Podcasts about Oral medicine

Are your teeth starting to give you problems? Maybe they're clicking, chipping, hurting, or suddenly extra sensitive. Or maybe you've heard online that you should never use fluoride or get a root canal, but your dentist says the opposite, and now you're totally confused. Today I'm talking with Dr. Toni Engram, a biological dentist who helps us separate fact from fear when it comes to oral health. We dive into what biological dentistry really is, how it differs from conventional dentistry, and how your mouth can tell you everything about your overall health. We cover: What a biological dentist actually does (and why it matters) How your oral microbiome connects to your gut, hormones, and longevity What happens to your teeth, gums, and jaw during menopause How to care for receding gums and a clicking jaw The controversy around fluoride, root canals, and crowns The safer, more preventive approach to oral health Dr. Toni Engram is a biological dentist, integrative health coach, and owner of Flourish Dental Boutique in Richardson, Texas. After facing her own autoimmune health challenges, she shifted her practice philosophy toward whole-body prevention and safer, more holistic dental treatments. She holds degrees from Texas Christian University and Baylor College of Dentistry, and is a proud member of IAOMT (International Academy of Oral Medicine and Toxicology) and IABDM (International Academy for Biological Dentistry and Medicine). She's also SMART-certified in safe amalgam removal and serves as a TBI Ambassador through The Breathe Institute.   https://flourish-education.mykajabi.com/remineralization-guide-1  https://flourish-education.mykajabi.com/fluoridefree  https://flourish-education.mykajabi.com/Tooth-Meridian-Chart    Contact Dr. Toni Engram: Website: https://www.flourish.dental/   Give thanks to our sponsors: Try Vitali skincare. 20% off with code ZORA here - https://vitaliskincare.com Get Primeadine spermidine by Oxford Healthspan. 15% discount with code ZORA ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ - http://oxfordhealthspan.com/discount/ZORA Get Mitopure Urolithin A by Timeline. 20% discount with code ZORA at https://timeline.com/zora Try Suji to improve muscle 10% off with code ZORA at TrySuji.com - https://trysuji.com Try OneSkin skincare with code ZORA for 15% off https://oneskin.pxf.io/c/3974954/2885171/31050 Join ⁠⁠⁠Biohacking Menopause⁠⁠⁠ before January 1, 2025 to win Longevity Gummies by Timeline's Mitopure. Or go to timeline.com/zora for 20% off   Join the Hack My Age community on: YouTube: https://youtube.com/@hackmyage Facebook Page: ⁠⁠⁠⁠⁠@⁠Hack My Age⁠     Facebook Group: ⁠⁠⁠⁠⁠⁠@⁠Biohacking Menopause⁠⁠⁠⁠⁠⁠ ⁠   Biohacking Menopause Private Women's Only Support Group: https://hackmyage.com/biohacking-menopause-membership/ Instagram: ⁠⁠⁠⁠⁠@⁠HackMyAge⁠    Website: ⁠⁠⁠⁠⁠⁠HackMyAge.com⁠    For partnership inquiries: https://www.category3.ca/  Some episodes of Hack My Age are supported by partners whose products or services may be discussed during the show. The host may receive compensation or earn a minor commission if you purchase through affiliate links at no extra cost to you. All opinions shared are those of the host and guests, based on personal experience and research, and do not necessarily represent the views of any sponsor. Sponsorships do not imply medical endorsement or approval by any healthcare provider featured on this podcast.

In today's episode, we're addressing an often-overlooked topic in dentistry—managing dental patients with Sickle Cell Disease and Sickle Cell Trait. These patients face unique challenges, and unfortunately, many are turned away from dental practices simply because their condition isn't well understood. Our guest, Linda Chandler, RDH, s a graduate of the University of Texas School of Dental Hygiene, past President of the Southeast National Dental Hygiene Association, author, educator and voted top hygienist of the year 2012.

Dr. Haroldo Magarinos is a Chilean dentist specializing in Periodontics, Oral Medicine, and Implantology. After over a decade of conventional practice and university teaching, he decided to pursue his passion and become a board-certified naturopathic doctor in 2018. He also specialized in Integrative Biological Dental Medicine, Homeopathy, Live blood analysis, Peptide therapy, and Advanced Clinical Ozone therapy. Dr. Haroldo has long been a strong advocate for studying the human microbiome, firmly believing that treating patients with dysbiosis can prevent and even reverse many prevalent forms of chronic disease. He currently works as a clinical consultant in microbiome metagenomic analysis for Microbiome Labs and is the co-founder and director of Revolution Gut Health, an online platform that offers coaching services to everyone who wants to learn and improve microbiome-related health conditions. In this episode, Dr. Haroldo Magarinos explains how detoxification works in the body and a gives detailed overview of his detoxification supplements.    RESOURCES: Learn more about Dr. Magarinos here: www.detoxu.com Instagram: @drharoldo Previous podcast episodes with Dr. Magarinos: https://www.taragarrison.com/blog/drharoldomagarinos2 and https://www.taragarrison.com/blog/drharoldomagarinos  Get 15% off Peluva minimalist shoe with coupon code COACHTARA here: http://peluva.com/coachtara   CHAPTERS:   CHAPTERS: 0:00 Intro 4:20 Is detox real? 7:00 Environmental challenges 9:40 Genetic and other factors 12:15 Some tell tale signs of compromised detox pathways 15:20 An overview of detoxification 20:55 3 main areas of detoxification 24:30 Bioaccumulation of toxins 25:58 Dr Magarinos' detox supplements 51:00 How to locate those products   WORK WITH ME: Are You Looking for Help on Your Wellness Journey? Here's how I can help you: TRY COACH TARA APP FOR FREE: http://taragarrison.com/app LEVEL UP PROGRAM: http://taragarrison.com/level-up INDIVIDUAL ONLINE COACHING: https://www.taragarrison.com/work-with-me CHECK OUT HIGHER RETREATS: https://www.taragarrison.com/retreats   SOCIAL MEDIA:  Instagram @coachtaragarrison TikTok @coachtaragarrison Facebook @coachtaragarrison Pinterest @coachtaragarrison   INSIDE OUT HEALTH PODCAST SPECIAL OFFERS: ☑️ Upgraded Formulas Hair Test Kit Special Offer: https://bit.ly/3YdMn4Z ☑️ Upgraded Formulas - Get 15% OFF Everything with Coupon Code INSIDEOUT15: https://upgradedformulas.com/INSIDEOUT15 ☑️ Rep Provisions: Vote for the future of food with your dollar! And enjoy a 15% discount while you're at it with Coupon Code COACHTARA: https://bit.ly/3dD4ZSv   If you loved this episode, please leave a review! Here's how to do it on Apple Podcasts: Go to Inside Out Health Podcast page: https://podcasts.apple.com/us/podcast/inside-out-health-with-coach-tara-garrison/id1468368093 Scroll down to the 'Ratings & Reviews' section. Tap 'Write a Review' (you may be prompted to log in with your Apple ID). Thank you!

Dr. Toni Engram is a SMART-certified Biological Dentist, Integrative Health Coach, and founder of Flourish Dental Boutique in Dallas, Texas—a practice that merges modern dentistry with holistic wellness and preventive care. After healing her own Crohn's disease, Dr. Toni became passionate about helping others understand the powerful connection between oral health, the gut, and the entire body.In this first of a two-part conversation, we dive into the world of biological dentistry—what it really means, how it differs from conventional dental care, and why your mouth is one of the most important indicators of your overall health. Dr. Toni shares her journey from chronic illness to healing, how toxins in traditional dentistry can affect the immune system, and why she believes prevention is the future of medicine.If you've ever struggled with fatigue, inflammation, or mysterious health issues that no one seems to solve, this conversation might completely change how you think about your teeth—and your body.What biological dentistry actually is (and why it matters)How Dr. Toni healed Crohn's disease naturallyThe mouth-body connection and its role in gut and immune healthThe problem with fluoride and mercury fillingsAirway health, tongue ties, and mouth taping for better sleepOzone water, xylitol, and her favorite holistic oral-care swapsHow emotions and inflammation show up in the mouthWhy the best dentistry is often less dentistryMore:Website: https://flourish.dentalInstagram: https://instagram.com/dr.toniengram193-How to Heal Your Gut with Risa Groux, Functional Nutritionist, Author of FoodFrame: https://youtu.be/00wa2-_qyCcThe International Academy of Oral Medicine and Toxicology https://iaomt.org/Please remember to rate, review, and follow the show – and share with a friend!Find Amy's affiliates and discount codes: https://amyedwards.info/affiliatepageSky Rock Sedona: https://www.skyrocksedona.com/20% Discount Link:https://www.marriott.com/event-reservations/reservation-link.mi?id=1759866624184&key=CORP&app=resvlinkAll links: ⁠⁠⁠amyedwards.info⁠⁠⁠Instagram: ⁠⁠⁠@realamyedwards⁠⁠⁠Fight For Her: ⁠⁠⁠fightforher.net⁠⁠⁠TikTok:⁠⁠⁠ @themagicbabe⁠⁠⁠YouTube: ⁠⁠⁠YouTube Channel⁠⁠⁠Podcast: ⁠⁠⁠The Amy Edwards Show Podcast⁠⁠⁠Free Course:⁠⁠⁠ The Ageless Mindset⁠⁠⁠Full Course: ⁠⁠⁠The Youthfulness Hack⁠⁠⁠Work with Amy:⁠⁠⁠ ⁠⁠⁠⁠⁠⁠Book a Call⁠⁠⁠ Let's get you to your HAPPIEST and most RADIANT! Book a call to apply to work together one-on-one: ⁠https://amyedwards.as.me/15mincall⁠Amy's hair by ⁠https://www.thecollectiveatx.com⁠Get my FREE course "The Ageless Mindset: The Ultimate Guide to Look Younger and Feel Happier!" HERE: ⁠https://best-you-life.teachable.com/p/the-ageless-mindset-the-ultimate-guide-to-look-younger-feel-happier⁠Get the full course “The Youthfulness Hack: The Secret System to Reverse Aging Fast and Create a New, Radiant You!” Out now! ⁠https://best-you-life.teachable.com/p/the-youthfulness-hack

Today's episode is all about expanding your expertise and setting yourself apart in the ever-evolving world of dentistry. As a general dentist, you have the opportunity to transform your practice by sub-specializing in airway and TMJ conditions—two critical areas that are often overlooked but deeply impact patient health. Our guest today is Dr Stephanie Vondrak. She owns and operates a private practice in Elkhorn, Nebraska. Dr. Vondrak is a prime example of how expanding a practice with specialized services in airway and TMJ disorders can elevate the standard of care across all phases of restorative dentistry. In doing so, she has not only enhanced patient outcomes but also found immense fulfillment in her career. Thanks to our episode sponsors: NSK America - https://www.nskdental.com/ Shining 3D- https://www.shining3ddental.com/ GUM - https://www.sunstargum.com/us-en/

Your mouth tells a story — and it's not just about your teeth.Join Sophie Shepherd and Amber White, a biological dentistry expert, as they explore the link between oral health, hormone balance, and thyroid function.Learn about:How gum and tongue symptoms reflect deeper imbalancesThe truth about root canals and mercury fillingsHow the oral microbiome influences your entire bodyListen in for practical oral care tips, nutritional support, and how to find a biological dentist near you.

Send us a textCan your dentist use artificial intelligence (AI) to spot health problems sooner? Imagine an extra set of eyes that never gets tired — that's what AI is bringing to dentistry. In this episode, Ahmed Sultan, BDS, PhD, director of the Division of Artificial Intelligence Research at the University of Maryland School of Dentistry, shares how new AI tools are helping dentists catch issues like cavities and oral cancer earlier. He also talks about why it matters to use diverse data, the ethical questions behind AI in health care, and how these advances could especially benefit people in rural and low-income communities.Tune in to discover how AI is shaping the future of dental visits — and maybe even protecting more than just your smile.Learn more about AI research at the University of Maryland School of Dentistry at https://www.dental.umaryland.edu/ai/Listen to The UMB Pulse on Apple, Spotify, Amazon Music, and wherever you like to listen. The UMB Pulse is also now on YouTube.Visit our website at umaryland.edu/pulse or email us at umbpulse@umaryland.edu.

