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Clinical Studies with Dr. Don's Clinical Periodontal Gingival (Gums) Tests
Clinical tests by holistic dental offices
with no bias or interest in sales.
Good dental offices make extensive diagnosis of each tooth as to pocket depth, tissue color and swelling. The greater the pocket depth, the looser the teeth, the poorer the color leaning toward stagnation, loss of texture and the greater the inflammation or swelling of the gums. The clinical tests are from different offices with no economic benefits other than to observe the results to see if the products are beneficial to their patients. The dental professionals instructed the patients to use Dr. Don’s Antioxidant toothpowder and mouthwash instead of their regular toothpaste and mouthwash. One office used the mouthwash as the disinfectant in water-pik, an essential spray rinse to reach deep into the periodontal tissues. We wanted to know the bad results as well as the good to determine what may be the cause of the bad results. Since, the technology and science is radically different from conventional dentistry, there were only a few offices that chose to participate in the clinical tests. There are still on going tests and we will document them on this website. One office is doing extensive tests that may last several months.
Testing Analysis
Dentists use an average of mean pocket depth in analysis to compare the results. They normally take the typical three readings per side of the tooth or a total of 6 readings per tooth. Since clinically, they would see some aspects of periodontal condition would be more involved say in the palatal side, we wanted to see if they got an even response or a isolated response since patients have a tendency to brush mainly on the buccal front surface of the teeth and ignore or brush poorly on the palatal lingual back surface of the teeth.
Looking at the mean sulcus pocket depth, they get an overall view of improvement
or non-significant progress. Since in the clinical setting, they would see in
a healthy mouth, no more than 3 mm pocketing and usually only 2 mm pocketing
on the side of the teeth, for a pocket average of +2.5 mm. The higher from that
number, the more disease we would see. They then took the amount of potential
improvement to ideal and compare the actual amount to determine total state of
health of the gums. The pocket average is an indication of total condition of
the gums.
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Case #101. Woman Age 62 years old, with history of 2 previous
Non-surgical scaling and root planing treatments in the past.
Patient presented with advanced boneloss, moderate subgingival calculus and
moderate bleeding upon probing. Pockets presented as 1 to 9 mm. Gingiva at
margins was generally red and mildly inflammed. Patient brushed and flossed
regularly.
After 4 quadrants of non-surgical scaling and root planing therapy, patient
was sent home with a bottle each, of Dr. Don's Gargle and Toothpowder. The
patient was instructed to follow the directions on the labels and to also put
a capful of the Gargle in her waterpik water to be used one time daily.
At a one month follow-up periodontal maintenance prophy, the patient presented
a generalized 1 to 4 mm reduction in pocket depths and only 10 slight bleeding
points. Gingival tissue appeared firmer, more stippled, and tighter. Color
was a healthy pink. Inspite of the deep red of the Gargle, there appeared
to be no staining of the teeth. Infact, they appeared brighter than patients
who had been using chlorhexidine or stannous rinses for the same time frame.
An additional benefit seemed to be that the patient reported she had far less
sensitivity than she had ever had in her previous scaling and root planing
experiences. She said this very much surprised her as she had been dreading
facing the pain again.
Patient took home another bottle of the gargle and another toothpowder and
placed on a 3 month re-care. It will be very exciting to follow her progress.
Case 102 Male 50 years old
The patient has been a patient of record for eight years. He came in with
initial periodontal condition which we were able to resolve with shorten recall
appointments. He then was unable to return due to financial challenges as
prescribed. When returning he had an advanced class III perio-condition with
a Class II mobility on tooth number 18. We referred the patient to a periodontist
for evaluation. Prognosis was hopeless for tooth no 18, poor for the posterior
teeth 2,3,14,15, 19 and 32 and fair for teeth 4-13 and 30 and 31.
Recommended treatment of extraction of 18 and scaling and root planning to
be followed by re-evaluation with surgery a strong possibility. He chose to
participate in this trial picking up the products and returned for evaluation
one month later. No other treatment was done except his general cleaning on
5/5 and perio-evaluation on 6/24. On 7/23, he was evaluated by our office.
The change was significant with little or no bleeding upon probing. The probing
depth on 6/24 had a mean pocket depth of 4.45 mm on the buccal of the maxillary.
On 7/26, it was 3.1 mm on the buccal. On the palatal and it started out as
4.95 mm and in one month it was 3.2 mm. The buccal on the mandible started
out at 4.7 mm when re-evaluated it was 2.77 mm and the lingual started ate
4.8 mm and improved to 2.77 mm. The mean total for the entire mouth started
ate 4.725 mm average of pocket depth and within one month with no other intervention,
it improved to 3.03 mm depth. A 1.69 mm improvement with no noticeable bleeding.
A 75% impressive improvement.
Case 103 Male 54 years old
The individual is a patient that originally came in 7 years ago and had undergone
scaling and root planing at that time. Although a shorten recall had kept
his condition under control , through time he felt he only needing cleanings
twice a year. His condition of a perio Class III had returned upon his visit
of 6/4. We read the pockets at that visit and he chose to engage in this trial.
We gave him the product with instructions and he returned 7/15 for re-evaluation
of his situation.
The maxillary average buccal pocket depth was 3.47 mm on 7/15, it was 2.83
mm. The palatal was 3.41 mm on 7/15 it was 3.06 mm. The mandible buccal was
3.54 mm starting but on 7/15 it was 3,00 nn, The mandible buccal started at
an average if 3,729 mm and on 7/15, it was 3,20 mm. For an average pocket
depth of 3.53 mm throughout the mouth and on 7/15 an average of 3.02 mm with
no bleeding and no other treatments. A 25-50% improvement throughout.
