Services

Our office has been “mercury free” since 1991 meaning we do not use amalgam restorations on patients. According to The Science of Dental Materials: “An analysis of clinical restorations indicated a wide variation in mercury content, ranging from approximately 45-70%.”

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Clifford Materials Reactivity Testing

Peace of mind is knowing that the dental and orthopedic restorative products used in your body have been screened for your use.

Clifford Consulting & Research Inc.
4775 Centennial Boulevard, Suite 112
Colorado Springs CO 80919
www.ccrlab.com

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Things You Should Know

  • Clifford Materials Reactivity Testing is intended as a screening system to differentiate potentially unsafe materials (those containing components for which the patient has existing systemic sensitivity) from more desirable materials which show no evidence of any current sensitivity issues. It is not to be considered as means of specific diagnosis or prognosis of any disease or condition.
  • Caution should be used when considering this kind of testing for children because their bio-records are not fully mature. We have found that most people have come in contact with a sufficient variety of substances to develop their immunological record by the age of puberty.
  • We do not accept insurance assignment. Although many patients have received insurance and/or third-party reimbursement, our services are not approved for Medicare, Medicaid, MediCal or CHAMPUS participation.
  • Clifford Consulting and Research is a HIPAA compliant Laboratory. By federal law, we do not discuss confidential information or release test results to anyone other than those authorized by law to receive them. Questions regarding receipt of specimens, contents of test results or other such information, should be directed to the ordering professional.

About Clifford Consulting & Research

We understand the awesome trust that patients place in their care providers and we take our role to ensure that those providers have the information they need seriously. Everything at Clifford Consulting & Research is focused on improving the depth, accessibility and dependability of the information we provide through CMRT. We know that the best information is of little use to health care providers unless it is timely, and relevant to the specific issues they face. That is why we have worked hard since 1988 to expand and improve our reported materials lists, services and methods.

WHY TEST

In modern health care, manufactured materials are commonly used to restore, repair or maintain structure or function in the body. These substances, known as bio-materials, are found in virtually every application ranging from dental restoratives to surgical implants and prosthetics.

Like fingerprints, biochemistries are individual and the effects of exposure to modern biomaterials (and their reactive by-products) vary from person to person. Exposure that proves benign to one individual may prove to be extremely harmful or toxic to another. Negative effects have been know to range from mild irritation to extreme reactions such as long term illness, dysfunction or damage. As new and complex materials and alloys are continually developed, the impact that these materials present upon an individual’s body chemistry must be considered.

Only clinical testing and analysis of a patient’s unique immunological record can reveal the chemical compounds against which antibodies have been formed. This, in turn, allows offending materials to be identified and reaction forecasts to be made. With this information, health care providers can make informed decisions about the bio-material they choose to meet the need of each patient. This can be especially important in cases when a patient exhibits atypical health complications or sensitivities.

Being tested for materials reactivity prior to any procedure involving the use of bio-materials is also one way patients can rest assured that the materials being used in their bodies are safe for them.

WHAT IS CMRT

Simply stated, Clifford Materials Reactivity Testing (CMRT) is a comprehensive clinical blood test that screens for individual systemic sensitivity to bio-materials through antibody detection.

The process begins with the blood serum sample sent by a licensed health care professional in the prepaid, overnight shipping kit we provide. Clifford Consulting & Research normally processes this sample on the day it is received to analyze the patient’s unique antibody record. This is done by screening the blood sample against 89 chemical groups and families and measuring the reaction to each. These individual reactions are then cross-referenced against the largest professionally maintained database of trade name bio-medical composites, alloys and other materials of its kind in the world.

The result is a multi-sectional report that designates the donor patient’s personal results of these potential positive or negative reactions to every material in the database alphabetically by trade name. This report is then expedited to the ordering doctor allowing them to choose materials that are clinically screened for greatest measure of safety for use in the patient’s body, even in time-sensitive situations.

