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This episode FINALLY exposes how stress is silently destroying your patients' mouths!
This episode challenges the dental industry's casual approach to gingivitis and reframes bleeding gums as a severe systemic health warning that demands attention! Melissa and Tabitha reveal why making gingivitis identification compelling to patients is crucial for oral and overall health outcomes. Link to Meissa's Post mentioned in the episode: https://www.instagram.com/reel/DG0LnVGsrnT/?utm_source=ig_web_copy_link&igsh=MzRlODBiNWFlZA== Key Topics Covered
Exciting breakthroughs in preventive dentistry are happening right now, and you won't want to miss them! Join David and Pam as they sit down with Dr. Brian Novy to explore 10 innovations that are transforming patient care. From salivary diagnostics and CBD to taste-modifying technology and even the coziest scrubs, this episode is packed with insights that could elevate your practice and knowledge. Tune in for a fun and informative conversation that will keep you ahead of the curve!
In this episode of The Common Sense MD, Dr. Tom Rogers welcomes back a familiar guest, Dr. Susan Creech, a forward-thinking dentist with a wealth of knowledge on salivary testing. Together, they delve into the advancements in salivary diagnostic tests, which now offer a more comprehensive analysis by checking for additional bacteria, yeast, and viruses. Dr. Creech explains how these tests provide valuable insights, enabling personalized treatment plans and improving oral health outcomes.The conversation touches on the importance of identifying bacteria that can lead to implant failure and periodontal disease. They explore the connection between oral health and systemic conditions such as heart disease and diabetes. Dr. Creech also discusses alternative oral care options like hydroxyapatite as a substitute for fluoride, addressing the growing concerns around its use.Listeners will learn about the critical role of oral probiotics and the impact of diet and hygiene on oral health. Throughout the episode, both doctors emphasize the significance of proactive dental care and the importance of regular dental check-ups. Join Dr. Rogers and Dr. Creech for an insightful discussion on how modern salivary testing can revolutionize oral healthcare and overall well-being.What did you think of this episode of the podcast? Let us know by leaving a review!Connect with Performance Medicine!Check out our new online vitamin store:https://performancemedicine.net/shop/Sign up for our weekly newsletter: https://performancemedicine.net/doctors-note-sign-up/Facebook: @PMedicineInstagram: @PerformancemedicineTNYouTube: Performance Medicine
In this eye-opening episode, Melissa and Tabitha dive into one of the most critical yet overlooked connections in healthcare: the link between oral health and cardiovascular disease. With heart disease remaining the #1 cause of death worldwide, they explore how chronic inflammation—particularly from periodontal pathogens—can silently drive heart attacks and strokes. They break down the Bale-Doneen Method, which challenges traditional cardiac screening by shifting the focus from cholesterol to inflammation and bacterial invasion as the true culprits of heart disease. They also discuss how salivary diagnostics can revolutionize dental care, helping professionals identify high-risk patients before a cardiac event occurs. Key Takeaways Include: ✅ How oral pathogens like P. gingivalis and F. nucleatum trigger arterial plaque formation. ✅ These are the biomarkers every dental professional should be testing for. ✅ Why standard cholesterol tests miss half of at-risk patients. ✅ Practical steps to integrate salivary testing and physician collaboration into daily practice. With Heart Health Month as the backdrop, this episode is a call to action for dental professionals worldwide: We're not just treating gum disease—we're saving lives.
Did you know that your saliva could hold the key to detecting not just dental issues but also serious health conditions like diabetes and heart disease? In this episode, Dr. Tina Saw discusses how salivary diagnostics can connect dentistry and overall health, offering rapid, affordable chairside testing that analyzes biomarkers for various diseases. She advocates for making salivary testing a standard of care to shift dentistry to a preventive model, potentially reducing healthcare costs and improving patient outcomes. Tune in to learn how cutting-edge salivary diagnostics are transforming dentistry into a powerful tool for preventive healthcare! Watch the entire episode on YouTube and get more details at Think Oral Health. Resources: Connect with and follow Dr. Tina Saw on LinkedIn. Follow Oral Genome on LinkedIn and discover their website! Follow Harmony Health on LinkedIn and explore their website! Check out Dr. Saw's previous Think Oral Health episode! Watch the entire episode on YouTube and get more details at Think Oral Health. Mariya Filipova - https://filipova.health/ Systemic Health Investor - https://www.4100dx.com/ Care Convergence Thought Leader: Dental Economics Forbes Technology Council Member Jonathan Levine - www.drjonathanlevine.com Founder - JBL New York City www.jblnyc.com Founder - GLO Science LLC www.gloscience.com Co-Founder - GLO GOOD Foundation www.glogoodfoundation.org
We are playing with a puzzle that has missing pieces. We have so many tools at our disposal, tools that we have been told were the answers. Unfortunately, oral disease and many systemic disease rates are not declining. In this mini episode, Dr. Tina Saw talks about doing salivary testing right there at the dental office. What is she hoping to learn? Tune in for this TIPisode!
We are playing with a puzzle that has missing pieces. We have so many tools at our disposal, tools that we have been told were the answers. Unfortunately, oral disease and many systemic disease rates are not declining. In this mini episode, Dr. Tina Saw talks about doing salivary testing right there at the dental office. What is she hoping to learn? Tune in for this TIPisode!
In this radiology lecture, we review the ultrasound and CT appearance of submandibular stone disease, together with floor of mouth The post Ultrasound of Submandibular Sialolithiasis (Salivary Stones) appeared first on Radquarters.
Imagine a world where a simple saliva test can transform oral health care, prevent disease, and bridge the gap between dentistry and overall wellness. In this episode, Dr. Tina Saw and Brian Jones discuss their collaboration to improve oral health outcomes for underserved populations using salivary diagnostics. This proactive, data-driven technology has the potential to transform oral health into a broader wellness strategy by streamlining care, enhancing collaboration, and personalizing recommendations. Tune in to learn how groundbreaking salivary diagnostics are revolutionizing oral health care and improving lives, especially for underserved populations! Resources: Connect with and follow Dr. Tina Saw on LinkedIn. Follow Oral Genome on LinkedIn and discover their website! Follow Harmony Health on LinkedIn and explore their website! Connect with and follow Brian Jones on LinkedIn. Follow Avēsis on LinkedIn and visit their website! Follow Team Smile on Instagram and check out their website! Learn more about Avēsis and Harmony Health Launch Pioneering Salivary Testing Pilot for Patients with Special Healthcare Needs here! Watch the entire episode on YouTube and get more details at Think Oral Health.
Salivary gland cancers are rare, affecting just 5 people out of one million, but it's just as important to raise awareness of this often misunderstood and misdiagnosed condition.Learn more about salivary gland cancer by visiting https://www.salivaryglandcancer.uk/Get involved with Mouth Cancer Action Month on social media using the hashtag #MouthCancerAction Hosted on Acast. See acast.com/privacy for more information.
Thomas Schrepfer, M.D., discusses what sialendoscopy is, how it works as a minimally invasive technique, and the benefits and limitations in treating salivary gland disorders.
Dr. Hunter Martaindale is the Director of Research at the Advanced Law Enforcement Rapid Response Training (ALERRT) Center at Texas State University and an Associate Research Professor within the School of Criminal Justice and Criminology. In this role, he oversees all research activities for ALERRT, including analyzing active shooter events, conducting active shooter training program evaluations through experimental design, and testing methods/interventions to improve law enforcement decision-making and overall performance. Beyond that, Hunter actively supports other researchers with applied policing projects in an effort to get actionable results to practitioners. In this podcast, Dr. Martindale discusses his research on virtual reality (VR) training in law enforcement. The purpose of the study was to determine if VR training scenarios can elicit a similar stress response as realistic scenario-based training. The study involved two phases: a scenario-based training phase and a VR training phase. Participants went through a high-fidelity scenario involving professional actors and simulated injuries. The same scenario was then recreated in VR. Salivary measures of stress were collected before and after each training phase. The results showed that VR training was able to elicit similar physiological stress responses as realistic scenario-based, or high-fidelity training. VR can be a valuable tool for law enforcement agencies and trainers to replicate real-life scenarios and ensure consistent training for all officers. However, VR should not replace in-person training entirely and should be used as a supplement. VR technology has improved significantly, and agencies should actively investigate and incorporate VR into their training programs. Takeaways Virtual reality (VR) training has the potential to bridge the gap between law enforcement training and academic research. VR training can supplement in-person training and help retain skills that may not come up in an officer's day-to-day job. Measuring heart rate alone is not a reliable indicator of stress response; other measures, such as salivary markers, can provide more accurate results. High-fidelity scenarios with professional actors can enhance the realism of training and elicit a stronger stress response. The study found that VR training was able to elicit a similar stress response as realistic scenario-based training. VR training elicited similar physiological stress responses as high-fidelity scenario-based training. VR can be a valuable tool for law enforcement agencies and trainers to replicate real-life scenarios and ensure consistent training. VR should be used as a supplement to in-person training and not as a replacement. Future research should focus on the long-term effects of VR training on skill development and retention. The technology has improved significantly, with better refresh rates and reduced motion sickness. Agencies should actively investigate and incorporate VR into their training programs.
BYU-Idaho alumna Melissa Vernon has overcome salivary gland cancer and now she's spreading awareness for head and neck cancers.
In this podcast episode, I welcome Sarah Mueller, a dental hygienist with a unique career path, now working with Swish Bio on salivary testing. Sarah shares her journey from clinical practice to leadership roles and emphasizes the transformative potential of salivary testing in dentistry. She explains how this testing identifies specific pathogens, allowing for tailored patient care. Our discussion covers the challenges of implementing new technologies in dental practices and the importance of adaptability and strong leadership. Sarah also highlights educational initiatives and onboarding processes for practices interested in adopting salivary testing. Highlights from this episode: Sarah's Unique Journey: From clinical practice to leadership roles and now at Swish Bio, Sarah's career is a testament to the power of adaptability and innovation in dentistry. The Power of Salivary Testing: Discover how salivary testing can revolutionize patient care by identifying specific pathogens and tailoring treatments to individual needs. How It Works: Patients simply swish a solution, spit it into a tube, and send it to the lab. The results, color-coded for easy interpretation, provide a clear picture of oral health. Implementing Change: Learn about the challenges and rewards of integrating new technologies into dental practices. Sarah shares practical tips for making the transition smooth and effective. Leadership and Adaptability: We discuss the importance of strong leadership and emotional maturity in embracing change, and how female practice owners are often leading the charge. Educational Initiatives: Sarah is passionate about educating dental professionals on pathogens and their impact. Stay tuned for her upcoming lectures and resources. Onboarding with Swish Bio: Interested in salivary testing? Swish Bio offers complimentary tests and personalized onboarding to help practices get started. Resources and links mentioned: Swish Bio https://www.swishbio.com/ Sarah Mueller: https://www.linkedin.com/in/sarah-mueller-rdh-068b8810b/ Email: smueller@swishbio.com Watch Laura's podcasts on YouTube: Love Your Practice! Laura's email: DrLauraMachDDS@gmail.com Laura's website: LoveYourPractice.net Laura's podcast: Love Your Practice! Laura's Instagram: https://www.instagram.com/drlauramachdds/?hl=en Laura's Facebook pages: Love Your Practice with Dr. Laura Mach Love Your Practice Laura's personal page Thank you so much for tuning in to this podcast! I would love it if you would share it with others and leave a review for others to see! ~ Laura Podcast and promotion produced by Blue Dot Digital Marketing.
Salivary gland stones, or sialolithiasis, can be a painful and uncomfortable condition. In this podcast episode, we delve into the world of these often overlooked oral health issues. We will discuss the causes and symptoms of these stone formations. The different treatment options from conservative to surgical. And prevention strategies for your patients. Join Dr. Niket Sonpal as we explore this often overlooked, yet painful condition. August 26, 2024
In the latest episode of the Next Regeneration podcast, hosts Anina and Elena talk to Nagihan Bostanci, the Head of Internationalization in Dentistry and Professor of Inflammation Research in Periodontology at the Karolinska Institute in Stockholm, Sweden. Together they discuss her research on salivary biomarkers. Bostanci suggests that salivary markers could revolutionise patient care by profiling risk, monitoring over time, and providing prognostic insights. While a single marker may not be sufficient for point-of-care diagnostic tests, she reveals how biomarker analysis could complement existing clinical and radiographic tools. Bostanci also discusses the future of microfluidic devices and the potential of wearable tech for patient monitoring.
Guest: Geoffrey B. Johnson, M.D., Ph.D. When looking at patients who suffer from prostate cancer who are receiving PSMA therapy, we can see on our images that the medication not only goes to their cancer, but it also goes to some other things in their body, including the salivary glands. To learn more about his recent study on salivary toxicity, join Dr. Geoffrey Johnson, Nuclear Medicine Specialist and Radiologist at the Mayo Clinic in Rochester, Minnesota.
Guest: Geoffrey B. Johnson, M.D., Ph.D. When looking at patients who suffer from prostate cancer who are receiving PSMA therapy, we can see on our images that the medication not only goes to their cancer, but it also goes to some other things in their body, including the salivary glands. To learn more about his recent study on salivary toxicity, join Dr. Geoffrey Johnson, Nuclear Medicine Specialist and Radiologist at the Mayo Clinic in Rochester, Minnesota.
