Born in 1964. Achievement of Dental Degree in Ulm, Germany
Dissertation on “ Evidence of Amalgam Elements in Dental Pulp Among Amalgam Patients.” Residency at the “Süddeutsche Zentrum für Orale Implantologie” (Southern German Center for Oral Implantology).
1992, foundation of his first private practice specialized in metal-free dentistry. 1998, certification in Biological Dentistry and in 1999, certification in Implantology. Founder of the BODENSEE ZAHNKLINIK. The Bodensee Zahnklinik has made a name for itself primarily in the field of all-ceramic and implantology. Co-author of the patient guidance booklet, "Zähne gut, alles gut" (“Healthy teeth, all’s well”) and the “Implantology Guidebook“.
From 2001 to 2004, development consultant with the achievement of the zirconium-oxide implant Z-Look, one of the first approved ceramic implants. 2004, founder of the company Z-Systems. 2006, founder of the first ever use of ultra-sonic implants and 2007 founder of ultrasonic applications in membrane technology for bone augmentation. 2007, latest generation of ATZ ceramic implants and CEO of the company, “Swiss Dental Solutions“. 2002 to 2012, development of the first two-piece ceramic implants. 2013-2014 development of the newest generation of onepiece hybrid implants and maturation of the SCC (Short Cut Concept) according to Dr. Volz, which allows you immediate implantation after extraction in the region of molars and immediate temporary restorations. 2016 he founded the Swiss Bio-health Clinic for biological dentistry and medicine. Since 2001, Dr. Volz has performed more than 18,000 ceramic implant placements.
https://www.swiss-biohealth.com/
VIDEO - DUwHF #1049 - Karl Ulrich Volz
AUDIO - DUwHF #1049 - Karl Ulrich Volz
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Howard: It was just a huge, huge honor for me today to be podcast interviewing Dr Karl Ulrich Volz, all the way from Switzerland. He was born in 1964, achievement of dental degree, in Ulm, Germany, dissertation on “Evidence of Amalgam Elements in Dental Pulp Among Amalgam Patients”, residency at the Southern German Center for Oral Implantology. 1992 foundation of his first private practice, specializing in metal-free dentistry, 1998 certification and Biological Dentistry and in 1999 certification in Implantology. Founder of the Bodensee Zahnklinik, I know I'm not saying that right. How do you say it? The founder of the what?
Karl: Bodensee Zahnklinik. That means cleaning of lake of Konstanz.
Howard: He has made a name for himself primarily in the field of all-ceramic implantology. He's co-author of the patient guidance booklet; “Healthy Teeth, All's Well” and the “implantology guidebook”. From 2001 to 2004, he was development consultant with the achievement of the zirconium-oxide implant Z-Look, one of the first approved ceramic implants, 2004 founder of the company Z-systems, 2006 founder of the first ever use of ultrasonic implants. In 2007 founder of ultrasonic applications in membrane technology for bone augmentation, 2007 latest generation of ATZ ceramic implants and CEO of the company “Swiss Dental Solutions.” 2002 - ‘12 the development of the first two piece ceramic implants, 2013 development of the newest generation of one piece, hybrid implants and maturation of the Short Code Concept according Dr Volz which allows you immediate implementation after extraction in the region of molars and immediate temporary restorations, 2016 he founded the Swiss Biohealth Clinic for biological dentistry medicine and since 2001, you're not going to believe this - he has performed more than eighteen thousand ceramic implant placements. I cannot tell you what an honor it is to have you come on the show today. Thank you so much for coming on the show.
Karl: Thank you for inviting me.
Howard: Well, the show is called dentistry uncensored, so we don't want to talk about anything that anyone agrees on. We only want to talk about what people don't agree on. I want to ask you this, when you place titanium implants in five years, about 20% have peri-implantitis, at nine years, anywhere between 40 and 60% have peri-implantitis. A lot of people are starting to think that maybe titanium is not as bio-compatible and inert as it is. Do you think titanium is part of the problem of peri-implantitis? And do you think switching to ceramic implants that you use, reduce the incidence of peri-implantitis?
