Detox Blog

Do you know in eggs, is it the white or the?

I don’t know.  Gluten-containing foods.  This is a big category.  So, wheat, oats, rye, barley.  By the way, barley is found in what substance?  Alcohol.  Beer, specifically, and soy products.  Soy also falls in that category.  Some people are fine with tofu, but if they drink soy milk, they have some kind of reaction.  So, you have to think about how you are with consuming that.  Yes?

If you don’t have allergies to gluten-containing products, is it still better health-wise to not eat?

That’s a great question.  If I’m not sensitive to gluten, in other words if I know for sure I’m not sensitive to gluten based on laboratory results, is it still healthier for me to avoid?  The answer is yes.  It takes a lot for the body to process.  Great question.

Other foods.  Tomatoes and sauces.  Corn, including corn tortillas.  Peanuts.  Beef.  Pork.  Bacon. Shellfish.  Processed foods.  Hot dogs.  Canned meat sauces.  Meat substitutes.  Food additives and MSG.  This list is an order of things that I enjoy.  Notice that peanuts, pork, shellfish are italics, and there is a big old bracket.

So, I’m not a fan.  The Old Testament in Leviticus is not a fan.  So, the Jewish are not a fan.  It’s considered unclean foods, well peanuts not so much but the pork and shellfish, and these peanuts and shellfish are known to have allergic responses.  Now, the people can actually die by eating peanuts if they’re allergic to it.  People can actually with shellfish by eating it.  That should give you some indication that it’s not a great thing for you to consume.

Why are peanuts bad?  I get organic peanuts. I don’t get organic peanuts.  Both are bad.  Let me explain this.  The peanut shell or the peanut grows in a shell. In that shell, fungus grows. They cannot prevent that fungus from growing unless they use pesticide.  That pesticide is toxic for you.  So, you want the fungus, which is unhealthy for you, or do you want the chemical? Both are bad.

Catch-22.

Okay. So, you avoid it.  Do so. I mean, we all love almond butter now, right? Well, there’s a cashew butter, too.

Is it okay if I eat almonds instead of peanuts?

Totally fine.  Almonds, cashews, all those other things that you’ve probably been eating.

Pork.  When we were in El Salvador, I stayed with a family, and the family owned a pig farm.  They said, based on American standards, the most clean facility.  They said, “you want to visit?”  Seriously? No way.  I’m not eating pork, but pork.  We don’t need to go over the whole parasite, right?

Alright.  Shellfish of all types are bottom feeders.  They clean the bottom of the ocean.  That’s what they do.  So, realize that.

Most poop sinks.

Most poop sinks.  Then, processed foods.  You have to be very careful with processed foods. Hot dogs.  I’m not a very big fan of hot dogs.  Canned meat, you guys are probably consuming a lot of canned meat if you guys go out to eat.  Most restaurants used canned meat.

And the food is microwaved.

And the food is microwaved.  Have you worked in food service before?

For a very, very long time.

Yes. Meat substitutes.  Sausage, by the way, be careful of sausage.  There’s a lot of things in sausage.  If you know a person that works with sausage, but be careful.  Meat substitutes, I’m not a very big fan of that. A lot vegetarians consume meat substitutes and food additives.  There’s a huge list. You see hydro-blank when read ingredients.  You see hydrolyzed blank.  Be careful with those things as well.

Okay.  So, that’s all we need to go over with the list.  Use it.  Everyone’s going to be a little bit different so if you guys are a family and you guys are adding these things back together, someone realizes this could complicate things because the last 21 days, you guys have been eating pretty much the same thing.  Well, if someone’s sensitive to eggs but the other two people are not, you’ve got to realize, “Are we going to wait for this person to get cleaned up before we add it back on or are we going to leave her in the dusk because I want my X, Y, Z?” So, you’ve got to realize that dynamic exists.  That’s why this is a tough part of the recuperation process.  Yes?

Hot dogs.  What if they’re turkey dogs?

Even them.  You’ve got to be careful.  Hot dogs.  Processed foods have nitrites in them.  Be careful.

Even kosher ones?

Even kosher ones have some nitrites in it so you’ve got to look at it and see.  I mean, Whole Foods got some awesome varieties of sausages, of hot dogs, all sorts of good things.  So, if you guys ever want to take a trip to Whole Foods, I can meet you guys there, and we can have this tour or something.  The other name of Whole Foods is Whole Paycheck because it’s not cheap.  When you’re there, you’re like, “Oh, look at this gluten-free stuff.” Yes?

I was a little confused.  If you find that you’re a little sensitive to something, is it you wait seven days of just not eating it or anything else?

Exactly. So, that’s a great question.  Let’s talk about that actually. For example, it’s like you led me this way.  Let’s add milk back to the diet, not cereal, milk and your health oats, Quaker Oats.  No, no, no.  That’s too much. Adding milk back into the equation somehow, some way.

So, for up to three days, you may feel symptoms that include fatigue, gasp, bloating, diarrhea, constipation, body aches, headache, sleep disturbances.  You can feel those different things, and that’s not even the exhaustive list.  Everyone’s a little bit different. You’ve got to really listen to your body now.  I mean, this last week has been pretty easy for most of you guys.

Rashes?

I’m sorry.  Rashes?

If you get rashes?

No, that’s not.  We’ve got to talk more about that, but could you have rashes as a result of this?  Yes, you could have rashes as a result of this, skin issues, breaking out like me with the yogurt. Okay.  So, be observant to what’s going on with your body.  Irritability also.

