What Is Biological Dentistry and How Does It Work?

Biological dentistry is a specialized approach to oral healthcare that views the mouth as an integrated part of the entire body system. Often called holistic or natural dentistry, this field operates on the understanding that dental treatments, materials, and conditions significantly influence a person’s overall physical well-being. It shifts the perspective from treating isolated dental symptoms to evaluating the deeper systemic effects of oral health issues and their resolution.

The Core Philosophy of Biological Dentistry

The foundational principle guiding biological dentists is the recognition of the profound, two-way connection between oral health and systemic wellness. This concept acknowledges that conditions like gum disease can contribute to inflammation in other body systems, and conversely, a patient’s overall health can manifest in the oral cavity. Practitioners aim to identify and address the underlying causes of dental issues, rather than just repairing damage.

Prevention is a major focus, utilizing patient education and lifestyle modification as tools for maintaining health. They incorporate guidance on optimal nutrition and dietary choices, understanding the impact of these factors on the oral microbiome and structural integrity of the teeth. This approach prioritizes minimally invasive techniques, seeking to preserve the maximum amount of healthy tooth structure during any procedure. The goal is to support the body’s inherent healing mechanisms and promote long-term systemic balance.

Emphasis on Biocompatible Materials

A major differentiator in biological dentistry is the meticulous selection of materials used for restorations and procedures, emphasizing non-toxic and biocompatible options. This focus stems from the concern that conventional dental materials may release substances that trigger sensitivities or contribute to systemic health issues. Biological dentists strictly avoid dental amalgam, commonly known as “silver fillings,” because these contain approximately 50% elemental mercury, a known neurotoxin. They also avoid materials containing Bisphenol A (BPA), a chemical found in some sealants and composites associated with endocrine disruption.

Biological practices often minimize or eliminate the use of fluoride, opting instead for alternative remineralization therapies like xylitol or specialized calcium pastes. The selection process involves individual biocompatibility testing to determine the least reactive materials for a specific patient. Techniques such as serum compatibility testing analyze a blood sample against various dental materials to personalize the treatment plan. This ensures that restorative materials are harmonious with the patient’s unique biochemistry. Alternatives commonly used include metal-free materials like composite resin and durable ceramics such as zirconia for crowns and implants.

Specific Treatment Modalities

Biological dentists utilize distinct clinical protocols, particularly for the safe removal of existing toxic materials. The Safe Mercury Amalgam Removal Technique (SMART protocol) is a detailed procedure developed to minimize the patient’s and staff’s exposure to mercury vapor during amalgam removal. This protocol involves using a specialized dental dam, external air ventilation, water irrigation, and a separate oxygen supply for the patient to ensure safe handling and containment.

Ozone therapy is another technique used for its powerful antimicrobial and healing properties. Medical-grade ozone gas or ozonated water is applied to sterilize dental tissues, treat gum disease, disinfect tooth structure, and promote healing in areas like extraction sites. For complex issues like deeply infected teeth, biological dentists often prioritize alternatives to conventional root canal therapy, or they employ advanced disinfection methods, such as ozone and laser technology, if a root canal is deemed necessary.

When a tooth needs extraction, biological practitioners focus on preventing the formation of jawbone cavitations, which are areas of unhealed, infected bone tissue that may harbor anaerobic bacteria. The extraction site is meticulously cleaned, disinfected with ozone, and often treated with Platelet-Rich Fibrin (PRF), a healing material derived from the patient’s own blood. This focus on treating bone infection integrates with the overall commitment to systemic healing.

Finding Qualified Practitioners

Locating a dentist who practices biological methods involves looking for specific professional affiliations that indicate specialized training and adherence to established protocols. Two prominent organizations that certify practitioners are the International Academy of Oral Medicine and Toxicology (IAOMT) and the International Academy of Biological Dentistry and Medicine (IABDM). These groups offer accreditation and certification programs focusing on advanced knowledge in material safety and holistic health principles.

The IAOMT provides certification for the SMART protocol, demonstrating specific training for the safe handling of mercury. The IABDM offers a broader certification that integrates biological dentistry with a wider range of medical concepts. While a general dentist may use some mercury-free materials, a fully certified biological dentist adheres to a comprehensive philosophy and detailed protocols for all aspects of patient care.