Knowledge (XXG)

Focal infection theory

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4329:: "Microorganisms found in failed endodontically treated teeth have either remained in the root canal from previous treatment or have entered since treatment via leakage. ... Those remaining from the original microbiota would need to have maintained viability throughout treatment procedures, including exposure to disinfectants, and thereafter adapted to a root canal environment in which the availability of a variety of nutrients is more limited because of lack of pulp tissue. This might occur as a result of an inability of chemomechanical instrumentation procedures to completely debride the root canal system in a single visit and because of the inaccessible locations of bacteria in isthmuses, accessory canals, and apical regions of canals. While it is considered that many such remaining bacteria will be unable to cause harm once entombed by the obturation material, there is little evidence for this". 978:, or using steroid drugs—there remained a lack of carefully controlled studies definitely establishing adverse systemic effects. Conversely, some if few studies have investigated effects of systemic disease on root-canal therapy's outcomes, which tend to worsen with poor glycemic control, perhaps via impaired immune response, a factor largely ignored until recently, but now recognized as important. Still, even by 2010, "the potential association between systemic health and root canal therapy has been strongly disputed by dental governing bodies and there remains little evidence to substantiate the claims". 511:, teeth routinely host bacteria producing potent toxins. Transplanting the teeth into healthy rabbits, Price and his researchers duplicated heart and arthritic diseases. Although Price noted often seeing patients "suffering more from the inconvenience and difficulties of mastication and nourishment than they did from the lesions from which their physician or dentist had sought to give them relief", his 1925 debate with John P Buckley was decided in favor of Price's position: "practically all infected pulpless teeth should be extracted". As chairman of the 2819:: "C Edmund Kells was a dental pioneer who championed the use of X-rays in dentistry during the late 19th century and early 20th century. 'The X-ray in dental practice' is a paper read by Dr Kells at a 1919 Association meeting in New Orleans. Much of the paper discusses focal infection theory, which Dr Kells argued was leading to the unnecessary extraction of teeth. He also made it clear that dental X-rays should be used to enhance dentistry, and not to encourage the 'mania for extracting devitalized teeth' " . 716:
of infection—revealed immune cells or other host cells but no bacteria. Fish theorized that by removing the infectious nidus, dentists would permit recovery from the infection This reasoning and conclusion by Fish became the basis for successful root-canal treatment. Still, endodontic therapy of the era indeed posed substantial risk of failure, and fear of focal infection crucially motivated endontologists to develop new and improved technology and techniques.
303:, Kellogg yearly received several thousand patients, including US Presidents and celebrities, at his huge resort, advertised as the "University of Health". But in the 1910s, as North American medical schools emulated the German model—that is, "scientific medicine"—medical doctors who recognized "focal infection" were hinting a scientific basis versus the older, alleged "health faddists" like medical doctor Kellogg and like minister 629:, the originator and pioneer of dental X-ray, delivered a lecture, published in 1920 in the association's journal, largely discussing focal infection theory, which Kells condemned as a "crime". Kells stressed that X-ray technology is to improve dentistry, not to enhance the "mania of extracting devitalized teeth". Kells urged dentists to reject physicians' prescriptions of tooth extractions. 4614: 442:, by 1906 performing some 5,000 surgeries a year, over 50% intra-abdominal, a tremendous number at the time, with unusually low mortality and morbidity. Though originally distancing themselves from routine medicine and skeptical of laboratory data, they later recruited Edward Rosenow from Chicago to help improve Mayo Clinic's diagnosis and care and to enter 4602: 857:
of local tissues, and distinguished that from focal infection theory—which they assert was evaluated and disproved by the 1940s. Others have found focal infection theory's scientific evidence still slim, but have conceded that evolving science might establish it. Yet select American authors affirm the return of a modest theory of focal infection.
712:, but no consistent cures by tonsillectomies or tooth extractions. They commented, "Focal infection is a splendid example of a plausible medical theory which is in danger of being converted by its enthusiastic supporters into the status of an accepted fact." Newly a critic, Cecil alleged that foci were "anything readily accessible to surgery". 732:'s landmark pronouncements of 30 years earlier as widely misinterpreted, they summarized that "the removal of infectious dental focal infections in the hope of influencing remote or general symptoms of disease must still be regarded as an experimental procedure not devoid of hazard". By 1940, Louis I Grossman's textbook 526:, dental radiography to feed the "mania of extracting devitalized teeth". Even Price was cited as an authoritative source espousing conservative intervention at focal infections. Kells, too, advocated conservative dentistry. Many dentists were "100 percenters", extracting every tooth exhibiting either 3041:
Robert T Morris: "The matter of focal infections is one of the very new subjects of the day which men are taking up with a great deal of interest but are going ahead perhaps with incomplete knowledge and not comprehending the range and scope of the entire subject; consequently this subject is falling
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crossreaction with host biomolecules, while some seemingly find progressive invasion of local tissues compatible with focal infection theory. Acknowledging that beyond epidemiological associations, successful intervention is needed to establish causality, they emphasize that biological explanation is
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In 1939, E W Fish published landmark findings that would revive endodontics. Fish implanted bacteria into guinea pigs' jaws, and reported that four zones of reaction consequently developed. Fish reported that the first zone was the zone of infection, whereas the other three zones—surrounding the zone
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simultaneously published his book in 1922. Despite skepticism in the profession, psychiatrists sustained pressure to match Cotton's treatments, as patients would ask why they were being denied curative treatment. Other patients were pressured or compelled into the treatment without their own consent.
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associations between dental infections and systemic diseases, American dentistry scholars have been cautious, some seeking successful intervention to confirm causality. Some American sources emphasized epidemiology's inability to determine causality, categorized the phenomena as progressive invasion
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Although physicians had already interpreted pus within a bodily compartment as a systemic threat, pus from infected tooth roots often drained into the mouth and thereby was viewed as systemically inconsequential. Amid focal infection theory, it was concluded that that was often the case—while immune
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Drawing severe criticism in the 1930s, focal infection theory—whose popularity zealously exceeded consensus evidence—was discredited in the 1940s by research attacks that drew overwhelming consensus of this sweeping theory's falsity. Thereupon, dental restorations and endodontic therapy became again
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Addressing the Eastern Medical Society in December 1918, New York City physician Robert Morris had explained that focal infection theory had drawn much interest but that understanding was incomplete, while the theory was earning disrepute through overzealousness of some advocates. Morris called for
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tolled the era's end by stating that "many patients with diseases presumably caused by foci of infection have not been relieved of their symptoms by removal of the foci", that "many patients with these same systemic diseases have no evident focus of infection", and that "foci of infection are as
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and common ones, are caused by focal infections. In present medical consensus, a focal infection is a localized infection, often asymptomatic, that causes disease elsewhere in the host, but focal infections are fairly infrequent and limited to fairly uncommon diseases. (Distant injury is focal
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disease resembles classic focal infection theory. In 1986, it was noted that, "in spite of a decline in recognition of the focal-infection theory, the association of decayed teeth with systemic disease is taken very seriously". Eventually, the theory of focal infection drew reconsideration.
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for stricter requirements on dentistry licensing. Still, Hunter's lecture—as later recalled—"ignited the fires of focal infection". Ten years later, he proudly accepted that credit. And yet, read carefully, his lecture asserts a sole cause of oral sepsis: dentists who instruct patients to
287:, based in London, drew from Metchnikoff and clinical observation to identify "chronic intestinal stasis"—in lay terms, intractable constipation—presumably, "flooding of the circulation with filthy material". Reporting surgical treatment in 1908, Lane eventually offered total 291:, but later favored simply surgical release of colonic "kinks", and in 1925, abandoning surgery, began promoting prevention and intervention by diet and lifestyle, how Lane secured his contemporary reputation as a crank. Since 1875, in the American state Michigan, physician 939:. Conventional belief is that microorganisms within inaccessible regions of a tooth's roots are rendered harmless once entrapped by the filling material, although little evidence supports this. A H Rogers in 1976 and E H Ehrmann in 1977 had dismissed any relation between 121:
injury—that might occur simultaneously and even interact. Meanwhile, focal infection theory has gained renewed attention, as dental infections apparently are widespread and significant contributors to systemic diseases, although mainstream attention is on ordinary
485:, could result. By 1930, excision of focal infections was considered a "rational form of therapy" undoubtedly resolving many cases of chronic diseases. Its inconsistent effectiveness was attributed to unrecognized foci—perhaps inside internal organs—that the 3050:, taking all evidence judicially, will eventually give the medical profession the basic facts and what is valuable in the subject. Right now one might utter a warning to the general medical profession against taking too active an interest in the subject." . 4584:
Highlighting publications and findings by Price, by Meinig, and by Haley, holistic dentist Mark A Breiner advises not routine extraction of root-filled teeth, but routine monitoring, and extraction only when the tooth seems to especially impair health
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common in apparently healthy persons as in those with disease". Although some support extended into the late 1950s, focal infection vanished as the primary explanation of chronic, systemic diseases, and the theory was generally abandoned in the 1950s.
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traced to asymptomatic endodontic infection. In any event, the predominant view is that shunning endodonthic therapy or routinely extracting endodontically treated teeth to treat or prevent systemic diseases remains unscientific and misguided.
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Nils Skaug & Vidar Bakken, ch 8 "4Systemic complications of endodontic infections", subchapter "Chronic periapical infections as the origin of metastatic infections", in Gunnar Bergenholtz, Preben Hørsted-Bindslev & Claes Reit, eds,
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notes, "Many authorities who formerly felt that focal infection was an important etiologic factor in systemic disease have become skeptical and now recommend less radical procedures in the treatment of such disorders". A 1952 editorial in
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was countered by tonsillectomies and tooth extractions, including of endodontically treated teeth and even of apparently healthy teeth, newly popular approaches—sometimes leaving individuals toothless—to treat or prevent diverse diseases.