Case 104 Female Age 79 years old
This case is a perio Class IIIa-IV. She has a history of full mouth perio
surgery years before with a guarded prognosis. We have been able to maintain
her teeth through frequent cleanings. Lazer therapy was done several times
in October and November with limited success. She spends winters in the South,
so treatment options have only been during a 6-7 month period of time. She
seeks no other care during he time spent away. She was evaluated on 6/9 and
given the products with instructions. She was the only patient to use a sonicare
toothbrush with the application.
Her starting pocket depth on the maxillary buccal pocket was 3.066 mm, it improved
to 2.066 mm. Her palatal started at 3.566 mm and improved to 3.1 mm. Class
III’s pocket readings on the mandible (where she has bone disease) showed the
buccal average pocket depth of 2.37 before and after. The lingual started
at 2.66 mm and improved to 2.48 mm. The most impressive result was the total
elimination of bleeding.
Case 105 58 yrs old male
A 58 year old man presented with advanced periodontitis with magenta gingiva
and profuse bleeding. After scaling and root planing, pt took home Dr. Don's
gargle and mouthwash, along with the toothpowder. Pt. returned for one month
re-eval, having been on a vacation trip. He had not been consistent in his
home care but still showed marked improvement in gingival stipling, reduced
bleeding and tissue was now a pale pink. Additionally, there was no staining
of the teeth, patient was pleased to have improved and he heard that his posterior
pockets were still bleeding, he promised to be more consistent in his hygiene.
He had found the taste to be pleasnt without the buring of other mouthwash
and felt his teeth seemed to stay clean feeling longer than before his treatment
and the Dr. Don products. 8/13/2006
Case 106 69 year old gentleman
Patient with 6 to 7 mm pockets returned for 1 month recall after scaling and
root planing. He reported using the waterpick daily and brushing and flossing
daily as well. He presented with anterior pockets reduced to normal limits,
but the area from the secound bicuspids back on all quadrants were still 5
to 7 mm and still bleeding with a sticky light plaque.
A 3 month recall found the areas refractory and 1mm deeper with fire redness.
The patient took home the Doctor Don's Gargle and Toothpowder He started out
using one capful of the gargle in his waterpik solution, once a day. Then 2
weeks before his appointment, he began using 2 capfuls.
At 3 month recall his gingiva was firm, pink and stippled even with a light,
sticky plague in the maxillary posteriors. The pockets had reduced by 1mm through-out.
He said his mouth felt cleaner even though he had had some serious stress over
a loved one. Additionally, there was less general staining on his teeth.
65 year old woman started with 7 mm. Pt received scaling and root planing.
Pt took Dr. Don's Mouthwash and Gargle home with instructions to use 2 capfuls
in waterpick one time a day, and to rinse with a capful after brushing. Pt
was also given Dr. Don's Toothpowder to brush with according to instructions
on the label. Pt returned for one month follow-up appointment with firm, stippled,
healthy pink gingiva, pockets reduced generally by 1-4 mm. The three-month
recall visit showed all pockets reduced to 1-4 mm and no bleeding upon probing.
even though the product has a deep burgundy color, there was no staining on
the teeth.
45 year old woman presented with 1-7 mm pockets, heavy subgingival calculus,
profuse bleeding, and magenta gingival color with generl moderate edema. After
scaling and root planing, pt was instructed to use 2 capfuls of Dr. Don's mouthwash
and gargle in the waterpick 1 time a day. Pt also told to use toothpowder according
to instructions on the bottle. At 1 month recall, pt had all pockets with-in
normal limits, no bleeding, slight calculus, no staining, and healthy stippled,
pink gingiva.
40 year-old woman had 5-7 mm pockets posterior. After scaling and root planing
pt was told to use Dr. Don's toothpowder according to the instructions on the
bottle and to use 2 capfuls of Dr. Don's Mouthwash and Gargle in waterpick
1 time a day. At 1 month recall, pt had firm gingiva, and all pockets were
with-in normal limits with slight calculus and no bleeding.
For one year I have been instructing my Non-surgical Periodontal therapy patients
to use 2 capfuls of Dr. Don's Mouthwash and Gargle in their waterpick 1 time
a day and to brush with the toothpowder. The results have been comparible with
chlorhexidine and, in some cases better as there is no staining from the products.
Erin Kantola RDH
.
59 year old male with 6-9 mm pockets, did not comply with waterpick or rinse
or flossing and so, only 1-2 mm reduction in pockets on anterior teeth from
increased brushing only.
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Conclusion as of today
Dr. Don’s Antioxidant toothpowder and mouthwash appear to be clinically significant
for the improvement of gum disease when combined with dental treatment. Since
there are a variety of cases, we would have expected some cases not to respond
due to the complication of health issues. They all responded favorable and
consistently within a short period of time. The greatest improvement from
this clinical analysis was the reduction of bleeding and inflammation, but
this does not lend to a numerical analysis. Another symptom that disappears
is mouth dryness. When using the products for the first time, we advise you
to have your dentist professional treat with moderation your gum disease.
Science seems to be that scaling creates inflammatory response that triggers
immune cells to expel nitrogen oxide free radicals. The antioxidants seem
to absorb the free radicals to reduce inflammation. A major bonus is that
Vitamin C and other vitamins P and B complex gets absorbed and not destroyed.
Healthy gum color with stippling is restored and new collagen fibers are generated.
Normally, vitamins are destroyed by oxidation before they can be absorbed into
dental tissues. The dry mouth symptom disappears due to constant healthy
saliva flowing throughout the day. Healthy saliva is pH buffered to prevent
dental adhesion and give a radiant shine. The oral cavity is unique because
constant saliva flow dilutes minerals to become colloidal and trace minerals.
The products may be a good way to get vitamins and minerals into body fluids.
The technology works best in the mouth due to constant saliva flow.
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