Karl: Yes, definitely. But it's not the fault of the titanium industry or the titanium implants, it's a fault of the change in our environment. So when we started to add titanium oxide to nutrition, to chewing gum, whatsoever, to cosmetics and on the other hand that EMF is becoming stronger and stronger by year. For many years I had the feeling that the peri-implantitis could be so. So my belief today is that the peri-implantitis is nothing else than titanium intolerance. So I already had the idea about ten years ago because if you look at the mechanism of titanium intolerance, you need some particles in the soft or hard tissue. Those particles are going to activate the macrophages, they are going to activate TNF alpha and interleukin 1 beta. That leads to systemic processes and local processes, and the main thing is that it activates the osteoclasts, that means you're going to lose bone. The first proof we had was a few years ago when there was a paper published from University of Fribourg that showed that in 75% of peri-implantitis, they found titanium particles around titanium implants in case of peri-implantitis. And so a recently a study was, 2017 a study was published, I think in October, which proved finally that peri-implantitis is caused by titanium particles. The problem is now the treatment of titanium peri-implantitis, you open the gum, you clean the titanium implant with maybe a titanium brush or you shape the titanium implant. That means you are releasing even more titanium particles into the system, and so that is like if you pour oil into a fire. That is why treatment of peri-implantitis has never worked.
Howard: Wow. What percent of the world's implants last year in 2017, what percent do you think were ceramic versus titanium?
Karl: We know in the German speaking countries like Austria, Switzerland, and Germany, it was about let's say 3-5%, in the US maybe 2% and I think in the rest of the world it's less than 1% percent the moment.
Howard: What was it in Austria, Switzerland, and Germany?
Karl: I would say, as I know, around 5% of the market.
Howard: I've noticed major implant companies are consolidating and I noticed they're all now coming out with ceramic implants. What do you think the tipping point will be? When do you think ... you even seen them in bicycle riding, where these Scandinavian countries, it's like only 1% rode their bike and the government kept working, got it to two to three. But they said the tipping point was about 5% and then it exploded to like 25% or 30%. What do you think will be the tipping point to get ceramic to replace titanium?
Karl: I don't know, and I don't think that a ceramic is going to replace titanium. It's hard to predict, if you go back 12 years to 2005 and the bulk of (inaudible: 6.44) Las Vegas of implantology. At this time, CEO of Nobel Biocare, who was the world market leader of titanium implants, (inaudible: 6.52) she was saying that she believes strongly believes that in 2010 no patient anymore would except any metal based implant, so in 2018 and it's still just 5%. But the point is that since the big companies that we see since the big companies like Straumann and Camlock and Biocare, they're all going for ceramic. It has become a much stronger momentum. So it's hard to predict, I'm now working with ceramic implants for almost 20 years. We see in our field a growth of about 50% to 70% per year. So I believe in about five years there will be about 20% to 50% percent of the market could be ceramic and the rest of the world.
Howard: Why do you think Germany, Austria, Switzerland, are leading the way in this at five per cent of the implants versus the USA two and the rest of the world one, what, what do you think makes Germany, Austria and Switzerland at the forefront of this?
Karl: Yeah, I think because it was invented in this place. So it was not me actually when you ended the ceramic implant. I was just, maybe the first to started to place it in very high numbers, and before me there was Professor Santos was already 20 years before and professor (inaudible: 8.37) from the university of (inaudible: 8.37) in ceramic implants and Dr Rule in Hamburg was placing a silicone implants already 40 years ago. So I think this area around Lake of Konstanz, and some of the biggest industries for ceramic is located close to this place. So if you go about 150 kilometers, it's about nearly 100% of all ceramic hips worldwide are produced in this area. So I believe that is the reason why we are so strong here in lake of Konstanz for ceramic implants.
Howard: Do you think a lot of this also comes from a history of being first in not liking amalgam, your paper, your dissertation, ‘evidence of amalgam elements and dental pulp among amalgam patients?’ It seems like you first realize particles of the amalgam, the mercury, silver, zinc, copper, tin, were getting into the tissue, the dental pulp and now a decade after that, you're realizing that the metals from the titanium are getting into the tissue.
