If only it would…

Session One: Setting the Stage

Dental Nutrition: The most fun class you will have this year. And personally (for you and your family) the most beneficial class of all your

entire dental school curriculum.

A Little about your instructor: Entered Northwestern University Dental School 1964 - Chicago SCADA table clinic winner, OKU Army Dental Corps - 2 yrs active duty during Viet Nam War Two practices from scratch- Japan General Practice - 43nd year, Enjoyed it all, and have seen it all.

Pedo, Ortho, O.S. Cosmetic, Implants, TMJ, Snore, Apnea, Headaches, Nutrition, No monthly statements, no clip-boards, front deskless, No Gen.Anesthesia,

Have studed relationship of nutrition to health and fitness quite extensively since 1973. Heart disease, diabetes, weight management, cancer, blood pressure, cont. ed.

I am not a bio-chemist , a histologist, or a physiologist, but look at the application of nutritional habits and health, as most disease are really life style and diet related more so than genetices.

Two dentist sons

Dr.s Packer, Packer, Packer & Clan

Dentistry is Great…But to really enjoy it, YOU must be healthy

It can be life saving and life lengthening …diagnostically and because of what you could teach patients (and yourself) about Nutrition.

It can be rewarding…. before

After….

Nutrition:The“Heart”of the Matter

Science shows that we can get healthier?

Just a thought:A “heart healthy” diet will touch all the desirable nutrition related bases, both dental and non dental. Last week my close friend Dick…..

It can be funWay to go Luke!!

Hopped in the chair, opened his mouth. Let me take radiographs, do an exam, prophy, and fluoride. He was so well behaved and had such a fun personality it was contagious through out the office the rest of the day.

Silver Dollar club

No cavities

Great Friends In Dentistry : But you will lose some.

Arden Nine of us caught,

five were dental friends and colleagues.

Skip Tom Paul and TL.BobJerry

Dentistry is fantastic, but it is ever changing.

Relationships…Dr. Schuster Article

It can be relationship based…or $ driven

Who are you?You are fortunate to be here, starting out in thisgreat profession. I congratulate you.

To me you are already doctors, just young ones but I plan on treating you as doctors.

Only difference between you and me is that I have read more books and taken a few more exams, and seen a few more patients.

You are on the path to where I am now, just back down the road a bit.

Personal Survey: E-mail, kids, diabetes, CHD, Cancer, obesity, Best Nutritional Habit, Worst Nutritional Habit, Favorite form of exercise or active recreation. Weight relative to where are and want to be. Lose, Gain, Okay

Main Focus of this class: Nutrition as it applies to learning how whatever

anyone eats effects their body concerning

You Personally

Your FamilyYour Patients ( though you won’t be able to

change many of their habits)Why do you think that may be so?

You PersonallyWalking the talk

Many dentists do not set a good personal example nutritionally for their patients and their family, and their staff to see.

Observations of many colleagues over the years• Heart Disease• Cancer, Campbell • Diabetes • Substance Abuse – With in arms length of a Coke• Obesity• Back Problems due to lack of exercise and chair position• Improper diet and stress management. Glass of water• Stress of Debt : ambulatory bankrupts living off their cash flow

rather than their profit. Ornish• Cataracts, Macular degeneration Campbell • Ear with years of hearing high speed turbines• Nitrous Oxide

Your Family Raising your own children

Nutrition/Diet Oral Hygeine Minimize Decay Index Pregnancies Fluoride The media & marketing.

What will you put in your own kid’s mouths The “Oreo Syndrome”

Pit & Fissure Decay

Patients & Their Nutrition AttitudesYou deal with what comes through the door

Recognizable patterns: fat, fads, quick fixes, & moderation Dependence on vitamin, mineral, and protein supplements, Compliance: yes means they heard you - recall card Communication skills

Water hose or a vacuum If you must speak ask a question

Who owns the problem Your personal practice philosophy Maslow’s pyramid Johari’s Window Separating Fact vs Fiction – societies, ads, government Cultural Ruts & Myths – ham, soft teeth, had baby, insurance doesn’t

cover that. Dentistry is mostly about relationships and Nutrition is a factor in you practice but it is very circumferential Patients don’t expect much from you beyond brush, floss, and don’t eat

candy.

Maslow’s Pyramid

What Matters Most: Most disease is a lifestyle issue. Nutrition will pull together many of the other sciences you are studying. What happen bio-

chemically, and physiologically between swallowing food absorption, break down, distribution, cellular uptake, and elimination of by-products.

Relevance and application to real people in your practice.

What will you really deal with nutritionally in a dental practice?

What you can or can’t over come nutritionally in a dental practice.

Nutrition: Its relationship to other classes –the why and how of nutrition.

5 hours worth of nutrition in 1 gallon class schedule – NOT!

100’s of vitamins, minerals, and nutrients, lifestyles, values, and genetics, so you can never learn it all or remember it, but you can learn where to look it up when you need it. Highlight the most important.

High trust-low Fear environment in class

My goal for you: Nutrition awareness level. Up, Up, Up.

Lifestyle, Values, or Nutrition: A tale of two of my physician patients M.D. #1: Dead

M.D. # 2 Still Practicing

Lifestyles, Values & Nutrition: This patient was a Meth addict.

Exams

Midterm Exam Final Exam

There will be a single one page research paper you will prepare and present in class and make copies for your classmates.

