So another autoimmune disease that is rather a new acronym is PANDAS, many of you have heard this and this is an autoimmune disease due to the tonsils. This is Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcus Infection. So after as a sore throat, after tonsillitis, after otitis media, children can begin to exhibit obsessive compulsive disease syndromes, Chorea like movements, involuntary movements, tics, it’s very similar to Tourette. And in the old days Sydenham’s chorea, which has been around for over a century and has been written on, that was that Saint Vitus Dance when the involuntary movements were very strong, that’s been recognized for over a century. As a result of streptococcus bacteria causes these neurological symptoms.
So when I have a Tourette’s patients, what do I always look for, is it tonsil focus? Be sure and ask about the history of that and usually it’s after tonsillitis and then antibiotics and that just drives the autoimmune disease in deeper. Now unfortunately, what’s the conventional treatment? They’re blaming it all on strap, not the antibiotics too and the conventional treatment is just more antibiotics. So I have – you won’t find this if you google it because I just made this up, but this is called [Grandist] and we all know as biological dentists and physicians. What is Grandist? Well, it’s a chronic tonsil focal infection. Chronic tonsil focal infection which are really even harder than dental focal infections. So this is for all of us adults that still have a little OCD or tics or worry or anxiety, huge population of patients.
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.