Karl: Yeah. So I was very lucky that I was able to do my doctorate thesis twenty-eight years ago about amalgam. So when I started out actually my professor was pro-amalgam, and when I started all the literature about amalgam, I saw that it's not as safe as it was said at this time. I could show in my doctor's thesis that within hours, one or two days, if you don't put an under filling, the amalgam was already found in the pulp of the tooth. So it was very strange and made me always I looked for metal free alternatives. So I was one of the first, who started with the Serac system or was very close to this area as well. And so it was developed at the University of Zurich, very close to my place. Then in 98’ with being one of the first, we started with ceramic crowns, so that was the DCS milling machine, then at the end of the last millennium it was 98/99 the patient started to ask for ceramic implants and I was very lucky because I had the owner of one of the producers for ceramic hips on my treatment chair, as a patient, and so this company helped me to develop the first ceramic implants.
Howard: A lot of Americans say that, they’ll just say things like Europe banned amalgam. I don't see that talking to dentists around Europe. I know a lot of dentists in Europe don't use amalgam, but have any countries formally banned amalgam, where it's against the law to place silver, mercury, zinc and tin fillings.
Karl: As I know - Sweden has completely... I'm not 100 % sure, but I think that Sweden is completely abandoned amalgam, as well in Austria, I think it's banned for children younger than fourteen years; in Germany it's banned for pregnant women and for children.
Howard: But then what's age of the children in Germany and pregnant women
Karl: And I think under fourteen
Howard: And children under fourteen. So it is against the law in Germany to place a silver filling in pregnant women and children under fourteen?
Karl: Of course.
Howard: And you think it's the same in Austria under children. And you think in Sweden it's banned completely?
Karl: Yes. As I know we recently had a meeting with the family members of professor Stejskal, she's the founder of the Melisa test and she's working about metal alloys and metals in general and allergy about forty years and she's from Sweden, Karolinska Institute. And as I remember they told that in the meantime it's completely forbidden.
Howard: Very, very interesting. It's still widely used around the world. What percent of the world fillings do you think are done in silver fillings versus composites?
Karl: I would say 50%, something like that.
Howard: Now that's what, that's the number I keep hearing. 50/50. The problem with banning amalgam and in poor countries is when I go there, they don't have the isolation technique. They're doing composites without rubber dams, without high speed suction and it's a very technique sensitive filling that you would really need to have isolation and higher tech. So tell me, you are the founder and CEO of Swiss Dental Solutions. What are my dentists going to that site, what are they going to find on your site?
Karl: On this site you're going to find everything about the ceramic implants themselves, about properties and videos, how do you place the implants? So it's more about education and information, but if you go to the website of our clinic, the Swiss Biohealth Clinic there, you're going to find…
Howard: What's that website?
Karl: Swiss Biohealth.
Howard: Okay. So Swiss Biohealth. So swiss hyphen biohealth.com. so what is on that website? That's more education?
Karl: Yes. So the point is that, to understand what we do, so the overall concept, that is the Swiss Biohealth’s concept, that is the concept about integrating biological medicine, like Dr Klinghardt and many others, and biological dentistry to one treatment concept because we can't separate one from the other and we are working very hard to make it always better and safer and smoother. That is the Swiss biohealth concept, in many cases we need a ceramic implant. So the ceramic implant is just the power of the piece of this, this concept, especially for those patients who already have lost a tooth or have to get it to is removed like a root canal treated tooth. So the Swiss Biohealth concept is the bigger picture that's all about health, that is what I'm mainly interested. So I developed a ceramic implant, not because I, the idea that this could be a nice business model or concept, I developed that because it was the missing link for a biological dentistry, because if you practice biological dentistry, you have to remove root canal treated teeth, of course.
Karl: But if you have got no solution for the problem, the problem is that root canal treated tooth and it was the issue with Western Price 100 years ago that he already knew about the dangers of root canal treated teeth, but he had no solution for it. So when he removed root canal treated teeth there was a gap. You had to do the preparation on the neighboring teeth or prestigious whatsoever. And today we've got a solution. So we do 95%. We do immediate implants, that means that you remove a tooth and in a minute, you place an immediate implant. and that is something that completely changed the role of biological dentistry. So I can see that since we do that and since it works with a very high success rate, about 98%, about 20% of my patients are dentists actually.
Howard: Wow, what a testament if 20% of your patients are dentists, this is dentistry uncensored, so we don't like to talk about anything everyone agrees on. What would you say to a dentist that says, well, wait a minute, zirconium is a metal, Zirconium, is a chemical element with atomic number 40 located group four from the Pareto chart elements. It's symbolism ZR and is a hard metal resistant to corrosion, similar to steel. How do you have a metal free practice with the zirconium implant?