Despite the unprecedented depth of screening information that CMRT offers health care providers about their patient’s sensitivities, it is not a diagnosis or prognosis of any condition. Any interpretation or inference of the data CMRT provides remains strictly the doctor’s responsibility to determine.

Services not available in New York state.

WHAT CAN CMRT DO FOR ME AND MY DOCTOR OR DENTIST

  1. CMRT provides objective laboratory evaluation which is specific to you, the patient.
  2. CMRT offers a measure of guidance for the doctor in choosing the treatment plan and materials before expensive and involved placements have been done.
  3. CMRT helps facilitate informed choice and consent with all parties involved.
  4. CMRT helps to minimize the risk of adverse outcomes and the necessity for expensive, exotic procedures and counter-measures after structure and foundation are lost.
  5. CMRT is a valuable due-diligence process that contributes to the total quality-of-care.
  6. CMRT substantially enhances ‘peace of mind’ for both patients and professionals.

GETTING TESTED

All blood testing for clinical purposes in the United States is prescriptive and must be ordered by a physician, dentist or other health care professional. We are happy to work with your health care professional who can legally order laboratory blood testing in your state or province. In cases where our test is new to your care provider, a courtesy professional information packet can be provided upon request. Health care professionals can also obtain immediate information and assistance by phone, fax, or online at www.ccrlab.com.

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Temporomandibular Joint Disorders (TMD)

Temporomandibular Joint Disorders (TMD), also referred to as TMJ occur as a result of problems with the jaw, jaw joint (TMJ) and surrounding facial muscles

What are the symptoms?

TMD often causes severe pain and discomfort. It can be temporary or last many years. It may affect one or both sides of the face. It is true that more women than men suffer from TMD, and it can occur at a wide range of ages, starting as early as 15 years of age, all the way to someone in their 70’s and beyond.

Common symptoms include:

  • Pain or tenderness in your face, jaw joint area, neck and shoulders, and in or around the ear when you chew or speak.
  • Problems when you try to open your mouth wide
  • Jaws that get "stuck" or "lock" in the open- or closed-mouth position
  • Clicking, popping, or grating sounds in the jaw joint when you open or close your mouth or chew. This may or may not be painful.
  • A tired feeling in your face
  • Trouble chewing or a sudden uncomfortable bite—as if the upper and lower teeth are not fitting together properly
  • Swelling on the side of your face
  • You may also have toothaches, headaches, neck aches, dizziness, earaches, hearing problems, upper shoulder pain, and ringing in the ears (tinnitus).

Dr. Jeffrey Supple will perform a comprehensive TMD exam in order to diagnose specific areas of concern. A treatment plan and course of action will be presented to help correct any issues

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Crowns

A dental crown (also known as a cap) covers and protects a tooth that is damaged or decayed while restoring a normal appearance to the smile.

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Bridges

Dental bridges replace a missing tooth by attaching the false tooth to one or more crowns that are placed over nearby teeth for support and stability.

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Tooth Colored Fillings

Tooth-colored fillings seal and protect cavities in the enamel after they have been cleaned with a composite resin material that is colored to match.

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Bonding

For small, cosmetic improvements to the smile, dental bonding and contouring fills in chips and gaps, then shapes the edges and surface of the teeth.

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Porcelain Veneers

To mask cosmetic flaws, porcelain or cosmetic veneers are thin covers that are placed over the front of the natural teeth for a more attractive smile.

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Dental Implants

Dental restorations, like crowns and bridges, can be implanted for a longer-lasting solution to a missing tooth or teeth. The dental implant is placed into the jawbone like a natural tooth root and then allowed to integrate into the bone and gum tissue as the patient heals. Once the implant is secure, Dr. Supple can attach the custom restorations to the implant. Dr. Supple will match the shade and contour of the implanted teeth to match the patientʼs smile for a natural, attractive appearance.

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Compatibility Testing of Dental Materials

We take further steps to determine which materials are suitable in order to decrease the likelihood of an allergic reaction to the dental materials. I.e., anesthetic, filling materials, porcelain restorations, implants, bonding agents, etc.