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With the 1950s introduction of antibiotics, attempts to explain unexplained diseases via bacterial etiology seemed all the more unlikely. By the 1970s, however, it was established that antibiotics could trigger bacteria switch to their
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into disrepute in certain fields because of the over-enthusiasm of some of the advocates of focal infection theory in relation to distant demonstration—endocarditis, rheumatism, gastric ulcer, cholecystitis, various forms of neuritis,
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metabolism. Seeking to sterilize the tooth interior, some dentists, both alternative and conventional, have applied laser technology. Although endodontic therapy can fail and eventually often does, dentistry scholars maintain that it
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teeth were L forms, thought nonexistent by bacteriologists of his time and widely overlooked into the 21st century. Apparently, dental infections, including by uncultured or cryptic microorganisms, contribute to systemic diseases.
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claims that the scientific evidence establishing existence of jawbone cavitations is overwhelming and even published in textbooks, the diagnosis and related treatment remain controversial, and allegations of quackery persist.
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and of Price, some dentistry scholars reasserted that the claims were evaluated and disproved by the 1940s. Yet Meinig was but one of at least three authors who in the early 1990s independently renewed the concern.
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facts and explanation from scientists before physicians continued investing so steeply in it, already triggering vigorous disputes and embittering divisions among clinicians as well as uncertainty among patients.
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Cotton had his two sons' teeth extracted as preventive healthcare—although each later committed suicide. In the 1930s, however, focal infection fell from psychiatry as an explanation, Cotton having died in 1933.
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might lead to secondary infections at sites particularly susceptible to such microbial species or toxin. Commonly alleged foci were diverse—appendix, urinary bladder, gall bladder, kidney, liver, prostate, and
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Focal infection theory's elegance suggested simple application, but the surgical removals brought meager "cure" rate, occasional disease worsening, and inconsistent experimental results. Still, the lack of
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claiming cures of chronic diseases like arthritis after extraction of infected or root-filled teeth, and despite lack of scientific evidence, "dental focal infection theory never died". In fact, severe
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Jacobsohn PH, Kantor ML, Pihlstrom BL (2013). "The X-ray in dentistry, and the legacy of C. Edmund Kells: A commentary on Kells CE. The X-ray in dental practice. J Natl Dent Assoc 1920;7(3):241-272".
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vanished except in Trenton until Cotton—who used publicity and word of mouth, kept the 30% death rate unpublicized, and passed a 1925 investigation by New Jersey Senate—died by heart attack in 1933.
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In 1876, employing innovative bacteriology protocols more stringently reductionist than previous bacteriology techniques, Koch confirmed that a recurrently suspected bacterial species—later named
653:. As colleagues of Kirby, two researchers—bacteriologist Nicolas Kopeloff and psychiatrist Clarence Cheney—ventured from Ward's Island to Trenton, New Jersey, to investigate Cotton's practice. 4634: 4321:
J Craig Baumgartner, José F Siqueira Jr, Christine M Sedgley & Anil Kishen, ch 7 "Microbiology of endodontic disease", in John I Ingle, Leif K Bakland & J Craig Baumgartner, eds,
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J Craig Baumgartner, José F Siqueira Jr, Christine M Sedgley & Anil Kishen, ch 7 "Microbiology of endodontic disease", in John I Ingle, Leif K Bakland & J Craig Baumgartner, eds,
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and to extract the tonsils and the teeth, but also to remove the appendix, gall bladder, spleen, stomach, colon, cervix, ovaries, and testicles, while Cotton claimed up to 85% cure rate.
985:, whereas a new material, Biocalex, drew initial optimism even in alternative dentistry, but Biocalex-filled teeth were later reported by Boyd Haley to likewise seep toxic byproducts of 562:
Near the turn of the 20th century, psychiatry's predominant explanations of schizophrenia's causation, besides heredity, were focal infection and autointoxication. In 1907, psychiatrist
130:. Despite some doubts renewed in the 1990s by conventional dentistry's critics, dentistry scholars maintain that endodontic therapy can be performed without creating focal infections. 673:'s psychiatric surgeries ineffective: those who improved were already so prognosed, and others improved without surgery. Publishing two papers, the team presented the findings at the 481:
response prevented dissemination from the focus—but that immunity could fail to contain the infection, that dissemination from the focus could ensue, and that systemic disease, often
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European sources find it more certain that dental infections drive systemic diseases, at least by driving systemic inflammation, and probably, among other immunologic mechanisms, by
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As progressively more diseases drew an infectious hypothesis that led to a pathogen discovery, conjectures grew that virtually all diseases are infectious. In 1890, German dentist
94:, and even tooth extraction, too—as foci of infection causing chronic and systemic diseases. In mainstream dentistry and medicine, the primary recognition of focal infection is 736:
flatly rejected the methods and conclusions made earlier by Weston Price and especially by Edward Rosenow. Amid improvements in endodontics and medicine, including release of
210:, found new outlet in medical bacteriology, a pillar of the new "scientific medicine". Around 1900, British surgeons, still knife-happy, were urging "surgical bacteriology". 570:
in the American state New Jersey. Influenced by focal infection theory's medical popularity, Cotton identified focal infections as the main causes of dementia praecox (now
820:—became the entities expected in the theory of focal infection. Yet until the 1980s, such researchers were scarce, largely due to scarce funding for such investigations. 1975:
Immunology's early feuding over whether immunity is innate or is acquired reflected limited perspectives. As later elucidated, antibody molecules, which are secreted by
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Nikos Donos & Francesco D'Aiuto, ch 3 "Periodontitis: A modern clinical perspective", in Brian Henderson, Michael Curtis, Robert Seymour & Nikolaos Donos, eds,
3671: 696:'s researches had been criticized for allegedly "faulty bacterial technique". In the 1930s and 1940s, researchers and editors dismissed the studies of Price and of 515:'s research division, Price was a leading influence on the dentistry profession's opinion. Into the late 1930s, textbook authors relied on Price's 1923 treatise. 4134:
Somma F, Castagnola R, Bollino D, Marigo L (2010). "Oral inflammatory process and general health. Part 1: The focal infection and the oral inflammatory lesion".
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and Curt Pendergrass reporting finding especially high levels of bacterial toxins in root-filled teeth. Although such possibility appears especially likely amid
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Pizzo G, Guiglia R, Lo Russo L, Campisi G (2010). "Dentistry and internal medicine: From the focal infection theory to the periodontal medicine concept".
749: 151:, in ancient Greece, had reported cure of an arthritis case by tooth extraction. Yet focal infection, as such, appeared in modern medicine in 1877, when 408:
Medical School, this time printed in book format. Billings thus popularized intervention by tonsillectomy and tooth extraction. A pupil of Billings,
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nearly vanished from American dental education. Some dentists held that root canal therapy should be criminalized and penalized with six months of
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cast support. As Hopkins' chief physician, Barker was a pivotal convert propelling the theory to the center of American routine medical practice.
284: 4546:"Outcome of primary root canal treatment: Systematic review of the literature—part 1. Effects of study characteristics on probability of success" 461:, who became a prominent proponent of focal infection theory. Although many of the Hopkins medical faculty remained skeptics, Barker's colleague 534:, and extracted apparently healthy teeth, too, as suspected foci, leaving many persons toothless. A 1926 report published by several authors in 728:
and W Paul Havens, published in January 1940, was perhaps the most influential criticism of focal infection theory. Recasting British surgeon
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An ancient concept that took modern form around 1900, focal infection theory was widely accepted in medicine by the 1920s. In the theory, the
920: 247: 42:.) Focal infection theory, rather, so explained virtually all diseases, including arthritis, atherosclerosis, cancer, and mental illnesses. 646: 446:
via experimental bacteriology. Rosenow influenced Charles Mayo, who by 1914 published to support focal infection theory alongside Rosenow.
167:—a set of laboratory methods to isolate, culture, and multiply a single bacterium of one species—whereby Koch announced discovery of the " 222:
adopted Robert Koch's bacteriology protocols, but soon directed them to developing the first modern vaccines, and ultimately introduced
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Henry W Crowe & Herbert G Franking, "Aetiology continued: Dental infections and degenerative diseases—a review and commentary", pp
1417:, 4th edn (Cambridge MA: Harvard University Press, 1986), ch 13 "Dental needs and resources", § "Systemic infection of dental origin", 1052:
Jed J Jacobson & Sol Silverman Jr, ch 17 "Bacterial infections", in Sol Silverman, Lewis R Eversole & Edmond L Truelove, eds,
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Despite Cotton's death rate of some 30%, his fame rapidly spread through America and Europe, and the asylum drew influx of patients.
4412: 2530: 246:—whom Pasteur granted an entire floor of the Pasteur Institute, once it opened in 1888. Later the institute's director and a 1908 674: 412:
held that extraction alone was often insufficient, and urged teamwork by dentistry and medicine. Rosenow developed the principle
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Shanon Patel & Justin J Barnes, "Introduction: How has endodontics developed?", in Shanon Patel & Justin J Barnes, eds,
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Otomo-Corgel J, Pucher JJ, Rethman MP, Reynolds MA (2012). "State of the science: Chronic periodontitis and systemic health".
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Entering the 21st century, scientific evidence supporting general relevance of focal infections remained slim, yet evolved
262:—and as did Pasteur, too, that nutrition influences immunity. Metchnikoff brought to France its first yogurt cultures for 4592: 404:, and published it in 1912 as an article for the American medical community. In 1916, Billings lectured in California at 1142: 3265: 2816: 622: 618: 512: 417: 2703: 3005:
The Defective, Delinquent, and Insane: The Relation of Focal Infections to their Causation, Treatment and Prevention
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needed atop both, and the biological aspect is thoroughly established already, such that general healthcare, as for
592: 194:, and other conditions—to the oral infections. In 1894, Miller became the first to identify bacteria in samples of 3261:"Clinical and experimental observations on focal infection, with an analysis of 200 cases of rheumatoid arthritis" 2882:
Noll Richard (Apr 2004). "Historical review: Autointoxication and focal infection theories of dementia praecox".
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Healing Joint Pain Naturally: Safe and Effective Ways to Treat Arthritis, Fibromyalgia, and Other Joint Diseases
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Ford PJ, Yamazaki K, Seymour GJ (2007). "Cardiovascular and oral disease interactions: What is the evidence?".
