Fix The Oral Microbiome: #1 Oral Care Routine

Ask the Dentist How to Fix Your Mouth & Disease with Better Nutrition and Oral Care

Dr Mark Burhenne and The Primal Podcast

Oral bacteria and oral health are closely linked to chronic disease. Dr. Burhenne explains the perfect oral care routine to improve the oral microbiome. Head to http://DrinkLMNT.com/theprimalpodcast to get your free sample pack with any purchase.

Dr. B’s Perfect Oral Care Routine with links: https://www.theprimal.com/lab/improve…

Dr. Mark Burhenne is a bestselling author. He’s a family and sleep medicine dentist who has been in private practice nearly 35 years. Dr. B has focused on patient-centered and preventative dental healthcare. He is the creator of Ask the Dentist, which is dedicated to exploring the mouth-body connection and the role of the oral microbiome.

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Timestamps:
00:00 Intro
03:03 Mouth and body connection
07:18 What is the oral microbiome
12:22 An oral bug controls pneumonia and Alzheimer’s disease
16:35 Oral bacteria connected to 7 chronic diseases
26:20 Oral bacteria and Alzheimer’s disease
30:55 Dr Burhenne’s story
36:26 Bad breath is a sign of a dysfunctional oral microbiome
40:02 Periodontal disease
43:19 Tool: Don’t use mouthwash, and why
47:34 Tool: Toothpaste to not use
53:26 Tool: Avoid acidic drinks
01:01:54 Carnivore Diet for Oral Health
01:10:36 Tool: The Perfect Oral Health Routine
01:20:57 Tool: Nano-hydroxyapatite for oral health
01:28:37 Tool: Flossing and oral health
01:29:38 Tool: Tongue scraping and oral health
01:32:29 Tool: Xylitol gum to fix oral health
01:34:12 How to find a functional dentist
01:38:15 Free guide to chemical-free oral care products; support the podcast, watch next

About Rina – The Primal Podcast
The Primal Podcast (previously known as 5 Minute Body) is hosted by Rina. For the past 3 years, Rina has been committed to improving people’s health with nutrition by working with the best doctors and experts in health.

Her mission is to empower you with the knowledge, inspiration, and science-based tools to improve your health. We provide more health information, and Carnivore challenges at https://www.theprimal.com/

#oralhealth

Transcript

Intro

0:00simply using an over-the-counter mouthwash which  the profession’s been recommending since the late  

0:051800s that literally shortens your life by  scraping the tongue you can literally lower  

0:10your blood pressure as well Dr Mark Brenna is  a world leading functional dentist who’s on a   mission to fix your mouth what’s happening in  your mouth is linked to alzheimer’s and heart  

0:18disease and it starts with your toothpaste  separating the mouth from the body has caused  

0:23a lot of harm and death if something leaks  into the gum it is automatically right away   into the bloodstream I literally watch someone  get early stages of Alzheimer’s within 5 years  

0:34fluoride in the mouth literally knocks down  the oral microbiome it also knocks down the   gut microbiome kids using fluoridated toothpaste  and swallowing it you know their IQs are dropping  

0:43by four to seven points I mean inflamation of  the brain it’s safer not to use toothpaste and  

0:49that’s how bad Colgate and Crest and their other  products glass cocine and I’ve spoken to these   companies I would rather have you floss brush and  chew on zotol so bad breath literally is a sign  

1:00that your oral microbiome is dysbiotic obviously  if you’re getting cavities every few years or   every six months that’s not normal and a lot of  people are like oh I’m just getting old you know  

1:08that expression I’m long in the tooth that likely  is some form of chronic inflammation in your mouth  

1:14and that would be also a dysbiotic oral microbiome  due to Oral Care Products you’re using not eating  

1:20the right Foods what do you think about eating  a bit of cheese or bacon or butter at the end   of the meal to protect your gums and your mouth  it’s a great strategy and especially with cheese

1:32this episode features Dr Mark Banna and we’re  talking about a topic I’ve never discussed   on this health podcast the oral microbiome now  what happens in your mouth is closely connected  

1:41to disease in your whole body and by the end of  the episode you’ll understand the things that you   need to remove to fix your oral health and your  overall health now this information is not what  

1:50you’re going to hear from big food or big farmer  so if you learning from and enjoying these free   episodes please hit the Subscribe button because  a simple Act of subscribing will help share this  

2:00message to Millions more people that need to hear  the truth and now for the interview with Dr Mark  

2:06BNA Dr B welcome thank you good glad to be here  most of us have heard that excellent Health starts  

2:13with a healthy gut or a diverse gut microbiome  but this is not exactly true because our mouth or  

2:20the oral microbiome is actually your body’s first  defense system against good and bad bacteria and  

2:27also controls inflammation in the entire body but  nobody talks about this so in this episode Dr B is  

2:33going to share his 40 Years of clinical experience  and talk about the mouth or the oral microbiome  

2:39how that’s closely linked to high blood pressure  heart disease even Alzheimer’s disease we’re going  

2:45to talk about the perfect oral care routine that  is completely free and also how xylol can actually  

2:52protect you against chronic inflammation so Dr B  my first question when we think about the mouth  

2:59it appears appears to be very separate from the  heart and the brain so as a functional dentist why  

Mouth and body connection

3:05should somebody even care about what’s happening  in the mouth well you took the words right out of   my mouth um it’s the mouth is part of the body  unfortunately uh organized medicine organized  

3:17Dentistry we’ve separated uh that actually  happened in the US in 1839 and since then  

3:23we’ve been treating and working and researching  on kind of in parallel universes so it’s very  

3:29frustrating as a dentist I I would think it’s very  frustrating uh as a physician because there’s a  

3:35lot of I mean when they see uh the number one uh  or one of the major uh admissions in emergency  

3:43rooms in the US is tooth AE a tooth absess and  the Physicians don’t know what to do they just   prescribe antibiotics and hope that patient goes  away um and and vice versa I mean there are a lot  

3:53of things that dentists are working on now like  sleep and I mean we can recognize sleep apnea  

3:58well before a position can and so that crossover  now is occurring it’s a what I call a connective  

4:03tissue or an increase in growth of connective  tissue between the two profession so but why is  

4:09the mouth and why has the mouth been treated as  a separate part of the body it’s almost like it   doesn’t exist it’s just an opening and everything  past the opening is the gut or you know the throat  

4:21or the nasal passages and and unfortunately  that is that has hampered that that has impacted  

4:28patient outcomes by thinking that way and you know  the doctor passes it on to the dentist the dentist  