In this episode of 'Navigating Cancer TOGETHER,' host Talaya Dendy interviews Heather Noggle, a 33-year cancer thriver and the owner of Codistac, a process solutions company that weaves technology and human experience together to guide customers to find unique answers to their most vexing problems. They discuss Heather's experience with parotid salivary gland cancer, the emotional and mental challenges post-diagnosis, and the significance of resilience. Heather shares her journey of adapting to life after cancer, the importance of a support system, and her professional career in cybersecurity. This episode emphasizes hope and resilience, encouraging listeners to find normalcy and joy after cancer.✨Highlights from the show:[01:26] Introducing Heather Noogle: A 33-Year Cancer Thriver's Journey[04:41] Understanding Salivary Gland Cancer [06:17] The Impact of Cancer Diagnosis at a Young Age[07:42] Navigating Cancer Treatment and Its Aftermath[20:14] Heather's Life and Career Post-Cancer[24:19] Embracing Resilience: Heather's Key to Surviving Cancer[28:14] Closing Thoughts and Inviting Audience Reflection
All dental clinicians who care about providing their patients with the best treatment are interested in scientific advances that elevate the standard of care. Can you imagine the possibilities that you could unlock through non-invasive and easy saliva testing? In this interview with Diane Larson, RDH, BSDH, the Director of Clinical Education for OralDNA Labs, you'll learn about the unique benefits of salivary diagnostics. Diane's more than two decades of experience in dentistry and her journey to becoming an advocate for evidence-based treatment planning are a testament to the significance that salivary diagnostics has for dentistry. OralDNA Labs has exciting plans for expanding its diagnostic testing services. Oral healthcare providers will want to watch this space so that they can keep up with the scientific innovations that will enable them to diagnose more accurately, present more tailored treatment plans, increase case acceptance, and experience more predictable outcomes. I'm Dr. Bryan Laskin—author, dentist and entrepreneur who embraces all innovations in dentistry, clinical and technological. Become a provider with no upfront costs: OralDNA.com
Dr. Katie Lee is a dentist, speaker, author, and coach who lives in Aurora, Colorado. Dr. Lee graduated from University of Illinois at Chicago in 2010 and was an owner-partner in over 80 DSO supported dental practices throughout the US and served as Clinical Partner overseeing 5 states. Currently, she consults for health technology companies and provides implant education for general dentists. Dr. Lee has two passions in her profession: dentistry itself and making other dentists successful. Her passion about the oral systemic health link comes from personal experience. Dr. Lee was involved in an ATV accident as a teenager, which left her without many teeth and rendered her jaw immobile. Dr. Lee experienced how oral health affects systemic health and the benefits of dental implants. Her first-hand journey in recovering from the effects of dental trauma led her to specialize her career on the mouth-body connection® and dental implants. Dr. Lee searches for proven technologies that improve clinical outcomes and the patient experience and loves to educate her peers on those technologies. Dr. Lee authored a book entitled Saved By the Mouth to educate patients and clinicians on the importance of oral health. Dr. Lee has won many accolades, including Top 40 under 40 Dentists in America, and International Woman of the Year in Dentistry. She has been featured on local Fox and NBC news stations discussing the importance of oral health. https://www.instagram.com/katieleedds/ https://www.facebook.com/katieleedds For more information about Michelle, visit www.michelleoravitz.com The Wholesome FertilityFacebook group is where you can find free resources and support: https://www.facebook.com/groups/2149554308396504/ Instagram: @thewholesomelotusfertility Facebook: https://www.facebook.com/thewholesomelotus/ Transcript: Michelle Michelle: [00:00:00] Welcome to the podcast, Dr. Lee. Katie: Thanks. I'm really excited to be here. Michelle: I'm so excited to have you on actually, this is a first, I have never spoken to a dentist on this podcast, but it is such an important topic because there's such a correlation between inflammation in the mouth and also unexplained infertility. And I'm very excited to get started before we get started. I would love for you to give us a little bit of a background on yourself, how you got into the work that you do. Katie: Sure. Absolutely. Thanks for having me on. I feel honored that I'm, I'm the first. Hopefully, I don't mess it up for the rest of us dentists out there. My journey into dentistry was. Of tragedy. So when I was in high school, about 14 years old, I was involved in a ATV four wheeler accident where I crashed into a telephone pole headfirst without a helmet on, broke every bone in my face from my eyebrows down and naturally, or I [00:01:00] guess as expected, lost a ton of teeth and my jaws were wired shut immediately, even though I had lots of teeth that were displaced and broken. Katie: And, they were wired shut for two months. I'm I couldn't eat and so I was on a liquid diet and My family didn't really know anything about nutrition. So I was Having pudding jello ice cream, you know with Hershey's syrup box mashed potatoes You know all the things that you should not eat to be healthy or maintain your teeth And so I just started developing a ton of dental infection And, , that combined with not being able to eat nutritious foods, you know, my body really started shutting down. Katie: , I lost a ton of weight, my liver enzymes spiked, my kidneys started shutting down. And so I learned from a very early age just how much your oral health affects. Not only your mental and emotional health, but your, your physical health as well. And, you know, it was nine surgeries in four years, , that it [00:02:00] took to reconstruct my face and my jaw. Katie: And then once that was done and only then was I able to my teeth and, and finally replace the missing teeth and fix my smile. So that really. Got me interested in what I do. And then once I got into dentistry, you know, I started going down this journey of oral systemic health. And from a personal experience, I had a lot of fertility issues. Katie: I went through about six years in fertility treatment. And so just really started diving into, you know, how can. How does the mouth affect this and what can I do as a dentist to help other people? Michelle: Yeah, I mean it's definitely something that I think a lot of people do not I don't want to really correlate, but let's, let's actually really break this down because like , how can your teeth impact your body? Katie: From a high level? Start there? Yeah. So, , there's a couple different ways that the teeth and gums are really affected to the rest of the body. And, the first way that I About is bacteria. So our body [00:03:00] has types of microbiomes and the first real microbiome that we get or we're introduced to is the one in our mouth and we get that, you know, we used to always think that babies were sterile. Katie: We know that they are introduced to some bacteria when in utero first microbiome that we get introduced to is through the mom's vaginal canal. And then Through breast milk and from family members when we're kissing, , and, you know, eating and drinking after them, we get this whole microbiome and the microbiome in our mouth is super important because it's what establishes and feeds our gut microbiome. Katie: And so we know that when we develop dysbiosis in the mouth, what actually happens is that bacteria then go through our gum tissue, or we swallow 80 trillion bacteria a day. And so the bacteria that are in our mouth. We'll go to other places in our body that they're not supposed to be and start to cause damage. Katie: So that's one way that the mouth affects it. And then the other way is through inflammation. So again, when we have these foreign invaders in our mouth, what we know [00:04:00] is that our body elicits an immune response. And that immune response, unfortunately, doesn't stay localized to our mouth. It will break down our gum tissue, making our gum tissue permeable, again, allowing what's in the mouth to get to the rest of the body. Katie: But it also triggers an inflammatory response in other parts of the body, too. And this becomes really important in fertility, because that's when people can start to develop things like endometriosis, pelvic inflammatory disease, and things like Michelle: yeah. And also, as you're talking about this, I'm thinking about all these like alcohol rinses, you know, mouthwashes. So that's huge because people are like, oh, I want to get rid of my mouth bacteria because I want to really clean mouth. So like, But that messes up the good bacteria. So talk about that. I mean, you know more about this than I do Katie: Yeah, no, I mean, that is such a good point. I'm so glad that you brought that up, because The way I was trained, even 10, you know, back in, I graduated in 2010, you know, we were [00:05:00]taught the, the more it burns, the better it's cleaning, right? Like you want something in there that's burning. You want something that's 99 kills 99. Katie: 9 percent of all bacteria. But what we know is that's actually really bad. And to your point, , those types of products are not selective. So they're killing everything that's there. The good and the bad, when really we want to control the bad, support the good. and kind of let the body do its own thing. Katie: The other thing that's damaging about alcohol mouthwashes is that it dries out your tissues. And we know that when you have dry mouth or dry tissues, the bad bacteria love to go to those surfaces and take up shop. And it really supports them colonizing and growing their little, , microbial communities. Katie: So we want to have saliva. Saliva protects our teeth and gums from bad bacteria. So an alcohol containing product is not good for our health. Michelle: Now what does a person do if they were a c section Katie: Yeah. So, you know, there's lots of things that people can do throughout their life to [00:06:00]support their microbiome, you know, C section babies. We know that unfortunately they, they don't get exposed to the. you know, good vaginal bacteria during birth, but there's lots of things that they can do to support their microbiome. Katie: So I'm a, you know, people always talk about taking probiotics and probiotics are great. And what probiotics do is they're actually going to put bacteria into the body. , so it'll, it'll help replenish the bacteria that is missing from the gut. What people also don't understand is that they need to feed the good bacteria that they already have. Katie: So you cannot forget to take. Prebiotics, eat prebiotic food, take prebiotic, supplements. That way you can feed and help nourish the bacteria that's already there. Michelle: Yeah, Katie: We're introduced to so many bacteria every single minute of the day. You know, I, I wouldn't be as concerned once you get into adulthood about having a c section or being a c section baby because by that time you've been exposed to really everything that you need in your life. Katie: At that point it's just about nourishing and keeping it in balance. Michelle: Yeah. For sure.[00:07:00] It's interesting cause I was actually at, , microbiome labs. So are you familiar with them? So they actually have an enzyme like mouth. It's like a mint freshener, but it's like an enzyme one. And there was a guy who was talking about oral health. It was a presenter and he was talking about that and I thought that was really interesting and he also talked about Mouth breathers people who go to sleep and yeah So let's talk about that because that's really important and it's a big thing now people actually tape their mouth Katie: I know, it's just that you don't. Yeah, thank goodness for Instagram, you know, because you'll see someone on Instagram taping their mouth and all of a sudden everyone wants to tape their mouth, so this is really important because You know, there's a really good book out there for people to read called Breath by James Nestor I don't know if you've heard of it. Katie: A patient actually recommended it to me And it basically talks about that over time because of our high processed diet We've gone from eating You know, super fibrous, tough [00:08:00] foods to eating high processed carbohydrates and softer foods. And because of that, the structures of our skull and jaws have actually, , shortened or shrink. Katie: And because we have smaller jaws, it's why we no longer can. Make room for our wisdom teeth. So most people actually have to extract their wisdom teeth now. And what we know is that the smaller our jaws are, the less room in our mouth for our tongue and our airways actually start to shrink. So what happens is when we go to bed at night. Katie: our tongue falls to the back of our mouth and our airway collapses and we essentially start choking on our tongue. And so we start to breathe through our mouth. And the problem with this is our nose is, is such a, an incredible organ. It's designed with. millions and trillions and billions of of cilia in there to filter out the pollutants in the air. Katie: But when we're not breathing through our nose, we're taking in all of that dirty air through our mouth and it goes straight into our oral [00:09:00] cavity. We're introducing new, , microbes into our oral cavity that disrupts our microbiome. We're drying out our tissues. And again, we talked about dry mouth leads to increased bacteria formation, increased plaque formation, but then all that dirty air is also getting into our lung system, , which is not good and will trigger an inflammatory response. Katie: And so people don't realize that mouth breathing. causes or exacerbates allergies, , it also causes oral dysbiosis in the microbiome and therefore gut dysbiosis. And so one of the things that people need to do is to retrain themselves, how to breathe through their nose. So really great way to do that is by mouth taping. Katie: And a lot of patients will say, well, doc, I, you know, I can't breathe through my nose even during the day. And I'll say, well, you've got to retrain yourself how to use that part of your body that you haven't been using forever. So I encourage them to start taping during the day, you know, maybe just do 15 minutes at a time and slowly the nose will start to open up and work again.