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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. |
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Alan R. Weinstein, DDS |
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1 |
Meyers, IB: Introduction to Type. Palo Alto, AC, Consulting Psychologists
Press, INC Sixth
Edition, 1998. |
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2 |
Keirsey, D.: Please Understand Me II - Temperament -
Character - Intelligence. Del Mar, CA.,
Prometheus Nemesis Book Company, 1998. |
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3 |
Shannon, Joseph: "Emotional Intelligence". Cortext - Spring
1998. |
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4 |
Simmons, S; Simmons, JC: Measuring Emotional Intelligence. Arlington,
TX, The Summit
Publishing Group, 1997. |
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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. |
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6 |
Meany, M: "Stress and Disease" - Who Gets Sick
and Who Stays Well. Cortext 1996. |
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7 |
Integrative Medical Arts Group, Inc. IBIS Medical.com |
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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. |
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9 |
Laclede, Inc. Biotene dry mouth products. www.Laclede.com |
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www.americanheart.org
www.cancer.org
www.diabetes.org
www.kidney.org
www.keirsey.com
www.personalitypage.com
www.personalitytype.com |
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