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In 1911, the year that Frank Billings lectured on focal infection to the Chicago Medical Society, unsuspected
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Clinical Diagnosis of Diseases of the Mouth: A Guide for Students and Practitioners of Dentistry and Medicine
2678: 280:. Metchnikoff reasoned that the colon functions as a "vesitigal cesspool" that stores waste but is unneeded. 3497:
Ronald T Lewis, ch 25 "Soft tissue infection and loss of abdominal wall substance", in Robert Bendavid, ed,
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infection's key principle, whereas in ordinary infectious disease, the infection itself is systemic, as in
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Peter Mullany, Philip Warburton & Elaine Allan, ch 9 "The human oral metagenome", Karen E Nelson, ed,
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Hobart A Reimann & Paul Havens (1940). "Focal infection and systemic disease: A critical appraisal".
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and in alternative medicine, but conventional dentists generally conclude them nonexistent. Although the
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had targeted "bowel sepsis"—an allegedly prime cause of degeneration and disease—at his health resort,
4302: 2374: 641:'s claims of up to 85% success treating schizophrenia and manic depression, Cotton's major critic was 234:. In 1886, Pasteur welcomed to Paris the emigration from Russia by international scientific celebrity 4289: 3019:
Treatment Without Consent: Law, Psychiatry and the Treatment of Mentally Disordered People since 1845
2337:"Agglutination of the pleomorphic Streptococcus isolated from epidemic poliomyelitis by immune serum" 2028: 975: 898: 809: 709: 705: 670: 638: 563: 466: 83: 38:, or the initially infected site is readily identifiable and invasion progresses contiguously, as in 2746: 626: 422:, whereby a bacterium can drastically change form and perhaps evade conventional detection methods. 381: 340:, obscure fevers, nervous disturbances of all kinds from mental depression to actual lesions of the 90:
continued highlighting sites of dental treatment—still endodontic therapy, but, more recently, also
2096: 1561:, 2nd edn (New Delhi: Jaypee Brothers Medical Publishers, 2008), ch 13 "Periodontal medicine", esp 928: 874: 774: 693: 666: 642: 498: 453:'s medical school, launched in 1894 as America's first to teach "scientific medicine", the eminent 435: 405: 292: 172: 123: 1630: 769:
Despite the general theory's demise, focal infection remained a formal, if rare, diagnosis, as in
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and tooth extractions that apparently cured infections of distant organs. Replacing Hunter's term
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attributed a set of oral diseases to infections, and attributed a set of extraoral diseases—as of
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Whole-Body Dentistry: A Complete Guide to Understanding the Impact of Dentistry on Total Health
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Whole-Body Dentistry: A Complete Guide to Understanding the Impact of Dentistry on Total Health
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Thomas J Pallasch & Michael J Wahl (2003). "Focal infection: New age or ancient history?".
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Rogers AH (Aug 1976). "The oral cavity as a source of potential pathogens in focal infection".
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The Micro-Organisms of the Human Mouth: The Local and General Diseases Which Are Caused by Them
897:, which claims that conventional tooth extraction routinely leaves within the tooth socket the 4567: 4526: 4391: 4356: 4326: 4256: 4237: 4178: 4143: 4113: 4069: 4027: 3978: 3943: 3897: 3875: 3826: 3797:"As-yet-uncultivated oral bacteria: Breadth and association with oral and extra-oral diseases" 3754: 3750: 3746: 3719: 3653: 3595: 3562: 3502: 3456: 3406: 3369: 3351: 3247: 3164: 3120: 3094: 2985: 2899: 2862: 2858: 2794: 2699: 2336: 2196: 2073: 2032: 1988: 1984: 1860: 1778: 1689: 1597: 1562: 1537: 1510: 1464: 1460: 1418: 1393: 1352: 1303: 1243: 1183: 1123: 1057: 1033: 995: 963: 861: 678: 454: 329: 259: 231: 168: 4424: 4262: 4046: 3540: 3485: 2246: 1963: 1915: 1846: 1025: 1019: 4557: 4449: 4383: 4348: 4227: 4217: 4170: 4103: 4061: 4017: 4009: 3970: 3933: 3923: 3865: 3857: 3816: 3808: 3782: 3709: 3701: 3643: 3587: 3519: 3448: 3398: 3292: 3219: 3195: 3154: 3146: 3086: 2975: 2967: 2891: 2721: 2656: 2608: 2572: 2564: 2484: 2453: 2422: 2348: 2302: 2271: 2186: 2178: 2065: 1980: 1959: 1936: 1809: 1768: 1679: 1589: 1500: 1490: 1383: 1342: 1334: 1235: 1173: 944: 911:
seeping infectious and toxic material. Sometimes forming elsewhere in bones after injury or
650: 575: 304: 276: 235: 30: 2764:, 2nd edn (Philadelphia: Blackiston's Son & Co, 1936), pp 39 & 110; Louis V Hayes, 637:, among present criticism, was normal at the time—except in New York City. Around 1920, at 4606: 4416: 3439:
Thomas C Galloway (1957). "Relation of tonsillectomy and adenoidectomy to poliomyelitis".
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Bacteriology and Surgery of Chronic Arthritis and Rheumatism with End-Results of Treatment
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as flawed by insufficient controls, by massive doses of bacteria, and by contamination of
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Easlick KA (1951). "An evaluation of the effect of dental foci of infection on health".
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Oral Sepsis as a Cause of Septic Gastritis, Toxic Neuritis, and Other Septic Conditions
2191: 2166: 2138: 2134: 2040: 1656:, which thus became the first mammalian disease scientifically explained as infectious. 1505: 1478: 1388: 1371: 1347: 1322: 725: 682: 443: 223: 91: 3974: 3648: 3631: 3184:"Studies in focal infection: Its presence and elimination in the functional psychoses" 2956:"Surgery for the treatment of psychiatric illness: The need to test untested theories" 1813: 1528:
Goymerac B, Woollard G (2004). "Focal infection: A new perspective on an old theory".
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Pallasch TJ, Wahl MJ (2000). "The focal infection theory: Appraisal and reappraisal".
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teeth routinely being foci of infection, although these dentists have been accused of
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Haley B (1996). "Root canal teeth contain toxins according to new and old research".
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with alternate allocation of patients, Nicolas Kopeloff, Clarence Cheney, and George
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Mohammadi Zahed (Feb 2009). "Laser applications in endodontics: An update review".
4461: 2291:"Chronic focal infections and their etiologic relations to arthritis and nephritis" 1239: 982: 836: 824: 792: 788: 482: 267: 251: 156: 152: 95: 3861: 3688:
Potgieter Marnie; Bester Janette; Kell Douglas B; Pretorius Etheresia (Jul 2015).
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questioned most of Cotton's data, and later helped steer American psychiatry into
4290:"A critical look at cavitational osteopathosis, NICO, and 'biological dentistry'" 4013: 3617: 3425: 3004: 2766: 2760: 2709: 2321: 1828: 3372:, in Michael G Newman, Henry Takei, Perry R Klokkevold & Fermin A Carranza, 2147: 2008: 940: 890: 778: 741: 737: 547: 439: 385: 341: 207: 160: 148: 118: 103: 4613: 4174: 3150: 1593: 2895: 2352: 2024: 2012: 999: 959: 916: 902: 813: 783: 551: 274:'s toxic seepage causing degenerative disease, the putative phenomenon termed 227: 195: 114: 99: 4222: 3008:(Princeton/London: Princeton University Press/Oxford University Press, 1922). 2971: 2634: 2630: 2056:
Chen TS, Chen PS (1989). "Intestinal autointoxication: A medical leitmotif".
877:, a stance matched in Indian literature. Thus, there has emerged the concept 823:
Despite the limited funding, research established that L forms can adhere to
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study, as the species usually involved is present throughout the human body.
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of Cleveland, Ohio, published a landmark book, then a related article in the
171:" in 1882, fully premising the modern principle of focal infection. In 1884, 117:
of infection, metastatic toxic injury, and, as recently revealed, metastatic
4047:"The oral-systemic disease connection: An update for the practicing dentist" 3928: 3705: 3632:"The oral cavity as a reservoir of bacterial pathogens for focal infections" 3047: 3022: 2710:"Resolved: that practically all infected pulpless teeth should be extracted" 1761:"The oral-systemic disease connection: An update for the practicing dentist" 1495: 967: 865: 832: 744:, a backlash to the "orgy" of tooth extractions and tonsillectomies ensued. 686: 486: 333: 288: 263: 239: 16:
Historical concept that many chronic diseases are caused by focal infections
4571: 4530: 4241: 4182: 4147: 4117: 4073: 4031: 3982: 3947: 3879: 3830: 3812: 3723: 3657: 3460: 3410: 3355: 3168: 3098: 2989: 2903: 2798: 2200: 2182: 2123:"Medicine in the USA: Historical vignettes. XX. The Flexner report of 1910" 2110: 2091: 1782: 1707: 1601: 1541: 1514: 1397: 1356: 1338: 1247: 1187: 352:
are those which owe their origin to or are gravely complicated by the oral
4360: 2122: 2111:"The Flexner report and the standardization of American medical education" 2077: 1861:"An introduction to the study of the bacteriopathology of the dental pulp" 1731: 1693: 542:
had published in the 1890s—advocated extraction of known healthy teeth to
4395: 3998:"Prelude to oral microbes and chronic diseases: Past, present and future" 3912:"Thesis, antithesis, and synthesis in periodontal and systemic interlink" 3599: 3223: 3199: 2568: 1626: 971: 936: 912: 361: 255: 39: 3614:
Cell Wall-Deficient Bacteria: Basic Principles and Clinical Significance
3242: 2647:
Price WA (1925). "Dental infections and related degenerative diseases".
2360: 82:
retained mainstream recognition as fostering systemic disease. But only
4374:
Ehrmann EH (Oct 1977). "Focal infection—the endodontic point of view".