In this episode, Dr. Toni Engram sits down to explain her unique approach to holistic dental care and its connection to overall physical wellness. As a biological dentist, integrative health coach, and owner of Flourish Dental Boutique in Richardson, TX, Dr. Engram is redefining what dentistry can look like when the whole body is taken into account. From safe mercury removal and ozone therapy to airway-focused dentistry, Dr. Engram is passionate about helping patients optimize both oral and systemic health. But how does this forward-thinking approach shape the future of health and wellness? Tune in now to find out… Hit play to explore: How Dr. Engram's journey with an autoimmune disease shaped her practice. The role of inflammation in both mouth and gut health. What sets biological dentistry apart from conventional care. Patient protocols that consider the entire body, not just the teeth. Dr. Engram is a proud member of the Holistic Dental Association (HDA), the International Academy of Oral Medicine and Toxicology (IAOMT), and the International Academy for Biological Dentistry and Medicine (IABDM). As an IAOMT-accredited dentist, she is SMART-certified in safe amalgam removal and serves as a TBI Ambassador through The Breathe Institute. In addition, Dr. Engram is a certified Integrative Health Coach through the Institute of Integrative Nutrition and an active supporting member of the Dallas Holistic Chamber. Follow along with Dr. Engram's work here!

Dr. Toni Engram is a biological dentist, integrative health coach, and owner of Flourish Dental Boutique in Richardson, TX. A fter her own personal health struggles with an autoimmune disease, Dr. Engram shifted her practice philosophy to focus on whole-body health, and the prevention and safer treatment of oral disease. She has degrees from Texas Christian University and Baylor College of Dentistry. Dr. Engram is a member of the IAOMT (International Academy of Oral Medicine and Toxicology) and the IABDM (International Academy for Biological Dentistry and Medicine). She is SMART certified in safe amalgam removal technique, accredited through the IAOMT, and is a TBI Ambassador through The Breathe Institute. She is also a certified Integrative Health Coach through the Institute of Integrative Nutrition. In this episode, Dr. Engram talks about the difference in approaches in traditional dentistry vs. biological dentistry, and how to eat and supplement to optimize your oral health!     RESOURCES: Learn more about Dr. Engram here: http://www.flourish.dental/ Instagram: @drtoniengram Get 15% off Peluva minimalist shoe with coupon code COACHTARA here: http://peluva.com/coachtara   CHAPTERS: 0:00 Intro 3:30 How biological dentistry is different 8:30 Fluoride free toothpaste 12:15 Mercury amalgams 18:50 Dr. Engram's personal healing journey 24:00 Link between periodontal and heart diseases 30:35 How to fight decay 36:10 Weston A. Price's dental research in native communities 44:00 Insurance issues   WORK WITH ME: Are You Looking for Help on Your Wellness Journey? Here's how I can help you: TRY COACH TARA APP FOR FREE: http://taragarrison.com/app LEVEL UP PROGRAM: http://taragarrison.com/level-up INDIVIDUAL ONLINE COACHING: https://www.taragarrison.com/work-with-me CHECK OUT HIGHER RETREATS: https://www.taragarrison.com/retreats   SOCIAL MEDIA:  Instagram @coachtaragarrison TikTok @coachtaragarrison Facebook @coachtaragarrison Pinterest @coachtaragarrison   INSIDE OUT HEALTH PODCAST SPECIAL OFFERS: ☑️ Upgraded Formulas Hair Test Kit Special Offer: https://bit.ly/3YdMn4Z ☑️ Upgraded Formulas - Get 15% OFF Everything with Coupon Code INSIDEOUT15: https://upgradedformulas.com/INSIDEOUT15 ☑️ Rep Provisions: Vote for the future of food with your dollar! And enjoy a 15% discount while you're at it with Coupon Code COACHTARA: https://bit.ly/3dD4ZSv   If you loved this episode, please leave a review! Here's how to do it on Apple Podcasts: Go to Inside Out Health Podcast page: https://podcasts.apple.com/us/podcast/inside-out-health-with-coach-tara-garrison/id1468368093 Scroll down to the ‘Ratings & Reviews' section. Tap ‘Write a Review' (you may be prompted to log in with your Apple ID). Thank you!

To guide us through the topic of Ulcerative Conditions of the Oral Cavity is our guest Dr. Ashley Clark. She brings a wealth of knowledge about the clinical presentation, differential diagnosis, and management strategies for oral ulcerations. In this episode, she'll share insights into what dentists should look for during routine exams, when to be concerned, and how to approach treatment or referral. To reach out to Dr. Clark, please email aclark@camplaboratory.com. Thanks to our episode sponsors: VOCO America - https://www.voco.dental/us/ Shining 3D- https://www.shining3ddental.com/

Are typical mouthwash products effective and are they worth recommending to our patients? Are there any products out there that can actually make a significant difference in our fight against perio disease? Our guest, Dr. Steven Milman, will address these questions and more. Dr. Milman received his dental degree from Baylor College of Dentistry in Dallas, Texas. He completed his Periodontal residency at the University of Texas Health Science Center in San Antonio. He was a researcher in periodontal microbiology and was a full time periodontist in his private practice in Round Rock and Austin, Texas for 36 years. Thanks to our episode sponsors: BISCO - https://www.bisco.com/ Solventum - https://www.solventum.com/en-us/home/oral-care/

What do root canals, and cancer prevention have in common? More than you might think.In this powerful episode of the Believe Big podcast, Ivelisse welcomes Dr. Sharla Aronson, a passionate biological dentist from Colorado, whose journey into this field began after her child was born with hearing loss. What started as a personal predicament became a calling to rethink traditional dental care.Together, they dive into the world of biological dentistry—what it is, why it matters, and how it goes far beyond fillings and cleanings. Dr. Aronson explains how your mouth is deeply connected to your whole body, and why personalized, preventative dental care using less toxic materials and advanced tools like 3D imaging, ozone, and lasers could be a game-changer for your health.They also shine a light on the often-overlooked dangers of mercury amalgam fillings, and what to know about safely removing them using the SMART protocol. And for anyone wondering how to find a biological dentist or explore safer options for themselves or their kids, this episode is packed with resources and actionable insight.If you're curious about the deeper connection between oral health and overall wellness—or you've ever wondered what your mouth might be trying to tell you—this is one conversation you don't want to miss.Learn more about Dr. Sharla Aronson:https://www.alive-dental.com/aboutSuggested Resources:Alive Dental (Fort Collins, CO)International Academy of Oral Medicine and ToxicologyHolistic Dental SocietyInternational Academy of Biological Dentistry and MedicineDr. Sharla's Blog:  Glow From WithinAlive Dental FacebookBelieve BigSend us Fan Mail! Click here >Your donations power our podcast's mission to support cancer patients with hope, insights, and resources. Every contribution fuels our ability to uplift and empower. Join us in making a lasting impact. Donate now!

In this episode, Evan H. Hirsch, MD shares his personal experience as he prepares for dental cavitation surgery, an often overlooked but critical piece in the chronic fatigue and long COVID recovery journey. Evan explains what dental cavitations are, why they matter, and how hidden infections in the jawbone can impact sleep, detox pathways, and overall energy. He walks through his own assessment process, the CBCT scan, and the intense oral protocol he is following to disinfect and strengthen his mouth before surgery. You will also learn why this step is essential even if you have no pain or obvious dental issues. This is a powerful behind-the-scenes look at what it really takes to leave no stone unturned in the search for full recovery. Resources mentioned: -. The International Academy of Oral Medicine and Toxicology: https://iaomt.org . We help you resolve your Long Covid and Chronic Fatigue (ME/CFS) by finding and fixing the REAL root causes that 95% of providers miss. Learn about these causes and how we help people like you, Click Here. Do you have fatigue, brain fog, shortness of breath, muscle pain, or other strange symptoms? You might have Long Covid. Take our free quiz to find out if Long Covid is behind the mystery symptoms you're experiencing, Click Here.   For more information about Evan and his program, Click Here.   Prefer to watch on Youtube? Click Here.   Please note that any information in this episode is for educational purposes only and does not constitute medical advice.

This week, Sky Shook joins The Feds to discuss Lyme and other tick-borne illnesses that have caused much harm to the American population. Sky is a health consultant and strategist who has supported the healing efforts of patients with vector borne diseases, including Lyme disease, for more than two decades. He supports through advocacy, education, medical practice management and lobbying at the state and federal level.In this episode, we discuss why Sky started researching Lyme, and what he found helpful for his own wife who was struggling with a cascade of symptoms. Sky discusses that early treatment is the best, and for those who have chronic Lyme, it is important to look not just at the tick as the cause of illness, but at other toxins as contributors. We discuss the role of the government in tick-borne illnesses and the radical government transparency that is needed for a better understanding.Although not covered in this discussion, an important consideration with respect to tick-borne illness and our health generally may be the presence of parasites. There are many resources available to learn more about the need to address parasitic infection, which is frequently indicated in patients with difficult cases of tick-borne disease.Weston A. Price Foundation: WestonAPrice.org International Lyme and Associated Diseases Society: ILADS.org LymeDisease.org International Academy of Oral Medicine and Toxicology: IAOMT.org International Academy of Biological Dentistry and Medicine: IABDM.org Dr. Gerald Pollack, “Fourth Phase of a Water” at University of Washington Cary Institute of Ecosystem Studies in Millbrook, NY: www.caryinstitute.org Bitten by Kris Newby https://www.amazon.com/Bitten-History-Disease-Biological-Weapons/dp/006289627X Lab 257: The Disturbing Story of the Government's Secret Plum Island Germ Laboratory by Michael Carroll https://www.amazon.com/Lab-257-Disturbing-Governments-Laboratory/dp/0060011416 Healing Lyme by Stephen Harrod Buhner https://www.amazon.com/Healing-Lyme-Borreliosis-Coinfections-Rickettsiosis/dp/0970869649Check out Feds For Freedom's SubstackListen to The Feds on all platforms: https://taplink.cc/fedsforfreedomVisit our Website: FedsForFreedom.org Follow Feds For Freedom on Instagram/X (Twitter)/Facebook: @feds4freedomusa

Persistent dental pain without a clear cause can be one of the most frustrating challenges in oral surgery. In this episode, Dr. Hayley Vatcher, an Oral Medicine Specialist at Charleston Oral and Facial Surgery, unpacks the complexities of atypical odontalgia, also known as phantom tooth pain, persistent idiopathic dentoalveolar pain (PIDP), or persistent dentoalveolar pain disorder (PDPD). She explains how this neuropathic condition is often misdiagnosed, leading to unnecessary dental procedures, and emphasizes the importance of identifying its characteristic features, such as constant, localized pain that persists despite normal imaging and testing. Dr. Vatcher walks through her diagnostic approach, treatment options, which range from tricyclic antidepressants to localized Botox injections, and how harnessing the power of neuroplasticity can help break the pain cycle. Tune in to learn how understanding this underrecognized condition can change outcomes and restore trust for patients living with chronic oral pain!Key Points From This Episode:Exciting updates and announcements: upcoming book club and Everyday Oral Surgery blog.Today's guest and topic: Dr. Hayley Vatcher discusses atypical odontalgia (AO).Additional terms for AO: persistent idiopathic dentoalveolar pain (PIDP) or persistent dentoalveolar pain disorder (PDPD).The definition of AO, PIDP, and PDPD: chronic oral pain without an identifiable cause.Why PIDP doesn't respond to conventional dental treatments.How misdiagnosis of PIDP can lead to unnecessary procedures.Typical PIDP symptoms: constant, localized pain in one region of the mouth.Diagnosing PIDP: ruling out other causes like sinus issues, TMD, or trigeminal neuralgia.First-line treatment options, including tricyclic antidepressants and anticonvulsants.The high success rate of localized Botox injections for targeted relief.Other treatment options, including cognitive behavioral therapy (CBT) and meditation.Benefits of topical compound rinses as a conservative treatment.Why Dr. Vatcher doesn't recommend extractions and irreversible procedures for PIDP.Anatomy features and demographics that make you more likely to experience PIDP.Dr. Vatcher's guide to using Botox treatment for PIDP patients.A breakdown of PIDP as a neuropathic pain condition.The important role of neuroplasticity in long-term pain relief and breaking the pain cycle.Helping patients feel heard and validated through proper diagnosis.Lifestyle tips for PIDP: anti-inflammatory diet, exercise, TMD-friendly foods, and more.Links Mentioned in Today's Episode:Dr. Hayley Vatcher — https://www.charlestonoralandfacialsurgery.com/hayley-vatcherDr. Hayley Vatcher on LinkedIn — https://www.linkedin.com/in/hvatcher/ Dr. Hayley Vatcher on Instagram — https://www.instagram.com/dr.hayleyvatcher/Dr. Hayley Vatcher Email — hvatcher@gmail.comCharleston Oral and Facial Surgery — https://www.charlestonoralandfacialsurgery.com/ Everyday Oral Surgery Blog — https://everydayoralsurgery.blog/ The Dichotomy of Leadership — https://www.amazon.com/Dichotomy-Leadership-Balancing-Challenges-Ownership/dp/1250195772Bell's Oral and Facial Pain 7th Edition — http