[00:10:00] Katie: Now, if someone has something more severe, like sleep apnea, they absolutely need to get a sleep test, , to get that diagnosis and then get treatment because. Sleep apnea is where you're actually choking at night. You're not breathing. You're waking up more than five times per hour because your oxygen is desaturating more than, more than 10%. Katie: And so those people need supplemental treatment such as a CPAP or an oral appliance or something like that. But sleep apnea is horrible for your brain. It kills brain cells. It's really hard on your heart and it's fatal if it's left untreated. It's just a matter of when. So I'm really glad that you brought that up. Michelle: that's actually really scary I do know that there's a correlation with weight gain And sleep apnea. So like, it's interesting because it's the whole thing. Like if you're taking care of your body and you're healthy, that impacts all the other things in your life, like your sleep. Katie: Definitely. Sleep apnea, what happens is when you, you know, when you're asleep and you stop breathing, what [00:11:00] happens is your body sends this rush of adrenaline to your brain stem to wake you up enough to take a breath. When you're doing that, you're stressing your body out, so cortisol is released. Katie: Cortisol causes systemic inflammation if it's released at high levels over time. , we also know that it, , lowers our insulin Michelle: Right. And then we gain weight because of that. Katie: yes, making us crave carbohydrates, making us gain weight. And so a lot of people have probably noticed that, and I, I notice this all the time. If I don't get a good night's sleep, I, all I want the next day is carbs, right? Katie: Carbs, Michelle: It's the quickest energy. Katie: I want. So it is crucial. Michelle: Yeah, for sure. I mean, cause that's what it is when you're tired, you want quick energy and the body knows instinctively that you'll get it with carbs. Katie: Absolutely. Michelle: course, that's not a very good source of energy. It's not, , an efficient one. Katie: Yeah, you run out of it very quickly. Michelle: And then other questions that I have is over brushing. Michelle: So some people think, okay, after everything that I eat, I'm going to brush my [00:12:00]teeth. What are your thoughts on that? Katie: Yeah, so there's a balance there, right? And what people want to try and avoid is brushing immediately after eating and drinking. Because we know that after you eat and drink, the pH in the mouth is going to go down. So what happens is we put something in our mouth, the mouth is the beginning of our digestive system. Katie: And so our body releases an enzyme in the mouth called amylase. And this amylase is an enzyme that starts to break down the carbohydrates in our mouth. So in order to do that, the pH has to drop. The pH also drops just because most of the stuff we put in our mouth is acidic anyway. And so you combine acidic food and drink with an acidic pH from, from the amylase secretion, and you're setting yourself up for a disaster of erosion and cavities. Katie: And so if you're going to eat or drink something, I always recommend to wait at least 30 minutes, before you brush. But people absolutely need to brush minimum twice a day. I mean that's like non negotiable I always recommend morning and night [00:13:00] if they can get one more in there during the day. That's great But if they can at least do two minutes morning and night, I think people are going to be pretty satisfied with Michelle: yeah, for sure. Now my other question is mercury fillings. Katie: yes Michelle: Yeah, let's talk about that because for a while, oh, it was like no big deal and now they're finding that it is. So it's kind of like brushed off a lot of times. I remember going to the dentist and asking for the white filler and, and he was kind of giving me pushback on that. Michelle: Yeah. Katie: And there's, unfortunately, you know, a lot of dentists out there that still believe that way. , and, you know, I hope your audience doesn't crucify me with this because I don't believe this. But their, their mindset is, and it is true, mercury fillings are stronger than the white composite fillings. Katie: Also, they're less technique sensitive when putting them in so if you're putting in a white composite filling little dental nerd out here You have to have everything completely Isolated [00:14:00]otherwise the white filling won't bond to the tooth and the filling will fail really quickly and the patient will get decay right underneath that Filling when you're packing in the mercury fillings. Katie: I mean, you're literally just Katie: It's called an amalgam, so it's an amalgamation of all this material. And so it doesn't matter if there's saliva. It doesn't matter if there's blood. , because it's not bonding to the two structures. So the dentists don't have to be as careful and think about it. I mean you're working in the mouth where there's tons of saliva and bleeding and things like that. Katie: So they're much Less technique sensitive to put in and they are stronger. , now the downside is they're filled with all kinds of things that are terrible for you. And we know, you know, think if you think about a mercury thermometer, right? There's a very small amount of mercury in that thermometer. But if a thermometer breaks in school, they shut the entire school down and call in a hazmat team to come clean it up, or a biohazardment team to come clean it up. Katie: Yet we're plugging this stuff into people's teeth. And the hard [00:15:00] thing about teeth, or the thing that people need to understand is that teeth are organs. And they have a blood supply, and they have a nerve supply, and to put that, that type of material, especially mercury, near blood supply that's connected to the rest of the body, or nerves that are connected to the rest of the body, in my opinion, is dangerous, you know, if we just use a little bit of common sense. Katie: And so I don't like mercury fillings. And now we're left with a bunch of patients that have them in their head Now, what do we do to remove them because you can't just go in and start Drilling them out and creating all this mercury vapor, right? Because it's not good for the dentist or the patient Michelle: So there's a biological dentists that specifically specialize in removing them. What are your thoughts on that? Katie: I I think it's really important to Go to someone that understands how to remove them correctly correctly. I would not consider myself You know the gold standard biologic dentist, you know, and the fact that I do all zirconia [00:16:00] implants and things like that But I definitely believe in safe amalgam removal because it's actually more dangerous for the provider who's removing the, the mercury filling and the assistant who's suctioning everything out than it is for the patient because we're creating all this vapor that's coming out of the mouth. Katie: Sure, it's coming into your body, but we're the ones that it's getting on our skin. You know, it's settling up next to our thyroid. So a lot of dentists have thyroid issues, myself included. This happened to me early on in my career when I started learning about this, they have fertility issues. , and so it's really important that dentists understand how to remove them safely. Katie: So I, I definitely, if I was having mercury fillings removed, I would make sure my dentist knew how to do it appropriately. Michelle: Yeah. Oh my god. You're giving such good information I really appreciate it because I think these are all questions that people have and you're giving a very well rounded very balanced Information Katie: I always say, you know, there's amalgam dentists, right? Like the traditional You know, every day dentist , and then there's the biologic dentist that do everything on the opposite end of the spectrum. Katie: I would say I'm [00:17:00] over halfway to the biologic dentist, but not all the way quite there. Michelle: Well, I guess it's kind of like traditional medicine. Katie: Yes. Traditional medicine. Yes, Michelle: It's, it's a little bit more of a holistic way to look at Katie: Yes. Yeah, Michelle: , and of course, even with what I do, even though I specialize in alternative medicine, I'm very much in the world of Western medicine because a lot of my patients need sometimes like conventional medical care Michelle: so it's nice to have a balance of both. Katie: Yeah. I still, you know, I joke all the time. I still believe in science, right? , I still do testing. I still do modalities. There's a time and place for everything. I just think we need to be a little bit smarter about how we approach, you know, healthcare and dentistry and, , not use bad materials that we know are horrible for us. Michelle: 100%. What I'm finding actually is a lot of people in my world are very much now into studies and science. So there is a bridge that's coming together. And I see a lot of, REs that I have developed great relationships with are [00:18:00] very open to what I do to help their patients. So I'm starting to see this shift of everybody coming together, which I love. Katie: That makes me happy because, you know, I did infertility treatment for six years and I saw some of the best specialists in the country. Not one asked them about my oral health. And there's so much research out there about how oral health affects infertility and you know Thank goodness. My oral health was fine. Katie: Of course. I checked it before, you know, I went and did all this stuff But you know, it was just kind of shocking to me how siloed and hyper focused they practiced, you know, and just looking at the reproductive system and nothing else Michelle: Oh, yeah. And even in Spain, they'll check even the vaginal microbiome, which I find so interesting because there's a correlation between that being off and then fail transfers. So they do that like automatically and it increases their success rates and they'll give them like vaginal, Probiotics Katie: I love that Michelle: And, and that's like a thing here. It's not so as we [00:19:00] learn, I mean, and then of course, when I read it starts with egg, that's what really got me into the whole teeth thing and then seeing the science with that. And now, like, even for my intake form, I always have a section that talks about like, have you ever had dental work done because it's important, but you know, you learn, it's not something that I knew like automatically, but as I got more into it. Michelle: I learned. Another thing that I wanted to ask you, what are your thoughts about fluoride? Because I know this is a very hot topic. Katie: Hot topic right, you know, I think I think it's a, another conversation like mercury, right? I think for a very long time, we had this major issue of, we call it caries in the dental field, which is just cavities. And so we had, you know, dental decay is like the number one disease in the world. And we had all these. Katie: You know, kids and people that had rampant decay and instead of looking at diet and microbiome, which is what we should have done, we said, okay, well, let's create some sort of chemical or product [00:20:00] that we can do to treat right. We're treating the symptom, not the original form of what's causing it. And so they created this. Katie: But what we now know is that when you. swallow it and you ingest it systemically, it's not good for you. It's a, it's a neurotoxin. And there's so many, I think there's so many other ways that we can combat dental decay where we can get around using fluoride. Now, if I have a patient that comes in that's refusing to do any of these other things that I'm talking about, and they're a teenager, and they have rampant decay everywhere and I know they're not going to make any lifestyle, nutritional, or oral habit modifications. Katie: May I put some fluoride on their teeth? Sure, but it's going to be something that's isolated that they're not going to ingest and swallow. My preference is to not use that because I know that even if I put a little bit in their mouth, it's still going to get in their system. But not treating someone with rampant decay and having Having them lose teeth because of it, or worse, develop an abscess, which we [00:21:00] know abscesses are horrible for our overall health. Katie: To me, that's doing more harm than painting a little bit of fluoride on teeth. But I actually recommend to use products like Nanohydroxyapatite is awesome. It was developed for NASA a long, long time ago to help astronauts, , you know, to prevent them from, from getting decay. So if it's good enough for NASA, it's good enough for me, right? Katie: So I love Nanohydroxyapatite. I love M. I. paste. , I also love arginine. Arginine is something that a lot of people don't know a ton about, but there's a ton of research out there showing that toothpaste that are high in arginine, like Tom's for example, , prevent tooth decay and also help treat tooth sensitivity. Katie: So I think we have Michelle: I love Katie: so many great things out there that we could use in addition to, you know, making sure that we're balancing and nurturing our microbiome. Not eating Jolly Rancher is incredible. Michelle: Yeah, exactly. My kids have been fluoride free. They don't get fluoride. They've been using fluoride free toothpaste. [00:22:00] They have never had cavity. Katie: Amazing. Yeah, and they, and they should never need it, right? Our, Michelle: They floss too. Katie: Yeah, I mean, so there you go, right? And, but what people don't understand, and I would have patients come into my practice, and they would say like, well, I want fluoride free. And I'd say, okay, tell me about your diet. And it was breads and pastas and carbs and sugar and five cokes a day. Katie: And they don't brush or floss their teeth. And they think oil pulling is going to solve everything. You know, and I'm like that, we can't do that, right? We need to, we need to intervene here. But if, someone takes a holistic approach to their oral health care, they should never need fluoride. And we know that our cavity causing bacteria really peaks and starts to decline in mid thirties. Katie: And so if parents are healthy, Their kids are going to be healthy because you're number one modeling healthy lifestyle But number two you're transferring all of your microbiome to your kids And so another thing that people don't realize is that if a parent's mouth is Full of [00:23:00] cavities and gum disease the kids mouth is going to be full of it because you're sharing the same bacteria So good for you for you being healthy and then keeping your kids healthy, too. Michelle: Thank you. I love how balanced this conversation is. It's amazing information. , I just love this because it's so important and it's, it's information that a lot of people just don't have access to, and it's not even like, sometimes it's not even knowing that you need to have access to certain information, but it's like. Michelle: So important. And it could be like that one thing that people are not looking into when they're going through fertility treatments or just challenges overall, Katie: Yeah, and we know that fertility treatment actually increases our inflammatory levels and increases the leakiness of our gum tissue. So if the mouth isn't healthy to start, or even if there's a little bit of dysbiosis going on, fertility treatment is just going to exacerbate it. So it's best to get it treated, you know, it's safe to do it during pregnancy, but it's always best to do it beforehand. Michelle: Yeah, [00:24:00] for sure. So now, let's talk about Peelu gum. So you hear about Peelu gum, , that it's very good for your teeth. I just was wondering what your thoughts on it or if you know, like how it can impact Katie: I actually don't know what that is. Michelle: Oh, so Peelu is from a tree. It's the Peelu tree, I believe. And so they create this gum and it's sugar free, but it's like natural sweetener and it's supposed to actually help clean the teeth. Katie: Okay. Michelle: Yeah. So look into that. Yeah. If you find out anything, email me. Katie: Yeah. Do you know what the sweetener is in it? Is it Xylitol or do you know what's in it? Yeah. So anything with Xylitol I love, , Xylitol is a natural sweetener that tricks the bacteria in your mouth to thinking that it's sugar because that's what the bacteria thrive on. Katie: So the streptococcus mutans cavity causing bacteria in the mouth. What it does is it feeds off of sugar, so that can be sugar from candy or gum or, you know, breads, pastas, processed [00:25:00]carbohydrates, things like that. And then it excretes lactic acid on the teeth and that's what causes cavities. So xylitol, what it does, is the bacteria still thinks it's the sugar that it wants to eat, but once it eats it, it can't metabolize it, so it actually starts, from ingesting the xylitol. Katie: So I love that. I'm gonna look that up. I haven't heard of that Michelle: Yeah. They have it at Whole Foods. It's kind of like a more natural, you know, more natural, but it's supposed to be good for the teeth. Like I think that back in the day people used to chew on it. It was from trees and they would just chew on the actual whatever that was. But Katie: which that's good too, because again, you're chewing on fibrous branches, right? And that's really good to stimulate saliva. It's really good to work on your jaw muscles and it's really good to develop the structural skeleton of the jaw on the face. So Michelle: yeah, so maybe, a little gum chewing is okay. Katie: Oh, I love gum Michelle: strength. Katie: recommend it all the time. Yeah. That's actually one of the things that I