ABSCESS
Belladonna - Best used for early dental abscess accompanied by redness and throbbing.
Bryonia - Use for acute inflammation or if pricking pain is relieved by firm pressure.
Hepar Sulphuris - Use for abscess accompanied by pus formation.
Myristica - Use when swelling is accompanied by numbness of the area.
Pulsatilla - Use when the pain is accentuated by heat and relieved by cold water.
Pyrogenium - Use when pus is present without drainage.
Silicea - Use to hasten the discharge when pus is draining.

APPREHENSION
Aconite - Use for panic, fright, and general mental and physical restlessness, or sudden violent attacks.
Calcerea carbonica - Use for the fearful, weary, and hopeless person who worries toward evening.
Coffea cruda (potentized coffee) - Works well as a tranquilizer.
Chamomilla - as a tranquilizing action for restful sleep. Also raises low pain threshold.
Nux vomica - Works well in many high strung, nervous, irritable people with stomach problems.
Pulsatilla - Use for states of anxiety.

BRUXISM
Belladona - Use for grinding problem that causes painful teeth.
Podophyllum - Use for night grinding when experiencing a burning sensation of the tongue.
Tuberculinum - Use for children who grind their teeth.

GINGIVITIS PERIODONTITIS AND ALVEOLITIS
Arsenicum album - Use for unhealthy, bleeding gums.
China - Use for gum tissue that is bleeding.
Ferrum phosphoricum - Use for poor gum tone or gums that bleed after brushing.
Hypercum - Use for tender gum tissue and to promote healing.
Kali chloricum - Use for acute ulcerative tissue.
Naturium muriaticum - Tissue integrity.
Hepar sulphuris - Tissue with suppuration, chronic abcesses.
Silicea - Periodontal abscess with swollen glands.
Staphysagria - Loose teeth, pain increased by pressure.
Symphytum - Injuries to periosteum. Stimulates growth of epithelium on ulcerated surfaces.
Mercurius solubilis - Use for acute ulcerative tissue with a coated tongue and metallic taste in the mouth.
Nux vomica - Use for swollen painful gums when the back of the tongue has a whitish coating and when the patient consumes a lot of stimulants such as coffee and tea.
Phosphorus - Use on swollen gums that bleed easily, and when there's an overproduction of saliva.
Ruta graveolens - Use for injured bone and alveolitis ("dry socket").

HEMORRHAGE
Arnica - Use for bleeding accompanied by bruised soreness.
Ferrum phosphoricum - Use when there is bright red bleeding.
Phosphorus - Use for persistent bleeding.

NEURALGIA
Aconite - Trigeminal neuralgia
Aranea diadema - Use for radiating pain in the right side of the face that is aggravated by cold. Also use for sudden, severe pain in the teeth at night after lying down.
Cuprum metallicum: - Use for cramping of muscles.
Gelsemium sempervirens - Use to relieve headache and pain of the upper back and neck, which extends over the head and for dizziness and numbness.
Ignacia - Use for headache as if a nail were driven through the side of the head.
Lachesis - Left-sided complaints
Lycopodium: - Right-sided complaints
Magnesia phosphorus: - Use for spasmodic pains made worse by cold water and made better by heat and rubbing.
Sanguinaria - Right-sided neuralgia- facial migraine.
Spigelia - Use for pain involving the eye, cheek, and left temple areas.
Zincum phosphoricum - Sharp pains on right side of head.
Zincum valerian - Sharp pains on left side of head.

POST OPERATIVE DISCOMFORT
Apis mellifica - Good for post-injection soreness after dental work.
Chamomilla: - Give one hour prior to dental appointrnent for patients with a low pain threshold. It also expedites the wearing off of the numbness following the dental appointment.
Hypericum - Use where there is an injured nerve.
Ledum - Use for puncture wounds and soreness resulting from a dental injection.
Magnesia phosphorica: - Use for stiff, sore jaws following prolonged dental work when the muscles are cramped and feel better with warmth.
Staphysagria: - Use for incision-type wounds after soft tissue surgery.
Symphytum: - Use for trauma of bone and periosteum.