Are you considering the airway in your treatment planning? Could centric relation (CR) be compromising your patient's breathing? When you open the vertical dimension, are you making the airway better—or worse? Welcome to another AES 2026 series episode, this time with LEGEND Dr. Jeff Rouse as he joins Jaz in this eye-opening episode to explore how airway, aesthetics, and function are deeply interconnected—especially in prosthodontics. They discuss key clinical scenarios like vertical dimension changes, examining how your choices may impact the airway—sometimes in ways you didn't expect. With practical insights and examples, this episode will help you make smarter, airway-conscious decisions that elevate both your functional and aesthetic outcomes. https://youtu.be/-Ut-qme7Vcg Watch PDP229 on Youtube Protrusive Dental Pearl: Plan your breaks 12 months in advance to avoid burnout and ensure quality time with your loved ones. Prioritize rest and connection before reaching exhaustion—your body, mind, and heart will thank you. Key Takeaways Airway health is crucial in dentistry, impacting aesthetics and function. Understanding airway issues can lead to better treatment outcomes for patients. Breastfeeding plays a significant role in childhood development and airway health. Interdisciplinary approaches are essential for effective adult treatment. Aesthetics and function are key factors in airway prosthodontics. Most patients are unaware of their airway issues until they are addressed. Early intervention in childhood can prevent future airway problems. Combining orthodontics and prosthodontics can enhance patient care. Airway management is crucial for overall patient health. A great bite is not just about teeth alignment. Pathway wear can indicate deeper dental issues. Vertical dimension changes can negatively impact airway. Understanding joint positions is essential in treatment planning. Continuous education is vital for modern dental practices. Highlights of this patient: 02:22  Protrusive Dental Pearl 04:34 Interview with Dr. Jeff Rouse Begins 09:05 Understanding Airway Prosthodontics 15:58 The Role of Cone Beam CT Scans 17:58 Treating Children and Early Interventions 24:50 Addressing Adult Airway Issues 29:43 Multidisciplinary Approach in Dentistry 31:46 Patient Transformations and Airway Focus 34:42 Understanding Pathway Wear 41:32 Impact of Vertical Dimension on Airway 48:55 Exploring Different Occlusion Philosophies 51:34 A Sneak Peek at AES 2026: Dental Wear Patterns Of The Airway Patient 55:25 Upcoming Events and Resources Explore the world of sleep disordered breathing with Prof. Ama Johal in PDP033: "Airway – Dentistry's Elephant in the Room."

The white patch looks like the typical leukoplakia. The patient has no history of heavy smoking or drinking so the question is, what should you do as this patient's general dentist. What risk does the patient face by not referring the patient to an oral surgeon or periodontist for a second opinion and/or a biopsy? Should you just do the biopsy yourself? To tell us about leukoplakia and what we should be doing as GPs is our guest Dr. Ashley Clark. Dr. Clark is a dentist and Board-Certified Oral Pathologist currently serving as the Vice President of CAMP Laboratory. She is on the Professional Board for Oral Cancer Cause and Digital Dental Notes. Dr. Clark has won several teaching awards, has provided over 100 continuing education courses, and has authored more than 40 publications and book chapters. She can be reached at aclark@camplaboratory.com. Thanks to our episode sponsors: Shining 3D- https://www.shining3ddental.com/ VOCO America - https://www.voco.dental/us/

How can dentists help kids breathe, sleep, and grow better—even if the problem isn't the teeth? When should you refer, and what tools can you use right now in your practice? In this AES special episode, Jaz Gulati is joined by Dr. Liz Turner and Dr. Meggie Graham—general dentists who have evolved their practice with a deep passion for airway and whole-child health. They walk us through five real patients, including Jaz's own son, to show what airway dentistry looks like in the real world. From growth appliances and myofunctional therapy to inflammation control and ENT collaboration, this episode connects the dots between breathing and behavior, development, and even dental crowding. https://youtu.be/Y6EfufPd98E Watch PDP226 on Youtube Protrusive Dental Pearl: "Don't stay stagnant—keep learning, keep growing, and reinvent yourself every 5–10 years." Think of your dental career in seasons—explore new areas, refine your interests, and let go of what no longer brings you joy. This keeps your passion for dentistry alive and evolving. Need to Read it? Check out the Full Episode Transcript below! Key Takeaways Airway dentistry is a growing field that emphasizes prevention. Understanding airway issues can lead to better health outcomes. Dentists can play a crucial role in optimizing health through airway management. Health optimization is a key focus in modern dentistry. Interdisciplinary collaboration is essential for effective patient care. Functional dentistry addresses the root causes of dental issues. Children's airway health can significantly impact their development. Dentists should feel empowered to make positive changes in their patients' lives. Facial aesthetics can significantly impact self-esteem and health. Nasal breathing is crucial for overall health and well-being. Quality of life can be improved through better patient care. Breastfeeding plays a vital role in a child's development. Addressing sleep issues in children is essential for their growth. Understanding the connection between breathing and systemic health is vital. Highlights of this episode: 02:04  Protrusive Dental Pearl 04:08 Interview with Dr. Liz Turner 06:18 Interview with Dr. Meggie Graham 07:43 Personal Journeys into Airway Dentistry 16:26 ENT Referrals 21:55 Understanding Airway Symptoms and Treatment 26:10 Patient Case Studies and Treatment Approaches 36:46 The Importance of Nasal Breathing 45:30 Pediatric Airway Concerns and Solutions 55:09 Educational Resources and Final Thoughts

Title: With the Wind with Dr. Paul – Show 176: Pediatric Perspectives: Warning: Neurotoxins in Your Water with Griffin Cole, DDS, NMD Presenter: Dr. Paul Thomas Guest: Griffin Cole, DDS, NMD Length: 54 minutes Links to Websites Discussed: • Fluoride Action Network – https://fluoridealert.org • IAOMT – International Academy of Oral Medicine and Toxicology – https://iaomt.org • Griffin Cole, DDS – https://www.griffincole.com • Kids First 4Ever – https://www.kidsfirst4ever.com/#/ • With the Wind: SCIENCE Revealed – https://www.doctorsandscience.com Key Points: • Fluoride is a documented neurotoxin—Griffin outlines recent data on its negative effects, especially in children. • The U.S. remains one of the few industrialized countries still practicing widespread water fluoridation. • Griffin details the known dangers of mercury amalgam fillings and why they're still used in dentistry. • The dental industry and public health institutions often ignore or dismiss well-documented toxicity. • Dr. Cole promotes integrative and biological dentistry as a safer, science-backed path forward. • Informed consent is the foundation of real medical freedom, especially for pediatric care. Summary: In this episode of With the Wind, Dr. Paul sits down with Griffin Cole, DDS, NMD, a pioneer in biological dentistry and longtime advocate for toxin-free care. Together, they expose the dangers of fluoride in our water and mercury in dental fillings—substances with well-known neurotoxic effects. Dr. Cole shares his professional journey and personal passion for protecting children and families from these silent threats, offering insights into safer practices and the importance of informed consent in both medicine and dentistry. Conclusion: Griffin Cole reminds us that health freedom begins with truth and transparency. With clear data pointing to the risks of neurotoxins like fluoride and mercury, it's time for parents, professionals, and policymakers to take action. This powerful episode equips viewers with knowledge and motivation to demand safer standards. Quote: “We've known for decades that mercury is the most toxic non-radioactive element on the planet. Why are we still putting it in people's mouths?” — Griffin Cole, DDS, NMD ________________________________________ Hashtags: #Neurotoxins #FluorideAwareness #MercuryFreeDentistry #PediatricHealth #HealthFreedom #WithTheWind #KidsFirst4Ever @Mentions: @FluorideAction @IAOMT @DoctorsAndScience @KidsFirst4Ever

In this live-recorded episode from the 2025 CMDA National Convention, we sit down with Dr. HK, DDS, Oral Medicine and Associate Executive Officer of ICMDA, who serves across East Asia, Southeast Asia, and Oceania. A passionate servant-leader, Dr. HK shares how one “yes” to a volunteer opportunity launched a lifetime of Christ-centered influence in healthcare. From training leaders through the Saline Process to mentoring students in mission outreaches and advocating for the marginalized, his story invites us to see our own work through an eternal lens. Whether you’re in a small clinic or a global network, this conversation will stir your heart for discipleship, purpose, and the global call of the Great Commission in medicine and dentistry.

Ever wondered how your dental health might be linked to breast implant illness? In this engaging podcast episode, Dr. Robert Whitfield speaks with Dr. Toni Engram, a forward-thinking biologic dentist, about unraveling the intriguing link between breast implant illness (BII) and holistic dentistry. Dr. Engram passionately talks about how crucial oral health is to our overall well-being and may raise some eyebrows by discussing the risks of fluoride and amalgam fillings. Together, they emphasize the need for personalized care and the deep connection between oral and systemic health. Plus, they dish out some practical tips for keeping your mouth, and the rest of you, healthy and happy. Tune in for insights that might just change the way you think about your health! Connect with Toni Engram, DDS, AIAOMT Website (http://www.flourish.dental) Youtube (https://www.youtube.com/@yourholisticdentist)- @yourholisticdentist Instagram (https://www.instagram.com/drtoniengram/)- @drtoniengram Show Highlights: Biologic vs. Holistic Dentistry (00:02:48) Principles of biologic dentistry, emphasizing whole-body health Oral Health and Systemic Health (00:04:34) Connection between oral health and overall wellness Toothpaste Recommendations (00:11:01) Alternatives to fluoride toothpaste for better oral health SMART Protocol for Safe Removal (00:15:41) SMART protocol for safely removing mercury fillings Materials Used in Dental Work (00:18:22) Modern materials used to replace mercury fillings Testing for Oral Health Issues (00:31:48) Saliva and blood testing for identifying dental material reactions Chronic Inflammation and Oral Health (00:35:28) Oral health and chronic inflammatory processes in patients Sleep Apnea and Oral Health (00:38:51) Sleep apnea's impact on health and its underdiagnosis in patients Bio. Dr. Toni Engram is a biological dentist, integrative health coach, and owner of Flourish Dental Boutique in Richardson, TX. After her own personal health struggles with an autoimmune disease, Dr. Engram shifted her practice philosophy to focus on whole-body health and the prevention and safer treatment of oral disease. She has degrees from Texas Christian University and Baylor College of Dentistry. Dr. Engram is a member of the IAOMT (International Academy of Oral Medicine and Toxicology) and the IABDM (International Academy for Biological Dentistry and Medicine). She is SMART certified in safe amalgam removal technique, accredited through the IAOMT, and is a TBI Ambassador through The Breathe Institute. She is also a certified Integrative Health Coach through the Institute of Integrative Nutrition. Links and Resources Let's Connect Podcast: https://podcasts.apple.com/gb/podcast/breast-implant-illness/id1678143554 Spotify: https://open.spotify.com/show/1SPDripbluZKYsC0rwrBdb?si=23ea2cd9f6734667 TikTok: https://www.tiktok.com/@drrobertwhitfield?t=8oQyjO25X5i&r=1 IG: https://www.instagram.com/breastimplantillnessexpert/ FB: https://www.facebook.com/DrRobertWhitfield Linkedin: https://www.linkedin.com/in/dr-robert-whitfield-md-50775b10/ X: https://x.com/rob_whitfieldmd Read this article - https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/implant-reconstruction/illness/breast-implant-illness Shop: https://drrobssolutions.com SHARP: https://www.harp.health NVISN Labs - https://nvisnlabs.com/ Get access to Dr. Rob's Favorite Products below: Danger Coffee - Use our link for mold free coffee - https://dangercoffee.com/pages/mold-free-coffee?ref=ztvhyjg JASPR Air Purifier - Use code DRROB for the Jaspr Air Purifier - https://jaspr.co/ Echo Water - Get high quality water with our code DRROB10 - https://echowater.com/ BallancerPro - Use code DRROBVIP for the world's leader in lymphatic drainage technology - https://ballancerpro.com Ultrahuman - Use code WHITFIELD10 for the most accurate wearable - https://www.ultrahuman.com/ring/buy/us/?affiliateCode=drwhitfield

Which imaging techniques should you prioritize for TMD patients? Does a panoramic radiograph hold any value?  When should you consider taking a CBCT of the joints instead? How about an MRI scan for the TMJ? Dr. Dania Tamimi joins Jaz for the first AES 2026 Takeover episode, diving deep into the complexities of TMD diagnosis and TMJ Imaging. They break down the key imaging techniques, how to use them effectively, and the importance of accurate reports in patient care. They also discuss key strategies for making sense of MRIs and CBCTs, highlighting how the quality of reports can significantly impact patient care and diagnosis. Understanding these concepts early can make all the difference in effectively managing TMD cases. https://youtu.be/NBCdqhs5oNY Watch PDP223 on Youtube Protrusive Dental Pearl: Don't lose touch with the magic of in-person learning — balance online education with attending live conferences to connect with peers, meet mentors, and experience the true essence of dentistry! Join us in Chicago AES 2026 where Jaz and Mahmoud will also be speaking among superstars such as Jeff Rouse and Lukasz Lassmann! Need to Read it? Check out the Full Episode Transcript below! Key Takeaways: Imaging should follow clinical diagnosis → not replace it. Every imaging modality answers different questions; choose wisely. TMJ disorders affect more than the jaw → they influence face, airway, growth, posture. Think beyond replacing teeth → treatment should serve function, not just fill space. Avoid “satisfaction of search error” → finding one problem shouldn't stop broader evaluation. Highlights of this episode: 02:52  Protrusive Dental Pearl 06:01 Meet Dr. Dania Tamimi 09:04 Understanding TMJ Imaging 16:00 TMJ Soft Tissue Anatomy  21:04 The Miracle Joint: TMJ Self-Repair 24:26 The Role of Imaging in TMJ Diagnosis 28:15 Acquiring Panoramic Images 39:35 Guidelines for Using Different Imaging Techniques 41:26 Case Study: Misdiagnosis and Its Consequences 45:46 Balancing Clinical Diagnosis and Imaging 50:17 Role of Imaging in Orthodontics 53:18 The Importance of Accurate MRI Reporting 58:27 Final Thoughts on Imaging and Diagnosis 01:00:54 Upcoming Events and Learning Opportunities

Joining us today is Dr. Robert Convissar, a general dentist who has performed thousands of oral cancer exams and hundreds of biopsies. He will share his approach to screening, his clinical insights, and some valuable tips that can dramatically improve our ability to detect oral cancer at its earliest, most treatable stages. Dr. Convissar has authored over twenty peer-reviewed papers and 7 laser textbooks. He has delivered close to 400 continuing education programs worldwide.

