WEBVTT
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There is a chance that for most of your life, your mouth and the rest of your body has been treated like two separate departments.
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Your dentist checks for cavities and then your doctor checks everything else.
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And no one is connecting the two.
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But your mouth is the top of your digestive track.
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And the research now ties what happens there to inflammation in your gut, your joints, your heart, even your brain.
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Every system in your body is connected.
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It was designed that way.
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And that's why I'm sitting down with one of the country's leading oral microbiome experts, Dr.
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Jonathan Levine.
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He is about to connect a dot that most women, most practitioners, have never looked.
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So if you've never heard of leaky gut, leaky gums, or if you've ever wondered how your gut is connected to your mouth and really your whole body, you are going to love this conversation today.
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Hey guys, welcome to the abounding life show.
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I'm Nikki Yeltsin, a board certified functional medicine practitioner and registered dietitian nutritionist.
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I'm also a wife, homeschooling mom, and your host.
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This podcast is for women who feel called to steward their health well and who are ready to restore their gut, achieve boundless energy, and feel clear and confident in their health again.
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Here, we trade complex symptoms with evidence-based nutrition and real root-cause healing.
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If you're ready to show up fully in your life with energy and vitality for your people and your purpose, you are in the right place.
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I am so glad you're here today.
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Let's dive in.
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All right, so if you have been here for any length of time, you know that we talk about the microbiome, the gut microbiome, in almost every single episode here.
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How the gut connects to our brain, how the gut connects to our hormones, and we also talk about how the gut is connected to our mouth via the oral microbiome.
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And you are in for an absolute treat today because I have the best of the best, literally the best expert when it comes to the oral microbiome, Dr.
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Levine.
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So excited to introduce you.
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So let me share a little bit about him.
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If you have not heard about him, he is an advanced restorative dentist and oral health innovator with over 35 years of clinical experience and has 29 patents.
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He's the founder of Smile House in New York City, which is a first of its kind dental longevity practice.
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And he's also the creator of something called mouth mapping, which we're going to talk about here.
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It is a diagnostic system that connects what's happening in your mouth to what's also happening in the rest of your body.
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He's also got a brand new book coming out called Oral that makes the case that the oral microbiome might just be the most overlooked microbiome in health and wellness.
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Dr.
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Levine, welcome.
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Thank you, Nikki.
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Thanks for having me.
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It is so awesome to have you here because, you know, we talk about this conversation so much.
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This is really right at the intersection of everything that we talk about here: gut health, inflammation, root cause healing.
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And I'm just so excited that we can kind of bridge this and really um just talk about this connection that I think is really missing for a lot of people.
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There is a big connection.
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There really is.
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And when we unpack it and dive into it, I think we'll get a couple of aha moments for people.
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That's the goal here.
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We want aha moments.
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And I trust, I know actually that we are gonna have those.
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So let's just get right into it.
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You know, most of the women right now in our audience, they have done a lot of testing.
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Uh, they've maybe they've done stool testing, food sensitivity panels.
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They're actively working on their gut health, but a lot of them haven't actually considered their oral microbiome, what this might mean for them.
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And so, what would you say to that woman, maybe who is doing a lot of the right things?
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She's doing a lot for her gut, but she hasn't really considered her mouth as part of the big picture.
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Yeah.
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First, you know, the most important thing is to really educate oneself.
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What is the latest science?
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What is this latest research saying?
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So much has happened in the world of healthcare and in research and science in the last 10 years.
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What we know from the even the last five years has changed the healthcare practices.
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If you look at medicine, we look at integrated medicine, we look at people like an Andrew Huberman and uh and a Mark Hyman, who's you know the OG on uh you know integrated type medicine thinking, um Peter Tia.
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When we look at this, these connectivities, which is a lot of newness, the same thing is happening in dentistry.
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So I'm part of a group that says, let's put the mouth back in the body.
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The mouth is the top of the digestive tract.
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We have 11 systems, digestive tract being one of us, one of them the nervous system, cardiovascular system, you know, all of these systems, uh immune system, all these systems, and these systems are very interesting.
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When one goes down, it impacts everything else, right?
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So when the mouth is chronically inflamed, when the bacteria, dysbiosis, when the bacterial homeostatic balance, just like in the gut, when it gets thrown off because of antibiotics, because of the type of foods we eat, because of a lot of things that cause inflammation.
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Well, the same thing is in the mouth.
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So, what causes inflammation?
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In the mouth is very unique.
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We can care for our mouth in a way that we can keep the bacterial balance healthy.
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So there's a genetic predisposition, but as we all know, there's an epigenetic and environmental impact of what are we putting our body under?
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So, for someone who's thinking about the gut, the gut brain axis, the connectivity of what happens when the gut is leaking, when the interstitial cells are open and the toxic contents are getting into the rest of the body.
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Well, guess what?
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Leaky gut, leaky gums.
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And those leaky gums mean that cuff of tissue that is pink tight in health, when now it's it's inflamed, swollen, and that epithelium thins.
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Guess what happens when it thins?
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It becomes permeable.
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Guess what happens when it gets permeable?
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These bacterial breakdown byproducts, ginger pains, endotoxins works its way into the different bodies' organs.
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So in the amyloid plaque, ginger pains makes its way through the blood-brain barrier and impacts greater inflammation for the Alzheimer's patients.
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Twenty years ago, Moisey-Devereaux group figured out that you can find P.
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ginger valus, the big pathogenic bacteria.
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There's seven of them.
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It's a red complex bacteria.
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It's uh one of those seven that really find its way in a lot of these distant areas, causing havoc, causing trouble.
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Well, what was it doing in the carotid artery of cardiovascular patients, making a thickening of that intermedia media?
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And what happens when these endothelial cells are inflamed, swollen, what happens?
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There's an atheroma because the body has immune response, and all of a sudden that vessel starts to get closed, and now we're dealing with hot arteries, inflammation, and cardiovascular disease.
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I can go on and on, but guess what?
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57 chronic inflammatory diseases of the body is tied to inflammation in the mouth, dysbiosis versus this healthy symbiosis, and now we're out of whack, and now we got trouble.
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The interesting thing is there's so much we can do about it.
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Yeah.
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Yeah.
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Wow.
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Like my mind is like literally, I'm sitting here.
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That just hit home.
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That hit home for me because we talk so much about leaky gut, right?
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And I love how you explained it because it's kind of how I like to explain it too.
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We think of a gate being open, right?
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And it just allows these bacteria, these pathogens to basically seep right through the cracks of the gut.
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And what happens?
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They get stuck in the bloodstream, which is this systemic inflammatory response.
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And I never heard of leaky gums before.
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And now that really pieced so much together for me because that process, that's exactly what you just described, it's basically happening, starting in our mouth and then systemically affecting our entire body.
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And you see the research behind that.
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And obviously, you've worked probably with so many people who you've also seen this as well in practice.
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Yeah.
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Let me give you one more fact.
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Now that I got you on the aha moment, not only do the ginger pains and the endotoxins get through the superhighway of the body, the cardiovascular system, but now we know, and we only know this for the last four years, that one out of three bacteria work its way to the gut through the digestive system, because we always thought the acids of the stomach, which is at a pH of like 2.2, 2.3, would kill the bacteria.
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But sure enough, through DNA analysis, we're finding through the digestive tract P.
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gingivalis in leaky gut, and it's working, and these bacteria are working its way into through the digestive tract, about one out of three.
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Well, just think about it.
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We swallow 1.5 billion bacteria a day, 700 species of bacteria in the mouth.
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Second biggest microbiome of the body is the mouth.
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7 billion bacteria, and just so you understand, gut, gut is about right, 7 trillion.
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So, but it's number two in the body.
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And the mouth actually has seven little separate microbiomes, depending on where in the mouth.
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Okay.
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So as you think about this, you say, oh my God, you mean the health of the mouth is more than just getting a cavity?
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And you mean a dentist is just maybe more than fixing a tooth?
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Yeah, and that's why I like to say, and I'm a you know, I'm a bit of a troublemaker in my profession.
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I like to like, come on, let's wake up, folks.
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It's the it's the day to stop thinking the old conventional way and let's use today's new science to move forward.
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Dentists are oral physicians.
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We're not dentistry, you know, I've seen little shopaharas enough.
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It's enough with little shopaharas.
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Let's think of us as a holistic, integrative whole of the healthcare professionals, medical and dental, working together.
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And I believe that we can get more upstream, more wellness away from the sickness model and get to these chronic inflammatory diseases earlier because people go to the dentist more than they go to their primary care physician.
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And today, through salivary diagnostics, the new blood diagnostics, we can detect many of these biomarkers and these early signs and signal molecules that are causing a lot of these chronic inflammatory diseases.
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Wow.
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Yeah, I love how modern technology can help like bridge a lot of these gaps.
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And I think it's so important for us, it's just a reminder for us to not forget that every system in our body is connected.
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We think of them as separate, but they are directly interconnected.
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When one thing is off, that doesn't just mean that that one area needs to be focused on.
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That's why something like that can connect to the bigger picture.
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And so I love how you said, you know, we need to bridge these things together.
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We need to work together collectively.
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Um, I think that is like the next era of healing, for sure.
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Um, so I love that you're kind of on the forefront of that.
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And you're a little bit of like a black sheep as far as like a dentist is concerned.
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And I feel like that too in my practice because, you know, we're kind of going against the grain in a way.
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Uh, you know, but I think that um that's a good thing.
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It's a good thing because what's happening now are people are more sick than ever and they're not realizing how important these things are.
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And that's what I love about just taking more of a functional approach.
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Yes.
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Agree.
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Yeah.
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So one thing I also wanted to kind of touch on a little bit.
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So in my practice, so I run labs.
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So I'm not sure if you're familiar with the GI map, um, but like a comprehensive stool analysis.
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We look at things like inflammatory markers.
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So you're doing something kind of similar to this on the oral side.
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You just talked about the salivary diagnostics with some something called the mouth mapping.
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How are these two worlds kind of interconnected?
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What does that care look like?
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Can you share a little bit more about the mouth mapping?
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Because this is kind of new to me.
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I read about it, but I want to know more.
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Yeah, I love what you do.
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You know, I'm I'm I'm such a you know big believer of that area of healthcare and medicine.
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So, similarly, you know, the traditional conventional approach, you know, for diagnostics has been a full series of x-rays in a good dental office.
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It's a full periodontal probing.
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It's looking how the jaws come together.
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And a very interesting thing has happened is our technology has built tremendous awareness of we see things that we've never seen before.
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So, what I mean by that is we now use CT scans as a standard of care.
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So CBCTs will tell us top of the nose to airway.
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So now we're diagnosed and we can see and make a referral, nasal obstructions, get it to the ENT because if you're mouth breathing and you're not nasal breathing, what the nose is designed to do to filter and to humidify the air, but also to raise nitric oxide, which vasodilates and keeps blood pressure low and lets the cells get oxygenated.
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If you're mouth breathing, you decrease the saliva, and now the saliva buffering effect and all of this healthy calcium and phosphorus in the saliva is now way decreased, and now you're having oral health issues, both with decay demineralization, and also with bacteria that cause inflammation.
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Okay.
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So when you when you start putting all of the pieces of the puzzle together, you know, you start realizing that this mouth mapping has this opportunity if you take a deeper dive using the new technology.
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So what we do is we broke it down into four domains aesthetics, structure, function, and biology.
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Now, this concept of not only looking, let's say, at X-rays, which is some of the biology of the perio, but the and then you had a big wave in the 90s and now to do aesthetics, but you can't do aesthetics without a great, great fundamentals, great health.
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That's with structure, function, and biology.
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And what happens is all of that structure, function, and biology stuff, in other words, can you breathe?
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Is there a good airway?
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Are you getting into deep reparative sleep?
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All right.
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Is there a structural block like the nose, small jaw, tongue falling back, small circumference, um, obesity where you're just not getting air into your system?
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So you're waking up multiple times, which is called obstructive sleep apnea.
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Snoring is an early sign of obstructive sleep apnea.
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People with obstructive sleep apnea and snoring are going to have high blood pressure and can't fight these oxidative stresses that cause cancer.
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Okay, so we take this deep dive, except we're using the new technology.
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So scanners be able to look at how the jaws come together with computers.
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What's the contact like?
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Are there malocclusion and crossbites?
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What's the joint look like?
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And the CT scans is allowing us to diagnose all the structure, or you know, the joint, the condyle, is it placed properly?
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People who might have connective tissue type diseases like an alos, danlose, or maybe a rheumatoid arthritis.
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We see things in the joint.
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If you don't see it, how can you diagnose and treat it?
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Right?
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So now we're seeing these things.
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Mouth mapping takes these four domains aesthetic, structure, function, and biology.
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And what we've been able to use also using data aggregation software that we've developed through AI, we can give a score to a patient of their health that impacts their overall health.
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So we couple that with our salivary diagnostics and microbiome testing.
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We look, we I work very closely with a company I uh advise and involve with called Bristle Health, and they know exactly 200 different species of bacteria, shotgun metagenomics.
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We can see what bacteria, which ones of those pathogens are high, how that impacts maybe the GI system.
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How does it impact potentially the cardiovascular highway of the sit of the body system?
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And we can really help forecast potential systemic inflammatory diseases.
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Another company, Oral Genome, tests these three biomarkers.
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P.
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ginger valis, we can see at point of care, 20 minutes, you're in the hygiene room, you spit in a little tube.
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20 minutes later, I have these three biomarkers.
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PG, MMP8, which is metalloproteanase, which is an inflammatory marker when you have periodontal disease and inflammation in your body.
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And also salivary glucose, is that high, which then allows us to do an A1C test, which we do in the hygiene room.
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What do we do with that information?
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We make the referral to their primary care physician.
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When was the last time you had your doctor?
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Oh, three years ago, yet I come here twice a year.
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So why don't we connect the dots of dentistry and medicine, inform our dental colleagues, work together?
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With sleep, we work very closely together.
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We really do.
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We work very closely together because we need to work with them on sleep tests.
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But in dentistry, we have such better answers than the medical profession, with all due respect, to a CPAP, which blows air down the nose, but is not a great answer only after some acute intervention.
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Because in dentistry, we are looking at structural obstructions, structural obstructions, upper airway resistance.
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So when the jaws are small and the tongue falls back, what does it do?
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It closes the airway.
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When the palatal tissue, we have a grading system called malopati.
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When that when you look at your tongue and you see that little uvula, like in the middle, right at your tongue level, that's healthy.
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Slightly below, that's still healthy.
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And now when you can't see it, when you're looking horizontally, malopody three and four, now you're prone to snoring, which means obstruction, which means you're not oxygenating the body, and you're not getting into deep reparative sleep.
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So sleep disorders are all about what?
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They're all about breathing.
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And so we talk about sleep disorders in a way that is breathing disordered sleep.
00:18:41.039 --> 00:18:48.559
With all due respect to my lovely medical profession, I was in medical school for two years, and you know, hey, my best friends are medical, are medical doctors.
00:18:48.720 --> 00:18:52.240
Um, they call it breathing disorder, they call it sleep disordered breathing.
00:18:52.319 --> 00:18:53.839
It's unfortunately backwards.
00:18:54.000 --> 00:18:55.920
It happens from airway and breathing.