Karl: Okay, so we have to distinguish between Zirconium, what is a pure metal and between Zirconia, what is a metal oxide and the metal oxide is a pure 100% ceramic, what has nothing to do with the metal. This is like, I'm giving you another example like natrium. Natrium is a pure metal and chloride is a very toxic gas, if you combine those two natrium chloride, (inaudible: 18.01) and it's even essential for your body. So if you combine with oxygen, which is a gas, and if you combine (inaudible: 18.07), what is a Metal. You get a Zirconia now the metal oxide. Actually it's a Zirconium oxide and so on. Zirconium Oxide has 100% ceramic properties, so has nothing to do with zero, with a metal.
Howard: Very good. Another question is, explain what biological dentistry is. How is biological dentistry different than conventional dentistry? What do you mean by a holistic approach for bio-immunological dental solutions?
Karl: Yes. That the point is that on one hand we know that the head is not separated from your body, it's all different and it maybe even the most important part of your body and so we can see that the oral situation has got the trigeminal nerve, what is one out of 12 brand nerves, but it's just one out of 12 and it occupies 50% of the brain of the space. So that shows the importance of the situation, of the oral cavity and the swell, all the meridians, 100% of all meridians, they are running through teeth, there's not one meridian, that is not running through the area of the tooth. And in biological dentistry we, actually, the father of biological dentistry is the Western Price who invented, I would say the whole thing more than a hundred years ago.
Karl: And I'm in biological dentistry that is, so we don't say holistic on the (inaudible: 19.58), something we say biological, immunological because everything we do is proven by studies. It has something to do with biology and it's medicine executed in the mouth. Just to explain it in a few words, so, the main cause for all chronic disease is always chronic stress. There is no other cause for chronic disease. It's chronic stress because stress leads to the release of adrenalin or adrenaline and cortisol that is completely shutting down the immune system and the healing system. But it was meant as a flight or fight mode to just be switched on for a few seconds, maybe an hours or days. But we in the Western world, we are living more or less 24/7 in this stress mode. So the immune system is shut down for weeks and months and even years.
Karl: I'm finally making a system, acidic a lack of (inaudible: 21.10). There is no immune system, no healing. So that is the explanation why the student never will become ill during the exams. Because all the body is flooded with adrenaline, noradrenaline, and even the is poor nutrition, the lack of sleep, stress whatsoever, and then right after the exam, the student is becoming ill because then the parasympathetic mode. whereas as (inaudible: 21.35) comes back and it's starting to clean all the system, and then the student is with fever. That is what some of you could see when you go into a vacation, the first, one, two or three days you get, you become ill. That is, that means that your immune system all the time before in sympathetic mode. So now coming back to dentistry, there are three main causes for stress in our world of 2018, one is the disturbance fields like root canals, like implantations, like metals, like amalgams, like leftovers, like titanium implants. The second is, EMFM microwaves and the third a source is emotions. Those are the three main sources for sympathetic mode, for stress mode.
Howard: Germany has a eighty-three million people and fifty-four thousand. She got a dentist for every fifteen hundred people, and of those fifty-four thousand dentists, how many of them share your feelings about biological dentistry and being metal free and, with regards to, especially with a, I know they believe agree with the amalgam, but how many of them agree of those fifty-four thousand dentists? What percent agree that titanium implant is a problem?
Karl: It's very difficult, very hard to say because I haven't spoken yet to all of the fifty-four thousand dentists in Germany. I know quite a few of them, but at SBS we have about one thousand to one thousand, five hundred customers and so they definitely are following our concepts. And so this year in our Swiss biohealth education centre, I've hosted already in the last four months, we've hosted already about four to five hundred dentists and we believed until end of the year there'll be one thousand, five hundred dentists again. And we've got forty-seven courses and more than thirty shadowing days at our education center. So we see that, that dentists, they need to be educated. But as soon as they come to our education center the conversion rate, how we say is 100%, there was not one dentist, was not 100% convinced when they, when they came for education.
