So how do you diagnose [Grandist] in an adult – well, the person almost always has a significant childhood history of sore throats, tonsillitis, ear infections and then what they remember of how many antibiotic rounds they took in, it’s hard to say. As an adult, you may or may not have sore throats and swollen glands, sometimes you can or you may have no symptoms at all. Now we’re talking about everybody, not just people that haven’t had a tonsillectomy, without a tonsillectomy, you can still have the symptoms because remember we have five tonsils. We don’t just have two. We don’t have the palatine pharyngeal tonsils only, right? We got tubal tonsils that relate to the ear, lingual to the tongue, and the laryngeal to the windpipe, to larynx. So this Waldeyer’s ring is all going to be infected as well as the chain of lymph nodes and cervicals, you can’t take it out, you can’t slice it all out, you can’t improve things, but it’s better to treat it holistically, treat the whole body.
So chronic tonsil focal infections are grandest as an adult, anxiety and obsessive worrying, subtle compulsive movements, tapping, twisting on your fingers, knee jerking, fidgeting, constant clearing of the throat, little tics. I now I’ve had these things. So – and of course, as adults we cover it up. You notice you’re kind of doing this with your leg or fidgeting and you could say, what is that, why is it my nervous system quiet and relaxed and enjoying this beautiful Carmel weather. What’s going on with this? A lot of it is streptococcus bacteria and our tonsils are in that lymphatic area causing chronic autoimmune neurological stress.
So the good news, so the new April 2000 guidelines, I think we were all really excited about that, because it will reduce antibiotic resistance and antibiotic induced illnesses for a significant percentage of the population. However, what’s the bad news about that? Well, what do we do about bacteremia, bacteria migrating in the bloodstream to different areas in the body after of any kind of dental work? So is bacterial metastasis to the heart, for example, after dental drilling significant? So here’s some research studies just periodontal probing measuring pockets in patients with gingivitis and periodontal — periodontitis create significant bacteremia from 10 to 40% of the time. Well, we agree with that because when you have gingivitis and periodontitis obviously you’re going to have bacteremia. So these are more vulnerable population, but many of our patients are quite a vulnerable population. Bacteremia from dental procedures, inter-ligament injection, injections most of the time, 90% of the time, wedge dam placement 32, rubber dam placement, 29, polishing teeth 24, this is in pediatric cardiology though.
So this is a healthy population of children. So this is just in healthier children, not even in adults that have more chronic illnesses. Bacteremia from extractions, again we’re talking about children, no history of disease. Extractions in children cause bacteremia 69 to 72% of the time as measured by blood cultures and studies indicate bacteremia from extractions 39 to 100%. Of course, extractions really cause a lot of bleeding and that goes into the bloodstream and can be measured afterwards. As we said, patients with gingival disease are more susceptible. Of course, this was — this study was 100 children aged 1 to 8 years old. How many children have that significant gingivitis, isn’t that funny? Yeah, this was in Journal of American Dental Association, they found them.
So even tooth brushing we should be taking antibiotics, right, after we brush our teeth at night and even tooth brushing, manual brushing 46%, electric toothbrushes 78%. So what does that mean? Eating or chewing gum causes bacteremia. So now you’re thinking, well lots of stuff cause bacteremia, right? But to our patients that can be a very real threat to vulnerable populations. When I used to be less healthy, I’d go to the dentist and get a cleaning and I would feel bad afterwards. I’d have patients feel bad afterwards, especially sensitive patients, and we had means of taking products and stuff that reduced that bacteria just even after a cleaning. So bacteremia – the bacteria in the bloodstream and also in the lymphatics and walking along the nerves to axonal transport, that’s a very real threat and it increases the load on any existing bacterial focal infections.
Let’s talk about bacterial endocarditis. So bacterial endocarditis is an infection of endocardium affecting the inner lining of the heart and its valves, mainly the valves. Now is bacterial infective endocarditis that rare? Well, it’s hard to say because it isn’t seen and it is not diagnosed that often. Now here’s a more broader definition of bacterial endocarditis rheumatic fever. Rheumatic fever, nowadays you don’t hear about that much either, right? It’s an acute inflammatory complication of this strap bacteria, and it affects the joints, the brain and the heart, right, because it’s followed — it’s characterized by arthritis, chorea against central nervous system distress and Carditis, heart pain. So with residual heart disease as a possible sequel event.
So this is usually after dental drilling or some kind of trauma or like that the patient comes home and they get severe flu and then they go to the doctor and they are diagnosed with rheumatic fever. So what did Weston Price say that the two worst things were in life in regard to stress to our immune system? What were the two worst challenges in life? Divorce and death. You’re close. So Dr. Price said the two biggest challenges to our immune system in life are pregnancy, it’s a big deal, a woman has to really be taken care of, nourished, and flu for he lived through the 1918 flu. But this is what this rheumatic fever is. It’s characterized by like flulike symptoms which are sometimes diagnosed as rheumatic fever often missed.