Are you confident in managing patients on bisphosphonates or biologics? Which medications increase the risk of medication-related osteonecrosis of the jaw (MRONJ)? How do you decide when to extract a tooth and when to refer to a specialist? In this episode, Jaz is joined by oral surgery consultant Dr. Pippa Cullingham to explore the complexities of MRONJ. They break down the key risk factors, share expert advice on when to proceed with extractions, and discuss the latest guidelines for managing patients at risk. They also discuss the importance of early assessment - by identifying at-risk teeth early, you can help prevent serious complications and ensure the best outcome for your patients. https://youtu.be/KnQoI8Z-FhM Watch PDP215 on Youtube Protrusive Dental Pearl: it is so important to assess patients before they start taking high-risk medications like bisphosphonates or biologics, using radiographs to identify potential issues. Extractions should ideally be done before medication starts to avoid complications, as MRONJ risk increases once treatment begins. Key Takeaways: Medication-related osteonecrosis of the jaw concerns medications other than bisphosphonates. Risk assessment is crucial when considering dental extractions for patients on certain medications. Guidelines from the Scottish Dental Clinical Effectiveness Partnership are valuable resources for dentists. Higher-risk patients require careful management and communication with their medical teams. Denosumab has a different risk profile compared to bisphosphonates. Patients on long-term bisphosphonates may still have risks even after stopping the medication. Dentists should feel empowered to manage certain extractions in primary care with proper guidance. The decision to extract a tooth should weigh the risks and benefits for the patient. Always assess the patient's risk before extraction. Eight weeks is a critical time for assessing healing. Antibiotics are not recommended for preventing MRONJ in the UK. Radiotherapy history significantly impacts extraction risk. Referral to specialists may be necessary for high-risk patients. Highlights of this episode: 02:15 Protrusive Dental Pearl 03:52  Interview with Dr. Pippa Cullingham: Insights and Experiences 06:40 Medications and Their Risks 10:02 MRONJ: Incidence and Prevalence 13:13 Biologics and other medications 14:19 Guidelines and Best Practices 17:22 Managing High-Risk Patients 25:03 Prophylactic Antibiotics  26:55 Risk Assessment 28:47 Radiotherapy & ORN Risk 31:49 Tips and Key Takeaways 33:32 New Medications & Prevention Strategies For the best approach to managing MRONJ, check the SDCEP Guidelines and the American White Paper. This episode is eligible for 0.5 CE credits via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes B and C. AGD Subject Code: 730 ORAL MEDICINE, ORAL DIAGNOSIS, ORAL PATHOLOGY (Diagnosis, management and treatment of oral pathologies) Dentists will be able to - 1. Be aware of the medications that increase the risk of MRONJ. 2. Learn how to assess the risk of MRONJ in patients, particularly before starting high-risk medications. 3. Understand when to proceed with extractions and when to refer patients to specialists for management. If you liked this episode, check out PDP206 - White Patches

In this episode we speak with Dr. Ingo Mahn about the connection between oral health and sleep. Dr. Mahn is a trailblazer in the field of dentistry and is based in Phoenix, AZ. Dr. Mahn grew up in Germany and moved to the United States at the age of 12. He graduated from Marquette University in 1985 after attending there for both undergrad and dental school. An early adopter of biological technology, Dr Mahn was one of the first users of Cerec in 1995. After discovering the benefits of a more natural approach, he founded Integrative Dental Solutions in 2001 and went on to earn a doctorate in Integrative Medicine from Capital University in Georgetown in 2004. In 2017, Dr Mahn and his family relocated to Phoenix, AZ where he founded Natural Dental Partners, a biological dentistry practice. Aside from running his dental practice, Dr Mahn currently spends most of his time focused on treating the root cause of breathing disorders, sleeping conditions, and TMJ dysfunction. He founded the Institute for Advanced Airway Studies to empower fellow dentists to establish superior airway programs in their practices for enhanced patient well-being. Dr. Mahn is also an accredited member of the International Academy of Oral Medicine and Toxicology (IAOMT) where he serves as a board member and chairman of the Ozone Committee. Learning Points: • What is Sleep-Disordered breathing? • How are both sleeping and breathing linked to dentistry? • Common signs of Sleep-Disordered breathing? Social Media: Instagram - https://www.instagram.com/naturaldentalpartners LinkedIn - https://www.linkedin.com/in/dr-ingo-mahn-9451b511/ Websites: https://www.mynaturaldentist.com/ https://www.mynaturaldentist.com/

Discover the unexpected ties between your dental health and overall wellness in an eye-opening conversation with Dr. Mark DiNola. This episode of The Root of the Matter promises to enlighten listeners on the transformative power of holistic and biologic dentistry. Dr. Mark shares his unique journey into this field, revealing how dental health can impact everything from chronic diseases to rising cancer rates among young people. Our dialogue tackles the shortcomings of conventional systems and highlights the pervasive issue of toxins lurking in our food, environment, and personal care products.Prepare to rethink what you know about dental treatments as we challenge traditional practices and spotlight safer alternatives. Dr. DiNola delves into the SMART protocol for mercury removal, the pitfalls of processed foods, and the harms of fake sugars and energy drinks. With a focus on nutrient-dense options, we advocate for healthier choices that contribute to long-term well-being. Our exchange also covers the benefits of treatments like ozone therapy, emphasizing their role in promoting healing and eliminating pathogens. By examining the impact of toxins, advanced technologies, and the critical role of mitochondria, we aim to empower you with knowledge for informed health decisions.Join us in unraveling the complex interplay between oral health and systemic conditions, particularly focal infections and root canals. This episode details the importance of patient empowerment and collaboration with healthcare providers. Through Dr. Mark's involvement with the International Academy of Oral Medicine and Toxicology, listeners gain insight into finding practitioners committed to safe and holistic practices. We invite you to explore more of Dr. Mark's insights and look forward to future episodes featuring notable guests, all designed to support your journey toward a more informed and healthier life.Connect with Dr. DiNola and his team https://mddentalwellnesscenter.com/To learn more about holistic dentistry, check out Dr. Carver's website:http://carverfamilydentistry.comTo contact Dr. Carver directly, email her at drcarver@carverfamilydentistry.comWant to talk with someone at Dr. Carver's office?  Call her practice: 413-663-7372Reverse Gum Disease In 6 Weeks! With Dr. Rachaele Carver Online Course!Learn more about here: https://reversegumdiseaseinsixweeks.info/optinpageDisclaimer: This podcast is for educational purposes only. Information discussed is not intended for diagnosis, curing, or prevention of any disease and is not intended to replace advice given by a licensed healthcare practitioner. Before using any products mentioned or attempting methods discussed, please speak with a licensed healthcare provider. This podcast disclaims responsibility from any possible adverse reactions associated with products or methods discussed. Opinions from guests are their own, and this podcast does not condone or endorse opinions made by guests. We do not provide guarantees about the guests' qualifications or credibility. This podcast and its guests may have direct or indirect financial interests associated with products mentioned.

According to our guest, Dr Stephanie Vondrak, if you want to make sure your restorative work is going to last, you need to know about the entire occlusal system, and that includes the TMJ. So Dr. Vondrak sought out CE courses taught by TMJ experts which have given her not only the ability to understand and diagnose TMJ disorders, but to actually treat them. She starts with protective therapy and then if necessary, proceeds with corrective therapy. Treating TMJ disorders in house is not for every GP, but, understanding the options for your patients is certainly the responsibility of the general dentist. Dr Vondrak owns and operates a private practice in Elkhorn, Nebraska. She has pursued over 600 hours of post-doctorate education in TMD, occlusion, orthodontics, and sleep apnea including the Pankey Institute, the Schuster Center, and the American Academy of Craniofacial Pain. Thanks to our episode sponsors: Ivoclar - https://www.ivoclarusa.com/finder/makeitemax/index.php 3M - https://www.3m.com/clarity-aligners-flex/

In this episode, we'll be talking about a new dental approach to an old problem, and that's Oral Human papillomavirus, commonly referred to as HPV. Why is this virus so dangerous and how can we as dental professionals help save lives by screening for this insidious virus? To answer these questions and more, is our guest, Dr Mohammad Kamal. Dr Kamal completed his Pathology training at Harbor UCLA Medical Center in California, serving as a chief resident. He completed subspecialty fellowship training in Gastrointestinal and Liver Pathology at UCLA and he is board certified in Anatomic Pathology. Dr. Kamal served as Medical Director of LabCorp's Dianon Laboratory and as Chief Medical Officer for PLUS Diagnostics. Thanks to our episode sponsors: NSK America - https://www.nskdental.com/ Ivoclar - https://www.ivoclarusa.com/finder/makeitemax/index.php

Dr. Haroldo Magarinos is a Chilean dentist specializing in Periodontics, Oral Medicine, and Implantology. After over a decade of conventional practice and university teaching, he decided to pursue his passion and become a board-certified naturopathic doctor in 2018. He also specialized in Integrative Biological Dental Medicine, Homeopathy, Live blood analysis, Peptide therapy, and Advanced Clinical Ozone therapy. Dr. Haroldo has long been a strong advocate for studying the human microbiome, firmly believing that treating patients with dysbiosis can prevent and even reverse many prevalent forms of chronic disease. He currently works as a clinical consultant in microbiome metagenomic analysis for Microbiome Labs and is the co-founder and director of Revolution Gut Health, an online platform that offers coaching services to everyone who wants to learn and improve microbiome-related health conditions. In this episode, Dr. Haroldo Magarinos shares information on the history of fluoridation and why he believes it's safer to avoid fluoride. Learn more about Dr. Haroldo here: https://revolutionguthealth.com/ Instagram: @drharoldo Watch the previous show with Dr. Magarinos here: https://www.taragarrison.com/blog/drharoldomagarinos Get 15% off Peluva minimalist shoe with coupon code COACHTARA here: https://peluva.com/ CHAPTERS: 0:00 Intro 3:12 Dr. Haroldo's background 5:21 Why not fluoridate water 18:47 No single study to prove safety 27:44 Oral health best practices 36:48 Alternatives to fluoride 43:30 Hydroxyapatite forms  