Karl: As well the fifty dentists we just had from US at our clinic for five days at our education center, they 100% percent agreed with the concept. So it's just because everything, what we do, everything, what we teach makes 100% sense, and especially if you do live surgery, what we do in nearly every day, you're going to see as an observer how patients improve their health within the surgeries. So they, they get rid of a certain health issues and pain in the spine whatsoever within a few hours. If a dentist we shadowing us or taking a course is seeing that they are understanding that dentistry could be the most fulfilling profession ever. And so that is just, it's a lack of information and we just, we have to get the dentist the education about biological dentistry, I would say all of them, they're absolutely happy about the concept, what they are going to learn.
Howard: Now you mentioned earlier, Dr Weston Price, Dr Weston A Price in 1931 Cleveland dentist. I love Cleveland, It's also the home of the "Rock and Roll Hall of Fame", but is nutrition, a big part of your institute also?
Karl: Of course, it is extremely important because, the problem of today is that most of the micronutrients, they are gone from our food. So our food tastes nice, smells nice and it looks nice, but there's nothing inside. So there are no more minerals, no more vitamins. If you go back one hundred years, they had about twenty-two hundred times more micronutrients. But on the other side, we have today a much higher need for them, because we are in stress mode, most of the time and the micronutrients are kind of the fuel for our engine, for every cell. So we have today we have a higher need for minerals or vitamins, but there is nothing left in the food. We're testing in all of our patients, 100%. We're testing the vitamin D3, for example, right before the surgery.
Karl: And then we tested it again after some months when they come back for the prosthetic work. And we see that at the beginning nearly all patients, they are kind of in the winter sleep mode . They are in the range between five and twenty nanograms per milliliter. What is extremely low, that it's winter, sleep mode and immune system could not go with such low levels of vitamin D3. So that is an extremely important part of our treatment that we, we are building up the micronutrients of all patients. I would always say it's three parts of what is most important. First of all, you have to give the cell, So there is an ongoing study at Princeton University for 40 years, they have shown that human cells could live forever if you provide them everything that is needed in the cell and if, if you get rid of all the waste.
Karl: So the second part is always detox and the third part in my opinion, is to stay away from EMF and that is the three main parts. We never started any surgery without having the patient on the perfect nutrition and supplementation protocol. The very interesting thing is that we have observed that, for example, periodontitis is completely gone if you build up the micronutrients. So peri-implantitis has nothing on periodontitis, periodontitis has nothing to do in my opinion, it's just my personal opinion, but we are talking about uncensored dentistry. So in my opinion, it has nothing to do with how the patient is cleaning the teeth, it's something like lack of minerals and vitamins and a gingivitis going to start to get inflamed, and because it's inflamed, it's very sensitive and the patient stops cleaning the teeth and then comes to the door. So the dirt is not the beginning of the periodontitis, the result of the periodontitis is caused by micronutrients.
Howard: So you said there were three parts, what were the three parts? The second one was detox and the third one? Say the three parts again.
Karl: So the first is a supplementation, nutrition to provide ourselves with everything they need, second is detox, you have to get rid of all the toxins of all the heavy metals and the third is staying away from EMF.
Howard: What is EMF?
Karl: EMF is electromagnetic fields, so that is like WiFi and cell tower and so on.
Howard: Interesting. I want to ask you another dentistry uncensored question. In an America, I can't speak for Germany, but in America you have the dermatologist's telling you the sun is so bad and cover up and wear sunscreen. I'm out here in Arizona, they say you should not really go outside between 11am and 3pm, and then you have a lot of nutritionists saying that you need sun at least ten minutes a day, to get vitamin D and Melatonin. So which is it? Is sun good or bad?
Karl: Sun is good, of course, without sun there would not be one second, life would completely stop within one second without the sun. All the great doctors in the past like Paracelsus and Hypocrites they were all saying without the sun, the illness is going to come in the door. What is very interesting that recently just ten days ago, Hawaii was the first state in the U.S who banned the sunscreen because there are two very poisoning ingredients inside the sunscreen and it showed that it destroys the coral reefs. And what is very interesting, when I read the articles about this new law, they were talking about this incredible toxic poisons and how they are destroying the coral, but they will not talking one second about how they could have an impact on human beings if you put it on two point five square meters of a absorption membrane called your skin.