4:34is considered just to be like a carpenter they’re  fixing hard tissue issues uh like enamel issues  

4:40holes in teeth um and it really goes beyond that  so there’s that little bit of a black hole in the  

4:47disease the metabolic disease of gum disease uh  the number one disease in the world which is tooth  

4:53decay who’s addressing that and and and because  it’s not being addressed in a medical standpoint  

5:01in an overall Global systemic functional however  you want to call it way then it’s really not  

5:06being addressed properly and it’s like a black  hole and everyone’s practicing around it and   the irony is that is that black hole is causing  systemic disease Alzheimer’s uh pancreatic cancer  

5:18breast cancer uh obviously cardiovascular disease  diabetes there’s a two-way street between diabetes  

5:24and gum disease uh a kind of a two-way effect I  mean we can talk about all this but so it’s it’s  

5:31unfortunate that it’s been this way um hopefully  it’s changing obviously the uh Insurance products  

5:39are separate as well there’s medical insurance for  example when I retired a few years ago I’m 65 now  

5:47and uh I’m on Medicare wonderful product by the  way um uh but there’s no dental care and I noticed  

5:54this in my patients when they retired their Dental  their oral health went straight down the tube  

6:00uh these are patients that had great dental  insurance through Google uh Apple this is  

6:06where I was practicing in the Silicon Valley and  I literally watch someone uh get uh early stages  

6:15of Alzheimer’s within five years and obviously  I could see the gum disease the patient wasn’t  

6:20coming in for regular care and you know gum  disease very simply uh the P gingivalis bug  

6:26in the mouth is elevated it crosses over every  second that that chronic inflammation is there  

6:33it crosses over into the bloodstream gets across  the bloodb brain barrier and makes the brain uh  

6:39stimulates the brain to lay down amloid plaque  as a reaction to this infection so so that this  

6:45is Divi separating the mouth from the body is  has caused a lot of harm and death absolutely I  

6:54think that many people think oh great that’s  something else that I have to think of but   this is zero cost it’s not going to cost you  any think to make these changes CU it’s more  

7:01about subtracting things and not adding things I  want to talk about those inflammatory conditions  

7:07that are connected to poor oral health but first  I want people to understand the mouth and the oral  

7:13microbiome because this is some fancy terms the  oral microbiome that they need to understand can  

What is the oral microbiome

7:18you explain as a functional dentist something that  you used to see every single day the mouth and the  

7:24oral microbiome what is that right well when I  came out of dental school in the early 80s there  

7:30was no discussion of the oral microbiome um the  if if the mouth had inflammation in it there was  

7:37an infection it was a bacterial infection and we  had to knock it down with strong antibiotics uh  

7:43uh systemically by mouth but also swishing with  antibiotics very strong bactericidal mouthwashes  

7:51uh that were cytotoxic uh and obviously all  the dental care products out there and still   to this day unfortunately are designed around the  concept cep of knocking down uh the bacteria in  

8:03the mouth so and then I would say around the  year 200000 and this is around when the the  

8:09gut microbiome became discussed more and and was  appreciated more um then we started understanding  

8:17that what we were doing all this time knocking  or looking at the mouth as an in as a place of   infection that in fact uh we were doing the wrong  thing so so what is the oral microbiome it is  

8:29it really should be again here’s this division  between medicine and Dentistry it really is a   part of the gut microbiome it’s the beginning it’s  the entry it’s the transitional element it’s what  

8:38sets the tone it seeds the the gut microbiome  it is integrated to the gut microbiome and if  

8:45you think about it the mouth is the beginning of  the gut that’s where digestion starts we actually   start digesting food in our mouth and not just by  chewing we predigest the food by chewing and then  

8:54there are in saliva and it depends on which gland  it comes out of there’s a proded gland sub then  

8:59you know different glands produce different types  of saliva that break down like carbohydrates or  

9:05proteins and and that gets predigested and then it  goes down into the stomach and then it gets hit by  

9:11acid and and then into the duodenum and so that’s  the way the mouth needs to be looked at it’s not  

9:16an opening and that’s it it is part of the gut and  so the oral microbiome is very similar to the gut  

9:22microbiome except that based on location and the  amount of oxygen or lack of oxygen it’s more about  

9:29oxygen in the mouth but there are areas where  there is no oxygen like the gut it’s a different  

9:34type of population of bugs and we see that we see  this throughout the body I mean your your biome in  

9:40your armpit your biome in your nasal um passages  uh vaginal biomes um gut microbiomes um your wre  

9:50roll biomes there’s a biome of the brain all of  these biomes are very specialized it’s a group   of bugs that are actually helping us fighting off  infection uh producing ingredients that we need  

10:03for example the gut microbiome produces serotonin  um which is important for uh mental health uh in  

10:10the mouth uh these bugs are fighting off viruses  bacteria that are coming in uh so it’s part of our  

10:17immune system it’s also helping remineralize and  fix teeth it’s also helping the oral mucosa which  

10:23is like the lining of the gut it’s very thin it  can be very permeable it can ulcerate very quickly  

10:29just like the gut uh although it’s slightly  more upstream and it’s also exposed to a lot  

10:35of things like tortilla chips sharp corners of a  tortilla chip uh a crust of a sourdough bread uh  

10:42uh fluids that are very acidic beverages um so the  location’s different essentially the concept’s the  

10:50same there is a biome in the mouth that is doing  a lot of work for us and there are Micron niches  

10:55of the biome uh I consider the nasal biome to  be part of what dentist should be looking at   and working on it connects to the uh of course  the uh via breathing and other mechanisms to  

11:05the oral microbiome but these bugs are either  Our Savior or the reason why we have chronic  

11:13disease or even just acute acute um episodes  of disease like an ulceration a canker sore um  

11:19a cold sore um bleeding in the mouth and then  of course The Chronic aspect comes in and that  

11:24is you have gum disease for you know 10 20 30 40  even the rest of your life uh and most of us do  

11:31have gum disease in the US it’s quite prevalent  so bunch of bugs it’s a they’re not it’s not a  

11:39human DNA it’s a foreign DNA and boy do we need  them this is this is something and they’re more  

11:45of them than they are of us um but without them  we are dead in the water so we need to cultivate  

11:51that oral microbiome and of course it helps the  gut microbiome and other biomes as well so it’s  

11:56a bunch of bugs and people are probably thinking  bugs why do I have bugs in my gut and bugs in my   mouth and bugs under my armpit so it’s important  to understand that we don’t need to destroy bugs  

12:07we need to control them so that we want them to  flourish so the things that are helping us and   then avoiding things that are harming us and that  goes to something that we’re going to talk about  