So, if you have an adverse reaction, you want to remove that food for seven days again.  In other words, you’re in this process.  Okay, so I’ve gone through this process.  Now, it’s time for me to add milk back in again. Alright, I had milk.  I’ve been having milk for a day.  The third day, uh oh, I don’t like this. I’ve got to step back.  I’ve got to throw the milk away from my system. At that level that you were, and then after the seven days of symptom-free, not seven days after your symptom.  So, you have to be symptom-free for seven days.  Then, you can add in something else.  Tomatoes.  So, no sooner than seven days, right?

So, at that point, you would be considered sensitive to milk?

Yes.

So, the idea is for you guys to observe and leave it alone. 

Yes, identify the food sensitivities.  Now, many of you guys may be thinking, “I don’t want to wait. I just want to take that little kit that you held up front and find out what I’m sensitive to.”  You can do that, but realize that you still have to go through this same process to really get the full grasp of what you’re sensitive to because that list has much more than the top four.

By the way, any questions on that? Has everyone got it?  I need you guys to get that.  Yes?

So, the whole pizza issue.  You can’t have a piece of pizza?  You have to do tomatoes, cheese, bread?

Exactly.  This is, again, why this space-free guys, tomorrow, is so dangerous for you because you’re like, “I’m free,” and if your choice is not to go back to the dark side, you want to stay in the course, then you have to do it the right way.  The right way is not to jump on pizza because pizza’s got the gluten from the crust.  It’s got the cheese, and it’s got tomato sauce.  If you put pepperoni on it, it’s got the pork, sausage.  You’ve got a lot of stuff there.  So, you’ve got to be systematic about it.

So, yes.  This will take some time for you, but you do it once.  You do it right.  You won’t have to do it again.  That’s the cool thing about it.  If you plan on living for more than a year, which should be everyone here in this room, three months is nothing compared to the amount of time that you’ll be living with this lifestyle.  So, put it in perspective.

By the way, you guys have heard me talk about eating a cheeseburger or eating pizza.  To live some lifestyle, you have to realize that there’s some premium.  When you go out for a party or something, you want to enjoy the party.  You don’t want to be like so against it unless you are really sick against something.  My mother, her reaction to gluten, she’ll vomit because she’s so sensitive to it.

So, you have to realize where you are and what price you’re willing to pay. My will when I help people lose weight is get clean, get good. Once you kind of know your system, live the 90%.  The 10% diet if you will.  Every 10 days, you can eat as bad as you want.  So, for nine days, though, you’ve got to be on.  So, you start scheduling every 10 days. You start looking forward, “Hey, were are we going this 10^th day? Here, here, and here,” and I just want to be loving it and sick because when you have those experiences like, “I feel so nasty right now. I can’t believe I ate all that. I can’t believe it.  I can’t believe I’ll do it in 10 days again.”

When you have a negative or adverse reaction to these different things, it hits home to like, “I just want to stay.  It’s not worth it for me.  I’m not going to feel good about it,” unless you’ve got a close friend, a business partner that will say, “Let’s go.  My treat.”  It goes both ways.

So, remember what you’ve learned.  Realize that you being clean for the past 21 days, you’ve had no alcohol, I hope, no caffeine, I hope, and no sweets, I hope.  If you’ve been that tight, then that’s awesome.  So, have you ever eaten this healthy before?

No.

No, never?

Maybe as a baby.

Maybe as a baby.  You know, if you’re being breastfed, yeah, but when you’re that small, you don’t have a choice.  Right? Unfortunately, there’s things are terribly given to children at too early an age, a whole other topic, but realize that you guys have achieved something for your health.  Very impressive.

Is that about the young guy, the chef?

He goes all over.

Yeah.  It’s scary.  Yeah, another show, “Super Size Me”.  Have you guys seen “Super Size Me?”  So, I said we need your help, but really, I want your help.  You know, need is a very basic level. If I say, “I need your help.  Mom, I need you,” it’s more of like a responsibility or you feel obligated because there’s a need relationship to do that so I want your help.  So, that’s a bit higher, but even higher than that is I’d love for you to help to achieve.  There’s no way I can do it all alone.

It’s much easier for someone to listen to us when you say listen to them rather than for me to say listen to me.  Okay.  It’s a third party endorsement.  That’s why many of you guys have showed a testimonial, and we appreciate that because we want to use that to tell other people.  So, can I count on some people’s help here tonight?

So, let’s talk about what’s next.  Are you guys ready?  Here are your options:  You can go back to the old ways and lifestyle.  Who’s on board with that one?  No one, really?

Hugo lost 10 pounds just watching his wife and family.

Ridiculous.  That’s ridiculous. That’s crazy.  Number two:  You want to stay with what you now know and stay in the course?  Anyone interested in that one?

Yes.

Then, there are those of you who will say, “Really?  How far does this rabbit hole go?” I don’t know if I really want to know, but I’m curious.  So, we’re going to talk about all these options tonight because some of you might say, “Yeah, number one.” So, let’s start that.

So, back to the dark side option.  I’m a Star Wars fan at heart.  By the way, I have a confession.  It was my birthday on Tuesday, and I cheated.  Yes, I cheated.  Yes, I had popcorn.  I love popcorn. I could eat popcorn all day and had some butter, too.  That was good. So, I want to confess that.

It’s okay, Troy.  We love you.

Hi, my name is Troy, and… Oh, come on.

Tomorrow is my other birthday, which is the day I accepted [17:42].  That’s 1993.  It was special.

