Podcasts about tmj

Your jaw influences far more than your face. This episode shows you how jaw strength shapes cognition, posture, airway health, sleep, metabolism, and overall human performance. You will learn how targeted jaw training increases cranial blood flow, improves neuromuscular coordination, strengthens airway stability, and stimulates facial muscles that modern diets no longer challenge. Watch this episode on YouTube for the full video experience: https://www.youtube.com/@DaveAspreyBPR Host Dave Asprey talks with Brandon Harris, founder and CEO of Jawzrsize. Brandon developed the device after multiple severe injuries, including a shattered jaw, months of immobilization, and a 13 day coma. His recovery forced him to rebuild his jaw strength from zero and revealed how deeply the jaw affects posture, oral health, proprioception, and cognitive function. Brandon's experience as a mixed martial artist and his early training of the masseter muscle guided the creation of a safe, medical grade jaw resistance system that now has small clinical data supporting improvements in strength, facial tone, Bruxism relief, and TMJ balance. You will hear how jaw alignment influences the nervous system, why weak jaws contribute to sleep apnea, how saliva flow ties oral health to gut health, and why resistance training for the jaw produces structural benefits the modern soft diet fails to provide. Host Dave Asprey explains how full range jaw training supports cranial stimulation, nitric oxide signaling, fascia activation, posture correction, and neuromuscular coordination throughout the body. This episode also explores how jaw mechanics connect to biohacking principles like brain optimization, sleep optimization, longevity, neuroplasticity, metabolic signaling, and strength based anti aging. This is essential listening for anyone focused on biohacking, human performance, posture mechanics, airway stability, TMJ function, oral microbiome health, anti aging, supplements that support structural function, nervous system training, and practical tools that create fast visible results. You'll Learn: • Why jaw strength acts as a foundational marker for performance and longevity • How jaw alignment shapes posture, proprioception, and neuromuscular firing • Why weak jaws contribute to sleep apnea, snoring, and airway collapse • How jaw training improves Bruxism, clenching, and TMJ tension • What increased cranial blood flow does for cognition and focus • How saliva production supports oral and gut health • Why modern diets shrink facial structure and weaken masseter strength • How jaw resistance training improves facial tone and reduces wrinkle depth • Why athletes use jaw activation to sharpen hand eye coordination • How range of motion training strengthens bone through piezoelectric signaling • Why even five minutes a day creates noticeable results in facial tone and alignment Thank you to our sponsors! -HeartMath | Go to https://www.heartmath.com/dave to save 15% off. -fatty15 | Go to https://fatty15.com/dave and save an extra $15 when you subscribe with code DAVE. -Quantum Upgrade | Go to https://quantumupgrade.io/Dave for a free trial. Dave Asprey is a four-time New York Times bestselling author, founder of Bulletproof Coffee, and the father of biohacking. With over 1,000 interviews and 1 million monthly listeners, The Human Upgrade brings you the knowledge to take control of your biology, extend your longevity, and optimize every system in your body and mind. Each episode delivers cutting-edge insights in health, performance, neuroscience, supplements, nutrition, biohacking, emotional intelligence, and conscious living. New episodes are released every Tuesday, Thursday, Friday, and Sunday (BONUS). Dave asks the questions no one else will and gives you real tools to become stronger, smarter, and more resilient. Keywords: jaw strength training, TMJ alignment exercise, cranial blood flow stimulation, facial muscle resistance training, bruxism clenching relief, sleep apnea jaw support, oral microbiome improvement, saliva flow activation, jaw posture neuromuscular signaling, masseter hypertrophy training, facial tone anti aging, proprioception jaw connection, airway stability strengthening, hunters gatherers chewing mechanics, tongue plate neck activation, molar alignment biomechanics, jaw range of motion training, piezoelectric bone stimulation, oral health gut health pathway, forward jaw positioning airflow Resources: • Go to https://jawzrsize.com/ ‘Dave15' for 15% off! • Dave's Biohacking Holiday Gift Guide | Go to https://daveasprey.com/giftguide/ to explore the full guide. • Dave Asprey's Latest News | Go to https://daveasprey.com/ to join Inside Track today. • Danger Coffee: https://dangercoffee.com/discount/dave15 • My Daily Supplements: SuppGrade Labs (15% Off) • Favorite Blue Light Blocking Glasses: TrueDark (15% Off) • Dave Asprey's BEYOND Conference: https://beyondconference.com • Dave Asprey's New Book – Heavily Meditated: https://daveasprey.com/heavily-meditated • Upgrade Collective: https://www.ourupgradecollective.com • Upgrade Labs: https://upgradelabs.com • 40 Years of Zen: https://40yearsofzen.com Timestamps: 0:00 - Trailer 1:20 - Intro 2:20 - Brandon's Accident and Recovery 5:00 - Jawzrsize Origin Story 6:16 - The Science of Jaw Strength 17:56 - Clinical Results and User Experience 22:48 - Jaw Health, Posture and Systemic Effects 27:54 - Microplastics 35:59 - Athletic Performance and Neuromuscular Strength 52:57 - Final Thoughts See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Join Elevated GP: www.theelevatedgp.com Register for the live meeting: https://www.theelevatedgp.com/ElevationSummit Download the Injection Molding Guide: https://www.theelevatedgp.com/IMpdf  In Part 2 of this powerful two-part series, Dr. Melissa Seibert sits back down with renowned oral and maxillofacial surgeon Dr. Scott Bolding, whose orthopedic-driven approach to TMJ diagnostics and surgery is reshaping how dentistry understands joint disease. If you've ever wondered why TMJ patients get "punted" from provider to provider, why MRI-based diagnosis never became mainstream, or how degenerative joint pathology silently derails orthodontic and restorative outcomes, this episode will fundamentally change the way you think. Dr. Bolding unpacks the historical missteps that led to dentistry's decades-long avoidance of TMJ surgery—from disastrous 1980s implant materials to insurance fallout and a profession-wide retreat from joint management. He explains how this cultural shift created clinical blind spots that we still see today, and why the message of "TMJ will get better if you leave it alone" has harmed diagnostic rigor for an entire generation of dentists. Together, Dr. Seibert and Dr. Bolding explore: How ligament injury leads to disc displacement—and when that displacement becomes surgically relevant Why MRI and CBCT are indispensable tools for modern diagnosis (and what specific radiographic findings clinicians should never overlook) How unaddressed joint pathology contributes to tooth wear, occlusal collapse, postoperative symptoms, and even failed orthognathic cases The truth about total joint prostheses today—far removed from the failed biomaterials of the past—and why custom joints offer dramatic predictability for patients with severe degeneration The critical need for comprehensive dentists to reclaim TMJ literacy and function as quarterbacks—not bystanders—in interdisciplinary care Dr. Bolding also describes the orthopedic model for surgical decision-making, clarifying when joints can be repaired, when they cannot, and how airway considerations should influence mandibular advancement in joint reconstruction. The conversation closes with a call to action for dentists everywhere: joint-aware dentistry isn't optional—it's foundational to predictable outcomes in restorative, orthodontic, and airway-driven treatment planning. This is a masterclass in the contemporary philosophy of TMJ management—equal parts clinical insight, historical context, and future-forward thinking.

An estimated 5-10% of the U.S. population experiences a disorder with their TMJ, the joint that connects their jaw to their skull. The good news? Relief is possible. The secret? Go see your dentist. Today on the show, Emily talks with Justin Richer, an oral surgeon, about the diagnosis and treatment of TMJ disorders.Got a question about your teeth or dentistry? Email us at shortwave@npr.org.Listen to every episode of Short Wave sponsor-free and support our work at NPR by signing up for Short Wave+ at plus.npr.org/shortwave.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy

In this episode, Dr. Linda Bluestein is joined by Professor Tara Renton, a globally recognized expert in orofacial pain, to explore the nuanced world of facial pain, temporomandibular joint (TMJ) dysfunction, and migraine disorders. Together, they unpack why so many patients suffer from persistent facial, jaw, or head pain despite “normal” scans and what magnetic resonance neurography (MRN) can reveal that traditional imaging might miss. They also dig into local anesthetic reactions, the limitations of pain scales, and how to distinguish between healthy vs. unhealthy pain. . Takeaways Professor Renton explains how magnetic resonance neurography (MRN) can detect nerve irritation that typical MRIs may miss, especially in TMJ and facial pain cases. You'll hear how migraine-related nerve dysfunction can present as jaw pain, facial burning, or unexplained dental sensitivity without classic migraine symptoms. They explore how patients with conditions like mast cell activation may react to preservatives or delivery mechanisms in numbing agents, even if allergy tests are negative. The conversation questions whether traditional 1-to-10 pain rating tools capture the lived experience of chronic nerve or facial pain and what alternatives might help. Dr. Bluestein and Professor Renton discuss how to recognize pain that signals normal healing versus pain that points to long-term nerve dysfunction or central sensitization. Want more Professor Tara Renton Website: https://orofacialpain.org.uk/ Youtube: https://www.youtube.com/watch?v=pKw1La6H5Dw Linkedin: https://www.linkedin.com/in/tara-renton-a5999018/?originalSubdomain=uk Want more Dr. Linda Bluestein, MD? Website: https://www.hypermobilitymd.com/ YouTube: https://www.youtube.com/@bendybodiespodcast Instagram: ⁠⁠⁠⁠https://www.instagram.com/hypermobilitymd/⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠https://www.facebook.com/BendyBodiesPodcast⁠⁠⁠⁠ X: ⁠⁠⁠⁠https://twitter.com/BluesteinLinda⁠⁠⁠⁠ LinkedIn: ⁠⁠⁠⁠https://www.linkedin.com/in/hypermobilitymd/⁠⁠⁠⁠ Newsletter: ⁠⁠⁠⁠https://hypermobilitymd.substack.com/ Shop my Amazon store ⁠⁠⁠ https://www.amazon.com/shop/hypermobilitymd Dr. Bluestein's Recommended Herbs, Supplements and Care Necessities: https://us.fullscript.com/welcome/hypermobilitymd/store-start Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them. Join YOUR Bendy Bodies community at ⁠⁠https://www.bendybodiespodcast.com/⁠⁠. YOUR bendy body is our highest priority!⁠⁠ Learn more about Human Content at ⁠⁠⁠http://www.human-content.com⁠⁠⁠ Podcast Advertising/Business Inquiries: ⁠⁠⁠sales@human-content.com⁠⁠⁠ Part of the Human Content Podcast Network FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links Learn more about your ad choices. Visit megaphone.fm/adchoices

We have seen face taping explode across social media, yet very few people understand what real Japanese face taping actually does for the skin. Most viral videos show shortcuts or stickers that never interact with fascia, muscle tension, or lymphatic flow. In this episode, we explore the method behind true face taping and why the right tape, placement, and technique can support healthier aging at a biological level.In this episode of Biohacking Beauty, we sit down with Olga from Natural Face Bible to unpack how Japanese medical grade tape lifts the upper tissue layers, boosts blood flow, reduces stagnation, and encourages lymphatic drainage. Olga explains how this simple practice can soften dynamic wrinkles, support TMJ tension, and optimize circulation overnight. She also shares why technique matters, how anatomy guides proper placement, and why face taping pairs so well with facial massage, gua sha, and high quality skincare.We also dive into common mistakes, what to avoid for skin barrier safety, how to integrate face taping with or without injectables, and the reason this tool works best as part of a long term routine rather than a quick hack. This conversation gives clarity to a trend that has been misunderstood and reveals how consistent, correct taping can become a powerful addition to any longevity focused skincare approach.We Also Discuss:(00:00) Why Japanese Face Taping Works When Stickers Do Not(03:42) How Tape Lifts Fascia, Improves Flow, and Reduces Stagnation(07:15) Dynamic Wrinkles, Muscle Tension, and TMJ Support(11:28) Choosing the Correct Japanese Medical Grade Tape(15:04) Safe Application for Sensitive, Acne Prone, or Reactive Skin(19:10) How Taping Interacts with Facial Massage and Gua Sha(24:36) What to Avoid After Botox, Peels, or Microneedling(29:58) Techniques That Protect the Skin Barrier Long Term(33:21) Turning Face Taping into a Consistent Longevity HabitFind more from Young Goose:VAMPIRE EXOSOMES → Professional Exosome Serum for Regeneration and Post-Treatment Recovery → Vampire ExosomesUse code PODCAST10 to get 10% off your first purchase, and if you're a returning customer use the code PODCAST5 to get 5% off at https://www.younggoose.com/ Instagram: @young_goose_skincareFind more from Olga, Natural Face Bible:Website: thenaturalfaces.com Tik Tok: @naturalfacebible Instagram: naturalfacebible You Tube: @naturalfacebible

The Original Southern Remedy is hosted by Dr. Jimmy Stewart, professor of internal medicine and pediatrics at UMMC. If you have a question for Dr, Jimmy, email it to remedy@mpbonline.org. In this episode, Dr. Jimmy answers questions about TMJ, pre-diabetes and osteoarthritis. If you enjoy listening to this podcast, please consider contributing to MPB. https://donate.mpbfoundation.org/mspb/podcast. Hosted on Acast. See acast.com/privacy for more information.

The first version of the Rezzimax was a handheld device that uses vibration to fine-tune your nervous system, was a great start to help thousands of people. Soon, feedback came pouring in from people suffering from conditions like TMJ, stress, anxiety, depression, ADHD, and more. Using the device for just a few minutes a day was helping to drastically reduce chronic pain for many people. That was not enough. We knew that if we could perfect the Tuner, we could help so many more individuals learn to live our motto: "Tune Out Pain. Tune Into Life." So today we have the Rezzimax - Tuner pro2.

The first version of the Rezzimax was a handheld device that uses vibration to fine-tune your nervous system, was a great start to help thousands of people. Soon, feedback came pouring in from people suffering from conditions like TMJ, stress, anxiety, depression, ADHD, and more. Using the device for just a few minutes a day was helping to drastically reduce chronic pain for many people. That was not enough. We knew that if we could perfect the Tuner, we could help so many more individuals learn to live our motto: "Tune Out Pain. Tune Into Life." So today we have the Rezzimax - Tuner pro2.

The first version of the Rezzimax was a handheld device that uses vibration to fine-tune your nervous system, was a great start to help thousands of people. Soon, feedback came pouring in from people suffering from conditions like TMJ, stress, anxiety, depression, ADHD, and more. Using the device for just a few minutes a day was helping to drastically reduce chronic pain for many people.  That was not enough. We knew that if we could perfect the Tuner, we could help so many more individuals learn to live our motto: "Tune Out Pain. Tune Into Life."   So today we have the Rezzimax - Tuner   pro2.

In this conversation, Dr. John Stenberg and Dr. Cameron Bearder sit down to recap Dr. Bearder's recent experiences at orofacial pain and TMJ related conferences. He shares key takeaways and clinical insights, reflections on the upper cervical chiropractic connection, and concepts related to managing these cases.

Drop us a line or two . . .In this raw, hilarious, and brutally honest episode, Queenie & TT tackle the emotional whiplash of midlife caregiving, the chaos of aging parents, and the rage-inducing reality that patience doesn't age like fine wine.Queenie shares what it's really like managing her mom's late-night panic calls, behavioral struggles at her adult day program, and the impossible task of correcting someone who no longer processes feedback the same way. The conversation dives into compassion fatigue, caregiver burnout, role reversal, guilt, and the dark humor that becomes a survival skill when you're the default adult in the room.Then the episode swerves—hard—into:A viral therapist list on “Are you married to a boy or a man?”The federal government's attempt to quietly ban hemp-derived THC productsThe infamous Michigan cannabis recall after pre-rolled joints were licked during productionAnd a flawlessly unhinged game segment that proves real life is stranger than satireFinally, the women add a crowd-sourced nuclear entry to the Midlife Fuck-It List:Retiring from obligatory blowjobs.No guilt. No obligation. Just choice, autonomy, and TMJ.This episode is caregiving reality, cannabis chaos, marriage truth-telling, sexual autonomy, and midlife liberation—served with profanity, empathy, and zero performative enlightenment.midlife caregivingaging parent challengescaregiver burnoutcompassion fatiguesandwich generation stressadult children caring for parentscaregiving humor podcastemotional labor in marriagesigns your husband is immatureman child marriagemidlife women podcastTHC hemp ban newsMichigan cannabis recallweed industry scandalmidlife sexual autonomyfuck it list after 60women aging unapologetically“Why is caregiving for my mom so hard”“Caregiver burnout and anger”“When your parent acts like a child”“Signs you're married to The Closet Disco Queen Pot-Cast is produced by Humble Pond Productions, LLC. If you are interested in being a guest, email us at closetdiscoqueenpotcast@gmail.com Visit Apple Podcasts or wherever you listen and leave us your five star review and comments. Thanks!Welcome to the Closet Disco Queen Pot-Cast, a comedy podcast with music and pop culture references that keeps you laughing and engaged. Join our hosts, Queenie & TT as they share humorous anecdotes about daily life, offering women's perspectives on lifestyle and wellness. We dive into funny cannabis conversations and stories, creating an entertaining space where nothing is off-limits. Each episode features entertaining discussions on pop culture trends, as we discuss music, culture, and cannabis in a light-hearted and inclusive manner. Tune in for a delightful blend of humor, insight, and relatable stories that celebrate life's quirks and pleasures. Our Closet Disco Queen Pot-Cast deals with legal adult cannabis use and is intended for entertainment purposes only for those 21 and older Visit our Closet Disco Queen Pot-Cast merch store!Find us on Facebook and Green Coast RadioSound from Zapsplat.com, https://quicksounds.com, 101soundboards.com #ToneTransfer

Saray Fung is a practicing dental hygienist who graduated from the fast-track program at NYU, finishing dental hygiene school in just 17 months! Although she experienced anxiety in school, she was able to overcome it by using mental health resources provided by her school. Today, she is a recently certified myofunctional therapist running her own practice, OroWell! Saray can now assess patients with orofacial myofunctional disorders, such as TMJ disorders, and help correct these issues. This is another excellent example of how dental hygienists can expand their roles in the dental office. Timestamps:(00:00) Saray's RDH Origin Story (04:39) Branching Into Myofunctional Therapy(06:48) Fast-Track Dental Hygiene Program (12:33) Saray's Advice to Dental Hygiene Students