12:15things that are killing the bugs every single day  which is part of the oral um routine that people  

12:21are doing every single day but I want to ask a  question is there a bug that controls pneumonia  

An oral bug controls pneumonia and Alzheimer’s disease

12:27a bug that controls cavities and we also mentioned  earlier a bug in your mouth that controls whether  

12:33you’re going to get Alzheimer’s absolutely um  and it’s not the bug itself necessarily and by  

12:40the way all the bugs you mentioned have names es  mutants for uh carries for cavities pin jaalis  

12:46for um Alzheimer’s the pneumoni bug for uh they’re  all there they are all present in a healthy person  

12:55um there are yeast cells uh the bug that causes  Al ulcers in the stomach are live in the mouth  

13:01but if they are properly regulated self-regulated  and you use the word control and there are times  

13:07when we have to control our oral microbiome and  that’s usually a Las ditch effort with very strong  

13:13agents like antibiotics or strong mouthwashes  that’s a resetting of the oral microbiome but  

13:19just by feeding the oral microbiome and the gut  microbiome uh the the proper building blocks it  

13:26can control itself it actually what I I use the  word it modulates itself so all of these bugs are  

13:31present there are specific bugs there’s a bug  that we find in the joints of rheumatic arthri  

13:37arthritic patients um the pin chalis bug is found  in the brain there are bugs that are found in  

13:44blood clots in the arteries from the mouth and you  know with all the DNA testing and and Technology  

13:51we have we can track where all these bugs come  from um and I think it’s really surprised a lot of  

13:56researchers how many of these oral bugs are found  in chronic disease and I would say seven out of 10  

14:02major chronic diseases have an oral component to  it so um so those bugs are there that shouldn’t  

14:09terrify anyone because the body can take care of  itself if it’s allowed to modulate and control  

14:16there’s that word again these populations of  bugs so the good bugs and the bad bugs do live  

14:23well together given the chance and then there  is no chance of that infection occurring but  

14:29if you have gum disease and you have this chronic  bleeding in the mouth and when you floss you see   a little blood coming off the floss or when you  spit out in the sink um you’re spitting pink we  

14:39call it in dentistry that’s not a good thing and  but most of us are even if you have gingivitis um  

14:45and I mean if our arms were doing that you know  if we were washing ourselves in the shower and we  

14:51saw blood we would be very concerned uh it’s it’s  essentially the same thing so but by allowing the  

14:57oral microbiome and the gut microbiome to do its  job properly and by feeding it correctly none of   this occurs um the the body is able to maintain  the the effect of the presence of these bugs and  

15:10and by the way these bugs have other functions the  SM Mutan bug has a function it’s not there just to  

15:17cause Decay so but when it becomes overpopulated  and if you feed it a lot of crackers a lot of uh  

15:25you know carbohydrates refined Foods then that  bug becomes dominant and then the other bugs  

15:30lose the ability to modulate utans and the utans  produces a lot of acid it consumes let’s say we’re  

15:37talking about a cracker or a piece of bread it  consumes that and it’s excretion it’s a byproduct  

15:43of metabolism it’s its um excrement is a very low  PH uh product and that’s what demineralizes teeth  

15:53so you take that away then the S M1 bugs won’t uh  overpopulate and then the other bugs can control  

15:59that so so all the it it’s more complicated  than we know currently we we I think we’re  

16:04at the stage now where we’ve identified these  biomes but we really haven’t identified the  

16:10exact mechanism and how complex and how they’re  all uh modulating each other that’s the and maybe  

16:17AI will fix that it’s very complicated okay I  want to try to I guess understand this level of  

16:23inflammation that occurs from a disbiosis as you  mentioned around the oral microbi fancy words but  

16:30but that means that your bugs are not regulated  regulated properly so you mentioned seven out of  

Oral bacteria connected to 7 chronic diseases

16:3710 chronic diseases that people face worldwide  is associated and closely linked to your mouth   and your oral health what are those seven chronic  diseases well cardiovascular disease is probably  

16:47number one uh that’s the number one killer in the  world uh definitely an oral component to that and  

16:53most people that have cardiovascular disease  have gum disease a very high prevalence of  

16:59some inflammation in the mouth in fact a lot of  cardiologists are now treating um uh heart disease  

17:05and they are communicating with their dentist  or with a peridontist and they’re trying to   get that under control because it elevates  CRP which is a measure of uh inflammation  

17:15and uh it has effects on you know white blood  counts and the and even clotting it increases  

17:21clotting um so uh Alzheimer’s is on the list  uh certain cancers a lot of oral cancers but  

17:29cancer and pancreatic cancer there are there  is some research uh any kind of endothelial   dysfunction that would be a disease of the cell  of the lining of the uh cardiovascular system  

17:40blood vessels um what else rheumatoid arthritis I  mentioned that and and the list goes on from there  

17:46I mean it’s pick pick a disease name a disease and  I could probably come up with a mechanism of how  

17:53a bug in the from from the oral microbiome uh is  involved in some some way and sometimes it’s an  

17:59indirect obviously diabetes I forgot to mention  that that’s a big one um but um it’s either a  

18:06direct effect in other words the bug gets to that  organ and infects it sepsis obviously uh um but  

18:13there are a lot of indirect effects in other  words what oral inflammation does is it fans  

18:19the Flames of inflammation and it it it brings up  everything else so it tells the body oh it’s it’s  

18:25I’m on fire the immune system is overactive uh can  also cause autoimmune diseases uh so it’s it’s a  

18:32it’s a big player you would think we would talk  more about this connection uh given the effect  

18:39it has but unfortunately oral oral care again it  has a separate it has a separate care system it  

18:46has separate practitioners it has a separate uh uh  dental insurance product um it’s unfortunate that  

18:53it’s not intertwined and connected with overall  health absolutely and that’s why we’re going to  

18:58talk about this because nobody talks about it  um I want to Center on heart disease high blood  

19:03pressure how does poor oral health or a poor oral  microbiome affect the heart what is the pathway  

19:10that’s a great question so there are many Pathways  uh the direct pathway that I mentioned earlier is   that a a bacterium can literally leak through the  gums from the oral microbiome from the oral cavity  

19:23it will leak through the gums I can explain that  mechanism if you want but it literally travels  

19:29through an area that typically it wouldn’t be  able to if there was no inflammation there and   it would get directly into the bloodstream by the  way the bloodstream I don’t know if this is a good  

19:39analogy for your listeners but you know what a  radiator is in a car right it brings a lot of  