Are you confident in diagnosing white patches? Which white patches need an URGENT referral? How do you tell the difference between lichen planus, lichenoid reactions, and other common lesions? Dr. Amanda Phoon Nguyen is back with another amazing episode, this time diving deep into the world of oral white patches. Jaz and Amanda explore the most common lesions you'll encounter, breaking down their appearance, diagnosis, and management. They also discuss key strategies to help you build a strong differential diagnosis, because identifying the right lesions early can make all the difference in patient care. https://youtu.be/xlQpuQu2Hl0 Watch this full episode on YouTube Protrusive Dental Pearl: A new infographic summarizing Dr. Amanda Phoon Nguyen's key teachings. Jaz describes it as an easy-to-follow "cheat sheet" designed to simplify complex ideas and make it easier to apply the concepts discussed in the episode. You can download the Infographic for free inside Protrusive Guidance 'Free Podcasts + Videos' section. Key Takeaways White patches in the oral cavity can be classified into normal variants, non-pathological patches, and potentially malignant disorders. It is important to identify the cause of the white patch and differentiate between different types. Referrals should be made based on the characteristics of the white patch and the urgency of the situation. Clinical photographs are valuable in referrals and can aid in triaging patients. Ongoing monitoring is important for potentially malignant disorders. Lichen planus can have different types and presentations, and a biopsy may be necessary for certain cases. Enlarged taste buds, particularly in the foliate papillae, are usually bilateral and not a cause for concern. Oral lichenoid lesions can be triggered by dental restorative materials or medications, and a change in dental material may sometimes improve the condition. Smoker's mouth can present with white patches and inflammation in areas where smoke gathers, and counseling patients to reduce smoking is important. Oral submucous fibrosis, often caused by areca nut chewing, requires regular review and counseling patients to stop chewing the nut.  Highlights for this episode: 01:22 Protrusive Dental Pearl 05:13 Dr. Amanda Phoon Nguyen Introduction 07:39 White Patches Introduction 09:16 Understanding Geographic Tongue 12:44 Keratosis vs. Leukoplakia 19:02 Proliferative Verrucous Leukoplakia 22:18 Referral Tips for General Dentists 29:56 Understanding Leukoplakia 33:17 Urgent and Non-Urgent Referrals 34:37 Patient Communication 39:17  Discussing Erythroplakia  41:03 Oral Lichen Planus: Diagnosis and Management 47:50 Enlarged Taste Buds 49:47 Oral Lichenoid Lesions vs Oral Lichen Planus 53:43 Smoker's Mouth 55:14 Oral Submucous Fibrosis 57:23 Learning more from Dr. Amanda Phoon Nguyen  This episode is eligible for 1 CE credit via the quiz below.  This episode meets GDC Outcomes B and C. AGD Subject Code: 730 ORAL MEDICINE, ORAL DIAGNOSIS, ORAL PATHOLOGY (Diagnosis, management and treatment of oral pathologies) Dentists will be able to - Identify the cause of a white patch and differentiate between different types. Understand when and how to make referrals based on the characteristics of the white patch and the urgency of the situation. Appreciate the importance of ongoing monitoring for potentially malignant disorders, including when to consider a biopsy. For those interested in visual case studies and deeper insights into oral lesions and conditions, follow Dr. Amanda on Instagram and Facebook! If you loved this episode, be sure to check out another epic episode with Dr. Amanda - Prescribing Antifungals as a GDP – Diagnosis and Management – PDP151

Professor Ramesh Balasubramaniam graduated with a BDSc from the University of Western Australia in 2000 and subsequently practiced general dentistry.  In 2006, he completed a certificate and Master of Science degree in Orofacial Pain at the University of Kentucky. While at the University of Kentucky, Ramesh also underwent training in the field of Dental Sleep Medicine.  Ramesh is a Diplomate of the American Board of Orofacial Pain. In addition, Ramesh completed specialist training in Oral Medicine as well as a Fellowship in Interdisciplinary Geriatrics at the University of Pennsylvania in 2008.  13500+ Patients Treated Author and editor of 2 books 60+ Published Articles 13+ years of teaching experience Ramesh has an appointment as a Clinical Associate Professor at the School of Dentistry of the University of Western Australia and is actively involved in teaching and research.  He is president-elect of the Oral Medicine Academy of Australasia.  He also has public appointments at the Oral Health Centre of Western Australia and Princess Margaret Hospital for Children.  His Oral Medicine Specialist practice focuses on Orofacial Pain, Oral Diseases and Disorders, and Dental Sleep Medicine. In this episode of The Savvy Dentist Podcast, Dr. Jesse Green and Professor  Ramesh Balasubramaniam discuss the three big facets of his professional life. His academic life, his dental practice life, and his expanding commercial business product called Periogold.  Ramesh is driven to impact the world, he's driven to improve people's lives, and in this discussion you will hear the passion that drives him to juggle and balance the busy ecosystem of his personal and business life. [02:28] - Ramesh accidentally fell into a dental career … and has never looked back. [10:06] - The early years after graduation allowed Ramesh to get a clear understanding of the direction he wanted to take his dentistry career. [16:26] - The juggle of work commitments is ‘real'... how does Ramesh handle the incredible workload and day-to-day push-and-pull of life and business? [21:09] - The concept of PerioGold and how Ramesh and his team bought it to market. [34:28] - If you are contemplating a career in Academia, or have a product or business concept of your own, Ramesh explains how to juggle your practice and family life and create the space necessary to bring your ambitions to fruition.

Today on the Holistic Dentistry Show, Dr. Sanda discusses jaw bone cavitations, emphasizing their misunderstood nature and the updated understanding by the International Academy of Oral Medicine and Toxicology (IAOMT). Jawbone cavitations are areas of dead or dying bone tissue in the jaw, often caused by tooth removal, root canals, or infections. In Dr. Sanda's experience, after a jawbone cavitation surgery on patients with chronic fatigue and inflammation, they often experience relief across symptoms. She explains that the IAOMT has proposed a new name for this condition and reviews the condition's history of different naming conventions. Dr. Sanda then describes how cavitations are diagnosed, why they are often missed, and what technology is needed to detect them. For those suffering from unexplained chronic health issues, investigating if jawbone cavitation is a factor may be a good next step.  Call our office at (310) 275-4180 to find out more about cavitations! Want to see more of The Holistic Dentistry Show? Watch our weekly episodes on YouTube!  Do you have a mouth- or body-related question for Dr. Sanda? Send her a message on Instagram! Remember, you're not healthy until your mouth is healthy. So take care of it in the most natural way.  Key Takeaways: (01:30) Definition of a jaw cavitation (03:36) Effects of surgery on chronic fatigue  (10:03) The many names of jawbone cavitation (13:16) How to diagnose a cavitation (14:37) Cavital's outdated usage (18:31) Importance of systemic health Resources Mentioned: IAOMT Position Paper on Human Jawbone Cavitations Connect With Us:  BeverlyHillsDentalHealth.com |  Instagram  DrSandaMoldovan.com | Instagram  Orasana.com | Instagram

There's no question there's been an ongoing buzz and growing interest among dental professionals in, what is being referred to as, Wellness Dentistry. So what exactly is Wellness Dentistry? And why would a dentist consider positioning his or her practice around it? To answer these questions and more is our guest Dr Mohammad Kamal. Dr Kamal completed his Pathology training at Harbor UCLA Medical Center in California, serving as a chief resident. He completed subspecialty fellowship training in Gastrointestinal and Liver Pathology at UCLA and he is board certified in Anatomic Pathology. Dr. Kamal served as Medical Director of LabCorp's Dianon Laboratory and as Chief Medical Officer for PLUS Diagnostics. Thanks to our episode sponsors: Ivoclar - https://www.ivoclar.com/ NSK America - https://www.nskdental.com/

What amount of fluoride in our drinking water is considered a health risk?  Tune in for an inspiring discussion with Dr. Griffin Cole on How Fluoride in our Drinking Water is Posing a Health Risk to Children.Moments with Marianne airs in the Southern California area on KMET1490AM & 98.1 FM, an ABC Talk News Radio affiliate!   Dr. Griffin Cole, DDS NMD, specializes in biological dentistry. He is board certified in Naturopathic Medicine and earned a degree in Integrative Biological Dental Medicine. He also received his Mastership in the International Academy of Oral Medicine and Toxicology. He's a past President of the IAOMT and has been featured on numerous local and national radio and TV programs, including World News Tonight with Diane Sawyer. https://www.iaomt.orgFor more show information visit: www.MariannePestana.com#health #wellness #fluoride #DrGriffinCole #water #EPA #drinkingwater #watersupply #healthrisk #children #childrenhealth 

Today we'll be talking about a variety of perio related topics that GPs should be aware of. How do we determine the frequency of our re-care appointments? How do we get the highest compliance from our patients? Is there a secret sauce for getting predictable success with our perio cases? To tell us more about it is our guest Dr. Steven Milman. Dr. Milman received his dental degree from Baylor College of Dentistry in Dallas, Texas. He completed his Periodontal residency at the University of Texas Health Science Center in San Antonio. He was a researcher in periodontal microbiology and was a full time periodontist in his private practice in Round Rock and Austin, Texas for 36 years. Thanks to our episode sponsors: GC America - https://www.gc.dental/ SciCan - https://www.scican.com/us/

In this special episode on Oral Health our host, Dr. Neil Skolnik will discuss practical approaches to helping patients achieve oral health which is of critical importance for people with diabetes.  His guest for this episode is Dr. Wenche Borgnakke, and expert in public health and dentistry.  This special episode is supported by an independent educational grant from Haleon. Presented by: Neil Skolnik, M.D., Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Associate Director, Family Medicine Residency Program, Abington Jefferson Health Dr. Wenche Borgnakke.  Dr Borgnakke, DDS, MPH, PhD ,  Adjunct Clinical Assistant Professor of Dentistry in the department of Periodontics and Oral Medicine at the University of Michigan School of Dentistry. References: 1) American Dental Association. Gum disease can raise your blood sugar level. J Am Dent Assoc 2013;144(7):860. https://jada.ada.org/article/S0002-8177(14)60555-9/pdf   2) Borgnakke WS. Current scientific evidence for why periodontitis should be included in diabetes management. Front Clin Diabetes Healthc 2024;4:257087. https://www.frontiersin.org/articles/10.3389/fcdhc.2023.1257087/full   3) Borgnakke WS, Poudel P. Diabetes and oral health: summary of current scientific evidence for why transdisciplinary collaboration is needed. Front Dent Med 2021;2(50):#709831. https://www.frontiersin.org/articles/10.3389/fdmed.2021.709831/full   4) Simpson TC, Clarkson JE, Worthington HV, et al. Treatment of periodontitis for glycaemic control in people with diabetes mellitus. Cochrane Database Syst Rev 2022;4(4):CD004714. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD004714.pub4/full    

Today, you get to hear from my friend and personal dentist, Dr. Sharla Aronson!Dr. Aronson shares her journey into biological dentistry, which began after her first child was born with hearing loss. This life-changing experience led her to explore alternative health approaches, eventually resonating with biological dentistry's focus on root causes and prevention. Dr. Aronson explains how biological dentistry connects oral health to overall well-being, using personalized treatments, cutting-edge technology like 3D x-rays, and biocompatible materials. Join us as she dives into the importance of eliminating harmful infections and the unique, holistic approach to dental care she offers.Learn more about Dr. Sharla Aronson:https://www.alive-dental.com/aboutSuggested Resources:Alive Dental (Fort Collins, CO)International Academy of Oral Medicine and ToxicologyHolistic Dental SocietyInternational Academy of Biological Dentistry and MedicineDr. Sharla's Blog:  Glow From WithinAlive Dental FacebookBelieve BigYour donations power our podcast's mission to support cancer patients with hope, insights, and resources. Every contribution fuels our ability to uplift and empower. Join us in making a lasting impact. Donate now!

Dr. Veronique Desaulniers, better known as Dr. V, is the founder of Breast Cancer Conqueror® and the 7 Essentials System® and is the best selling author of Heal Breast Cancer Naturally. She received her Doctor of Chiropractic and has extensively studied the fields of “Energy Medicine,” such as Bio-Energetics, Meridian Stress Analysis, Homeopathy, Naturopathy, Digital Thermography, EFT and Chiropractic. Dr V has personally faced 2 breast cancer journeys of her own and is dedicated to educating and empowering women with breast cancer on how to survive and THRIVE so that they can live a happier and healthier life, while Never Fearing Breast Cancer Again. www.breastcancerconqueror.com www.facebook.com/breastcancerconqueror www.instagram.com/breast_cancer_conqueroror Free Gift: From Section 2 of her book, Heal Breast Cancer Naturally "Why do I have Breast Cancer - 7 Common Cancer Triggers" www.breastcancerconqueror.com/free-book Helpful Resources from the Dr V's Interview: - For nutrition testing, visit Nutrition Genome - To learn more about detoxifying your life, look up cleaning, beauty products and more at The Environmental Working Group - Click here for Dr Joe Dispenza's book, You are the Placebo - To locate a Biological Dentist visit, The International Academy of Oral Medicine and Toxicology - Read more about Apricot Seeds at Apricot Power - Locate a Thermology Practitioner at the American College of Clinical Thermology ____________________ To learn more about the 10 Radical Remission Healing Factors, connect with a certified RR coach or join a virtual or in-person workshop visit www.radicalremission.com. To watch Episode 1 of the Radical Remission Docuseries for free, visit our YouTube channel here. To purchase the full 10-epidsode Docuseries visit Hay House Online Learning. Click Here, to learn more about health coaching with Liz or Karla.   Follow us on Social Media: Facebook , Instagram, YouTube.