Okay, so who heard that knowledge is power?  They lied.  Knowledge is not power.  Applying knowledge is power.  You guys now have the knowledge.  You guys already applied that, and you guys can see and experience benefits.  So, the fact that you guys, if you want to go back to the dark side, it’s okay.  The fact that you know something is huge.  The ability now to do the seasonal cleanse.  You have the awareness.  You have an idea of what is possible.

So, if you choose to go down the unhealthy eating lifestyle, it’ll just take a crisis for you to make a change, but now, when or if that crisis occurs, you now say, “Well, I remember this.  I think I’m ready to do this now.”  So, that’s a big thing.

So, that’s how we’re going to talk about that.  Next, let’s talk about staying the course. So, a few things we’re going to talk about staying the course because people are asking a lot of questions about this after the third week.  “What are we going to do after 21 days?”

So, if you kept living like this, just the way you are right now in this phase, your completion phase number two, you guys would be amazingly more healthy in three months, in nine months, a year, two years.  With the statistics that every cell in your body changes after how long? I can’t remember the statistics.

Seven years including nerves. 

So, it’s crazy.  Your body’s replacing itself.  Eating the right stuff, that DNA and RNA, I don’t mean to lose anyone of you, but if it’s got better building blocks, if it’s got less toxins that it’s exposed to, it will be better, stronger, faster.

So, if you were just to keep living like this, long term results are freaking.  Important question:  Can I still [20:12]?  Yes, you can.  We’ll talk about that.  In fact, I got that a couple of times today. Food selection process, we’re going to talk about that tonight.  We’ve got a couple of things to help you with that and the last diet, we’re going to talk about that, if you want to stay in the course.

So, let’s go for it.  Daily Clearavite.  This is what I did.  This is my personal program after I’ve done the whole thing.  Clearavite, in case you guys haven’t seen it before. It’s a great nutritional support.  It’s a great probiotic. I mean, you guys have heard enough commercials about probiotics and how important they are.  Your family might be pushing you, “You’ve got to take stuff. It’s a cure.  It’s amazing.”  So, it’s a great probiotic.  It’s a great digestive food.  It’s even got enzymes to help you digest the food better.  So, there’s a lot of good things in here.

Please understand, and I know I told you this before, it is not a meal replacement program.  So, this is not like I’m just going to get my Clearavite in the morning and I’m out.  It’s better than nothing, but there’s much more to it.  Clearavite in a canister by itself is $69.26.  One canister should last you 21 days on one serving a day, and you order it as needed from us.

You guys ready to take some notes on this one?  Okay, so food reintroduction process.

Can you do the shake without the pills?

Yes. Yes, Clearavite, you’re not taking the supplements.  Okay, so, here we go.  Step number one, list all the foods you want or need to have back in your diet and order them, the ones you miss the most on the top of your list.  Can you do that?  So, let me help you guys with that.  Here’s a list that I’ve put together that I’ve used.

Alright, the list.  What you have there is a complete list of the things that you guys already removed from your diet based on the plans or you were supposed to anyway.  Okay.  So, this is a process that I use.  It’s kind of my order that I have them back in because this is the order of things that I love the most.  So, we’re going to go through that in just a second.  We’ll come back to that list. You don’t need to look at it right now.

So, step number two, once you have that list, add one back to your diet.  I need to have you guys listen very carefully here.  You guys are at a very critical point.  You guys have just finished 21 days of a food elimination diet.  You’ve removed pizza, removed hamburgers, fried chicken, onion rings. So many of the things that you love and enjoy have been out of your diet for the last 21 days.

So, here’s what tends to happen when people are deprived of something that they love and desire for 21 days.  Eat it all the next day.  You say, “I’m just going to add one thing back to my diet.  I’m just going to add pizza.” Pizza’s got cheese.  It’s got the gluten, the tomatoes, so right there.

So, when I said this is the hardest part, the hardest part is being patient with the process. So, I want to stress to you the importance of taking these and just adding things back in slowly.  If you really want to ride the biggest benefit of this cleanse, do it this way.

For how long?

I will explain it later.  Hold your horses.  You guys are bad, chomping at the pizza.  So, how many are you going to add back at a time?

One.

Okay, so you add that one back.  You observe how you feel for how long? Three to four days post-consumption of that food.  So, on the list, my number one item was dairy.  I love cheese. I mean, I’m like half-Wisconsin.  That’s just how we roll.

So, what I would do is add that back in. See how you feel.  I’ll give you an example in a second, but I can eat that for two, three, four days.  Usually by the third day, if you haven’t had any symptoms, you’re good.

What kind of symptoms are you talking about?

Hold on.

I have a question.

I don’t know if I want to answer it.

So, if you cheese, does that mean you can’t have milk?

Great question.  Let me clarify.  Hold that thought.

Number four, if you have no adverse, no bad reaction, I’ll explain what that means in a second, add another food.  So, if you’re golden for that day three or day four, guess what?  Yes, you can add tomatoes.  So, this is my list.  So, you guys can swap it around.

However, if you have an adverse effect, this is where it gets tricky.  You need to remove that good again from your diet.  For how long?  Seven days.  Assuming now that your gut’s working better, you’ve got to purge it out again from your system for seven days. So, if you have that chocolate milkshake and your body just reacted to it, you’ve got to stop with the milk for seven days, get back to symptom-free at that point because at this point, you’re being very observant to how you’re feeling.  This is really the best way to regulate and see how you’re doing.  Assuming that you feel better after seven days, then you add it back in, and you just repeat that process.

So, let’s talk about the list, and I’ll answer the questions that you guys gave in a second.  So, dairy products.  You asked the question, does that include everything dairy?  Yes and no.  Milk and cheese are different forms of the same thing.