Karl: Definitely the sun is very good, it's exactly the opposite than you were saying, you should go in the middle of the day in to the sun because the most destructive sun to your skin is in the morning and the evening, It's not in the middle of the day, because in the middle of the day you have got the UVB part of the light, and this is protecting you from skin damage. Of course you should never burn your skin and after a while when you get tanned, you're protected by your tan and by your dark skin. But the best sun is the sun at exactly at noon.
Howard: You mentioned Weston A. Price, a lot of people attribute this dentist to the Paleo Diet. For you personally do you eat Paleolithic? What does your diet consist of? Is a Mediterranean? How would you describe your diet?
Karl: Actually the last 30 years I’ve followed any diet available. So I was vegan, I was vegetarian, I've tried everything. The most important point about any diet is that it never becomes a religion because if it doesn't make you feel good, it's causing stress and that is exactly the opposite of healing and of health. So my diet is to follow, let's say, about 80% to 85% of good healthy protocol, but we should never overdo it because if we get... Look for example … If you have a look at Steve Jobs. Steve Jobs was very slim, he was never drinking alcohol, he was not smoking, he was just drinking water. He was walking around twenty kilometers per day, and he was a vegan and he died in the age of fifty-five.
Karl: Why? Because he was completely stressed up the whole life and emotionally and he was working too much. He never relaxed and was on the WiFi all the time, when he used his ipad. So I believe that is the reason why he died so young. So at the moment I don't think, it would be, let's say it would be nice if we could all be vegan, so for saving the earth and saving the animals, it would be a much better to be completely vegan of course, but like Weston Price said or was saying is that, if you are ill or if you are pregnant or little child are very old patients, they need some animal protein, because through animal protein it's easier to receive the full range of the amino acids, what is actually the base for any cell, for any enzymes and so on and for all the muscles.
Karl: But that does not mean that you should have a 300 gram piece of meat every single day. So we should have just maybe once or twice a week, just a little bit of meat or eggs or fish, and of course the quality, is the most important thing, so the quality should be the best available. If you talk about fish should be, it's better if you have a Swede water fish and always river is better than a lake. So for example, the trout is what I would recommend as the most healthy fish, is seaford.
Howard: Well, I grew up in the middle of the United States, Kansas. So the favorite fishing Kansas was catfish.
Karl: Okay.
Howard: Have you ever catfish? There's a lot of people. Do you think the gut microbiome is related to the mouth and they're caries rate and their periodontal disease rate?
Karl: Of course, because it's the same tissue. So when the embryo starts grow, the colon is from the outside of the embryo. The colon is growing inside, inside the embryo and the tissue of the (inaudible: 36.20) and the tissue of the, of the gut of the colon is a one on the same tissue. So we see that the peri-implantitis or any gum disease always comes from the, from the colon, from the microbiome.
Howard: What are your thoughts on root canals? There's a lot of holistic dentists who do not believe in root canal therapy. In fact, some of them even extract the root canal tooth. What is your views on endodontic therapy and root canals?
Karl: Yeah, as opposed to extract root canal, it is because it's a dead organ and there is no other medical doctor would leave a dead organ inside the body. It's poisoning the patient and there is never broke. So since we've got the CT scan, we could prove that maybe 95%of all root canals they've got an infection at the tip of the root, and so, according to studies, it's proven that from the beginning of a root canal treatment, if you go five years later,and there is no infection in the root it's a success rate of 20%. So I believe in 2018, we should not talk about procedures was the success rate of maybe 20%. We want to talk about procedures with a success rate of at least above 90%. The point is there is a physical limitation of root canals. The point is that the dentin tubules, what are about twenty thousand or seventy thousand per square millimeter.
Karl: The size is about five microns. The backs, they've got about a one to two microns, so, so they could easily move into the Dentin tubules, but the macrophages which would kill the backs, they've got size between ten and twenty five microns. So they're sitting on top of the Dentin tubules and it's like a cat and mouse play, so they can't get inside and they can't kill the backs, and the back are sitting inside replicated toxins like (inaudible: 38.52) so on. And it's proven in studies this is very dangerous actually, those toxins. In my clinic, we're removing all root canals now, since 15 years in any patient. I remove all the root canals and all of the patients, they improve immediately right after extraction of the root canaled treated teeth, that it was exactly the same observation.