Resources for the Community:___________________________________________________________________https://linktr.ee/theplussidezpodcast Ro - Telehealth for GLP1 weight management https://ro.co/weight-loss/?utm_source=plussidez&utm_medium=partnership&utm_campaign=comms_yt&utm_content=45497&utm_term=55Find Your US Representatives https://www.usa.gov/elected-officials ______________________________________________________________________We open with community member MiMi, who shares her experience participating in an Eli Lilly Retatrutide clinical trial, offering a rare, real-world look at this next-generation triple-agonist research. From there, we dive into how menopause and perimenopause reshape metabolism with insight from Dr. Komal Patil-Sisodia, an endocrinologist, obesity-medicine specialist, and midlife menopause expert. We explore how HRT and GLP-1 medications support symptoms, weight, and long-term health, what early research suggests about combining them, and why bone density, TMJ, and diabetes risk all matter in midlife care.Follow Mimimimi_in_australiaFollow Dr. Patil drpatilsisodia______________________________________________________________________⭐️Mounjaro Stanley⭐️griffintumblerco.Etsy.comUse code PODCAST10 for $ OFF______________________________________________________________________Join this channel to get access to perks:   / @theplussidez______________________________________________________________________#Mounjaro #MounjaroJourney #Ozempic #Semaglutide #tirzepatide  #GLP1 #Obesity #zepbound #wegovy #ObesityCare #PatientAdvocate #GLP1Community #RealGLP1StoriesSend us Fan Mail! GetClaimable.com/PlusSideZ to appeal your GLP-1 Insurance Denails and use code PlusSideZ to save! Support the showKim Carlos, Executive Producer TikTok https://www.tiktok.com/@dmfkim?is_from_webapp=1&sender_device=pc Instagram https://www.instagram.com/dmfkimonmounjaro?igsh=aDF6dnlmbHBoYmJn&utm_source=qr Kat Carter, Associate Producer TikTok https://www.tiktok.com/@katcarter7?is_from_webapp=1&sender_device=pc Instagram https://www.instagram.com/mrskatcarter?utm_source=ig_web_button_share_sheet&igsh=ZDNlZDc0MzIxNw==