19:45fluid right to the front of the car and a lot of  air passes over it that’s kind of what the gums   are the the bloodstream is right up against it in  a very small um and mediumsized blood vessel and  

19:59the minute that starts bleeding obviously that’s  a problem but if something leaks into the gum it   is automatically right away into the bloodstream I  mean we’re talking about less than millimeters uh  

20:10I mean we’re talking about tenths of millimeters  and so I think a lot of people don’t get that  

20:16because they think well the bloodstream is like  a blood vessel way over here no the gums and if   you look at it correctly there’s certain lights  and and I mean if you Google that you’ll see the  

20:25bloodstream is it’s almost like the kidney it’s  one of the most comp Lex most uh concentrated  

20:32tissues that have capillary beds in it and it’s  right at the Forefront it’s amazing that the   gums do as well as they do you know because  we can cut ourselves we can bite into things  

20:41I mean it it’s it’s it’s a it’s a very sensitive  tissue but it does remarkably well but when it’s  

20:46chronically inflamed things can pass across that  barrier so you’re looking at immediate and a very  

20:53short distance of these bugs getting into the  bloodstream once they get into the bloodstream   the body freaks out uh um because it’s really a  foreign Invader it’s when it sees a bug from the  

21:02mouth it knows that it’s not supposed to be there  so you get this chronic inflammation you also get   an infection of the lining of the endothelial  cells the these are the cells that line the  

21:12blood vessels those become inflamed it’s found  in plaque uh there are some studies that indicate  

21:17that it actually promotes plaque accumulation on  the lining of the arteries um I mean plaque this  

21:27is where you get into the whole carnivore thing  if you eat a lot of saturated fats that’s bad for   you no that’s not if your LDL levels are elevated  that’s not necessarily bad but what is bad is the  

21:37type of cholesterol and then also is the lining of  the blood vessel grabbing that fat and holding on  

21:45to it and that’s what oral infections bugs from  the mouth can actually promote and can make the  

21:51plaque accumulation worse that elevates the blood  pressure of course um there are there’s another  

21:57indirect effect of um you oh you can also get  infections of the heart and this is actually one   of the first things you learn in dental school um  if there’s uh there’s sometimes a lot of tissue in  

22:07the heart that doesn’t have a good blood supply to  it it’s a congenital thing and when a a bug from   the mouth settles on that tissue it can inflamed  and you can actually die from an infection of the  

22:17heart um and you’re told that in dental school and  sometimes you premedicate with an antibiotic given  

22:22if you have that condition Like A congenital  heart murmur um but so that’s more of a direct   effect and we’re seeing less and less of that um  but here’s an indirect effect uh there are bugs  

22:33on the back of the tongue uh and and when I say  oral microbiome it’s bacterium viruses protozoa  

22:40ye cells like fungi it’s it’s quite a quite a  group I mean it’s it’s very diverse uh and the  

22:48diversity is a good thing up to a point um and  then there’s the lack of diversity which we we  

22:54have promoted with disinfecting the mouth so but  but here’s the indirect effect that everyone’s  

23:00talking about now finally because this these  are old studies the study where mouthwash kills   the knocks down the oral microbiome especially  the oral microbiome that’s on the back of the  

23:09tongue and these are bugs again a micron niche  of the oral microbiome that actually help uh  

23:15break down uh nitrites into n sorry nitrates into  nitrites and then into um nitric oxide which is  

23:24amazing for the cardiovascular system basically  it causes dilation it brings down blood pressure  

23:30and by simply using an over-the-counter mouthwash  which we’ve been the professions been recommending  

23:36since the late 1800s Listerine and alcohol  and soaps and detergents and even pesticides  

23:43uh you’re killing those bugs and then as you get  older you’re not able to make nitric oxide from   other sources in the body and by age 40 pretty  much the sole source of that production of this  

23:53miracle gas that allows all the blood to get to  all parts of the body diffusion relaxation of the  

24:00blood vessels it does other things as well uh it  helps build muscle um but that that is prevented  

24:07um and that that process is cut off and and that  literally shortens your life um so production of  

24:15nitric oxide via the oral microbiome stay away  from mouthwashes that prohibit that and then  

24:20even scraping your tongue there’s studies now  that so the studies on mouthwash are 20 years  

24:26old and we’re just beginning to discuss this now  which is unfortunate um but scraping your tongue  

24:32there are now studies out recent studies in The  Last 5 Years that get rid of the mouthwash and  

24:37then scrape your tongue that helps kind of um seed  that area so that those bacteria can do their job  

24:45properly assuming they’re getting the nitrates  and the proper food you got to feed those guys  

24:52um then by scraping the tongue you can literally  lower your blood pressure as well so right there  

24:59Simple Thing as you said by taking something away  which is free in this case because you don’t need   to use mouthwash and then buying a tongue scraper  which will last you forever a metal tongue scraper  

25:09literally will last forever they’re metal  stainless steel or copper uh and then you   just scrape your tongue you’re lowering your blood  pressure just by doing that absolutely and we’re  

25:17going to talk more about these specific Solutions  uh both in terms of the oral care routine but also  

25:23dietary measures you know Carnival ketogenic stuff  um so the mechanis re by which the oral microbiome  

25:30affects the heart is through the bacteria which  can go from your gums into your endothelial cells  

25:36which is a lining of the blood vessels and can  cause inflammation interacting with the plaque   on the arteries making that worse plaque gets more  in the arteries clogs the arteries kind of clogs  

25:46the arteries and increases the blood pressure  the second mechanism is uh reducing nitric   oxide I did an episode with Dr Nathan BR about  nitric oxide Miracle molecule Miracle absolutely  

25:58AB absolutely um but that’s important to note  that nitric oxide is connected to your oral   microbiome or your mouth and it it is connected  to what you use in terms of mouthwash and maybe  

26:09toothpaste which we’ll talk about and also the  foods that we eat so that is the connection with   the heart I want to move on with the connection  with the brain because people care mostly about  

26:16heart and brain Alzheimer’s and heart disease um  can you explain the connection between the oral  

Oral bacteria and Alzheimer’s disease

26:23microbiome bugs bacteria in the mouth and how that  would cause or Cor corate with Alzheimer’s disease  

26:30MH absolutely so again this is a lot of recent  research uh a lot of it came out of UCSF here in  

26:36San Francisco um and it’s a it’s a specific bug  and again when I say a specific bug that’s the  

26:45most likely bug to do it there it’s a combination  of many bugs and by the lack of certain bugs that  

26:51allows that specific bug to do its harm so  in this case the the villain we like to uh  

26:57villainize is the pin jalis bug and again this is  a bug that we all have in our mouths um but when  