Note: Context and personal application is key. What are your dietary good points and bad. What is

you BMI now and ten years from now? Nothing not discussed, in class, or in the text, or on the CD’s, or articles I give you on the test. Concepts and information vs parroting facts, stats, and figures

Best investment of your time - the ten hours of cramming for an exam lottery Exams will be open book Not a nutritional chemistry 101 class. That’s why you have Bio-chem and Physiology. There

will be no test on the Kreb cycle.

Not out to make a point but to create an interest in, awareness of, and discriminatory thinking about nutrition. It will bring purpose to some of our other classes.

This class may lengthen your life, increase its future quality, and even prevent, you heart disease, diabetes, and cancer in your own life and family.

The Textbook You will need it and use it in this class. I want it to become a future reference book

Class Sessions will align with the text - 1st ten chapters.

I will recommend two other books you can get cheap online if you are interested.

Will use the text but in a different way. Topic specificity. Certain pages to read and study, Certain chapters to peruse, skim, overview, for reference and future use

page 169 – 176 for example pages 17 -24 & 45

A couple of great CD’s I will show you. One I will give you so put in you car and listen as you drive.

Use Text by Highlighting, /Index/ Tabs: Easy to find stuff later

Will be needed for y0ur exams, open book Okay?

If you show up for every class I will let your attendance will allow a make up the percentage you need to get you’re 90% if you fall short on exams. Grade insurance. A first.

Curriculum Why nutrition

Its relation and application to dentistry and your patients Its relation and application to you own life The “best” diets Your own eating : calories eaten/calories burned Diabetes Pregnancy Quality of life Family Kids, Blood pressure Cardiovascular Disease Cancer Fitness The media, myth, and anecdotal evidence BMI management Nutrition must be relevant to you or it will never be relevant to your patients

The Schedule- Not Written in Stone Jan 12 – Getting Started Jan 19 – Chapter 1 Feb 26 - Chapter 2 Feb 02 -Chapter 3 Feb 09 - Chapter 4 Feb 16 -Chapter UDA Meeting Feb 23 -Chapter 5 & Pass out Mid-term covering 1st 5 Chapters Mar 01 -Chapter 6 + Turn in and correct Mid term Exam Mar 08 -Chapter 7 + Mar 15 -Chapter Spring Break Mar 22- Present Research Mar 29- Chapter 8 Apr 05 - Chapter 9 Apr 12 - Stress Management - Pass Out Final Exam Apr 19 - Turn In and correct Final Exam Apr 26 - Not Sure

Note: Two videos, and a possible guest lecture along the way.

Grading You should get an A. 90-100

If you don’t, get an A in this class you should re-think dental school

I want you to learn Learn your “A”, but it is a fact, this class in not Gross Anatomy, Histology, Physiology, Anesthesiology, or Pharmacology where a future “screw-up” has high chance of “killing” one of your patients.

One of the few classes that can really apply to you and the quality of your life personally

I’m not out to make a “point.”

This is an oasis class, fun, interesting, applicable, personally motivating, stuff you can start using tomorrow.

But, I expect you to show up. And I have to give you a grade.

Are we getting any healthier--

Are we getting thinner as a nation? N0!

We are all going to die —but some faster than others…why?

Pick a Diet WhitneyKevinCodyKyleSpencerGeoffreyCodyMarcToddChandler

Typical American Western Diet

Ornish Diet McDougall and Esselstyn

Diets Atkin’s Diet Pritikin DietKempner Diet Vegetarian, Vegan, Mediterranean, Asian The Dukan and South Beach

DietThe Adventist & Word of

Wisdom Diet

The Diet Continuum Heart Disease: Genetics Loads the Gun,

Lifesyle Pull the trigger Diabetes: Far more lifestyle than genetics

and less to do with sugar than we thought Cancers: We can do more than we thought

to prevent it. Osteoporosis: Calcium and Vit D –the New

Fad and your broken hip Immune Deficiency diseases: MS and diet Kidney Stones: Ouch, Diet related? Cognitive Dysfunction: Already Here but

different from the next two Dementia: Gets Worse Alzheimer’s: A matter of time? Elevated Blood Pressure: Not necesssary Obesity: The key is what it can lead too Eye Sight: Seeing is believing Exercise: Only for Type A’s ? --- not Genetic Factors: Can you really blame

mom and dad ---sorry Supplement Fads and Sales: Fact or

Fiction or marketing. Leads to expensive urine

How do we eat?

The Typical American Western Diet

The Ornish DietThe McDougall and Esselstyn

DietsThe Atkin’s Diet The Pritikin DietThe Kempner DietThe Vegetarian, Vegan,

Mediterranean, Asian type diets

The Dukan and South Beach Diet

The Adventist Diet The Word of Wisdom Diet

Fact or FictionAt the end of some of our classes there will

be an easy assignment. Shouldn’t take you more than a few minutes to read, google, check out on line, or try yourself.

This week: Why did Steve Jobs really die?

Fact or Fiction: Explain the demonstration in class today with

the sugar packet. www.drwolfe.com

On the left, scroll down and click on Energy Medicine and watch the short video clip.

Is this fact or Fiction

My Point….

What is Science? What is Anecdotal?There is a lot of fraud, myth, marketing,

un-explainable stuff out there.

For example, Bi0-35, Nature Blest, 5 hour energy, Noni-juice, “50 cups worth of green tea

Protein SupplementsWhat is fact, and what is fiction?

Off the Grid: Three Weeks Ago at Deer Valley

Deer Valley on Titanium

How to never loose.

Life is Good

Cosmetics vs Cost vs DurabilityNote small occlusal

gold inlay on # 18

This inlay was placed on this patient when he was 9 years old.

The patient is now 33