4279:, International Academy of Oral Medicine & Toxicology, 27 Jul 2014. 1653: 817: 337: 55: 35: 3559:
Bacterial Disease Mechanisms: An Introduction to Cellular Microbiology
3518:(Washington DC: Department of the Army Headquarters, 20 Sep 1971), pp 356:
produced by these gold traps of sepsis." Thus, he apparently indicted
4410:
ch 3 "Microbiology of endodontics and asepsis in endodontic practice"
3630:
Gendron Renée, Grenier Daniel, Maheu-Robert Léo-François (Jul 2000).
2004: 2000: 828: 827:
and thereby disseminate from foci within internal organs such as the
353: 226:
in 1885. Its success funded Pasteur's formation of the globe's first
69: 2596: 2472: 2441: 2410: 2396: 2290: 1797: 1030:
Recent Advances in Tonsils and Mucosal Barriers of the Upper Airways
3246:(New York/London: Humphrey Milford/Oxford University Press, 1927), 1684: 1667: 4092:"Relationship between periodontal infections and systemic disease" 3539:, 2nd edn (Shelton CT: People's Medical Publishing House, 2009), 2541:, Johns Hopkins Medical Institutions, Website access: 21 Sep 2013. 2517:, Johns Hopkins Medical Institutions, Website access: 23 Sep 2013. 1956:
Metchnikoff and the Origins of Immunology: From Metaphor to Theory
994:
be performed without creating focal infections. And even by 2010,
438:
had built an international reputation for surgical skill at their
203: 4090:
Seymour GJ, Ford PJ, Cullinan MP, Leishman S, Yamazaki K (2007).
2245:, 2nd edn (Shelton CT: People's Medical Publishing House, 2009), 3690:"The dormant blood microbiome in chronic, inflammatory diseases" 2770:(Brooklyn NY: Dental Items of Interest Publishing, 1935), p 389. 2597:"Peridental infection as a causative factor in nervous diseases" 380:
Focal infection theory's modern era really began with physician
54:—but most commonly were oral. Besides dental decay and infected 29:
is the historical concept that many chronic diseases, including
4491:(Fairfield CT: Quantum Health Press, 2011), pp 168–69, 174–175. 3135:"A brief history of placebos and clinical trials in psychiatry" 3113:
The Encyclopedia of Schizophrenia and Other Psychotic Disorders
2857:
C Murray, ch 48 "Endontology and general systemic health", §§ "
677:'s 1922 and 1923 annual meetings. At Johns Hopkins University, 591:
heralded "high hope". Cotton made a European lecture tour, and
179:, imported the German model, "scientific medince", to America. 175:, tasked to design the medical department at the newly forming 4544:
Ng YL, Mann V, Rahbaran S, Lewsey J, Gulabivala K (Dec 2007).
2039:
secreted by B cells—while yet other lymphocytes, specifically
1435: 1024:, 2nd edn (Cambridge University Press, 2015), and Yomamoto T, 360:. Incriminating their execution, rather, his American critics 2031:. Further, innate immunity also includes soluble components— 831:, or from oral tissues and the intestines, especially during 578:). Cotton routinely prescribed surgery not only to clean the 3313:(Philadelphia: Lea & Febiger, 1940), ch 2, reprinted in 2375:
ch 43 "Elective localization of bacteria in the animal body"
1708:"William Henry Welch (1850–1934): The road to Johns Hopkins" 4408:
J Craig Baumgartner, Leif K Bakland & Eugene I Sugita,
3896:(New York, Dordrecht, Heidelberg, London: Springer, 2011), 2383:(Chicago IL: University of Chicago Press, 1928), pp 576–89. 250:, Metchnikoff believed, as did his German immunology rival 4206:"Periodontitis and systemic diseases: A literature review" 1912:
Madhouse: A Tragic Tale of Megalomania and Modern Medicine
2011:—themselves a subset of white blood cells, also known as 4499: 4497: 4136:
European Review for Medical and Pharmacological Sciences
1732:"Germs, Dr. Billings, and the theory of focal infection" 1668:"Germs, Dr. Billings, and the theory of focal infection" 4478:(Fairfield CT: Quantum Health Press, 2011), pp 171–174. 3578:
Hunter N (Oct 1977). "Focal infection in perspective".
1459:(Charlottesvi4lle VA: Hampton Roads Publishing, 1999), 921:
International Academy of Oral Medicine & Toxicology
113:
had established a third possible mechanism—altogether,
4435: 4433: 1559:
Essentials of Clinical Periodontology and Periodontics
430:
Since 1889, in the American state Minnesota, brothers
4590: 1457:
Uninformed Consent: The Hidden Dangers in Dental Care
915:, jawbone cavitations are recognized as foci also in 126:, not on hypotheses of stealth infections via dental 4260:(New York: Broadway Books, 2001); Shirley MacLaine, 1451: 1449: 1447: 1048: 1046: 1044: 1042: 4303:
Stay away from 'holistic' and 'biological' dentists
3553: 3551: 3549: 2325:(New York & London: D Appleton & Co, 1918). 1845:, 2nd edn (Oxford: Oxford University Press, 2013), 497:In 1923, upon some 25 years of researches, dentist 2785:Kracher CM (2000). "C. Edmund Kells (1856-1928)". 2380:The Newer Knowledge of Bacteriology and Immunology 1950: 1948: 1946: 1432:"Tragic results when dental care is out of reach"4 927:Huggins and many biological dentists also espouse 522:was first revealed by dental X-ray. Introduced by 4635:Diseases of oral cavity, salivary glands and jaws 3683: 3681: 3557:Michael Wilson, Rod McNab & Brian Henderson, 3499:Abdominal Wall Hernias: Principles and Management 3325:under "The endo file cabinet: Textbook excerpts: 2863:Effects of general systemic health on endodontics 2473:"Mouth infection as a source of systemic disease" 2442:"Mouth infection as a source of systemic disease" 2411:"Mouth infection as a source of systemic disease" 2257: 2255: 3844:Li X, Kolltveit KM, Tronstad L, Olsen I (2000). 3501:(New York, Berlin, Heidelberg: Springer, 2001), 3321:(Suppl):S18-S24, available at Robert Kaufmann's 3182:Kopeloff Nicolas, Cheney Clarence O (Oct 1922). 1302:, 2nd ed. (West Sussex: Wiley-Blackwell, 2010), 625:, held in New Orleans its annual meeting, where 477:announced that oral sepsis was "coming of age". 4423:, 5th edn (Hamilton Ontario: BC Decker, 2002), 4419:, in John Ide Ingle & Leif K Bakland, eds, 4376:Oral Surgery, Oral Medicine, and Oral Pathology 4341:Oral Surgery, Oral Medicine, and Oral Pathology 4325:, 6th edn (Hamilton Ontario: BC Decker, 2008), 4277:"IAOMT position paper on jawbone osteonecrosis" 4085: 4083: 3745:, 3rd edn (Boca Raton FL: CRC Press, 2000), pp 3616:(Reading MA: Addison-Wesley Publishing, 1982), 3580:Oral Surgery, Oral Medicine, and Oral Pathology 3561:(Cambridge: Cambridge University Press, 2002), 3476: 3474: 3472: 3470: 3376:, 11th edn (St Louis: Saunders/Elsevier, 2012). 2043:, bridge innate immunity and adaptive immunity. 1477:Nchaitanya Babu & Andreajoan Gomes (2011). 1293: 1291: 1289: 1287: 1285: 1122:, 6th edn (Hamilton Ontario: BC Decker, 2008), 332:, Hunter declared, "The worst cases of anemia, 202:. Yet ancient and folk concepts, entrenched as 4317: 4315: 4204:Arigbede AO, Babatope BO, Bamidele MK (2012). 3573: 3571: 2865:", in Michael Baumann & Rudolf Beer, eds, 2677:, Vol 1 (Cleveland: Penton Publishing, 1923), 1958:(New York: Oxford University Press, 1991), pp 1625:, 2nd edn (Edinburgh, London, New York, etc.: 1283: 1281: 1279: 1277: 1275: 1273: 1271: 1269: 1267: 1265: 808:. Eluding detection by traditional methods of 473:, too, lent support. In 1921, British surgeon 4129: 4127: 3996:Atanasova Kalina R, Yilmaz Ă–zlem (Jul 2015). 3423:Joseph M Dougherty & Anthony J Lamberti, 3206:Kopeloff Nicolas, Kirby George H (Oct 1923). 