Some cheeses are processed in a certain way, too.  Certain catalysts are added.  So, you might actually be sensitive to the catalysts that are in the cheese but not the milk.  For example, I’m fine with milk and cheese, but if I eat yogurt, the next day I will break out.  There’s something in the yogurt.  I don’t know what it is.  That’s just from my experience of observing what and how I eat, and I encourage you guys to all get there. It’s like when we go have a cheeseburger, I know what to expect.  I will feel lousy the next day or something like that.

Eggs. Eggs are pretty easy, but it is in fact one of the top, these four here are the top food sensitivities out there. These are the ones that we can actually test for.  In fact, I even indicated on your form that these are the ones where a test can be given.  This test right here can be given in which case you will take the vial out.  There’s a [01:09] inside.  You soak up your saliva, mail it in the laboratory.  They send me the results which looks something like this.  It’s a form that looks like that, or they’ll e-mail me the results.  I’ll let you know if you’re sensitive to that food.

see the video: http://vimeo.com/12764225 | http://vimeo.com/12772364

First of all, congratulations, guys.  You guys really need to, yes, absolutely. That’s quite the accomplishment that you guys were able to achieve.  That’s very admirable.  There’s a lot of people who won’t do what you guys just did primarily out of ignorance.  They just don’t know.  You’re probably heard of different, “Oh, I’ve got all these plans.  I’ve got this,” but you don’t really know what to expect with a “cleanse”, right?  Most people think of, “I’ve got to run to the bathroom all the time.” So, I don’t want people to think that.

Just sometimes.

Just sometimes.  So, alright.  Welcome back.  So, are you guys ready to get back into a normal lifestyle after this?

No. I like this lifestyle.

You’re liking this lifestyle? Yeah, a lot of people are liking how they’re doing.  So, let’s get into it.  By the way, who wants copies of lectures?  We have it.  We’re recording it.  You can get all five DVDs for personal reference, for use, for refresher.  Granted only one family needs it at a time. If you want, you can get them $75 for the full set.  It’s interesting to have.

So, you thought the first 21 days was tough, but before we talk about what’s next, I need to fill in some gaps and give you guys a little bit more information that’ll help you to get a better appreciation of your health and give me some feedback as well.

So, can someone tell me what the master control system of the entire body is? Anyone?

The stomach.

The stomach? The what? Absolutely.  The brain works system, the central nervous system which consists of the brain, spinal cord, or the master control centers. They run every single tissue in your body, including the heart, including your gut.  Why is that important?  Well, very simple.

You’ve got your brain, and you’ve got a tissue.  Pick a tissue. Let’s pick the stomach.  Okay.  The brain will communicate with the stomach, I hope, and the tissue will communicate back with the brain.  For example, you’re about to take a bite of a big, old vitamin, a big, old fat juice cheeseburger, and immediately, your brain will start sending a message to the stomach to say, “Prepare yourself and start producing a lot of acids because you need to break this thing down.”

So, let’s say the stomach does that, but then, on a good day, as you’re eating the hamburger, the stomach will send a message back saying, “Alright, we’ve got this under control,” in which case the brain will turn off the message to say, “Produce acid.”

Unfortunately, a lot of times what happens is there can be some interference in that nervous system, in this feedback loop.  In other words, if the tissues aren’t getting the message to the brain, what will the brain continue to do?  Send the message to produce more acid, and so what will happen?  The stomach will get the message and then start to produce more acid.  What happens as a symptom?  What do you get when that happens?

That’s why a lot people, when they seek services from a chiropractor, one of the side effects or benefits of them getting work on their mid-back is they don’t have heartburn anymore.  The reason I bring this is up is because it’s a key component to understanding what optimal health is.  So, let’s talk very briefly about that.

So, Chiropractic First by Dr. Terry Romberg was one of the first chiropractic books I ever read, and before chiropractic college, I suggest you check it out.  In fact, as a gift, I’m going to give every one of you guys a copy of that book.  If you take one, pass it around.

I strongly suggest, if you guys have appreciated the way that Dr. King and I look at the body, then you’ll enjoy this book.  Do we have enough?  You got it?  So, don’t look at it now.  That’s not the textbook for this evening, but I suggest you look at it another time.  It’s a very easy read, a very easy read.

So, there are three areas of optimal health.  I’m just going to touch on this briefly because you need to realize that they exist because we’re working on the nutritional aspect.  Many of you have already experienced positive benefits just by this aspect alone.  So, you, as our chiropractic patients have experienced benefits from that side.  So, many of you are getting a double benefit now like, “I’ve got nutrition improved. I’ve got my neurologic system improved.”  That’s cool.  So, now, you’re even going to get more benefits.

There’s another one, which is emotional.  Emotional is a very big category.  In fact, on this we put stress.  We put finances.  We put our relationship with our higher power.  We put our relationship with our spouse or our business partner or whatever, children.

So, realize that these three key components are really, really what support health.  Any lack thereof, you’re not going to have complete health.  Now, optimal health is not defined as the absence of symptoms.  In other words, please do not define health as, “I feel fine,” because there are thousands of people that have undiagnosed cancer that feel fine. So, realize this.  It’s funny. As you get to know patients as family, you start that you’re working on the emotional side of it, too, but that’s not our cup of tea.

One thing that you need to talk about before you talk about what’s next in your cleansing process is I need feedback.  So, by a nod of head or a show of hands, just give me some feedback because some of you I’ve heard a lot of information from, some of you I have not.  So, who here has noticed improvements in the digestive system?  How about energy improvements?  Sleep improvements? Weight loss?  That’s fantastic.