00:18:56.079 --> 00:19:03.440
So when we work together, now the doctors know what we do, and now we know what they do, and who who benefits the patient.
00:19:03.759 --> 00:19:04.240
The patient.
00:19:04.319 --> 00:19:05.440
It's all about the patient.
00:19:05.599 --> 00:19:06.000
Yes.
00:19:06.240 --> 00:19:08.240
That is so fascinating to me.
00:19:08.319 --> 00:19:14.319
How you just broke that down and explained that, that landed for me because you're you're bridging that together.
00:19:14.400 --> 00:19:16.720
And yeah, the airway is absolutely everything.
00:19:16.880 --> 00:19:29.119
So I guess the question then is for someone who is working through their gut healing, maybe they're working through a detox right now, should what you explained, working on their oral health, should that be addressed early then?
00:19:29.279 --> 00:19:32.079
Or is this something that they would want to layer in later?
00:19:32.480 --> 00:19:36.559
Yeah, you want, look, you want to get upstream as quick as possible.
00:19:36.799 --> 00:19:37.039
Okay.
00:19:37.200 --> 00:19:42.319
So that means you want to get the understand the biology, microbiome testing, periodontal testing.
00:19:42.480 --> 00:19:43.680
Is there bleeding on probing?
00:19:43.839 --> 00:19:45.359
Is there any periodontal pocketing?
00:19:45.440 --> 00:19:46.559
Is there clinical attachment?
00:19:46.799 --> 00:19:48.640
You really want to know oral cancer exam.
00:19:48.720 --> 00:19:50.799
You want to know all these things on the biology.
00:19:50.960 --> 00:19:52.960
You also want to know are you breathing?
00:19:53.119 --> 00:20:00.160
Because if you're not nasal breathing, you're mouth breathing, you're drying out your mouth, you're you then all of a sudden you have all these oral health issues.
00:20:00.480 --> 00:20:03.440
Remember, the bad bacteria seed the gut.
00:20:03.599 --> 00:20:04.640
So here you are.
00:20:04.799 --> 00:20:14.480
You could be working on gut testing, you're you're offering up a whole regimen of therapeutics of probiotics, and here's all the things that you're doing, right?
00:20:14.559 --> 00:20:18.480
You you know how you do figure out the therapeutic side.
00:20:18.720 --> 00:20:44.319
Without the oral microbiome testing and a well-informed dentist, dental specialist, whatever categorical name you want to give the dentist that is understanding the importance of the bacteria of the mouth and building symbiosis versus this dysbiosis, where you have the pathogenic bacteria that are outnumbering the good guys, the commensals, you have to have knowledge of it.
00:20:44.640 --> 00:20:59.119
So the when we in the perfect world, my wish is that when you're working with a patient, you're working with the dental practice, and if they don't understand this stuff truly, you're able to explain it.
00:20:59.200 --> 00:21:04.799
And then they have to get after it and get the knowledge because they might be strong in other areas of dentistry.
00:21:04.960 --> 00:21:06.799
You know, dentistry, look, it's very complicated.
00:21:06.960 --> 00:21:10.559
And that's why I put 14 doctors under two offices.
00:21:10.720 --> 00:21:12.079
We all are different specialists.
00:21:12.160 --> 00:21:26.400
I'm Prostodontist, which is I'm an expert at this aesthetic structure, function, biology, but we have orthodontists, we have pterodontists, we have other prostodontists, we have technicians, we also have sleep dentists under the team.
00:21:26.559 --> 00:21:31.119
And I believe that because life's a team sport, so is so is healthcare.
00:21:31.279 --> 00:21:44.799
And just like medicine has it, it's institutionalized, dentistry has always been kind of this very siloed one dentist, one hygienist, one assistant for decades, but now it is starting to change.
00:21:45.039 --> 00:21:54.240
And so I would tell people listening look for dental practices that have the specialists and the restorative dentists all under one roof with the hygienists.
00:21:54.319 --> 00:21:56.000
So they're working as a team.
00:21:56.160 --> 00:21:59.759
Those are the best practices because you you create this powerful.
00:22:00.319 --> 00:22:02.559
Collaboration of communication.
00:22:02.799 --> 00:22:05.279
Next level is the dental medical integration.
00:22:05.359 --> 00:22:13.440
Is this dental specialty team and dental team working with the medical colleagues to share information for the benefit of the patient?
00:22:13.519 --> 00:22:20.480
And the dentist needs to be very technology driven to understand hey, I can do salivary diagnostics at the point of care.
00:22:20.640 --> 00:22:24.640
I can preheat and get that information to my physician colleague.
00:22:24.799 --> 00:22:35.519
I can do microbiome testing and I can get ahead of some of these chronic inflammatory diseases to make sure that there's no inflammation in the mouth and getting the patient healthy.
00:22:35.680 --> 00:22:42.640
So when you put that all together, you can see how powerful the collaboration can be for the benefit of the improved patient outcomes.
00:22:42.880 --> 00:22:43.200
Yeah.
00:22:43.359 --> 00:22:49.119
It's it's everybody is working in their zone of genius for that patient.
00:22:49.279 --> 00:22:50.079
That's what I hear.
00:22:50.240 --> 00:23:02.640
I mean, that is so fascinating to me that you the practice does that, that you have experts in all of these areas where they can touch on these specific things that are right for that person, depending on, you know, kind of what they're presenting with.
00:23:02.720 --> 00:23:11.119
So it's really that collaborative care that uh you guys have really set up, which I think is just the way that medicine needs to be today.
00:23:11.279 --> 00:23:17.599
Um, so kind of piggybacking off of that because autoimmune conditions, this is something that we see a lot around here.
00:23:17.759 --> 00:23:22.319
So Hashimoto's, rheumatoid arthritis, really any kind of autoimmune condition.
00:23:22.559 --> 00:23:28.480
What is the research showing based on what you've done about periodontal disease and autoimmunity specifically?
00:23:28.640 --> 00:23:29.599
Can you touch on that?
00:23:29.759 --> 00:23:39.839
Because I know the oral microbiome is part of that, but is that perpetuating this immune response even after someone has like cleaned up their diet, they've started to heal their gut?
00:23:40.000 --> 00:23:41.519
What does that kind of look like?
00:23:41.759 --> 00:23:44.000
Yeah, it's so such a great question.
00:23:44.240 --> 00:23:49.519
You know, look, many of these diseases, I have to say, all of these diseases, they're all multifactorial.
00:23:49.599 --> 00:23:50.880
It's not just one thing.
00:23:50.960 --> 00:23:51.119
Yeah.
00:23:51.279 --> 00:23:52.720
What's cardiovascular disease?
00:23:52.799 --> 00:23:54.640
It's a constellation of risk factors.
00:23:54.720 --> 00:24:01.519
And what happens with the medical profession saying, oh, periodional disease and cardiovascular disease, it doesn't, it's there's no causality.
00:24:01.680 --> 00:24:04.880
Well, of course there's no causality because five things are causing it.
00:24:05.039 --> 00:24:06.880
With all due respect, come on.
00:24:07.039 --> 00:24:09.039
It's part of the risk factors.
00:24:09.359 --> 00:24:10.880
So let me give you the facts.
00:24:11.039 --> 00:24:13.119
It's not a subjective conversation I just had.
00:24:13.279 --> 00:24:20.880
Twenty-one years ago, Moisey Devereaux proved in Colombia that as you decrease perinital disease, you decrease cardiovascular disease.
00:24:21.200 --> 00:24:25.119
PG is sitting in the endothelium of the carotid artery.
00:24:25.279 --> 00:24:25.599
Okay.
00:24:25.759 --> 00:24:26.880
So how did it get there?
00:24:26.960 --> 00:24:28.400
It's a bug that's in the mouth.
00:24:28.559 --> 00:24:30.960
How did it get in the artery and how's it causing inflammation?
00:24:31.279 --> 00:24:31.519
Great.
00:24:31.680 --> 00:24:32.640
21 years ago.
00:24:32.799 --> 00:24:35.359
Now fast forward, name a disease.
00:24:35.519 --> 00:24:38.720
So we could name anyone, we could name Alzheimer's.
00:24:38.880 --> 00:24:42.559
We could talk about how these ginger pains get through the blood-brain barrier.
00:24:42.640 --> 00:24:56.240
They now know how it happens, gets into the nerve, the, you know, the synaptic area, and they increase the amyloid plaque buildup, and they're finding the ginger pains in the amyloid plaque of Alzheimer's patients.
00:24:56.400 --> 00:24:56.880
Hello.
00:24:57.359 --> 00:24:58.880
On and on and on and on.
00:24:59.039 --> 00:25:04.720
So we're seeing what happens, and let's just talk about the joints and autoimmune for a second.
00:25:04.880 --> 00:25:14.319
Dana Orange, amazing researcher, uh rheumatologist at Rockefeller University, who's look it up, it's in Nature Magazine, uh, the latest one.
00:25:14.400 --> 00:25:26.079
Um it's a study she runs, and she found, and she was the first one, she's been presenting this all over the world for the last two years, that as you control periodontal disease, the rheumatoid factor goes down.
00:25:26.240 --> 00:25:43.039
And what she found is these these proteins, these signaling molecules that are happening from these bacteria that's initiating this antigen antibody response, as you control periodontal disease, rheumatoid goes down.
00:25:43.119 --> 00:25:45.359
And the joints can quiet, and vice versa.
00:25:45.599 --> 00:25:52.240
Periodontal disease is up, you're increasing your rheumatoid arthritis, and you're having this greater joint pain.
00:25:52.480 --> 00:25:55.200
So, what happens with autoimmune disease?
00:25:55.279 --> 00:25:56.160
Let's break it down.
00:25:56.400 --> 00:25:57.599
Let's talk about COVID.
00:25:57.759 --> 00:25:59.920
We all heard about comorbidity factors.
00:26:00.079 --> 00:26:00.960
Everybody heard that.
00:26:01.200 --> 00:26:04.079
Everybody heard about cytokine storms, we all heard that.
00:26:04.160 --> 00:26:04.720
What does it mean?
00:26:04.880 --> 00:26:10.640
Comorbidity factors is where you have this layering of inflammation, and what does the immune response do?
00:26:10.799 --> 00:26:12.319
We have two types of immunity.
00:26:12.640 --> 00:26:19.759
We have the immediate immunity that happens right away, and then we have cellular immunity that is more of a delayed response.
00:26:19.920 --> 00:26:20.240
Okay.
00:26:20.720 --> 00:26:29.519
As an antigen, a foreign body hits our body, you know, a splinter under the skin, uh, the first wave of a bacteria, what does our body do?
00:26:31.039 --> 00:26:31.519
Charge.
00:26:31.680 --> 00:26:35.359
We're putting in polymorpho nucleoleukocytes, macrophages.
00:26:35.440 --> 00:26:43.680
We have our initial B cells, we're forming some uh antibodies that are in the blood, but then all of a sudden we see those proteins on the outside of the bacteria.
00:26:43.759 --> 00:26:46.640
We say, all right, now I'm gonna get antibodies that are gonna be specific.
00:26:46.799 --> 00:26:48.240
Those happen through the T cells.
00:26:48.400 --> 00:26:51.759
All of a sudden, we're gonna form an antigen antibody complex, we're gonna attack it.
00:26:51.920 --> 00:27:04.400
Except you're gonna get attacked from something else because you have an underlying cardiovascular disease, you got immune uh inflammation happening in your arteries, and all of a sudden, comorbidity factors are laying on top of each other.
00:27:04.559 --> 00:27:10.880
Bam! Body has these signaling molecules called cytokines, the cytokines are attacking, they're all in the blood.
00:27:11.119 --> 00:27:12.000
What happens?
00:27:12.240 --> 00:27:15.359
The immune response, the cells get confused.
00:27:15.599 --> 00:27:17.599
It's called molecular mimicry.
00:27:17.759 --> 00:27:28.640
So, what happens is they look at the outside of the bugs, they're getting confused, and all of a sudden they can defend very well either against their own cells.
00:27:28.960 --> 00:27:31.599
And well, here's a great statistic.
00:27:31.839 --> 00:27:50.160
When you had periodontal disease, and let's say you got these ginger panes and endotoxins from the bacteria from the leaky gums, are now in the blood supply, and you had an underlying comorbidity factor of cardiovascular disease, you were 4.5 times more likely to end up on a ventilator over COVID.
00:27:50.720 --> 00:27:54.720
So here you responded to the virus, but you also had periodontal disease.
00:27:54.880 --> 00:27:58.240
And it was like that with any of these comorbidity factors.
00:27:58.400 --> 00:28:01.440
The people who really did just okay, they were fine.
00:28:01.519 --> 00:28:06.640
They were younger, their immune response is fresh, they didn't have any of the systemic inflammatory disease.
00:28:06.799 --> 00:28:11.680
Know this as we get older, our ability to respond, our immune response does what?
00:28:11.839 --> 00:28:12.960
It goes down.
00:28:13.200 --> 00:28:16.720
And and that's it, stem cell production goes down.
00:28:16.960 --> 00:28:37.359
And so we know that as we get older, we have to really take care of ourselves so that our immune response is strong and so that we don't allow inflammation in our body and we control our any hypertension or, you know, LDL, HDL issues, and and you know, formation of hot arteries, cardiovascular disease, number one killer in America, on and on and on.
00:28:37.519 --> 00:28:47.039
So the short answer, you know, the short answer to the question is we have to be as healthy as we we can as we think about longevity.
00:28:47.519 --> 00:28:52.319
We have to think about what are the factors that are driving our health, right?
00:28:52.799 --> 00:29:01.599
And those are the pillars of longevity, yeah, which means that's how we control inflammation of in our body because all of these diseases are inflammatory.
00:29:01.839 --> 00:29:10.160
The body's response that protects us, the flip side of that coin is it hurts us when it gets overwhelmed.
00:29:10.240 --> 00:29:10.480
Yes.
00:29:10.720 --> 00:29:14.079
And we we start literally can attack ourselves, right?
00:29:14.160 --> 00:29:16.559
We can call that an autoimmune type disease.
00:29:17.359 --> 00:29:18.559
So that's it.
00:29:18.720 --> 00:29:21.519
We think about nutrition, bam.
00:29:21.680 --> 00:29:24.480
We think about motion and fitness, bam.
00:29:24.720 --> 00:29:28.240
We think about the ability to get into deep reparative sleep.
00:29:28.480 --> 00:29:37.839
Three, we think about stress management, social connections, all the things from the blue zone, all that connectivity to all those wonderful centagenarians.
00:29:38.000 --> 00:29:40.799
And fifth, oral health.
00:29:41.119 --> 00:30:12.799
I say the fifth pillar is making sure that the leaky gums are an attack in the rest of our body, and we have tight, healthy tissues, pink, tight, and it's so easy when you really know what to do, and you're in a you have access to care, and you have a good team working with you, a good dental professional team, the oral physicians, aka the dentists, are helping you control that inflammation and having a state of health, you have such a better chance to have that longevity.
00:30:13.039 --> 00:30:13.920
Yeah, yeah.
00:30:14.160 --> 00:30:22.880
That foundation that you just talked about, I call it the terrain, our body's terrain, it builds resilience towards those things that you just mentioned.
00:30:23.039 --> 00:30:26.000
And uh it doesn't matter if we have an autoimmune condition.