27:02that becomes quite prolific which leads to gum  disease that crosses through that that barrier  

27:10very very it’s a mucosal barrier uh much like the  lining of the gut um it can even pass through the  

27:17oral mucosa like through the cheek um and there  are a few other ways it can pass through but so  

27:24it it gets into the bloodstream and remember  if you have gum disease you are continually  

27:29seeding your bloodstream with this bug and it for  example and I’ve read this in a study in a clean  

27:38situation one bug penetrating the oral mosa it’s  in the brain 10 minutes later uh given a specific  

27:46you know perfect study right but obviously it’s in  process and it’s happening all the time that’s how   quickly it is it’s not days or months or years and  then it crosses the bloodb brain barrier um and  

27:58and when the brain sees it and and there are other  compounds involve it’s not the P gingivalis bug  

28:04it’s a something called the gingi pan Which is a  it’s a protein that’s caused by this infection and  

28:10when the brain sees that it literally enlarges  it becomes inflamed the brain can expand and it  

28:16can contract in fact when you sleep at night the  brain is shrinking and when during the day it uh  

28:22as it uses energy and when it uses energy it’s  producing a lot of toxins so waste products um  

28:28so the brain’s used to doing that but so the  brain literally has an inflammatory reaction  

28:33and one of the things the brain does in in in  the presence of this gingi pan uh substance uh  

28:40product um which is from the mouth directly um it  produces it lays down amid plaque and I don’t you  

28:50you everyone pretty much knows what id plaque  is in for many many decades that was the cause  

28:55in other words when they saw that on a brain scan  that was the cause for Alzheimer’s it turns out   that’s just a a symptom or a a manifestation of  something way more complicated which should be no  

29:07surprise and but so we’re seeing now studies that  are indicating that one bug from the mouth can be  

29:14a causitive agent because it’s always there  it’s chronic and it takes time so it would it   would just be the brain reacting to this bug and  it’s trying to do its best but over time uh the  

29:25neurons break down and you get all the symptoms of  Alzheimer’s and it’s a very slow gradual process   but if you have any bleeding of your gums um  you are hastening that process um by quite a  

29:38bit um and we need more we need more research on  this certainly absolutely I did an interview with  

29:43Dr Ray dorsy so he’s um an expert in Parkinson’s  disease similar path pathology that Parkinson’s  

29:52does not start from the substantial [ __ ] it  is outside of the brain so all these things  

29:57that we think think about starting the brain like  Alzheimer’s Parkinson’s disease they don’t start   it’s fascinating that’s why I want to talk to you  about these bugs right how did you get interested  

30:06in all this stuff because if we see a dentist  they’re probably going to put fluide in our  

30:11mouth and call it a day so how did you get such  an expert in the oral microbiome uh that’s a great  

30:18question um uh it’s it’s um many many factors  obviously there there wasn’t one Tipping Point  

30:26or Mo aha moment of course uh I think it started  when I was 17 years old or it was I mean I was a a  

30:34total and this was before I was in dental school I  had no degree um I was actually taking art classes  

30:41in college um architecture and Chinese landscape  painting and enjoying myself with all that but I  

30:49was always kind of a healthcare nerd I was taking  supplements I think my dad was a physician my mom  

Dr Burhenne’s story

30:55was um a little bit of a home AIC kind of mom you  know brewers yeast and and dandelion stems in our  

31:03salads and and this was all in San Francisco  so um growing up so um and then I started  

31:09taking some food science and then I started doing  predent pred Dental which obviously goes right to  

31:16biochemistry and organic chem and and all of that  but um I was literally reading books on uh proper  

31:25um agricultural practices uh and regenerative  practices u u I was reading books on supplements  

31:33on longevity when I was 17 years old so but that  that really didn’t give me any idea there was no  

31:39talk about the gut microbiome so I think I kind of  had something in place already I was questioning   fluoride uh at that age um who knows why we had  really no data and and I it wasn’t for me it  

31:52wasn’t a conspiracy theory which is which it was  back then if you were against fluide it was you  

31:57know a communist plot or you know something like  that so it was political in nature so then came  

32:02dental school and of course I adored my education  it was fascinating it was a whole new world no  

32:09mention of the oral microbiome no mentioned of  small Airways sleep and all these things I got   into later but really to be fair there is no room  in the curriculum for that you want to come out  

32:18as a safe clinician and so but I was exposed to  all that and I started pushing back on a lot of  

32:24it like why are we taking out wisom teeth these  are solid teeth well it’s because our Jaws weren’t   fully formed but that wasn’t being talked about  it was because they were lying on their side they  

32:33were impacted and they would lead to an infection  later on in life and that is true but there was   really no discussion of and I didn’t use these  terms back then but of the root cause what is the  

32:43big picture but again I was questioning everything  then I became a dentist and I practiced for almost  

32:4840 years and about I started eliminating uh soon  as I came out of dental school I eliminated uh  

32:55metal fillings uh because we had alternatives and  to me you know and I knew that a metal filling  

33:01half of it was Mercury and I knew that that was  a neurotoxin but everyone was saying it was safe  

33:06and once it hardened in the mouth it was fine  obviously we knew that we now know that that’s   not correct so so I started making some changes  but I think the the functional moment came when  

33:18I realized that I had sleep apnea and I was in my  40s I was very thin very healthy I was doing 7-Day  

33:26mountaineering trips I I wasn’t really napping  but I had no idea that I had sleep apnea um and  

33:33so uh and then I to make this story much shorter  I realized that this is something that dentists  

33:41can really uh take charge of and again we’re not  allowed to diagnose it but we can certainly screen   for it and we are part of the treatment process  and that’s when I really started changing my  

33:50continuing education every year you have to get  50 hours I was getting 200 hours and a lot of it  

33:56became sleep and then I realized that there’s a  lot in the mouth that was the exciting part when   and this was before the oral microbiome that so  much is happening in the mouth that is affecting  

34:05the rest of the body and that I think again it  wasn’t one moment but realizing that that was  

34:11the case and then looking back to my education  and looking to my colleagues and realizing that   we weren’t thinking that way we weren’t treating  patients that way it was drill and Phil and Bill  

34:21um so then I I really I got it I mean I started  changing then came the oral microbiome that solved  

34:27a lot of issues for me it’s like why are all my  patients getting cavities obviously I knew it   was Diet related but but now we have mechanisms  of like which foods cause these problems and so  

34:38it was a very slow gradual process but I think  back to being in and reading and questioning  

34:45back when I was 17 which I have no idea where  that came from I think that kind of was the   seed and then came a professional curriculum  and the two just didn’t quite merge as well as  