Let’s play a game on that.  Keep your hand up if you’ve lost 5 pounds, 8 pounds, 10 pounds, 15 pounds. Seriously?

Seriously, 280 to 260.

Wow.  Remember when we started this, I said do not do this to lose weight.  Do this for health.

Who here lost 4 pounds?  I just want to be able to raise my hand.

How about skin improvements?  Have you guys gotten comments from your friends?

I’ve gotten a lot. 

It’s crazy. In fact, your liver is very important.  By the way, thank you for sending me that e-mail.  She sent me this e-mail that was a cartoon about a liver talking about how important I am and how to take good care of me because these are the nine things that I do, right? At the end, it says, “Don’t drink alcohol.  Don’t do this because you’re going to hurt me.” Things like that, but it’s cool because I’m like, “We talked about that.” So, neat.

Skin improvements is one of those things.  Your skin. Your liver will take are of a lot of things that will show up on your skin.  Eczema is one of those things.  As a child with eczema.  It’s a good thing they’ve got some liver stuff going on. Overall, feel better about yourself.  I mean, the fact that you guys have done this thing for 21 days, that’s good stuff.

Alright, so more feedback.  Was this fun?

Yes.

Are you glad you did it?

Yes.

Could you see yourself doing the cleanse, again?

Yes.

Even you? You could see the power of this, just to keep yourself cleaned up. We’re going to talk about the different directions you can go after we’re done tonight, and even seasonal cleanses are quite powerful for you.

More feedback.  So, were the lecture’s reliable?

Yes, definitely.

How important would you say the lectures are to your success with the cleanse?  Very important?

Yeah.

There are many people who are like.  If you can’t make the lecture, we know it’s going to help them by just doing the cleanse, but we know how much more impactful the cleanse will be by them getting this information.  So, there are many faces that you don’t see here that you saw on the first night, and some of you have missed a class here and there that you shouldn’t have missed that really, for you, when you’re checking your list, and you want a list of these certain issues, you’re that much powerful.

So, most you paid about $185 for this program.  Would you say it was worth more?

Yes.

Wait, do we have to pay more? I don’t know.

Well, I’d say it’s worth more just because of how much time I put into this, but alright.  Do you think the topics shared in the lecture need to be shared with other people?

Yes, definitely. 

It’s crazy stuff, right? I mean, every night, I see your eyes open more and more and more and more as to how you and many of your friends and family are being taken care of by people you’ve entrusted your health with. Hopefully, as a result of us talking for the last however many weeks, you now realize that the person responsible for your health is who?

Yourself.

You, as individuals.  Don’t be afraid or intimidated by a doctor. Be proud of the fact that you’ve done more research about the subject that you have, the condition that you have.  Feel comfortable at talking at that level.  Ask questions.  Put them on the spot.  You’ll find many doctors get very defensive, many.  So, we need your help.

Dr. Pete and I, you guys, when we very first met on the discover day, we talked about how he and I will no longer commit the sin of omission review on this topic of helping someone by sharing with them something that’s potentially life-changing for them.  We want to do that more. In fact, on a much bigger scale.  I mean, imagine the impact it’s going to have on your family.

Danielle. Again, many of you are related to Danielle. Danielle.  She really loves you, guys.  She said, “I need this person to come.”  What can we do?  So, imagine that for your extended family.  Imagine that on your church.  There are churches that are sick, physically, and they need a health message that will get up in there face.

Imagine this is our community. I mean, you guys heard some of the statistics about diabetes last time, about how they think that diabetes is going to be the thing to bankrupt our nation.  So, I think I just saw something in the newspaper pertaining to the Pasadena.  It’s got this huge deficit.  All this crazy stuff.

There’s a documentary about it. It’s called “Food Nation”.

Dr. Lavine:

Okay.  Can you pull up the slides where you showed the website again?  We have a couple of questions about the actual course.  So, there it is.  It’s rockymountaindentalinstitute.com.  You can see all the courses there, and we’ve been very fortunate to have Dr. Lingo and Dr. Cummings and Dr. McCracken who are all speakers.  They’ve done webinars in the past, and I would encourage people to come your course.  You said it’s March 14^th, correct?

Dr. Domingue:

It’s March 14^th.  Yes, yes.

Dr. Lavine:

Okay.  What about the restoration.  Screw-retained, cement.  Do you have a strong preference for one or the other?

Dr. Domingue:

Screw-retained, we do both in our practice.  We screw retain implant crowns, and we also cement retain implant crowns.  There’s protocols to both.  If you’re going to have less than ideal vertical dimension, you’re going to have to screw retain your implant crown.  You’re not going to have enough room to make an abutment and a crown.  If you have anything less than 8 millimeters, it’s going to have to be a screw-retained crown.  If you’re going to have anything more than 8 millimeters, it really doesn’t matter.  You can do either or.

I do often screw retain implant hybrids. We do single unit crowns.  We do full arch screw retain.  It just depends on the patient’s needs.  It depends on what I feel is necessary for the case, but there is a place in implant dentistry for both.

Dr. Lavine:

Okay.  Immediate implants, implants around sockets are not. Is there a general rule of thumb about when you’re going to graft?  Is there a certain amount of space that you’re comfortable with or not comfortable with?  Does it depend on how integrated the implant is?  How do people deal with the fact that there’s almost always going to be some space there?

Dr. Domingue:

Graft it.  Graft it routinely.  A lot of the patients that I see and I really feel that most dentists see now are the ones that come in and say, “My tooth is broken.”  Well, you need to take it out.  We’re going to do this.  We’re going to do it that day.  The best service in the world is to remove the implant, place the implant that day, and if it is an aesthetic area, to immediately provisionalize out of occlusion.