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Mercury Vapor Testing of Your “Silver” Fillings

Our office uses a mercury vapor analyzer to test the vapor emitted from patient’s amalgam fillings. According to NIOSH (National Institute for Occupational Safety and Health) the recommended airborne exposure limit (REL) IS 0.05 mg/m³ *(as mercury vapor) averaged over a 10-hour work shift and 0.1 mg/m³ (as Mercury), not to be exceeded at any time.

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Kinesiology/Muscle Testing

Applied kinesiology makes the use of muscle strength as an indicator of an organism’s orderly disturbed state of health. The arm (deltoid/shoulder muscle) offers the easiest access for muscle testing. Our office uses Kinesiology to gauge which dental materials are better suited for you than others.

In the simplest terms, if a dental product is suited well for a patient, their arm will generally “stay strong” and remain raised. If a dental product is not suitable for the patient, their arm will generally fall when pressure is placed. See the picture for reference.

Of course, Kinesiology is a tool to help us determine product compatibility. It is not a guarantee that a patient will not have any allergic/negative reaction to the dental materials used. If you are extremely chemically sensitive, please notify us and we will refer you to get blood drawn and mailed to a lab in order to provide a comprehensive booklet of over 2,000 dental materials that are tested and determined either “suitable” or “not suitable.” There is a cost for this service through the lab, Clifford Consulting and Research.

Muscle testing

Basics of Muscle Testing

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Digital X-rays

Our office uses the technologically advanced digital x-ray system rather than traditional x-rays. Some of the benefits are:

  • Immediate processing of the image, whereas traditional film takes time to develop the image
  • Less radiation exposure: roughly 70% less radiation exposure through digital x-rays
  • Images are enhance-able: Dr. Supple can easily change the brightness, contrast, and size of the image to view problem areas
  • The ability to store the image in a computer database making the transfer of images from doctor to doctor easy and less time consuming
  • Environmentally friendly! The office does not have the need to purchase x-ray film and developing chemicals
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Professional Cleanings for Your Family of All Ages

Our office does general cleanings and routine care! We have a WONDERFUL hygiene department. We are thorough, yet gentle, and educate patients about their dental hygiene throughout the visit. We take the time to inform patients of areas that need improvement and goes into detail on how you can achieve better results—rather than just lecturing “floss more” or “brush better.”

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Mercury Safe Removal Protocol

Dr. Jeffrey Supple uses The Safe Mercury Amalgam Technique (SMART) to reduce mercury vapor exposure to both patient and operators during the amalgam removal.

  • The patient is covered with a disposable drape or oversized bib, eye protection and frequently-changed drapes.
  • An RN administers an IV of Vitamin C which acts as a ligand, meaning it will bind to the free floating mercury as it is released and help flush it out of your system
  • A high speed external industrial mercury vapor filtering system is utilized as close to the working area as possible, along with supplemental oxygen to avoid inhaling the mercury vapors.
  • Copious amounts of cool water are used with the spray focused on the junction of the hand piece bur and tooth while the filling is being removed.
  • The high volume evacuation is fitted with a Teflon Clean Up device to isolate the tooth and to remove the high volume of water, along with the amalgam particles and mercury vapor.
  • Dental personnel are protected by using an industrial mercury vapor mask, face shield, surgical drapes, and head protection.
  • The mercury fillings are removed into as large "chunks" as possible to reduce the amount of mercury vapor created.
  • Once the removal process is complete, the patient’s mouth is thoroughly flushed with water and then the patient rinses with a charcoal slurry, chlorella or similar absorbent.
  • After mercury removal, dental personnel must remove gloves, wash hands thoroughly, and re-glove.
  • Our offices use a centralized mercury/amalgam separator which collects 99% of mercury, before it goes to waste water.
  • The most bio-compatible and technically appropriate materials are chosen for the replacement restorations.