00:30:26.160 --> 00:30:33.680
That's how we support it, is through building that our body up with those foundations, build up the terrain, and then we're not going to be as susceptible to those things.
00:30:33.839 --> 00:30:38.480
Yes, we might come in contact with them, but the whole point, that's what functional medicine is all about.
00:30:38.640 --> 00:30:39.519
It's preventative.
00:30:39.599 --> 00:30:41.359
It means that we are building up our terrain.
00:30:41.440 --> 00:30:49.200
We are supporting our body in a way through nutrition, through sleep, through the oral microbiome, through movement, through sometimes the simple things.
00:30:49.440 --> 00:30:54.160
I think sometimes we think that the most advanced things, the things that are hard, are actually the best for us.
00:30:54.400 --> 00:31:04.720
But a lot of times we're skipping these foundations that build up our body's susceptibility to, you know, get this autoimmune cascade that we're just seeing to explode right now.
00:31:04.880 --> 00:31:08.960
So yeah, you couldn't have said that any better, I think, to help us piece that together.
00:31:09.279 --> 00:31:10.799
So, so let's break this down now.
00:31:10.960 --> 00:31:15.119
If someone is listening to this, what would you say that they should just throw out?
00:31:15.279 --> 00:31:21.680
What in their, you know, dental routine, in their medicine cabinet, you know, when it comes to their oral routine, what should they throw out?
00:31:21.759 --> 00:31:23.119
What should they replace it with?
00:31:23.359 --> 00:31:31.119
Let's kind of switch gears to that because I want to make sure that we can also, you know, talk about some of those things that maybe we're completely unaware of.
00:31:31.440 --> 00:31:32.079
Yeah.
00:31:33.359 --> 00:31:37.039
It's really the practical approach to having an oral health game.
00:31:37.200 --> 00:31:38.799
So let's think of it like a tennis.
00:31:38.880 --> 00:31:40.880
You need, you know, you got to work on that backhand, right?
00:31:40.960 --> 00:31:43.680
You're working on your game or golf or whatever sport.
00:31:43.759 --> 00:31:46.319
I'm a cyclist, so you know, I'm always on a bike.
00:31:46.640 --> 00:31:51.599
But you have to have an understanding of what are those tools that I use?
00:31:51.920 --> 00:31:53.200
How long do I use them?
00:31:53.279 --> 00:31:55.039
And what's the order by which I use them?
00:31:55.200 --> 00:32:02.400
So we have, and I'd love you to put into your show notes, we have a whole regimen guide that we give to our patients at Smilehouse.
00:32:02.720 --> 00:32:09.039
And it really says, hey, if you can afford an electric brush, please electric brush.
00:32:09.200 --> 00:32:09.519
Why?
00:32:09.680 --> 00:32:15.599
It's five times more effective of cleaning the plaque off the front and back surfaces of the teeth.
00:32:15.680 --> 00:32:20.720
It's got a little timer, it tells you when 30 seconds is up, 30, 30, 30, 30.
00:32:20.799 --> 00:32:22.720
You're doing it for two minutes.
00:32:22.960 --> 00:32:24.240
It's just more effective.
00:32:24.559 --> 00:32:26.400
If you love a manual brush, go for it.
00:32:26.480 --> 00:32:30.960
But try to brush for the requisite time that anywhere from a minute and a half, two minutes.
00:32:31.119 --> 00:32:31.920
And it's not easy.
00:32:32.000 --> 00:32:33.440
So you got to be hopping on one leg.
00:32:33.519 --> 00:32:35.119
You know, I used to do a lot of uh Dr.
00:32:35.359 --> 00:32:37.279
Oz shows, they're oral health experts.
00:32:37.440 --> 00:32:45.680
And I used to, you know, remember it was really funny about, you know, we'd always like kid around about these things of like you gotta like entertain yourself, you brush your teeth for so long.
00:32:45.920 --> 00:32:48.079
But then the thing is you got to get between the teeth.
00:32:48.240 --> 00:32:51.200
And to get between the teeth, you got to use floss.
00:32:51.440 --> 00:32:55.039
And a lot of people manually aren't so good, so there's these floss picks.
00:32:55.200 --> 00:33:03.279
But what's really phenomenal are these 60 psi water flossers, and they go between and they really flush the bacteria.
00:33:03.359 --> 00:33:09.599
It's all about mechanical removal of the plaque that builds up, it builds up hour by hour by hour.
00:33:09.680 --> 00:33:13.759
Remember, 700 species and seven, eight billion bacteria in the mouth.
00:33:14.000 --> 00:33:16.480
So, you know, you gotta keep your mouth healthy.
00:33:16.640 --> 00:33:20.000
And remember, it's a balancing act of the good versus bad.
00:33:20.160 --> 00:33:24.400
So remember, you gotta not let the bad guys outnumber the good guys.
00:33:24.480 --> 00:33:32.079
And the reason they outnumber is when you don't clean, these bacteria build like a canopy of bugs underneath and under the gum.
00:33:32.160 --> 00:33:40.960
That's where the anaerobic, the bacteria that live without oxygen are the ones that are these gram-negative anaerobes that are the pathogens, the bad guys.
00:33:41.119 --> 00:33:41.279
P.
00:33:41.440 --> 00:33:47.200
ginger ballis, trypenema, captocytophica, concamitans, all these long crazy names.
00:33:47.279 --> 00:33:50.640
But at the end of the day, there's seven of them, and we can detect them.
00:33:50.799 --> 00:33:53.680
We detect them with our microbiome salivate testing.
00:33:53.759 --> 00:34:09.599
So back to the order of events electric brush, then uh water flosser, then I like either a floss pick or regular floss, then a tongue scraper, and I like I got a couple of my doctors, we you know, kind of have a little argument.
00:34:09.840 --> 00:34:13.199
A rinse is good as long as it doesn't have alcohol.
00:34:13.440 --> 00:34:16.719
We develop, we have a rinse that's very powerful.
00:34:16.880 --> 00:34:18.639
It's from a company called Twice.
00:34:19.199 --> 00:34:20.960
By the way, I'm completely biased.
00:34:21.119 --> 00:34:23.360
This is a company that my two sons started.
00:34:23.519 --> 00:34:35.840
It's a product that we built together, but it basically raises the pH to a nice neutral level and it oxygenates, and it doesn't have any antibiotics, any anything that's gonna alter the microbiome.
00:34:35.920 --> 00:34:41.599
In fact, it improves it and it's immunity rinse, and it's just amazing because you can take it on the go, also.
00:34:41.679 --> 00:34:49.440
But any of these rinses that don't have alcohol are very good at just freshening but getting to root causes.
00:34:49.519 --> 00:34:50.480
You want to oxygenate.
00:34:50.559 --> 00:34:56.480
At the end of the day, you want to oxygenate the mouth because remember, the bad guys live with without oxygen.
00:34:56.639 --> 00:35:00.400
You hit it with oxygen, you you're you're killing the bad guys.
00:35:00.639 --> 00:35:03.840
And we want to prop up the commensals, the good guys.
00:35:03.920 --> 00:35:04.719
So that's the order.
00:35:04.800 --> 00:35:14.480
So and don't forget tongue scraping, because on the tongue in the recesses, these gram-negative anaerobes, no oxygen down there between the little interpillae of the tongue.
00:35:14.639 --> 00:35:17.679
That's where bad breath, volusulfur compounds live.
00:35:17.760 --> 00:35:22.000
So tongue scraping, and then when you're scraping it, then you're gonna rinse it at the end.
00:35:22.159 --> 00:35:24.400
And that's that's the last two things that we do.
00:35:24.559 --> 00:35:27.440
So we have this regimen guide.
00:35:27.760 --> 00:35:30.800
You do this twice a day, you got gain.
00:35:30.960 --> 00:35:36.960
Your gum, your mouth is gonna be so healthy, your breath is gonna be fantastic, and you're just gonna feel good.
00:35:37.119 --> 00:35:47.920
And then it's being in a good dental office to make sure you're getting into deep preparative sleep, you don't have any airway obstruction, your nose is working, you're not breathing through your mouth, you know, there's all these other things.
00:35:48.079 --> 00:35:52.800
You're not clenching your teeth, you're not getting in pain in your jaw, TMJMPD problem.
00:35:52.960 --> 00:35:59.679
And so there's all these other things, you're getting to the problems early before they become these bigger issues.
00:36:00.000 --> 00:36:04.400
Because they can become bigger issues if you don't pay attention to them, as we know.
00:36:04.719 --> 00:36:05.760
Yeah, absolutely.
00:36:05.920 --> 00:36:07.920
And that is so doable, by the way.
00:36:08.079 --> 00:36:14.079
I have to say, I was so grateful that it was something that I feel like so many of us can actually implement.
00:36:14.159 --> 00:36:15.360
We can start that right away.
00:36:15.440 --> 00:36:25.760
We'll definitely link that guide because I think that probably has such practical, um, just you know, even a um, you know, framework for that, but also some of those actual products that you're mentioning.
00:36:25.840 --> 00:36:27.920
I think that'll be really great for us to see.
00:36:28.159 --> 00:36:30.880
I am a big fan too of tongue scraping.
00:36:30.960 --> 00:36:33.119
I've been doing that for really the longest time.
00:36:33.199 --> 00:36:34.880
And I always explain it this way.
00:36:35.039 --> 00:36:37.920
I think this, when you think about it, right, it's like, why wouldn't you do this?
00:36:38.079 --> 00:36:40.960
Because when you're sleeping, you're basically detoxing.
00:36:41.039 --> 00:36:43.519
We do the most of our detoxing while we sleep naturally.
00:36:43.599 --> 00:36:47.440
And so all of that bacteria just sits on your tongue after detoxing.
00:36:47.599 --> 00:36:50.159
And if you're not tongue scraping, you're what?
00:36:50.239 --> 00:36:52.719
You're drinking your cup of coffee or tea, you're gonna eat.
00:36:52.800 --> 00:37:03.199
And then all of that bacteria, all of those toxins that are sitting on inside of your oral microbiome on your tongue, they are just getting transported right back into your system.
00:37:03.280 --> 00:37:07.440
So you want to get that out before, you know, you kind of go about your routine.
00:37:07.599 --> 00:37:12.079
And I think when we think about it that way, once I learned that, I never went back.
00:37:12.239 --> 00:37:14.559
Tongue scraping was like that non-negotiable for me.
00:37:15.280 --> 00:37:15.760
Exactly.
00:37:16.239 --> 00:37:18.400
So I'm glad you brought that up into the routine.
00:37:18.559 --> 00:37:19.519
Um, so that's great.
00:37:19.599 --> 00:37:20.559
That is so practical.
00:37:20.639 --> 00:37:22.960
And I think uh I think we can all do that here.
00:37:23.199 --> 00:37:29.440
Now, if there are any moms listening in, what should they know about protecting their children's oral microbiome?
00:37:29.679 --> 00:37:31.920
Because I know that from the start, this is important.
00:37:32.000 --> 00:37:33.360
I actually have two little toddlers.
00:37:33.440 --> 00:37:35.119
I have a two-year-old, a four-year-old.
00:37:35.280 --> 00:37:43.599
Um, is there anything that you can share with me for maybe the parents who, you know, want to make sure that they're not disrupting this delicate oral microbiome?
00:37:44.719 --> 00:37:46.000
Okay, get ready.
00:37:46.159 --> 00:37:48.320
I'm gonna, I'm about to rock your world.
00:37:48.480 --> 00:37:49.119
This is latest.
00:37:49.519 --> 00:37:50.079
Let's go.
00:37:50.239 --> 00:37:50.719
Yep.
00:37:51.280 --> 00:37:55.760
But it's it's from studies done over the last 400 years.
00:37:56.000 --> 00:38:09.199
And what they did is they looked at the skulls of 400 years ago, and they saw that big maxillas, no need for wisdom tooth extraction, no need for orthodontics, right?
00:38:09.360 --> 00:38:19.920
This was Daniel Lieberskin who called the change over the 400 years disevolution, which is the reverse of what the normal genetic evolution would be.
00:38:20.000 --> 00:38:21.199
It's the opposite.
00:38:21.440 --> 00:38:27.840
Because today we need wisdom teeth extraction, we need expansion, we need orthodontics.
00:38:28.000 --> 00:38:29.440
So, what is going on?
00:38:29.920 --> 00:38:32.960
And people started taking a deep dive.
00:38:33.360 --> 00:38:44.800
And what they found out was two things because of processed food, because of processors, because of blenders, we feed our children very soft food.
00:38:45.280 --> 00:38:46.400
What does that do?
00:38:46.639 --> 00:38:57.440
It doesn't put the necessary force on the jaws to create expansion and the in the mouth, there's a premaxilla and a palatal suture line.
00:38:57.519 --> 00:39:02.239
So there's all these sutures between the bones loaded with stem cells.
00:39:02.480 --> 00:39:06.079
As you put pressure, it expands and comes forward.
00:39:06.400 --> 00:39:09.920
So the bone, the development of the bone, the mandible follows it.
00:39:10.400 --> 00:39:16.559
Said in the opposite way, if it's soft, you don't get that forward and widening expansion.
00:39:16.639 --> 00:39:19.280
If it's hard, you get that force.
00:39:20.079 --> 00:39:25.519
In addition to that, breastfeeding, and the studies breastfeeding versus bottle feeding, and this is a big deal.
00:39:25.760 --> 00:39:29.599
Bottle feeding will cause small jaws.
00:39:29.840 --> 00:39:30.960
What does that mean?
00:39:31.119 --> 00:39:47.199
You're not putting the necessary force of the tongue, which goes forward and back as it's drawing milk out from latching and suckling from breastfeeding versus a bottle feeding that it pours quickly.
00:39:47.360 --> 00:39:57.440
It's just a little bit of tension around the mouth, and you're not getting that tongue that's driving these jaw bones, these maxilla bones, wider and forward.
00:39:57.679 --> 00:39:58.719
Think about this.
00:39:58.960 --> 00:40:00.239
What does that mean?
00:40:00.480 --> 00:40:04.559
What it means is you're not getting that beautiful jaw development.
00:40:04.719 --> 00:40:14.559
And so orthodontics today, they're doing so much palatal expansion because of this modern soft diet, processing foods, softening.
00:40:14.880 --> 00:40:24.000
So once the moms know let's have harder food, let's at least breastfeed for at least the first six months.
00:40:24.159 --> 00:40:30.960
And there are studies that you can do a combination of breastfeeding and bottle feeding and end up in the same place six months.
00:40:31.039 --> 00:40:32.639
It's called a hybrid approach.
00:40:32.800 --> 00:40:34.239
So it's really interesting.
00:40:34.400 --> 00:40:40.239
And we only know this, this is very new research and science evidence that has come out about this.
00:40:40.400 --> 00:40:47.360
But what does happen also is you the moms have to be aware, you know, the dads, dads, they don't pay enough attention.
00:40:47.920 --> 00:40:49.360
I just got to go to the moms.
00:40:49.519 --> 00:40:57.199
But the mom, sorry guys, but the moms, they're they're watching the the newborn and the young the young infants.
00:40:57.599 --> 00:41:21.599
And so as as they are developing, and there's a rhinitis, and there's a stuff, and they're breathing through the mouth, the head tilts forward, and the jaw, form follows function because now the nose was designed for breathing, humidifies and moisturizes the air and produces this important nitric acid.