Like you said, we either have one root, two roots, or three roots sometimes, and implants are conical tapered.  They’re not definitely the same anatomy as a natural tooth, but they don’t have to have the same anatomy as a natural tooth.  Typically, maxillary anterior teeth are going to be much more buckle-oriented that your implant is going to be.  So, you’re going to have to create a different emergent profile for the implant and have plans for that.

Let’s say, picking on a maxillary anterior region, if we’re going to place an implant more towards the palate and gauge the palatable bone to get a semi-force torque, we’re going to have a big defect where the roots of the maxillary anterior where. So, that’s going to grafted.  We’ll show techniques on how to deal, but the technique I use is engage the implant properly into more a lingual aspect than the root of the maxillary anterior tooth.

Screw down a cover screw to prevent bone from getting to that area.  Grasp the buckle defect with some bone. Unscrew the prosthesis, and I use thick abutments routine in our practice.  Use thick abutment, which is a plastic temporary abutment, and use these dental teeth formers to make a provisional crown, and always, when you need to provisionalize, you need to worry about sculpting the thick abutment to create a nice soft tissue profile.

Dr. Lavine:

Yeah.  Do you recommend any resorbable membranes that stick around long term when left exposed?

Dr. Domingue:

A lot o people like GORE-TEX® membranes.  I don’t remember the name of the company, but they make GORE-TEX® titanium-reinforced membrane.

Dr. Lavine:

But I said resorbable so…

Dr. Domingue:

Oh, resorbable that lasts a long time when exposed?  I don’t know a lot of membranes that last for a long time.  Once they get inside and saliva pours into the membrane, usually they degrade pretty quickly.  So, I don’t have any.  Whenever you use resorbable membranes, it’s advised to get, if not primary closure, get as close to primary closure as possible, but if you’re going to have a big exposure of resorbable membrane, you have to expect that membrane to resorb pretty quickly.

Dr. Lavine:

Okay.  Any thoughts on foundation?

Dr. Domingue:

Yeah.  I believe I used to use foundation in residency, but it’s a bovine collagen material.  It’s conical in form, and there’s different sizes, small, medium large.  They’re very, very inexpensive, and they’re used for socket preservations.  It’s porous.  So, the idea would be when you remove a tooth degranulated area, instead of using bone graft material that’s expensive, you can use these bovine collagen membranes.  It’s a membrane/socket preservation seal.  They work. They absolutely work, and there is a place for them in there.  So, yeah, that is a good one.

Dr. Lavine:

Okay.  What’s your e-mail address again?  I know some people were interested in being able to follow up with you.

Dr. Domingue:

My e-mail address is on the website for Rocky Mountain Dental Institute, but if you have any questions, my personal e-mail address is my last name, domingue.danny@gmail.com. Feel free to e-mail me all questions, any questions you guys might have.

Dr. Lavine:

We did have a question about the graft kit that Dr. Moody uses.  He’s on the call. I don’t know, Justin, if you want to talk about the graft kit, or do you know more about it, Danny?  Are you there?

Dr. Domingue:

The graft kit.  I don’t know if where you would get the graft kit from.  I just got it from Dr. Moody just because he’s a friend of mine.

Dr. Lavine:

Okay.  He’s not mic’d up.

Dr. Domingue:

They do have them at the Rocky Mountain Dental Institute for sale.  You can purchase one.  They’re not very expensive.  They’re I don’t know. I don’t remember the cost or how much I paid for it, but they’re fairly inexpensive.  They’re really, really accurate.

Dr. Lavine:

People could call up if they want to get more information about the kit.

Dr. Domingue:

Absolutely.  You can call the 1-800 number and ask to speak to Genie, and she’ll give you much more information on that.

Dr. Lavine:

Okay.  What about tumor bone?  Have you ever used it or recommended it?

Dr. Domingue:

I have not used that so I don’t really, I can’t really make a statement on that.  Tumor bone?

Dr. Lavine:

Okay.  Another follow-up question on the foundation.  Are you striving for a 100% primary closure when you’re using foundation?

Dr. Domingue:

I do.  I try to get primary closure whenever I use foundation.  It’s great to use, and it’s really easy.  It’s already pre-formed.  Bring it into the socket, and what I do is a non-surgical envelope flap so without making any real instrument incisions, release the periosteum full thickness, bring it over to the lingual, and try to get as best a primary closure as I can.  Yes.

Dr. Lavine:

Okay.  For most of your cases, since they’re relatively easy cases, are you always using a splint, a stent, or are you free handing it?  How do you typically handle most of your cases?

Dr. Domingue:

Like I said earlier, I don’t have the statistics in front of me and I need to work on that, but I’d probably say that about 60% to 70% of the implants that we place in our practice are immediate placement.  Because of that, you’re not going to use a surgical guided stent for that.  What I’m trying to get to, Lorne, is I’m trying to get using surgical stents more in my practice because it’s a quicker surgery time for me.  It’s a quicker surgery time for the patient.  There’s less morbidity associated with guided surgery.  It’s quicker.  There’s all types of advantages.

The disadvantage to using surgical guidance is there’s a lot more work before the patient gets in the office.   There’s a lot more work for me on my computer, dialing in in English, getting the implants in the proper orientation.  Then, getting that outsourced for a surgical guide and there’s a cost associated with that.  Implants are expensive enough as they are, you’d hate to add that cost to the patient, but I am looking for a less expensive route to be able to give guided surgery for my patients.