do recommend for my patients. , because you know, like I mentioned, it stimulates [00:26:00] saliva. Saliva is like our best protector that we have of our teeth because it neutralizes the pH. It actually coats our teeth in, You know, this like biofilm, right? Katie: That's super healthy. So it protects the teeth from getting any bad bacteria stuck to it. So I'm a big fan of chewing gum. I think it's great. I recommend it for patients all the time. As long as it's sugar free, of Michelle: Yeah. So this might be the ideal thing, the Peelu gum. Katie: Yeah. Michelle: I happen to love it. So it's kind of my guilty pleasure. I try not to do it too much cause I know like it's just, you don't want to wear down your teeth, but Katie: should, I mean, you shouldn't, unless you're really grinding it, like you shouldn't be wearing down your Michelle: right. So it's, it probably protects it anyway. Okay. Well that's good to know. Cause I Katie: habit to do. Michelle: I learned something new. It's nice to hear that you, that you actually promote that or that you support doing that. That's awesome. Wow, this is great information. I know you also have a book about the mouth. Katie: Yes, so I wrote a book called Saved by the Mouth and it's all about how oral health [00:27:00]affects , virtually every organ system in the body. So we talk about brain health, heart health, cancer, fertility, of course, , aging, gut health. And so I wrote it from the, or I wrote it as if I was having a conversation with a patient because I wanted the information to be easily digestible. Katie: And entertaining. And so every, as entertaining as Michelle: I love that. Katie: guess. And so every chapter actually talks about a situation that I had with a patient in my practice and them having to deal with whatever ailment they were dealing with. And so it's, I think it's really relatable. It's a quick read. Katie: , and what I like about it too is it also goes over super simple daily modifications that people can do to improve their oral health and it doesn't have to be like a life changing makeover. They're just small things that you can do to improve health and then also what to ask your dentist for and you can go to any dentist and ask this. Katie: It doesn't have to be a biologic dentist. You know, asking for things [00:28:00] like salivary testing, that's super important to know what's in your microbiome. Asking for your gums to be measured, so you actually know if you have a gum infection, things like that. Michelle: Fantastic. And then you had also talked about how like when people are pregnant, sometimes people will say, don't do any dental work during that time. So talk about that. Cause that sounds like it's an important thing for Katie: it is. It drives me insane. , and I was trained that way, by the way. So, you know, people aren't doing anything wrong. It's, it's, it's, you know, a product of the education system, unfortunately. But what we know is that when people have gum infection, it affects fertility in all sorts of ways. You know, it. It affects not only men, or not only women, but also men. Katie: And We know that if once a woman is pregnant, if she has gum infection, she is 30 to 50 percent more likely to have a preterm birth, a low birth weight baby, or stillbirth. And we know that of [00:29:00] pregnant women, about 40 percent of them present with some sort of gum infection, whether it be gingivitis or gum disease. Katie: And yet, 56 percent of pregnant women avoid the dentist. So, with those statistics alone, you know, it only makes sense that we need to be treating our oral health ideally before you even start to try and get pregnant because it will help you get pregnant. But, you know, I, I always get questions from patients being like, well, I'm pregnant now, you know, what do I do? Katie: I, I feel like I might have something going on. Well, you absolutely should go to the dentist and get this treated because you want to try and avoid any sort of pregnancy complications and, and again, patients with perio infection gum disease or gingivitis are at much higher risk for, you know, having a complication with their baby. Katie: And we know that if they get perio treatment while pregnant, their medical costs will reduce about 74%. So it's very important for the outcome of the pregnancy for the mom, but also for the outcome of the pregnancy for the baby. Michelle: Wow. That is Katie: the [00:30:00] dentist. Michelle: important. Chinese Katie: I don't get elective care now What I'm what I'm not saying is to go get veneers done. Katie: Like so I don't want people to mishear me I'm saying, you know If you have a gum infection or tooth abscess, you absolutely should go get that treated while you're pregnant All elective care can can wait until after baby's here. Michelle: Such a good point. Interestingly enough, Chinese medicine, the teeth are an expression of the kidneys. Chinese medicine, the kidneys are not what we look at in conventional medicine. The kidneys are actually what houses your reproductive essence and health. So it's so crazy how there is this correlation. Michelle: I see this a lot. I see this quite often, actually, even with, the heart and brain different. Topic, but the heart houses the brain. This is how we're taught in Chinese medicine. And now they're seeing in heart math that there is this correlation between the heart and the brain. And there's a communication between the heart and the brain that it's measured. Michelle: So it's interesting how science is [00:31:00] connecting, you know, you're connecting the dots between what was talked about in Chinese medicine. That may not. Initially makes sense, but then you're seeing in science things that are proving those things. So it's pretty wild that we're coming to this place where it's bridging. Michelle: You're actually seeing the two connecting. Katie: knew about the meridians in the teeth, but I did not know about the kidneys and fertility in teeth. That just like really blew my mind. Michelle: Yeah, for sure. And it's interesting because as a child, you know, when they're, when they're little, you know, their, their body's developing and as they get closer to kind of reproductive years, that's when their real teeth come out. And then as, , the reproductive health declines and they're getting really old, the teeth fall out. Michelle: So it's kind of like this connection to essence. Katie: I just got goosebumps. Michelle: Very fascinating. It's just, the human body is Katie: And it, it's also tied with, with microbiome, right? Like when we're born, our microbiome [00:32:00] is the least diverse. , and the least strong. It's also the strongest, like what you say, in our reproductive year. So I always tell people, you know, when you're in your 20s, and, you know, you're invincible, and you can go out every night, and not get any sleep, and eat whatever you want, and never get sick, that's when your microbiome is the best. Katie: But then also, as you age, our microbiome starts to deplete again, in not only numbers, but also diversity, and then that's when we die. So it's, it's funny how this all Michelle: Yeah. Isn't that interesting? We have these like peaks and then valleys, so it's pretty wild. Katie: that is wild. Michelle: Yeah. So we're like building and then we're kind of sloping and going down. And then also I was curious to know your thoughts about like neem rinse or a tea tree, you know, instead of obviously alcohol, what are your thoughts on Katie: Yeah. Yeah. I, I love neem oil. I actually use neem oil in my hair all over my face, like all the stuff. I think anything that you can do to be more natural is [00:33:00] totally fine. I think the key is, is that patients need to make sure that they are healthy first. A lot of times I'll have people come in and they'll be like, you know, I haven't gone to the dentist in 10 years because I oil pull or I, you know, I use essential oils or rinse with coconut every day, but their mouth is a mess, right? Katie: And they've inflammation everywhere and calculus everywhere and cavities. And so I always tell people is go to the dentist. Get a clean bill of health or if you're not healthy at least have them You know clean you up and get you healthy and then use those tools to maintain yourself over time You know when patients don't floss their teeth they get little clicks Or little nodules of calculus that build up in between their teeth under their gum line. Katie: There's nothing but mechanical debridement that will remove that. And there's no amount of oil pooling in the world that will treat that. And that's what's going to cause gum infection and gum disease. So, you know, if people want to use neem rinses and tea tree and things like that, great. Tea tree is also good for pain. Katie: You know, if someone has a little [00:34:00] ulcer in their mouth, it's great for that. Very antibacterial, neem is great for that, antifungal, all those things. But get clean first, get a clean bill of health, and then use those tools in your toolbox to maintain that bill of health. Michelle: Yeah, definitely. No doubt. I'm every six months we get our teeth cleaned. It's, it's important to actually get it because you feel it. You feel all the calcification and I even have my own little scraper. Sometimes I'll just get in between, in between times. Cause I'm like, I can't wait until the next six months. Michelle: Cause it does, it builds up. And then if you have tea and all kinds of different things, like it just, it's there. Katie: Yeah, so when we have plaque, plaque starts forming on our teeth just a couple hours after we're done brushing. So that's why ideally, if someone can brush three times a day, that's great. At least twice, you know, you'll be okay. But what happens is, once that plaque sits there, it starts to really mature. Katie: And it gets really, it gets harder to remove because the, the extracellular matrices of the bacteria really start to connect and, and strengthen its attachment to the teeth. Then we mix it with the minerals in our [00:35:00] saliva, and then it hardens and it calcifies into calculus or what people know as tartar. Katie: Once it's hardened, you cannot get that off unless you remove it with a scaler or something like that. And so it is important to go in and get it removed. Because, you know, even with a scaler, I do it to scale my teeth all the time. There's places you can't obviously reach, you know, like underneath the gum tissue in between that have to be removed. Katie: And so I actually recommend for people to go in to see their dentist about every three to four months, even if they are healthy. Because we know that bacteria repopulate about every 90 days. , and so in my opinion, six months is too long. Someone like you who's super healthy, you know, probably doesn't need to go in. Katie: But for the vast majority of Americans especially, they should be staying every three to four months for sure. , to prevent disease. You know, we, It's crazy. Cause the six month timeframe came about because of insurance. It, Michelle: No, that's exactly why we do six months. Cause our insurance pays for that. Katie: yes. It was never a medically, , [00:36:00] science based driven Michelle: Isn't that amazing how the Katie: Yeah, it was, it was dictated by insurance and it's only after. You get an irreversible diagnosis of gum disease, which is irreversible Once you have that once you have gum disease, we know you have that bacteria in your heart We know it's in your brain We know it's all over the body But it's only until you get that irreversible diagnosis of gum disease that now your insurance will allow you to go in every every three Months, that's crazy In my mind, why not go every three to four months and prevent an irreversible disease? Michelle: totally, but you know common sense common sense Doesn't always translate into the system Katie: wish we used our brains more. In Michelle: Yeah, that's crazy. So another question I have lastly like this is another thing My mom sent me this video on Facebook of a dentist showing how to properly Brush the teeth. So we typically will just keep going back and forth, but he said, all you have to do is [00:37:00] kind of go from the gums up, gums up to remove the food, because when you're going back and forth, all you're doing is just mixing the bacteria in the same space. Michelle: You're not moving it up. So just wanted to ask you what you thought about that. Katie: Oh, yeah, I mean, you can, you can do that. Sure, it's fine. The, the point of brushing the teeth, you know, what I always tell people is, the saying is brush your teeth, but what we're really saying is brush the gum line. And so, plaques sits on our, two places. One is it sits on our gum line. That's where it starts to accumulate. Katie: Then it also sits on top of the teeth in the little grooves. So to prevent cavities, you want to brush the tops of the teeth to get everything, get all the food out of the grooves of the teeth. But the most important thing, especially to prevent gum inflammation is to brush along the gum line of the teeth. Katie: And the goal of that is to disrupt the biofilm. So sure, if you're brushing up like that's great, you're brushing it away from the gums. But what you really want to do is just do whatever you can to disrupt that biofilm because you're going to spit it out. Once you get the plaque [00:38:00] biofilm disrupted, it's loose. Katie: You're going to spit it out in the sink. You know, I can't even get people to brush twice a day for two minutes, let alone having them do something as technique sensitive as that. So I just tell people angle your toothbrush at 45 degrees. Right at the gum line. Use an electric toothbrush because it'll be gentle. Katie: Don't get a hard, hard or medium bristled toothbrush. Very light pressure. Plaque is so soft. You don't have to use any pressure. You just want to disrupt that biofilm along the gum line. Spit it out. Rinsing afterwards is great. Luff, you know, obviously everyone needs to floss every day. , and then tongue scraping is really important. Michelle: Awesome. This was great information. I'm so happy that I had you on today. So this is just such great information. So for people who want to learn more about you and read your book, how can they find you? Katie: Yeah. So, , they can follow me on Instagram. I'm pretty good at, at, , responding to the DMS on Instagram. , so [00:39:00] katyleedds on Instagram. My website is also katyleedds. I do Salivary testing for fertility patients. And so if someone wants to check their microbiome and see if they have the bacteria that impact, , Fertility, we do saliva tests for them remotely. Katie: , and then my book is called Saved by the Mouth. They can get it off my website or on Amazon. Michelle: Well, Dr. Lee, it was such a pleasure talking to you. I really enjoy your mind and picking your brain I just love how well balanced your information is and, and also just, it's priceless. It's so important. Katie: Thank you. I appreciate it. Thanks for the opportunity