Karl: Weston Price had more than 100 years ago. And I do that in my courses at the Swiss Bio education center. So on Friday evening we are injecting in all the dentist attending the course, we are doing more therapy in a root canaled teeth, and then we observe if and how quick and how the symptoms disappear and in about 90% the symptoms, especially in the spine, are going to disappear in those dentists. So they feel immediately the connection between the root chemistry in the tooth and some other parts of their body, and that is why they get completely convinced about that. It's actually, it was proven by Western Price and was proven by Hal Huggins that the root canal (inaudible: 40.22) makes absolutely no sense.
Howard: How many endodontists practice in Germany - practice limited to root canals only?
Karl: I don't know, I don’t know. I think in Germany it's just very rare. Endodontist would just do endodontology. So most of the dentists they do surgeries and implants and endodontic all at the same time. So I would say about 80% of German dentists are practicing endodontology.
Howard: Yes, I agree. So dentistry is delivered differently all around the world and the United States is very into its nine specialties. But the United States has ten thousand eight hundred orthodontists and there's only like eighteen thousand in the world. Same thing with endodontists. We have like four thousand in the United States, only six thousand in the world. Most of the other world the family general dentist does all the procedures. Specialty isn't really as common, but you know that every single one of the four thousand endodontists in the United States would disagree with you 100%. What would you say to those guys? I mean, they do eight root canals a day, five days a week for their whole life.
Karl: I don't think that they would disagree. There are studies that prove that the fastest growing part of implantologists comes from endodontologists. So because quite often they do root canals and then after a while they extract the tooth because of infection and then the patient of course os not very happy with that, they first spend a lot of money for the root and they to spend another money for the implant. So more and more endodontologists are going straight for the implant, what makes much more sense because the success rate is so much higher than in endodontology.
Howard: Yes. Hawaii became the first state to pass a bill banning the sell of sunscreen to legislation prohibits the distribution of sunscreens containing chemicals, oxybenzone, oxy-octinoxate, the scientists say contributes to coral bleaching. It's estimated that fourteen thousand tons of sunscreen is believed to be deposited in oceans annually with the greatest damage found in popular reef areas in Hawaii and the Caribbean. It is amazing, on one beach in Hawaii they estimate four hundred and twelve pounds of sunscreen was deposited in the ocean every single day. That that is just amazing.
Karl: Yeah, but you have to take into account that all those many tons of sunscreen, they have been first put on and sprayed on the skins of the population of the people, and the skin is a perfect organ for absorption. So we should not believe that the sunscreen that is just based on our skin and does not interact with our system. As soon as you put something on your skin, it's going to interact with your immune system and it's going to be absorbed and it's going to get into your body.
Howard: You just had fifty Americans come all the way over to Germany for your class. Now that's commitment to get fifty Americans to travel on the other side of the world to go listen to you. How was that course?
Karl: Yeah, it was amazing. It's actually, we identified about thirty dentists we wanted to invite to our special course last weekend and at the end it turned out that we invited thirty and fifty dentists wanted to come and they had been at the clinic for five days, at our education center. So we had an amazing live surgery with a sinus lift and sinus implants and an another live placement of the final prosthetics on sixteen ceramic implants. Then we had a two day course about biological dentistry in ceramic implants and as well we had a one day course with professor [inaudible: 44.52] who is talking about some techniques about treating the bone and the gum, so it was amazing weekend with those dentists.
Howard: Well, I wish you would create an online course for us on Dentaltown. There's two hundred and eleven thousand Americans with an active dental license and they love the online C.E and that might be a great introduction to you if you build us an online C.E course, would you consider that?
Karl: Yeah, of course. I think with our technical equipment we could do that with very high performance. So we started last year, one year ago with a four chanel full H.D live streaming. So we've got four cameras, one on the ceiling of the surgical theatre, we've got one in the lab and the surgical end, we've got one on my glasses and one inter-oral camera. That means that view the observer is going to have is amazing because we have got four cameras and they show perfectly what's going on. So a way bigger than what, than what I would see because it's on the screen. It depends. And so I would be happy to. So we are perfectly equipped for doing a live surgeries or live education.
Howard: You also talk about bone growing implants. What do you mean by bone growing implants?