Let's be honest – the occlusion after Aligner cases can be a little ‘off' (even after fixed appliances!) How do you know if your patient's occlusion after aligner treatment is acceptable or risky? What practical guidelines can general dentists follow to manage occlusion when orthodontic results aren't textbook-perfect? Jaz and Dr. Jesper Hatt explore the most common challenges dentists face, from ClinCheck errors and digital setup pitfalls to balancing aesthetics with functional occlusion. They also discuss key strategies to help you evaluate, guide, and optimize occlusion in your patients, because understanding what is acceptable and what needs intervention can make all the difference in long-term treatment stability and patient satisfaction. https://youtu.be/e74lUbyTCaA Watch PDP250 on YouTube Protrusive Dental Pearl: Harmony and Occlusal Compatibility Always ensure restorative anatomy suits the patient's natural occlusal scheme and age-related wear. If opposing teeth are flat and amalgam-filled, polished cuspal anatomy will be incompatible — flatten as needed to conform. Need to Read it? Check out the Full Episode Transcript below! Key Takeaways Common mistakes in ClinCheck planning often stem from occlusion issues. Effective communication and documentation are crucial in clinical support. Occlusion must be set correctly to ensure successful treatment outcomes. Understanding the patient’s profile is essential for effective orthodontics. Collaboration between GPs and orthodontists can enhance patient care. Retention of orthodontic results is a lifelong commitment. Aesthetic goals must align with functional occlusion in treatment planning. Informed consent is critical when discussing potential surgical interventions. The tongue plays a crucial role in orthodontic outcomes. Spacing cases should often be approached as restorative cases. Aligners can achieve precise spacing more effectively than fixed appliances. Enamel adjustments may be necessary for optimal occlusion post-treatment. Retention strategies must be tailored to individual patient needs. Case assessment is vital for determining treatment complexity. Highlights of this episode: 00:00 Teaser 00:59 Intro 02:53  Pearl – Harmony and Occlusal Compatibility 05:57 Dr. Jesper Hatt Introduction 07:34 Clinical Support Systems 10:18 Occlusion and Aligner Therapy 20:41 Bite Recording Considerations 25:32 Collaborative Approach in Orthodontics 30:31 Occlusal Goals vs. Aesthetic Goals 31:42 Midroll 35:03 Occlusal Goals vs. Aesthetic Goals 35:25 Challenges with Spacing Cases 42:19 Occlusion Checkpoints After Aligners 50:17 Considerations for Retention 54:55 Case Assessment and Treatment Planning 58:14 Key Lessons and Final Thoughts 01:00:19 Interconnectedness of Body and Teeth 01:02:48 Resources for Dentists and Case Support 01:04:40 Outro Free Aligner Case Support!Send your patient's case number and get a full assessment in 24 hours—easy, moderate, complex, or referral. Plus, access our 52-point planning protocol and 2-min photo course. No uploads, no cost. [Get Free Access Now] Learn more at alignerservice.com If you enjoyed this episode, don't miss: Do's and Don'ts of Aligners [STRAIGHTPRIL] – PDP071 #PDPMainEpisodes #OcclusionTMDandSplints #OrthoRestorative This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcomes A and C. AGD Subject Code: 370 ORTHODONTICS (Functional orthodontic therapy) Aim: To provide general dentists with practical guidance for managing occlusion in aligner therapy, from bite capture to retention, including common pitfalls, functional considerations, and case selection. Dentists will be able to – Identify common errors in digital bite capture and occlusion setup. Understand the impact of anterior inclination and mandibular movement patterns on occlusal stability. Plan retention strategies appropriate for aligner and restorative cases. Click below for full episode transcript: Teaser: The one thing that we always check initially is the occlusion set correct by the aligner company. Because if the occlusion is not set correctly, everything else just doesn't matter because the teeth will move, but into a wrong position because the occlusion is off from the beginning. I don't know about you, but if half the orthodontists are afraid of controlling the root movements in extraction cases, as a GP, I would be terrified. Teaser:I don’t care if you just move from premolar to premolar or all the teeth. Orthodontics is orthodontics, so you will affect all the teeth during the treatment. The question’s just how much. Imagine going to a football stadium. The orthodontist will be able to find the football stadium.  If it’s a reasonable orthodontist, he’ll be able to find the section you’re going to sit in, and if he’s really, really, really good, he will be able to find the row that you’re going to sit in, but the exact spot where you are going to sit… he will never, ever be able to find that with orthodontics. Jaz’s Introduction: Hello, Protruserati. I’m Jaz Gulati. Welcome back to your favorite dental podcast. I’m joined today by our guest, Dr. Jesper Hatt. All this dentist does is help other dentists with their treatment plans for aligners. From speaking to him, I gather that he’s no longer practicing clinically and is full-time clinical support for colleagues for their aligner cases. So there’s a lot we can learn from someone who day in day out has to do so much treatment planning and speaking to GDPs about their cases, how they’re tracking, how they’re not tracking, complications, and then years of seeing again, okay, how well did that first set of aligners actually perform? What is predictable and what isn’t? And as well as asking what are the most common errors we make on our ClinChecks or treatment plan softwares. I really wanted to probe in further. I really want to ask him about clinical guidelines for occlusion after ortho. Sometimes we treat a case and whilst the aesthetics of that aligner case is beautiful, the occlusion is sometimes not as good. So let’s talk about what that actually means. What is a not-good occlusion? What is a good occlusion? And just to offer some guidelines for practitioners to follow because guess what? No orthodontist in the world is gonna ever get the occlusion correct through ortho. Therefore, we as GPs are never gonna get a perfect textbook occlusion, but we need to understand what is acceptable and what is a good guideline to follow. That’s exactly what we’ll present to you in this episode today. Dental PearlNow, this is a CE slash CPD eligible episode and as our main PDP episode, I’ll give you a Protrusive Dental Pearl. Today’s pearl is very much relevant to the theme of orthodontics and occlusion we’re discussing today, and it’s probably a pearl I’ve given to you already in the past somewhere down the line, but it’s so important and so key. I really want to just emphasize on it again. In fact, a colleague messaged me recently and it reminded me of this concept I’m about to explain. She sent me an image of a resin bonded bridge she did, which had failed. It was a lower incisor, and just a few days after bonding, it failed. And so this dentist is feeling a bit embarrassed and wanted my advice. Now, by the way, guys, if you message me for advice on Instagram, on Facebook, or something like that, it’s very hit and miss. Like my priorities in life are family, health, and everything that happens on Protrusive Guidance. Our network. If you message me outside that network, I may not see it. The team might, but I may not see it. It’s the only way that I can really maintain control and calm in my life. The reason for saying this, I don’t want anyone to be offended. I’m not ignoring anyone. It’s just the volume of messages I get year on year, they’re astronomical. And I don’t mind if you nudge me. If you messaged me something weeks or months ago and I haven’t replied, I probably haven’t seen it. Please do nudge me. And the best place to catch me on is Protrusive Guidance. If you DM me on Protrusive Guidance, home of the nicest and geekiest dentists in the world, that’s the only platform I will log in daily. That’s our baby, our community. Anyway, so I caught this Facebook message and it was up to me to help this colleague. And one observation I made is that the lower teeth were all worn. The upper teeth were really worn, but this resin bonded bridge pontic, it just looked like a perfect tooth. The patient was something like 77 or 80. So it really made me think that, okay, why are we putting something that looks like a 25-year-old’s tooth in a 77-year-old? But even forgetting age and stuff, you have to look at the adjacent teeth in the arch. Is your restoration harmonious with the other teeth in the arch, and of course is the restoration harmonious with what’s opposing it? Because it’s just not compatible. So part one of this pearl is make sure any restoration you do, whether it’s direct or indirect, is harmonious with the patient’s arch and with the opposing teeth and with their occlusal scheme. Because otherwise, if you get rubber dam on and you give your 75-year-old patient beautiful composite resin, it’s got all that cuspal fissure pattern and anatomy, and you take that rubber dam off and you notice that all the other teeth are flat and the opposing teeth are flat amalgams, guess what? You’re gonna be making your composite flat, whether you like it or not. You created a restoration that’s proud, right? That’s why you did not conform to the patient’s own arch or existing anatomical scheme. So the part B of this is the thing that I get very excited to talk about, right? So sometimes you have a worn dentition, but then you have one tooth that’s not worn at all. It’s like that in-standing lateral incisor, right? Think of an upper lateral incisor that’s a bit in-standing, and you see some wear on all the incisors, but that lateral incisor does not have any wear in it because it was never in the firing line. It was never in function. It was never in parafunction. Now, if you give this patient aligners or fixed appliances, you’re doing ortho and you’re now going to align this lateral incisor. So it’s now gonna eventually get into occlusion and it will be in the functional and parafunctional pathways of this patient. Do you really think you can just leave that incisor be? No. It’s not gonna be compatible with the adjacent teeth. It’s not going to be compatible with the opposing tooth and the occlusal scheme. So guess what? You have to get your bur out or your Sof-Lex disc out, and you have to bake in some years into that tooth. Or you have to build up all the other teeth if appropriate for that patient. You’ve just gotta think about it. And I hope that makes sense so you can stay out of trouble. You’re not gonna get chipping and you can consent your patient appropriately for enamel adjustment, which is something that we do talk about in this episode. I think you’re in for an absolute cracker. I hope you enjoy. I’ll catch you in the outro. Main Episode: Doctor Jesper Hatt, thank you so much for coming to Protrusive Dental Podcast. We met in Scandinavia, in Copenhagen. You delivered this wonderful lecture and it was so nice to connect with you then and to finally have you on the show. Tell us, how are you, where in the world are you, and tell us about yourself. [Jesper] Well, thank you for the invitation, first of all. Well, I’m a dentist. I used to practice in Denmark since I originally come from Denmark. My mother’s from Germany, and now I live in Switzerland and have stopped practicing dentistry since 2018. Now I only do consulting work and I help doctors around the world with making their aligner business successful. [Jaz] And this is like probably clinical advice, but also like strategic advice and positioning and that kinda stuff. Probably the whole shebang, right? [Jesper] Yeah. I mean, I have a team around me, so my wife’s a dentist as well, and I would say she’s the expert in Europe on clear aligners. She’s been working for, first of all, our practice. She’s a dentist too. She worked with me in the practice. We practiced together for 10 years. Then she became a clinical advisor for Allion Tech with responsibility for clinical support of Scandinavia. She was headhunted to ClearCorrect, worked in Basel while I was doing more and more consulting stuff in Denmark. So she was traveling back and forth, and I considered this to be a little bit challenging for our family. So I asked her, well, why don’t we just relocate to Switzerland since ClearCorrect is located there? And sure we did. And after two years she told me, I think clinical support, it’s okay. And I like to train the teams, but I’d really like to do more than that because she found out that doctors, they were able to book a spot sometime in the future, let’s say two weeks out in the future at a time that suited the doctors… no, not the doctors, ClearCorrect. Or Invisalign or whatever clear aligner company you use. So as a doctor, you’re able to block the spot and at that time you can have your 30 minutes one-on-one online with a clinical expert. And she said it’s always between the patients or administrative stuff. So they’re not really focused on their ClearCorrect or clear aligner patient. And so they forget half of what I tell them. I can see it in the setups they do. They end up having to call me again. It doesn’t work like that. I would like to help them. [Jaz] It’s a clunky pathway of mentorship. [Jesper] Yes. And so she wanted to change the way clinical support was built up. So we do it differently. We do it only in writing so people can remember what we are telling them. They can always go back in the note and see what’s been going on, what was the advice we gave them, and we offer this co-creation support where we take over most of the treatment planning of the ClearCorrect or Clear Aligner or Spark or Invisalign or Angel Aligner treatment planning. So we do all the digital planning for the doctor, deliver what we think would be right for the patient based on the feedback we initially got from the doctor. And then the doctor can come back and say, well, I’d like a little more space for some crowns in the front, or I would like the canines to be in a better position in order to achieve immediate post disclusion. And so we can go into this discussion back and forth and adjust the digital setup in a way that is more realistic and predictable and do it all for the doctors. So they, on an average, they spend four to six hours less chair time when they use that kind of service compared to if they do everything themselves. And on top of that, you can put your planning time. She was responsible for that and it works quite well. I still remember when we initially got on all these online calls and we would see fireworks in the background and confetti coming down from the top and all of that. [Jaz] Exactly. So excuse that little bit, but okay. So essentially what you’re doing is, for an aligner user myself, for example, you’re doing the ClinChecks, you are helping, supporting with the ClinChecks, the planning. And I’ve got a lot of questions about that. The first question I’ll start with, which is off the script, but there’s probably a hundred different mistakes that could happen in a ClinCheck, right? But what is the most repeatable, predictable, common mistake that you’ll see when a new user sends a case to you to help them with their planning? What’s the most common mistake that you will see in a setup? [Jesper] Two things, actually. The one thing that we always check initially is the occlusion set correct by the aligner company. Because if the occlusion is not set correctly, everything else just doesn’t matter because the teeth will move but into a wrong position because the occlusion is off from the beginning. And so we always check that as the first part. How does this— [Jaz] So let’s talk about that ’cause that might be confusing for a younger colleague because they’re like, hey, hang on a minute. I scanned the bite left and right. What do you mean the occlusion is wrong? Because surely that gets carried through into what I see on the ClinCheck. So what do you think is the mechanism for this to happen? [Jesper] Two different reasons. I’m from a time when I graduated in 2003, so that was before digital dentistry. So when I went to the Pankey Institute and learned everything about functional occlusion and all of that stuff, I also found out that most of my patients, when I put silicone impression material between the teeth and asked the patients to bite together, they would always protrude a little bit unless I instructed them to bite hard on the posterior teeth. And when we got the scanners, when we put a scanner into the cheek and pull the cheek, most patients, when we asked them to bite together to do the intraoral scan of the bite, they also protruded a little bit, not much, but enough to set the bite wrong. So that is the one challenge when the technicians of the aligner companies put the models together. The other challenge is that some of the aligner companies, they let the technicians set the models. We always, as the first thing when we see a case, we always look at the photos, the clinical photos. And that’s why the clinical photos have to be of great quality. So we look at the clinical photos of the patient— [Jaz] And also in those clinical photos, Jesper, you have to coach them correctly to bite. You have to notice if they’re biting wrong even in the photos ’cause then it just duplicates the error. And that’s why good photography and actually being able to coach the patient is so imperative. [Jesper] Yes, that’s correct. But we compare the two and usually if we see a difference, we ask the doctor, is what we see in the photo correct, or is what we see on the digital models correct? And because we don’t like differences. So that would be the first step to look for. And what’s the second? The second thing is that when you look at the setup, the anterior teeth are usually—I’m trying to show you—the anterior teeth are very, very steep. Typically with aligners it’s a lot easier to tip the crowns. So when you have a class II patient, deviation one, where the anteriors are in a forward position, proclined, and you have a lot of space between the anteriors of the maxilla and the mandible, then the easiest thing on a digital setup is to just retrocline the anteriors of the upper to make them fit the lowers, which you could then procline a little bit, but usually you have very steep relationships between the two and this— [Jaz] So you’re more likely to restrict the envelope of function, functional interference anteriorly. You are obviously reducing the overjet, but you may end up reducing like a wall contact rather than an elegant, more open gate. [Jesper] Yes. And there’s another dimension to this because when we work with orthodontics, one of the most important things to look for is actually the profile of the patient. Because let’s say I’m trying to illustrate this now, so I hope you get a 90— [Jaz] So describe it for our audio listeners as well. So we’re looking at a profile view of Jesper. [Jesper] Yes. So I’m turning the side to the camera. I hope you can see my profile here. So let’s say I had flared anterior maxillary teeth and I wanted to retrocline them. It would have an effect on my upper lip, so the lip would fall backwards if I just retrocline everything. And every millimeter we move the anteriors in the maxilla in a posterior direction, we will have a potential lip drop of three millimeters. In addition, if we don’t get the nasolabial angulation correct, we risk the lower face will simply disappear in the face of the patient. So soft tissue plays a role here, so we cannot just retrocline the teeth. It looks great on the computer screen, but when it comes to reality, we’ll have a functional challenge. We’ll have a soft tissue support challenge, and in addition we’ll have long-term retention challenges as well. Because when you have a steep inclination, the anterior teeth in the mandible, they don’t have any kind of support. They will not be stopped by anything in the maxillary teeth, which you would if you had the right inclination between the teeth, which would be about 120 degrees. So why do aligner companies always set the teeth straight up and down in the anterior part? We wondered about this for years. We don’t have a strict answer. We don’t know exactly why it’s like this, but I have a hunch. I think there are two things to it. First of all, the easiest thing to do with aligners is to move the crown, so we can just tip the teeth. You take them back, you make a lot of IPR, and then you just tip them so they’re retroclined. Secondly, all aligner companies, they come from the United States. And in the United States there is a higher representation of class III patients. Now why is that important? All our patients can be put into two different categories in regards to how they move their mandible. They are the crocodiles that only open and close, like move up and down, and then we have the cows. And then we have the cows that move the mandible around, or the camels. I mean, every camel, if you’ve seen a camel chew, it’s just moving from side to side. [Jaz] Horses as well. Horses as well. [Jesper] They kind of do that. [Jaz] But I’m glad you didn’t say rats ’cause it’s more elegant to be a crocodile than a rat. [Jesper] Exactly. And I usually say we only tell the crocodiles. So why is this a challenge and why isn’t it a challenge with class III patients? Well, all real class III patients act like crocodiles, so they don’t move them side to side. From a functional perspective, it’s really not a problem having steep anterior inclination or steep relationships as long as you have a stable stop where the anteriors—so the anteriors will not elongate and create the red effect. So they just elongate until they hit the palate. If you can make a stop in the anterior part of the occlusion, then you’ll have some kind of stability with the class III patients. But with class II patients, we see a lot more cows. So they move the mandible from side to side and anterior and back and forth and all… they have the mandible going all kinds of places. And when they do that, we need some kind of anterior guidance to guide the mandible. I usually say the upper jaw creates the framework in which the mandible will move. So if the framework is too small, we fight the muscles. And whenever we fight the muscles, we lose because muscles always win. It doesn’t matter if it’s teeth, if it’s bone, if it’s joints, they all lose if they fight the muscles— [Jaz] As Peter Dawson would say, in the war between teeth and muscles or any system and muscles, the muscles always win. Absolutely. And the other analogy you remind me of is the maxilla being like a garage or “garage” from UK, like a garage. And the mandible being like the car, and if you’re really constrained, you’re gonna crash in and you’re gonna… everything will be in tatters. So that’s another great way to think about it. Okay. That’s very, very helpful. I’m gonna—’cause there’s so much I wanna cover. And I think you’ve really summed up nicely. But one thing just to finish on this aspect of that common mistake being that the upper anteriors are retroclined, really what you’re trying to say is we need to be looking at other modalities, other movements. So I’m thinking you’re saying extraction, if it’s suitable for the face, or distalisation. Are you thinking like that rather than the easier thing for the aligners, which is the retrocline. Am I going about it the right way? [Jesper] Depends on the patient. [Jaz] Of course. [Jesper] Rule of thumb: if you’re a GP, don’t ever touch extraction cases. Rule of thumb. Why? Because it is extremely challenging to move teeth parallel. So you will most—especially with aligners—I mean, I talk with a very respected orthodontist once and I asked him, well, what do you think about GPs treating extraction cases where they extract, you know, two premolars in the maxilla? And he said, well, I don’t know how to answer this. Let me just explain to you: half of my orthodontist colleagues, they are afraid of extraction cases. And I asked them why. Because it’s so hard to control the root movement. Now, I don’t know about you— [Jaz] With aligners. We’re specifically talking about aligners here, right? [Jesper] With all kinds of orthodontic appliances. [Jaz] Thank you. [Jesper] So now, I don’t know about you, but if half the orthodontists are afraid of controlling the root movements in extraction cases, as a GP, I would be terrified. And I am a GP. So I usually say, yeah, sometimes you will have so much crowding and so little space in the mandible, so there’s an incisor that is almost popped out by itself. In those cases, yes. Then you can do an extraction case. But when we’re talking about premolars that are going to be extracted, or if you want to close the space in the posterior part by translating a tooth into that open space, don’t. It’s just the easiest way to end up in a disaster because the only thing you’ll see is just teeth that tip into that space, and you’ll have a really hard time controlling the root movements, getting them corrected again. [Jaz] Well, thank you for offering that guideline. I think that’s very sage advice for those GPs doing aligners, to stay in your lane and just be… the best thing about being a GP, Jesper, is you get to cherry pick, right? There’s so many bad things about being a GP. Like you literally have to be kinda like a micro-specialist in everything in a way. And so sometimes it’s good to be like, you know what, I’ll keep this and I’ll send this out. And being selective and case selection is the crux of everything. So I’m really glad you mentioned that. I mean, we talked and touched already on so much occlusion. The next question I’m gonna ask you then is, like you said, a common error is the bite and how the bite appears on the ClinCheck or whichever software a dentist is using. Now, related to bite, vast majority of orthodontic cases are treated in the patient’s existing habitual occlusion, their maximum intercuspal position. Early on in my aligner journey, I had a patient who had an anterior crossbite. And because of that anterior crossbite, their jaw deviated. It was a displaced—the lower jaw displaced. And then I learned from that, that actually for that instance, perhaps I should not have used an MIP scan. I should have used more like centric relation or first point of contact scan before the displacement of the jaw happens. So that was like always in my mind. Sometimes we can and should be using an alternative TMJ position or a bite reference other than MIP. Firstly, what do you think about that kind of scenario and are there any other scenarios which you would suggest that we should not be using the patient’s habitual occlusion for their bite scan for planning orthodontics? [Jesper] Well, I mentioned that I was trained at the Pankey Institute, and when you start out right after—I mean, I spent 400 hours over there. Initially, I thought I was a little bit brainwashed by that because I thought every single patient should be in centric relation. Now, after having put more than 600 patients on the bite appliance first before I did anything, I started to see some patterns. And so today, I would say it’s not all patients that I would get into centric relation before I start treating the teeth. But when we talk about aligner therapy and orthodontic treatment, I think it’s beneficial if you can see the signs for those patients where you would say, hmm, something in the occlusion here could be a little bit risky. So let’s say there are wear facets on the molars. That will always trigger a red flag in my head. Let’s say there are crossbites or bite positions that kind of lock in the teeth. We talked about class III patients before, and I said if it’s a real skeletal-deviation class III patient, it’s a crocodile. But sometimes patients are not real class III skeletal deviation patients. They’re simply being forced into a class III due to the occlusion. That’s where the teeth fit together. So once you put aligners between the teeth and plastic covers the surfaces, suddenly the patients are able to move the jaws more freely and then they start to seat into centric. That may be okay. Usually it is okay. The challenge is consequences. So when you’re a GP and you suddenly see a patient moving to centric relation and you find out, whoa, on a horizontal level there’s a four- to six-millimeter difference between the initial starting point and where we are now, and maybe we create an eight-millimeter open bite in the anterior as well because they simply seat that much. And I mean, we have seen it. So is this a disaster? Well, it depends. If you have informed the patient well enough initially and said, well, you might have a lower jaw that moves into a different position when we start out, and if this new position is really, really off compared to where you are right now, you might end up needing maxillofacial surgery, then the patient’s prepared. But if they’re not prepared and you suddenly have to tell them, you know, I think we might need maxillofacial surgery… I can come up with a lot of patients in my head that would say, hey doctor, that was not part of my plan. And they will be really disappointed. And at that point there’s no turning back, so you can’t reverse. So I think if you are unsure, then you are sure. Then you should use some kind of deprogramming device or figure out where is centric relation on this patient. If there isn’t that much of a difference between maximum intercuspation and centric— [Jesper] Relation, I don’t care. Because once you start moving the teeth, I don’t care if you just move from premolar to premolar or all the teeth. Orthodontics is orthodontics, so you will affect all the teeth during the treatment. The question’s just how much. And sometimes it’s just by putting plastic between the teeth that you will see a change, not in the tooth position, but in the mandibular position. And I just think it’s nicer to know a little bit where this is going before you start. And the more you see of this—I mean, as I mentioned, after 600 bite appliances in the mouths of my patients, I started to see patterns. And sometimes in the end, after 20 years of practicing, I started to say, let’s just start, see where this ends. But I would always inform the patients: if it goes totally out of control, we might end up needing surgery, and there’s no way to avoid it if that happens. And if the patients were okay with that, we’d just start out. Because I mean, is it bad? No. I just start the orthodontic treatment and I set the teeth as they should be in the right framework. Sometimes the upper and the lower jaw don’t fit together. Well, send them to the surgeon and they will move either the upper or the lower jaw into the right position, and then we have it. No harm is done because we have done the initial work that the orthodontist would do. But I will say when I had these surgical patients—let’s say we just started out with aligners and we figured, I can’t control this enough. I need a surgeon to look at this—then I would send them off to an orthodontist, and the orthodontist and the surgeon would take over. Because then—I mean, surgical patients and kids—that’s the second group of patients besides the extraction cases that I would not treat as a GP. ‘Cause we simply don’t know enough about how to affect growth on kids. And when it comes to surgery, there’s so much that is… so much knowledge that we need to know and the collaboration with the surgeons that we’re not trained to handle. So I think that should be handled by the orthodontists as well. [Jaz] I think collaborative cases like that are definitely specialist in nature, and I think that’s a really good point. I think the point there was informed consent. The mistake is you don’t warn the patient or you do not do the correct screening. So again, I always encourage my guests—so Jesper, you included—that we may disagree, and that’s okay. That’s the beauty of dentistry. So something that I look for is: if the patient has a stable and repeatable maximum intercuspal position, things lock very well, and there’s a minimal slide—like I use my leaf gauge and the CR-CP is like a small number of leaves and the jaw hardly moves a little bit—then there’s no point of uncoupling them, removing that nice posterior coupling that they have just to chase this elusive joint position. Then you have to do so many more teeth. But when we have a breakdown in the system, which you kind of said, if there’s wear as one aspect, or we think that, okay, this patient’s occlusion is not really working for them, then we have an opportunity to do full-mouth rehabilitation in enamel. Because that’s what orthodontics is. And so that’s a point to consider. So I would encourage our GP colleagues to look at the case, look at the patient in front of you, and decide: is this a stable, repeatable occlusion that you would like to use as a baseline, or is there something wrong? Then consider referring out or considering—if you’re more advanced in occlusion studies—using an alternative position, not the patient’s own bite as a reference. So anything you wanna add to that or disagree with in that monologue I just said there? [Jesper] No, I think there’s one thing I’d like the listeners to consider. I see a lot of fighting between orthodontists and GPs, and I think it should be a collaboration instead. There’s a lot of orthodontists that are afraid of GPs taking over more and more aligner treatments, and they see a huge increase in the amount of cases that go wrong. Well, there’s a huge increase of patients being treated, so there will be more patients, just statistically, that will get into problems. Now, if the orthodontist is smart—in my opinion, that’s my opinion—they reach out to all their referring doctors and they tell them, look, come in. I will teach you which cases you can start with and which you should refer. Let’s start there. Start your aligner treatments. Start out, try stuff. I will be there to help you if you run into problems. So whenever you see a challenge, whenever there’s a problem, send the patient over to me and I’ll take over. But I will be there to help you if anything goes wrong. Now, the reason this is really, really a great business advice for the orthodontists is because once you teach the GPs around you to look for deviations from the normal, which would be the indication for orthodontics, the doctors start to diagnose and see a lot more patients needing orthodontics and prescribe it to the patients, or at least propose it to the patients. Which would initially not do much more than just increase the amount of aligner treatments. But over time, I tell you, all the orthodontists doing this, they are drowning in work. So I mean, they will literally be overflown by patients being referred by all the doctors, because suddenly all the other doctors around them start to diagnose orthodontically. They see the patients which they haven’t seen before. So I think this is—from a business perspective—a really, really great thing for the orthodontists to have a collaboration with this. And it’ll also help the GPs to feel more secure when they start treating their patients. And in the end, that will lead to more patients getting the right treatment they deserve. And I think that is the core. That is what’s so important for us to remember. That’s what we’re here for. I mean, yes, it’s nice to make money. We have to live. It’s nice with a great business, but what all dentists I know of are really striving for is to treat their patients to the best of their ability. And this helps them to do that. [Jaz] Ultimate benefactor of this collaborative approach is the patient. And I love that you said that. I think I want all orthodontists to listen to that soundbite and take it on board and be willing to help. Most of them I know are lovely orthodontists and they’re helping to teach their GPs and help them and in return they get lots of referrals. And I think that’s the best way to go. Let’s talk a little bit about occlusal goals we look for at the end of orthodontics. This is an interesting topic. I’m gonna start by saying that just two days ago I got a DM from one of the Protruserati, his name is Keith Curry—shout out to him on Instagram—and he just sent me a little message: “Jaz, do you sometimes find that when you’re doing alignment as a GP that it’s conflicting the orthodontic, the occlusal goal you’re trying to get?” And I knew what I was getting to. It’s that scenario whereby you have the kind of class II division 2, right? But they have anterior guidance. Now you align everything, okay, and now you completely lost anterior guidance. And so the way I told him is that, you know what, yes, this is happening all the time. Are we potentially at war between an aesthetic smile and a functional occlusion? And sometimes there’s a compromise. Sometimes you can have both. But that—to achieve both—needs either a specialist set of eyes or lots of auxiliary techniques or a lot more time than what GPs usually give for their cases. So first let’s touch on that. Do you also agree that sometimes there is a war between what will be aesthetic and what will be a nice functional occlusion? And then we’ll actually talk about, okay, what are some of the guidelines that we look for at the end of completing an aligner case? [Jesper] Great question and great observation. I would say I don’t think there’s a conflict because what I’ve learned is form follows function. So if you get the function right, aesthetics will always be great. Almost always. I mean, we have those crazy-shaped faces sometimes, but… so form follows function. The challenge here is that in adult patients, we cannot manipulate growth. So a skeletal deviation is a skeletal deviation, which means if we have a class II patient, it’s most likely that that patient has a skeletal deviation. I rarely see a dental deviation. It happens, but it’s really, really rare. So that means that in principle, all our class II and chronic class III patients are surgical patients. However, does that mean that we should treat all our class II and class III patients surgically? No, I don’t think so. But we have to consider that they are all compromise cases. So we need to figure a compromise. So initially, when I started out with my occlusal knowledge, I have to admit, I didn’t do the orthodontic treatment planning. I did it with Heller, and she would give me feedback and tell me, I think this is doable and this is probably a little bit challenging. If we do this instead, we can keep the teeth within the bony frame. We can keep them in a good occlusion. Then I would say, well, you have a flat curve of Spee. I’d like to have a little bit of curve. It’s called a curve of Spee and not the orthodontic flat curve of Spee. And then we would have a discussion back and forth about that. Then initially I would always want anterior coupling where the anterior teeth would touch each other. I have actually changed that concept in my mind and accepted the orthodontic way of thinking because most orthodontists will leave a little space in the anterior. So when you end the orthodontic treatment, you almost always have a little bit of space between the anterior teeth so they don’t touch each other. Why? Because no matter what, no matter how you retain the patient after treatment, there will still be some sort of relapse. And we don’t know where it’ll come or how, but it will come. Because the teeth will always be positioned in a balance between the push from the tongue and from the cheeks and the muscles surrounding the teeth. And that’s a dynamic that changes over the years. So I don’t see retention as a one- or two-year thing. It’s a lifelong thing. And the surrounding tissues will change the pressure and thereby the balance between the tongue and the cheeks and where the teeth would naturally settle into position. Now, that said, as I mentioned initially, if we fight the muscles, we’ll lose. So let’s say we have an anterior open bite. That will always create a tongue habit where the patient positions the tongue in the anterior teeth when they swallow because if they don’t, food and drink will just be splashed out between the teeth. They can’t swallow. It will just be pushed out of the mouth. [Jaz] So is that not like a secondary thing? Like that tongue habit is secondary to the AOB? So in those cases, if you correct the anterior open bite, theoretically should that tongue posture not self-correct? [Jesper] Well, we would like to think so, but it’s not always the case. And there’s several reasons to it. Because why are the teeth in the position? Is it because of the tongue or because of the tooth position? Now, spacing cases is one of those cases where you can really illustrate it really well. It looks really easy to treat these patients. If we take away all the soft tissue considerations on the profile photo, I mean, you can just retract the teeth and you close all the spaces—super easy. Tipping movements. It’s super easy orthodontically to move quickly. Very easy as well. However, you restrict the tongue and now we have a retention problem. So there are three things that can happen. You can bond a retainer on the lingual side or the palatal side of the teeth, upper, lower—just bond everything together—and after three months, you will have a diastema distal to the bonded retainer because the tongue simply pushes all the teeth in an anterior direction. [Jaz] I’ve also seen—and you’ve probably seen this as well—the patient’s tongue being so strong in these exact scenarios where the multiple spacing has been closed, which probably should have been a restorative plan rather than orthodontic plan, and the retainer wire snaps in half. [Jesper] Yes, from the tongue. [Jaz] That always fascinated me. [Jesper] Well, you’ll see debonding all the time, even though you sandblast and you follow all the bonding protocol. And debonding, breaking wires, diastemas in places where you think, how is that even possible? Or—and this is the worst part—or you induce sleep apnea on these patients because you simply restrict the space for the tongue. So they start snoring, and then they have a total different set of health issues afterwards. So spacing—I mean, this just illustrates the power of the tongue and why we should always be careful with spacing cases. I mean, spacing cases, in my opinion, are always to be considered ortho-restorative cases. Or you can consider, do you want to leave some space distal to the canines? Because there you can create an optical illusion with composites. Or do you want to distribute space equally between the teeth and place veneers or crowns or whatever. And this is one of those cases where I’d say aligners are just fabulous compared to fixed appliances. Because if you go to an orthodontist only using fixed appliances and you tell that orthodontist, please redistribute space in the anterior part of the maxilla and I want exactly 1.2 millimeters between every single tooth in the anterior segment, six years later he’s still not reached that goal because it just moves back and forth. Put aligners on: three months later, you have exactly—and I mean exactly—1.2 millimeters of space between each and every single tooth. When it comes to intrusion and extrusion, I would probably consider using fixed appliances rather than aligners if it’s more than three millimeters. So every orthodontic system—and aligners are just an orthodontic system—each system has its pros and cons, and we just have to consider which system is right for this patient that I have in my chair. But back to the tongue issue. What should we do? I mean, yes, there are two different schools. So if you have, let’s say, a tongue habit that needs to be treated, there are those that say we need to get rid of the tongue habit before we start to correct the teeth. And then there are those that say that doesn’t really work because there’s no room for the tongue. So we need to create room for the tongue first and then train the patient to stop the habit. Both schools and both philosophies are being followed out there. I have my preferred philosophy, but I will let the listener start to think about what they believe and follow their philosophy. Because there is nothing here that is right or wrong. And that is— [Jaz] I think the right answer, Jesper, is probably speak to that local orthodontist who’s gonna be helping you out and whatever they recommend—their religion—follow that one. Because then at least you have something to defend yourself. Like okay, I followed the way you said. Let’s fix it together now. [Jesper] That’s a great one. Yeah, exactly. [Jaz] Okay, well just touching up on the occlusion then, sometimes we do get left with like suboptimal occlusions. But to be able to define a suboptimal occlusion… let’s wrap this occlusion element up. When we are completing an orthodontic case—let’s talk aligners specifically—when the aligners come off and the fixed retainers come on, for example, and the patient’s now in retention, what are some of the occlusal checkpoints or guidelines that you advise checking for to make sure that, okay, now we have a reasonably okay occlusion and let things settle from here? For example, it would be, for me, a failure if the patient finishes their aligners and they’re only holding articulating paper on one side and not the other side. That’s for me a failure. Or if they’ve got a posterior open bite bilaterally. Okay, then we need to go refinement. We need to get things sorted. But then where do you draw the line? How extreme do you need to be? Do you need every single tooth in shim-stock foil contact? Because then we are getting really beyond that. We have to give the adaptation some wiggle room to happen. So I would love to know from your learning at Pankey, from your experience, what would you recommend is a good way for a GP to follow about, okay, it may not be perfect and you’ll probably never get perfect. And one of the orthodontists that taught me said he’s never, ever done a case that’s finished with a perfect occlusion ever. And he said that to me. [Jesper] So—and that’s exactly the point with orthodontics. I learned that imagine going to a football stadium. The orthodontist will be able to find the football stadium. If it’s a reasonable orthodontist, he’ll be able to find the section you’re going to sit in. And if he’s really, really, really good, he will be able to find the row that you’re going to sit in. But the exact spot where you are going to sit, he will never, ever be able to find that with orthodontics. And this is where settling comes in and a little bit of enamel adjustments. [Jaz] I’m so glad you said that. I’m so glad you mentioned enamel adjustment. That’s a very dirty word, but I agree with that. And here’s what I teach on my occlusion courses: what we do with aligners essentially is we’re tampering with the lock. Let’s say the upper jaw is the lock. It’s the still one. We’re tampering with the key, which is the lower jaw—the one that moves—we tamper with the key and the lock, and we expect them both to fit together at the end without having to shave the key and to modify the lock. So for years I was doing aligners without enamel adjustment ’cause my eyes were not open. My mind was not open to this. And as I learned, and now I use digital measuring of occlusion stuff and I seldom can finish a case to get a decent—for my criteria, which is higher than it used to be, and my own stat—is part of my own growth that’s happened over time is that I just think it’s an important skill that GPs are not taught and they should be. It’s all about finishing that case. And I think, I agree with you that some adjustment goes a long way. We’re not massacring enamel. It’s little tweaks to get that. [Jesper] Exactly. I like the sound there because sometimes you hear that “ahh,” it doesn’t really sound right, but “tsst,” that’s better. [Jaz] That’s the one. You know, it reminds me of that lecture you did in Copenhagen. You did this cool thing—which I’ve never seen anyone do before. You sat with one leg over the other and you said, okay guys, bite together. Everyone bit together. And then you swapped the legs so the other leg was over the other and bite together. And then you said, okay, whose occlusion felt different? And about a third of the audience put their hand up, I think. Tell us about that for a second. [Jesper] Well, just promise me we go back to the final part because there are some things we should consider. [Jaz] Let’s save this as a secret thing at the end for incentive for everyone to listen to the end—how the leg position changes your occlusion. Let’s talk about the more important thing. I digressed. [Jesper] Let’s talk about the occlusal goals because I think it’s important. I mean, if you do enamel adjustments in the end—so when we finish the treatment, when we come to the last aligner in the treatment plan—I think we should start by breaking things down to the simplest way possible. Start by asking the patient: are you satisfied with the way the teeth look? Yes or no? If she’s satisfied, great. How do you feel about the occlusion? “Well, it fits okay.” Great. Now the patient is happy. There’s nothing she wants to—or he wants to—change. Then you look at the occlusion. Now, it is important to remember that what we see on the computer screen, on the aligner planning tools, will never, ever correspond 100% to what we see in the mouth of the patient. And there are several reasons for that. But one of the things that we have found to be really interesting is that if you take that last step and you say, okay, the occlusion doesn’t fit exactly as on the screen, but it’s kind of there… if you use that last step and you don’t do a re-scan for a retainer, but you use the last step of the aligner treatment as your reference for your aligner retainer… We sometimes see that over six months, if the patient wears that aligner 22 hours a day for another three to six months, the teeth will settle more and more into the aligner and create an occlusion that looks more and more like what you see on the screen. Which to me just tells me that the biology doesn’t necessarily follow the plan everywhere in the tempo that we set throughout the aligner plan. But over time, at the last step, if it’s just minor adjustments, the teeth will actually move into that position if we use the last stage as a reference for the retainer. Now, if we do a scan at that point and use that as a reference for creating an aligner retainer, then we just keep the teeth in that position. Now, if the teeth are a little bit more off— [Jaz] I’m just gonna recap that, Jesper, ’cause I understood what you said there, but I want you to just make sure I fully understood it. When we request, for example, Align, the Vivera retainer, it gives you an option: “I will submit a new scan” or “use the last step.” And actually I seldom use that, but now I realize you’re right. It makes sense. But then on the one hand, if the occlusion is—if the aesthetics are good and the patient’s occlusion feels good, what is your own judgment to decide whether we’re still going to allow for some more settling and occlusal changes to happen over a year using the Vivera retainers based on the ClinCheck last-aligner profile, rather than, okay, let’s just retain to this position? What is making you do the extra work, extra monitoring? [Jesper] To me, it’s not extra monitoring. It’s just basic. I mean, it’s just part of my protocol. I follow the patients. And honestly, to me, it’s just time-saving to just use the last step in the aligner. Because I mean, if the plan is right and if the teeth have been tracking well, they should be in that position. Why do I then need to re-scan for Vivera retainers or for other kinds of retainers? Now, if the occlusion is a little bit more off—and in a minute you’ll probably ask me when do I see which is which, and I can’t really tell you; it’s about experience—but that’s the beauty of this. If I see there’s a little bit more deviation and I like some teeth, the occlusion isn’t really good on one side compared to the other side, I would rather have a bonded retainer from first premolar to first premolar in the mandible, combined with a Hawley or Begg or something like that retainer for the upper. And you can order them with an acrylic plate covering some of the anterior teeth so they keep that position, but that allows the teeth to settle. And over three months you should see some kind of improvement. If you don’t see enough improvement and let’s say you still have a tendency for a kind of an open bite on one side, you can always add some cross elastics, put some buttons on the upper, on the lower, instruct the patient to use these, and then in three months you will have the occlusion you want. Now, once that is established—you have that kind of occlusion—you need to keep the teeth there for at least six months before you do some kind of equilibration or enamel adjustment. Because if you do the enamel adjustment right after you have reached your final destination for the teeth, the teeth will still settle and move. So you do the equilibration, two weeks later everything looks off again. You do the equilibration, two weeks later things have changed again. So I prefer to wait six months before I do the final equilibration. Now, in this equation what we’ve been talking about here, it goes from very simple to more and more complex. And then we have to consider, well, did I expand the mandible posterior segment? If so, I can’t just use a bonded retainer on the lower and I need to add something to keep the teeth out there in combination with whatever I want in the upper. Do I want to keep the Begg retainer or the Hawley, or do I want to change to something differently? So these kinds of considerations have to be there from the beginning of the treatment because, I mean, it costs additional money to order a Begg retainer compared to just an aligner. [Jaz] A Begg retainer is the same as Hawley? [Jesper] Well, no. It has a little different design. [Jaz] Oh, a Begg as in B-E-G-G? [Jesper] Yes. [Jaz] Yeah, got it. Got it. Okay. [Jesper] And then in Denmark we use the Jensen retainer, which is a Danish invention, which goes from canine to canine or from first premolar to first premolar but with a different type of wire which keeps the teeth more in place compared to a round wire. So there are different variations. The most important part here is it allows the posterior teeth to settle so they can move, which they can’t in an aligner to the same degree at least. Now, this is all really nice in teeth that only need to be moved into the right position, but most of our patients are adult patients, or they should at least be adult patients. Most of my patients were more than 30 years old. So if you have a patient with anterior crowding and you move the teeth into the right position where the teeth should be, the teeth are in the right position, but they still look ugly because they have been worn anteriorly by the position they were in when they were crooked. So when we position them, we still need to do some restorative work. Then what? We still need to retain those teeth. The patient wants to be finished now as fast as possible, so we can’t wait the six months to make the final touches. So we have to figure out: what do we do? And then we have to think of some kind of retention strategy to keep the teeth in place during that restorative procedure. And I mean, at the end of an aligner treatment or any orthodontic treatment, two days is enough to have relapse in some patients. Some patients it’s not a problem. The teeth are just there to stay in the same position for three months, and then they start to move a little bit around. But other patients—I mean, you just have to look away and then go back to the teeth and they’re in a different position. You can’t know what kind of patient you have in your chair right now. So you have to consider the way you plan your restorative procedure in regards to how you retain the teeth during that phase. So if you want to do anterior composites or veneers, do it all at once. Put in a bonded retainer, scan, and get your aligner retainer as fast as possible. Or use a Begg or a Hawley or something like that that’s a little bit more flexible. If you want to do crowns, then we have a whole different challenge and then we have to consider how do we then retain the teeth. [Jaz] Okay. Well I think that was lovely. I think that gives us some thoughts and ideas of planning sequence of retention, which is the ultimate thing to consider when it comes to occlusion. Okay, yeah, you get the occlusion, but how do you retain it? But in many cases, as the patient’s wearing aligners, the occlusion is embedding in and is fine. And you take off the aligners, the patient’s happy with how it looks. They bite together. It feels good. You are happy that yes, both sides of the mouth are biting together. Now, it might not be that every single contact is shim-hold, but you got, let’s say, within 20 microns, 40 microns, okay? Then some bedding happens. In that kind of scenario, would you be happy to say, okay, I’m gonna scan your teeth as they are because I’m happy with the occlusion, the occlusal goals are good, and they’re near enough the ClinCheck, and go for the retainers to that position? Or is your default preference as a clinician to go for the Vivera or equivalent based on the last aligner, on the ClinCheck projection? [Jesper] I would still go for the last aligner because I think the planning I’ve done is probably a little bit more precise than what I see clinically. However, I still expect that I will have to do a little bit of enamel reshaping at the end after six months, but that’s okay. I mean, the changes are so small, so you can still use the last aligner or the Vivera retainer that you already have ordered. So it’s not that much of a problem. [Jaz] Which goes back to your previous point: if it’s a big deviation, then you’ve gotta look at the alternative ways, whether you’re gonna go for refinement or you’re gonna allow some occlusal settling with a Hawley and a lower fixed-retainer combination, or the elastics like you said. Okay. Just so we’re coming to the end of the podcast—and I really enjoyed our time—I would like to delve deep into just a final thing, which is a little checklist, a helpful checklist for case assessment that you have for GDPs. [Jesper] Yeah, thank you. First of all, one of the big challenges in a GP practice is being able to take a full series of clinical photos in two minutes without assistance. I think most dentists struggle with that, but that is a foundational prerequisite to any aligner treatment. Once you have the photos, I would sit down with the photos and I would consider six different steps. One: is this a patient that I could treat restoratively only? Because that would be the simplest for me to do. Next, moving up in complexity: would be, do I need periodontal crown lengthening? Or next step would be: do I need to change the vertical dimension, or is there something about centric relation that I should consider? Moving up a little bit on the complexity: are there missing teeth? Do I need to replace teeth with implants? Next step would be orthodontics. So this is step five. The next most complex case we can treat is actually an aligner case—orthodontics in general. And the last part would be: are the teeth actually in the right position in the face of the patient, or do I need surgery to correct the jaw position? So these six steps, I think they’re helpful to follow to just think, how can I break this case down into more easy, digestible bits and pieces to figure out what kind of patient I have in front of me? Now, if you consider it to be an orthodontic case or ortho-restorative case, here comes the challenge: case selection. How do you figure out is this an easy, moderate, complex, or referral case? And here’s the trick: do 500 to 1000 treatment plans or treatments with clear aligners. And then you know. But until then, you really don’t. This is where you should rely on someone you can trust who can help you do the initial case selection. Because you can have two identical patients—one is easy and one is super complex—but they look the same. So it’s really nice if you have done less than 500 cases to have someone who can help you with the case selection. And I don’t say this to sell anything, because we don’t charge for that. Because it’s so essential that we don’t do something that is wrong or gives us a lot of challenges and headaches in the practice. I mean, the practice runs really fast and lean-oriented, so we need to make things digestible, easy to work with. And I think that’s really important. [Jaz] It goes full circle to what we said before about having that referral network, staying in your lane, knowing when to refer out, cherry-picking—it all goes back full circle with that. And not even orthodontics, but restorative dentistry—case selection is just imperative in everything we do. [Jesper] Yes. And there is—we always get the question when we do courses and we do consulting—can’t you just show me a couple of cases that are easy to start with? And it works with implants, kind of. But with orthodontics where we move—I mean, we affect all the teeth—it’s just not possible. I know the aligner companies want to show you some where you say, you can only just do these kinds of cases and they are really easy. The fact is they’re not. But they want to sell their aligners. [Jaz] I get it. They are until they’re not. It’s like that famous thing, right? Everyone’s got a plan until they get punched in the face. So yeah, it can seemingly be easy, but then a complication happens and it’s really about understanding what complications to expect, screening for them, and how you handle that. But thanks so much. Tell us—yeah, go on, sorry. [Jesper] There are three things I’d like to end on here. So, first of all, we’ve been talking together for about an hour about a topic that, if you want to take postgraduate education, it takes three years to become an orthodontist. And there is a reason it takes three to four years. However, I want to encourage the listener to think about this: Mercedes has never, ever excused last year’s model. Meaning that they always strive for perfection. So if we go into the practice and we do the very best we can every single day, there is no way we can go back and excuse what we

