Dr. Meinig Root Canal Removal Protocol.
Dr. George Meinig DDS was both an American Doctor of Dental Medicine, and pioneer in practicing, teaching and lecturing root canal therapy, who then later went on to update Westin Price’s work by bringing electron microscope images into the discussion showing how even in modern-day endodontics bacteria was still being left behind in the dentinal tubules of the teeth.
The following steps come directly from the Meinig Protocol for the Removal of a Root Filled Tooth and outline the procedures to be followed in the Meinig Protocol.
The Meinig Protocol…
- Remove bony socket. After the tooth has been removed, slow-speed drilling with a number 8 round burr is used to remove up to one millimeter of the entire bony socket, including the apex area as well.
- Procedure purpose. The purpose of this procedure is to remove the entire periodontal ligament and the first millimeter of bone as they are and usually can be infected with toxins that are produced by streptococcus bacteria living in the dentin tubules.
- Irrigate the socket. While performing the procedure, irrigate the socket with sterile saline via a Mono-ject 412, 12cc syringe. Two or three syringes of the solution may be required. The purpose of this flushing action is to remove the contaminated and infected bone as it is cut from the socket.
- Perturbation of the bone. While cutting the bone and removing the toxins, the bone is “perturbed.” This perturbation of the bone stimulates a change from osteocytes to osteoblasts. These blast cells are the ones that will generate the new bone formation.
- Apply non-vasoconstrictor anesthetic. After the socket has been cut, it should be filled with a nonvasoconstrictor anesthetic. Allow the liquid local anesthetic to set for about thirty (30) seconds.
- Suction local anesthetic. Use HVE Suction to gently remove the majority of the anesthetic from the socket area, leaving a substantial coating of the anesthetic over the bony interior in order to further perturb the bone cells to encourage osteoblast action and bone structure healing.
- PZI. It is recommended for diabetics the use of PZI (protamine zinc insulin suspension USP) is recommended for those people who are familiar with its usages; three units is adequate.
- Antibiotic complications. It is believed that the use of antibiotics may convert the osteoblasts back into osteocytes, leaving a cap of bone over the socket area, with the internal portion not being able to heal and turn into an empty socket lined by the deleterious effects of the autoimmune process.
Did You Know?
For patients who want to restore their health while removing their root canal filled teeth, the following protocol is strongly suggested. This is not the only way for performing this procedure, but it has been used very successfully since 1990.
Dr. Huggins-Grube Root Canal Revision Protocol..
Dr. Hal A. Huggins DDS, MS was both an American Doctor of Dental Medicine, Immunologist and research scientist who had researched the toxicity of dental materials for over 40 years.
The following steps come from the Huggins Protocol for the Removal of Root-Canaled Teeth and together with the Meinig Protocol outline the procedure to be followed in the Huggins Protocol.
Enhanced Removal Steps…
- Multi-mineral supplements. Patient should have TransMix with Calcium, 2 daily, for a few days prior to surgery. If TransMix is not available, then the patient should take a good, organic (i.e., from a plant or animal) multi-mineral supplement.
- Do not take. No oral vitamin C the morning of surgery (oral vitamin C negates the effects of the anesthetic, so the patient will be in pain).
- Intravenous Vitamin-C. AIVC: 25-50 grams of sodium ascorbate in 400 ml of Ringer’s lactate (or a buffered solution of sterile water). IVC should be started 15 to 30 minutes prior to the beginning of the surgical procedure. Speed of delivery is critical. 45 drops per minute give the best results; any faster seems to impede absorption.
- Do not use. EPINEPHRINE: It is imperative that the dentist NOT use any anesthetic with epinephrine inside the carpule as it will cause adrenaline vasoconstriction.
- Recommended. Conscious sedation: the advantage is time compression and the avoidance of undue stress on the patient. Conscious sedation permits extending the time procedure beyond the 2-hour time limit. Also, the dentist is able to cross the midline in a single revision session.
- Periotome and rotation. DO NOT use adjacent teeth as leverage to remove a root-canaled tooth. This exposes the periodontal ligament to a relatively massive bacterial invasion, and in the worst possible area. The anaerobic periodontal ligament is the primary toxin location. Therefore, it is also the primary disease-producing location. Instead of leverage, use a periotome for luxation with rotation as much as possible.
- No curettage. Do not curette the bone in place of using a burr. This pushes toxins into the lymphatic drainage system, causing too many problems to mention here. However, curettage after the burr procedure in order to remove bone fragments is permitted.
- Bone perturbation. After the periodontal ligament is removed, flush the socket well with either sterile or ozonated water. Then squirt a half carpule of non-vasoconstrictor anesthetic into the
socket. Leave it there for 15 seconds, then touch the vacuum to the socket for 0.75
seconds. This will leave a coating of anesthetic on the bone, which will cause what is known as “bone perturbation,” which in turn stimulates bone healing.
- Initiate blood clot. Have the patient bite down on a sponge and be quiet for a while, with NO TALKING. Talking will pump the sponge, which prevents good clot formation.
- Dental acupressure. Immediately after the sponge is in place, initiate acupressure wherever the pulses feel scrambled. This can be anywhere, but it is primarily in the upper triangle. In a perfect world, acupressure is done in the dental chair, eliminating the need for the patient to move. Success is measured by how good of a clot is formed after surgery.