“Social work was involved because we could be radiation gung-ho, ready to go; chemo can be ready, but whoops, this patient doesn't have a ride. It can be little things like that, you know, where we kind of forget. That's why you need kind of a multidisciplinary approach. If it's not your social worker, your navigator is going to know more and be like, ‘This patient needs a ride. I'm working on gas cards.' Something like that can also halt a patient starting [treatment],” ONS member John Hollman, RN, BSN, OCN®, senior nurse manager of radiation oncology at AdventHealth Cancer Institute in Orlando, FL, told Jaime Weimer, MSN, RN, AGCNS-BS, AOCNS®, manager of oncology nursing practice at ONS, during a conversation about care coordination between radiation oncology and other oncology subspecialties. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by March 1, 2026. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Learning objective: Learners will report an increase in knowledge related to coordination of care to assist with the management of radiation-related side effects. Episode Notes Complete this evaluation for free NCPD. Oncology Nursing Podcast: Episode 12: The Intersection of Radiation and Medical Oncology Nursing Episode 60: Radiation Side Effects With Head and Neck Cancers—ONS Congress Episode 128: Manage Treatment-Related Radiodermatitis With ONS Guidelines™ Episode 272: Oncologic Emergencies 101: Radiation Therapy for Emergent and Urgent Interventions Episode 298: Radiation Oncology: Nursing's Essential Roles Clinical Journal of Oncology Nursing articles: Patient Handoff Processes: Implementation and Effects of Bedside Handoffs, the Teach-Back Method, and Discharge Bundles on an Inpatient Oncology Unit Radiation Therapy Pain Management: Prevalence of Symptoms and Effectiveness of Treatment Options Partial Breast Irradiation: A Longitudinal Study of Symptoms and Quality of Life Oncology Nursing Forum article: Symptom Clusters in Patients With Brain Tumors Undergoing Proton Beam Therapy ONS Voice articles: The Intersection of Radiation and Medical Oncology Nursing (featuring an interview with John Hollman) Today's Immunotherapy Combinations New Treatments in Radiation Oncology 49th Annual ONS Congress® Radiation Track and John Hollman's radiopharmaceuticals session ONS book: Manual for Radiation Oncology Nursing Practice and Education ONS course: ONS/ONCC Radiation Therapy Certificate™ ONS Communities: Radiation ONS Huddle Cards: External beam radiation Brachytherapy Proton therapy Radiation Find your local ONS Chapter's next meeting. RT Answers American Brachytherapy Society To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To find resources for creating an ONS Podcast Club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode “Skin reaction is a big thing in our field for breast cancer. Managing it with lotions, creams, and stuff like that is temporary. To something more complicated, like the head and neck cancer patients with base of the tongue, where the beam is directed straight at that area of the body, which is very delicate, as we know, very, very, very tough treatment. You know, anything from esophagitis to dysphagia, dry mouth, no taste. Salivary glands are affected. So it really kind of depends, obviously, where we aim the machine.” TS 2:04 “I think it really determines on how that radiation nurse knows how radiation affects the cells that we treat. So, for instance, I always tell my patients when I'm educating them for head and neck, and I know they're going to be getting concurrent cisplatin or something like that once a week, I'm going to tell them, like, ‘The majority of your acute side effects are us. Like, the chemo is going to work as a sensitizer. You're going to have fluids that you're going to be needing, but the difficulty swallowing, you know, all that stuff is our fault.'” TS 6:12 “If your med-onc is not affiliated with your rad-onc site, that can be a horrible barrier to try to break through because you don't know anybody in that office. You identify yourself on the phone as someone from a competing company. . . . But it's just breaking through that, and it just takes that nurse's initiative and, hopefully, physician coordination as well, to work on, rad-onc between med-onc and getting that to kind of facilitate that.” TS 11:29 “Social work was involved because we could be radiation gung-ho, ready to go; chemo can be ready, but whoops, this patient doesn't have a ride. It can be little things like that, you know, where we kind of forget. That's why you need kind of a multidisciplinary approach. If it's not your social worker, your navigator is going to know more and be like, ‘This patient needs a ride. I'm working on gas cards.' Something like that can also halt a patient starting [treatment].” TS 20:52 “I love the ONS radiation communities. We do a lot of idea sharing on communities. A rad-onc nurse from New York can post something like, ‘Hey, what are you guys doing for this side effect? We're not having any luck with this.' And you get some buy-in. And as long as the nurses remember evidence-based practice is always key. You know, just because you use one lotion, it doesn't mean, it's going to be good for everybody. I like to see the evidence behind it.” TS 22:42 “With the ever-evolving radiopharms that are coming out, you know, that we're doing here, too, it's turning more into nurses are actually giving the treatment. And that's what I'm speaking on in Congress, is a nurse's evolving role in radiation and radiopharms especially. It's a huge breakthrough. It's the future pretty much.” TS 24:19
PARENTING YOUR CHILD'S NERVOUS SYSTEM is an episode with my guest Faye Deveres. Faye holds a BA in Humanities and Teacher Certifications in California and Maine and she is the Founder of the Home School for Babies and Parents (HSBP). Faye has a wide range of experience working with children as an Infant Development Specialist, Early Intervention Counselor, Montessori teacher, After-school Wellness Coordinator and School Counselor. Most relevantly, she was privileged to be employed as the Lead Teacher in one of the few Pikler/RIE-modeled infant programs in the United States. Faye served as the vice president for the United World for International Children's Rights in Vienna, Austria for four years. Throughout the years, she has researched, studied and engaged in practices committed to respecting children. Faye and I are gonna talk about ADHD, attachment theory, the impact of stress on our children and whether day care for children is good or bad for them. https://homeschoolforbabiesandparents.com/about Measurement of salivary cortisol has been widely used in pediatric research for more than 20 years as a biomarker of hypothalamic pituitary adrenal (HPA) axis activity during normal activity and in response to stress.” (Salivary cortisol: a tool for biobehavioral research in children Margaret F. Keil, PhD, CRNP, 2012, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3335961/ ) For more information on this podcast, please visit www.adhdisover.com
Genova's Endo+ Profile is the first of its kind in hormonal health, offering the unique ability to test saliva, blood, and urine simultaneously. This flexibility lets providers create tailored hormonal profiles that reveal insights and connections between sex hormones, thyroid function, adrenal health, melatonin rhythms, and estrogen metabolism. While creating this product, we spent years scouring the research for the most up-to-date clinical information. Some of what we found, or more importantly didn't find, calls into question what gets repeated in the echo chambers of functional medicine. Today is part 3 of our series where we challenge common doctrine in hormone testing. It's good to be humble, take a fresh look at dogmatic concepts, and rethink what we thought we knew. Today on The Lab Report: 4:35 Endo+ - we are learning new lessons 6:05 Salivary testosterone in females 8:10 Urinary cortisol and the effects of dietary sodium 10:50 Steroidogenic pathway and aromatase enzymes 12:15 Ben Bikman, insulin resistance, and aromatase 13:50 Salivary collection – passive drool vs. devices 16:20 Serum hormone levels and BHRT 18:25 Salivary progesterone and stress 20:20 Estriol and estrogen metabolism Additional Resources: Endo+ Genova Connect **PROMO CODE TheLabReport20 for 20% off your next purchase** Subscribe, Rate, & Review The Lab Report Thanks for tuning in to this week's episode of The Lab Report, presented by Genova Diagnostics, with your hosts Michael Chapman and Patti Devers. If you enjoyed this episode, please hit the subscribe button and give us a rating or leave a review. Don't forget to visit our website, like us on Facebook, follow us on Twitter, Instagram, and LinkedIn. Email Patti and Michael with your most interesting and pressing questions on functional medicine: podcast@gdx.net. And, be sure to share your favorite Lab Report episodes with your friends and colleagues on social media to help others learn more about Genova and all things related to functional medicine and specialty lab testing. To find a qualified healthcare provider to connect you with Genova testing, or to access select products directly yourself, visit Genova Connect. Disclaimer: The content and information shared in The Lab Report is for educational purposes only and should not be taken as medical advice. The views and opinions expressed in The Lab Report represent the opinions and views of Michael Chapman and Patti Devers and their guests.See omnystudio.com/listener for privacy information.
We all want to help our dogs experience less stress at the vet, and there is actually some scientific data to support two ideas that some might already be doing naturally: avoiding lobbies and staying with dogs through procedures. Break down the research, and also get into some of the culture of vet med with geneticist and veterinarian Dr Jessica Hekman. Find Jessica at http://www.dogzombie.com/ and functionalbreeding.org Sources: Hekman, Jessica P., Alicia Z. Karas, and Nancy A. Dreschel. "Salivary cortisol concentrations and behavior in a population of healthy dogs hospitalized for elective procedures." Applied animal behaviour science 141.3-4 (2012): 149-157. Perego, Roberta, Daniela Proverbio, and Eva Spada. "Increases in heart rate and serum cortisol concentrations in healthy dogs are positively correlated with an indoor waiting‐room environment." Veterinary Clinical Pathology 43.1 (2014): 67-71. - dogs in veterinary clinic vs dogs outside, same wait time, group A had higher cort levels Mariti, Chiara, et al. "The assessment of dog welfare in the waiting room of a veterinary clinic." Animal Welfare 24.3 (2015): 299-305. - behaviorist vs owner observations; “The behaviourist's evaluations were strongly correlated with the time spent by dogs showing signs of stress and moderately correlated with the number of displayed signs, whilst owners' evaluations were not closely correlated to those factors. Dogs rated as highly stressed by the behaviourist were more prone to display resistance (halting, refusing to budge) when moving from the waiting room to the consultation room. The results of this pilot study support the idea that the welfare of dogs in the veterinary waiting room is often impaired, and that owners are unable to accurately assess stress in their dogs in such situations.” Juodžentė, Dalia, Birutė Karvelienė, and Vita Riškevičienė. "The influence of the duration of the preoperative time spent in the veterinary clinic without the owner on the psychogenic and oxidative stress in dogs." Journal of Veterinary Medical Science 80.7 (2018): 1129-1133. - Dogs waiting for 12 hours prior to surgery had higher cort levels (and another measure, oxidative stress index) than dogs brought in 10 min before surgery. Csoltova, Erika, et al. "Behavioral and physiological reactions in dogs to a veterinary examination: Owner-dog interactions improve canine well-being." Physiology & behavior 177 (2017): 270-281. - 2 groups of dogs getting PE. Owners present for both, allowed to touch group 1 but not group 2. Group 1 had more lip licking, higher HR, and temp, also more attempts to jump off the table. Sign up for courses and join the membership here: https://cogdogclassroom.mykajabi.com/ Join us on Patreon: https://www.patreon.com/cogdogradio Music by AlexGrohl from Pixabay
Hormones are complicated! The body makes dozens of hormones that influence each other. Fine-tuning that full hormonal symphony can lead to significant symptom improvement and well-being. Genova's testing can help and the new Endo+ Profile is a great place to start. With this latest product upgrade, we've spent almost 2 years scouring the literature for the most up-to-date clinical information to help guide clinicians. However, while we were knee-deep in research and literature, we found ourselves with conflicting messaging and realized the echo chamber in personalized medicine might need to be re-examined. In today's episode, we begin to challenge a few concepts in hormonal testing. Sometimes it's good to be humble, take a fresh look at dogmatic concepts, and rethink what we thought we knew. Today on The Lab Report: 3:50 Endo+ Support Guide and literature diving 6:10 Salivary hormones – Why? How? What does it mean? 9:55 Super-secretors 12:45 Topical hormone replacement therapy and saliva 15:30 Bound vs. unbound, bioavailable vs. inert hormones 18:00 Megalin proteins and androgens 20:30 Free testosterone and the Free Hormone Hypothesis 22:00 Dear Sir……. What is Prestidigitation? Additional Resources: Endo+ Profile Genova Connect **PROMO CODE TheLabReport20 for 20% off your next purchase** Subscribe, Rate, & Review The Lab Report Thanks for tuning in to this week's episode of The Lab Report, presented by Genova Diagnostics, with your hosts Michael Chapman and Patti Devers. If you enjoyed this episode, please hit the subscribe button and give us a rating or leave a review. Don't forget to visit our website, like us on Facebook, follow us on Twitter, Instagram, and LinkedIn. Email Patti and Michael with your most interesting and pressing questions on functional medicine: podcast@gdx.net. And, be sure to share your favorite Lab Report episodes with your friends and colleagues on social media to help others learn more about Genova and all things related to functional medicine and specialty lab testing. To find a qualified healthcare provider to connect you with Genova testing, or to access select products directly yourself, visit Genova Connect. Disclaimer: The content and information shared in The Lab Report is for educational purposes only and should not be taken as medical advice. The views and opinions expressed in The Lab Report represent the opinions and views of Michael Chapman and Patti Devers and their guests.See omnystudio.com/listener for privacy information.
This week we are joined by Nicole Kowalski-Kleinsasser!In this episode, we discuss Nicole's journey moving to LA to pursue dancing and acting, her battle with cancer, dealing with insurance companies, advocating for your medical needs, dealing with immense pain, wanting to start a family, and so much more. You don't want to miss out on our conversation about NIcole finding a community on social media! Give this episode a listen! Recommendations from this episode: Tig Notaro - I'm Just a PersonMindfulness Meditation Reduces Pain By Separating It From The Self - Science DailySPOHNC (Support for People with Oral and Head and Neck Cancer): https://spohnc.org/ Dial 1-800-377-0928National Suicide and Crisis Lifeline: https://988lifeline.org/ Dial 988APA (American Psychological Association) list of additional hotlines: https://www.apa.org/topics/crisis-hotlinesFollow Nicole Kowalski-Kleinsasser: @nicolescrookedsmileFollow Carly: @carlyjmontagFollow Emily: @thefunnywalshFollow the podcast: @aloneatlunchpodPlease rate and review the podcast! Spread the word! Tell your friends! Email us: aloneatlunch@gmail.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Salivary flow, composition, and pH are incredibly impactful on other areas of our body. In this episode, Kristin Evans is interviewed by Katrina Sanders to give us the foundational knowledge needed to begin our journey. Resources:More Fast Facts: https://www.ataleoftwohygienists.com/fast-facts/ Katrina Sanders Website: https://www.katrinasanders.com Katrina Sanders Instagram: https://www.instagram.com/thedentalwinegenist/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8323473/ For speaking inquiries or questions Kristin can be reached at kristinevansrdh@gmail.com, onInstagram @kristinevansthephrdh or on LinkedIn.
Salivary flow, composition, and pH are incredibly impactful on other areas of our body. In this episode, Kristin Evans is interviewed by Katrina Sanders to give us the foundational knowledge needed to begin our journey. Resources:More Fast Facts: https://www.ataleoftwohygienists.com/fast-facts/ Katrina Sanders Website: https://www.katrinasanders.com Katrina Sanders Instagram: https://www.instagram.com/thedentalwinegenist/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8323473/ For speaking inquiries or questions Kristin can be reached at kristinevansrdh@gmail.com, onInstagram @kristinevansthephrdh or on LinkedIn.