Send us a textPain doesn't always start where it hurts. We sit down with massage therapist and myofascial release specialist Peter Stuart to explore fascia—the collagen-rich connective tissue that wraps muscles, nerves, organs, and bone—and why researchers now see it as a bodywide sensory network. Peter breaks down how gentle, sustained touch can signal the nervous system to soften long‑held tension, and why this light approach often outperforms forceful techniques for people living with chronic pain.Across the conversation, we look at scars and adhesions that quietly tether tissue and create puzzling symptoms years after surgery or injury. Peter explains how pelvic balance underpins healthy movement, how desk posture teaches the brain to brace, and why small, frequent movement keeps fascial layers hydrated and gliding as we age. We also dive into TMJ and teeth grinding, tracing the overlap between biomechanics, anxiety, and sleep, and where counselling or EMDR can support lasting change.The heart of Peter's practice is whole‑person care. He screens for life stress, past trauma, nutrition, and sleep because pain rarely lives in one place. That lens includes emerging research on birth trauma, ADHD, and generational stress, along with emotional release through tissue work—a space where the body's structure and story meet. Expect clear explanations, practical takeaways, and a fresh understanding of how intention, gentle pressure, and smart movement can help your body let go.If this conversation helps you see your pain differently, share it with a friend, subscribe for more thoughtful episodes, and leave a review to help others find the show.https://www.linkedin.com/in/peter-stuart-88a18447/Peter Stuart - Massage Therapist specialising in Myofascial releaseMusic from #Uppbeat (free for Creators!):https://uppbeat.io/t/sky-toes/featherlightLicense code: ZTXJPK8BA5WMLKSF My new novel The Red Magus has recently been published in conjunction with the Unbound Press. An entralling mystical adventure set across time and space, where past and current lives converge. Find it on Amazon and Barnes & Noble. A call to action to help us keep spreading the spiritual ripple xxSupport the showBe a Compassion Crusader!Please like, share and subscribe!https://www.buzzsprout.com/1827829/supporters/newNatasha Joy Pricewww.dandeliontherapies.co.ukFacebook - Dandelion TherapiesInstagram - natashapriceauthor Books:- Freedom of the Soul - available on Amazon UK The Red Magus - available on Amazon and Barnes & Noble.

Before I get to the latest episode of Busy Body - News! I'm teaching my signature workshop: Fascia Release™ VIRTUALLY this Saturday Nov 22nd - you can join FROM ANYWHERE IN THE WORLD - just in time to de-stress you before the holiday season officially begins! If you've never engaged with my physical fitness work Enjoy this Free 15 minute preview - you need a foam roller to fully enjoy ❤️Fascia Release™ is a guided self-massage workshop created by me! from many many and ongoing years of study on structural anatomy and how our bodies work so that we may feel better in them. Fascia Release™ decreases chronic tension, pain and gently re-aligns joints and tissue to give you more ease, mobility, pain and injury relief and prevention! I hope you can join me this weekend. If you can't attend live you get 7 days recording access with sign up or join the membership and get full archive access to all past workshops PLUS mini Fascia Release™ modules focused on shoulders, low back, even TMJ and jaw relief, for when you need targeted release on your own time!Now to podcast time! I really loved this conversation - Enjoy ❤️On this episode of Busy Body I got to dive deep on issues that are close to my heart with Writer, Speaker, Activist, Chrissy King. We discuss the commercialization of Body Positivity, the power and importance of Joy in relation to healing body image and even touch on recent celebrity weight-loss stories. We manage to go deep and laugh a lot throughout this conversation, which I think is a testament to us both! I hope you enjoy it as much as I did.Purchase Chrissy's book HEREFind her courses HEREConnect with her on social media HERESubscribe to her fantastic Substack The Body Liberation Collective HEREPlease take a moment to like, share, comment or rate and review this podcast wherever you are listening to it! Doing any of those things help more people to find this pod! Get full access to After Class with Cadence at cadencedubusbrooklynstrength.substack.com/subscribe

We open with community member MiMi, who shares her experience participating in an Eli Lilly Retatrutide clinical trial, offering a rare, real-world look at this next-generation triple-agonist research. From there, we dive into how menopause and perimenopause reshape metabolism with insight from Dr. Komal Patil-Sisodia, an endocrinologist, obesity-medicine specialist, and midlife menopause expert. We explore how HRT and GLP-1 medications support symptoms, weight, and long-term health, what early research suggests about combining them, and why bone density, TMJ, and diabetes risk all matter in midlife care.Follow Mimimimi_in_australiaFollow Dr. Patil drpatilsisodiaSend us Fan Mail! GetClaimable.com/PlusSideZ to appeal your GLP-1 Insurance Denails and use code PlusSideZ to save! Support the showKim Carlos, Executive Producer TikTok https://www.tiktok.com/@dmfkim?is_from_webapp=1&sender_device=pc Instagram https://www.instagram.com/dmfkimonmounjaro?igsh=aDF6dnlmbHBoYmJn&utm_source=qr Kat Carter, Associate Producer TikTok https://www.tiktok.com/@katcarter7?is_from_webapp=1&sender_device=pc Instagram https://www.instagram.com/mrskatcarter?utm_source=ig_web_button_share_sheet&igsh=ZDNlZDc0MzIxNw==

Scrubs and Subpoenas: Missed Diagnoses - Beware of the Anchor SUMMARY: Scrubs and Subpoenas: Missed Diagnosis is a podcast series that explores the critical issue of missed or delayed diagnoses in healthcare, a leading cause of malpractice claims in outpatient settings. Through real-life malpractice cases, this series provides insights into the factors contributing to diagnostic errors and actionable strategies to improve diagnostic accuracy. Each episode serves as a cautionary tale and a guide to fostering a culture of accountability, empathy, and continuous improvement in patient care.      The pain in his jaw is just TMJ, a stress-induced nuisance, right? But as the day goes on and night begins to fall, a misdiagnosis would leave a family shattered and a haunting question: what if the practitioner had done something different? Join Dr. Sally Miller, expert witness, for chilling patient case that will remind us all to beware of the ‘anchor'.   ---Nurses may be able to complete an accredited CE activity featuring content from this podcast and earn CE hours provided from Elite Learning by Colibri Healthcare. For more information, click hereAlready an Elite Member? Login hereLearn more about CE Podcasts from Elite Learning by Colibri HealthcareView this podcast course on Elite LearningSeries: Scrubs and Subpoenas: Missed Diagnoses

In this episode of The Headache Doctor Podcast, Dr. Taves dives into the surprising connection between tinnitus (ear ringing) and the neck. Many people are told their tinnitus is purely an ear problem — but for some, the root cause is actually mechanical and related to the upper cervical spine—the neck.You'll learn:How to identify if your tinnitus changes when you move your neck or jawThe difference between ear-based tinnitus and somatic tinnitusWhy muscle tension, joint stiffness, or previous whiplash injuries can influence ear ringingHow posture and neck mobility affect the nerves that connect to the earSimple steps you can take to reduce ringing naturallyIf your tinnitus seems to come and go — or changes when you move — this episode will help you understand why and what you can do about it.Learn more or schedule a free discovery visit:Novera: Headache Center

On this episode, Dr. Alex and Dr. Priya got together in-studio during this year's ICCMO conference to answer your questions! During this very special face to face edition of the show, Dr. Alex and Dr. Priya dive into how TMD can manifest as seemingly unrelated symptoms, such as Bell's Palsy and chronic headaches caused by hyperactive muscles. They also give some insight into the amazing technological advancements such as T-scan and the K7 unit, incredible tools that are helping us accurately evaluate and correct bite imbalances with high precision. So tune into our yearly trip to ICCMO with another episode breaking down all the things aimed at bringing your body and your bite into harmony!*****Disclaimer*****The information in the "Unclenched" podcast is not diagnostic.The "Unclenched" Podcast and content posted by Dr. Alex and Dr. Priya is presented solely for general informational and educational for the TMJ suffers and health care professionals. The use of information on this podcast or materials linked from this podcast or website is at the user's own risk. The contents of this podcast is not intended to be a substitute for professional dental/ medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical/dental advice for any medical/dental condition they may have and should seek the assistance of their health care professionals for any such conditions.© All materials and information included in this podcast are protected by U.S. and international copyright laws.The materials and information in this podcast are copyrighted by us and/or by other applicable rights holders. You may download a single copy of this podcast for your own personal, noncommercial use only, provided you include all applicable notices and disclaimers. Any other use of the materials and information is strictly prohibited without our prior written permission and the permission of the applicable rights holder(s).