00:41:21.760 --> 00:41:24.239
The mouth is the top of the digestive tract.
00:41:24.480 --> 00:41:26.719
What happens when you ask the mouth to breathe?
00:41:26.880 --> 00:41:43.920
It becomes a narrow arch, V shape, vaulted in the middle, head moves forward, you get a postural problem, long narrow face instead of this big, wide, beautiful maxilla and big zygomas, and now the facial form has changed.
00:41:44.079 --> 00:41:46.559
It's called dolecephalic development.
00:41:47.199 --> 00:41:57.119
So when moms see mouth breathing, they gotta raise their hand, they gotta get make sure the nose works, do everything to straighten that out.
00:41:57.199 --> 00:42:07.840
And there's tremendous evidence today to show that mouth-breathing children who aren't sleeping well, who don't get into deep sleep, are the ADHD patients.
00:42:08.320 --> 00:42:10.480
And I don't want to be that controversial.
00:42:10.719 --> 00:42:25.280
God bless the pharmaceutical industry, but you know what they're doing with ADHD, and you know the drugs they're throwing at these kids, and a lot of times it's the underlying structural issues that happen from the function of mouth breathing versus nasal breathing.
00:42:25.679 --> 00:42:39.920
You think about that, and you can think about if the moms knew about this and they searched out the correct pediatric dentists and the great correct pediatricians working together collaboratively, they can solve this.
00:42:40.079 --> 00:42:47.519
Solve the rhinitis, get them nasal breathing, get them into deep sleep, and magically the ADHD is going to vaporize.
00:42:48.239 --> 00:42:48.880
Wow.
00:42:49.199 --> 00:42:50.719
I told you I'd give you an aha.
00:42:51.119 --> 00:42:51.840
That was an aha.
00:42:52.639 --> 00:42:54.320
Not one of that word is subjective.
00:42:54.400 --> 00:42:57.199
That is an objective, fact-based, evidence-based.
00:42:57.280 --> 00:42:58.960
I'm happy to share the studies with people.
00:42:59.199 --> 00:43:00.320
Yeah, yeah, absolutely.
00:43:00.559 --> 00:43:03.280
We'll definitely link the book that I have coming out in the fall.
00:43:03.840 --> 00:43:04.159
Yeah.
00:43:04.400 --> 00:43:07.119
Listen, moms, check your babies.
00:43:07.280 --> 00:43:24.960
Like, if that is not motivation to creep in their room tonight, see if they are mouth breathing, and then take those steps because that is that can change everything, you know, and it it starts when they're so young and it's going to give them the best foot forward later on in their health.
00:43:25.119 --> 00:43:26.239
It's so important.
00:43:26.639 --> 00:43:27.199
So important.
00:43:27.440 --> 00:43:27.840
So important.
00:43:27.920 --> 00:43:35.519
I've heard some research on that, and you just completely confirm that based on what you just shared, going back to even the roots of wisdom teeth.
00:43:35.679 --> 00:43:39.840
I mean, that to me is just it, it's yeah, it's something that we have to pay attention to.
00:43:39.920 --> 00:43:41.119
So thank you for sharing that one.
00:43:41.199 --> 00:43:44.880
That is a nugget that um I'm definitely taking from this as a mom.
00:43:45.039 --> 00:43:45.679
Absolutely.
00:43:45.920 --> 00:43:47.280
Well, this was so much fun.
00:43:47.519 --> 00:43:48.639
Can we end with?
00:43:48.719 --> 00:43:53.920
I like to share, I call it the myth or medicine, just a little bit of like a rapid fire questions.
00:43:54.079 --> 00:43:57.280
Uh, so these are some myths, things that people are kind of wondering about.
00:43:57.360 --> 00:43:59.760
And so I want to get your take on this because you are the expert.
00:44:00.320 --> 00:44:01.280
In this area.
00:44:02.079 --> 00:44:08.320
So my first one for you is oil pulling can replace brushing, myth, or medicine?
00:44:08.960 --> 00:44:09.760
Myth.
00:44:10.000 --> 00:44:11.920
I had a feeling you were going to say that.
00:44:12.719 --> 00:44:15.199
Not replace, but it can be adjunctive.
00:44:15.440 --> 00:44:15.679
Okay.
00:44:15.840 --> 00:44:16.480
Good to know.
00:44:16.880 --> 00:44:21.679
If you got 10, 15, 20 minutes, God bless you and make it adjunctive.
00:44:21.840 --> 00:44:25.840
Has no negative impact and some very good positive evidence, but not to replace.
00:44:26.159 --> 00:44:27.039
Not to replace.
00:44:27.199 --> 00:44:27.519
Okay.
00:44:27.679 --> 00:44:30.400
Makes so much sense, especially with what you share with us.
00:44:30.639 --> 00:44:32.079
Now, this one.
00:44:32.239 --> 00:44:35.519
Your dentist can detect autoimmune markers before your doctor.
00:44:35.679 --> 00:44:37.039
Myth or medicine.
00:44:38.079 --> 00:44:38.400
Oh.
00:44:40.800 --> 00:44:42.159
I stumped you on that one.
00:44:42.800 --> 00:44:43.199
I know.
00:44:43.280 --> 00:44:53.840
I I would say yes in the right dental office with the dental team working with the collaborative physician team.
00:44:54.320 --> 00:44:54.639
Yes.
00:44:54.800 --> 00:44:56.719
Using salivary diagnostics.
00:44:57.039 --> 00:44:57.360
Awesome.
00:44:57.599 --> 00:44:58.000
Today.
00:44:58.320 --> 00:44:58.639
Awesome.
00:44:58.800 --> 00:45:01.039
Because of that technology that you kind of walked us through.
00:45:01.280 --> 00:45:01.519
Yep.
00:45:01.840 --> 00:45:02.320
Correct.
00:45:02.639 --> 00:45:06.320
Now, oral probiotics after brushing can shift your microbiome.
00:45:06.559 --> 00:45:07.920
Myth or medicine?
00:45:08.719 --> 00:45:10.000
Oh, medicine.
00:45:10.480 --> 00:45:10.800
Yeah.
00:45:11.039 --> 00:45:11.360
Yeah.
00:45:11.679 --> 00:45:12.239
Yep.
00:45:13.039 --> 00:45:13.679
Last one.
00:45:13.840 --> 00:45:16.079
Charcoal toothpaste is better for your teeth.
00:45:16.239 --> 00:45:17.519
Myth or medicine?
00:45:18.000 --> 00:45:19.599
Oh, that's a that's a big myth.
00:45:19.679 --> 00:45:27.199
And you gotta be careful when you're looking at the abrasivity index that it's not scratching the tooth surface.
00:45:27.440 --> 00:45:27.760
Yeah.
00:45:28.559 --> 00:45:28.880
Yep.
00:45:28.960 --> 00:45:29.199
Yep.
00:45:29.360 --> 00:45:30.719
Be caution with that one.
00:45:30.880 --> 00:45:31.280
Absolutely.
00:45:32.719 --> 00:45:35.360
So now this was amazing.
00:45:35.519 --> 00:45:38.079
Thank you for sharing so much of your wisdom.
00:45:38.239 --> 00:45:40.320
This has seriously been so incredible.
00:45:40.639 --> 00:45:43.039
We are so thankful to have you part of the show.
00:45:43.199 --> 00:45:45.679
So thank you for sharing just all of your experience with us.
00:45:45.840 --> 00:45:52.000
I mean, seriously, there are so many clinical pearls and those nuggets that uh I just can't wait to take away from this.
00:45:52.239 --> 00:45:55.280
But uh, can you share where can our listeners find you?
00:45:55.440 --> 00:46:00.719
How can they connect with you, work with you, figure out about mouth mapping if that is something that they want to do?
00:46:00.880 --> 00:46:01.599
Get your book.
00:46:01.760 --> 00:46:03.519
How should they go about that?
00:46:03.920 --> 00:46:04.559
Yeah.
00:46:04.960 --> 00:46:10.559
So smilehouse.co will have sign up for the book.
00:46:10.719 --> 00:46:13.840
We'll have a lot of what we do with mouth mapping.
00:46:14.000 --> 00:46:17.599
Um, you could make an appointment if anybody's not too far.
00:46:17.760 --> 00:46:24.239
We're in Tribeca for the downtown office, 5th and 73rd on the Uptown Legacy Office.
00:46:24.400 --> 00:46:26.639
But um, you know, so come visit.
00:46:26.800 --> 00:46:27.599
Um, Dr.
00:46:27.840 --> 00:46:29.519
J-O-N Levine at Dr.
00:46:29.599 --> 00:46:32.880
J-O-N Levine is the Instagram, and Dr.
00:46:32.960 --> 00:46:33.599
Jonathan B.
00:46:33.679 --> 00:46:40.719
Levine, we have our YouTube channel where we have these wonderful podcasts like yours, Nikki.
00:46:41.119 --> 00:46:46.159
And um, you know, if you have a question, just you know, send it over to us.
00:46:46.320 --> 00:46:51.280
I'm happy to um, you know, help in any way, shape, or form.
00:46:51.679 --> 00:46:52.800
Thank you so much.
00:46:52.960 --> 00:46:54.960
We'll link all that too in the notes for you.
00:46:55.039 --> 00:46:56.480
We'll share that guide as well.
00:46:56.639 --> 00:46:59.679
Uh, I could just tell you care so much about people's health.
00:46:59.840 --> 00:47:01.119
You care about your patients.
00:47:01.199 --> 00:47:03.760
Um, and that just truly shine today in this conversation.
00:47:03.840 --> 00:47:05.440
So thank you so much for being here.
00:47:05.599 --> 00:47:07.199
Thank you for giving us your time.
00:47:07.519 --> 00:47:08.239
No, thank you.
00:47:08.400 --> 00:47:09.199
Thank you for having me.
00:47:09.280 --> 00:47:10.960
It's an absolute pleasure.
00:47:11.679 --> 00:47:15.039
Thanks so much for spending this time with me and hanging out until the end.
00:47:15.280 --> 00:47:22.719
I pray you're walking away with something practical that you can start doing right now to support your gut, energy, hormones, and overall vitality.
00:47:22.880 --> 00:47:28.960
You'll find everything mentioned today linked in the show notes, along with our resources and articles to support you even more.
00:47:29.199 --> 00:47:37.920
If you love today's conversation, be sure to share it with a friend who needs to hear this and leave a raving review so we know this podcast is helping you.
00:47:38.079 --> 00:47:38.480
And if
00:00:00.000 --> 00:00:06.959
There is a chance that for most of your life, your mouth and the rest of your body has been treated like two separate departments.
00:00:07.120 --> 00:00:10.800
Your dentist checks for cavities and then your doctor checks everything else.
00:00:10.960 --> 00:00:12.640
And no one is connecting the two.
00:00:12.800 --> 00:00:15.519
But your mouth is the top of your digestive track.
00:00:15.679 --> 00:00:22.239
And the research now ties what happens there to inflammation in your gut, your joints, your heart, even your brain.
00:00:22.480 --> 00:00:25.280
Every system in your body is connected.
00:00:25.519 --> 00:00:27.039
It was designed that way.
00:00:27.199 --> 00:00:31.280
And that's why I'm sitting down with one of the country's leading oral microbiome experts, Dr.
00:00:31.359 --> 00:00:32.479
Jonathan Levine.
00:00:32.640 --> 00:00:37.119
He is about to connect a dot that most women, most practitioners, have never looked.
00:00:37.520 --> 00:00:47.359
So if you've never heard of leaky gut, leaky gums, or if you've ever wondered how your gut is connected to your mouth and really your whole body, you are going to love this conversation today.
00:00:48.560 --> 00:00:51.039
Hey guys, welcome to the abounding life show.
00:00:51.119 --> 00:00:56.320
I'm Nikki Yeltsin, a board certified functional medicine practitioner and registered dietitian nutritionist.
00:00:56.399 --> 00:00:59.439
I'm also a wife, homeschooling mom, and your host.
00:00:59.600 --> 00:01:08.319
This podcast is for women who feel called to steward their health well and who are ready to restore their gut, achieve boundless energy, and feel clear and confident in their health again.
00:01:08.480 --> 00:01:13.519
Here, we trade complex symptoms with evidence-based nutrition and real root-cause healing.
00:01:13.680 --> 00:01:20.079
If you're ready to show up fully in your life with energy and vitality for your people and your purpose, you are in the right place.
00:01:20.239 --> 00:01:21.920
I am so glad you're here today.
00:01:22.079 --> 00:01:23.200
Let's dive in.
00:01:25.120 --> 00:01:34.319
All right, so if you have been here for any length of time, you know that we talk about the microbiome, the gut microbiome, in almost every single episode here.
00:01:34.480 --> 00:01:43.359
How the gut connects to our brain, how the gut connects to our hormones, and we also talk about how the gut is connected to our mouth via the oral microbiome.
00:01:43.840 --> 00:01:53.280
And you are in for an absolute treat today because I have the best of the best, literally the best expert when it comes to the oral microbiome, Dr.
00:01:53.439 --> 00:01:53.920
Levine.
00:01:54.159 --> 00:01:55.439
So excited to introduce you.
00:01:55.519 --> 00:01:57.599
So let me share a little bit about him.
00:01:57.680 --> 00:02:08.159
If you have not heard about him, he is an advanced restorative dentist and oral health innovator with over 35 years of clinical experience and has 29 patents.
00:02:08.319 --> 00:02:13.759
He's the founder of Smile House in New York City, which is a first of its kind dental longevity practice.
00:02:13.840 --> 00:02:18.080
And he's also the creator of something called mouth mapping, which we're going to talk about here.
00:02:18.319 --> 00:02:24.800
It is a diagnostic system that connects what's happening in your mouth to what's also happening in the rest of your body.
00:02:24.960 --> 00:02:34.719
He's also got a brand new book coming out called Oral that makes the case that the oral microbiome might just be the most overlooked microbiome in health and wellness.
00:02:34.960 --> 00:02:35.280
Dr.
00:02:35.439 --> 00:02:37.039
Levine, welcome.
00:02:37.439 --> 00:02:38.479
Thank you, Nikki.
00:02:38.560 --> 00:02:39.599
Thanks for having me.
00:02:39.919 --> 00:02:46.000
It is so awesome to have you here because, you know, we talk about this conversation so much.
00:02:46.159 --> 00:02:53.199
This is really right at the intersection of everything that we talk about here: gut health, inflammation, root cause healing.
00:02:53.439 --> 00:03:02.080
And I'm just so excited that we can kind of bridge this and really um just talk about this connection that I think is really missing for a lot of people.
00:03:03.520 --> 00:03:05.439
There is a big connection.
00:03:05.680 --> 00:03:06.400
There really is.
00:03:06.560 --> 00:03:10.879
And when we unpack it and dive into it, I think we'll get a couple of aha moments for people.
00:03:11.199 --> 00:03:12.000
That's the goal here.
00:03:12.159 --> 00:03:13.360
We want aha moments.
00:03:13.439 --> 00:03:16.400
And I trust, I know actually that we are gonna have those.
00:03:16.560 --> 00:03:18.319
So let's just get right into it.
00:03:18.560 --> 00:03:23.680
You know, most of the women right now in our audience, they have done a lot of testing.