1906: 1904: 1902: 1900: 1898: 1575: 1573: 1571: 1114: 1112: 1110: 1108: 1106: 1104: 1102: 1100: 1098: 1096: 1094: 1092: 1090: 1088: 1086: 998:methods had rendered no consensus reports of 566:became director of the psychiatric asylum at 270:microorganisms, which allegedly fostered the 8: 3846:"Systemic diseases caused by oral infection" 3743:Cell Wall Deficient Forms: Stealth Pathogens 3670:: CS1 maint: multiple names: authors list ( 3059:C Edmund Kells, "X-ray in dental practice", 2399:", Mayo Clinic, Website access: 21 Sep 2013. 1896: 1894: 1892: 1890: 1888: 1886: 1884: 1882: 1880: 1878: 1316: 1314: 1312: 1228:Journal of the California Dental Association 1084: 1082: 1080: 1078: 1076: 1074: 1072: 1070: 1068: 1066: 708:and D Murray Angevine reported 200 cases of 400:, Billings in November 1911 lectured at the 159:poison' ". The prior year's breakthrough by 4210:Journal of Indian Society of Periodontology 3916:Journal of Indian Society of Periodontology 3910:Akshata KR, Ranganath A, Nichani V (2012). 3441:Journal of the American Medical Association 3391:Journal of the American Medical Association 3384: 3382: 2949: 2947: 2945: 2943: 2941: 2877: 2875: 2649:Journal of the American Medical Association 2601:Journal of the American Medical Association 2477:Journal of the American Medical Association 2446:Journal of the American Medical Association 2415:Journal of the American Medical Association 2264:Journal of the American Medical Association 2027:but also by a third subset of lymphocytes: 1483:Journal of Oral and Maxillofacial Pathology 757:Journal of the American Medical Association 504:Journal of the American Medical Association 4054:Journal of the American Dental Association 3737: 3735: 3733: 3344:Journal of the American Dental Association 3285:Journal of the American Dental Association 3079:Journal of the American Dental Association 3061:Journal of the National Dental Association 2939: 2937: 2935: 2933: 2931: 2929: 2927: 2925: 2923: 2921: 2829:Journal of the Canadian Dental Association 2780: 2778: 2776: 2714:Journal of the American Dental Association 2015:—as their base of residence is peripheral 1914:(New Haven: Yale University Press, 2005), 1765:Journal of the American Dental Association 1754: 1752: 1750: 1617: 1615: 1613: 1611: 1479:"Systemic manifestations of oral diseases" 1409: 1407: 1372:"Focal infection, a medico-dental problem" 750:Journal of the American Dental Association 457:was succeeded as professor of medicine by 4561: 4231: 4221: 4107: 4021: 3963:Journal of Evidence-based Dental Practice 3937: 3927: 3869: 3820: 3713: 3647: 3283:Fish E Wilfred (1939). "Bone infection". 3259:Russell L Cecil & D Murray Angevine, 3158: 3037: 3035: 2979: 2853: 2851: 2849: 2847: 2845: 2843: 2841: 2576: 2190: 1832:(Leipzig: Verlag von Georg Thieme, 1892). 1798:"The human mouth as a focus of infection" 1772: 1683: 1623:Cranial Manipulation: Theory and Practice 1504: 1494: 1387: 1346: 1177: 1018:See, for example, David Schlossberg, ed, 981:The traditional root-filling material is 3482:Periodontal Medicine and Systems Biology 3429:, 3rd edn (St Louis: Mosby, 1954), p 231 2960:Journal of the Royal Society of Medicine 2702:, not giving that precise summary, cite 2590: 2588: 2377:, in Edwin O Jordan & I S Falk, eds 2237: 2235: 2233: 2231: 2229: 2227: 2225: 1553: 1551: 1155: 1153: 1151: 4597: 2708:Price Weston A, Buckley John P (1925). 2698:, 6th edn (Hamilton: BC Decker, 2006), 2511:The Lewellys Franklin Barker Collection 2391: 2389: 2051: 2049: 1940:, Springer Nature Limited, 28 Sep 2020. 1026:"Triggering role of focal infection..." 1011: 893:, sparking severe controversy, spawned 724:The review and "critical appraisal" by 266:microorganisms to suppress the colon's 3663: 3484:(West Sussex: Wiley-Blackwell, 2009), 3368:Philip M Preshaw & John J Taylor, 2884:World Journal of Biological Psychiatry 2812: 2810: 2808: 1221: 1219: 1217: 2637:(Cleveland: Penton Publishing, 1923). 2335:Edward C Rosenow; Hazel Gray (1918). 1954:Alfred I Tauber & Leon Chernyak, 1926: 1924: 1726: 1724: 1582:European Journal of Internal Medicine 1215: 1213: 1211: 1209: 1207: 1205: 1203: 1201: 1199: 1197: 1135:Paul R Stillman & John O McCall, 1056:(Hamilton Ontario: BC Decker, 2002), 7: 3208:"Focal infection and mental disease" 2675:Dental Infections, Oral and Systemic 2627:Dental Infections, Oral and Systemic 2307:10.1001/archinte.1912.00060160087007 2155:(10):598–602, especially pp 599–600. 2058:Journal of Clinical Gastroenterology 1932:"The first live attenuated vaccines" 1166:Canadian Medical Association Journal 812:, bacterial L forms and the similar 647:New York State Psychiatric Institute 507:in 1925. Price concluded that after 328:. In 1910, lecturing in Montreal at 111:understandings of disease mechanisms 4096:Clinical Microbiology and Infection 2869:, 2nd edn (New York: Thieme, 2010). 2787:Journal of the History of Dentistry 2515:Alan Mason Chesney Medical Archives 2167:"Oral sepsis as a cause of disease" 1455:Hal A Huggins & Thomas E Levy, 1141:, (New York: Macmillan Co, 1922), " 791:to dentistry has entered doubt via 765:Revival and evolution (1990s–2010s) 604:Criticism and decline (1930s–1950s) 299:. Having, in fact, coined the term 3374:Carranza's Clinical Periodontology 2761:A Text-book of Operative Dentistry 2322:Focal Infection: The Lane Lectures 2135:The two faces of medical education 1415:Principles of Dental Public Health 1323:"The coming of age of oral sepsis" 1138:A Textbook of Clinical Periodontia 777:. Meanwhile, by way of continuing 704:teeth during extraction. In 1938, 102:and infect the heart, perhaps its 66:were blamed as foci. The putative 19:For the epidemiology concept, see 14: 3795:Siqueira JF Jr, Rôças IN (2013). 2739:British Journal of Dental Science 2219:(London: Cassell & Co, 1901). 747:K A Easlick's 1951 review in the 134:Rise and popularity (1890s–1930s) 4612: 4600: 4563:10.1111/j.1365-2591.2007.01322.x 4550:International Endodontic Journal 4454:10.1034/j.1601-1546.2003.00002.x 4109:10.1111/j.1469-0691.2007.01798.x 3453:10.1001/jama.1957.02970420001001 3403:10.1001/jama.1952.03680050056016 3370:ch 21 "Periodontal pathogenesis" 2661:10.1001/jama.1925.02660300012006 2613:10.1001/jama.1914.02570230037013 2557:Annals of the Rheumatic Diseases 2489:10.1001/jama.1914.02570230036012 2458:10.1001/jama.1914.02570230035011 2427:10.1001/jama.1914.02570230034010 2276:10.1001/jama.1940.02810010003001 2070:10.1097/00004836-198908000-00017 943:and focal infection. At dentist 675:American Psychiatric Association 163:, a fellow German, had launched 4309:, accessed online: 17 Sep 2013. 4254:Examples: Ellen Hodgson Brown, 4066:10.14219/jada.archive.2006.0401 3297:10.14219/jada.archive.1939.0156 3091:10.14219/jada.archive.2013.0092 2758:Examples: William H O McGehee, 2726:10.14219/jada.archive.1925.0307 2528:The William S Thayer Collection 2121:(17):2139–2140. Lester S King, 2035:and, more recently identified, 1774:10.14219/jada.archive.2006.0401 1714:(Bayl Univ Med Cent), 2011 Jul; 1376:California and Western Medicine 574:) and of manic depression (now 4266:(New York: Atria Books, 2007). 4045:Barnett Michael L (Oct 2006). 3894:Metagenomics of the Human Body 3757:lists for p 289 a citation of 3332:, Accessed online 17 Feb 2014. 