Have you been diagnosed with restless leg syndrome - but the iron pills or medications you've been given for it aren't giving you any relief? Do you struggle with chronic fatigue, and you've been told it's from restless leg syndrome, but nothing you try makes you feel more rested? If you've ever spent nights Googling “restless leg syndrome treatment” or “restless leg syndrome causes,” you know how frustrating RLS is. When I was diagnosed with restless leg syndrome in middle school, I felt the same confusion and frustration about my RLS. I was told it was because I had low iron. I took the supplement, and it maybe helped a little...but I still felt exhausted throughout the day. It wasn't until I became a functional health practitioner that I figured out what was causing my restless leg syndrome - and how to treat restless leg syndrome for myself in a way that actually WORKED. Now - I've found COMPLETE restless leg syndrome relief (which my husband is so grateful for!). And today, I'm going to teach you how you can do the same. In today's episode, we're diving into the real root causes of Restless Leg Syndrome — the ones most doctors never mention. You'll learn how restless leg syndrome connects to your brain, iron levels, airway health, and even your gut health — and what steps you can take to finally find restless leg syndrome relief naturally. Restless leg syndrome isn't random, and you're not stuck with it for forever. It's time to teach you the root cause of restless leg syndrome so that your legs - and your sleep - can finally find some peace. TIMESTAMPS:00:00 - Introduction to Restless Leg Syndrome 00:26 - Allison's Personal Journey with RLS 01:04 - Understanding the Root Causes of RLS 01:37 - Welcome to the Better Belly Podcast 02:48 - Common Misconceptions and Diagnosis 03:33 - Allison's Personal Experience with RLS 06:50 - Theories and Causes of RLS 09:23- Low Iron Levels and RLS 15:12 - Airway Development and RLS 21:27 - Other Contributing Factors to RLS 25:42 - Conclusion and How to Get Help EPISODES MENTIONED:72// Why Your Iron and Vitamin D Are Still Low – Even After Taking Supplements285// 2 Steps to Reversing Your Acid Reflux (for good!)48// Got snoring, sleep apnea, TMJ, or teeth grinding? You may need an Orofacial Myofunctional Therapist! – with Madison Scott, RDH, Myofunctional Therapist HEAL YOUR GUT TODAY!Option #1)

Have you been diagnosed with restless leg syndrome - but the iron pills or medications you've been given for it aren't giving you any relief? Do you struggle with chronic fatigue, and you've been told it's from restless leg syndrome, but nothing you try makes you feel more rested? If you've ever spent nights Googling “restless leg syndrome treatment” or “restless leg syndrome causes,” you know how frustrating RLS is. When I was diagnosed with restless leg syndrome in middle school, I felt the same confusion and frustration about my RLS. I was told it was because I had low iron. I took the supplement, and it maybe helped a little...but I still felt exhausted throughout the day. It wasn't until I became a functional health practitioner that I figured out what was causing my restless leg syndrome - and how to treat restless leg syndrome for myself in a way that actually WORKED. Now - I've found COMPLETE restless leg syndrome relief (which my husband is so grateful for!). And today, I'm going to teach you how you can do the same. In today's episode, we're diving into the real root causes of Restless Leg Syndrome — the ones most doctors never mention. You'll learn how restless leg syndrome connects to your brain, iron levels, airway health, and even your gut health — and what steps you can take to finally find restless leg syndrome relief naturally. Restless leg syndrome isn't random, and you're not stuck with it for forever. It's time to teach you the root cause of restless leg syndrome so that your legs - and your sleep - can finally find some peace. TIMESTAMPS:00:00 - Introduction to Restless Leg Syndrome 00:26 - Allison's Personal Journey with RLS 01:04 - Understanding the Root Causes of RLS 01:37 - Welcome to the Better Belly Podcast 02:48 - Common Misconceptions and Diagnosis 03:33 - Allison's Personal Experience with RLS 06:50 - Theories and Causes of RLS 09:23- Low Iron Levels and RLS 15:12 - Airway Development and RLS 21:27 - Other Contributing Factors to RLS 25:42 - Conclusion and How to Get Help EPISODES MENTIONED:72// Why Your Iron and Vitamin D Are Still Low – Even After Taking Supplements285// 2 Steps to Reversing Your Acid Reflux (for good!)48// Got snoring, sleep apnea, TMJ, or teeth grinding? You may need an Orofacial Myofunctional Therapist! – with Madison Scott, RDH, Myofunctional Therapist HEAL YOUR GUT TODAY!Option #1)

In this episode of The Headache Doctor Podcast, Dr. Taves explores how issues with the jaw and airway can contribute to headaches and migraines. He breaks down how restricted breathing, muscle tension, and misalignment in the jaw and neck can impact the entire headache system — and why these problems often go undiagnosed.Listeners will learn how airway obstruction and jaw tension can affect oxygen flow, stress responses, and nerve sensitivity, all of which may increase headache frequency and intensity. Dr. Taves also shares practical insights on how to identify if jaw or airway dysfunction could be at the root of your headaches and what can be done to address it.If you've ever wondered whether your jaw pain or nighttime breathing issues could be linked to your migraines, this episode is a must-listen.Novera: Headache Center

In this episode of The Root of the Matter, Dr. Rachaele Carver sits down with regenerative medicine pioneer Dr. Jeff Gross, founder of Re-CELLebrate, to explore how stem cells, exosomes, and regenerative therapies are reshaping the future of healing. You'll learn how these tiny cellular messengers help the body repair itself naturally, what they mean for oral health, joint pain, TMJ dysfunction, inflammation, and aging, plus everyday ways to stimulate your own stem cells through fasting, sauna, and mindful living.If you're curious about the science of cellular regeneration, longevity, and whole-body repair, this episode offers both grounded science and real-world hope.Key TopicsWhat stem cells and exosomes are, and how they accelerate healingHow regenerative medicine supports joint, spine, and TMJ healthWhy oral health and blood flow are key to faster recoveryHow to naturally boost stem cell activity with fasting, sauna, and cold therapyThe connection between inflammation, hormones, and agingWhy bone health is often the real root cause behind “arthritis” painThe future of exosome therapy for longevity and anti-aging supportStem cell therapy, exosome therapy, regenerative medicine, natural healing, joint regeneration, oral health, PRF dentistry, TMJ therapy, anti-aging, inflammation reduction, stem cell activation, longevity medicine, holistic dentistry, cellular repair, Dr. Jeff Gross, Dr. Rachaele Carver, Re-CELLebrate, exosome benefits, regenerative dentistry, holistic health podcast.TakeawaysHealing happens when the body remembers how to communicate. Exosomes are those messengers.Blood flow equals life. Support it, don't suppress it.You can activate your own stem cells through rhythm, heat, cold, and rest.Regenerative medicine and holistic dentistry share one truth — the body knows how to heal when you clear the interference.ResourcesGuest: Dr. Jeff Gross, Founder of Re-CELLlebrate — re-cellebrate.co Instagram @recellabrateConnect with Dr. CarverJoin the 6-Week Gum Disease Course: https://reversegumdiseaseinsixweeks.info/optinpageBook Your Personalized Consultation: https://calendly.com/drcarver-1/health-coaching-consult?month=2025-10Disclaimer: This podcast is for educational purposes only. Information discussed is not intended for diagnosis, curing, or prevention of any disease and is not intended to replace advice given by a licensed healthcare practitioner. Before using any products mentioned or attempting methods discussed, please speak with a licensed healthcare provider. This podcast disclaims responsibility from any possible adverse reactions associated with products or methods discussed. Opinions from guests are their own, and this podcast does not condone or endorse opinions made by guests. We do not provide guarantees about the guests' qualifications or credibility. This podcast and its guests may have direct or indirect financial interests associated with products mentioned.

This week, a client of mine in our program, the Better Belly Blueprint, asked me a this question: "Do you have any recommendations on what could be done to improve oral health, as a way to improve general belly health?" With his question, I realized - yes, I do! But I did not have it as a podcast episode. Therefore, on today's episode, I'm sharing my TOP 4 oral health habits I recommend to boost gut health. If you are ready to have the best gut health - and whole body health - of your life, and not waste your time or money on practices that don't matter - this episode is for you. TIMESTAMPS:00:00 - Introduction and Episode Overview 01:38 - The Gut-Mouth Connection Explained 05:08 - Recommendation 1: Address Mouth Breathing 09:36 - Recommendation 2: Work with a Biological Dentist 12:43 - Recommendation 3: Go Beyond Brushing and Flossing 14:20 - Recommendation 4: Look for Root Causes of Poor Oral Health 16:52 - Better Belly Blueprint Program Details 19:56 - Conclusion and Final Thoughts EPISODES MENTIONED:46// The Gut-Breath Connection: How asthma, heart palpitations, constipation, IBS, and acid reflux are ALL connected47// The Gut-Sinus Connection45// The Gut-Skin Connection: Is your gut flaring up your skin?42// 6 Secrets Your Sleep Can Tell You About Your Gut139// The Autoimmune Disease-Gut Connection: End Flareups89// The Gut-Allergy Connection41// Anxiety, depression, or ADHD? One reason to check your gut48// Got snoring, sleep apnea, TMJ, or teeth grinding? You may need an Orofacial Myofunctional Therapist! – with Madison Scott, RDH, Myofunctional TherapistListen to our pathogen series:​233// H. Pylori Episode: Symptoms of H. Pylori, How to Interpret H. Pylori Test Results, and Why H. Pylori Treatments Fail​​234// The Candida Episode: Symptoms of Candida Overgrowth, How to Test for Candida, and Why the Candida Diet and Candida Cleanses Don't Work

Episode Summary: Have you ever found yourself saying yes when you really wanted to say no? Or have you ever felt overwhelmed and exhausted because you were trying to meet everyone else’s expectations? If so, you are not alone. In recognition of National Stress Awareness Day, today, we’re going to explore how to move from overwhelmed to overjoyed by learning to say no without feeling guilty. We’ll dive into Scripture, explore research on overcommitment, and I’ll share five practical ways to set God-honoring boundaries. Quotables from the episode: Many of us, especially as women, have been taught that saying yes is the godly thing to do. We associate busyness with productivity, and productivity with worth. But the truth is, constantly saying yes can leave us drained, distracted, and distant from God’s best for us. For many years, I said “Yes” every time something was asked of me because I believed it was the godly response. Until God impressed upon my heart that he never told me to do that much, and had I sought him for wisdom, He would have readily guided my path! That was totally on me, but God was so gentle in getting my attention. Psychologists have long studied the effects of people-pleasing and overcommitment. Research from the American Psychological Association shows that chronic overcommitment leads to stress, anxiety, and even depression. Emotionally, people-pleasers often struggle with self-worth, believing their value is tied to what they do for others rather than who they are in Christ. Chronic Overcommitment and Overwhelm Chronic overcommitment and overwhelm can take a serious toll on physical health, leading to conditions such as: Adrenal Fatigue & Hormonal Imbalance – Constant stress can dysregulate cortisol levels, leading to exhaustion, brain fog, and difficulty managing emotions. Cardiovascular Issues – Chronic stress increases blood pressure, heart rate, and inflammation, raising the risk of heart disease, hypertension, and stroke. Weakened Immune System – Prolonged stress suppresses immune function, making the body more susceptible to infections and slower to heal. Gastrointestinal Problems – Overwhelm can contribute to acid reflux, irritable bowel syndrome (IBS), ulcers, and digestive issues. Chronic Pain & Inflammation – Stress triggers inflammation, which can exacerbate conditions like fibromyalgia, arthritis, and migraines. Sleep Disorders – Overcommitment often leads to insomnia, poor sleep quality, and chronic fatigue. Weight Gain or Loss – Stress-related eating patterns can lead to unhealthy weight fluctuations, metabolic dysfunction, and insulin resistance. Muscle Tension & Headaches – Persistent stress can cause tight muscles, tension headaches, and even TMJ (jaw pain from clenching). Burnout & Mental Fog – Long-term overwhelm can impair cognitive function, reducing focus, memory, and decision-making ability. Autoimmune Disorders – Chronic stress has been linked to the development or worsening of autoimmune diseases such as lupus, rheumatoid arthritis, and multiple sclerosis. Managing stress through rest, boundaries, and self-care isn’t just about mental well-being; it’s essential for physical health. Jesus himself set boundaries. In Luke 5:16, we read, “But Jesus often withdrew to lonely places and prayed.” He didn’t heal every person or meet every need. He sought the Father’s will first. If Jesus set boundaries, then we should, too. Addressing the spiritual and scientific aspects of restoration To counteract the physical effects of chronic overcommitment and overwhelm, we must address both the spiritual and scientific aspects of restoration. Here’s how: Prioritizing Rest & Sabbath (Biblical & Scientific) Biblical Insight: God modeled rest in Genesis 2:2-3, and Jesus regularly withdrew to quiet places (Mark 6:31). Sabbath isn’t just a suggestion; it’s a command for our well-being (Exodus 20:8-10). Science: Rest lowers cortisol, improves immune function, and enhances brain health. Sleep is crucial for memory consolidation and physical repair. Application: Schedule intentional rest. Guard your Sabbath. Ensure 7-9 hours of sleep. Setting Boundaries to Prevent Overcommitment Biblical Insight: Even Jesus set boundaries—He didn’t heal everyone at once and took time alone with the Father (Luke 5:16). Proverbs 4:23 reminds us to guard our hearts, which includes protecting our time and energy. Science: Chronic stress leads to burnout, weakened immunity, and heart disease. Learning to say “no” prevents emotional and physical depletion. Application: Use discernment in commitments. Before saying “yes,” ask: Does this align with God’s will? Is this sustainable? Engaging in Mind-Body Renewal Biblical Insight: Romans 12:2 encourages us to renew our minds. Philippians 4:8 tells us to focus on what is pure and lovely. Science: Practices like deep breathing, exercise, and gratitude shift the brain out of stress mode, improving mental clarity and resilience. Application: Try breath prayers (e.g., inhale “Be still,” exhale “and know that I am God”; inhale “I trust you, God,” exhale “in all things.”). Move daily to reduce inflammation and boost mood. Nourishing the Body & Mind Biblical Insight: Daniel chose healthy foods and was stronger than those indulging in excess (Daniel 1:12-15). Our bodies are temples of the Holy Spirit (1 Corinthians 6:19-20). Science: Whole foods reduce inflammation, regulate blood sugar, and protect against stress-related illnesses. Application: Eat nutrient-dense foods, stay hydrated, and avoid excess caffeine or sugar that heightens stress responses. Seeking Community & Support Biblical Insight: Ecclesiastes 4:9-10 teaches that two are better than one. We weren’t designed to carry burdens alone (Galatians 6:2). Science: Social connection lowers stress hormones, strengthens immunity, and increases resilience. Application: Surround yourself with godly counsel. Delegate. Accept help. Community is part of God’s design for our well-being. Releasing Control & Trusting God Biblical Insight: Jesus said, “Come to me, all who are weary… and I will give you rest” (Matthew 11:28). Trusting God’s sovereignty brings peace (Isaiah 26:3). Science: Chronic stress stems from feeling out of control. Releasing worries to God reduces anxiety, lowers blood pressure, and improves mental health. Application: Regularly surrender your burdens to God. Journal prayers. Meditate on Scriptures about His faithfulness. By aligning our lives with God’s rhythms and applying scientific wisdom, we can reduce overwhelm and prevent burnout and experience lasting peace. Practical Tips for How to Set Healthy, God-Honoring Boundaries Recognize that “No” is a Complete Sentence You don’t need to over-explain or justify your decision. Jesus simply said “yes” or “no” (Matthew 5:37). When we recognize that saying no is a way to honor God’s best for us, we can do so with confidence. Pray Before You Commit Proverbs 3:5-6 reminds us, “Trust in the Lord with all your heart and lean not on your own understanding; in all your ways submit to him, and he will make your paths straight. ”Before saying yes to anything, take a moment to pray and ask, Is this God’s best for me in this season? Set Priorities Based on God’s Calling Ephesians 2:10 tells us that we are created for good works that God prepared in advance for us. This means that we are not called to do everything—only what He has specifically prepared for us. Identify what God is calling you to do in this season and let that guide your commitments. Understand That Saying No Opens the Door for God’s Yes When we fill our schedules with obligations, we leave no room for the divine appointments God has for us. Saying no creates margin for God’s greater yes. Isaiah 30:21 says, “Whether you turn to the right or to the left, your ears will hear a voice behind you, saying, ‘This is the way; walk in it.’” Practice Saying No with Grace and Love You can say no in a way that honors both God and the other person. Here are a few ways: “Thank you for thinking of me, but I can’t commit to that right now.” “I appreciate the opportunity, but I need to focus on what God has called me to in this season.” “I’d love to help another time, but my plate is full right now.” Encouraging Scripture to Empower You: Learning to say no without feeling guilty Galatians 1:10 – “Am I now trying to win the approval of human beings, or of God? Or am I trying to please people? If I were still trying to please people, I would not be a servant of Christ.” Matthew 11:28-30 – Jesus calls us to rest in Him, not to take on every burden. Psalm 46:10 – “Be still, and know that I am God.” Sometimes, God’s best for us is rest. Ecclesiastes 3:1 – “There is a time for everything, and a season for every activity under the heavens.” We must discern what is right for this season. Colossians 3:23 – “Whatever you do, work at it with all your heart, as working for the Lord, not for human masters.” Our commitments should be done with joy and purpose, not guilt. Scripture References: Luke 5:16 “But Jesus often withdrew to lonely places and prayed.” Galatians 1:10 “Am I now trying to win the approval of human beings, or of God? Or am I trying to please people? If I were still trying to please people, I would not be a servant of Christ.” Matthew 11:28-30 Jesus calls us to rest in Him, not to take on every burden. Psalm 46:10 “Be still, and know that I am God.” Sometimes, God’s best for us is rest. Ecclesiastes 3:1 “There is a time for everything, and a season for every activity under the heavens.” We must discern what is right for this season. Colossians 3:23 “Whatever you do, work at it with all your heart, as working for the Lord, not for human masters.” Our commitments should be done with joy and purpose, not guilt. Saying no is not a rejection of others—it is a way of saying yes to what God has planned for you. You don’t have to live overwhelmed and exhausted. You can move from overcommitted to overjoyed by setting God-honoring boundaries. I encourage you this week to pray over your commitments. Ask God to show you where you need to say no so you can say yes to His best. If today’s episode resonated with you, share it with a friend who needs encouragement in this area. And as always, if you need more hope-filled encouragement, visit my website DrMichelleB.com or connect with me on social media. If you know someone who routinely falls prey to people-pleasing, or is feeling overwhelmed, please consider sharing this episode with them to offer a biblically-based hope-filled perspective. Recommended Resources: Sacred Scars: Resting in God’s Promise That Your Past Is Not Wasted by Dr. Michelle Bengtson The Hem of His Garment: Reaching Out To God When Pain Overwhelms by Dr. Michelle Bengtson, winner AWSA 2024 Golden Scroll Christian Living Book of the Year and the 2024 Christian Literary Awards Reader’s Choice Award in the Christian Living and Non-Fiction categories YouVersion 5-Day Devotional Reaching Out To God When Pain Overwhelms Today is Going to be a Good Day: 90 Promises from God to Start Your Day Off Right by Dr. Michelle Bengtson, AWSA Member of the Year, winner of the AWSA 2023 Inspirational Gift Book of the Year Award, the 2024 Christian Literary Awards Reader’s Choice Award in the Devotional category, the 2023 Christian Literary Awards Reader’s Choice Award in four categories, and the Christian Literary Awards Henri Award for Devotionals YouVersion Devotional, Today is Going to be a Good Day version 1 YouVersion Devotional, Today is Going to be a Good Day version 2 Revive & Thrive Women’s Online Conference Revive & Thrive Summit 2 Trusting God through Cancer Summit 1 Trusting God through Cancer Summit 2 Breaking Anxiety’s Grip: How to Reclaim the Peace God Promises by Dr. Michelle Bengtson, winner of the AWSA 2020 Best Christian Living Book First Place, the first place winner for the Best Christian Living Book, the 2020 Carolina Christian Writer’s Conference Contest winner for nonfiction, and winner of the 2021 Christian Literary Award’s Reader’s Choice Award in all four categories for which it was nominated (Non-Fiction Victorious Living, Christian Living Day By Day, Inspirational Breaking Free and Testimonial Justified by Grace categories.) YouVersion Bible Reading Plan for Breaking Anxiety’s Grip Breaking Anxiety’s Grip Free Study Guide Free PDF Resource: How to Fight Fearful/Anxious Thoughts and Win Hope Prevails: Insights from a Doctor’s Personal Journey Through Depression by Dr. Michelle Bengtson, winner of the Christian Literary Award Henri and Reader’s Choice Award Hope Prevails Bible Study by Dr. Michelle Bengtson, winner of the Christian Literary Award Reader’s Choice Award Free Webinar: Help for When You’re Feeling Blue Social Media Links for Host: For more hope, stay connected with Dr. Bengtson at: Order Book Sacred Scars / Order Book The Hem of His Garment / Order Book Today is Going to be a Good Day / Order Book Breaking Anxiety’s Grip / Order Book Hope Prevails / Website / Blog / Facebook / Twitter (@DrMBengtson) / LinkedIn / Instagram / Pinterest / YouTube / Podcast on Apple Hosted By: Dr. Michelle Bengtson Audio Technical Support: Bryce Bengtson Discover more Christian podcasts at lifeaudio.com and inquire about advertising opportunities at lifeaudio.com/contact-us.

