurturing a sense of spirituality - of something else out there, and never losing hope.

 

Alan R. Weinstein, DDS
1
Meyers, IB: Introduction to Type. Palo Alto, AC, Consulting Psychologists Press, INC Sixth
Edition, 1998.
2
Keirsey, D.: Please Understand Me II - Temperament - Character - Intelligence. Del Mar, CA.,
Prometheus Nemesis Book Company, 1998.
3
Shannon, Joseph: "Emotional Intelligence". Cortext - Spring 1998.
4
Simmons, S; Simmons, JC: Measuring Emotional Intelligence. Arlington, TX, The Summit
Publishing Group, 1997.
5
Hafen, B; Karren, K; Frandsen, K; Smith N: Mind/Body Health - The Effects of Attitudes,
Emotions and Relationships. Boston, MA, Allyn and Bacon, 1996.
6
Meany, M: "Stress and Disease" - Who Gets Sick and Who Stays Well. Cortext 1996.
7
Integrative Medical Arts Group, Inc. IBIS Medical.com
8
Genco, RJ; Ho, AW; Grossi, RG; Dunford, RG; Tedesco, LA. Relationship of Stress, Distress, and
Inadequate Coping Behaviors to Periodontal Disease. J Periodontol 1999; 70:711-723.
9
Laclede, Inc. Biotene dry mouth products. www.Laclede.com
www.americanheart.org
www.cancer.org
www.diabetes.org
www.kidney.org
www.keirsey.com
www.personalitypage.com
www.personalitytype.com