The Psychology of Self-Injury: Exploring Self-Harm & Mental Health
What is the relationship between nonsuicidal self-injury (NSSI) and pain? Are individuals who self-injure less sensitive to pain than those who don't self-injure? What are the ethics involved in conducting research on pain? In this episode, Dr. Julian Koenig describes the research on the experience of pain among those who self-harm. Learn more about Dr. Koenig and his research lab at www.koeniglab.de, and follow him on Twitter/X at @koeniglab.Below are links to some of the research referenced in this episode:Koenig, J., Thayer, J. F., & Kaess, M. (2016). A meta-analysis on pain sensitivity in self-injury. Psychological Medicine, 46(8), 1597-1612.Koenig, J., Klier, J., Parzer, P., Santangelo, P., Resch, F., Ebner-Priemer, U., & Kaess, M. (2021). High-frequency ecological momentary assessment of emotional and interpersonal states preceding and following self-injury in female adolescents. European Child & Adolescent Psychiatry, 30(8), 1299-1308.Kaess, M., Hooley, J. M., Klimes-Dougan, B., Koenig, J., Plener, P. L., Reichl, C., Robinson, K., Schmahl, C., Sicorello, M., Schreiner, M. W., & Cullen, K. R. (2021). Advancing a temporal framework for understanding the biology of nonsuicidal self-injury: An expert review. Neuroscience and Biobehavioral Reviews, 130, 228-239.Störkel, L. M., Karabatsiakis, A., Hepp, J., Kolassa, I.-T., Schmahl, C., & Niedtfeld, I. (2021). Salivary beta-endorphin in nonsuicidal self-injury: an ambulatory assessment study. Neuropsychopharmacology, 46(7), 1357-1363.Sigrist, C., Kaess, M., & Koenig, J. (2023). Autonomic nervous system function in nonsuicidal self-injury—A Research Domain Criteria perspective on the arousal/regulatory systems. In E. E. Lloyd-Richardson, I. Baetens, & J. Whitlock (Eds.), The Oxford handbook of nonsuicidal self-injury (pp. C18S1–C18S23). Oxford University Press.Naoum, J., Reitz, S., Krause-Utz, A., Kleindienst, N., Willis, F., Kuniss, S., Baumgärtner, U., Mancke, F., Treede, R.-D., & Schmahl, C. (2016). The role of seeing blood in non-suicidal self-injury in female patients with borderline personality disorder. Psychiatry Research, 246, 676-682.Follow Dr. Westers on Instagram and Twitter/X (@DocWesters). To join ISSS, visit itriples.org and follow ISSS on Facebook and TwitterX (@ITripleS).The Psychology of Self-Injury podcast has been rated #1 by Feedspot in their list of "10 Best Self Harm Podcasts" and #5 in their "20 Best Clinical Psychology Podcasts." It has also been featured in Audible's "Best Mental Health Podcasts to Defy Stigma and Begin to Heal."If you or someone you know should be interviewed on the podcast, we want to know! Please fill out this form, and we will be in touch with more details if it's a good fit.
In this episode, we review the high-yield topic of Salivary Gland Tumors from the Oncology section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets --- Send in a voice message: https://podcasters.spotify.com/pod/show/medbulletsstep1/message
On today's episode: To celebrate our 144th episdoe, we answered all your gross science questions: earwax, clogged pipes, boogers... There was just so much it went on to a 145th episode! All that and more today on All Around Science... LINKS: SOURCES https://atlasbiomed.com/blog/wet-earwax-dry-earwax-and-earwax-colours-of-earwax/ https://www.medicalnewstoday.com/articles/326093#earwax-textures Salivary mucins protect surfaces from colonization by cariogenic bacteria Nose picking and nasal carriage of Staphylococcus aureus THEME MUSIC by Andrew Allen https://twitter.com/KEYSwithSOUL http://andrewallenmusic.com
The Root Cause Medicine Podcast is created by Rupa Health, the best way to order, track & manage results from 30+ lab companies in one place for free. The Root Cause Medicine Podcast is a weekly one-on-one conversation with renowned medical experts, specialists, and pioneers who are influencing the way we look at our health and wellbeing. This week we're joined by Dr. Kalea Wattles, Associate Director of Curriculum at The Institute of Functional Medicine (IFM). In this episode, Dr. Kalea Wattles explains all about reproductive longevity, including the fertility span, testing for fertility, and how to slow down ovarian aging. Dr. Kalea Wattles is an accomplished naturopathic doctor, certified functional medicine practitioner, and a renowned fertility expert. Her approach to helping women conceive and maintain pregnancies is based on the functional medicine philosophy. Key Takeaways: Focusing on reproductive longevity It's a human-specific phenomenon to experience a decline in fertility potential around middle age. This could be attributed to the "grandmother hypothesis," where women lose their fertility at a young age to allocate time and energy to taking care of their offspring. Nevertheless, losing reproductive potential has broader implications for various bodily systems, such as reduced bone mineral density and cognitive function, and an increased risk of cardiovascular disease. Therefore, it's essential to prioritize reproductive longevity to not only ensure successful pregnancies now, but also promote long-term health and vitality. Understanding lifespan, healthspan, and fertility span Lifespan is the total duration of a person's life, from birth to death. Healthspan, on the other hand, refers to the period of life during which an individual is in good health and free from chronic diseases or disabilities. It's a measure of function rather than a measure of time. The fertility span is the period during which an individual is capable of reproducing, and it refers to the health of the ovaries, regular ovulation, hormone production that protects your bones and brain, and the nervous system. Normal versus pathological ovarian aging Women's ovaries naturally age, leading to a decline in function that culminates in the menopausal transition, usually occurring in the early fifties. This process is a normal part of aging and occurs regardless of a woman's overall health. However, some women experience an acceleration in ovarian aging, resulting in a decrease in ovarian reserve, which can lead to infertility. This can occur even if the woman is still having menstrual cycles and normal hormone levels. Premature ovarian insufficiency is another condition in which the ovaries exhibit perimenopausal or menopausal symptoms, such as irregular periods, even in younger women. Oxidative stress and inflammation Oxidative stress and inflammation are the two biggest contributors to ovarian aging. Oxidative stress is when the body experiences a buildup of compounds that can damage DNA. It can be from having a high sugar diet, environmental toxin exposures, chronic inflammation, or a low intake of dietary antioxidants. Inflammation can come from lots of different sources. Periodontal disease is a significant contributor to inflammation in the reproductive system. But it can also come from food sensitivities, intestinal hyperpermeability, or leaky gut. It's crucial to acknowledge the interconnectivity of all the systems in our body, as each one can impact the others. Therefore, when a woman intends to get pregnant, she must ensure that all her bodily systems are in proper working order and balance. Slowing ovarian aging Be mindful of your diet and reduce sources of advanced glycation. This means cutting back on fried and baked foods and focusing on consuming more antioxidant-rich foods. In addition to dietary changes, it's also important to consider lifestyle factors such as exercise, stress management, and adequate sleep. Also, regularly test. Also, check out Dr. Kalea's recommended lab testing: Hormones testing, Luteinizing hormone test, Follicle-stimulating hormone test, Testosterone panel, DHEA-S Test, Progesterone testing, Thyroid testing, TSH testing, Free T3 test, Free T4 test, Reverse T3 test, Thyroid antibodies test, Comprehensive metabolic panel, Lipid panel, High-sensitivity C-reactive protein test, Hemoglobin A1C test, Fasting insulin test, Nutritional testing, Vitamin D testing, B vitamins testing, Celiac panel, Ferritin test, Iron test, Homocysteine test, Infectious screening, HIV test, Syphilis test, Chlamydia test, Gonorrhea test, Hepatitis test, Cytomegalovirus test, EBV test, Salivary cortisol test, Comprehensive stool analysis, Micronutrient testing Order tests through Rupa Health - https://www.rupahealth.com/reference-guide
A new research paper was published in Aging (Aging-US) Volume 15, Issue 7, entitled, “Effect of deferoxamine and ferrostatin-1 on salivary gland dysfunction in ovariectomized rats.” Xerostomia can be defined as a subjective sensation associated with reduction of lubrication and dehydration of the oral mucosa. Xerostomia is known to be common in elderly people, especially women, and its prevalence is thought to range from 5.5% to 46%. The mechanism underlying xerostomia after menopause has not yet been fully elucidated. In this new study, researchers Yong-Il Cheon, Ji Min Kim, Sung-Chan Shin, Hyung-Sik Kim, Jin-Choon Lee, Gi Cheol Park, Eui-Suk Sung, Minhyung Lee, and Byung-Joo Lee from Pusan National University and Sungkyunkwan University School of Medicine aimed to investigate the mechanism of xerostomia and the effect of the ferroptosis inhibitors deferoxamine (DFO) and ferrostatin-1 (FER) on salivary gland dysfunction in a postmenopausal animal model. “Recently, it was reported that ferroptosis in the salivary gland may be related to the xerostomia that occurs after menopause [30]. However, no studies to date have used anti-ferroptosis drugs to investigate the mechanisms underlying postmenopausal salivary gland dysfunction.” Twenty-four female Sprague–Dawley rats were randomly divided into four groups: a SHAM group (n = 6, sham-operated rats), an OVX group (n = 6, ovariectomized rats), an FER group (n = 6, ovariectomized rats injected intraperitoneally with FER), and a DFO group (n = 6, ovariectomized rats injected intraperitoneally with DFO). GPX4 activity, iron accumulation, lipid peroxidation, inflammation, fibrosis, and salivary gland function were analyzed. Recovery of GPX4 activity and a decrease in iron accumulation and cytosolic MDA + HAE were observed in the DFO group. In addition, collagen I, collagen III, TGF-β, IL-6, TNF-α, and TGF-β levels were decreased in the DFO group compared to the OVX group. Recovery of GPX4 activity and the morphology of mitochondria, and reduction of cytosolic MDA + HAE were also observed in the FER group. In addition, decreased expression of inflammatory cytokines and fibrosis markers and increased expression of AQP5 were observed in both the DFO and FER groups. Postmenopausal salivary gland dysfunction is associated with ferroptosis. This is the first study to investigate the effect of ferroptosis inhibitors (DFO and FER) on the salivary glands of ovariectomized rats. DFO and FER are considered promising treatments for postmenopausal xerostomia. “In the absence of a standard treatment for postmenopausal dry mouth, this study is expected to be helpful in understanding the mechanism of postmenopausal salivary gland dysfunction and developing a treatment for postmenopausal dry mouth.” DOI: https://doi.org/10.18632/aging.204641 Corresponding author - Byung-Joo Lee - voicelee@pusan.ac.kr Keywords - aging, menopause, ferroptosis, xerostomia, deferoxamine, ferrostatin-1 About Aging-US Launched in 2009, Aging-US publishes papers of general interest and biological significance in all fields of aging research and age-related diseases, including cancer—and now, with a special focus on COVID-19 vulnerability as an age-dependent syndrome. Topics in Aging-US go beyond traditional gerontology, including, but not limited to, cellular and molecular biology, human age-related diseases, pathology in model organisms, signal transduction pathways (e.g., p53, sirtuins, and PI-3K/AKT/mTOR, among others), and approaches to modulating these signaling pathways. Visit our website at https://www.Aging-US.com and connect with us: SoundCloud - https://soundcloud.com/Aging-Us Facebook - https://www.facebook.com/AgingUS/ Twitter - https://twitter.com/AgingJrnl Instagram - https://www.instagram.com/agingjrnl/ YouTube - https://www.youtube.com/@AgingJournal LinkedIn - https://www.linkedin.com/company/aging/ Pinterest - https://www.pinterest.com/AgingUS/ MEDIA@IMPACTJOURNALS.COM
Welcome Kerry Lepicek to the show! We learn about the importance of salivary diagnostics, what that means to our patients health, their likely disease prognosis, and what we can do to overcome the nasty bugs that can live in our oral cavities. This episode counts for CE (please check with your state for confirmation). After listening to this episode, follow this link to take the exam and print your CE certificate! https://dentalacademyofce.com/courses/salivary-diagnostics-with-kerry-lepicek-rd/ Resources: Instagram Klepicek https://www.oravital.com/ https://www.rdhu.ca/the-rdh-view https://womensdentistry.com/
Welcome Kerry Lepicek to the show! We learn about the importance of salivary diagnostics, what that means to our patients health, their likely disease prognosis, and what we can do to overcome the nasty bugs that can live in our oral cavities. This episode counts for CE (please check with your state for confirmation). After listening to this episode, follow this link to take the exam and print your CE certificate! https://dentalacademyofce.com/courses/salivary-diagnostics-with-kerry-lepicek-rd/ Resources: Instagram Klepicek https://www.oravital.com/ https://www.rdhu.ca/the-rdh-view https://womensdentistry.com/
Join guest host Landis Felts, dental hygienist of 30 years and myofunctional therapist, as she discusses the importance of Nitric Oxide and how it relates to airway and oral health. She also discusses oral bacteria, what can be discovered through salivary testing, and how it effects your overall systemic health.