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

On this episode, Dr. Alex and Dr. Priya are back to take your questions on the "CSI of TMJ!" Find out how issues like headaches, neck pain, and ear ringing are related to TMJ, how they can be treated. Dr. Alex and Dr. Priya also share their own experiences with addressing these various TMJ related issues. If you experience any of the symptoms your fellow viewers/listeners are asking about, then this is another Q&A episode that you won't want to miss!*****Disclaimer*****The information in the "Unclenched" podcast is not diagnostic.The "Unclenched" Podcast and content posted by Dr. Alex and Dr. Priya is presented solely for general informational and educational for the TMJ suffers and health care professionals. The use of information on this podcast or materials linked from this podcast or website is at the user's own risk. The contents of this podcast is not intended to be a substitute for professional dental/ medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical/dental advice for any medical/dental condition they may have and should seek the assistance of their health care professionals for any such conditions.© All materials and information included in this podcast are protected by U.S. and international copyright laws.The materials and information in this podcast are copyrighted by us and/or by other applicable rights holders. You may download a single copy of this podcast for your own personal, noncommercial use only, provided you include all applicable notices and disclaimers. Any other use of the materials and information is strictly prohibited without our prior written permission and the permission of the applicable rights holder(s).

Puberty often begins earlier than most parents expect and shows up in subtle, easily missed ways. In this episode, we speak with bestselling author and pediatrician Dr. Cara Natterson to demystify the emotional, social, and physical changes boys go through during puberty. We discuss what early signs to watch for, why silence is often mistaken for disconnection, and how to keep communication open even when your child begins pulling away. You'll learn what puberty really looks like (hint: it doesn't start with facial hair), how hormones affect boys differently than girls, and what parents can do to build trust, connection, and confidence through this critical phase. Dr. Cara offers practical strategies for discussing sensitive topics, such as body changes, screen use, and emotional outbursts, without awkwardness or shame. Whether your child is 5 or 15, this episode will equip you with the knowledge and reassurance to support them with compassion and clarity as they grow. Topics Covered In This Episode: Signs of early puberty in boys that parents often miss Emotional regulation and mood swings in tween boys Why boys go silent and how to reconnect How to talk about body changes without awkwardness Creating safe boundaries while honoring privacy Show Notes: Learn more about Less Awkward Listen to This is So Awkward Podcast Read This Is So Awkward: Modern Puberty Explained  Follow @CaraNatterson on Instagram Click here to learn more about Dr. Elana Roumell's Doctor Mom Membership, a membership designed for moms who want to be their child's number one health advocate! Click here to learn more about Steph Greunke, RD's online nutrition program and community, Postpartum Reset, an intimate private community and online roadmap for any mama (or mama-to-be) who feels stuck, alone, and depleted and wants to learn how to thrive in motherhood. Listen to today's episode on our website Caitlyn earned her degree in Dental Hygiene in 2016 from West Los Angeles College after almost a decade in the dental field as a dental assistant in Southern California. In 2020, Caitlyn and her family moved to the Treasure Valley in the beautiful state of Idaho. She has years of experience working in Conventional, Integrative and Airway focused dentistry. Caitlyn is passionate about early identification of craniofacial growth and jaw development deficiencies in children. These negative growth patterns can have profound effects on sleep, breathing and the TMJ into adulthood. Caitlyn believes that Myofunctional therapy is one of the most underutilized treatment modalities in dentistry. Her goal as a therapist is to bridge the gap between oral and systemic health with a focus on nasal breathing, tongue posture, correct swallow and lip seal. She is passionate about encouraging proper craniofacial growth in children and supporting breathing and sleep optimization in all ages. This Episode's Sponsors  Enjoy the health benefits of PaleoValley's products such as their supplements, superfood bars and meat sticks.  Receive 15% off your purchase by heading to paleovalley.com/doctormom  Discover for yourself why Needed is trusted by women's health practitioners and mamas alike to support optimal pregnancy outcomes. Try their 4 Part Complete Nutrition plan which includes a Prenatal Multi, Omega-3, Collagen Protein, and Pre/Probiotic. To get started, head to thisisneeded.com, and use code DOCTORMOM20 for 20% off Needed's Complete Plan! Active Skin Repair is a must-have for everyone to keep themselves and their families healthy and clean.  Keep a bottle in the car to spray your face after removing your mask, a bottle in your medicine cabinet to replace your toxic first aid products, and one in your outdoor pack for whatever life throws at you.  Use code DOCTORMOM to receive 20% off your order + free shipping (with $35 minimum purchase). Visit BLDGActive.com to order. INTRODUCE YOURSELF to Steph and Dr. Elana on Instagram. They can't wait to meet you! @stephgreunke @drelanaroumell Please remember that the views and ideas presented on this podcast are for informational purposes only.  All information presented on this podcast is for informational purposes and not intended to serve as a substitute for the consultation, diagnosis, and/or medical treatment of a healthcare provider. Consult with your healthcare provider before starting any diet, supplement regimen, or to determine the appropriateness of the information shared on this podcast, or if you have any questions regarding your treatment plan.

THIS WEEKS WRAP UP:  00:00:00 Introduction + Emily's TMJ update 00:11:20:00 Wendy and Eddie Osefo fraud charges 00:29:59:03 Ellen Greenberg case 00:53:28:35 Yogurt Shop Murders solved 01:01:59:02 RHOSLC Season 6 Episode 4 recap SPONSOR: Goldbelly For the foodies in your life, go to https://goldbelly.com and get 20% off your first order with promo code SHESPEAKS SPONSOR: Quince Find all your staples at Quince. Go to https://quince.com/shespeaks  for free shipping on and 365-day returns Now available in Canada, too. SPONSOR: Happy Mammoth Try the Prebiotic Collagen Protein and Hormone Harmony risk-free AND get 15% off your entire first order! Go to https://happymammoth.com and use code SHESPEAKS at checkout SPONSOR: Knix Get leakproof undies, amazing bras, and more at https://knix.com and use code SHESPEAKS for 20% off your order SPONSOR: Fabletics My favorite active wear ever! Go to https://fabletics.com/shespeaks and sign up as a VIP because you get 80% off everything! JOIN THE SHE'S SPEAKING PATREON! https://www.patreon.com/shesspeaking Summer House, Southern Charm, and more exclusive content! SUBSCRIBE TO MY YOUTUBE CHANNEL -  https://www.youtube.com/channel/UCxspMsBruMQjN265ZGNoV1A BUY ME A COFFEE - https://www.buymeacoffee.com/shesspeaking FOLLOW ME ON SOCIAL: @shesspeakingwithemilyhanks Instagram - https://www.instagram.com/shesspeakingwithemilyhanks TikTok - https://www.tiktok.com/@shesspeakingwithemily Threads - https://www.threads.net/@shesspeakingwithemilyhanks I Ken Not with Kendrick Tucker available everywhere you listen https://podcasts.apple.com/us/podcast/i-ken-not-with-kendrick-tucker/id1525311067?i=1000653884007 Follow Kendrick on IG and Threads - @withkendricktucker https://www.instagram.com/withkendricktucker/ Buy Kendrick a Beer - https://buymeacoffee.com/realitycomics2  Learn more about your ad choices. Visit megaphone.fm/adchoices

THIS WEEKS WRAP UP: 00:00:00 Introduction + Emily's TMJ revelation 00:20:02 Cardi vs Nicki - Kendrick's dramatic reading 00:30:40 RHOSLC Season 6 Episode 3 recap I Ken Not with Kendrick Tucker available everywhere you listen https://podcasts.apple.com/us/podcast/i-ken-not-with-kendrick-tucker/id1525311067?i=1000653884007 Follow Kendrick on IG and Threads - @withkendricktucker https://www.instagram.com/withkendricktucker/ Buy Kendrick a Beer - https://buymeacoffee.com/realitycomics2  JOIN THE SHE'S SPEAKING PATREON! https://www.patreon.com/shesspeaking Summer House, Southern Charm, and more exclusive content! SUBSCRIBE TO MY YOUTUBE CHANNEL -  https://www.youtube.com/channel/UCxspMsBruMQjN265ZGNoV1A BUY ME A COFFEE - https://www.buymeacoffee.com/shesspeaking FOLLOW ME ON SOCIAL: @shesspeakingwithemilyhanks Instagram - https://www.instagram.com/shesspeakingwithemilyhanks TikTok - https://www.tiktok.com/@shesspeakingwithemily Threads - https://www.threads.net/@shesspeakingwithemilyhanks Learn more about your ad choices. Visit megaphone.fm/adchoices

In this throwback episode Zach and Kevin feature Dr. Bob Convissar, a pioneer in laser dentistry with over 32 years of experience. He's a prolific author, lecturer, and practitioner who began his career after graduating from NYU in 1980 and acquiring a unique, century-old dental practice in New York City The main topic is the ABC's of Laser Dentistry, starting with a critical distinction between true lasers (like CO2​ and Erbium) and devices often called lasers but primarily used as hot glass tips (like diodes). Bob explains that diodes, which can operate at extremely high temperatures (750∘C to 1500∘C), work thermally, creating a burn, while CO2​ and Erbium lasers are absorbed by the water in soft tissue and vaporize it at 100∘C. He emphasizes that the CO2​ laser is the best option for general dentists doing soft tissue work, as it creates a much smaller zone of necrosis (thermal damage) than ElectroSurge or diode lasers, leading to better healing. He also offers a crucial financial perspective, arguing that while a CO2​ laser may have a higher initial purchase price (around $30,000), its lack of expensive disposable tips makes it a more cost-effective long-term investment than a cheaper diode laser (like a Picasso) with high operating expenses (potentially $18,000 in tips per year). For a multi-faceted approach, he recommends dentists invest in a CO2​ laser, a modern air abrasion unit, and a Photobiomodulation (PBM) laser (around $2,000 to $3,000). PBM lasers are purely palliative and can be used for pain management, like treating TMJ issues or for analgesia on deciduous teeth, and for promoting healing after invasive procedures. Finally, Bob stresses that the most crucial factor in laser dentistry is training, advising listeners that any course focusing on only one manufacturer or wavelength is likely a sales pitch, not a comprehensive educational seminar. He promotes his widely used textbook, Principles and Practice of Laser Dentistry   Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy," "Lipscomb" or "Gary!" The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! -- Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code “VERYDENTAL10” you'll get another 10% off your order! Go save yourself some money and support the show all at the same time! -- The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! -- Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! -- CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!      

"Futility" It's true--the last time I saw Sandy Smallens was in the spring of 1989 when his band Too Much Joy came to the campus radio station to play on my weekly show. The band were incredibly cool and I've never forgotten that they took the time to traipse into the East Bay hills to get to my school and how nice they were. They even played an unrehearsed acoustic version of Clowns at my request, which was awesome. I'd play it for you now, but guess what? After the band left, I took out the tape and found that I hadn't hit record. It's bothered me for years. At any rate, Too Much Joy and Wonderlick which is Tim and Jay from TMJ, have a lot of news coming out their camp, so they do come up a bit in this chat, but really, the focus here is on Sandy's other band Surface Wound. Informed by the undulating jagged basslines of bands like Gang Of Four and Wire, Surface Wound's new album Futility is a riveting blast of post-punk magic. The Scarsdale-raised, Yale-educated Smallens played football in high school and as a result his bass playing has a real athleticism to it and not only that, but his voice has never sounded better. Filled with prowling basslines and muscular hooks, Futility is filled with fight songs for desperate times. Sandy Smallens is a busy guy--he's in a bunch of bands, he hosts the Four Strings And The Truth podcast and as the guy who launched Spotify's original content department, he now runs the podcast company Audiation. Not only that, but he's a massive supporter of the arts . And, he's one of the nicest guys around. www.surfacewound.bandcamp.com Sandy Smallens' podcast: Four Chords And The Truth Podcast: https://pod.link/1733284004 www.bombshellradio.com (http://www.bombshellradio.com) www.stereoembersmagazine.com www.alexgreenbooks.com BLUESKY + IG: @emberspodcast Email: editor@stereoembersmagazine.com

On today's show, we chat with Jenn Chenoweth!South Florida-based singer/songwriter and SEU Worship alum Jenn Chenoweth about her debut EP, Out To Get Me. The autobiographical project released August 29th!The daughter of a pastor, Jenn was raised with a firm foundation of faith, but she grappled with anxiety and low self-esteem for many years and struggled to view God as a loving father. In addition, in 2019 her jaw unexpectedly locked open while she was eating lunch one day. This triggered constant chronic pain for nearly two years as Jenn received various treatments for TMJ disorder. Through this lengthy healing process, God began to reveal even greater depths of His love for her, rekindling Jenn's passion to proclaim His goodness through music. The EP title, Out To Get Me, reflects Jenn's ultimate realization that God wasn't out to get her like a taskmaster, but He was out to get her and bring her to Him—a loving Father, Shepherd and Friend.@jennchenowethchristianmusicguys.com@christianmusicguys

Two Iranian dentists who took the scenic route to British dentistry, Sara Khandan and Mahan Mohaghegh's story reads like a masterclass in adaptability. From Tehran to Debrecen University in Hungary, then straight into the UK without ever having set foot in the country before, their journey showcases both the challenges and rewards of international dental careers. Now transitioning from NHS to private practice, they share candid insights about navigating visa dependencies, cultural differences between healthcare systems, and why being top of your class doesn't guarantee an easy path. Their conversation reveals how different countries approach dentistry, from Hungary's more invasive techniques to the UK's preventive focus, and why sometimes the most circuitous routes lead to the most rewarding destinations.In This Episode00:01:15 - Arriving in the UK without ever having visited before00:03:30 - Why they chose Hungary for dental education over Iran00:05:30 - First impressions of Hungary and cultural differences00:08:25 - Military service requirements forcing early departure from Iran00:10:15 - Financial challenges of studying abroad00:13:10 - Hungarian education system: oral exams and luck factors00:17:00 - Working in Hungary's NHS-equivalent system00:19:15 - Cultural differences: Eastern European "egg" vs Western "peach"00:25:15 - The decision to move to the UK post-Brexit00:29:50 - Landing NHS jobs sight unseen00:34:10 - Learning UK dentistry systems and mentorship importance00:38:30 - NHS complaint system challenges00:40:25 - The band system frustrations00:43:25 - Visa dependency limiting job opportunities00:47:00 - Transition to private practice00:52:55 - Future aspirations: cosmetics vs surgical specialisation00:59:15 - Darkest day: fear and uncertainty in early UK days01:03:25 - Blackbox thinking01:06:40 - TMJ dislocation during extraction01:10:25 - Being top of class vs visa reality check01:14:20 - Best dental lectures and mentorship value01:18:20 - Fantasy dinner party01:20:55 - Last days and legacyAbout Sara Khandan and Mahan MohagheghSara Khandan and Mahan Mohaghegh are Iranian-born dentists who graduated from the University of Debrecen in Hungary before relocating to the UK. After three years of practice in Hungary's public healthcare system, they moved to the UK and completed two and a half years in the NHS before transitioning to private practice. Sara is pursuing advanced cosmetic dentistry training, whilst Mahan is focusing on surgical procedures and implant dentistry. Both are planning to eventually open their own practice within the next five to six years.