00:03:23.840 --> 00:03:27.680
Uh, they've maybe they've done stool testing, food sensitivity panels.
00:03:27.840 --> 00:03:36.319
They're actively working on their gut health, but a lot of them haven't actually considered their oral microbiome, what this might mean for them.
00:03:36.560 --> 00:03:41.280
And so, what would you say to that woman, maybe who is doing a lot of the right things?
00:03:41.439 --> 00:03:47.360
She's doing a lot for her gut, but she hasn't really considered her mouth as part of the big picture.
00:03:47.680 --> 00:03:48.319
Yeah.
00:03:49.120 --> 00:03:54.719
First, you know, the most important thing is to really educate oneself.
00:03:54.960 --> 00:03:56.719
What is the latest science?
00:03:56.879 --> 00:03:59.120
What is this latest research saying?
00:03:59.280 --> 00:04:06.719
So much has happened in the world of healthcare and in research and science in the last 10 years.
00:04:06.879 --> 00:04:13.599
What we know from the even the last five years has changed the healthcare practices.
00:04:13.840 --> 00:04:29.120
If you look at medicine, we look at integrated medicine, we look at people like an Andrew Huberman and uh and a Mark Hyman, who's you know the OG on uh you know integrated type medicine thinking, um Peter Tia.
00:04:29.439 --> 00:04:36.639
When we look at this, these connectivities, which is a lot of newness, the same thing is happening in dentistry.
00:04:36.959 --> 00:04:40.399
So I'm part of a group that says, let's put the mouth back in the body.
00:04:40.800 --> 00:04:42.959
The mouth is the top of the digestive tract.
00:04:43.199 --> 00:04:54.959
We have 11 systems, digestive tract being one of us, one of them the nervous system, cardiovascular system, you know, all of these systems, uh immune system, all these systems, and these systems are very interesting.
00:04:55.199 --> 00:04:59.199
When one goes down, it impacts everything else, right?
00:04:59.519 --> 00:05:20.720
So when the mouth is chronically inflamed, when the bacteria, dysbiosis, when the bacterial homeostatic balance, just like in the gut, when it gets thrown off because of antibiotics, because of the type of foods we eat, because of a lot of things that cause inflammation.
00:05:20.959 --> 00:05:22.800
Well, the same thing is in the mouth.
00:05:22.959 --> 00:05:24.480
So, what causes inflammation?
00:05:24.639 --> 00:05:26.079
In the mouth is very unique.
00:05:26.319 --> 00:05:32.639
We can care for our mouth in a way that we can keep the bacterial balance healthy.
00:05:32.879 --> 00:05:40.879
So there's a genetic predisposition, but as we all know, there's an epigenetic and environmental impact of what are we putting our body under?
00:05:41.120 --> 00:05:56.079
So, for someone who's thinking about the gut, the gut brain axis, the connectivity of what happens when the gut is leaking, when the interstitial cells are open and the toxic contents are getting into the rest of the body.
00:05:56.240 --> 00:05:57.360
Well, guess what?
00:05:57.600 --> 00:06:00.240
Leaky gut, leaky gums.
00:06:00.399 --> 00:06:11.839
And those leaky gums mean that cuff of tissue that is pink tight in health, when now it's it's inflamed, swollen, and that epithelium thins.
00:06:12.000 --> 00:06:13.600
Guess what happens when it thins?
00:06:13.839 --> 00:06:15.199
It becomes permeable.
00:06:15.759 --> 00:06:17.519
Guess what happens when it gets permeable?
00:06:17.680 --> 00:06:26.800
These bacterial breakdown byproducts, ginger pains, endotoxins works its way into the different bodies' organs.
00:06:27.120 --> 00:06:37.680
So in the amyloid plaque, ginger pains makes its way through the blood-brain barrier and impacts greater inflammation for the Alzheimer's patients.
00:06:37.920 --> 00:06:43.680
Twenty years ago, Moisey-Devereaux group figured out that you can find P.
00:06:43.839 --> 00:06:47.120
ginger valus, the big pathogenic bacteria.
00:06:47.279 --> 00:06:48.240
There's seven of them.
00:06:48.319 --> 00:06:50.319
It's a red complex bacteria.
00:06:50.560 --> 00:06:57.920
It's uh one of those seven that really find its way in a lot of these distant areas, causing havoc, causing trouble.
00:06:58.000 --> 00:07:04.879
Well, what was it doing in the carotid artery of cardiovascular patients, making a thickening of that intermedia media?
00:07:04.959 --> 00:07:11.279
And what happens when these endothelial cells are inflamed, swollen, what happens?
00:07:11.360 --> 00:07:23.120
There's an atheroma because the body has immune response, and all of a sudden that vessel starts to get closed, and now we're dealing with hot arteries, inflammation, and cardiovascular disease.
00:07:23.360 --> 00:07:24.879
I can go on and on, but guess what?
00:07:25.040 --> 00:07:37.839
57 chronic inflammatory diseases of the body is tied to inflammation in the mouth, dysbiosis versus this healthy symbiosis, and now we're out of whack, and now we got trouble.
00:07:38.800 --> 00:07:41.360
The interesting thing is there's so much we can do about it.
00:07:41.600 --> 00:07:42.240
Yeah.
00:07:42.639 --> 00:07:43.120
Yeah.
00:07:43.360 --> 00:07:43.759
Wow.
00:07:43.920 --> 00:07:46.800
Like my mind is like literally, I'm sitting here.
00:07:47.120 --> 00:07:48.399
That just hit home.
00:07:48.560 --> 00:07:52.480
That hit home for me because we talk so much about leaky gut, right?
00:07:52.560 --> 00:07:55.920
And I love how you explained it because it's kind of how I like to explain it too.
00:07:56.000 --> 00:07:58.000
We think of a gate being open, right?
00:07:58.079 --> 00:08:03.519
And it just allows these bacteria, these pathogens to basically seep right through the cracks of the gut.
00:08:03.680 --> 00:08:04.319
And what happens?
00:08:04.399 --> 00:08:08.639
They get stuck in the bloodstream, which is this systemic inflammatory response.
00:08:08.800 --> 00:08:11.199
And I never heard of leaky gums before.
00:08:11.360 --> 00:08:22.079
And now that really pieced so much together for me because that process, that's exactly what you just described, it's basically happening, starting in our mouth and then systemically affecting our entire body.
00:08:22.160 --> 00:08:23.839
And you see the research behind that.
00:08:23.920 --> 00:08:29.600
And obviously, you've worked probably with so many people who you've also seen this as well in practice.
00:08:30.000 --> 00:08:30.399
Yeah.
00:08:30.879 --> 00:08:32.480
Let me give you one more fact.
00:08:32.639 --> 00:09:00.639
Now that I got you on the aha moment, not only do the ginger pains and the endotoxins get through the superhighway of the body, the cardiovascular system, but now we know, and we only know this for the last four years, that one out of three bacteria work its way to the gut through the digestive system, because we always thought the acids of the stomach, which is at a pH of like 2.2, 2.3, would kill the bacteria.
00:09:00.720 --> 00:09:06.960
But sure enough, through DNA analysis, we're finding through the digestive tract P.
00:09:07.200 --> 00:09:16.080
gingivalis in leaky gut, and it's working, and these bacteria are working its way into through the digestive tract, about one out of three.
00:09:16.399 --> 00:09:17.360
Well, just think about it.
00:09:17.440 --> 00:09:23.679
We swallow 1.5 billion bacteria a day, 700 species of bacteria in the mouth.
00:09:23.919 --> 00:09:26.799
Second biggest microbiome of the body is the mouth.
00:09:27.039 --> 00:09:32.080
7 billion bacteria, and just so you understand, gut, gut is about right, 7 trillion.
00:09:32.240 --> 00:09:34.000
So, but it's number two in the body.
00:09:34.159 --> 00:09:38.639
And the mouth actually has seven little separate microbiomes, depending on where in the mouth.
00:09:38.799 --> 00:09:38.879
Okay.
00:09:39.039 --> 00:09:44.320
So as you think about this, you say, oh my God, you mean the health of the mouth is more than just getting a cavity?
00:09:44.799 --> 00:09:48.399
And you mean a dentist is just maybe more than fixing a tooth?
00:09:48.559 --> 00:09:52.879
Yeah, and that's why I like to say, and I'm a you know, I'm a bit of a troublemaker in my profession.
00:09:52.960 --> 00:09:55.840
I like to like, come on, let's wake up, folks.
00:09:56.159 --> 00:10:02.320
It's the it's the day to stop thinking the old conventional way and let's use today's new science to move forward.
00:10:02.960 --> 00:10:04.639
Dentists are oral physicians.
00:10:04.799 --> 00:10:08.320
We're not dentistry, you know, I've seen little shopaharas enough.
00:10:08.399 --> 00:10:10.240
It's enough with little shopaharas.
00:10:10.799 --> 00:10:19.919
Let's think of us as a holistic, integrative whole of the healthcare professionals, medical and dental, working together.
00:10:20.080 --> 00:10:34.000
And I believe that we can get more upstream, more wellness away from the sickness model and get to these chronic inflammatory diseases earlier because people go to the dentist more than they go to their primary care physician.
00:10:34.159 --> 00:10:48.240
And today, through salivary diagnostics, the new blood diagnostics, we can detect many of these biomarkers and these early signs and signal molecules that are causing a lot of these chronic inflammatory diseases.
00:10:48.559 --> 00:10:48.879
Wow.
00:10:49.039 --> 00:10:53.120
Yeah, I love how modern technology can help like bridge a lot of these gaps.
00:10:53.200 --> 00:11:01.679
And I think it's so important for us, it's just a reminder for us to not forget that every system in our body is connected.
00:11:01.919 --> 00:11:05.519
We think of them as separate, but they are directly interconnected.
00:11:05.679 --> 00:11:09.519
When one thing is off, that doesn't just mean that that one area needs to be focused on.
00:11:09.679 --> 00:11:13.279
That's why something like that can connect to the bigger picture.
00:11:13.360 --> 00:11:16.720
And so I love how you said, you know, we need to bridge these things together.
00:11:16.879 --> 00:11:18.799
We need to work together collectively.
00:11:18.960 --> 00:11:23.279
Um, I think that is like the next era of healing, for sure.
00:11:23.440 --> 00:11:25.759
Um, so I love that you're kind of on the forefront of that.
00:11:25.919 --> 00:11:29.679
And you're a little bit of like a black sheep as far as like a dentist is concerned.
00:11:29.759 --> 00:11:35.120
And I feel like that too in my practice because, you know, we're kind of going against the grain in a way.
00:11:35.279 --> 00:11:39.120
Uh, you know, but I think that um that's a good thing.
00:11:39.360 --> 00:11:47.440
It's a good thing because what's happening now are people are more sick than ever and they're not realizing how important these things are.
00:11:47.519 --> 00:11:50.720
And that's what I love about just taking more of a functional approach.
00:11:51.039 --> 00:11:51.679
Yes.
00:11:52.000 --> 00:11:52.639
Agree.
00:11:53.279 --> 00:11:53.840
Yeah.
00:11:54.159 --> 00:11:57.120
So one thing I also wanted to kind of touch on a little bit.
00:11:57.200 --> 00:11:59.120
So in my practice, so I run labs.
00:11:59.200 --> 00:12:04.240
So I'm not sure if you're familiar with the GI map, um, but like a comprehensive stool analysis.
00:12:04.399 --> 00:12:06.559
We look at things like inflammatory markers.
00:12:06.720 --> 00:12:10.000
So you're doing something kind of similar to this on the oral side.
00:12:10.080 --> 00:12:14.720
You just talked about the salivary diagnostics with some something called the mouth mapping.
00:12:15.120 --> 00:12:18.240
How are these two worlds kind of interconnected?
00:12:18.480 --> 00:12:19.840
What does that care look like?
00:12:20.000 --> 00:12:22.000
Can you share a little bit more about the mouth mapping?
00:12:22.080 --> 00:12:23.120
Because this is kind of new to me.
00:12:23.200 --> 00:12:25.200
I read about it, but I want to know more.
00:12:25.600 --> 00:12:27.600
Yeah, I love what you do.
00:12:27.679 --> 00:12:33.279
You know, I'm I'm I'm such a you know big believer of that area of healthcare and medicine.
00:12:33.600 --> 00:12:44.559
So, similarly, you know, the traditional conventional approach, you know, for diagnostics has been a full series of x-rays in a good dental office.
00:12:44.639 --> 00:12:46.639
It's a full periodontal probing.
00:12:46.879 --> 00:12:49.360
It's looking how the jaws come together.
00:12:49.519 --> 00:12:58.480
And a very interesting thing has happened is our technology has built tremendous awareness of we see things that we've never seen before.
00:12:58.720 --> 00:13:03.039
So, what I mean by that is we now use CT scans as a standard of care.
00:13:03.120 --> 00:13:06.559
So CBCTs will tell us top of the nose to airway.
00:13:06.960 --> 00:13:27.120
So now we're diagnosed and we can see and make a referral, nasal obstructions, get it to the ENT because if you're mouth breathing and you're not nasal breathing, what the nose is designed to do to filter and to humidify the air, but also to raise nitric oxide, which vasodilates and keeps blood pressure low and lets the cells get oxygenated.
00:13:27.279 --> 00:13:46.559
If you're mouth breathing, you decrease the saliva, and now the saliva buffering effect and all of this healthy calcium and phosphorus in the saliva is now way decreased, and now you're having oral health issues, both with decay demineralization, and also with bacteria that cause inflammation.
00:13:46.799 --> 00:13:47.120
Okay.
00:13:47.679 --> 00:14:01.360
So when you when you start putting all of the pieces of the puzzle together, you know, you start realizing that this mouth mapping has this opportunity if you take a deeper dive using the new technology.
00:14:01.519 --> 00:14:07.840
So what we do is we broke it down into four domains aesthetics, structure, function, and biology.
00:14:08.000 --> 00:14:25.600
Now, this concept of not only looking, let's say, at X-rays, which is some of the biology of the perio, but the and then you had a big wave in the 90s and now to do aesthetics, but you can't do aesthetics without a great, great fundamentals, great health.
00:14:25.759 --> 00:14:28.000
That's with structure, function, and biology.
00:14:28.080 --> 00:14:33.200
And what happens is all of that structure, function, and biology stuff, in other words, can you breathe?
00:14:33.360 --> 00:14:34.480
Is there a good airway?
00:14:34.639 --> 00:14:36.799
Are you getting into deep reparative sleep?
00:14:37.200 --> 00:14:37.600
All right.
00:14:37.759 --> 00:14:49.279
Is there a structural block like the nose, small jaw, tongue falling back, small circumference, um, obesity where you're just not getting air into your system?
00:14:49.360 --> 00:14:53.759
So you're waking up multiple times, which is called obstructive sleep apnea.
00:14:53.919 --> 00:14:57.600
Snoring is an early sign of obstructive sleep apnea.
00:14:57.759 --> 00:15:06.080
People with obstructive sleep apnea and snoring are going to have high blood pressure and can't fight these oxidative stresses that cause cancer.
00:15:06.320 --> 00:15:11.519
Okay, so we take this deep dive, except we're using the new technology.
00:15:11.679 --> 00:15:16.559
So scanners be able to look at how the jaws come together with computers.
00:15:16.799 --> 00:15:18.399
What's the contact like?