3212:American Journal of Psychiatry 3188:American Journal of Psychiatry 3139:Canadian Journal of Psychiatry 2341:Journal of Infectious Diseases 1240:10.1080/19424396.2000.12223068 471:Cecil's Essentials of Medicine 78:favored. Untreated endodontic 1: 3975:10.1016/S1532-3382(12)70006-4 3862:10.1128/CMR.13.4.547-558.2000 3850:Clinical Microbiology Reviews 3781:, 3rd edn (CRC Press, 2000), 3649:10.1016/S1286-4579(00)00391-9 3330:: Chapter on focal infection" 2295:Archives of Internal Medicine 1843:The Principles of Endodontics 1814:10.1016/S0140-6736(02)01387-9 1028:, in Harabuchi Y et al, eds, 324:blamed many disease cases on 283:Abdominal surgery's pioneer, 4519:International Dental Journal 4388:10.1016/0030-4220(77)90309-7 4353:10.1016/0030-4220(76)90131-6 4014:10.1016/j.micinf.2015.03.007 3801:Journal of Oral Microbiology 3592:10.1016/0030-4220(77)90308-5 2133:(8):1079–1086. A I Tauber, " 1999:'s two principal mediators, 1672:Clinical Infectious Diseases 384:, based in Chicago, and his 155:reported "dissemination of ' 64:endodontically treated teeth 3266:Annals of Internal Medicine 1054:Essentials of Oral Medicine 1021:Clinical Infectious Disease 951:, discussing researches of 852:At the 1990s' emergence of 787:Conversely, attribution of 771:idiopathic scrotal gangrene 623:National Dental Association 619:American Dental Association 538:—a dentistry journal where 513:American Dental Association 4656: 4507:(Quantum Health, 2011), pp 4175:10.1308/135576107780556806 3807:: 10.3402/jom.v5i0.21077. 3151:10.1177/070674371105600402 2954:Wessely S (October 2009). 2165:Hunter, W (28 July 1900). 1594:10.1016/j.ejim.2010.07.011 905:, then, forming a jawbone 889:During the 1980s, dentist 839:'s identified "toxins" in 663:controlled clinical trials 635:controlled clinical trials 593:Princeton University Press 18: 4292:, Quackwatch, 4 Apr 2010. 3694:FEMS Microbiology Reviews 3514:Technical Manual #8-225: 2896:10.1080/15622970410029914 2859:The 'focal infection' era 1300:Textbook of Endodontology 873:, must address prevalent 320:In 1900, British surgeon 4223:10.4103/0972-124X.106878 3426:Textbook of Bacteriology 3021:(London & New York: 2972:10.1258/jrsm.2009.09k038 2551:Copeman WSC (Sep 1965). 2023:is mediated not only by 558:Psychiatric promulgation 451:Johns Hopkins University 230:research institute, the 218:In 1877, French chemist 177:Johns Hopkins University 3929:10.4103/0972-124X.99257 2353:10.1093/infdis/22.4.345 2289:Frank Billings (1912). 2171:British Medical Journal 1496:10.4103/0973-029X.84477 1327:British Medical Journal 597:Oxford University Press 402:Chicago Medical Society 316:Hunter on "oral sepsis" 297:Battle Creek Sanitarium 4263:Sage-ing While Age-ing 4002:Microbes and Infection 3813:10.3402/jom.v5i0.21077 3761:Dent Amalgam Merc Synd 3636:Microbes and Infection 3328:Grossman's Endodontics 3315:Journal of Endodontics 2183:10.1136/bmj.2.2065.215 2019:. On the other hand, 1465:ch 13 "Focal infection 1461:ch 12 "The cavitation" 1339:10.1136/bmj.1.3154.859 933:endodontically treated 871:cardiovascular disease 841:endodontically treated 568:Trenton State Hospital 426:Preeminent recognition 376:Billings & Rosenow 27:Focal infection theory 3706:10.1093/femsre/fuv013 2090:Philip A. Mackowiak, 1826:Willoughby D Miller, 1143:ch 18 Focal infection 414:elective localization 4505:Whole-Body Dentistry 3224:10.1176/ajp.80.2.149 3200:10.1176/ajp.79.2.139 2704:Buckley–Price debate 2569:10.1136/ard.24.5.502 2029:natural killer cells 1767:. 137 Suppl: 5S–6S. 1706:Barry D. Silverman, 1441:website, 26 Jun 2012 976:rheumatoid arthritic 964:compromised immunity 899:periodontal ligament 895:biological dentistry 885:Dental controversies 879:periodontal medicine 848:Periodontal medicine 810:medical microbiology 720:End of the focal era 710:rheumatoid arthritis 702:endontically treated 564:Henry Andrews Cotton 532:endodontic treatment 346:rheumatic infections 165:medical bacteriology 88:biological dentistry 84:alternative medicine 4323:Ingle's Endodontics 4163:Primary Dental Care 3612:Gerald J Domingue, 3389:"Focal Infection". 2696:Ingle's Endodontics 2471:Rosenow EC (1914). 2409:Billings F (1914). 2397:Mayo Clinic history 2100:, 2013 Nov 13;1:52. 2097:Front Public Health 2033:complement proteins 1930:Caroline Barranco, 1759:Barnett ML (2006). 1666:Gibbons RV (1998). 1557:Shantipriya Reddy, 1120:Ingle's Endodontics 987:anaerobic bacterial 966:—as in individuals 949:Root Canal Cover-Up 901:that often becomes 875:periodontal disease 775:angioneurotic edema 621:'s forerunner, the 499:Weston Andrew Price 406:Stanford University 358:dental restorations 293:John Harvey Kellogg 184:Willoughby D Miller 173:William Henry Welch 124:periodontal disease 98:, if oral bacteria 60:dental restorations 4415:2011-08-16 at the 4301:Stephen Barrett, " 3397:(5): 490–1. 1952. 3323:EndoExperience.com 3311:Root Canal Therapy 3309:Louis I Grossman, 3133:Shorter E (2011). 2533:2013-09-22 at the 2373:Edward C Rosenow, 1859:Miller WD (1894). 1796:Miller WD (1891). 1649:Bacillus anthracis 1370:Wisner FP (1925). 835:. Perhaps some of 734:Root Canal Therapy 645:, director of the 588:The New York Times 520:periapical disease 509:root canal therapy 469:, famed author of 311:Medical popularity 285:Sir Arbuthnot Lane 200:root canal therapy 47:focus of infection 21:Focus of infection 4442:Endodontic Topics 4288:Stephen Barrett, 4102:(Suppl 4): 3–10. 3969:(3 Suppl): 20–8. 3779:Stealth Pathogens 3516:Dental Specialist 2595:Craig CB (1914). 2553:"Russell L Cecil" 2007:, are subsets of 1997:Acquired immunity 1985:acquired immunity 1977:activated B cells 1808:(3546): 340–342. 1530:General Dentistry 1413:James M Dunning, 1321:Hunter W (1921). 1162:"Focal infection" 1160:Graham D (1931). 862:molecular mimicry 799:Stealth pathogens 679:Phyllis Greenacre 546:focal infection. 540:Willoughby Miller 455:Sir William Osler 330:McGill University 260:acquired immunity 232:Pasteur Institute 198:. Miller advised 169:tubercle bacillus 4647: 4617: 4616: 4605: 4604: 4603: 4596: 4586: 4582: 4576: 4575: 4565: 4541: 4535: 4534: 4514: 4508: 4501: 4492: 4487:Mark A Breiner, 4485: 4479: 4474:Mark A Breiner, 4472: 4466: 4465: 4437: 4428: 4406: 4400: 4399: 4371: 4365: 4364: 4336: 4330: 4319: 4310: 4299: 4293: 4286: 4280: 4273: 4267: 4252: 4246: 4245: 4235: 4225: 4201: 4195: 4194: 4158: 4152: 4151: 4131: 4122: 4121: 4111: 4087: 4078: 4077: 4051: 4042: 4036: 4035: 4025: 3993: 3987: 3986: 3958: 3952: 3951: 3941: 3931: 3907: 3901: 3890: 3884: 3883: 3873: 3841: 3835: 3834: 3824: 3792: 3786: 3775: 3769: 3768: 3741:Lida H Mattman, 3739: 3728: 3727: 3717: 3685: 3676: 3675: 3669: 3661: 3651: 3627: 3621: 3610: 3604: 3603: 3575: 3566: 3555: 3544: 3533: 3527: 3512: 3506: 3495: 3489: 3478: 3465: 3464: 3436: 3430: 3421: 3415: 3414: 3386: 3377: 3366: 3360: 3359: 3339: 3333: 3307: 3301: 3300: 3280: 3274: 3257: 3251: 3234: 3228: 3227: 3203: 3179: 3173: 3172: 3162: 3130: 3124: 3109: 3103: 3102: 3074: 3068: 3057: 3051: 3039: 3030: 3015: 3009: 3002:Henry A Cotton, 3000: 2994: 2993: 2983: 2951: 2916: 2915: 2879: 2870: 2855: 2836: 2826: 2820: 2814: 2803: 2802: 2782: 2771: 2756: 2750: 2736: 2730: 2729: 2706:on the subject: 2688: 2682: 2673:Weston A Price, 2671: 2665: 2664: 2644: 2638: 2625:Weston A Price, 2623: 2617: 2616: 2592: 2583: 2582: 2580: 2548: 2542: 2524: 2518: 2507: 2501: 2500: 2468: 2462: 2461: 2440:Mayo CH (1914). 