Early airway health can shape your child's long-term development more than you think. In this episode, myofunctional therapist and dental hygienist Caity Hart joins me to break down what parents need to know about expanders, guided growth appliances and how the mouth and airway are connected. We explore how structural oral issues like crowded teeth, mouth breathing and tongue posture can influence sleep, behavior and even facial development. Caity explains the difference between fixed and removable expanders, how to know if your child is a candidate and the importance of early assessment. We also talk about what to expect during treatment, how bodywork supports the process and why nasal breathing is a key to lifelong health. This conversation is packed with empowering insights for parents who want to be proactive, not reactive, when it comes to their child's oral and airway development. Whether you're concerned about snoring, teeth grinding or just want to get ahead of orthodontic issues, this episode will guide you with clarity, confidence and compassion. Topics Covered In This Episode: Myofunctional therapy and oral development Signs your child may need an expander Skeletal expansion and nasal breathing Early airway assessment for children How to choose the right dental appliance Show Notes: Follow Caity @mindfulmyo/ on Instagram Visit Mindful Myo Read Management of the Developing Dentition and Occlusion in Pediatric Dentistry article Read The Role of Myofunctional Therapy in Pediatric Dentistry article Click here to learn more about Dr. Elana Roumell's Doctor Mom Membership, a membership designed for moms who want to be their child's number one health advocate! Click here to learn more about Steph Greunke, RD's online nutrition program and community, Postpartum Reset, an intimate private community and online roadmap for any mama (or mama-to-be) who feels stuck, alone, and depleted and wants to learn how to thrive in motherhood. Listen to today's episode on our website Caitlyn earned her degree in Dental Hygiene in 2016 from West Los Angeles College after almost a decade in the dental field as a dental assistant in Southern California. In 2020, Caitlyn and her family moved to the Treasure Valley in the beautiful state of Idaho. She has years of experience working in Conventional, Integrative and Airway focused dentistry. Caitlyn is passionate about early identification of craniofacial growth and jaw development deficiencies in children. These negative growth patterns can have profound effects on sleep, breathing and the TMJ into adulthood. Caitlyn believes that Myofunctional therapy is one of the most underutilized treatment modalities in dentistry. Her goal as a therapist is to bridge the gap between oral and systemic health with a focus on nasal breathing, tongue posture, correct swallow and lip seal. She is passionate about encouraging proper craniofacial growth in children and supporting breathing and sleep optimization in all ages. This Episode's Sponsors  Enjoy the health benefits of PaleoValley's products such as their supplements, superfood bars and meat sticks.  Receive 15% off your purchase by heading to paleovalley.com/doctormom  Discover for yourself why Needed is trusted by women's health practitioners and mamas alike to support optimal pregnancy outcomes. Try their 4 Part Complete Nutrition plan which includes a Prenatal Multi, Omega-3, Collagen Protein, and Pre/Probiotic. To get started, head to thisisneeded.com, and use code DOCTORMOM20 for 20% off Needed's Complete Plan! Active Skin Repair is a must-have for everyone to keep themselves and their families healthy and clean.  Keep a bottle in the car to spray your face after removing your mask, a bottle in your medicine cabinet to replace your toxic first aid products, and one in your outdoor pack for whatever life throws at you.  Use code DOCTORMOM to receive 20% off your order + free shipping (with $35 minimum purchase). Visit BLDGActive.com to order. INTRODUCE YOURSELF to Steph and Dr. Elana on Instagram. They can't wait to meet you! @stephgreunke @drelanaroumell Please remember that the views and ideas presented on this podcast are for informational purposes only.  All information presented on this podcast is for informational purposes and not intended to serve as a substitute for the consultation, diagnosis, and/or medical treatment of a healthcare provider. Consult with your healthcare provider before starting any diet, supplement regimen, or to determine the appropriateness of the information shared on this podcast, or if you have any questions regarding your treatment plan.

On this episode, Dr. Alex and Dr. Priya welcome Dr. Komal Patil-Sisodia, an endocrinologist (and Dr. Priya's sister) for a detailed discussion on the impact of hormones on health.*****Disclaimer*****The information in the "Unclenched" podcast is not diagnostic.The "Unclenched" Podcast and content posted by Dr. Alex and Dr. Priya is presented solely for general informational and educational for the TMJ suffers and health care professionals. The use of information on this podcast or materials linked from this podcast or website is at the user's own risk. The contents of this podcast is not intended to be a substitute for professional dental/ medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical/dental advice for any medical/dental condition they may have and should seek the assistance of their health care professionals for any such conditions.© All materials and information included in this podcast are protected by U.S. and international copyright laws.The materials and information in this podcast are copyrighted by us and/or by other applicable rights holders. You may download a single copy of this podcast for your own personal, noncommercial use only, provided you include all applicable notices and disclaimers. Any other use of the materials and information is strictly prohibited without our prior written permission and the permission of the applicable rights holder(s).

Dr. Audrey Kershaw returns to chat with Dr. Linda Bluestein and demystify wisdom tooth extraction, appliances for TMJ disorder, and everyday oral health habits for people with EDS/HSD. We cover when third molars should be removed (and when they shouldn't), why local anesthetic can fail in some patients, how to approach dental procedures when CCI (craniocervical instability) is a concern, and what truly drives gum disease vs “EDS-specific” issues. We also address periodontal EDS (a rare subtype), toothpaste choices (fluoride vs hydroxyapatite vs chelators), and the surprisingly powerful habit of “spit, don't rinse.” Stay to the end for practical Hypermobility Hacks you can implement tonight. Takeaways Is wisdom teeth surgery happening too often… or dangerously too late? What if the biggest risk during oral surgery isn't the tooth—but how your neck is positioned? Why do some people with EDS feel every cut and drill—even after “getting numb”? Could one cheap hack—“spit, don't rinse”—protect your teeth better than $30 toothpaste? Are sharks hiding the secret to stronger enamel in your bathroom cabinet? Find the episode transcript here. References: 2012 Paper- The effects of NICE guidelines on the management of third molar teeth: https://pubmed.ncbi.nlm.nih.gov/22955790/ 2020 RCS Guidelines on Third Molars: https://www.rcseng.ac.uk/-/media/files/rcs/fds/guidelines/3rd-molar-guidelines--april-2021-v2.pdf AAOMS Guidelines on Third Molar Management: https://aaoms.org/wp-content/uploads/2024/03/management_third_molar_white_paper.pdf Bendy Bodies Podcast on Preparing for Surgery with Linda Bluestein, MD: https://www.bendybodiespodcast.com/58-preparing-for-surgery-with-linda-bluestein-md/ GIRFT RCS TMD Document: Comprehensive-guideline-Management-of-painful-Temporomandibular-disorder-in-adults-March-2024.pdf Dr. Mike Harrison's Talk on EDS Support UK: https://www.ehlers-danlos.org/information/webinar-with-dr-mike-harrison-on-why-dental-issues-occur-with-connective-tissue-disorder/ EDS and Dental Issues Talk by Ines and Ulrike: https://www.youtube.com/watch?v=Lsf0YEeps5c&t=65s EDS Society on Periodontal EDS: https://www.ehlers-danlos.com/peds/ Austrian Conversation on pEDS (PubMed): https://pubmed.ncbi.nlm.nih.gov/28836281/ Genetics Home Reference on Ehlers-Danlos Syndrome: https://ghr.nlm.nih.gov/condition/ehlers-danlos-syndrome#statistics Perioperative Care in Patients with Ehlers Danlos Syndromes (SCIRP): https://www.scirp.org/journal/paperinformation?paperid=97524 Want more Dr. Audrey Kershaw? Facebook: ⁠https://www.facebook.com/audrey.kershaw.3⁠ Want more Dr. Linda Bluestein, MD? Website:  ⁠⁠https://www.hypermobilitymd.com/⁠⁠. YouTube: ⁠⁠⁠youtube.com/@bendybodiespodcast⁠⁠⁠  Instagram: ⁠⁠⁠https://www.instagram.com/hypermobilitymd/⁠⁠⁠  Facebook: ⁠⁠⁠https://www.facebook.com/BendyBodiesPodcast⁠⁠⁠  X: ⁠⁠⁠https://twitter.com/BluesteinLinda⁠⁠⁠  LinkedIn: ⁠⁠⁠https://www.linkedin.com/in/hypermobilitymd/⁠⁠⁠  Newsletter: ⁠⁠⁠https://hypermobilitymd.substack.com/⁠⁠⁠ Shop my Amazon store ⁠⁠⁠https://www.amazon.com/shop/hypermobilitymd⁠⁠ To check out all of my favorite products, please click on this link: ⁠⁠https://www.hypermobilitymd.com/productswelove Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them. Join YOUR Bendy Bodies community at ⁠⁠https://www.bendybodiespodcast.com/⁠⁠. YOUR bendy body is our highest priority!⁠⁠ Learn more about Human Content at ⁠⁠⁠http://www.human-content.com⁠⁠⁠ Podcast Advertising/Business Inquiries: ⁠⁠⁠sales@human-content.com⁠⁠⁠ Part of the Human Content Podcast Network FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Audrey Kershaw returns to chat with Dr. Linda Bluestein and demystify wisdom tooth extraction, appliances for TMJ disorder, and everyday oral health habits for people with EDS/HSD. We cover when third molars should be removed (and when they shouldn't), why local anesthetic can fail in some patients, how to approach dental procedures when CCI (craniocervical instability) is a concern, and what truly drives gum disease vs “EDS-specific” issues. We also address periodontal EDS (a rare subtype), toothpaste choices (fluoride vs hydroxyapatite vs chelators), and the surprisingly powerful habit of “spit, don't rinse.” Stay to the end for practical Hypermobility Hacks you can implement tonight. Takeaways Is wisdom teeth surgery happening too often… or dangerously too late? What if the biggest risk during oral surgery isn't the tooth—but how your neck is positioned? Why do some people with EDS feel every cut and drill—even after “getting numb”? Could one cheap hack—“spit, don't rinse”—protect your teeth better than $30 toothpaste? Are sharks hiding the secret to stronger enamel in your bathroom cabinet? Find the episode transcript here. References: 2012 Paper- The effects of NICE guidelines on the management of third molar teeth: https://pubmed.ncbi.nlm.nih.gov/22955790/ 2020 RCS Guidelines on Third Molars: https://www.rcseng.ac.uk/-/media/files/rcs/fds/guidelines/3rd-molar-guidelines--april-2021-v2.pdf AAOMS Guidelines on Third Molar Management: https://aaoms.org/wp-content/uploads/2024/03/management_third_molar_white_paper.pdf Bendy Bodies Podcast on Preparing for Surgery with Linda Bluestein, MD: https://www.bendybodiespodcast.com/58-preparing-for-surgery-with-linda-bluestein-md/ GIRFT RCS TMD Document: Comprehensive-guideline-Management-of-painful-Temporomandibular-disorder-in-adults-March-2024.pdf Dr. Mike Harrison's Talk on EDS Support UK: https://www.ehlers-danlos.org/information/webinar-with-dr-mike-harrison-on-why-dental-issues-occur-with-connective-tissue-disorder/ EDS and Dental Issues Talk by Ines and Ulrike: https://www.youtube.com/watch?v=Lsf0YEeps5c&t=65s EDS Society on Periodontal EDS: https://www.ehlers-danlos.com/peds/ Austrian Conversation on pEDS (PubMed): https://pubmed.ncbi.nlm.nih.gov/28836281/ Genetics Home Reference on Ehlers-Danlos Syndrome: https://ghr.nlm.nih.gov/condition/ehlers-danlos-syndrome#statistics Perioperative Care in Patients with Ehlers Danlos Syndromes (SCIRP): https://www.scirp.org/journal/paperinformation?paperid=97524 Want more Dr. Audrey Kershaw? Facebook: ⁠https://www.facebook.com/audrey.kershaw.3⁠ Want more Dr. Linda Bluestein, MD? Website:  ⁠⁠https://www.hypermobilitymd.com/⁠⁠. YouTube: ⁠⁠⁠youtube.com/@bendybodiespodcast⁠⁠⁠  Instagram: ⁠⁠⁠https://www.instagram.com/hypermobilitymd/⁠⁠⁠  Facebook: ⁠⁠⁠https://www.facebook.com/BendyBodiesPodcast⁠⁠⁠  X: ⁠⁠⁠https://twitter.com/BluesteinLinda⁠⁠⁠  LinkedIn: ⁠⁠⁠https://www.linkedin.com/in/hypermobilitymd/⁠⁠⁠  Newsletter: ⁠⁠⁠https://hypermobilitymd.substack.com/⁠⁠⁠ Shop my Amazon store ⁠⁠⁠https://www.amazon.com/shop/hypermobilitymd⁠⁠ To check out all of my favorite products, please click on this link: ⁠⁠https://www.hypermobilitymd.com/productswelove Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them. Join YOUR Bendy Bodies community at ⁠⁠https://www.bendybodiespodcast.com/⁠⁠. YOUR bendy body is our highest priority!⁠⁠ Learn more about Human Content at ⁠⁠⁠http://www.human-content.com⁠⁠⁠ Podcast Advertising/Business Inquiries: ⁠⁠⁠sales@human-content.com⁠⁠⁠ Part of the Human Content Podcast Network FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links Learn more about your ad choices. Visit megaphone.fm/adchoices

About the Guest(s): Dr. Kristin Hieshetter is the host of the Functional Health Radio podcast and a seasoned practitioner in the field of functional health. She specializes in cranial care, chiropractic treatments, and pediatric health, with certifications from Exceptional Advanced Orthopedics and the Sacro Occipital Technique Organization. Dr. Hieshetter's practice emphasizes the importance of cranial and structural health in improving nervous system function, and she is noted for her work with challenging cases of vertigo, headaches, and TMJ disorders. Episode Summary: Welcome to a fascinating episode of Functional Health Radio with Dr. Kristin Hieshetter, who explores the intricate connection between cranial bone movement and the nervous system. Today, Dr. Kristin dives deep into how cranial bones' subtle movements can impact overall health. She explains why our cranial bones do move, challenging the common misconception that adult skulls are immobile, and delves into how skull structure affects brain health, posture, and nervous system functions. If you wear a tight ponytail, cranial discomfort can actually be a result of subtle bone shifts — an intriguing revelation for many! In this insightful discussion, Dr. Kristin highlights the role of cranial bones in conditions like vertigo, headaches, and TMJ disorders, emphasizing the importance of cranial respiratory systems and cerebrospinal fluid flow in maintaining optimal neurological health. She shares her expertise on how cranial distortions can lead to various health issues and introduces listeners to the innovative field of chirodontics — a blend of chiropractic and dental practices aimed at correcting structural misalignments to restore health. From newborns to adults, Dr. Kristin outlines the impacts of cranial movements on development and nervous system function, offering a pathway to healthier living through targeted cranial adjustments. Key Takeaways: Cranial Bone Movement: Contrary to common beliefs, cranial bones do move, which is crucial for brain function and cerebrospinal fluid circulation. Cranial Health and Disorders: Adjustments in cranial bones can significantly impact conditions like vertigo and migraines, revealing new treatment avenues. Chirodontics Approach: Utilizes assessments that include both chiropractic and orthodontic evaluations to address structural misalignments. Infant Cranial Development: The flexibility of cranial bones in babies is crucial for healthy development and can be adjusted to prevent conditions like plagiocephaly. Holistic Health Strategies: Maintaining structural balance through cranial adjustments, proper nutrition, and lifestyle changes are keys to optimizing nervous system functions. Notable Quotes: "Cranial bones have been under a distortive tension. So when cranial bones move, it's typically not enormous, loud, crazy movements. It's very subtle." "Structure dictates neurological function 100% of the time." "In adulthood, it's important that they move. Because every day in your brain, there's this beautiful organ called the choroid plexus…producing cerebrospinal fluid." "The cranial system is a critical player for autonomic function…those reflexive things we take for granted every day." "This cranial stuff is so cool…Cranial distortions can be such a significant part of chronic headaches and other health concerns." Resources: Learn more about Dr. Kristin Hieshetter's practice and methodologies in functional health on her Functional Health Radio podcast. Explore Sacro Occipital Technique with resources from their official site (if mentioned in conversation). Discover common cranial therapies and exercises for at-home care through resources by Dr. Hieshetter (availability may vary based on episode content). Immerse yourself in this enlightening episode as Dr. Kristin Hieshetter unravels the mysteries of cranial bone movement and its profound impact on health. Stay tuned for more thoughtful discussions and practical insights from Functional Health Radio.

Grab your ice packs and your moral panic, because today we're getting a broader understanding of Botox and neuromodulators. From migraines, to TMJ, to frozen foreheads we're talking about all of it. Is it ruining the world… or does it actually have benefits?We'll be joined by Daniela's doctor, Dr. Marcea Wiggins to find out. https://santepdx.comBecome a supporter of this podcast: https://www.spreaker.com/podcast/broads-next-door--5803223/support.

Jaw pain isn't “just jaw pain.” It often shows up as TMJ disorder (TMD), teeth grinding, clenching, headaches, migraines, neck stiffness, ear ringing, or even tooth pain. For many people, it makes eating, speaking, and visiting the dentist harder than it should be.In this episode of Gums & Gossip, Hope sits down with massage therapist Katie to uncover the hidden ways TMJ and jaw tension affect everyday life. You'll hear real stories from the dental chair, how muscle imbalances can mimic dental problems, and why so many people mistake jaw pain for sinus issues or toothaches.Katie shares practical, drug-free solutions—including self-massage techniques, posture tips, and stress management tools—that can help relieve jaw pain and support long-term dental health.✨ If you've ever searched for “TMJ relief,” “jaw pain treatment,” or “how to stop teeth grinding,” this conversation is for you.⁠https://www.katiemassage.com⁠https://www.gumsandgossip.com

In this episode, we dive into the world of orofacial myofunctional therapy with the wonderful Emily Gardeski, OMT—what it is, who it can help, and why proper breathing matters for your whole-body health. You'll learn the most common signs and symptoms to watch for (snoring, teeth grinding, TMJ, etc), simple ways to improve sleep and breathing at home, and how nasal breathing impacts not just daily life but also athletic performance. Whether for yourself or your kids, this conversation will help you understand the power of breath and its role in long-term wellness.Connect with Emily: Book Discovery Call/AssessmentBook Appt with Emily (25% eval w/ code: Sarah)!Instagram: em_gardeskiWebsite: www.integrativemyotexas.comResources on OMT:Sleep HygienePerformance & Nasal BreathingIs My Child a CandidateAm I A Candidate Connect with Me:Instagram: sarahtmwellness1:1 Coaching: Schedule a free discovery call! Join my newsletter!!!!!Zebra- My favorite lip gloss & deodorant- code: sarahdavies Sun & Moo Tallow-Based Skincare - Discount code: sarahdavies Prime Protein- 15% off Discount (my fave protein powder) Buoy Electrolytes (no sugar, 87+ trace minerals)- 20% off Namarie Activewear - Code: sarahtmwellness10 (non-toxic)Find the Good Brand - Code: sarahdavies10Royo Bread- High Protein, High Fiber Bread & Bagels- Code: sarahda10If you found this episode helpful, don't forget to share it with a friend or a family member and leave us a review on your favorite podcast platform! Sending you love, health, and all good vibes! xoxo, Sarah

Send us a textDuring the production of this episode, your host hit a BAD case of TMJ. Originally, there was an update at the beginning stating the Action series was ending early due to personal issues. Then seconds after I re-recorded a segment for this episode TMJ came knocking at my door and I've been fighting it for days. I made it here just in time so when you listen to it, the placement of time is going to sound about six days off. Anyway, Lethal Weapon 3 is a wonderful sequel and anyone can fight me if they think they can change my mind. I had fun gushing about how I've loved this movie and it's the best unexpected way to send off Action August. Support the showMy Inglorious Ink series! - https://www.amazon.com/stores/Samantha-Parrish/author/B0BNQ2D7D1?ref=ap_rdr&store_ref=ap_rdr&isDramIntegrated=true&shoppingPortalEnabled=trueI'm on Goodreads! - https://www.goodreads.com/author/show/20042112.Samantha_ParrishHow To Support The Show! - https://ko-fi.com/queenofthescreen#linkModalArticles I've written - https://vocal.media/authors/samantha-parrishMy Linktree https://linktr.ee/themysticalspacewitch Cover art by Emily Whitacre (https://teenytinycoffeebean.carrd.co/)

From living with orofacial pain to becoming a leading voice in TMJ and complex pain therapy, Vita Zhylyak's journey is as inspiring as it is transformative. In this episode, we dive deep into:-Vita's personal story and the spark behind her “Unlocking Jaw Secrets” course-Her clinical philosophy for navigating intricate diagnoses like TMJD, Eagle Syndrome, Trigeminal Neuralgia, POTS, and MCAS, -Key insights into assessing chronic facial pain—and spotting what others often miss-The vital role of posture, breathwork, and nervous system regulation in effective TMJ care-How she customizes therapy far beyond the typical “exercise protocol”-Clinical pearls for working with post-surgical patients and collaborative care boundariesIf you're a myofunctional therapist, dental professional, or simply fascinated by the complexities of orofacial pain, this episode is packed with knowledge, compassion, and practical strategies. Tune in and discover how deeper understanding and whole-body integration can transform patient outcomes—and your clinical practice.Shownotes:CES Ultra: Helps with TMD, Vagus Nerve stimulant, Tinnitus etc.https://www.cesultra.comBook how to read faces and on Chinese Medicine: WTF? Why the face. Dr Todd Fisher:https://wtfwhytheface.com/product/wtf-why-the-face-a-practical-guide-to-understanding-health-and-personality-through-facial-diagnosis/Doterra oils:https://link.doterra.com/TrvWpR

Dr. Jaclyn Tomsic completed her oral and maxillofacial surgery training at Detroit Medical Center, rotating through Level I trauma centers including Detroit Receiving and Henry Ford Hospitals. She earned her medical degree from Wayne State University and completed a general surgery internship and chief year in OMF surgery. She then completed a fellowship at Georgetown University Hospital and the Posnick Center for Facial Plastic Surgery, focusing on jaw reconstruction, orthognathic, and facial plastic surgery. After another year as a surgery resident at Washington Hospital Center, she completed a fellowship in facial cosmetic and TMJ surgery at Mercy Hospital in St. Louis, earning Fellowship in the American College of Surgeons. Now based in her hometown of Cleveland, Dr. Tomsic focuses on facial cosmetic surgery, trauma, and implant surgery. Outside of work, she enjoys sports, fitness, travel, and time with family and friends.