00:15:18.639 --> 00:15:20.960
Are there malocclusion and crossbites?
00:15:21.039 --> 00:15:22.320
What's the joint look like?
00:15:22.480 --> 00:15:29.919
And the CT scans is allowing us to diagnose all the structure, or you know, the joint, the condyle, is it placed properly?
00:15:30.240 --> 00:15:37.840
People who might have connective tissue type diseases like an alos, danlose, or maybe a rheumatoid arthritis.
00:15:37.919 --> 00:15:39.759
We see things in the joint.
00:15:39.919 --> 00:15:43.039
If you don't see it, how can you diagnose and treat it?
00:15:43.120 --> 00:15:43.360
Right?
00:15:43.519 --> 00:15:45.440
So now we're seeing these things.
00:15:45.679 --> 00:15:50.559
Mouth mapping takes these four domains aesthetic, structure, function, and biology.
00:15:50.639 --> 00:16:03.519
And what we've been able to use also using data aggregation software that we've developed through AI, we can give a score to a patient of their health that impacts their overall health.
00:16:03.759 --> 00:16:08.240
So we couple that with our salivary diagnostics and microbiome testing.
00:16:08.480 --> 00:16:21.279
We look, we I work very closely with a company I uh advise and involve with called Bristle Health, and they know exactly 200 different species of bacteria, shotgun metagenomics.
00:16:21.440 --> 00:16:28.720
We can see what bacteria, which ones of those pathogens are high, how that impacts maybe the GI system.
00:16:28.879 --> 00:16:35.279
How does it impact potentially the cardiovascular highway of the sit of the body system?
00:16:35.600 --> 00:16:40.720
And we can really help forecast potential systemic inflammatory diseases.
00:16:40.960 --> 00:16:44.559
Another company, Oral Genome, tests these three biomarkers.
00:16:44.720 --> 00:16:44.879
P.
00:16:45.039 --> 00:16:51.200
ginger valis, we can see at point of care, 20 minutes, you're in the hygiene room, you spit in a little tube.
00:16:51.279 --> 00:16:53.759
20 minutes later, I have these three biomarkers.
00:16:54.000 --> 00:17:04.079
PG, MMP8, which is metalloproteanase, which is an inflammatory marker when you have periodontal disease and inflammation in your body.
00:17:04.240 --> 00:17:11.920
And also salivary glucose, is that high, which then allows us to do an A1C test, which we do in the hygiene room.
00:17:12.160 --> 00:17:13.599
What do we do with that information?
00:17:13.759 --> 00:17:16.319
We make the referral to their primary care physician.
00:17:16.480 --> 00:17:18.799
When was the last time you had your doctor?
00:17:18.960 --> 00:17:22.240
Oh, three years ago, yet I come here twice a year.
00:17:22.400 --> 00:17:28.319
So why don't we connect the dots of dentistry and medicine, inform our dental colleagues, work together?
00:17:28.720 --> 00:17:30.880
With sleep, we work very closely together.
00:17:31.039 --> 00:17:31.599
We really do.
00:17:31.680 --> 00:17:36.160
We work very closely together because we need to work with them on sleep tests.
00:17:36.240 --> 00:17:49.119
But in dentistry, we have such better answers than the medical profession, with all due respect, to a CPAP, which blows air down the nose, but is not a great answer only after some acute intervention.
00:17:49.279 --> 00:17:56.160
Because in dentistry, we are looking at structural obstructions, structural obstructions, upper airway resistance.
00:17:56.319 --> 00:18:00.640
So when the jaws are small and the tongue falls back, what does it do?
00:18:00.799 --> 00:18:02.160
It closes the airway.
00:18:02.319 --> 00:18:06.400
When the palatal tissue, we have a grading system called malopati.
00:18:06.720 --> 00:18:12.720
When that when you look at your tongue and you see that little uvula, like in the middle, right at your tongue level, that's healthy.
00:18:12.880 --> 00:18:15.359
Slightly below, that's still healthy.
00:18:15.440 --> 00:18:29.279
And now when you can't see it, when you're looking horizontally, malopody three and four, now you're prone to snoring, which means obstruction, which means you're not oxygenating the body, and you're not getting into deep reparative sleep.
00:18:29.599 --> 00:18:32.559
So sleep disorders are all about what?
00:18:32.720 --> 00:18:34.319
They're all about breathing.
00:18:34.559 --> 00:18:40.640
And so we talk about sleep disorders in a way that is breathing disordered sleep.
00:18:41.039 --> 00:18:48.559
With all due respect to my lovely medical profession, I was in medical school for two years, and you know, hey, my best friends are medical, are medical doctors.
00:18:48.720 --> 00:18:52.240
Um, they call it breathing disorder, they call it sleep disordered breathing.
00:18:52.319 --> 00:18:53.839
It's unfortunately backwards.
00:18:54.000 --> 00:18:55.920
It happens from airway and breathing.
00:18:56.079 --> 00:19:03.440
So when we work together, now the doctors know what we do, and now we know what they do, and who who benefits the patient.
00:19:03.759 --> 00:19:04.240
The patient.
00:19:04.319 --> 00:19:05.440
It's all about the patient.
00:19:05.599 --> 00:19:06.000
Yes.
00:19:06.240 --> 00:19:08.240
That is so fascinating to me.
00:19:08.319 --> 00:19:14.319
How you just broke that down and explained that, that landed for me because you're you're bridging that together.
00:19:14.400 --> 00:19:16.720
And yeah, the airway is absolutely everything.
00:19:16.880 --> 00:19:29.119
So I guess the question then is for someone who is working through their gut healing, maybe they're working through a detox right now, should what you explained, working on their oral health, should that be addressed early then?
00:19:29.279 --> 00:19:32.079
Or is this something that they would want to layer in later?
00:19:32.480 --> 00:19:36.559
Yeah, you want, look, you want to get upstream as quick as possible.
00:19:36.799 --> 00:19:37.039
Okay.
00:19:37.200 --> 00:19:42.319
So that means you want to get the understand the biology, microbiome testing, periodontal testing.
00:19:42.480 --> 00:19:43.680
Is there bleeding on probing?
00:19:43.839 --> 00:19:45.359
Is there any periodontal pocketing?
00:19:45.440 --> 00:19:46.559
Is there clinical attachment?
00:19:46.799 --> 00:19:48.640
You really want to know oral cancer exam.
00:19:48.720 --> 00:19:50.799
You want to know all these things on the biology.
00:19:50.960 --> 00:19:52.960
You also want to know are you breathing?
00:19:53.119 --> 00:20:00.160
Because if you're not nasal breathing, you're mouth breathing, you're drying out your mouth, you're you then all of a sudden you have all these oral health issues.
00:20:00.480 --> 00:20:03.440
Remember, the bad bacteria seed the gut.
00:20:03.599 --> 00:20:04.640
So here you are.
00:20:04.799 --> 00:20:14.480
You could be working on gut testing, you're you're offering up a whole regimen of therapeutics of probiotics, and here's all the things that you're doing, right?
00:20:14.559 --> 00:20:18.480
You you know how you do figure out the therapeutic side.
00:20:18.720 --> 00:20:44.319
Without the oral microbiome testing and a well-informed dentist, dental specialist, whatever categorical name you want to give the dentist that is understanding the importance of the bacteria of the mouth and building symbiosis versus this dysbiosis, where you have the pathogenic bacteria that are outnumbering the good guys, the commensals, you have to have knowledge of it.
00:20:44.640 --> 00:20:59.119
So the when we in the perfect world, my wish is that when you're working with a patient, you're working with the dental practice, and if they don't understand this stuff truly, you're able to explain it.
00:20:59.200 --> 00:21:04.799
And then they have to get after it and get the knowledge because they might be strong in other areas of dentistry.
00:21:04.960 --> 00:21:06.799
You know, dentistry, look, it's very complicated.
00:21:06.960 --> 00:21:10.559
And that's why I put 14 doctors under two offices.
00:21:10.720 --> 00:21:12.079
We all are different specialists.
00:21:12.160 --> 00:21:26.400
I'm Prostodontist, which is I'm an expert at this aesthetic structure, function, biology, but we have orthodontists, we have pterodontists, we have other prostodontists, we have technicians, we also have sleep dentists under the team.
00:21:26.559 --> 00:21:31.119
And I believe that because life's a team sport, so is so is healthcare.
00:21:31.279 --> 00:21:44.799
And just like medicine has it, it's institutionalized, dentistry has always been kind of this very siloed one dentist, one hygienist, one assistant for decades, but now it is starting to change.
00:21:45.039 --> 00:21:54.240
And so I would tell people listening look for dental practices that have the specialists and the restorative dentists all under one roof with the hygienists.
00:21:54.319 --> 00:21:56.000
So they're working as a team.
00:21:56.160 --> 00:21:59.759
Those are the best practices because you you create this powerful.
00:22:00.319 --> 00:22:02.559
Collaboration of communication.
00:22:02.799 --> 00:22:05.279
Next level is the dental medical integration.
00:22:05.359 --> 00:22:13.440
Is this dental specialty team and dental team working with the medical colleagues to share information for the benefit of the patient?
00:22:13.519 --> 00:22:20.480
And the dentist needs to be very technology driven to understand hey, I can do salivary diagnostics at the point of care.
00:22:20.640 --> 00:22:24.640
I can preheat and get that information to my physician colleague.
00:22:24.799 --> 00:22:35.519
I can do microbiome testing and I can get ahead of some of these chronic inflammatory diseases to make sure that there's no inflammation in the mouth and getting the patient healthy.
00:22:35.680 --> 00:22:42.640
So when you put that all together, you can see how powerful the collaboration can be for the benefit of the improved patient outcomes.
00:22:42.880 --> 00:22:43.200
Yeah.
00:22:43.359 --> 00:22:49.119
It's it's everybody is working in their zone of genius for that patient.
00:22:49.279 --> 00:22:50.079
That's what I hear.
00:22:50.240 --> 00:23:02.640
I mean, that is so fascinating to me that you the practice does that, that you have experts in all of these areas where they can touch on these specific things that are right for that person, depending on, you know, kind of what they're presenting with.
00:23:02.720 --> 00:23:11.119
So it's really that collaborative care that uh you guys have really set up, which I think is just the way that medicine needs to be today.
00:23:11.279 --> 00:23:17.599
Um, so kind of piggybacking off of that because autoimmune conditions, this is something that we see a lot around here.
00:23:17.759 --> 00:23:22.319
So Hashimoto's, rheumatoid arthritis, really any kind of autoimmune condition.
00:23:22.559 --> 00:23:28.480
What is the research showing based on what you've done about periodontal disease and autoimmunity specifically?
00:23:28.640 --> 00:23:29.599
Can you touch on that?
00:23:29.759 --> 00:23:39.839
Because I know the oral microbiome is part of that, but is that perpetuating this immune response even after someone has like cleaned up their diet, they've started to heal their gut?
00:23:40.000 --> 00:23:41.519
What does that kind of look like?
00:23:41.759 --> 00:23:44.000
Yeah, it's so such a great question.
00:23:44.240 --> 00:23:49.519
You know, look, many of these diseases, I have to say, all of these diseases, they're all multifactorial.
00:23:49.599 --> 00:23:50.880
It's not just one thing.
00:23:50.960 --> 00:23:51.119
Yeah.
00:23:51.279 --> 00:23:52.720
What's cardiovascular disease?
00:23:52.799 --> 00:23:54.640
It's a constellation of risk factors.
00:23:54.720 --> 00:24:01.519
And what happens with the medical profession saying, oh, periodional disease and cardiovascular disease, it doesn't, it's there's no causality.
00:24:01.680 --> 00:24:04.880
Well, of course there's no causality because five things are causing it.
00:24:05.039 --> 00:24:06.880
With all due respect, come on.
00:24:07.039 --> 00:24:09.039
It's part of the risk factors.
00:24:09.359 --> 00:24:10.880
So let me give you the facts.
00:24:11.039 --> 00:24:13.119
It's not a subjective conversation I just had.
00:24:13.279 --> 00:24:20.880
Twenty-one years ago, Moisey Devereaux proved in Colombia that as you decrease perinital disease, you decrease cardiovascular disease.
00:24:21.200 --> 00:24:25.119
PG is sitting in the endothelium of the carotid artery.
00:24:25.279 --> 00:24:25.599
Okay.
00:24:25.759 --> 00:24:26.880
So how did it get there?
00:24:26.960 --> 00:24:28.400
It's a bug that's in the mouth.
00:24:28.559 --> 00:24:30.960
How did it get in the artery and how's it causing inflammation?
00:24:31.279 --> 00:24:31.519
Great.
00:24:31.680 --> 00:24:32.640
21 years ago.
00:24:32.799 --> 00:24:35.359
Now fast forward, name a disease.
00:24:35.519 --> 00:24:38.720
So we could name anyone, we could name Alzheimer's.
00:24:38.880 --> 00:24:42.559
We could talk about how these ginger pains get through the blood-brain barrier.
00:24:42.640 --> 00:24:56.240
They now know how it happens, gets into the nerve, the, you know, the synaptic area, and they increase the amyloid plaque buildup, and they're finding the ginger pains in the amyloid plaque of Alzheimer's patients.
00:24:56.400 --> 00:24:56.880
Hello.
00:24:57.359 --> 00:24:58.880
On and on and on and on.
00:24:59.039 --> 00:25:04.720
So we're seeing what happens, and let's just talk about the joints and autoimmune for a second.
00:25:04.880 --> 00:25:14.319
Dana Orange, amazing researcher, uh rheumatologist at Rockefeller University, who's look it up, it's in Nature Magazine, uh, the latest one.
00:25:14.400 --> 00:25:26.079
Um it's a study she runs, and she found, and she was the first one, she's been presenting this all over the world for the last two years, that as you control periodontal disease, the rheumatoid factor goes down.
00:25:26.240 --> 00:25:43.039
And what she found is these these proteins, these signaling molecules that are happening from these bacteria that's initiating this antigen antibody response, as you control periodontal disease, rheumatoid goes down.
00:25:43.119 --> 00:25:45.359
And the joints can quiet, and vice versa.
00:25:45.599 --> 00:25:52.240
Periodontal disease is up, you're increasing your rheumatoid arthritis, and you're having this greater joint pain.
00:25:52.480 --> 00:25:55.200
So, what happens with autoimmune disease?
00:25:55.279 --> 00:25:56.160
Let's break it down.
00:25:56.400 --> 00:25:57.599
Let's talk about COVID.
00:25:57.759 --> 00:25:59.920
We all heard about comorbidity factors.
00:26:00.079 --> 00:26:00.960
Everybody heard that.
00:26:01.200 --> 00:26:04.079
Everybody heard about cytokine storms, we all heard that.
00:26:04.160 --> 00:26:04.720
What does it mean?
00:26:04.880 --> 00:26:10.640
Comorbidity factors is where you have this layering of inflammation, and what does the immune response do?
00:26:10.799 --> 00:26:12.319
We have two types of immunity.
00:26:12.640 --> 00:26:19.759
We have the immediate immunity that happens right away, and then we have cellular immunity that is more of a delayed response.
00:26:19.920 --> 00:26:20.240
Okay.
00:26:20.720 --> 00:26:29.519
As an antigen, a foreign body hits our body, you know, a splinter under the skin, uh, the first wave of a bacteria, what does our body do?