Dr. Julia is a biological dentist, accredited by the International Academy of Oral Medicine and Toxicology. She attended dental school in Indiana, where she first began her dental career. She went on to practice dentistry for several years at a holistic dental practice in Chicago. She was able to work closely in collaboration with Dr. Kevin Boyd, even serving as a research assistant for his anthropology research with the Penn Museum. Dr. Julia was practicing general dentistry, while still offering important services like infant frenectomies. Her passion for identifying and referring young patients to seek early interceptive solutions became one of her favorite parts of her profession. She has since created her own consulting business, Oris Wellness, to offer customized one-on-one support for parents in the topics surrounding airway dentistry. Her new Smile Support program will be launching soon, which will enable more structured ongoing assistance for the families she helps. More recently, Dr. Julia relocated with her husband and dog to Portugal. She is enjoying learning about how the perspectives and services that are offered in Europe vary from the training she received formerly in the US. Furthermore, she is enjoying the chance to be on this adventure and building out her next chapter with more intention. Learn more about working with me  Shop my masterclasses (learn more in 60-90 minutes than years of dr appointments for just $19.99) Follow me on IG Learn more about working with Dr. Julia Follow Dr. Julia on IG   

In this special episode on Oral Health our host, Dr. Neil Skolnik will discuss the bidirectional relationship between oral health and diabetes with Dr. Wenche Borgnakke.  This special episode is supported by an independent educational grant from Haleon. Presented by: Neil Skolnik, M.D., Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Associate Director, Family Medicine Residency Program, Abington Jefferson Health Dr. Wenche Borgnakke.  Dr Borgnakke DDS, MPH, PhD ,  Adjunct Clinical Assistant Professor of Dentistry in the department of Periodontics and Oral Medicine at the University of Michigan School of Dentistry.  

 Today's guest is Tami Yap. She is an oral medicine specialist. Tami deals with everything in the mouth except the teeth and gums. She is the connection between dentistry and medicine. Today we talk about 3 major concerns for scleroderma patients: the changing of the mouth's elasticity, changes in saliva, and whether the teeth will be affected by these changes.

Having #ADD or #ADHD is a gift, not a curse. Hear from people all around the globe, from every walk of life, in every profession, from Rock Stars to CEOs, from Teachers to Politicians, who have learned how to unlock the gifts of their #ADD and #ADHD diagnosis, and use it to their personal and professional advantage, to build businesses, become millionaires, or simply better their lives.  Our Guest today is Dr. Jeffrey Gurian, a well known “Renaissance Man.” He is a doctor, motivational speaker, comedy writer, performer, director, author, producer and radio personality. Dr. Gurian spent 20 years on the board of The Association for Spirituality and Psychotherapy, 12 years at NYU as a Clinical Professor in Oral Medicine and Pro-Facial Pain, and 25 years as a Cosmetic Dentist. Dr. Gurian specialized in treating headaches and the physical symptoms of stress, using “Energy Healing” as his modality, with a technique he developed called “STAR Therapy.” He also developed a method to stop stuttering that he successfully used to get rid of his own stutter. On top of his doctoral pursuits, Dr. Gurian boasts a long-standing career in comedy, and has worked with some of the biggest comedy stars from the last 20 years. Dr. Gurian is also the author of eight books and is a regular motivational speaker.    Enjoy!    [You are now safely here]   00:00 - Thank you again so much for listening and for subscribing!!   01:00 - Introducing Jeffrey.   03:01 - I've been busy with #ADHD.   04:29 - #ADHD makes you better at what you do.    05:33 - ADHD and #stuttering.    06:17 - Overcoming fear and tackling his stutter.    09:01 - Neurodivergent problem-solving.    11:07 - Sensitivity and neurodivergence.    11:50 - Healing the wounds that affect your decisions.    Connect with Jeffrey on: Instagram: @jeffreygurian Youtube: Comedy Matters TV Visit Jeffrey's comedy website: comedymatterstv.com To stop your stuttering today, visit: stopstutteringnowgurian.com   If you haven't picked up a copy of my book The Boy with the Faster Brain yet, it is on Amazon and it is a number #1 One Bestseller in all categories! Click HERE or buy your copy at https://amzn.to/3FcAKkI. My link tree is here if you're looking for something specific: https://linktr.ee/petershankman.

In today's episode I had the honor of speaking with the one and only Dr. Jeffrey Gurian (www.comedymatterstv.com). Dr. Gurian is an ADHD "doer." He shares his brilliant technicolor journey as a physician, award winning comedy writer, best selling author, and mental health advocate.    Dr. Gurian is the perfect example of what is possible when an ADHD'er sees their omnipotential underneath the noise of a very brilliant, albeit very noisy ADHD mind.   About Dr. Jeffrey Gurian:   I'm one of the only doctors ( and ADHD sufferers) with a long-standing career in the comedy world. Spent 20 years on the Board of The Association for Spirituality and Psychotherapy, 12 years at NYU as a Clinical Prof. in Oral Medicine and Oro-Facial Pain, and 25 years in practice as a Cosmetic Dentist. When I was tested for ADHD the doctor said to me that I must have had to work 10 times as hard as everyone else, which was true. However I managed to graduate at the top half of my class, #54 out of 126 students. I face tremendous confusion and fears but never let them stop me, which is what inspired me to write my Happiness Series of books. I have 8 books now. Five on comedy (one with Chris Rock), and 3 on Happiness, mindset and changing negative thinking to positive thinking.

I am a highly experienced holistic dentist with a professional journey spanning over three decades among disciplines and continents. My clinical practice, based in both the U.S. and Europe, encompasses general dentistry, systemic dentistry, cosmetic enhancements, preventive care, and specialized treatments such as amalgam removal, infection treatment, and snoring/sleep apnea interventions. I have had the privilege of leading dental departments, directing operations, creating dental technologies and patents, and overseeing patient care in diverse settings from private practices to specialized medical centers.    My commitment to holistic health extends beyond traditional dentistry; I've pursued advanced studies in aesthetic medicine, acupuncture, electro-acupuncture, and other integrative disciplines, furthering my understanding of the interconnectedness of oral health with overall wellbeing. My academic credentials include an MSc in Aesthetic Medicine from Queen Mary University of London, a Doctor of Dental Surgery Degree from the University of the Pacific, School of Dentistry, and a deep foundation in biochemistry from both California State University and UCLA.    As a staunch advocate for holistic, biomimetic, and environmentally conscious dentistry, I've acquired numerous accreditations, notably from the International Academy of Oral Medicine and Toxicology (IAOMT), Academy of Biomimetic Dentistry, and American Academy of Cosmetic Dentistry. Furthermore, my unique expertise in forensic dentistry as a Police Surgeon in New York showcases the diversity of my skills and contributions to the dental field.    Throughout my career, I have maintained active memberships with globally recognized dental associations, remaining committed to ongoing education, knowledge sharing, and promoting holistic dentistry principles. As a seasoned practitioner, I'm passionate about harnessing the power of integrative care to create personalized and comprehensive dental experiences for my patients.    Over the years, a consistent dedication to holistic dentistry has been showcased through diverse professional engagements, from the Holistic Dental Association's emphasis on Dental Epigenetics and Biomimetics to collaborations with Dr. Klinghardt Institute on systemic dentistry. This journey, marked by insights into the links between oral health and systemic well-being, has positioned dentistry as central to overall health. Both live sessions and online appearances, like the Myers Detox Podcast and Dr. Talks Summit, have echoed this sentiment, spotlighting the evolving role of dental practices in holistic wellness. I'm most proud of my patent established on United Stats Patient, Registered September 8th, 2020 for the Casanova Facelift technology.    I possess a wealth of expertise in dentistry and related fields, gained through extensive continuous education and specialized training that is unmatched except by the 1% of top dentists. My journey encompasses a diverse range of courses, seminars, and conferences, spanning topics such as advanced aesthetics, injectable fillers, dental implants, holistic dentistry, and more. Through this journey, I've developed a deep understanding of dental practice, blending theoretical knowledge with hands-on experience to embrace emerging technologies and evolving medical trends. Website : www.systemicdentist.com     Work With Me: Mineral Balancing HTMA Consultation: https://www.integrativethoughts.com/category/all-products  My Instagram: @integrativematt My Website: Integrativethoughts.com   Advertisements:   Valence Nutraceuticals: Use code ITP20 for 20% off https://valencenutraceuticals.myshopify.com/   Zeolite Labs Zeocharge: Use Code ITP for 10% off https://www.zeolitelabs.com/product-page/zeocharge?ref=ITP Magnesium Breakthrough: Use Code integrativethoughts10 for 10% OFF https://bioptimizers.com/shop/products/magnesium-breakthrough Just Thrive: Use Code ITP15 for 15% off https://justthrivehealth.com/discount/ITP15 Therasage: Use Code Coffman10 for 10% off https://www.therasage.com/discount/COFFMAN10?rfsn=6763480.4aed7f&utm_source=refersion&utm_medium=affiliate&utm_campaign=6763480.4aed7f   Chapters:   00:00 Introduction and Background 08:15 The Influence of Dr. Klinghardt 29:57 Preparation and Protocols for Dental Procedures 38:30 Understanding Cavitations and Their Impact on Health 54:46 The Importance of Holistic Healing in Addressing Cavitations 01:07:43 Diagnosing Cavitations with 3D Cone Beam Scans 01:17:20 Zirconia Implants: A Better Alternative to Titanium   Takeaways:   Biological dentistry takes a holistic approach to dental health, considering the impact of dental issues on the immune system and overall well-being. Mercury fillings and dental infections can have long-term effects on health, including chronic issues and systemic toxicity. Proper preparation and protocols are essential before and after dental procedures to ensure successful outcomes and minimize the risk of complications. Biomimetic dentistry focuses on conserving as much natural tooth structure as possible and using advanced techniques to promote longevity and oral health. Addressing gut health and heavy metal detoxification are crucial aspects of dental care and overall wellness. Cavitations are infections in the jaw that can cause autoimmune issues and other health problems. Improper tooth extractions and other factors can lead to cavitations. Mercury fillings and heavy metal toxicity can contribute to cavitations and other health issues. Detoxification and chelation protocols should be approached with caution and under the guidance of a knowledgeable practitioner. Addressing the physical, energetic, mental, intuitive, and spiritual aspects of healing is important. A 3D cone beam scan is recommended for diagnosing cavitations. Finding a dentist with expertise in whole body dentistry is crucial. 3D scans are essential for identifying cavitations and should be a standard practice in dentistry. Continuing education is crucial for dentists to stay updated on new treatments and technologies. Mineral balancing plays a significant role in overall health and should be considered in patient care. Melatonin can aid in detoxification and improve sleep architecture. Zirconia implants are a better alternative to titanium implants due to their biocompatibility and ability to allow light to pass through. Addressing structural issues before dental procedures is important for long-term success. Collaboration between dentists and chiropractors can enhance treatment outcomes.   Keywords: biological dentistry, mercury fillings, dental infections, cavitations, holistic approach, immune system, dental toxins, dental procedures, biomimetic dentistry, gut health, heavy metal detoxification, root canals, cavitations, jaw infections, autoimmune issues, tooth extractions, mercury fillings, heavy metal toxicity, detoxification, chelation, holistic healing, 3D cone beam scan, whole body dentistry, cavitations, 3D scans, continuing education, mineral balancing, melatonin, zirconia implants, structural issues, collaboration