Karl: Yeah, bone growing implants mean that we have created implants, I think the first implant in the world which are able to grow new bone, with that we skipped the bone graft and we skip a second procedure. We skipped a lot of costs. We skipped other materials and we just follow biological laws. The biological law means that as soon as you create a stable space between the remaining bone and the (inaudible: 47.14), in the Sinus, there's an idea remembering is nothing else than the (inaudible: 47.19) on top of the bone, you just have to grade a stable space and that is going to attract new bone and you don't need any brass materials. So I even, I believe that it's a contraindication to put anything inside because the more you put inside, it will be an obstacle for the new growing bone, so actually I started with this concept more than 25 years ago when I used the so called memfix system of Stroma and what it was developed by Professor (inaudible: 47.55) from university of (inaudible: 47.58) where we placed little screws into the bone and we put a membrane on top to hold the periosteum away from the, from the bone, and we would never put any bone graft insides.
Karl: After four months when you reopened, there was new bold and much better bone than any bone-graft could be because it was new bone built from the patient with bone, with a lot of vascularization. So if your patient is asking you will the bone be still there in 20 years? You have to answer the patients. Yes. In case they still do vascularization it's all about the vascularization. And if you build new bone, you get a perfect vascularization. If you put a bone local bone graft whatsoever there is very poor or no vascularization. So with graded some very new shapes like sinus implant, which is able to hold like, so we call it tent pole umbrella technique. So the implant itself is holding the sinus membrane, for example, I'm in a very stable position and with the disc on top of the tip of the implant is creating a lot of space, so we call it the shadow and the shadow underneath any given physical stable space, a lot of studies about that is going to great new bone and we've proven on many cases, many patients you will see the implant and there's nothing inside the sinus.
Karl: And then four months later you already see the bone and then maybe eight months or one year later you see all bone around the implant and it's just has grown out of nothing just because of the biological laws.
Howard: You also were the founder of the first ever use of ultrasonic implants and the use of ultrasonic applications to that membrane technology, do you still use ultrasonic technology?
Karl: No, just my opinion, it turned out that he does not work. So about the ultrasonic membrane technique, the idea at this time was that we first placed with ultrasonic, the poly-lactide pins around the window of the sinus and then we the sign was the (inaudible: 50.27) we welded the poly-lactide membrane or a membrane on top, but the problem is that the poly-lactide is going to be resorbed and resorption means that it will be an acidic and resorption means that you're going to attract osteoclasts and the least you want to have close to an implant is osteoclasts or an acidic environment. So it's counterproductive and we completely stopped that. So today we're just using (inaudible: 51.01) bone, we're collecting from different areas. We use the (inaudible: 51.02) implants and we use the PRF membranes made out made out of the blood of the patient. So nothing artificial anymore.
Howard: Well you told me you only had one hour and you needed to go, go, go, and I just want to say, you need to run to another meeting, don't you?
Karl: Yes. Yes.
Howard: I just want to say that it's just so exciting. You mentioned Steve Jobs and he has a lot to do with this conversation because, he's the one who really started the smartphone and I love Steve Jobs quote "Your time is limited, so don't waste it living somebody else's lives" and I love the fact that Albert Einstein said, "great spirits have always encountered violent opposition from mediocre minds, the mediocre mind is incapable of understanding the man who refuses to bow blindly to conventional prejudices and chooses instead to express his opinions courageously and honestly". I think it's pretty amazing that you're willing to take some of the stances that you have. It was a huge honor that you came on the program. I hope you make us some online C.E because it turned a lot of people onto your thoughts and your information and it'll make them think. I mean, you just can't stop the curiosity project and you know, that dentistry needs people to question everything that they believe and see if it withholds new technology, new science or what we call an inconvenient fact.
Karl: Yeah, absolutely. I want to finish with another quote from Albert Einstein who said, "if the bee is going to die, four years later, humanity's going to die", but he was wrong because the west took over the work of the bee, so that is a very nice proof that there's always a wild card, negative and good ones. So you never know what's coming up and that makes life so interesting. So thank you so much for inviting me. It was my pleasure. I had a lot of fun and hope to see you soon again.
Howard: Okay. Thank you very much. I hope you have a great day.
Karl: Yeah, thank you, the same for you. Bye Bye.