SALIVATION
Baryta carbonica - Use when there is excessive saliva during sleep.
Bryonia alba: - Use for an extremely dry mouth, with dryness of mucous membranes and great thirst.
Phosphorus: - Use for hypersalivation and when gums are swollen and bleed easily.
Pulsatilla - Use for diminished saliva with no thirst.

TEMPOROMANDIBULAR JOINT (TMJ)
Arum triphyllum - Use for pain in joint on swallowing.
Calcarea flourica - Use for hypermobile joints
Calcarea phosphorica - Use when mouth cannot be opened without pain.
Carbo vegetabilis - Use for vertigo with nausea and tinnitus.
Chamomilla - Use for low pain threshold. Unbearable spasms of pain radiating into the ear.
Cuprum metallicum - Use for trismus of muscles.
Granatum - Use for painful cracking of the joint.
Mangesium phosphorica - Use for muscle spasms.
Phyltolacca decanda - Use for earaches with pain extending into teeth, jaw, and throat.
Rhus toxicodendron - Use for joint stiffness that improves with movement and for popping" of TMJ.

TOOTHACHE
Antimonium crudum - Use for a toothache that is worse at night and is aggravated by heat.
Aranea diadema - Use for sudden, severe pain in the teeth after lying down.
Belladonna - Use for throbbing tooth that's worse when pressure is applied.
Calcarea carbonica: - Use for a toothache that worsens when exposed to hot or cold air.
Chamomilla - Use for a toothache with intolerable pain that's worse from warmth and not better with cold.
Coffea cruda - Use for toothache that worsens with heat and is relieved by ice.
Ferrum metallicum - Use for a toothache that is relieved by ice water.
Magnesia carbonica - Use for a toothache that is worse at night, Patient must get up and walk about for relief.
Magnesia phosphorica - Use for a toothache that is worse from cold and better from warmth.
Plantago major: - Use for a toothache that is better with pressure and worse without cold air.
Pulsatilla - Use for a toothache that is relieved by holding cold water In the mouth.
Staphysagria: - Use for pain from major decay of a number of teeth.

TOOTH ERUPTION
Calcarea carbonica - Use for a delayed eruption.
Chamomilla: - Use for difficult teething.
Zlncum metallicum - Use for teeth gritting during difficult eruption and associated with loose teeth and bleeding gums.

ULCERATIONS
Natrum muriaticum - Use for cold sores and fever blisters. Lips and corners of mouth dry and cracked lips.
Nitricum acidum - Use for ulcers with irregular edges and a raw appearance with a tendency to bleed easily.

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Dosage Guidelines for Remedies 200 X and Under

Choice of Potency
• When the treatment is prescribed on the basis of local signs and symptoms, prescribe low potencies. (Under 12X)
• When the treatment is prescribed on the basis of a mixture of local, general, mental and emotional signs and symtoms, prescribe higher potencies. (30X - 200X)

Times Remedies Should Be Taken
• Low potency remedies (under 12X):
   -first aid every 5-30 minutes
   -acute conditions every 30 minutes to hourly, decreasing to 3-4 times a day.
• Medium potency remedies (12X - 30X):
   -one to three times a day.
• High potency remedies (30X - 200X):
   -once a day.
REDUCE FREQUENCY WITH IMPROVEMENT.

Potency Vs. Duration of Action
The lower the potency, the shorter its duration of action (acute conditions). The higher the potency, the longer its duration of action (chronic conditions).

As opposed to pathologic or specific symptom prescribing, constitutional prescribing does not treat the disease entity, but rather the symptom complex of the individual who has the disease.

The purpose of constitutional prescribing is not to seek to change a patient's character, but by modifying it's tone balances it, thereby giving systematic, systemic support to the self-healing effort of the organism. By encompassing the sum total of the individual's physical, emotional, and mental picture constitutional analysis and prescribing performs psychotherapy while also working on the physical level.