34:57I think uh they you know well they have now but  they they conflicted there was a lot of conflict  

35:04I would like to take a brief break to thank the  sponsor of this episode element now if you want   to improve your oral health and also your overall  health a very effective strategy is to improve  

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Bad breath is a sign of a dysfunctional oral microbiome

36:26I wanted to ask you so as a functional dentist  people when they think about well how do I know   that my mouth is healthy you would have seen a  lot of problems or signs that somebody doesn’t  

36:36have a good mouth or a oral microbiome I’d like  to talk about that so that people can understand   right my oral microbiome is crap I need to fix it  otherwise I’m going to get Alzheimer’s or maybe  

36:45heart disease so let’s talk about bad breath  so bad breath literally is a sign that your  

36:51oral microbiome is dis biotic it’s easy I mean if  you and there’s a hygienist now on Tik Tok and I  

36:58I applaud her she went viral because she told  everyone to smell your floss after you floss and  

37:03actually that is a brilliant idea and as a dentist  I could smell disease I know some anadon that when  

37:09they were doing rot canals they could literally  identify the infection the the bug that caused  

37:15the the infection inside of the tooth by smell  um the good news is now we have testing we have  

37:20oral microbiome testing it’s rather new it’s only  been out for two years I mean the right form that   is testing for every single bug and they’re about  we used to say 700 species and that was just last  

37:32year now it’s 800 different species so we can test  for all 800 species and so we have a an mRNA broad  

37:41it’s not a broad spectrum it’s a metagenomic uh  shotgun approach in other words it’s testing for  

37:47everything and it’s hasn’t been that long that  we’ve had that a good test for the gut as well  

37:52so so for $80 $90 you can get your oral microbiome  tested and so what you said how do you know and I  

37:59don’t want to get Alzheimer’s that’s the way to go  I mean I wouldn’t trust and this is going to sound   terrible but I wouldn’t trust your dentist or  your hygienist because we look at indirect factors  

38:09we’ve been trained to look at the the texture  the stippling or the smoothness and the the color  

38:15of the gum tissue that’s not very scientific but  that’s all we had so now we have testing I would  

38:20just go out and get tested if you’re bleeding if  you have a little bit of gingivitis um you know  

38:25if your dentist isn’t having this discussion with  you about the oral microbiome about why your bad   why your breath smells po poorly or bad or stinky  dead fruit smell whatever decaying fruit smell uh  

38:38and that could be more than just uh a disbiosis  the or microbiome it could be food getting caught   between your teeth um then you can literally get  this test anyone can get this test uh at least  

38:49in the US I think Canada as well now but but get  your oral microbiome tested and the results get  

38:54sent to you uh the Box get sent to you you spit  into it it’s wonderful so so there are a lot of  

39:00other indicators we’ve talked about bleeding  uh obviously if you’re getting cavities every   few years or every six months that’s not normal  our ancestors didn’t get cavities I mean once in  

39:10a blue moon maybe but usually their teeth would  crack or wear out uh you know they were grinding  

39:16Milling their grain with stone and the particles  of stone would come off uh there was a lot of  

39:22violence in those days fractured jaws and and and  accidents of course but very little Decay uh very  

39:29little crowding of the teeth big Jaws big Airways  I mean we’re so different from our ancestors and  

39:35it shows mostly in the lower face and the size of  the airway and the and where the teeth end up so  

39:40so if you have crowded teeth if you have cavities  if you have bad breath for example if you’re  

39:46getting a lot of can canc crur um even if you have  a very mild version of gum disease which is called  

39:52gingivitis and you see a little blood occasionally  that is absolutely not normal that means you do  

39:58have an issue with your oral microbiome and it  all comes back to the oral microme and then a   perodontal disease as well so if the gums reced  that’s also obviously chronic inflammation right  

Periodontal disease

40:09that is the result of the body trying to deal with  chronic inflammation uh the the free margin or  

40:15the the edge of the tissue which is where most  the inflammation occurs because the tissue is   so thin it’s knife edged that blood supply is  inherently because it’s such a small piece of  

40:25tissue is tiny it’s it’s the equivalent of the of  the blood vessels the size of the blood vessels  

40:32in the kidney which are tiny and when the blood  pressure is elevated or there’s a lot of chronic  

40:37inflammation those blood vessels rupture that  tissue necrosis and of course NE necrotic tissue  

40:44the body eats it away uh it could be macrophases  it can just be uh falling off of that tissue over  

40:50time and that’s what gum recession is and a lot  of people are like oh I’m just getting old you   know that expression I’m long in the tooth that  likely is some form of chronic inflammation in  

41:00your mouth and that would be also a dysbiotic oral  microbiome due to Oral Care Products you’re using  

41:06not eating the right Foods um there are cases  of gum recession with trauma eating a piece of  

41:12Saro bread and it scrapes the gum tissue there  are some congenital issues there’s a frenum pull   a little piece of tissue that can pull on it  uh severe grinding which is related to sleep  

41:23disorder breathing can cause gum recession but the  major cause of gum recession is scum disease and  

41:28again that’s a metabolic disease that uh I think  70 actually it’s 69% of us over the age of 40  

41:34have that disease wow I’m scared to open my mouth  because maybe you to think oh reena’s gums yeah  

41:41well I mean it’s something worth looking at always  and and that’s the great thing about flossing if   if you floss every day you’re massaging that area  I mean there’s there’s there are lymph channels  

41:51in the gum tissue there are even lymph channels in  Toth structure and a lot of people think flossing  

41:57and brushing for that matter uh and you should  be brushing the gums as well right at the margin   between the gums and teeth you’re massaging those  lymph channels you’re detoxifying that tissue um  

42:08and and of course you’re thinning the bofilm and  helping the oral microbiome reset and do its job  

42:14properly but again if you’re eating the wrong  diet all of this won’t help and it and if your   dentist is shaming you for example if you come in  you got a cavity and you’ve got a little bleeding  

42:24the most common answer from your dinosaur  hygenist is that you’re not flossing enough   and that’s really unfair because it’s more than  just that in fact it’s way more than that and I  

42:32just mentioned a few of them so so but flossing is  great because it’s an early detector it’s an early  

42:39warning system so when you floss your gum should  not be tender and if they are tender in one area  

42:45which a lot of people have certain areas where  that are tender that’s an area where the ligament   is migrating downwards and that’s where there’s  some inflammation and that’s where you’ll get your  

42:53bleeding point at that part of the of the of the  process C with the game it can be reversed and it  