00:26:31.039 --> 00:26:31.519
Charge.
00:26:31.680 --> 00:26:35.359
We're putting in polymorpho nucleoleukocytes, macrophages.
00:26:35.440 --> 00:26:43.680
We have our initial B cells, we're forming some uh antibodies that are in the blood, but then all of a sudden we see those proteins on the outside of the bacteria.
00:26:43.759 --> 00:26:46.640
We say, all right, now I'm gonna get antibodies that are gonna be specific.
00:26:46.799 --> 00:26:48.240
Those happen through the T cells.
00:26:48.400 --> 00:26:51.759
All of a sudden, we're gonna form an antigen antibody complex, we're gonna attack it.
00:26:51.920 --> 00:27:04.400
Except you're gonna get attacked from something else because you have an underlying cardiovascular disease, you got immune uh inflammation happening in your arteries, and all of a sudden, comorbidity factors are laying on top of each other.
00:27:04.559 --> 00:27:10.880
Bam! Body has these signaling molecules called cytokines, the cytokines are attacking, they're all in the blood.
00:27:11.119 --> 00:27:12.000
What happens?
00:27:12.240 --> 00:27:15.359
The immune response, the cells get confused.
00:27:15.599 --> 00:27:17.599
It's called molecular mimicry.
00:27:17.759 --> 00:27:28.640
So, what happens is they look at the outside of the bugs, they're getting confused, and all of a sudden they can defend very well either against their own cells.
00:27:28.960 --> 00:27:31.599
And well, here's a great statistic.
00:27:31.839 --> 00:27:50.160
When you had periodontal disease, and let's say you got these ginger panes and endotoxins from the bacteria from the leaky gums, are now in the blood supply, and you had an underlying comorbidity factor of cardiovascular disease, you were 4.5 times more likely to end up on a ventilator over COVID.
00:27:50.720 --> 00:27:54.720
So here you responded to the virus, but you also had periodontal disease.
00:27:54.880 --> 00:27:58.240
And it was like that with any of these comorbidity factors.
00:27:58.400 --> 00:28:01.440
The people who really did just okay, they were fine.
00:28:01.519 --> 00:28:06.640
They were younger, their immune response is fresh, they didn't have any of the systemic inflammatory disease.
00:28:06.799 --> 00:28:11.680
Know this as we get older, our ability to respond, our immune response does what?
00:28:11.839 --> 00:28:12.960
It goes down.
00:28:13.200 --> 00:28:16.720
And and that's it, stem cell production goes down.
00:28:16.960 --> 00:28:37.359
And so we know that as we get older, we have to really take care of ourselves so that our immune response is strong and so that we don't allow inflammation in our body and we control our any hypertension or, you know, LDL, HDL issues, and and you know, formation of hot arteries, cardiovascular disease, number one killer in America, on and on and on.
00:28:37.519 --> 00:28:47.039
So the short answer, you know, the short answer to the question is we have to be as healthy as we we can as we think about longevity.
00:28:47.519 --> 00:28:52.319
We have to think about what are the factors that are driving our health, right?
00:28:52.799 --> 00:29:01.599
And those are the pillars of longevity, yeah, which means that's how we control inflammation of in our body because all of these diseases are inflammatory.
00:29:01.839 --> 00:29:10.160
The body's response that protects us, the flip side of that coin is it hurts us when it gets overwhelmed.
00:29:10.240 --> 00:29:10.480
Yes.
00:29:10.720 --> 00:29:14.079
And we we start literally can attack ourselves, right?
00:29:14.160 --> 00:29:16.559
We can call that an autoimmune type disease.
00:29:17.359 --> 00:29:18.559
So that's it.
00:29:18.720 --> 00:29:21.519
We think about nutrition, bam.
00:29:21.680 --> 00:29:24.480
We think about motion and fitness, bam.
00:29:24.720 --> 00:29:28.240
We think about the ability to get into deep reparative sleep.
00:29:28.480 --> 00:29:37.839
Three, we think about stress management, social connections, all the things from the blue zone, all that connectivity to all those wonderful centagenarians.
00:29:38.000 --> 00:29:40.799
And fifth, oral health.
00:29:41.119 --> 00:30:12.799
I say the fifth pillar is making sure that the leaky gums are an attack in the rest of our body, and we have tight, healthy tissues, pink, tight, and it's so easy when you really know what to do, and you're in a you have access to care, and you have a good team working with you, a good dental professional team, the oral physicians, aka the dentists, are helping you control that inflammation and having a state of health, you have such a better chance to have that longevity.
00:30:13.039 --> 00:30:13.920
Yeah, yeah.
00:30:14.160 --> 00:30:22.880
That foundation that you just talked about, I call it the terrain, our body's terrain, it builds resilience towards those things that you just mentioned.
00:30:23.039 --> 00:30:26.000
And uh it doesn't matter if we have an autoimmune condition.
00:30:26.160 --> 00:30:33.680
That's how we support it, is through building that our body up with those foundations, build up the terrain, and then we're not going to be as susceptible to those things.
00:30:33.839 --> 00:30:38.480
Yes, we might come in contact with them, but the whole point, that's what functional medicine is all about.
00:30:38.640 --> 00:30:39.519
It's preventative.
00:30:39.599 --> 00:30:41.359
It means that we are building up our terrain.
00:30:41.440 --> 00:30:49.200
We are supporting our body in a way through nutrition, through sleep, through the oral microbiome, through movement, through sometimes the simple things.
00:30:49.440 --> 00:30:54.160
I think sometimes we think that the most advanced things, the things that are hard, are actually the best for us.
00:30:54.400 --> 00:31:04.720
But a lot of times we're skipping these foundations that build up our body's susceptibility to, you know, get this autoimmune cascade that we're just seeing to explode right now.
00:31:04.880 --> 00:31:08.960
So yeah, you couldn't have said that any better, I think, to help us piece that together.
00:31:09.279 --> 00:31:10.799
So, so let's break this down now.
00:31:10.960 --> 00:31:15.119
If someone is listening to this, what would you say that they should just throw out?
00:31:15.279 --> 00:31:21.680
What in their, you know, dental routine, in their medicine cabinet, you know, when it comes to their oral routine, what should they throw out?
00:31:21.759 --> 00:31:23.119
What should they replace it with?
00:31:23.359 --> 00:31:31.119
Let's kind of switch gears to that because I want to make sure that we can also, you know, talk about some of those things that maybe we're completely unaware of.
00:31:31.440 --> 00:31:32.079
Yeah.
00:31:33.359 --> 00:31:37.039
It's really the practical approach to having an oral health game.
00:31:37.200 --> 00:31:38.799
So let's think of it like a tennis.
00:31:38.880 --> 00:31:40.880
You need, you know, you got to work on that backhand, right?
00:31:40.960 --> 00:31:43.680
You're working on your game or golf or whatever sport.
00:31:43.759 --> 00:31:46.319
I'm a cyclist, so you know, I'm always on a bike.
00:31:46.640 --> 00:31:51.599
But you have to have an understanding of what are those tools that I use?
00:31:51.920 --> 00:31:53.200
How long do I use them?
00:31:53.279 --> 00:31:55.039
And what's the order by which I use them?
00:31:55.200 --> 00:32:02.400
So we have, and I'd love you to put into your show notes, we have a whole regimen guide that we give to our patients at Smilehouse.
00:32:02.720 --> 00:32:09.039
And it really says, hey, if you can afford an electric brush, please electric brush.
00:32:09.200 --> 00:32:09.519
Why?
00:32:09.680 --> 00:32:15.599
It's five times more effective of cleaning the plaque off the front and back surfaces of the teeth.
00:32:15.680 --> 00:32:20.720
It's got a little timer, it tells you when 30 seconds is up, 30, 30, 30, 30.
00:32:20.799 --> 00:32:22.720
You're doing it for two minutes.
00:32:22.960 --> 00:32:24.240
It's just more effective.
00:32:24.559 --> 00:32:26.400
If you love a manual brush, go for it.
00:32:26.480 --> 00:32:30.960
But try to brush for the requisite time that anywhere from a minute and a half, two minutes.
00:32:31.119 --> 00:32:31.920
And it's not easy.
00:32:32.000 --> 00:32:33.440
So you got to be hopping on one leg.
00:32:33.519 --> 00:32:35.119
You know, I used to do a lot of uh Dr.
00:32:35.359 --> 00:32:37.279
Oz shows, they're oral health experts.
00:32:37.440 --> 00:32:45.680
And I used to, you know, remember it was really funny about, you know, we'd always like kid around about these things of like you gotta like entertain yourself, you brush your teeth for so long.
00:32:45.920 --> 00:32:48.079
But then the thing is you got to get between the teeth.
00:32:48.240 --> 00:32:51.200
And to get between the teeth, you got to use floss.
00:32:51.440 --> 00:32:55.039
And a lot of people manually aren't so good, so there's these floss picks.
00:32:55.200 --> 00:33:03.279
But what's really phenomenal are these 60 psi water flossers, and they go between and they really flush the bacteria.
00:33:03.359 --> 00:33:09.599
It's all about mechanical removal of the plaque that builds up, it builds up hour by hour by hour.
00:33:09.680 --> 00:33:13.759
Remember, 700 species and seven, eight billion bacteria in the mouth.
00:33:14.000 --> 00:33:16.480
So, you know, you gotta keep your mouth healthy.
00:33:16.640 --> 00:33:20.000
And remember, it's a balancing act of the good versus bad.
00:33:20.160 --> 00:33:24.400
So remember, you gotta not let the bad guys outnumber the good guys.
00:33:24.480 --> 00:33:32.079
And the reason they outnumber is when you don't clean, these bacteria build like a canopy of bugs underneath and under the gum.
00:33:32.160 --> 00:33:40.960
That's where the anaerobic, the bacteria that live without oxygen are the ones that are these gram-negative anaerobes that are the pathogens, the bad guys.
00:33:41.119 --> 00:33:41.279
P.
00:33:41.440 --> 00:33:47.200
ginger ballis, trypenema, captocytophica, concamitans, all these long crazy names.
00:33:47.279 --> 00:33:50.640
But at the end of the day, there's seven of them, and we can detect them.
00:33:50.799 --> 00:33:53.680
We detect them with our microbiome salivate testing.
00:33:53.759 --> 00:34:09.599
So back to the order of events electric brush, then uh water flosser, then I like either a floss pick or regular floss, then a tongue scraper, and I like I got a couple of my doctors, we you know, kind of have a little argument.
00:34:09.840 --> 00:34:13.199
A rinse is good as long as it doesn't have alcohol.
00:34:13.440 --> 00:34:16.719
We develop, we have a rinse that's very powerful.
00:34:16.880 --> 00:34:18.639
It's from a company called Twice.
00:34:19.199 --> 00:34:20.960
By the way, I'm completely biased.
00:34:21.119 --> 00:34:23.360
This is a company that my two sons started.
00:34:23.519 --> 00:34:35.840
It's a product that we built together, but it basically raises the pH to a nice neutral level and it oxygenates, and it doesn't have any antibiotics, any anything that's gonna alter the microbiome.
00:34:35.920 --> 00:34:41.599
In fact, it improves it and it's immunity rinse, and it's just amazing because you can take it on the go, also.
00:34:41.679 --> 00:34:49.440
But any of these rinses that don't have alcohol are very good at just freshening but getting to root causes.
00:34:49.519 --> 00:34:50.480
You want to oxygenate.
00:34:50.559 --> 00:34:56.480
At the end of the day, you want to oxygenate the mouth because remember, the bad guys live with without oxygen.
00:34:56.639 --> 00:35:00.400
You hit it with oxygen, you you're you're killing the bad guys.
00:35:00.639 --> 00:35:03.840
And we want to prop up the commensals, the good guys.
00:35:03.920 --> 00:35:04.719
So that's the order.
00:35:04.800 --> 00:35:14.480
So and don't forget tongue scraping, because on the tongue in the recesses, these gram-negative anaerobes, no oxygen down there between the little interpillae of the tongue.
00:35:14.639 --> 00:35:17.679
That's where bad breath, volusulfur compounds live.
00:35:17.760 --> 00:35:22.000
So tongue scraping, and then when you're scraping it, then you're gonna rinse it at the end.
00:35:22.159 --> 00:35:24.400
And that's that's the last two things that we do.
00:35:24.559 --> 00:35:27.440
So we have this regimen guide.
00:35:27.760 --> 00:35:30.800
You do this twice a day, you got gain.
00:35:30.960 --> 00:35:36.960
Your gum, your mouth is gonna be so healthy, your breath is gonna be fantastic, and you're just gonna feel good.
00:35:37.119 --> 00:35:47.920
And then it's being in a good dental office to make sure you're getting into deep preparative sleep, you don't have any airway obstruction, your nose is working, you're not breathing through your mouth, you know, there's all these other things.
00:35:48.079 --> 00:35:52.800
You're not clenching your teeth, you're not getting in pain in your jaw, TMJMPD problem.
00:35:52.960 --> 00:35:59.679
And so there's all these other things, you're getting to the problems early before they become these bigger issues.
00:36:00.000 --> 00:36:04.400
Because they can become bigger issues if you don't pay attention to them, as we know.
00:36:04.719 --> 00:36:05.760
Yeah, absolutely.
00:36:05.920 --> 00:36:07.920
And that is so doable, by the way.
00:36:08.079 --> 00:36:14.079
I have to say, I was so grateful that it was something that I feel like so many of us can actually implement.
00:36:14.159 --> 00:36:15.360
We can start that right away.
00:36:15.440 --> 00:36:25.760
We'll definitely link that guide because I think that probably has such practical, um, just you know, even a um, you know, framework for that, but also some of those actual products that you're mentioning.
00:36:25.840 --> 00:36:27.920
I think that'll be really great for us to see.
00:36:28.159 --> 00:36:30.880
I am a big fan too of tongue scraping.
00:36:30.960 --> 00:36:33.119
I've been doing that for really the longest time.
00:36:33.199 --> 00:36:34.880
And I always explain it this way.
00:36:35.039 --> 00:36:37.920
I think this, when you think about it, right, it's like, why wouldn't you do this?
00:36:38.079 --> 00:36:40.960
Because when you're sleeping, you're basically detoxing.
00:36:41.039 --> 00:36:43.519
We do the most of our detoxing while we sleep naturally.
00:36:43.599 --> 00:36:47.440
And so all of that bacteria just sits on your tongue after detoxing.
00:36:47.599 --> 00:36:50.159
And if you're not tongue scraping, you're what?
00:36:50.239 --> 00:36:52.719
You're drinking your cup of coffee or tea, you're gonna eat.
00:36:52.800 --> 00:37:03.199
And then all of that bacteria, all of those toxins that are sitting on inside of your oral microbiome on your tongue, they are just getting transported right back into your system.
00:37:03.280 --> 00:37:07.440
So you want to get that out before, you know, you kind of go about your routine.
00:37:07.599 --> 00:37:12.079
And I think when we think about it that way, once I learned that, I never went back.
00:37:12.239 --> 00:37:14.559
Tongue scraping was like that non-negotiable for me.
00:37:15.280 --> 00:37:15.760
Exactly.
00:37:16.239 --> 00:37:18.400
So I'm glad you brought that up into the routine.