What if I told you that not understanding occlusion is quietly sabotaging your treatment outcomes—and your confidence?In this week's 5 Minute Friday, I'm revisiting a topic that too many orthodontists dismiss: occlusion. After a recent conversation with Bruce McFarlane (and reflections on chats with legends like Tom Pitts and Ron Roncone), I felt compelled to spotlight how deeply impactful understanding occlusion truly is. If you think it's just for restorative docs—or you "get enough of it" through aligners—think again.I share insights from my own training under some of the best in the field, including three years studying at the University of Washington. I break down real-world ortho challenges like posterior open bites, centric relation issues, and how the NTI appliance is causing more chaos than most realize. This episode isn't a lecture—it's a wake-up call. If you're not fluent in occlusion, you're not fully equipped to protect your patients… or your practice.QUOTES“Once you understand occlusion, your life is going to change.”  - Dr. Glenn Krieger“If you haven't taken a Roth course or been to Coyce or Spear, don't tell me you know occlusion.” - Dr. Glenn KriegerKey TakeawaysIntro (00:00)How orthodontists have dismissed occlusion over time (01:10)Jerry Schultz, PK Thomas, and foundational lessons in occlusion (02:30)Clinical consequences of posterior open bites (03:50)Why understanding TMJ and facial types still matters (04:40)The NTI appliance: a silent saboteur? (06:00)Final challenge: If you really knew occlusion… would your treatment change? (07:00)Additional ResourcesIf you want this kind of transformation for your own team, join me at the final Orthopreneurs Summit in Vegas this September. Go to opSummit2025.com and grab your seat today. Payment plans are almost gone and passes are disappearing fast. This will be the most impactful event you'll ever attend—don't miss it.- For more information, visit: https://orthopreneurs.com/- Join our FREE Facebook group here: https://www.facebook.com/groups/OrthoPreneurs

Could fixing your oral health be the fastest way to extend your lifespan and boost your health? Josh Trent welcomes Dr. Kenny Brown, Oral Surgeon and Founder of FENO, to the Wellness + Wisdom Podcast, episode 766, to reveal why most dental problems are preventable, how bacteria in your mouth can poison your body, trigger disease, and age you faster, and how to take care of your oral microbiome properly. $50 Off FENO FENO is redefining the toothbrush without wires, batteries, or gimmicks. Designed for people who demand beauty, performance, and sustainability in one sleek package, FENO offers the precision of high-end electric brushes and the simplicity of manual control. It's not just a toothbrush, it's a ritual upgrade. Compared to electric toothbrushes, FENO delivers sonic-level effectiveness without the bulk, wires, or dependency on power. With the FENO app, you get guided brushing sessions, real-time feedback, and habit tracking. Pairing the physical brilliance of the toothbrush with smart technology, this app helps users build better brushing routines and track their progress over time. Get $50 off with code JOSH In This Episode, Dr. Kenny Brown Uncovers: [00:50] The Importance of Tongue Hygiene Why the tongue can tell us a lot about our health and mineral deficiencies. How bacteria accumulates on the tongue. Why dentists often don't promote tongue scraping. Resources: Dr. Kenny Brown FENO $50 off with code JOSH [05:00] The Key to Good Oral Health Why many people don't know how to brush their teeth. How they used AI to design the FENO mouthpiece. The mouth is the gateway to the entire body. Resources: Ultrahuman Ring - 10% off with code JOSH 760 Biological Dentistry: The Truth About Your Teeth Traditional Dentists Won't Tell You | Dr. Dominik Nischwitz [08:00] Most Dental Issues Are Preventable Where the name "FENO" came from. Why they're planning to start testing micronutrients through the brush. How their goal is to scale oral health care. Why people lose their teeth over something that's easily preventable. How the mouth connects to the brain and the gut. Why pregnant women can get gum issues, which can poison their body and the fetus. [14:10] How to Choose The Right Toothbrush Why our gums bleed when we start cleaning the bacteria out. How we can strengthen the gums. Why FENO makes our teeth feel as clean as when we get a professional cleaning. How to choose the right toothbrush. Why many people avoid investing in their health. [19:35] Make Oral Care Easier How the FENO brush does a lot of the work for us. Why technology can help us stay accountable for our well-being and track our data. Resources: 048 Nir Eyal: Breaking Bad Habits, Technology Addiction, & Emotional Triggers 758 Dr. Jud Brewer | Why You Fail Quitting Bad Habits (and How to Finally Break Free) [23:20] Healthy Mouth = Healthy Body Why milk teeth affect the health of adult teeth. The connection between Alzheimer's and oral health. Why inflammation is the root of many diseases. How bad oral health impacts the quality of our lives. Why certain medications can reduce or change the saliva. How our systemic health also impacts our oral health. [29:05] Mouth-Body Connection How our saliva impacts digestion. Why bacteria from the mouth can cause pneumonia. How the oral microbiome can cause bloating and indigestion. Why the world is finally understanding that everything in the body is connected. [31:55] The Impact of Sugar on Teeth How kissing can transfer bacteria. Why babies can get cavities from their mothers. How sugar causes more damage when it's sticky. Why rinsing out our mouth after eating sugar is better than not doing anything. How oil pulling requires consistency in order to work efficiently. [34:05] What You Don't Know About Oral Health Why brushing our teeth is the most important part of oral health. How oral care doesn't have to be hard. Why some people don't need to floss and brush as often. How fluoride works, but has side effects. [38:35] The Negative Impacts of Modern Dental Solutions Why brushing our teeth every day can prevent most oral health issues. How there's finally more awareness around dental health. The negative impact of veneers. How we can't clean veneers as well as our own teeth. Why slow teeth whitening is less damaging. How to whiten our teeth without damaging them. [44:05] Understanding The Root Cause of Dental Issues Why dentistry is both an art and a science. How good dental care doesn't have a shortcut. Why Dr. Kenny didn't learn in dental school that there's a proper brushing technique and that we should brush the gums too. How stress causes teeth grinding. Why cracked teeth can be an airway issue. How snoring and TMJ are symptoms of an airway problem. Why 50% of people are clenching their jaw. [51:05] The Benefits of Xylitol How brushing our teeth twice a day gives us a better chance to be healthy. Why xylitol rinse helps with sinus infections. What led Dr. Kenny to use xylitol in his products. Why we need to focus on remineralizing our teeth. The benefits of hydroxyapatite. [56:20] The Power of a Smile Why we need to pay attention to what's happening in our mouth. How we can still have oral health problems even if we brush our teeth daily. Why our smile creates a connection with others. How oral issues make us smile less. [01:01:05] God's Design How nicotine pouches irritate gum tissues and cause loose teeth. Why faith fuels Dr. Kenny's mission. How he always felt the calling to be of service. Leave Wellness + Wisdom a Review on Apple Podcasts All Resources From This Episode Dr. Kenny Brown FENO $50 off with code JOSH Ultrahuman Ring - 10% off with code JOSH 760 Biological Dentistry: The Truth About Your Teeth Traditional Dentists Won't Tell You | Dr. Dominik Nischwitz 048 Nir Eyal: Breaking Bad Habits, Technology Addiction, & Emotional Triggers 758 Dr. Jud Brewer | Why You Fail Quitting Bad Habits (and How to Finally Break Free) Power Quotes From Dr. Kenny Brown "People don't realize that the mouth is the gateway to the overall body. Our health journey actually starts with brushing our teeth because the bacteria and the toxins from the mouth can spread to the rest of the body." — Dr. Kenny Brown "The tongue is a shag carpet. It is not a smooth table. It has crevices where all the food that we eat, the snot, the drainage, and the bacteria can tuck in, which creates the white layer on top of the tongue, and can become the source of bad breath. So cleaning the tongue on a routine basis is absolutely necessary." — Dr. Kenny Brown "Veneers alter the microbiome of the mouth. It's more man made material that's going in your mouth. And it will never get clean the same way that you can clean your natural teeth. The edges of veneers is where cavities start to creep in so you actually need to take better care of them." — Dr. Kenny Brown Josh's Trusted Products | Up To 40% Off Shop All Products Biohacking⁠ Korrect Life - 15% OFF WITH CODE "JOSH15" MANNA Vitality - Save 20% with code JOSH20 HigherDOSE - 15% off with the code WELLNESSANDWISDOM PLUNGE - $150 off with discount code WELLNESSFORCE SaunaSpace - 10% off with discount code JOSH10 Ultrahuman Ring Air - 10% off with code JOSH Wellness Test Kits Tiny Health Gut Tests - $20 off with discount code JOSH20 VIVOO Health Tests - Save 30% off with code JOSH SiPhox Health Blood Test - Save 15% off with code JOSH Nutrition + Gut Health Organifi - 20% off with discount code WELLNESSFORCE Paleovalley - 15% off with the link only EQUIP Foods - 20% off with the code WELLNESS20 DRY FARM WINES - Get an extra bottle of Pure Natural Wine with your order for just 1¢ Just Thrive - 20% off with the code JOSH Kreatures of Habit - Save 20% with WISDOM20 Supplements MANNA GOLD - $20 off with the code JOSHGOLD Adapt Naturals - 20% off with discount code WELLNESSFORCE MitoZen - 10% off with the code WELLNESSFORCE Activation Products - 20% off with the code JOSH20 BiOptimizers - 10% off with discount code JOSH10 Fatty15 Essential Fatty Acids Supplement - Get 15% off with code JOSH15 Sleep BiOptimizers Sleep Breakthrough - 10% off with JOSH10 Zyppah Anti-Snoring Mouthpiece - 20% off with the code JOSH MitoZen Super SandMan Ultra™ (Melatonin Liposomal)+ | 10% off with WELLNESSFORCE Luminette Light Therapy Glasses - 15% off with JOSH Cured Nutrition CBN Night Oil - 20% off with JOSH Natural Energy MTE - Save 20% with JOSH TruKava - Save 20% with code JOSH20 Drink Update - Save 25% with discount code JOSH25 EONS Mushroom Coffee - 20% off with the discount code JOSH20 EnergyBITS - 20% off with the code WELLNESSFORCE BUBS Naturals - Save 20% with JOSH20 Fitness + Physical Health Detox Dudes Online Courses - Up to $500 off with discount code JOSH Kineon - 10% off with discount code JOSH10 Create Wellness Creatine Gummies - 20% off with discount code JOSH BioPro+ by BioProtein Technology - Save $30 OFF WITH CODE JOSH Drink LMNT - Zero Sugar Hydration: Get your free LMNT Sample Pack, with any purchase Healthy Home SunHome Saunas - Save $200 with JOSH200 JASPR Air Purifier - Save 10% with code WELLNESS Zyppah Anti-Snoring Mouthpiece - 20% off with the code JOSH Holy Hydrogen - $100 off with discount code JOSH SimplyO3 - 10% off with discount code JOSH10 LEELA Quantum Upgrade + Frequency Bundles - Get 15 days free with code JOSH15 TrulyFree Toxic- Free Cleaning Products - Get 40% off + Freebies with code WELLNESSFORCE Mental Health + Stress Release Mendi.io - 20% off with the code JOSH20 NOOTOPIA - 10% off with the discount code JOSH10 CalmiGo - $30 off the device with discount code JOSH30 QUALIA - 15% off with WELLNESSFORCE Personal Care⁠ The Wellness Company's Emergency Health Kits + More - Save 10% with code JOSH Farrow Life - Save 20% with JOSH Timeline Nutrition - 10% off with JOSH ⁠⁠Intelligence of Nature - 15% off Skin Support with the code JOSH15⁠⁠ Young Goose - Save 10% with code JOSH10 Mindfulness + Meditation BREATHE - 33% off with the code PODCAST33 Neuvana - 15% off with the code WELLNESSFORCE Essential Oil Wizardry - 10% off with the code WELLNESSFORCE Four Visions - Save 15% with code JOSH15 Lotuswei - 10% off with JOSH Clothing Rhizal Grounded Barefoot Shoes - Save 10% with code WELLNESS Earth Runners Shoes - 10% off with the code JOSHT10 Free Resources M21 Wellness Guide - Free 3-Week Breathwork Program with Josh Trent Join The Liberated Life Tribe About Dr. Kenny Brown Dr. Kenny Brown is an Oral and Maxillofacial Surgeon who has operated on everything from a loose baby tooth to a skull reconstruction following a bear attack. He is now bridging the gap between oral health and overall health as the co-founder and CEO of Feno. In addition to his clinical background, Dr. Brown has strived to create impact beyond the operating room with his work in business development for two medical devices (sold) and opening multiple sustainable community clinics in South Los Angeles. Prior to this, Dr. Brown completed his undergraduate education at Stanford University, where he also played basketball and published research in regenerative medicine. During his dental education, he also served on the technology transfer committee, bringing innovation from the lab to the commercial market for Texas A&M. Website Instagram Facebook YouTube  

In this episode of the Bendy Bodies Podcast, Dr. Linda Bluestein sits down once again with fellow pain specialist Dr. Pradeep Chopra to take listeners on a guided “walk” through the GI tract. From teeth to the stomach and beyond, they uncover how connective tissue disorders like EDS (Ehlers-Danlos Syndromes) and HSD (Hypermobility Spectrum Disorders) along with POTS (Postural orthostatic tachycardia syndrome) and MCAS (Mast cell activation syndrome), can trigger unexpected abdominal pain and digestive challenges. Along the way, they explore overlooked diagnoses like Eagle Syndrome, SIBO (Small Intestinal Bacterial Overgrowth), and MALS (Median Arcuate Ligament Syndrome), while also revealing hacks and strategies that empower patients to better understand and manage their symptoms. This is part one of a two-part deep dive into GI issues you won't want to miss. Takeaways Why EDS patients often have “dancing teeth” and unique dental vulnerabilities How Eagle Syndrome can masquerade as severe TMJ pain or headaches The hidden role of MCAS in driving throat and GI inflammation Why overlooked compression syndromes like MALS and SMA cause devastating abdominal pain A surprising at-home hack with beets that can reveal slowed gut motility Find the episode transcript here. References: AGA Clinical Practice Update on GI Manifestations and Autonomic or Immune Dysfunction in Hypermobile Ehlers-Danlos Syndrome: Expert Review: https://pubmed.ncbi.nlm.nih.gov/40387691/ Want more Dr. Pradeep Chopra? Find previous Bendy Bodies episodes with Dr. Chopra here: ⁠https://www.bendybodiespodcast.com/guests/dr-pradeep-chopra/⁠ Website: ⁠https://www.painri.com/⁠ Contact Dr. Chopra's Office: ⁠⁠snapa102@gmail.com Want more Dr. Linda Bluestein, MD? Website:  ⁠⁠https://www.hypermobilitymd.com/⁠⁠. YouTube: ⁠⁠⁠youtube.com/@bendybodiespodcast⁠⁠⁠  Instagram: ⁠⁠⁠https://www.instagram.com/hypermobilitymd/⁠⁠⁠  Facebook: ⁠⁠⁠https://www.facebook.com/BendyBodiesPodcast⁠⁠⁠  X: ⁠⁠⁠https://twitter.com/BluesteinLinda⁠⁠⁠  LinkedIn: ⁠⁠⁠https://www.linkedin.com/in/hypermobilitymd/⁠⁠⁠  Newsletter: ⁠⁠⁠https://hypermobilitymd.substack.com/⁠⁠⁠ Shop my Amazon store ⁠⁠⁠https://www.amazon.com/shop/hypermobilitymd⁠⁠⁠ Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them. Join YOUR Bendy Bodies community at ⁠⁠https://www.bendybodiespodcast.com/⁠⁠. YOUR bendy body is our highest priority! Use this affiliate link for Algonot to get an extra 5% off your entire order: ⁠⁠https://algonot.com/coupon/bendbod/⁠⁠ Learn more about Human Content at ⁠⁠⁠http://www.human-content.com⁠⁠⁠ Podcast Advertising/Business Inquiries: ⁠⁠⁠sales@human-content.com⁠⁠⁠ Part of the Human Content Podcast Network FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links ⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

Story at-a-glance Both synthetic and "natural" chewing gums release hundreds to thousands of microplastic particles per piece, with an average person ingesting 30,000 microplastics annually from gum alone Chewing gum is a "parafunctional" activity that causes or worsens TMJ disorders, leading to jaw pain, headaches and even tooth fractures with prolonged use While gum increases saliva production, which helps neutralize acids and reduce cavity risk, this benefit doesn't outweigh the risks of plastic ingestion and jaw strain Researchers found that 94% of microplastic particles detach within the first eight minutes of chewing, suggesting even brief gum use significantly increases plastic exposure Healthier alternatives include sipping water, oil pulling with coconut oil, using tongue scrapers or chewing fresh ginger for breath freshening without the harmful effects