Would You Seal THIS?

Tooth Fissures

X-rays and probing indicate a sound tooth. Neither a dental probe nor a toothbrush bristle can penetrate these fissures.





Tooth Fissures

This tooth was then sectioned.

Sectioned ToothFirst section. The demineralization and decay are obvious. The ultra-white area to either side of the fissure indicate demineralization and loss of crystalline enamel structure through which acids percolate Note the decay below. X-rays do not pick it up until it is 2 – 3mm deep into the tooth’s second layer. Furthermore, a sealant won’t adhere to demineralized, ultra-white enamel.


Sectioned Tooth Revealing Decay

Frank decay shows in the third section. OOPS!





Cracking Tooth
A dental probe or x-ray will not catch the developmental crack in the sidewall of this fissure until decay is significantly advanced.

Images courtesy of Graeme Milicich.


 The following x-ray was taken after air abrasion removed decay down nearly to the pulp towards the right side of the lower left tooth. The excavation is about 2mm wide, but still does not show on the x-ray. X-rays often diagnose disease in only its late stages. This tooth also did not “catch” an exploratory probe. These traditional diagnosis models are obsolete.





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5 Responses to Would You Seal THIS?

  1. Heather February 8, 2013 at 12:25 am #

    First, I loved your interview with Patrick this morning! (I have just scheduled an appointment with one of the dentists in your directory for next week. Many thanks for providing such a valuable resource.)

    Concerning a tooth like the one above, how do you recommend it be treated at its earliest stage? Or is the point of the story that sealing teeth that appear fine simply a dangerous practice?

  2. Carol February 8, 2013 at 8:58 am #

    In my opinion, all diagnosis of pits and grooves in biting surfaces should include air abrasion and a laser or other imaging device that “sees” into the tooth, as I write about in my book. If you seal it having used only traditional means of the explorer and x-rays, you have no idea what defects you might be covering up and as I go into in more detail in Mouth Matters, you’ll see what can happen and often does.

  3. Ruth Chase June 8, 2013 at 5:46 am #

    I’ve been using ozone oil to brush my teeth since watching your interview with Mercola. What about root canals? The others would remove the root canal and install a bridge. Would this application do the same, or treat the embedded bacteria with ozone and then seal it up? Secondly, since teeth are living tissue, does it make sense to seal teeth with these high-tech sealants? Thank you, Ruth

    • Carol June 8, 2013 at 7:43 pm #

      Dear Ruth,
      I believe my comments about ozone usage in dentistry may have been misunderstood by some. Ozonated oils, especially applied under the gums, act in many ways to help improve gum tissues (kills microbes on contact, oxygenates tissues, raises alkalinity all of which sets up an good environment for beneficial bacterial colonization, multiplies fibroblasts for healing, etc.). Ozonated oils applied to teeth have almost no benefit because there is no penetrating power. It can only make for a favorable external environment.
      Purely generated and targeted ozone gas applied by a trained dentist is necessary for any internal benefits to the tooth. The gas has the ability to penetrated deeply into the miles of tubules in a tooth to kill microbe invaders and, more importantly, to set up the environment necessary for the tooth to remineralize from inside by neutralizing bacterial acid waste products. Then, as the centralized pulp brings fluids up through the base of a tooth and outward via the tubules, the fluids flush it out and bring minerals for remineralization. Beautiful, yes?
      Ozone can help a tooth teetering on the edge of dying to heal, but not always. Generally, these are the teeth with decay dangerously close to the pulp. The dentist would air abrade (or drill I suppose), then apply ozone, sometimes in several sessions, then take a watch and wait approach to see if the pulp dies or heals. If it does dies, then the choices are either extraction or a root canal. See Root Canal Roulette elsewhere on this site. Some biological dentists will use ozone during root canal treatment. At least it can sterilize the miles of tubules the way nothing else so far can. Whether a tooth stays sterile is a point of debate, as I discuss in ‘Mouth Matters”. I simply know that when we extract root canaled teeth in our office and take a sample from the extraction site for DNA testing, some surprising and terrible microbes are present.
      There are many, many beneficial uses for ozone in a dental practice. I recommend finding dental professionals trained in its many uses. start by checking out my database.
      Sealants: There are many problems with sealants and biocompatibility of materials is one. My favorite in some ways, glass ionomer cements, allow tooth maturation, a process which takes up to 4 years after eruption. I think this is important, but unfortunately, all glass ionomers now contain fluoride, something I object to as we are inundated with it from all sides. After the maturation phase, all components of enamel that allowed it to build and mature, leave the enamel and this thin shell is now inert. It can decalcify in the presence of acids (plaque, dry mouth, etc.), but can’t rebuild itself, though 20nm particles of calcium hydroxyapatite can help remineralize it. Air abrasion, imaging the grooves, and sealing with glass ionomer if appropriate, or a composite resin if the tooth has matured, are options. It is the body of the tooth, the dentin and the pulp, which are alive.

      • Ruth Chase June 9, 2013 at 2:19 am #

        Thank you so much for your response. Can the dentin and pulp live under the sealant? Does your clinic take new clients? I looked at your “Resources” list of dental practitioners, but seems as though those practicing all three protocols is limited. Have been exhausted since my first root canal at age 14–now 64 and would love to experience a little time unexhausted before I die. Ruth

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