Dr. Douglas Peterson presents the latest evidence-based guideline from ISOO, MASCC, and ASCO on the prevention and management of osteoradionecrosis (ORN) in patients with head and neck cancer treated with radiation therapy. He covers topics such as recommended initial workup, best practices for prevention of ORN of the head and neck before and after radiation therapy, nonsurgical and surgical management of ORN, and management of adverse events associated with ORN. Dr. Peterson also comments on the importance of this guideline and what researchers should address moving forward. Read the full guideline, “Prevention and Management of Osteoradionecrosis in Patients with Head and Neck Cancer Treated with Radiation Therapy: ISOO-MASCC-ASCO Guideline” at www.asco.org/head-neck-cancer-guidelines. TRANSCRIPT This guideline, clinical tools, and resources are available at http://www.asco.org/head-neck-cancer-guidelines. Read the full text of the guideline and review authors' disclosures of potential conflicts of interest in the Journal of Clinical Oncology, https://ascopubs.org/doi/10.1200/JCO.23.02750.   Brittany Harvey: Hello and welcome to the ASCO Guidelines podcast, one of ASCO's podcasts, bringing you timely information to keep you up to date on the latest changes, challenges, and advances in oncology. You can find all our shows, including this one, at asco.org/podcasts.   My name is Brittany Harvey and today, I'm interviewing Dr. Douglas Peterson from UConn Health, lead author on “Prevention and Management of Osteoradionecrosis in Patients with Head and Neck Cancer Treated with Radiation Therapy: International Society of Oral Oncology, Multinational Association for Supportive Care in Cancer, American Society of Clinical Oncology Guideline.” Thank you for being here, Dr. Peterson. Dr. Douglas Peterson: Thank you, Brittany. My pleasure to be here. Brittany Harvey: Before we discuss the guideline, I'd like to note that ASCO takes great care in the development of its guidelines and ensures that the ASCO Conflict of Interest Policy is followed for each guideline. The disclosures of potential conflicts of interest for the guideline panel, including Dr. Peterson, who has joined us here today, are available online with the publication of the guideline in the Journal of Clinical Oncology, which is linked in the show notes.  So then, to dive into the topic we're here to discuss, Dr. Peterson, could you first provide an overview of the scope and purpose of this joint ISOO-MASCC-ASCO guideline? Dr. Douglas Peterson: I'll be pleased to do so, Brittany. Again, thank you for the opportunity to represent the panel in this guideline. The panel has strived to present a guideline that brings consistency in clinical practice regarding prevention and management of osteoradionecrosis of the jaw (ORN) based on the highest quality contemporary science. Given the mechanistic and clinical complexity of ORN, we also stress the importance of interprofessional oncology care of these patients. The team includes, but is not limited to, clinicians representing radiation oncology, head and neck surgery, medical oncology, otolaryngology, dental medicine, oral medicine, oral oncology, oral and maxillofacial surgery, and patient advocacy organizations. So it really is a collective enterprise that we bring to bear in the guideline.  In some cases, the panel has been fortunate to be able to utilize a high quality evidence base in the literature upon which we could build strong recommendations. In selected other cases, however, we utilized informal consensus given the low evidence quality in the field. The recommendations presented have been carefully framed in this context, with the goal of providing state-of-the-science guidelines in clinical decision making and management of ORN. I'd also like to point out that the guideline brings linkage to other guidelines published by ASCO and other major oncology organizations, regarding management of symptoms and other supportive care needs associated with ORN. These companion guidelines include addressing pain, dysphagia, oral care, trismus, and psychosocial impact and survivorship, to name a few. I'd also like to say that combining the expertise of ISOO, MASCC, and ASCO has provided an important opportunity to produce this guideline. This has been a comprehensive effort by many experts. In addition to the outstanding input from the panel, I am also personally so very grateful for the expert input from ASCO's Evidence-Based Medicine Committee, as well as endorsements from other key organizations, including the American Head and Neck Society, the American Society for Radiation Oncology, and the American Academy of Oral Medicine as endorsees of the guideline. Finally in addition, Dr. Nofisat Ismaila's leadership as ASCO staff has been absolutely invaluable as well.  Brittany Harvey: Excellent. I appreciate you providing that background on the development of this evidence-based guideline, which was developed by a multi-organizational and multidisciplinary panel.   So to dive into the key recommendations of this guideline, this guideline addresses six clinical questions. So, starting with question one, what key points would you like to highlight regarding how ORN is characterized, graded, and reported, and what is the recommended initial workup for patients?  Dr. Douglas Peterson: Osteoradionecrosis of the jaw of the mandible and maxilla should be characterized in the view of the panel as a radiographic, lytic, or mixed sclerotic lesion of bone, and/or visibly exposed bone, and/or, importantly, bone probed through a periodontal pocket or fistula. In the latter case, the clinical appearance of exposed bone may be extremely subtle. ORN is occurring within an anatomical site previously exposed to a therapeutic dose of head and neck radiation therapy. So we have a combined radiographic/clinical approach characterizing the lesion in the context of the patient having received previously a therapeutic dose of head/neck radiation therapy. We do recommend that clinicians evaluate ORN based on the most contemporary staging system, the ClinRad system, which is cited in the publication itself. We also advocate for the use of the ClinRad staging system not only in clinical assessment of patients, but also in clinical trials moving forward. We'll touch a little bit later on future research opportunities as well.  Finally, the initial evaluation of ORN should include a clinical intraoral examination, and again, the appearance of exposed bone may be extremely subtle, and/or a formal radiographic examination. The guideline delineates the various types of radiographic examinations that we recommend.  Brittany Harvey: Understood. Thank you for reviewing those recommendations regarding reporting and characterization of ORN, as well as the workup.   The next section of the guideline, it focuses on best practices to prevent ORN of the head and neck prior to radiation therapy. What are the key recommendations of that section?  Dr. Douglas Peterson: As with other adverse events in oncology patients, prevention is key. Prevention of ORN does require interprofessional management. The guideline lists several key recommendations along these lines. Now, an important caveat in what the guideline presents is that the target coverage of the tumor should not be compromised in order to avoid radiation dose to bone. So that's a very important caveat. Now having said that, focused effort should be made to reduce the mean dose to the jaw and the volume of bone receiving above 50 Gy whenever possible. So it's really a balance between maximizing target coverage of the tumor while limiting exposure to normal bone. In addition, a dental assessment by a dentist and dental specialist, if possible, is strongly advised prior to therapeutic-intent radiation therapy. The purpose of this assessment by the dental team is to identify and remove teeth which will place the patient at risk of developing ORN during the patient's lifetime, and to comprehensively educate the patient about the lifelong risk of ORN. Dental extraction in advance of radiation is often a consideration to these patients, and if clinically indicated, should occur at least two weeks prior to the commencement of radiation therapy. Now having said that, in the setting of a rapidly progressive tumor, extraction should be deferred and not cause delay in the initiation of radiation therapy. Brittany Harvey: So you just touched on key points of prevention prior to radiation therapy. Following those recommendations, what does the expert panel recommend regarding best practices to prevent ORN after radiation therapy? Dr. Douglas Peterson: This can be a challenging clinical issue. So the panel recommends that before finalizing dental treatment plans that may include extractions in patients with a history of head and neck radiation therapy, a review of the radiation therapy plan should be performed with particular attention focused on dose to the mandible and maxilla. For teeth in areas of high-risk for ORN, alternatives to dental extraction may be possible, for example, root canal or endodontic procedures, crowns, or dental restorations, or dental filling should be offered unless the patient has recurrent infections, intractable pain, or other symptoms that cannot be alleviated without extraction. So it really becomes a combined clinical decision making effort between the dental team and oncology team.  One controversial area has been hyperbaric oxygen being administered prior to dental extractions in patients who have received head and neck radiation therapy previously. The panel does not recommend routine use of prophylactic HBO prior to dental extractions in these patients who have received prior head and neck radiation therapy. However, the evidence base here is limited with low quality and we offer a weak strength of recommendation. It is a controversial area, so we did also include a qualifying statement that prophylactic HBO may be offered to patients undergoing invasive dental procedures at oral sites where a substantial volume of the mandible and/or maxilla receive at least 50 Gy. This is an area of controversy. We can talk about this in the future research directions, but clearly, new high quality research related to the role of HBO in the management of these patients is needed.  Brittany Harvey: Definitely. Thank you for touching on those points and that area of controversy. We can definitely touch on that a bit later as we talk about future research in this field.  As you mentioned, Dr. Peterson, this guideline addresses both prevention and management. So, in moving into the management of ORN, how should ORN be managed nonsurgically?  Dr. Douglas Peterson: The guideline relative to nonsurgical management of ORN is focused on the use of pentoxifylline. Now this maybe used in, and this is important, in cancer-free patients with mild, moderate, and severe cases of ORN. But pentoxifylline, the guideline also notes, is most likely to have a beneficial effect if the treatment is combined with tocopherol, antibiotics, and prednisolone as well. So there's clinical judgment involved in the nonsurgical management of ORN, centered with pentoxifylline in combination with tocopherol, antibiotics, and prednisolone. Brittany Harvey: Understood. And then expanding on the management of ORN, what are the key points for surgical management of ORN? Dr. Douglas Peterson: The panel offered several recommendations for which the strength of the recommendations was strong. Just to cite a few, in partial thickness ORN as defined by the ClinRad stage one and two that we talked about earlier, surgical management can start with transoral minor interventions which can lead to resolution over time. It may take time. It may take weeks or even a few months. Now this minimally invasive surgery may include debridement, sequestrectomy, alveolectomy, and/or soft tissue flap closure. Furthermore, small defects, clinically, for example, less than 2.5 cm in length, may heal spontaneously with local topical measures such as we described. It is recommended that larger defects, larger than 2.5 cm, in general be covered with vascularized tissue.  Brittany Harvey: Appreciate you reviewing those recommendations regarding surgical management of ORN. So to wrap up our discussion of the recommendations with the final clinical question, what is recommended for assessment and management of adverse events associated with ORN?  Dr. Douglas Peterson: This is a really important area as well in addition to prevention and management of ORN per se. The panel recommends that patients should be assessed by their healthcare providers for the presence of adverse events at the time of ORN diagnosis and periodically thereafter until the adverse event resolves based on patient status including any interventions or the adverse events that are clinically indicated. The panel and its literature evaluation learned that there is a relative lack of data specifically directed to the management of adverse events associated with ORN. However, this is such an important area that we wanted to address it head on. And so the management we recommend should be informed by pertinent available other guidelines that had been developed for analogous symptoms and/or disease states. The guideline provides links to these companion guidelines developed by ASCO as well as by MASCC and ISOO, the European Society of Medical Oncology, and NCCN. And so in the guideline we provide links on management of adverse events as produced by these other organizations. Table 3 presents a summary of the guidelines that address symptoms and supportive care needs associated with ORN.  Brittany Harvey: Thank you for reviewing all of these recommendations. It's clear that the panel put a lot of work and thought into these recommendations and provided needed guidance in areas with limited evidence. We'll have links available in the show notes for listeners to be able to go and read these recommendations for themselves and refer to the tables that you mentioned.  So in your view, Dr. Peterson, what is the importance of this guideline and how will it impact clinicians and patients with head and neck cancer? Dr. Douglas Peterson: As we talked about throughout this podcast, the guideline is designed to synthesize the contemporary science regarding ORN and translate that into recommendations for clinical practice in both prevention and management. As noted in the guideline, oncologists plus other interprofessional healthcare providers have been directly involved in the creation of the guideline, that interprofessional theme, which we believe is so essential given the mechanistic and clinical complexity of ORN.  Now, in addition to the expertise of the panel, the pending widespread distribution of the guideline represents an additional important opportunity for extending the impact across clinical oncology. So in addition to the publication in the Journal of Clinical Oncology, dissemination by MASCC and ISOO as well as our endorsees, the American Head and Neck Society, the American Society for Radiation Oncology, and the American Academy of Oral Medicine will also be key in broadening the impact and hopefully the utilization of the guideline. And members of these organizations may very well be involved in the management of these patients as well.  And then finally, the guideline is also designed to stimulate future research based on current gaps of the knowledge and we touched on some of those gaps, for example, with HBO for which new high quality research is needed.   Brittany Harvey: Absolutely. It's great to have so many partners in this guideline and we hope that this guideline will have a large impact for patients with head and neck cancer to improve their quality of life.   So then your final comment leads nicely into my last question and that we've already talked a little bit about some of the future research opportunities that this guideline highlights. So, to wrap us up, Dr. Peterson, what are the outstanding questions regarding osteoradionecrosis of the jaw secondary to head and neck radiation therapy in patients with cancer?  Dr. Douglas Peterson: There are several key areas that the panel identified as we went through a rigorous review of the highest quality literature. Some of the key areas to address moving forward include: prospective studies are needed to evaluate the clinical presentation, trajectory, and response to treatment of ORN-related symptoms and function impairment, in other words, the adverse event side of the story. In addition, social determinants of health, quality of life, and psychosocial impact of ORN warrant further investigation in head and neck cancer survivors as well. In addition, new research including randomized controlled trials and prospective multicenter trials regarding the systemic and surgical treatment of ORN is also warranted, and we touched on, for example, hyperbaric oxygen. Hyperbaric oxygen has been a long standing management strategy of ORN. However, the trials to date are of limited quality in relation to supporting its use. So high quality new research related to the role of HBO in these patients is needed.   And the expert panel also encourages creation of predictive tools, a priori tools, directed to development, grading, and staging of ORN. These could include, for example, bone turnover markers and genetic markers to name two. And finally, the research opportunities that are presented in the guidelines such as what I briefly summarized today should ideally be addressed in large prospective multicenter observational studies of risk, outcomes, and financial cost of ORN or the various treatment strategies that are highlighted in the guideline.    Brittany Harvey: Excellent. Well, we'll look forward to research that addresses those outstanding questions and I want to thank you so much for your all your work on this guideline and for taking the time to share the highlights of this guideline with me today, Dr. Peterson.  Dr. Douglas Peterson: Thank you. My privilege to do so, Brittany. Brittany Harvey: And thank you to all our listeners for tuning in to the ASCO Guidelines podcast. To read the full guideline, go to www.asco.org/head-neck-cancer-guidelines. You can also find many of our guidelines and interactive resources in the free ASCO Guidelines app in the Apple App Store or the Google Play Store. If you have enjoyed what you heard today, please rate and review the podcast and be sure to subscribe so you never miss an episode. The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions.   Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.  