00:37:18.559 --> 00:37:19.519
Um, so that's great.
00:37:19.599 --> 00:37:20.559
That is so practical.
00:37:20.639 --> 00:37:22.960
And I think uh I think we can all do that here.
00:37:23.199 --> 00:37:29.440
Now, if there are any moms listening in, what should they know about protecting their children's oral microbiome?
00:37:29.679 --> 00:37:31.920
Because I know that from the start, this is important.
00:37:32.000 --> 00:37:33.360
I actually have two little toddlers.
00:37:33.440 --> 00:37:35.119
I have a two-year-old, a four-year-old.
00:37:35.280 --> 00:37:43.599
Um, is there anything that you can share with me for maybe the parents who, you know, want to make sure that they're not disrupting this delicate oral microbiome?
00:37:44.719 --> 00:37:46.000
Okay, get ready.
00:37:46.159 --> 00:37:48.320
I'm gonna, I'm about to rock your world.
00:37:48.480 --> 00:37:49.119
This is latest.
00:37:49.519 --> 00:37:50.079
Let's go.
00:37:50.239 --> 00:37:50.719
Yep.
00:37:51.280 --> 00:37:55.760
But it's it's from studies done over the last 400 years.
00:37:56.000 --> 00:38:09.199
And what they did is they looked at the skulls of 400 years ago, and they saw that big maxillas, no need for wisdom tooth extraction, no need for orthodontics, right?
00:38:09.360 --> 00:38:19.920
This was Daniel Lieberskin who called the change over the 400 years disevolution, which is the reverse of what the normal genetic evolution would be.
00:38:20.000 --> 00:38:21.199
It's the opposite.
00:38:21.440 --> 00:38:27.840
Because today we need wisdom teeth extraction, we need expansion, we need orthodontics.
00:38:28.000 --> 00:38:29.440
So, what is going on?
00:38:29.920 --> 00:38:32.960
And people started taking a deep dive.
00:38:33.360 --> 00:38:44.800
And what they found out was two things because of processed food, because of processors, because of blenders, we feed our children very soft food.
00:38:45.280 --> 00:38:46.400
What does that do?
00:38:46.639 --> 00:38:57.440
It doesn't put the necessary force on the jaws to create expansion and the in the mouth, there's a premaxilla and a palatal suture line.
00:38:57.519 --> 00:39:02.239
So there's all these sutures between the bones loaded with stem cells.
00:39:02.480 --> 00:39:06.079
As you put pressure, it expands and comes forward.
00:39:06.400 --> 00:39:09.920
So the bone, the development of the bone, the mandible follows it.
00:39:10.400 --> 00:39:16.559
Said in the opposite way, if it's soft, you don't get that forward and widening expansion.
00:39:16.639 --> 00:39:19.280
If it's hard, you get that force.
00:39:20.079 --> 00:39:25.519
In addition to that, breastfeeding, and the studies breastfeeding versus bottle feeding, and this is a big deal.
00:39:25.760 --> 00:39:29.599
Bottle feeding will cause small jaws.
00:39:29.840 --> 00:39:30.960
What does that mean?
00:39:31.119 --> 00:39:47.199
You're not putting the necessary force of the tongue, which goes forward and back as it's drawing milk out from latching and suckling from breastfeeding versus a bottle feeding that it pours quickly.
00:39:47.360 --> 00:39:57.440
It's just a little bit of tension around the mouth, and you're not getting that tongue that's driving these jaw bones, these maxilla bones, wider and forward.
00:39:57.679 --> 00:39:58.719
Think about this.
00:39:58.960 --> 00:40:00.239
What does that mean?
00:40:00.480 --> 00:40:04.559
What it means is you're not getting that beautiful jaw development.
00:40:04.719 --> 00:40:14.559
And so orthodontics today, they're doing so much palatal expansion because of this modern soft diet, processing foods, softening.
00:40:14.880 --> 00:40:24.000
So once the moms know let's have harder food, let's at least breastfeed for at least the first six months.
00:40:24.159 --> 00:40:30.960
And there are studies that you can do a combination of breastfeeding and bottle feeding and end up in the same place six months.
00:40:31.039 --> 00:40:32.639
It's called a hybrid approach.
00:40:32.800 --> 00:40:34.239
So it's really interesting.
00:40:34.400 --> 00:40:40.239
And we only know this, this is very new research and science evidence that has come out about this.
00:40:40.400 --> 00:40:47.360
But what does happen also is you the moms have to be aware, you know, the dads, dads, they don't pay enough attention.
00:40:47.920 --> 00:40:49.360
I just got to go to the moms.
00:40:49.519 --> 00:40:57.199
But the mom, sorry guys, but the moms, they're they're watching the the newborn and the young the young infants.
00:40:57.599 --> 00:41:21.599
And so as as they are developing, and there's a rhinitis, and there's a stuff, and they're breathing through the mouth, the head tilts forward, and the jaw, form follows function because now the nose was designed for breathing, humidifies and moisturizes the air and produces this important nitric acid.
00:41:21.760 --> 00:41:24.239
The mouth is the top of the digestive tract.
00:41:24.480 --> 00:41:26.719
What happens when you ask the mouth to breathe?
00:41:26.880 --> 00:41:43.920
It becomes a narrow arch, V shape, vaulted in the middle, head moves forward, you get a postural problem, long narrow face instead of this big, wide, beautiful maxilla and big zygomas, and now the facial form has changed.
00:41:44.079 --> 00:41:46.559
It's called dolecephalic development.
00:41:47.199 --> 00:41:57.119
So when moms see mouth breathing, they gotta raise their hand, they gotta get make sure the nose works, do everything to straighten that out.
00:41:57.199 --> 00:42:07.840
And there's tremendous evidence today to show that mouth-breathing children who aren't sleeping well, who don't get into deep sleep, are the ADHD patients.
00:42:08.320 --> 00:42:10.480
And I don't want to be that controversial.
00:42:10.719 --> 00:42:25.280
God bless the pharmaceutical industry, but you know what they're doing with ADHD, and you know the drugs they're throwing at these kids, and a lot of times it's the underlying structural issues that happen from the function of mouth breathing versus nasal breathing.
00:42:25.679 --> 00:42:39.920
You think about that, and you can think about if the moms knew about this and they searched out the correct pediatric dentists and the great correct pediatricians working together collaboratively, they can solve this.
00:42:40.079 --> 00:42:47.519
Solve the rhinitis, get them nasal breathing, get them into deep sleep, and magically the ADHD is going to vaporize.
00:42:48.239 --> 00:42:48.880
Wow.
00:42:49.199 --> 00:42:50.719
I told you I'd give you an aha.
00:42:51.119 --> 00:42:51.840
That was an aha.
00:42:52.639 --> 00:42:54.320
Not one of that word is subjective.
00:42:54.400 --> 00:42:57.199
That is an objective, fact-based, evidence-based.
00:42:57.280 --> 00:42:58.960
I'm happy to share the studies with people.
00:42:59.199 --> 00:43:00.320
Yeah, yeah, absolutely.
00:43:00.559 --> 00:43:03.280
We'll definitely link the book that I have coming out in the fall.
00:43:03.840 --> 00:43:04.159
Yeah.
00:43:04.400 --> 00:43:07.119
Listen, moms, check your babies.
00:43:07.280 --> 00:43:24.960
Like, if that is not motivation to creep in their room tonight, see if they are mouth breathing, and then take those steps because that is that can change everything, you know, and it it starts when they're so young and it's going to give them the best foot forward later on in their health.
00:43:25.119 --> 00:43:26.239
It's so important.
00:43:26.639 --> 00:43:27.199
So important.
00:43:27.440 --> 00:43:27.840
So important.
00:43:27.920 --> 00:43:35.519
I've heard some research on that, and you just completely confirm that based on what you just shared, going back to even the roots of wisdom teeth.
00:43:35.679 --> 00:43:39.840
I mean, that to me is just it, it's yeah, it's something that we have to pay attention to.
00:43:39.920 --> 00:43:41.119
So thank you for sharing that one.
00:43:41.199 --> 00:43:44.880
That is a nugget that um I'm definitely taking from this as a mom.
00:43:45.039 --> 00:43:45.679
Absolutely.
00:43:45.920 --> 00:43:47.280
Well, this was so much fun.
00:43:47.519 --> 00:43:48.639
Can we end with?
00:43:48.719 --> 00:43:53.920
I like to share, I call it the myth or medicine, just a little bit of like a rapid fire questions.
00:43:54.079 --> 00:43:57.280
Uh, so these are some myths, things that people are kind of wondering about.
00:43:57.360 --> 00:43:59.760
And so I want to get your take on this because you are the expert.
00:44:00.320 --> 00:44:01.280
In this area.
00:44:02.079 --> 00:44:08.320
So my first one for you is oil pulling can replace brushing, myth, or medicine?
00:44:08.960 --> 00:44:09.760
Myth.
00:44:10.000 --> 00:44:11.920
I had a feeling you were going to say that.
00:44:12.719 --> 00:44:15.199
Not replace, but it can be adjunctive.
00:44:15.440 --> 00:44:15.679
Okay.
00:44:15.840 --> 00:44:16.480
Good to know.
00:44:16.880 --> 00:44:21.679
If you got 10, 15, 20 minutes, God bless you and make it adjunctive.
00:44:21.840 --> 00:44:25.840
Has no negative impact and some very good positive evidence, but not to replace.
00:44:26.159 --> 00:44:27.039
Not to replace.
00:44:27.199 --> 00:44:27.519
Okay.
00:44:27.679 --> 00:44:30.400
Makes so much sense, especially with what you share with us.
00:44:30.639 --> 00:44:32.079
Now, this one.
00:44:32.239 --> 00:44:35.519
Your dentist can detect autoimmune markers before your doctor.
00:44:35.679 --> 00:44:37.039
Myth or medicine.
00:44:38.079 --> 00:44:38.400
Oh.
00:44:40.800 --> 00:44:42.159
I stumped you on that one.
00:44:42.800 --> 00:44:43.199
I know.
00:44:43.280 --> 00:44:53.840
I I would say yes in the right dental office with the dental team working with the collaborative physician team.
00:44:54.320 --> 00:44:54.639
Yes.
00:44:54.800 --> 00:44:56.719
Using salivary diagnostics.
00:44:57.039 --> 00:44:57.360
Awesome.
00:44:57.599 --> 00:44:58.000
Today.
00:44:58.320 --> 00:44:58.639
Awesome.
00:44:58.800 --> 00:45:01.039
Because of that technology that you kind of walked us through.
00:45:01.280 --> 00:45:01.519
Yep.
00:45:01.840 --> 00:45:02.320
Correct.
00:45:02.639 --> 00:45:06.320
Now, oral probiotics after brushing can shift your microbiome.
00:45:06.559 --> 00:45:07.920
Myth or medicine?
00:45:08.719 --> 00:45:10.000
Oh, medicine.
00:45:10.480 --> 00:45:10.800
Yeah.
00:45:11.039 --> 00:45:11.360
Yeah.
00:45:11.679 --> 00:45:12.239
Yep.
00:45:13.039 --> 00:45:13.679
Last one.
00:45:13.840 --> 00:45:16.079
Charcoal toothpaste is better for your teeth.
00:45:16.239 --> 00:45:17.519
Myth or medicine?
00:45:18.000 --> 00:45:19.599
Oh, that's a that's a big myth.
00:45:19.679 --> 00:45:27.199
And you gotta be careful when you're looking at the abrasivity index that it's not scratching the tooth surface.
00:45:27.440 --> 00:45:27.760
Yeah.
00:45:28.559 --> 00:45:28.880
Yep.
00:45:28.960 --> 00:45:29.199
Yep.
00:45:29.360 --> 00:45:30.719
Be caution with that one.
00:45:30.880 --> 00:45:31.280
Absolutely.
00:45:32.719 --> 00:45:35.360
So now this was amazing.
00:45:35.519 --> 00:45:38.079
Thank you for sharing so much of your wisdom.
00:45:38.239 --> 00:45:40.320
This has seriously been so incredible.
00:45:40.639 --> 00:45:43.039
We are so thankful to have you part of the show.
00:45:43.199 --> 00:45:45.679
So thank you for sharing just all of your experience with us.
00:45:45.840 --> 00:45:52.000
I mean, seriously, there are so many clinical pearls and those nuggets that uh I just can't wait to take away from this.
00:45:52.239 --> 00:45:55.280
But uh, can you share where can our listeners find you?
00:45:55.440 --> 00:46:00.719
How can they connect with you, work with you, figure out about mouth mapping if that is something that they want to do?
00:46:00.880 --> 00:46:01.599
Get your book.
00:46:01.760 --> 00:46:03.519
How should they go about that?
00:46:03.920 --> 00:46:04.559
Yeah.
00:46:04.960 --> 00:46:10.559
So smilehouse.co will have sign up for the book.
00:46:10.719 --> 00:46:13.840
We'll have a lot of what we do with mouth mapping.
00:46:14.000 --> 00:46:17.599
Um, you could make an appointment if anybody's not too far.
00:46:17.760 --> 00:46:24.239
We're in Tribeca for the downtown office, 5th and 73rd on the Uptown Legacy Office.
00:46:24.400 --> 00:46:26.639
But um, you know, so come visit.
00:46:26.800 --> 00:46:27.599
Um, Dr.
00:46:27.840 --> 00:46:29.519
J-O-N Levine at Dr.
00:46:29.599 --> 00:46:32.880
J-O-N Levine is the Instagram, and Dr.
00:46:32.960 --> 00:46:33.599
Jonathan B.
00:46:33.679 --> 00:46:40.719
Levine, we have our YouTube channel where we have these wonderful podcasts like yours, Nikki.
00:46:41.119 --> 00:46:46.159
And um, you know, if you have a question, just you know, send it over to us.
00:46:46.320 --> 00:46:51.280
I'm happy to um, you know, help in any way, shape, or form.
00:46:51.679 --> 00:46:52.800
Thank you so much.
00:46:52.960 --> 00:46:54.960
We'll link all that too in the notes for you.
00:46:55.039 --> 00:46:56.480
We'll share that guide as well.
00:46:56.639 --> 00:46:59.679
Uh, I could just tell you care so much about people's health.
00:46:59.840 --> 00:47:01.119
You care about your patients.
00:47:01.199 --> 00:47:03.760
Um, and that just truly shine today in this conversation.
00:47:03.840 --> 00:47:05.440
So thank you so much for being here.
00:47:05.599 --> 00:47:07.199
Thank you for giving us your time.
00:47:07.519 --> 00:47:08.239
No, thank you.
00:47:08.400 --> 00:47:09.199
Thank you for having me.
00:47:09.280 --> 00:47:10.960
It's an absolute pleasure.
00:47:11.679 --> 00:47:15.039
Thanks so much for spending this time with me and hanging out until the end.
00:47:15.280 --> 00:47:22.719
I pray you're walking away with something practical that you can start doing right now to support your gut, energy, hormones, and overall vitality.
00:47:22.880 --> 00:47:28.960
You'll find everything mentioned today linked in the show notes, along with our resources and articles to support you even more.
00:47:29.199 --> 00:47:37.920
If you love today's conversation, be sure to share it with a friend who needs to hear this and leave a raving review so we know this podcast is helping you.
00:47:38.079 --> 00:47:38.480
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