2437: 2431: 2430: 2406: 2400: 2393: 2384: 2371: 2365: 2364: 2332: 2326: 2319:Frank Billings, 2317: 2311: 2310: 2286: 2280: 2279: 2259: 2250: 2239: 2220: 2213:William Hunter, 2211: 2205: 2204: 2194: 2162: 2156: 2107: 2101: 2088: 2082: 2081: 2053: 2044: 2017:lymphoid tissues 1973: 1967: 1952: 1941: 1937:Nature Portfolio 1928: 1919: 1908: 1873: 1872: 1856: 1850: 1839: 1833: 1824: 1818: 1817: 1793: 1787: 1786: 1776: 1756: 1745: 1728: 1719: 1704: 1698: 1697: 1687: 1663: 1657: 1644: 1638: 1619: 1606: 1605: 1577: 1566: 1555: 1546: 1545: 1525: 1519: 1518: 1508: 1498: 1474: 1468: 1453: 1442: 1428: 1422: 1411: 1402: 1401: 1391: 1367: 1361: 1360: 1350: 1318: 1307: 1295: 1260: 1259: 1223: 1192: 1191: 1181: 1157: 1146: 1133: 1127: 1116: 1061: 1050: 1037: 1016: 726:Hobart A Reimann 685:. Antipsychotic 657:Research attacks 609:Early skepticism 576:bipolar disorder 493:Dental reception 459:Llewellys Barker 370:partial dentures 305:Sylvester Graham 277:autointoxication 236:Elie Metchnikoff 214:Autointoxication 208:humoral medicine 4655: 4654: 4650: 4649: 4648: 4646: 4645: 4644: 4625: 4624: 4623: 4611: 4601: 4599: 4591: 4589: 4583: 4579: 4543: 4542: 4538: 4516: 4515: 4511: 4502: 4495: 4486: 4482: 4473: 4469: 4439: 4438: 4431: 4417:Wayback Machine 4407: 4403: 4373: 4372: 4368: 4338: 4337: 4333: 4320: 4313: 4300: 4296: 4287: 4283: 4274: 4270: 4253: 4249: 4203: 4202: 4198: 4160: 4159: 4155: 4142:(12): 1085–95. 4133: 4132: 4125: 4089: 4088: 4081: 4049: 4044: 4043: 4039: 3995: 3994: 3990: 3960: 3959: 3955: 3909: 3908: 3904: 3891: 3887: 3843: 3842: 3838: 3794: 3793: 3789: 3776: 3772: 3758: 3740: 3731: 3687: 3686: 3679: 3662: 3629: 3628: 3624: 3611: 3607: 3577: 3576: 3569: 3556: 3547: 3537:PDQ Endodontics 3534: 3530: 3513: 3509: 3496: 3492: 3479: 3468: 3438: 3437: 3433: 3422: 3418: 3388: 3387: 3380: 3367: 3363: 3341: 3340: 3336: 3308: 3304: 3282: 3281: 3277: 3258: 3254: 3235: 3231: 3205: 3204: 3181: 3180: 3176: 3132: 3131: 3127: 3110: 3106: 3076: 3075: 3071: 3058: 3054: 3040: 3033: 3016: 3012: 3001: 2997: 2953: 2952: 2919: 2881: 2880: 2873: 2856: 2839: 2827: 2823: 2815: 2806: 2784: 2783: 2774: 2757: 2753: 2737: 2733: 2707: 2689: 2685: 2672: 2668: 2646: 2645: 2641: 2624: 2620: 2594: 2593: 2586: 2550: 2549: 2545: 2535:Wayback Machine 2525: 2521: 2508: 2504: 2470: 2469: 2465: 2439: 2438: 2434: 2408: 2407: 2403: 2394: 2387: 2372: 2368: 2334: 2333: 2329: 2318: 2314: 2288: 2287: 2283: 2261: 2260: 2253: 2243:PDQ Endodontics 2240: 2223: 2212: 2208: 2177:(2065): 215–6. 2164: 2163: 2159: 2109:Andrew H Beck, 2108: 2104: 2089: 2085: 2055: 2054: 2047: 2037:innate antibody 2021:innate immunity 1991:is mediated by 1974: 1970: 1953: 1944: 1929: 1922: 1909: 1876: 1858: 1857: 1853: 1840: 1836: 1825: 1821: 1795: 1794: 1790: 1758: 1757: 1748: 1737:Clin Infect Dis 1729: 1722: 1705: 1701: 1665: 1664: 1660: 1645: 1641: 1620: 1609: 1579: 1578: 1569: 1556: 1549: 1527: 1526: 1522: 1476: 1475: 1471: 1454: 1445: 1429: 1425: 1412: 1405: 1369: 1368: 1364: 1320: 1319: 1310: 1296: 1263: 1225: 1224: 1195: 1159: 1158: 1149: 1134: 1130: 1117: 1064: 1051: 1040: 1017: 1013: 1009: 931:'s findings on 887: 854:epidemiological 850: 825:red blood cells 801: 767: 722: 659: 611: 606: 560: 524:C. Edmund Kells 495: 428: 398:focal infection 390:tonsillectomies 378: 350:kidney diseases 318: 313: 244:innate immunity 238:—discoverer of 216: 192:brain abscesses 146: 141: 136: 62:and especially 24: 17: 12: 11: 5: 4653: 4651: 4643: 4642: 4637: 4627: 4626: 4622: 4621: 4609: 4588: 4587: 4577: 4556:(12): 921–39. 4536: 4509: 4493: 4480: 4467: 4429: 4401: 4382:(4): 628–634. 4366: 4347:(2): 245–248. 4331: 4311: 4294: 4281: 4268: 4247: 4196: 4153: 4123: 4079: 4037: 3988: 3953: 3902: 3885: 3836: 3787: 3783:ch 1 "History" 3770: 3729: 3700:(4): 567–591. 3677: 3642:(8): 897–906. 3622: 3605: 3567: 3545: 3535:John I Ingle, 3528: 3507: 3490: 3466: 3431: 3416: 3378: 3361: 3334: 3302: 3291:(5): 691–712. 3275: 3252: 3229: 3174: 3125: 3111:Richard Noll, 3104: 3069: 3052: 3031: 3017:Phil Fennell, 3010: 2995: 2966:(10): 445–51. 2917: 2871: 2837: 2821: 2804: 2772: 2751: 2731: 2683: 2666: 2639: 2618: 2584: 2543: 2519: 2502: 2463: 2432: 2401: 2385: 2366: 2347:(4): 345–378. 2327: 2312: 2301:(4): 484–498. 2281: 2251: 2241:John I Ingle, 2221: 2206: 2157: 2129:, 1984 Feb 24; 2102: 2083: 2045: 2041:helper T cells 1993:killer T cells 1979:, mediate but 1968: 1942: 1920: 1910:Andrew Scull, 1874: 1851: 1834: 1819: 1788: 1746: 1720: 1699: 1685:10.1086/514705 1658: 1639: 1621:Leon Chaitow, 1607: 1588:(6): 496–502. 1567: 1547: 1520: 1469: 1443: 1423: 1403: 1362: 1308: 1261: 1234:(3): 194–200. 1193: 1147: 1128: 1062: 1038: 1010: 1008: 1005: 947:'s 1994 book, 886: 883: 849: 846: 800: 797: 766: 763: 730:William Hunter 721: 718: 698:Edward Rosenow 683:psychoanalysis 658: 655: 627:C Edmund Kells 610: 607: 605: 602: 559: 556: 494: 491: 475:William Hunter 463:William Thayer 444:basic research 427: 424: 410:Edward Rosenow 382:Frank Billings 377: 374: 322:William Hunter 317: 314: 312: 309: 224:rabies vaccine 215: 212: 206:principles of 145: 142: 140: 139:Roots and dawn 137: 135: 132: 92:dental implant 15: 13: 10: 9: 6: 4: 3: 2: 4652: 4641: 4638: 4636: 4633: 4632: 4630: 4620: 4615: 4610: 4608: 4598: 4594: 4581: 4578: 4573: 4569: 4564: 4559: 4555: 4551: 4547: 4540: 4537: 4532: 4528: 4524: 4520: 4513: 4510: 4506: 4500: 4498: 4494: 4490: 4484: 4481: 4477: 4471: 4468: 4463: 4459: 4455: 4451: 4447: 4443: 4436: 4434: 4430: 4426: 4422: 4418: 4414: 4411: 4405: 4402: 4397: 4393: 4389: 4385: 4381: 4377: 4370: 4367: 4362: 4358: 4354: 4350: 4346: 4342: 4335: 4332: 4328: 4324: 4318: 4316: 4312: 4308: 4304: 4298: 4295: 4291: 4285: 4282: 4278: 4272: 4269: 4265: 4264: 4259: 4258: 4251: 4248: 4243: 4239: 4234: 4229: 4224: 4219: 4216:(4): 487–91. 4215: 4211: 4207: 4200: 4197: 4192: 4188: 4184: 4180: 4176: 4172: 4168: 4164: 4157: 4154: 4149: 4145: 4141: 4137: 4130: 4128: 4124: 4119: 4115: 4110: 4105: 4101: 4097: 4093: 4086: 4084: 4080: 4075: 4071: 4067: 4063: 4059: 4055: 4048: 4041: 4038: 4033: 4029: 4024: 4019: 4015: 4011: 4008:(7): 473–83. 4007: 4003: 3999: 3992: 3989: 3984: 3980: 3976: 3972: 3968: 3964: 3957: 3954: 3949: 3945: 3940: 3935: 3930: 3925: 3922:(2): 168–73. 3921: 3917: 3913: 3906: 3903: 3899: 3895: 3889: 3886: 3881: 3877: 3872: 3867: 3863: 3859: 3856:(4): 547–58. 3855: 3851: 3847: 3840: 3837: 3832: 3828: 3823: 3818: 3814: 3810: 3806: 3802: 3798: 3791: 3788: 3784: 3780: 3777:L H Mattman, 3774: 3771: 3766: 3762: 3756: 3752: 3748: 3744: 3738: 3736: 3734: 3730: 3725: 3721: 3716: 3711: 3707: 3703: 3699: 3695: 3691: 3684: 3682: 3678: 3673: 3667: 3659: 3655: 3650: 3645: 3641: 3637: 3633: 3626: 3623: 3619: 3615: 3609: 3606: 3601: 3597: 3593: 3589: 3585: 3581: 3574: 3572: 3568: 3564: 3560: 3554: 3552: 3550: 3546: 3542: 3538: 3532: 3529: 3525: 3521: 3517: 3511: 3508: 3504: 3500: 3494: 3491: 3487: 3483: 3477: 3475: 3473: 3471: 3467: 3462: 3458: 3454: 3450: 3447:(7): 519–21. 3446: 3442: 3435: 3432: 3428: 3427: 3420: 3417: 3412: 3408: 3404: 3400: 3396: 3392: 3385: 3383: 3379: 3375: 3371: 3365: 3362: 3357: 3353: 3350:(6): 615–97. 3349: 3345: 3338: 3335: 3331: 3329: 3324: 3320: 3316: 3312: 3306: 3303: 3298: 3294: 3290: 3286: 3279: 3276: 3272: 3269:, 1938 Nov 1; 3268: 3267: 3262: 3256: 3253: 3249: 3245: 3244: 3239: 3233: 3230: 3225: 3221: 3218:(2): 149–91. 3217: 3213: 3209: 3201: 3197: 3194:(2): 139–56. 3193: 3189: 3185: 3178: 3175: 3170: 3166: 3161: 3156: 3152: 3148: 3144: 3140: 3136: 3129: 3126: 3122: 3118: 3117:Facts on File 3114: 3108: 3105: 3100: 3096: 3092: 3088: 3085:(2): 138–42. 