Doctor Staci Whitman is a Functional Kids' Dentist in North Portland, Oregon. She is the founder of NoPo Kids Dentistry where she takes a whole-body, holistic, and functional approach with her patients. Doctor Staci attended Tufts University School of Dental Medicine and worked as a general dentist for 2 years before earning a certificate in pediatric dentistry from Oregon Health & Science University (OHSU). She has always been passionate about children's sleep and airway health, focusing her research in residency on how to improve airway assessments and diagnostic tools in the pediatric population. In 2019, she founded NoPo Kids Dentistry with a mission to practice a whole-body approach to dentistry. She became a Diplomate of the American Board of Pediatric Dentistry in 2012 and is a Board-Certified Pediatric Dentist and a Fellow of the American Academy of Pediatric Dentistry. She is also involved in many organized dentistry groups, including the Holistic Dental Association, the International Academy of Oral Medicine and Toxicology, the International Academy of Biological Dentistry and Medicine, and the American Association of Ozonotherapy.   Together Dr. Staci and I look into the importance of oral health from a holistic approach.  Starting in the womb with prenatal care, through childhood, and into adult years, she has insights into every stage of optimal oral health.  She shares the key dental health points and patient support that traditional pediatric dentists tend to overlook, including airway assessment tests and the local and systemic roles of the oral microbiome. Dr. Staci highlights considerations for tongue tie correction and palate expanders for adults, the dangers of and alternatives to fluoride, and her recommendations for effective oil pulling, tongue scraping, and mouth washing, all to optimize oral health alignment at every age.   I'm your host, Evelyne Lambrecht, thank you for designing a well world with us.   Episode Resources: Dr. Staci Whitman   NoPo Kids   Designs for Health   Nutrition Blog: Hydroxyapatite for Dental Enamel and Tooth Integrity   Nutrition Blog: The Potential Role of Oil Pulling in Oral Wellness   Nutrition Blog: The Latest on Probiotics and Periodontal Health   Research Blog: The Synergy of Vitamins D and K on Bone Health   Science Update: Recent Review Explores Potential Connection Between Oral Microbiome and The Immune System   Educational  Webinar: The Oral-Somatic Connection- Impact on Systemic Inflammation Visit the Designs for Health Research and Education Library which houses medical journals, protocols, webinars, and our blog. Chapters: 00:00 Intro. 02:22 The realization that led Dr. Staci to change her course after beginning her career as a regular dentist.  06:07 The highlights of Dr. Staci's work as a functional kid's dentist. 07:47 Key dental health points and patient support that Dr. Staci offers that traditional pediatric dentists tend to overlook. 11:27 Under-mineralized teeth and microplastics findings according to the research. 16:46 Findings from Dr. Staci's airway assessment and recommendations for patients to overcome airway devolution. 23:21 Considerations for tongue tie correction and palate expanders for adults. 27:22 Insights into the local and systemic roles of the oral microbiome. 31:18 Testing that assesses the 700+ microbes in the mouth. 32:55 Dietary and hygiene recommendations for optimizing oral microbiome health. 37:06 Success stories of switching from fluoride to hydroxyapatite and systemic concerns of overexposure to fluoride. 43:15 Recommendations for effective oil pulling, tongue scraping, and mouth washing. 51:38 Dr. Staci's favorite supplements, her personal health practices including sleep hygiene and hydration, and the shift she has made toward prioritizing emotional health.

While advancements in oral medicine are improving the treatment landscape for head and neck cancer, routine dental care and preventative oral cancer screenings can help identify head and neck cancers early. In this episode, Alessandro Villa, DDS, PhD, MPH, chief of Oral Medicine, Oral Oncology, and Dentistry at Baptist Health South Florida's Miami Cancer Institute, emphasizes the proactive role dentists can play in early identification of cancer—as well as the need for equitable access to dental care—and explores how a cross-disciplinary cancer care team and patient education work in tandem to better manage complications from head and neck treatment.   “It is widely known that any patient with a diagnosis of head and neck cancer who is scheduled to receive treatment with chemo and radiation therapy should see a dentist prior to starting cancer therapy. We should make sure that access is available for this patient.” —Alessandro Villa, DDS, PhD, MPH    Alessandro Villa, DDS, PhD, MPH Chief of Oral Medicine, Oral Oncology, and Dentistry Miami Cancer Institute, Baptist Health South Florida Miami, FL   This episode was made in connection with the ACCC education program Multidisciplinary Approaches to Head & Neck Cancer Care in partnership with Head and Neck Cancer Alliance and the American Society of Radiation Oncology (ASTRO) and with support provided by EMD Serono.      Resources:    Multidisciplinary Approaches to Head & Neck Cancer Care    Head and Neck Patient and Caregiver Resources    Making the Case for Head & Neck Cancer Patient Care Navigators   

Do you know which oral condition increases your risk of a heart attack? Or what your teeth can tell you about the strength of your bones?    In this episode, I talk to Dr. Sanda Moldovan, a board-certified periodontist and nutritionist, about all things dentistry. She explains how symptoms like persistent fatigue, headaches, and blurred vision may be connected to your mouth, what a full-mouth detoxification is and how to get one, and the ingredients to use—and skip—in your oral-hygiene products.    If you've ever wondered what biological dentistry is all about, this episode is for you. But I have to warn you: you may never want to go back to a conventional dentist again.  FULL show notes: jjvirgin.com/mouthdetox   Subscribe to my podcast: http://subscribetojj.com   Take my free Toxicity Quiz: http://jjvirgin.com/toxicityquiz   Read my book, The Virgin Diet: https://store.jjvirgin.com/products/the-virgin-diet-paperback   Read my book, Sugar Impact Diet: https://store.jjvirgin.com/collections/books/products/sugar-impact-diet-paperback-book   Learn more about Dr. Sanda Moldovan: https://orasana.com/   Watch Dr. Sanda's talk at my event: https://vimeo.com/882094190/0b3817c90d?share=copy   Listen to Holistic Dentistry with Dr. Sanda: https://www.drsandamoldovan.com/podcast.html   Read Heal Up! Seven Ways to Faster Healing and Optimum Health: https://amzn.to/48KU8BE   Find a biological dentist through the International Association of Oral Medicine and Toxicology: https://iaomt.org/   Explore Dr. Moldovan's store: https://www.vagaro.com//Users/BusinessWidget.aspx?enc=MMLjhIwJMcwFQhXLL7ifVHmWZaghykE+m8rkiCx1UHt+gw++DZQxp6Mzq7uoWx3OloUY4fpxN/I5VrU2ZolhVjSWpJWh6xENP9SO8zVO60/eDYrkF30axUeuLXyjtEp/LHIU41dEJwlL2fmVcyT8RcQ1BmELOGoHCBfBdJgpQq8deEj8ahbJwsy5qOgUqoHnWsIfq+mVQQ17k/2+RN0SEXH17SG5HvKUV2Q5SqzKeDOoqabqEN7SEkIa3infQiI9LGTqRI5nRZUK6qolIktm5VwSLX21mY/qGiiNclgi2J4DJS1UvdY4pDvmto/ox0+Sp9NWJGz7jvQ3jskxYOBDbMaPqcP8XDA4pm9N8A+DxFg=   Joovv red light therapy: https://joovv.com/products/joovv-go-2-0   Study: Federation of American Societies for Experimental Biology: Dental "silver" tooth fillings: A source of mercury exposure revealed by whole-body image scan and tissue analysis: https://pubmed.ncbi.nlm.nih.gov/2636872/   Order your own labs at YourLabWork: https://yourlabwork.com/jj-virgin/   Designs for Health Periommune Oral Care Probiotic: https://amzn.to/3Heo3GI   Waterpik cordless water flosser: https://amzn.to/47zK0KJ   Reignite Wellness™ All-In-One Shakes: https://store.jjvirgin.com/collections/shakes   Reignite Wellness™ Complete Bone Support: https://store.jjvirgin.com/collections/supplements/products/complete-bone-support   Weston Price's research on nutrition and teeth: https://www.westonaprice.org/health-topics/abcs-of-nutrition/principles-of-healthy-diets-2/#gsc.tab=0   Reignite Wellness™ Daily Essentials Multi + Omega: https://store.jjvirgin.com/collections/supplements/products/daily-essentials-multi-omegas   Get wild-caught fish and seafood from Vital Choice: https://vitalchoice.sjv.io/daKYGy   Get Dr. Sanda's Detoxify Your Mouth FREE PDF and discover the real secret to health and longevity: https://drive.google.com/file/d/1eBwiFr3XOL_ssErMKTaE-FcNfPinFaIu/view  

Burning Mouth Syndrome is not a strictly surgical topic, but it's something practitioners will often deal with. During this episode, Dr. Hayley Vatcher returns to the podcast to share her insights on this complex diagnosis and how best to treat it. Tune in as Dr. Vatcher draws on her years of experience to offer guidelines on identifying when patients are struggling with this condition and advising them on how to manage it. Starting with more conservative approaches, we explore different methods of dealing with Burning Mouth and reducing the symptoms, including nutritional and supplementary care, topical solutions, and more. Dr. Vatcher also breaks down key research into causes, management, and more. Thanks for listening in! Key Points From This Episode:Welcome to Oral Medicine Specialist, Dr. Hayley Vatcher.Defining Burning Mouth Syndrome, also referred to as Complex Oral Sensitivity Disorder (COSD).Neuropathic aspects of Burning Mouth Syndrome.How it is managed without surgery.Why Burning Mouth Syndrome is a diagnosis of exclusion.Ruling out the possibility of a vitamin deficiency instead of COSD.Why something that soothes an ordinary mouth will burn someone with COSD.The patient experiences of burning sensations elsewhere on the body or the skin.Treatment options for patients suffering with this condition.Why practitioners regularly start with a more conservative approach to treatment.Optimizing vitamin intake as a supplementary treatment. Noting that the symptoms are not visible to the eye within the mouth. Why the condition is most common in post-menopausal women. The possibility of whether other medicines can cause Burning Mouth. What has led to the lack of surgical intervention for this condition.Historical data that has shown a Vitamin B Complex to reduce symptoms.Research into different nutritional solutions. Why many of these patients have often already seen three to four other practitioners.Links Mentioned in Today's Episode:KLS Martin — https://www.klsmartin.com/en/KLS Martin Promo Code — StuckiFavsKLS Martin Email — usa@klsmartin.comDr. Hayley Vatcher on LinkedIn — https://www.linkedin.com/in/hvatcher/Dr. Hayley Vatcher Email — drvatcher@coafs.comAcademy of Orofacial Pain — https://aaop.org/Burning Mouth Syndrome: A Review and Update — https://onlinelibrary.wiley.com/doi/full/10.1111/jop.12101American Academy of Oral Medicine — https://www.aaom.com/Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

This episode is brought to you by Rupa Health and Joovv.Mercury enters our bodies from many different sources, including mercury vapors in ambient air, ingestion via drinking water, fish, dental amalgams, occupational exposures, home exposures, over-the-counter products, and more. There's no doubt about it: mercury is the most alarming, disease-causing source of environmental toxicity that I see daily in my practice. In today's episode of my series I'm calling Health Bites, I share my own experience with mercury issues and give you a comprehensive plan for reducing your exposure and healing from mercury toxicity. This episode is brought to you by Rupa Health and Joovv.Rupa Health is a place where Functional Medicine practitioners can access more than 3,000 specialty lab tests from over 35 labs like DUTCH, Vibrant America, Genova, and Great Plains. You can check out a free, live demo with a Q&A or create an account at RupaHealth.com.For a limited time, you'll get an exclusive discount on Joovv's Generation 3.0 devices (some exclusions do apply). Just go to Joovv.com/farmacy and use the code FARMACY.Here are more details from our interview (audio version / Apple Subscriber version):How I developed mercury toxicity (3:43 / 1:42) The conventional medicine approach to treating mercury toxicity (5:34 / 3:33) What I learned years ago at an international conference on mercury (6:09 / 4:07) Testing mercury levels (10:06 / 8:04) Sources of mercury (11:21 / 9:51) Symptoms of mercury poisoning (14:30 / 12:30) Mercury toxicity and dental fillings (15:33 / 13:31) What does genetics have to do with mercury toxicity? (19:54 / 17:53) Summary (22:12 / 20:12) Mentioned in this episodeThe International Academy of Oral Medicine and Toxicology (IAOMT)Mercury in Fish Wallet CardEWG's Consumer Guide to SeafoodMonterey Bay Aquarium Seafood WatchSeatopia.fishFind a Functional Medicine Practitioner Hosted on Acast. See acast.com/privacy for more information.