In this episode we go into some of the pathologies that can affect the salivary gland, as well as the different neck infections we need to know about. Topics covered include:Salivary Gland Pathology- Salivary gland calculi (sialolithiasis)- Infections / Inflammation including sialadenitis- Plunging ranulasCervical Infections- Compartments of the neck- Different infections and neck abscessesAs I mentioned in the first episode of this series I can highly recommend the Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery as a study resource for head and neck surgery. This is a free online resource which has great articles on each operation including relevant anatomy and pictures of each step of the surgery. I found this super useful to use during my preparation. Here is the link to the whole atlas:http://www.entdev.uct.ac.za/guides/open-access-atlas-of-otolaryngology-head-neck-operative-surgery/Here are some topics covered in this episode:Sialolithiasis: https://vula.uct.ac.za/access/content/group/ba5fb1bd-be95-48e5-81be-586fbaeba29d/Sialolithiasis%20and%20sialendoscopy.pdfRanula: https://vula.uct.ac.za/access/content/group/ba5fb1bd-be95-48e5-81be-586fbaeba29d/Ranula%20and%20sublingual%20salivary%20gland%20excision.pdfParapharyngeal space: https://vula.uct.ac.za/access/content/group/ba5fb1bd-be95-48e5-81be-586fbaeba29d/Access%20to%20parapharyngeal%20space-1.pdfDeep neck abscesses: https://vula.uct.ac.za/access/content/group/ba5fb1bd-be95-48e5-81be-586fbaeba29d/Surgical%20drainage%20of%20deep%20neck%20abscesses.pdfDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2023
Today's episode is all about what happens when things go wrong in the salivary glands, and what to do about it! As Dr. Ben Hechler explains, there are two categories of salivary gland disease (infectious and tumor masses), and retrograde tracking of bacteria is overwhelmingly the most common cause. You will hear about the different factors that lead to the retrograde tracking of bacteria, other factors that result in salivary gland disease, the typical symptoms that a patient with a salivary gland infection will present with, and the ways to diagnose and treat that infection. Ben also talks about the types of tumors that are most often found in the salivary glands, why it is easier to diagnose a tumor in the minor salivary glands (of which there are hundreds) than in the major carotid and submandibular glands, and how to deal with trauma to the salivary glands.Key Points From This Episode:Our three major salivary glands.The two broad categories of salivary gland disease.Symptoms that a patient with salivary gland disease will typically present with. The first steps that you should take if you suspect a patient may have salivary gland disease.Types of imaging that Ben suggests using to assess the situation.Different causes of salivary infections in the submandibular gland and the carotid gland. How to treat salivary gland infections.Some of the systemic diseases that affect the salivary glands. An explanation of what psilosis is (and what causes it).The most common types of tumors found in the salivary glands.The challenge of diagnosing tumors in the major salivary glands. Why Ben always advocates for complete transparency with patients. Ben's approach when biopsy and MRI results don't match up. The indications for considering neck dissections for salivary gland tumors.Advice for dealing with trauma to the salivary glands. How to diagnose and treat a ranula. Problems that can occur in the accessory parotid gland.Links Mentioned in Today's Episode:Dr. Ben Hechler on LinkedIn — https://www.linkedin.com/in/ben-hechler/ Understanding Consciousness by Max Velmans — https://www.amazon.com/Understanding-Consciousness-Max-Velmans/Do No Harm by Henry Marsh — https://bookshop.org/p/books/do-no-harm-stories-of-life-death-and-brain-surgery-henry-marsThe Watcher — https://www.imdb.com/title/tt14852808/ Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.linkedin.com/in/david-hirsch-126210bb/Everyday Oral Surgery on LinkedIn — 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
Folks, WOW — what a great conversation on all things hormone testing with Dr. Laura Neville from Doctor's Data! We share the same alma mater, National University of Natural Medicine, as well as extensive experience in clinical lab testing, so had lots to talk about! On this episode of New Frontiers, we discuss what different testing methods tell us about patient's hormone status, which specimens are best for monitoring hormone replacement therapy and non-HRT interventions, why high dose progesterone carries risks, and what makes liquid urine testing stand out from the rest. Dr. Neville shares many clinical pearls from her experience reviewing thousands and thousands of tests with physicians from around the world. You'll absolutely want to bookmark for future reference! Thanks for listening and please share, comment, and leave us a starred review if you wouldn't mind! ~DrKF
Ionocyte Cells: New Discovery Hints at Promise for Salivary Gland Repair By Spring Hatfield, RDH, BSPH Original article published on Today's RDH: https://www.todaysrdh.com/ionocyte-cells-new-discovery-hints-at-promise-for-salivary-gland-repair/ This audio article is sponsored by LISTERINE®. Check out the exciting new research that shows LISTERINE® Antiseptic is 4.6x more effective than floss for sustained plaque reduction above the gumline*1. Learn more at https://rdh.tv/attackplaque Need CE? Start earning CE credits today at https://rdh.tv/ce Get daily dental hygiene articles at https://www.todaysrdh.com Follow Today's RDH on Facebook: https://www.facebook.com/TodaysRDH/ Follow Kara RDH on Facebook: https://www.facebook.com/DentalHygieneKaraRDH/ Follow Kara RDH on Instagram: https://www.instagram.com/kara_rdh/
Vice Chair of the Department of Hematology and Medical Oncology, and head and neck medical oncologist, Jessica Geiger, MD joins the Cancer Advances podcast to talk about formulating guidelines for salivary gland tumors. Listen as Dr. Geiger explains the six main clinical questions that the guidelines aims to answer.
Episode 7 of the WatchRolling.com Podcast Veteran News: · VA establishes presumptive service connection for rare respiratory cancers for certain Veterans · Squamous cell carcinoma of the larynx · Squamous cell carcinoma of the trachea · Adenocarcinoma of the trachea · Salivary gland-type tumors of the trachea · Adenosquamous carcinoma of the lung · Large cell carcinoma of the lung · Salivary gland-type tumors of the lung · Sarcomatoid carcinoma of the lung · Typical and atypical carcinoid of the lung VA Press Release: https://www.va.gov/opa/pressrel/pressrelease.cfm?id=5786 VA Exposures & Burn Pits Information: https://www.publichealth.va.gov/exposures/burnpits/index.asp VA Supplemental Claim Link: https://www.va.gov/decision-reviews/supplemental-claim/ Watch Related News: 5 YouTube Channels I Enjoy: So Cal Watch Reviews So Cal Watch Reviews: https://www.youtube.com/c/SoCalWatchReviews Relojeando (Miguel's Spanish Language Channel): https://www.youtube.com/channel/UCA72WWAAHIPKjNAcjvPfJXA Ross Wrist Watch Love: https://www.youtube.com/c/RossWristWatchLove Rico' Watches Podcast Rico's Watches Podcast: https://www.youtube.com/channel/UCKu6R3B8QnP91hM3P51_Qbw The Watch Idiot The Watch Idiot: https://www.youtube.com/c/TheWatchIdiot Somewhere in Time & Watch the Time Somewhere in Time: https://www.youtube.com/c/somewhereintimewatchreviews Watch the Time: https://www.youtube.com/c/WatchtheTime Federico Talks Watches Federico Talks Watches: https://www.youtube.com/c/FedericoTalksWatches Del Ray Watch: https://delraywatch.com/ (not an affiliate link) Admin: This episode is sponsored by Mushi Watch Straps, a Veteran-Owned Company that makes stylish, durable, and fairly priced watch straps and accessories. Give them a visit for all your watch strap and accessory needs: www.mushiwatchstraps.com Visit https://www.watchrolling.com/ for Veteran Resources, articles, and more cool watch-related stuff. For WatchRolling.com merch: https://www.watchrolling.com/merch (a percentage of all proceeds will go the Veteran's Watchmaker Initiative) and remember, at WatchRolling.com-"You make the watch; the watch doesn't make you." --- Support this podcast: https://podcasters.spotify.com/pod/show/watchrollingpod/support
Kirk Withrow, MD, director of Salivary and Sleep Surgery in the UAB Department of Otolaryngology, discusses a new solution for patients who do not tolerate CPAP therapy: hypoglossal nerve stimulator implantation. A CPAP machine is the first-line treatment for obstructive sleep apnea because it works when patients use it consistently—and many either cannot or do not. Hypoglossal nerve stimulation represents a new approach, adding muscle tone to the upper airway to ensure airflow. Dr. Withrow was the first surgeon in Alabama to implant a hypoglossal nerve stimulator in 2016, and he discusses the positive outcomes of the 300 implants he has placed since. As he explains in detail, the device simplifies patient adherence after being placed in a low-morbidity outpatient procedure. Find out what makes a patient a good candidate.
On today's episode, we focus on the oral microbiome, its connection to the gut microbiome, and we're answering questions like, “Are artificial sweeteners bad for your teeth?” Obviously we already know they are bad for the gut.While the gut microbiome is a hot health topic, the oral microbiome is also a topic on the rise.Listen in to the show now for the dental perspective on the gut and/or find more information below.Are Artificial Sweeteners Bad for Your Teeth? (All Things Oral Microbiome, Episode 34 with Dr. Jim Ellis)Click HERE to save this episode for later.Resources MentionedDr. Jim Ellis websiteHis Instagram (theoralcareclub)Side Effects of Antibiotics and Rebuilding the GutProbiotic Foods vs Prebiotic FoodsPsychobiotics {+ 5 other biotics to know}SHOP DR. JIM'S TOP ORAL CARE RECOMMENDATIONS BY CLICKING HERE {SAVE 15% AT CHECKOUT WHEN YOU ENTER CODE AGUTSYGIRL015}Don't Miss These ThoughtsWho is Dr. Jim Ellis?“Digestion begin in the mouth.” – Dr. JimWhat exactly is the oral microbiome?There are over 700 different species that live in the mouth (about 20 billion bacteria).Salivary amylase comes out in your saliva.What is the connection between the gut and mouth? And if the gut is off for any reason, what might manifest orally?Mouth manifestations: tooth erosion, bad breath, canker soresmouth, throat, stomach, intestinesDoes dry mouth have to do with the gut at all?Foods that are good for both the oral microbiome and gut microbiome?Sugar consumption; effects of sugar from oral and gut standpoint? – “The war of sugar substitutes.”Popular dental myths –> “Dental care is just brushing my teeth.”“You have a bacterial farm in your mouth.”What ingredients should we look out for in toothpastes?Dr. Jim's convictions around gut health and gut healing.Mouth JourneyAs I mention in the beginning of the episode, I have had one very long journey with mouth issues. While my overall dental health was never a problem and I never had “dental problems,” per se, I had mouth issue after mouth issue that I dealt with.And here's the thing about it……I do not have them today. The mouth problems literally and 100% correlated with the gut problems. I'd love to tell you that I fully figured out why and what happened, but to this day, no true answers were ever found.What I can tell you are the things I experienced in conjunction with all the gut issues:angular chelitiscanker soresa dry, burning tongue feeling (but the dentists and doctors always said it was not a saliva production problem nor was it dry mouth) – I know; totally confusingAnd if you want to read more about this journey, here are some places to check it out:My Full Story (I talk about it in podcast episode 1)Oral Allergy SyndromeWhite Spots on TonsilsWhat are Toxic Dental Products?Dr. Jim mentions to avoid toxic products with your dental care; be a label reader.Here are three in particular he mentions during the show:SLS (foaming agent)Titanium Dioxide (makes things whiter; banned in Europe)Fluoride (see below)Sound familiar with what I teach and preach re. ingredients vs. ingredients(s)?So, always be sure to read the labels when purchasing the following:rinses and breath freshnersdry mouth productstoothpastes (p.s. He includes one of my favorite toothpastes in his lineup, and I think he should add another – the Wellnesse Whitening Toothpaste HERE)Like Dr. Jim's recommendations and his own line of products, I also adore what Katie (i.e. Wellness Mama) is doing in the oral care space.FluorideHere are some more thoughts on fluoride from Dr. Ellis. Fluoride can absolutely play a critical role in strengthening teeth. As teeth demineralize, due to acidic conditions in the mouth, calcium and phosphate ions break free from the teeth and become free floating.Fluoride can re-bond those ions into Fluorapatite that remineralizes the tooth and strengthens them against future acidic attack.Fluoride, like all other chemicals, can be dangerous if not used in proper quantities and thus I do not advocate for its use in water supplies or in oral care products used by all members of the household regardless of age or situation.However, if an individual does their own research and finds that properly prescribed doses of fluoride are right for them then I do recommend fluoride as a means of strengthening teeth. {Click HERE to read more on the great fluoride debate.