Periodontal Disease Treatment Guide

PERIODONTAL DISEASE SELF TREATMENT GUIDELINES


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DENTAL CONSUMERS’ PERIODONTAL DISEASE SELF TREATMENT REGIMEN


by Michael Donahue, RDH, BA

            Periodontal disease is a contagious disease passed from person to person.  All periodontal disease is caused by infection with one or more of 12 common bacterial pathogens with cytomegalovirus usually tagging along exacerbating the infection.  This regimen eliminates these pathogens from the oral cavity and the entire body, halting the disease process and allowing healing to begin.  Clinically observable improvement in periodontal tissues and long‑term stability is generally achieved even if the dental patient undergoes periods of suboptimal compliance with home care guidelines.  The superior efficacy of this treatment regimen is attributable to multiple mechanisms interacting synergistically.

PERIODONTAL DISEASE SELF TREATMENT GUIDELINES

            Upon diagnosis of aggressive periodontal disease, print and read this entire course.

Four to Six Weeks Prior to Treatment:

  1. Purchase 24 tablets of Amoxicillin 250 mg and 24 tablets of Metronidazole 250 mg (approximately $15.00 to $30.00).  Persons allergic to Amoxicillin are recommended to purchase 24 tablets of Clindamycin 300 mg (approximately $25.00 to $50.00).  These antibiotics may be purchased online without a dentist’s or physician’s prescription.  Allow one to four weeks for delivery.
  2. Purchase an oral irrigation machine: Interplak®, Waterpik®, or Hydrofloss® brands cost approximately $35.00 to $110.00.
  3. Purchase 16 ounces of 10% povidone iodine (approximately $10.00).
  4. Purchase 8 ounces or more of household bleach with 6% available chlorine or 2 to 8 ounces of grapefruit seed extract, GSE (approximately $10.00 to $45.00 with each ounce containing 1000 drops). 8 ounces of GSE may be obtained from Harvest Dental Supply for $45.00 with free shipping in the U.S.A.  Contact Harvest Dental Supply:  (805) 466‑3202, 9:00 a.m. to 6:00 p.m. Pacific time.
  5. Schedule a routine teeth cleaning at a general dental office.

Three days prior to scheduled teeth cleaning appointment:

  1. Begin taking the antibiotics; either Amoxicillin and Metronidazole one tablet of each every 8 hours, or Clindamycin 1 tablet every 8 hours.  Continue taking the antibiotics 3 x daily for 8 days.
  2. Use an oral irrigator daily after first brushing and flossing.  Mix 1 tsp. bleach in 8 ounces of warm water, or 15 drops of grapefruit seed extract (GSE) in 8 ounces of warm water.  Aim the water jet at the gumline paying attention to the worst areas.
  3. After having routine teeth cleaning, brush, floss, and use oral irrigator with either a bleach or GSE solution.  Next, measure 4 ounces of 10% povidone iodine solution for use in the oral irrigator.  Following irrigation with 10% povidone iodine solution, rinse with warm water or mouthwash.  Repeat this procedure two days later and a third time on final day of the 8 day antibiotics regimen.  Run fresh warm water through the oral irrigator after each use of bleach of povidone iodine solution.
  4. Continue to floss and use an oral irrigator with GSE solution daily, or with a bleach solution 2 x week.  Schedule routine teeth cleanings every 3 to 4 months.

 

AUTHOR’S COMMENT

 

           It is a national tragedy and a huge detriment to oral health that fewer than 5% of general dentists in the U.S.A. and less than 25% of periodontists implement this periodontal disease treatment protocol.  Variations of this protocol have been published for more than a decade.  The American Academy of Periodontology published this protocol as recommended treatment in 2004.  Continuing education courses and seminars promoting this protocol are offered for required credit in all 50 states.  Unfortunately, implementation of this highly effective protocol is not a big money-maker.  Periodically performing rootplaning and periodontal surgery is far more financially lucrative.  This author feels that professional ignorance of recommended treatment guidelines and failure to provide treatment which effectively addresses the root causes of the disease is inexcusable.  This web site was developed to inform and empower dental consumers, enabling them to demand effective, safe, economical treatment of periodontal disease.

 

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