42:59can be addressed but if that goes on for too long  then you get gum recession and you get permanent  

43:05injury to the gums and you get two sensitivity and  so flossing is an early warning system and if you  

43:11see blood on your floss and it doesn’t smell good  find a dentist or hygienist that will address that  

43:18and get your oral microbiome tested okay let’s  talk about things that kill the oral microbiome   and probably the other biomes in the body as well  mouthwash so you don’t want to kill bad bacteria  

Tool: Don’t use mouthwash, and why

43:30because that’s what listerin says yep anything  with alcohol in it high essential oils high levels  

43:36of essential oils Listerine was made by the soap  detergent industry uh it literally that formula  

43:43came off the back of a covered wagon a snake oil  salesman they just loaded it up with what they had  

43:48in those days and that was a distilled essential  oil and we knew that those things would they were  

43:53in soaps they would they would clean they would  clean by disinfection but also emulsification  

44:00um they were surfactants and that would break  apart things on your skin they would break apart   biofilms that’s what they do in your washing  machine um so the question is is is that are  

44:13those ingredients useful in the mouth and I think  this this is the frustrating we off camera we were  

44:21talking about how frustrated it is to be a healthc  care practitioner sometimes um the profession has  

44:27been promoting this snake oil sales covered wagon  product soap detergent pesticide uh alcohol based  

44:37product and we and the industry and the profession  is still behind it on a daily basis they recommend  

44:43that you do that on a daily basis what you’re  doing is you’re knocking down you’re killing   your oral microbiome and actually you are you are  not preventing disease you are actually promoting  

44:51disease because in that P ginalis bug or that SM  muten bug that we talked about that causes all  

44:56these different things not only in the mouth but  in the body uh become more prevalent and then they   start wandering and when they start wandering you  you get some you have some serious systemic issues  

45:07so so we’ve been promoting a disease process a  a a product that actually causes not just oral  

45:14disease but systemic disease so mouthwash you  don’t need you could rinse with saltwater just  

45:21the swishing motion of a neutral pH water would be  fine but it’s not uh it’s not as effective as oil  

45:29pulling for example uh but brushing and flossing  are mechanical they actually are the backbone of  

45:34good oral hygiene especially if you’re eating  a western diet I mean now if you’re eating uh  

45:42hamburger uh meat uh I mean I eat a lot of meat  sticks I’m I live here in Napa Valley they’re all  

45:51handmade and you know and they tell you where the  animal came from and I mean that’s a diet that you  

45:57literally wouldn’t have to brush or Flop yeah well  I mean I’m not recommending a pure carnivore diet  

46:05but I’m just saying our our uh ancestors I mean  every once in a while they’d see a pomegranate  

46:11tree or they would see a fig tree right but most  of the time it was just dried meats and then later  

46:16they learned how to cook it and that we got a  little bit more nutrition from that um we were   we were chewers I mean our teeth are designed  around chewing meat not vegetables uh that’s  

46:27changing now unfortunately because we have a soft  diet so we evolved into a species even after fire  

46:32came along we could cook meat we had to do a lot  of chewing to get our our nutrients um and and  

46:38most of the time it was meat so there are diets  out there where you wouldn’t have to floss and   brush uh unfortunately most of us are not on that  diet and the reason we brush and floss is because  

46:48we’re eating a junk food diet a western diet so so  that’s something to think about um it’s the same  

46:54for the rest of the body uh the diet works great  with diabetes uh it works great with cancer for  

47:00example uh there are many things that it can I’m  not going to use the word cure but it can modulate  

47:05or prevent um and it’s the same thing I mean the  diseases in the mouth are very similar to the  

47:11diseases throughout the body they’re metabolic  in nature um um I mean yeah it’s uh it’s very  

47:18very frustrating but I’m not telling people not to  floss because I would first have to look at your   diet absolutely that’s why we call the podcast the  Primal podcast because getting back to our Primal  

47:27ancestry ways you know a ketogenic carnivore it’s  all these labels but really it’s just eating real   food primarily meat I want to ask you about to  uh toothpaste why should we not use Colgate for  

Tool: Toothpaste to not use

47:39example or Crest why is that not good right and  and you know the list is bigger than that of   course but those are great examples because those  are the number one selling toothpaste and by the  

47:47way that’s a huge industry and that is a billion-  dooll industry and they can put a tube onto the  

47:53shelves packaged it includes all the marketing  for about 35 40 cents and they’re selling it for  

47:58four five6 I mean this is an industry that nobody  wants to mess with unfortunately um it is causing  

48:06a disbiosis of the oral microbiome I will just  say it right up front and so whoever is using   these products like mouthwash and these and the  toothpastes have a different mechanism it’s more  

48:15of an emulsification breakdown of lipid layers all  the cell walls are have fat in them lipid and and  

48:22if you take an emulsifier you can see this under a  microscope it literally breaks apart the cell wall   the cell wall opens and all the contents of the  cell uh spill out and that’s and that’s not the  

48:33way you want a cell to die because that’s called  apotosis I think and you really want a A macras  

48:40or the body to eat that cell that’s a better way  of getting rid of the toxin so but but that’s a  

48:46little little bit of a rabbit hole there so so  the toothpaste also for example trand uh which  

48:51was in our hand soap for a long time that’s been  outlawed in California thank goodness um there   are micro beads and toothpaste that’s a piece of  plastic but it’s bigger than microplastics um uh  

49:02just for look uh those would get caught in with  in your gums and cause inflammation uh what else   the the surfactants sodium Laural sulfate and  by the way I I could tell you to look for SLS  

49:12in toothpaste don’t use the toothpaste with SLS  in it unfortunately there are 50 or 60 different  

49:19other names for a surfactant like SLS so it’s very  difficult to I think we have a list on our website  

49:25but it continually changes it’s like going BPA  free you go to the next BPA free product and then   it has something else in it that eventually you  can’t be using so it’s very difficult but try and  

49:35use a toothpaste without surfactant andala fires  it’s it’s a it’s a soapy bubbly foaming kind of  

49:41agent it’s really there to make large batches of  toothpaste and to make a lot of profit um and it’s  

49:48not good for your own microbiome although it’s  certainly not the worst thing it’s not as bad   as trian we also have essential oils essential  oils are are distilled down from plant oils and  

49:58plant products and and I’m not going to say that  all essential oils are bad but essential oils in  

50:04the mouth are not good and I’ve I’ve seen over  the years a lot of Burns and thinning of the  

50:11oral mosa and dis biotic oral microbiomes due  to even homeopathic toothpaste that are very  

50:17high in cinnamon oil or eucalyptus oil and those  kind of things and and to the point where people  