}SugarYour mouth is full of bacteria — many are beneficial, while others are harmful. The harmful bacteria feed on the sugar you consume and create acids that attack and damage your tooth enamel, the protective, shiny outer layer of your teeth. (source)In addition, consuming sugar (and other acidic things) typically lowers the pH.Dr. Ellis says that the goal is to have a neutral pH in the mouth. If you're going to do it, consume it and be done with it. Don't take a sip of your soft drinks every 5 minutes or take a bite of sweet food every 10 minutes. It takes 15 minutes for your saliva to bring your oral cavity back to neutral pH. So if you're taking a sip every 12-15 minutes, then you might as well just bathe your oral microbiome in sugar all day long for long periods of time. I've discussed at length why sugar intake (namely via added sugars) is not conducive for gut healing. You may even recall a post I wrote long ago on the sugar addiction.Two hundred years ago, the average American ate only 2 pounds of sugar a year. In 1970, we ate 123 pounds of sugar per year. Today, the average American consumes almost 152 pounds of sugar in one year. This is equal to 3 pounds (or 6 cups) of sugar consumed in one week! (source)Not only does a sweet tooth breed more cravings for sweet foods, but we are also then trained to not enjoy the natural sweet taste of anything. This has become a huge problem today.And remember, while we think of sugar as things like maple syrup, table sugar / regular sugar, honey, high fructose corn syrup, dehydrated cane juice, and sugar foods in general, the actual list of sugars and sugar sources is massive.Don't believe me? Check out THESE 192 Sugar Sources and Alternate Names.Food labels often contain these words:sugar alcoholssugar-free gumnatural sugarless sugarsdiet drinkslow-calorie sweetenersBut remember, it's typically marketing at its finest.Alternative sweeteners are not (necessarily, if ever) better for the gut and/or oral microbiome.Artificial SugarsI have an entire post on Non-Nutritive Sweeteners {HERE}, which are zero- or low-calorie alternatives to nutritive sweeteners, such as table sugar.Nonnutritive sweeteners are much sweeter than sugar so only small amounts are needed. They provide fewer calories per gram than sugar because they are not completely absorbed by your digestive system.To that end, because they are not completely absorbed, Dr. Ellis says, Welcome to diarrhea! And while I find a ton of problems with artificial sugars from a gut microbiome standpoint, Dr. Jim says that from an oral microbiome standpoint, the problem with something like diet sodas is also the acid.The combination of highly acidic foods mixed with sugary foods is a disastrous setup.…But XylitolEver had a dentist tell you, “Chew sugarless gum” and “Great options are gums that used xylitol?”Well, chewing produces saliva and increases saliva flow.The reason dentists recommend chewing gum with xylitol, according to Dr. Ellis, is due to the dry mouth epidemic. Furthermore, xylitol will not be digested by the body and so it's sweet and people like chewing it.However, what does it then do downstream? That's right, return to the diarrhea comment above.Dr. Ellis said it's better than real sugar because the risk of tooth decay diminishes, but it's not necessarily great for digestion.Is it, then, simply the lesser of the “evils?”Oral ProbioticsThe last thing I want to touch on with regards to this episode are oral probiotics for good oral hygiene Dr. Ellis recommended.You're already well-versed in what probiotics do for the gut. And if not, check out THESE 13 benefits of probiotics beyond gut health. Two of those benefits include:Treatment of periodontal diseaseTooth decay (prevention)So what do oral probiotics do in particular?According to one source, Oral probiotics are specially designed to help balance harmful and helpful bacteria in the oral cavity by encouraging the growth of the good organisms and stopping the bad, while probiotics for the gut contain strains of bacteria that promote optimal absorption of nutrients further along the digestive tract. Here are 2 oral probiotics Dr. Jim Ellis recommends in his online store:Super Teeth Chewable Dental Probiotic for Children and AdultsMicrobiome Labs Megacidin Oral Herbal Probiotic Throat SprayI chose these two intentionally. The first so that those of you with children had a good option; the second because I'm a huge fan of Microbiome Labs.However, there are many more options on his website.You can see all oral probiotics Dr. Jim Ellis recommends HERE.SHOP ORAL CARE HERE – USE CODE ‘AGUTSYGIRL015' AT CHECKOUT TO SAVE 15%.More from A Gutsy GirlMy BRAND NEW book, A Gutsy Girl's Bible: a 21-day approach to healing the gut is now fully published and available for purchase. Welcome to A Gutsy Girl PodcastHang out on InstagramBFF's on YouTubeFree resource: The Master Gutsy SpreadsheetRated-G Email ClubWrap UpTime to wrap this up. As always, a huge goal for this show is to connect with even more people. Feel free to send an email to our team at podcast@agutsygirl.com. We want to hear questions, comments, show ideas, etc.Did you enjoy this episode? Please drop a comment below or leave a review on Apple Podcasts. Connect with A Gutsy GirlThrough the websiteOn InstagramVia LinkedIn
On today's episode, we focus on the oral microbiome, its connection to the gut microbiome, and we're answering questions like, “Are artificial sweeteners bad for your teeth?” Obviously we already know they are bad for the gut.While the gut microbiome is a hot health topic, the oral microbiome is also a topic on the rise.Listen in to the show now for the dental perspective on the gut and/or find more information below.Are Artificial Sweeteners Bad for Your Teeth? (All Things Oral Microbiome, Episode 34 with Dr. Jim Ellis)Click HERE to save this episode for later.Resources MentionedDr. Jim Ellis websiteHis Instagram (theoralcareclub)Side Effects of Antibiotics and Rebuilding the GutProbiotic Foods vs Prebiotic FoodsPsychobiotics {+ 5 other biotics to know}SHOP DR. JIM'S TOP ORAL CARE RECOMMENDATIONS BY CLICKING HERE {SAVE 15% AT CHECKOUT WHEN YOU ENTER CODE AGUTSYGIRL015}Don't Miss These ThoughtsWho is Dr. Jim Ellis?“Digestion begin in the mouth.” – Dr. JimWhat exactly is the oral microbiome?There are over 700 different species that live in the mouth (about 20 billion bacteria).Salivary amylase comes out in your saliva.What is the connection between the gut and mouth? And if the gut is off for any reason, what might manifest orally?Mouth manifestations: tooth erosion, bad breath, canker soresmouth, throat, stomach, intestinesDoes dry mouth have to do with the gut at all?Foods that are good for both the oral microbiome and gut microbiome?Sugar consumption; effects of sugar from oral and gut standpoint? – “The war of sugar substitutes.”Popular dental myths –> “Dental care is just brushing my teeth.”“You have a bacterial farm in your mouth.”What ingredients should we look out for in toothpastes?Dr. Jim's convictions around gut health and gut healing.Mouth JourneyAs I mention in the beginning of the episode, I have had one very long journey with mouth issues. While my overall dental health was never a problem and I never had “dental problems,” per se, I had mouth issue after mouth issue that I dealt with.And here's the thing about it……I do not have them today. The mouth problems literally and 100% correlated with the gut problems. I'd love to tell you that I fully figured out why and what happened, but to this day, no true answers were ever found.What I can tell you are the things I experienced in conjunction with all the gut issues:angular chelitiscanker soresa dry, burning tongue feeling (but the dentists and doctors always said it was not a saliva production problem nor was it dry mouth) – I know; totally confusingAnd if you want to read more about this journey, here are some places to check it out:My Full Story (I talk about it in podcast episode 1)Oral Allergy SyndromeWhite Spots on TonsilsWhat are Toxic Dental Products?Dr. Jim mentions to avoid toxic products with your dental care; be a label reader.Here are three in particular he mentions during the show:SLS (foaming agent)Titanium Dioxide (makes things whiter; banned in Europe)Fluoride (see below)Sound familiar with what I teach and preach re. ingredients vs. ingredients(s)?So, always be sure to read the labels when purchasing the following:rinses and breath freshnersdry mouth productstoothpastes (p.s. He includes one of my favorite toothpastes in his lineup, and I think he should add another – the Wellnesse Whitening Toothpaste HERE)Like Dr. Jim's recommendations and his own line of products, I also adore what Katie (i.e. Wellness Mama) is doing in the oral care space.FluorideHere are some more thoughts on fluoride from Dr. Ellis.Fluoride can absolutely play a critical role in strengthening teeth. As teeth demineralize, due to acidic conditions in the mouth, calcium and phosphate ions break free from the teeth and become free floating.Fluoride can re-bond those ions into Fluorapatite that remineralizes the tooth and strengthens them against future acidic attack.Fluoride, like all other chemicals, can be dangerous if not used in proper quantities and thus I do not advocate for its use in water supplies or in oral care products used by all members of the household regardless of age or situation.However, if an individual does their own research and finds that properly prescribed doses of fluoride are right for them then I do recommend fluoride as a means of strengthening teeth. {Click HERE to read more on the great fluoride debate.}SugarYour mouth is full of bacteria — many are beneficial, while others are harmful. The harmful bacteria feed on the sugar you consume and create acids that attack and damage your tooth enamel, the protective, shiny outer layer of your teeth. (source)In addition, consuming sugar (and other acidic things) typically lowers the pH.Dr. Ellis says that the goal is to have a neutral pH in the mouth.If you're going to do it, consume it and be done with it. Don't take a sip of your soft drinks every 5 minutes or take a bite of sweet food every 10 minutes. It takes 15 minutes for your saliva to bring your oral cavity back to neutral pH. So if you're taking a sip every 12-15 minutes, then you might as well just bathe your oral microbiome in sugar all day long for long periods of time.I've discussed at length why sugar intake (namely via added sugars) is not conducive for gut healing. You may even recall a post I wrote long ago on the sugar addiction.Two hundred years ago, the average American ate only 2 pounds of sugar a year. In 1970, we ate 123 pounds of sugar per year. Today, the average American consumes almost 152 pounds of sugar in one year. This is equal to 3 pounds (or 6 cups) of sugar consumed in one week! (source)Not only does a sweet tooth breed more cravings for sweet foods, but we are also then trained to not enjoy the natural sweet taste of anything. This has become a huge problem today.And remember, while we think of sugar as things like maple syrup, table sugar / regular sugar, honey, high fructose corn syrup, dehydrated cane juice, and sugar foods in general, the actual list of sugars and sugar sources is massive.Don't believe me? Check out THESE 192 Sugar Sources and Alternate Names.Food labels often contain these words:sugar alcoholssugar-free gumnatural sugarless sugarsdiet drinkslow-calorie sweetenersBut remember, it's typically marketing at its finest.Alternative sweeteners are not (necessarily, if ever) better for the gut and/or oral microbiome.Artificial SugarsI have an entire post on Non-Nutritive Sweeteners {HERE}, which are zero- or low-calorie alternatives to nutritive sweeteners, such as table sugar.Nonnutritive sweeteners are much sweeter than sugar so only small amounts are needed. They provide fewer calories per gram than sugar because they are not completely absorbed by your digestive system.To that end, because they are not completely absorbed, Dr. Ellis says,Welcome to diarrhea!And while I find a ton of problems with artificial sugars from a gut microbiome standpoint, Dr. Jim says that from an oral microbiome standpoint, the problem with something like diet sodas is also the acid.The combination of highly acidic foods mixed with sugary foods is a disastrous setup.…But XylitolEver had a dentist tell you, “Chew sugarless gum” and “Great options are gums that used xylitol?”Well, chewing produces saliva and increases saliva flow.The reason dentists recommend chewing gum with xylitol, according to Dr. Ellis, is due to the dry mouth epidemic. Furthermore, xylitol will not be digested by the body and so it's sweet and people like chewing it.However, what does it then do downstream? That's right, return to the diarrhea comment above.Dr. Ellis said it's better than real sugar because the risk of tooth decay diminishes, but it's not necessarily great for digestion.Is it, then, simply the lesser of the “evils?”Oral ProbioticsThe last thing I want to touch on with regards to this episode are oral probiotics for good oral hygiene Dr. Ellis recommended.You're already well-versed in what probiotics do for the gut. And if not, check out THESE 13 benefits of probiotics beyond gut health. Two of those benefits include:Treatment of periodontal diseaseTooth decay (prevention)So what do oral probiotics do in particular?According to one source,Oral probiotics are specially designed to help balance harmful and helpful bacteria in the oral cavity by encouraging the growth of the good organisms and stopping the bad, while probiotics for the gut contain strains of bacteria that promote optimal absorption of nutrients further along the digestive tract.Here are 2 oral probiotics Dr. Jim Ellis recommends in his online store:Super Teeth Chewable Dental Probiotic for Children and AdultsMicrobiome Labs Megacidin Oral Herbal Probiotic Throat SprayI chose these two intentionally. The first so that those of you with children had a good option; the second because I'm a huge fan of Microbiome Labs.However, there are many more options on his website.You can see all oral probiotics Dr. Jim Ellis recommends HERE.SHOP ORAL CARE HERE – USE CODE ‘AGUTSYGIRL015' AT CHECKOUT TO SAVE 15%.More from A Gutsy GirlMy BRAND NEW book, A Gutsy Girl's Bible: a 21-day approach to healing the gut is now fully published and available for purchase. Welcome to A Gutsy Girl PodcastHang out on InstagramBFF's on YouTubeFree resource: The Master Gutsy SpreadsheetRated-G Email ClubWrap UpTime to wrap this up. As always, a huge goal for this show is to connect with even more people. Feel free to send an email to our team at podcast@agutsygirl.com. We want to hear questions, comments, show ideas, etc.Did you enjoy this episode? Please drop a comment below or leave a review on Apple Podcasts.
When we think about salivary gland disorders, most dental hygienists will think about xerostomia. This is commonly the most noted chief complaint from our patients. Let's take a deep dive into the types of disorders that affect the salivary glands. They are not all cancerous, some are benign, and there are lots of things to know!Join Claire and Vickie Hawkins Schram to learn more about salivary gland disorders!
Saliva helps with swallowing and chewing. But where is saliva produced? Where does it come from? Today we'll discuss the major and minor salivary glands, what they do, and their most important characteristics.Join Claire and Vickie Hawkins Schram for a review of the salivary glands!