It’s an area of implant dentistry that’s a nuance for a lot of guys that haven’t done a lot of implant surgery.  Like I said, I’ve only done a handful of guided surgeries, but it’s something that I definitely want to incorporate more in my practice.

Dr. Lavine:

Okay.  We’re running out of time.  If there are people that want to know more about that Moody kit, Dr. Moody is on the call, and he said you can certainly call Rocky Mountain Dental Institute or you can e-mail him directly.  His e-mail is justin@rockymountaindentalinstiitute.com.

Danny, it’s always a sign of a good webinar to see what the attendance is like, how many people dropped off towards the end.  We actually have significantly more people on the call than we did when it started.  So, that is always a good sign.  So, I really want to thank you.  This was a really great webinar.

As I’ve mentioned, a number of our clients have been to some of the other courses that Dr. Lingle’s done and Dr. Cummings and Dr. McCracken.  We don’t have any reports on yours yet, but, again, that’s still six weeks away.  I would highly encourage people to consider coming out to take the course.

Obviously, you’re going to be covering a lot of information, live course.  You can’t beat it.  I just want to thank you again for being on the call because this has been one of the best webinars we’ve had.

Dr. Domingue:

I appreciate it, Lorne.  Thank you so much.  Thanks, everybody, for sticking around, and, again, if you have any questions, let me know.  I look forward to seeing all of you guys in March.

Dr. Lavine:

Thank you, everyone, for being on the webinar.  We know you have lots of things to keep your life busy, and taking the time was very much appreciated.  Thanks, again, to Rocky Mountain Dental Institute, just a real class act.  I highly encourage you to go to the website, check out their courses.

Obviously, a lot of you on this course are really interested in becoming at placing implants, but this importantly dealing with all the issues and all the complications that can come up.  So, I want to thank you both.  I thought this was a great presentation.  As most of you know, we do webinars on a regular basis.  We’ve got more coming up.  I think our next one is on nitrous oxide next week.  We’ve got a couple of other ones, six months smiles.

We look forward to seeing everyone in future webinars.  Good night, everyone.

Dr. Domingue:

Good night.

Dr. Domingue:

That’s what it is in literature.  Literature says if you have anything 5 millimeters or more, consider doing an internal sinus lift.  The reason why that is is because if it’s anything more than 5 millimeters, you’re going to be making a very large, very full thickness elevation flap.   If you’re going to try to do a lateral technique sinus lift, it’s going to be really huge, and there’s going to be a lot of edema.

So, the technique to do would be to do a crestal approach if it’s more than 5 millimeters.  If it’s 5 millimeters or less, you’re going to need a lot more room and also a lot more bone growth.  So, a lateral technique would be the one recommended.  Look, we do teach a technique on internal sinus lift that the founder of RMDI, Dr. Moody, invented. It’s a great technique to get vertical ridge augmentation in patients that have 5 millimeters to 10 millimeters of bone, and you want to get an extra 3, 4 millimeters.

Dr. Lavine:

It’s like the lift graft, the Moody Kit.

Dr. Domingue:

Yeah.  You heard about it?  It’s actually a great kit.  I’ve had great success with it.  It’s pretty impressive, and when I started doing that in my practice, I just saw improvements in the success rates.  I just started doing it in my practice.  I’m like, “Oh my gosh.  This is just too easy.”  It makes lift grafts a whole lot easier, and he has a whole kit.

Dr. Lavine:

Yeah.  So, you showed that case where there was a cyst that was removed.  Can you place an implant in the future there?  If so, what’s the time frame to attempt to put an implant into an area like that?

Dr. Domingue:

I’m guessing it was that patient that was had the [01:08:28] on.

Dr. Lavine:

You showed on where it looked like there was a huge cyst distal to number 18.

Dr. Domingue:

Oh, the patient with the pathology, right?

Dr. Lavine:

I think so.

Dr. Domingue:

Yeah, yeah.  For her, she was seen by the local surgeon.  He removed the whole cyst out, closed back the area.  She is now going to be on her regular recall.  The recall and the recommended recall for the odontogenic keratocyst is initially once a month for first six months and then follow up once a year for the next five years.  Then, after five years, once every five years, and she’ll continue coming to the office every six months for a routine hygiene.

Now, for her, in particular, we haven’t addressed it yet, but we’re going to assume obviously a re-appointment.  We’re just letting her heal a little more, but whenever she comes back into our office, we will talk about if her tissues have healed well enough in that area, it’s not contraindicated to place an implant local to an area that had odontogenic keratocyst.

That tooth is still giving her issues.  We’re not sure if it’s a fracture molar.  We just know she’s had continuous pain and has been treated several times.  So, we’re going to look at removing that tooth in the near future and putting in an implant.

Dr. Lavine:

Okay.  A couple of questions here related to antibiotics.  I’m not sure if I totally understand this one:  What’s the gentamicin amount used?  Do you place antibiotic in with the allograft material? Another question is if tetracycline is not available anymore, what do you use instead?

Dr. Domingue:

Okay.  To address the tetracycline, doxycycline.  Use doxycycline if you don’t have tetracycline available to you.  To address the gentamicin, I don’t remember the doses off the top of my head.  I’ll have to look it up for whoever asked that question.  Please send me an e-mail, and I’ll e-mail you back the response after the phone call.

Dr. Lavine:

Okay.  How do you know that you actually have a stable implant?  Are you doing some resonance frequency? Are you just tapping it? How do you know that it’s ready to be restored?