Examples of Homeopathic Constitutional Remedies
Arsenicum:
-hates to be ill, but loves doctors, delights in discussing symptoms in exquisite detail
-seems to enjoy his illness
-microbe-phobia, aversion to cold
-excessive and reactive to the extreme
-sensitivity to the environment, allergic
Calcarea Carbonica:
-exertion fatigues/passive personality
-lacks ability to overcome emotional shocks
-sensitive to criticism/fear of succeeding
-dislikes outside pressure (emotional and physical)
-chronically late
-limp handshake
-poorly developed teeth and jaw, high narrow dental arch, chronic sniffles and runny nose caused partly by narrowness of nasal passages
-poor calcium metabolism (milk allergy)
-handicapped children
Ignacia:
-the "funeral remedy"
-sorrow, shock, stress, and disappointment
-chronic grieving, sadness, loneliness
-deep depression
-claustrophobic fears
-over-reactive mental state
Lachesis
-from the poison of the Brazilian Bushmaster snake
-erratic modes and behaviors
-split psyche "Jekyll and Hyde"
-highly emotional, switches moods and "lashes out"
-tendency to alcoholism
Lycopodium
-resilient self-esteem
-example of moderation and reasonableness
-avoids arguments
-feels detached
-feels superior/authoritative
-unwilling to admit error/always right
-little confidence in physicians
-illness offends self-esteem/ignores physical infirmities
-impatient with poor health
-above needing medical help; should overcome sickness by willpower
-except for his main complaint, he has none
-uncooperative patient (headstrong)
Natrum muriaticum
-potentization of table salt
as salt, absorbs and retains water and other body fluids
-tendency to depression
-inability to express emotion 'mourns the past' can't let go
-mucus retention with sinus problems
-feeling of unworthiness excessive self-absorption
-chronic guilt
-retains physical pain especially unrelenting headaches
-many mouth and lip symptoms (fever blisters, herpetic blood blisters, ulceration, geographic tongue, etc.)
Nux vomica:
-potentization of strychnine
-irritable, impatient temperament (short fuse)
-addiction-prone personality, overindulgence
-nervous irritability and quick to take offense/erratic behavior
-moody/mopey isolation
-nervous stomach (assoc. with TMJ)
-highly strung/insomnia (especially at 3:00am)
-never tires of performing
-unreliable about keeping appointments
-fears exaggerated by solitude
-overflow of feelings, hemorrhage, saliva
-ill effects from anesthesia
Psorinum:
-skin problem, dry hair
-offensive odor, especially perspiration
-enlarged veins
-"never well since"'
-sensitivity to environment
Pulsatilla:
-symptoms changeful, pains wander from one part of the body to another
-sweetness, usually female remedy
-a need to be loved by many
-strong desire to make life pleasant for her loved ones
-requires support, fears loneliness-of having no one to love or turn to for stability/protection
-feeling of helplessness, inability to make up her mind, unable to say no
-reliance on others can result in her clinging to her illness with hypochondria with lengthy description of symptoms, cannot specify whether there has been an improvement
-tendency to self-pity
Sepia:
-predominantly female
-classic picture-female seeking emancipation
-career woman
-liver spots, skin eczemas
-emotional bouts without apparent cause
-left-handed complaints
-black moods/cold silence/indifferent/enjoys feeling martyred
-tension headaches, nausea from smell of food, chronic sinus, rheumatism or arthritis in legs, allergic constitution, severe constipation
-woman seeks to emancipate herself from passive, receptive female role into life of action
-male wants to disengage from active world and lead a quieter more contemplative life/discontented with job/worn out emotionally, wants to be left alone
Silica
-potentization of silicon dioxide
-the "homeopathic surgeon"
-hardness is key nature
-tendency to form hard lumps/growths
-teeth are hypocalcified, chip easily
-cracks at corners of mouth
-obstinate/stubborn
-impervious to outside pressure of influence
-difficulty adapting to change
-fear of failure
Staphysagria:
-righteous indignation
-low self-esteem
-possible history of emotion and/or physical attack, especially with an instrument
-martyr
-sexual obsessions
Sulphur:
-selfishness, engrossed in his own world
-materialistic
-eruptive personality, with caustic aggression
-uneven distribution of body temperature, likes cold air feeling of sluggishness and fatigue, tendency to nap
-erupts easily, argumentative -Intellectualism, monopolizes conversation
Tuberculinium:
-slender build, narrow or caved in chest, anemic and frail

As more dentists and health practitioners discover the effectiveness of using "holistic" treatment for individuals, homeopathic remedies should prove to be an increasingly important contribution to not only dental treatment and healing, but also to the overall well-being of the patient.

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