- Cold therapy At the same time, place an ice pack on the cheek over the extraction site. This should be placed and removed (i.e., 10 minutes on/10 minutes off) for a total duration of 30 to 60 minutes.
- Verify blood clot. After 10 or 15 minutes of gauze biting, see if the clot has formed. You will always see blood on the gauze. That does not mean that the patient is still bleeding.
- Close accommodations. The patient should have a hotel reservation within 3 miles from the office. Riding in an
automobile will greatly compromise the quality of the blood clot, resulting in
cavitation formation. This would negate the very procedure just performed!
- Healing after surgery. Once in the hotel room, the patient should lie down with 3 pillows under his head, remaining extremely calm. Talking should be avoided until 2 hours or so after surgery.
- Pain management. The patient should not take codeine products for pain control. They are nauseating and constipating. Nor should they take anti-inflammatories containing ibuprofen, such as Advil or Aleve. Pain pills should be taken prior to leaving the dental office, and a second batch is seldom needed if all of the foregoing procedures are carefully followed. We highly recommend using homeopathic remedies for pain management, such as arnica or hypericum. Dosage can be from 30 C to 1 M.
Did You Know?
Cavitations are spaces (i.e., holes) in bone where teeth used to reside. When a tooth is removed, it is common to leave the periodontal ligament attached to the bone. What is not commonly known is that if the periodontal ligament is left in the bone, then the socket where the tooth was does not heal properly. The ligament is somewhat like afterbirth. After the delivery of a baby, the afterbirth also must be delivered. Otherwise, the mother will be very sick.
About Our Advanced Protocols…
Costa Rican BioDental is at the forefront on researching how to safely extract toxic root canalled teeth and replace with biologically compatible materials without compromising the health of the patient.
The following steps combine the Meinig and the Huggins protocols along with a specially designed pre and post extraction protocols that allow for enhanced healing and optimal whole-body wellness.
Our Advanced Protocols…
- Inject ozone O3 and oxygen O2 gas around the root canal tooth. Ozone will neutralize any bacterial and fungal infection that has spread into the surrounding bone. It will also reduce some of the inflammation caused by toxins leaking out of the tooth.
- Remove the root canal tooth completely being sure not to leave any small pieces of root chips or gutta-percha root filling material. Often times root canal teeth will be very brittle and can break into many small pieces. Also, pieces of root canal filling material can be filled out the bottom of the tooth root. It is important to remove any filling material as it is a foreign body.
- Remove the periodontal ligament or PDL completely. It is a biological must for the dentist to remove the complete PDL. If the periodontal ligament is not removed, the bone cells cannot migrate into the extraction site and grow bone properly. What can happen is bone and gum tissue will grow over the top of the extraction site, but bacteria will remain in the bottom of the bony socket where the tooth used to be. Bacteria, fungus and toxins can remain for years in old extraction sites and dump their by products into the blood and lymph of the body.
- Remove cyst and granulation tissue from the extraction site. The body will often grow cysts around the roots of the teeth to prevent the spread of toxins, bacteria, and fungus. If the cysts are not removed the bacterial and fungal pathogens will remain vital in the extraction site. The cysts have their own blood supply and exchange nutrients and waste with blood supply and lymph.
- Place oxygen and ozone into the cleaned extraction site. The gases can easily travel through the pores of the bone, killing any infections and promoting healing. Bone lacks a lot of blood supply, so it is very susceptible to infection.
- Place PRF or platelet-rich fibrin and completely fill the extraction socket. Do not place any foreign or off the shelf bone graft products. The body will more than likely reject the material and there will be further inflammation and immunological consequences.
- Place sutures to proximate as closely as possible any gum tissue that may be loose. The sutures can also act to hold the PRF into the extraction site.
- Allow 4 – 6 weeks of healing and re-evaluate the site for proper healing. Administer additional ozone if necessary. Placement of implants can be considered at this time if there is no infection and adequate bone. If necessary, bone grafting and PRF treatments can be performed. Sometimes implants and grafting can be done at the same time.
Preparation Extraction Protocols…
- Dietary avoidance recommendations. Avoid Caffeine, Alcohol, Refined sugar, artificial sweeteners, flavor enhancers, and trans fatty acids.
- Dietary recommendations. A Gluten and Dairy Free Diet is recommended.
- Maintain hydration. Drink enough fluids and Reverse osmosis water 2-3 liters /day.
- Keto Diet. Eat good quality protein and as many vegetables as possible with healthy fatty acids.
Supplement Recommendation Protocols…
- Remineralization protocol. Start Bone healing protocol at least 14 days prior to surgery and is of utmost importance to supply your body with the optimal nutrients for bone and wound regeneration as well as optimal immune support. For chronic disease, take the protocol 4 weeks prior to surgery and 4 weeks after surgery vitamin 3D 20’000 units, omega 3, zinc, magnesium, vitamin K2 MK7, Take them high dosed but discuss it first with your doctor please, best to be tested with Autonomic Response Testing so you get the correct dose and supplement for your body.
Ionic Foot Bath Protocols…
- Ionic Foot Bath with Cilantro Protocol. To be done several months prior to surgery. Contact Klinghardt Academy.
Did You Know?
A Whole Food Plant Based Diet not only promotes proper and faster healing but also provides all of the necessary nutrients, vitamins and minerals to keep us well, nourished and healthy.