Dr. Domingue:

I don’t have the Osstell unit that measures if it’s integrated and to what degree. I don’t have that.  We never had that when Dr. Branemark was placing implants.  So, usually what I do is at 3 months, 4 months, we’ll take a periapical radiograph, make sure everything looks fine, the bone has collectibly gotten better, there’s no radiofrequencies around there, everything looks perfectly fine.  Intraorally, the soft tissue looks perfect.

We’ll first work out the healing abutment, place on a standard abutment, take our impression, and I’ve never had an issue with losing an implant.  When you go to reverse torque, the healing abutment, if the patient yells, “Ouch,” when you do that, that’s a clear indication that the implant is not osseointegrated.  You’re going to have some granulation tissue around the implant, and it’s not healed yet.  So, either advised to remove the implant if it’s that bad or continue and let the patient heal for another four to eight weeks.

Dr. Lavine:

Okay.  What about, let’s say you’re placing the implant, and the bone cracks as you’re screwing it down.  What would be the typical course of action?  Would you take it out and regraft the membrane at that time?

Dr. Domingue:

Great question. I’m really excited because we talk about this.  So, this is one of those operative complications.  You’re creating this perfect osseotomy.  The bone looks amazing.  You’ve got great healing, great flaps, and then you’re going to put the implant in.  You’re not just paying attention, either you get cocky or you’re focused on something else.  All of a sudden, you’re buckle bone just fractures.  What do you do?

You spent all this time making the perfect surgery.  We’ll show cases of where I’ve had complete bone fracture. Then, we’ve grafted it the day, and it healed perfectly.  I’ll also show cases where we’ve grafted the same day we had buckle bone fracture, and there’s an aesthetic risk associated with it.

Then, we’ll actually show cases where this is a clear indication to remove the implant, graft the site, suture the tissue, let the area heal, and then, come back again another time because this is going to be an aesthetic nightmare.  It’s also going to be a spinner implant, and it’s just a poor area for wound healing.  It’s just a poor area for implant, and you need to abort it, graft, and come back at a later time.

So, that happens often.  It even happens when you’re doing your osseotomy.  You create the perfect osseotomy, and then, all of a sudden, you blow out the bubble because you weren’t paying attention.  We’ll cover how to treat that with membranes, bone grafting, and ridge augmentation, site preservation to either get primary closure and place your implants the same day or just get primary closure with a bone graft.

Dr. Lavine:

What do you do with those spinners?  You’ve got that spinner.  Do you bury it in weight, assuming that you can’t put a larger diameter implant in there?

Dr. Domingue:

That’s the first thing I would say.  I didn’t show a case today, but I’ve had a case where I put a 4.6 millimeter implant, and it was a spinner.  What a disappointment because I did a beautiful internal sinus lift.  Then, I come out with a spinner.  Well, I moved over to a larger diameter implant, and it was able to suffice.  If you can’t, what do you do?

If you can go with a longer implant, that’s advised.  If you have a 10.5 millimeter implant, why not drill the osseotomy a little bit deeper then put a longer implant?  If you still can’t get away and you still have a spinner, do you take it out and graft it?  If it’s an anterior site, that’s a good question.  You’re going to have to weigh the risk associated with the patient coming in.  There’s going to be an infection there.  You’re going to remove the implant and graft again.  That’s going to cost you tons of time and tons of money, and you’re never going to make enough money off that case. That’s something we’ll talk about, too.

Bone graft is expensive.  Membranes are very expensive, and what are we charging to preserve a socket?  What are we charging to implant and bone graft and soft tissue graft whenever we do these procedures?  Commonly, dentists will work a patient up for a single unit implant and say, “Look.  We’re going to charge for the implant abutment crown.  Let’s do it,” and they’re not really focusing on the big picture.  The big picture is when you get in there, it’s like, “Oh my gosh.  There’s absolutely no bone.  I’m going to have to bone graft this area.  There goes $150 of bone graft that I have to eat.  I’m going to put a membrane on that area. There goes another $100.”

So, instead of pre-operatively charging the patient and realizing that ahead of time, we just ate up $300 worth of material, which could have potentially posed a lot better off with the patient.  Then, say you do put a spinner in, there you go losing the implant.  Now, you have to re bone graft that area, wait for it to heal again, and put them in the provisional.  That’s tons of your time.  Talk about losing money out the door.  That’s tons of your time and effort that just gets completely lost.

So, the economics behind dental implants is something that we’re definitely going to be addressing and how that’s related to complications related to the implant industry.

So, for the spinners, weight the risks. If you want to risk putting an implant in, that’s your choice.  I’ve done it both ways.  I’ve placed a spinner in, and I’ve had success.  I’ve placed spinners in and have not had success, and it’s just something that if you’re willing to risk the complications associated with spinners not working out.  If you’re not, take it out and graft the area.

Dr. Lavine:

Okay.  We did have a question about whether this session’s being recorded.  The answer is yes.  All of you are going to be a sent a link, probably by tomorrow, that you can download and watch the entire recorded webinar at your convenience.  So, don’t worry about that.

A few more questions here, and then, we’re probably going to wrap it up.  Do you use internal or external implants?   I guess they’re asking about the hex.

Dr. Domingue:

I used internal hexed implants.  If I ever would use an external hexed implant, do you guys remember that case that we showed earlier where it was a full arch, six implants on the lower where I increased the band of attached tissue?  On that case, the prosthetics was very difficult, and again, we’ll talk about this in historic complications.  It was very difficult with internal hex, and the way we did it was we had to use non-hex abutments to restore that case.  In that case, it would have been really nice to have some external hexed implants to restore that case, which would have made my life so much easier.  Typically, internal hexed implants as well.  I used platform switched laser lock implants.