3084: 3080: 3073: 3070: 3066: 3062: 3056: 3053: 3049: 3045: 3038: 3036: 3032: 3028: 3024: 3020: 3014: 3011: 3007: 3006: 2999: 2996: 2991: 2987: 2982: 2977: 2973: 2969: 2965: 2961: 2957: 2950: 2948: 2946: 2944: 2942: 2940: 2938: 2936: 2934: 2932: 2930: 2928: 2926: 2924: 2922: 2918: 2913: 2909: 2905: 2901: 2897: 2893: 2889: 2885: 2878: 2876: 2872: 2868: 2867:Endodontology 2864: 2860: 2854: 2852: 2850: 2848: 2846: 2844: 2842: 2838: 2834: 2830: 2825: 2822: 2818: 2813: 2811: 2809: 2805: 2800: 2796: 2792: 2788: 2781: 2779: 2777: 2773: 2769: 2768: 2763: 2762: 2755: 2752: 2748: 2744: 2740: 2735: 2732: 2727: 2723: 2719: 2715: 2711: 2705: 2701: 2697: 2693: 2687: 2684: 2680: 2676: 2670: 2667: 2662: 2658: 2654: 2650: 2643: 2640: 2636: 2632: 2628: 2622: 2619: 2614: 2610: 2606: 2602: 2598: 2591: 2589: 2585: 2579: 2574: 2570: 2566: 2562: 2558: 2554: 2547: 2544: 2540: 2536: 2532: 2529: 2523: 2520: 2516: 2512: 2506: 2503: 2498: 2494: 2490: 2486: 2482: 2478: 2474: 2467: 2464: 2459: 2455: 2451: 2447: 2443: 2436: 2433: 2428: 2424: 2420: 2416: 2412: 2405: 2402: 2398: 2392: 2390: 2386: 2382: 2381: 2376: 2370: 2367: 2362: 2358: 2354: 2350: 2346: 2342: 2338: 2331: 2328: 2324: 2323: 2316: 2313: 2308: 2304: 2300: 2296: 2292: 2285: 2282: 2277: 2273: 2269: 2265: 2258: 2256: 2252: 2248: 2244: 2238: 2236: 2234: 2232: 2230: 2228: 2226: 2222: 2218: 2217: 2210: 2207: 2202: 2198: 2193: 2188: 2184: 2180: 2176: 2172: 2168: 2161: 2158: 2154: 2150: 2149: 2144: 2140: 2136: 2132: 2128: 2124: 2120: 2117:, 2004 May 5; 2116: 2112: 2106: 2103: 2099: 2098: 2093: 2087: 2084: 2079: 2075: 2071: 2067: 2064:(4): 434–41. 2063: 2059: 2052: 2050: 2046: 2042: 2038: 2034: 2030: 2026: 2022: 2018: 2014: 2010: 2006: 2002: 1998: 1994: 1990: 1986: 1982: 1978: 1972: 1969: 1965: 1961: 1957: 1951: 1949: 1947: 1943: 1939: 1938: 1933: 1927: 1925: 1921: 1917: 1913: 1907: 1905: 1903: 1901: 1899: 1897: 1895: 1893: 1891: 1889: 1887: 1885: 1883: 1881: 1879: 1875: 1870: 1866: 1865:Dental Cosmos 1862: 1855: 1852: 1848: 1844: 1838: 1835: 1831: 1830: 1823: 1820: 1815: 1811: 1807: 1803: 1799: 1792: 1789: 1784: 1780: 1775: 1770: 1766: 1762: 1755: 1753: 1751: 1747: 1743: 1739: 1738: 1733: 1730:R V Gibbons, 1727: 1725: 1721: 1717: 1713: 1709: 1703: 1700: 1695: 1691: 1686: 1681: 1678:(3): 627–33. 1677: 1673: 1669: 1662: 1659: 1655: 1651: 1650: 1643: 1640: 1636: 1632: 1628: 1624: 1618: 1616: 1614: 1612: 1608: 1603: 1599: 1595: 1591: 1587: 1583: 1576: 1574: 1572: 1568: 1564: 1560: 1554: 1552: 1548: 1543: 1539: 1536:(4): 357–61. 1535: 1531: 1524: 1521: 1516: 1512: 1507: 1502: 1497: 1492: 1488: 1484: 1480: 1473: 1470: 1466: 1462: 1458: 1452: 1450: 1448: 1444: 1440: 1437: 1433: 1427: 1424: 1420: 1416: 1410: 1408: 1404: 1399: 1395: 1390: 1385: 1382:(8): 977–80. 1381: 1377: 1373: 1366: 1363: 1358: 1354: 1349: 1344: 1340: 1336: 1333:(3154): 859. 1332: 1328: 1324: 1317: 1315: 1313: 1309: 1305: 1301: 1294: 1292: 1290: 1288: 1286: 1284: 1282: 1280: 1278: 1276: 1274: 1272: 1270: 1268: 1266: 1262: 1257: 1253: 1249: 1245: 1241: 1237: 1233: 1229: 1222: 1220: 1218: 1216: 1214: 1212: 1210: 1208: 1206: 1204: 1202: 1200: 1198: 1194: 1189: 1185: 1180: 1175: 1171: 1167: 1163: 1156: 1154: 1152: 1148: 1144: 1140: 1139: 1132: 1129: 1125: 1121: 1115: 1113: 1111: 1109: 1107: 1105: 1103: 1101: 1099: 1097: 1095: 1093: 1091: 1089: 1087: 1085: 1083: 1081: 1079: 1077: 1075: 1073: 1071: 1069: 1067: 1063: 1059: 1055: 1049: 1047: 1045: 1043: 1039: 1035: 1031: 1027: 1023: 1022: 1015: 1012: 1006: 1004: 1001: 997: 993: 988: 984: 979: 977: 973: 969: 965: 961: 957: 954: 950: 946: 945:George Meinig 942: 938: 934: 930: 925: 922: 918: 914: 910: 909: 904: 900: 896: 892: 884: 882: 880: 876: 872: 867: 864:resulting in 863: 858: 855: 847: 845: 842: 838: 834: 830: 826: 821: 819: 816:—and, later, 815: 811: 807: 798: 796: 794: 790: 785: 780: 776: 772: 764: 762: 759: 758: 752: 751: 745: 743: 739: 735: 731: 727: 719: 717: 713: 711: 707: 706:Russell Cecil 703: 699: 695: 690: 688: 684: 680: 676: 672: 668: 664: 656: 654: 652: 651:Ward's Island 648: 644: 640: 636: 630: 628: 624: 620: 617:In 1919, the 615: 608: 603: 601: 598: 594: 590: 589: 583: 581: 580:nasal sinuses 577: 573: 572:schizophrenia 569: 565: 557: 555: 553: 549: 545: 541: 537: 536:Dental Cosmos 533: 529: 528:necrotic pulp 525: 521: 516: 514: 510: 506: 505: 500: 492: 490: 488: 484: 478: 476: 472: 468: 467:Russell Cecil 464: 460: 456: 452: 447: 445: 441: 437: 433: 425: 423: 421: 420: 415: 411: 407: 403: 399: 395: 391: 387: 383: 375: 373: 371: 368: 363: 359: 355: 351: 347: 343: 339: 335: 331: 327: 323: 315: 310: 308: 306: 302: 298: 294: 290: 289:colon removal 286: 281: 279: 278: 273: 269: 265: 261: 257: 254:—theorist on 253: 249: 245: 241: 237: 233: 229: 225: 221: 220:Louis Pasteur 213: 211: 209: 205: 201: 197: 193: 189: 185: 180: 178: 174: 170: 166: 162: 158: 154: 150: 143: 138: 133: 131: 129: 125: 120: 116: 112: 107: 105: 101: 97: 93: 89: 85: 81: 75: 72: 71: 65: 61: 57: 53: 52:nasal sinuses 48: 43: 41: 37: 32: 28: 22: 4640:Epidemiology 4580: 4553: 4549: 4539: 4525:(1): 35–46. 4522: 4518: 4512: 4504: 4488: 4483: 4475: 4470: 4445: 4441: 4420: 4404: 4379: 4375: 4369: 4344: 4340: 4334: 4322: 4306: 4297: 4284: 4271: 4261: 4255: 4250: 4213: 4209: 4199: 4169:(2): 59–66. 4166: 4162: 4156: 4139: 4135: 4099: 4095: 4057: 4053: 4040: 4005: 4001: 3991: 3966: 3962: 3956: 3919: 3915: 3905: 3893: 3888: 3853: 3849: 3839: 3804: 3800: 3790: 3778: 3773: 3764: 3760: 3742: 3697: 3693: 3666:cite journal 3639: 3635: 3625: 3613: 3608: 3586:(4): 626–7. 3583: 3579: 3558: 3536: 3531: 3515: 3510: 3498: 3493: 3481: 3444: 3440: 3434: 3424: 3419: 3394: 3390: 3373: 3364: 3347: 3343: 3337: 3327: 3322: 3318: 3314: 3310: 3305: 3288: 3284: 3278: 3273:(5):577–584. 3270: 3264: 3255: 3241: 3232: 3215: 3211: 3191: 3187: 3177: 3145:(4): 193–7. 3142: 3138: 3128: 3112: 3107: 3082: 3078: 3072: 3067:(3):241–72 . 3064: 3060: 3055: 3043: 3018: 3013: 3003: 2998: 2963: 2959: 2890:(2): 66–72. 2887: 2883: 2866: 2832: 2828: 2824: 2790: 2786: 2765: 2759: 2754: 2742: 2738: 2734: 2720:: 1468–524. 2717: 2713: 2695: 2691: 2690:Baumgartner 2686: 2674: 2669: 2652: 2648: 2642: 2626: 2621: 2607:(23): 2027. 2604: 2600: 2560: 2556: 2546: 2538: 2522: 2514: 2505: 2483:(23): 2026. 2480: 2476: 2466: 2452:(23): 2025. 2449: 2445: 2435: 2421:(23): 2024. 2418: 2414: 2404: 2378: 2369: 2344: 2340: 2330: 2320: 2315: 2298: 2294: 2284: 2267: 2263: 2242: 2214: 2209: 2174: 2170: 2160: 2152: 2146: 2145:revisited", 2130: 2126: 2118: 2114: 2105: 2095: 2086: 2061: 2057: 2036: 2020: 1996: 1971: 1955: 1935: 1911: 1868: 1864: 1854: 1842: 1837: 1827: 1822: 1805: 1801: 1791: 1764: 1744:(3):627–633. 1741: 1735: 1718:(3):236–242. 1715: 1711: 1702: 1675: 1671: 1661: 1647: 1642: 1622: 1585: 1581: 1558: 1533: 1529: 1523: 1489:(2): 144–7. 1486: 1482: 1472: 1456: 1438: 1426: 1414: 1379: 1375: 1365: 1330: 1326: 1299: 1231: 1227: 1172:(4): 422–4. 1169: 1165: 1136: 1131: 1119: 1053: 1029: 1020: 1014: 991: 983:gutta-percha 980: 958: 948: 929:Weston Price 926: 907: 888: 878: 859: 851: 837:Weston Price 822: 802: 793:case-control 789:endocarditis 779:case reports 768: 755: 748: 746: 733: 723: 714: 694:Weston Price 691: 660: 643:George Kirby 639:Henry Cotton 631: 616: 612: 586: 584: 561: 543: 535: 517: 502: 496: 489:had missed. 483:neurological 479: 470: 448: 436:Charles Mayo 432:William Mayo 429: 419:pleomorphism 418: 413: 397: 393: 386:case reports 379: 367:never remove 366: 325: 319: 300: 282: 275: 268:putrefactive 258:, mediating 252:Paul Ehrlich 242:, mediating 217: 181: 164: 157:tuberculosis 153:Karl Weigert 147: 127: 108: 96:endocarditis 79: 76: 67: 46: 44: 26: 25: 4421:Endodontics 3317:, 1982 Jan; 3115:(New York: 3063:, 1920 Mar; 3048:philosopher 2793:(2): 65–9. 2151:, 1992 Oct; 2148:J R Soc 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Index

Focus of infection
systemic
measles
gangrene
nasal sinuses
tonsils
dental restorations
endodontically treated teeth
sepsis
alternative medicine
biological dentistry
dental implant
endocarditis
enter blood
valves
understandings of disease mechanisms
metastasis
immunologic
periodontal disease
Hippocrates
Karl Weigert
tuberculosis
Robert Koch
tubercle bacillus
William Henry Welch
Johns Hopkins University
Willoughby D Miller
lung
brain abscesses
tooth pulp

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