50:23get burned there was an influencer on the East  Coast very well known influencer a friend of mine  

50:28and he was using a homeopathic toothpaste and he  couldn’t speak he couldn’t get on Instagram for  

50:34two weeks because of this toothpaste and again  they they never tell you how much is in there   so there are a lot of things that should not be in  toothpaste be very careful what you toothpaste is  

50:43not an innocuous product it is it can potentially  cause Decay and uh affect the uh nit the nitrate  

50:52to nitrate converting that NOS synthes pathway  producing mechanism of producing nitric oxide it  

51:00can also affect that as well as does mouthwash  so mouthwash is it’s much stronger perhaps but  

51:07don’t underestimate the effect of a poorly made  toothpaste so definitely I mean I would rather   have patients not use Colgate or Crest or you  know there several others um uh I would just  

51:18rather have them floss and brush um I mean you  don’t that the using the not using the toothpaste  

51:24is safer than actually using it you’re going to  be much healthier now there are some toothpaste   that I recommend and full disclosure I manufacture  a toothpaste that has no surfactants no essential  

51:33oils it has a remineralizing product in it all  the things that I think are necessary and there   are a lot of other good toothpastes out there that  do the same so um but if you’re and I think the  

51:45reason I say that is because a lot of people will  say well Dr Brenna your toothpaste and all these   other Boutique Brands cost 122 to $20 and I can  get I can go to Costco and buy Six tubes of Co  

51:56gate for I don’t know how much I haven’t bought  it in 30 40 years so I wouldn’t be able to tell   you but I mean it’s quite a bit cheaper but I  would tell you that it’s it’s safer not to use  

52:04toothpaste just floss and brush use an electric  toothbrush change the toothbrush head often floss  

52:10daily and you’ll be much better off your your  breath will smell better I mean mouthwash actually  

52:15makes your breath smell worse now for the first  10 minutes you smell minty and and all that and   then obviously I’m a big fan of zotol I know we’ll  talk about that but I would rather have you floss  

52:25brush and chew on alol if if if you have no other  option or you can’t find a good toothpaste that is  

52:31safe and that’s how bad Colgate and Crest and all  their other products glass cocain and I’ve spoken  

52:37to these companies I’ve had Roundtable discussions  with them in the last 15 years they’re looking  

52:42they do buy small toothpaste companies but right  now they’re very happy with fluoride fluoride  

52:47is antibacterial we talk about the effects of  fluoride on the brain the developing brain but   fluoride in the mouth literally knocks down the  oral microbiome it also knocks down the gut mic  

52:56mome it’s another aor of the gut microbiome that  was the next thing I was going to say fluide so we  

53:01should avoid fluide um because there is that link  with fluide and dementia and Alzheimer’s because  

53:08it can travel through the blood brain barrier  and enter the brain I want to ask about Foods  

53:14because we mentioned um some products that we  shouldn’t be using the mouthwash be careful of   your toothpaste fluide in toothpaste and even  fluide in water but acidic drinks so coffee  

Tool: Avoid acidic drinks

53:27and tea can you explain because I think everyone  drinks coffee and tea so the acidity in the mouth  

53:33you want to control the ph and there’s something  called the critical pH can we explain that and   then when you drink coffee tea all the time why  is that dissolving your enamel of the teeth the  

53:45tooth great question and again this is something  that’s very prevalent doesn’t get discussed very   often I’m glad you mentioned critical pH not many  uh people know about that um but let’s talk first  

53:55about pH in the mouth so um there are a lot of  people out there that you’ve heard say that you  

54:00have to drink a high pH water because it’s better  for the pH of your blood that’s hogwash um the  

54:06body has its own pH regulation system as it does  in the mouth which I’ll get to in a minute and it   can regulate its own its own pH blood pH on its  own um I think the drinking a acidic beverage  

54:20and and back to that uh example I mean you can  eat oranges and your the pH of your blood will  

54:28not become acidic I mean so so I wouldn’t I’m not  going to go down that path I mean that’s that’s  

54:34not where we’re going in the mouth the in the oral  story is contact of a low PH product onto a two  

54:42structure has an effect and it is pH but it’s not  pH of the saliva necessarily it’s not pH of your  

54:50blood um and the body and the mouth does regulate  the pH uh in the mouth of the saliva but sometimes  

54:59it is well often in today’s world it is overcome  so if you’re let’s say so my typical patient in  

55:05the Silicone Valley uh was like a Google or Apple  patient and they were sitting in a cubicle they  

55:11had all all this free access to wonderful snack  food and drinks and and so they were sipping you  

55:18know anything from a Iced Tea unsweetened uh to  uh a Mountain Dew beverage which is very low on  

55:26the or even a diet cola diet Coca-Cola uh those  phes reach uh 1.8 2.4 that’s an acid that will  

55:36literally dissolve this tabletop here or cause  a burn of the skin and and people are here’s the  

55:42problem they’re not just guzzling it I would pref  if they had to do it I would prefer they do that   they’re sitting there programming and making phone  calls and they’re sipping that coffee is not as  

55:53bad uh I would say iced tea I drink a lot of iced  tea it’s I I drink four of those until 11:00 and  

56:00I brew it myself and it’s a green tea and for me  it’s a delicious drink but it also helps prevent  

56:07Alzheimer’s and um has other benefits in the mouth  it helps you lose weight examp uh you know for  

56:13example but um and I’m not too worried about the  pH but I do measure the pH of all my Beverages and  

56:19I’m sipping on pelegrino right now which is about  a 70 on ph but so I wouldn’t worry too much on  

56:26the pH of a beverage unless you are sipping it  a lot of us will sip wine for a whole evening  

56:32um but if you’re eating a lot of fatty food and  or you’re doing what the Europeans do and they   drink water after they drink the wine they have  their bubbly water there these are moments I’m  

56:42not too concerned about I am concerned about the  sodas and people that are sitting there and that’s   all they’re doing um and there isn’t time for  the saliva to buffer that so saliva will return  

56:53back to its pH of 70 but if you’re sipping um  or snacking on crackers for example and nothing  

57:00else or washing them down with the soda you’re in  trouble uh the acid the pH in the mouth is so low  

57:07that you’re dissolving you’re literally dissolving  calcium from the outer structure of the tooth uh  

57:13that that’s just I mean that’s how chemistry  works I mean you can a an acid will break down  

57:21a calcium structure now the body has a mechanism  to replace that calcium and that’s where critical  

57:27pH comes in um so we’ve identified when what that  critical level of pH or point of pH is and it’s  

57:36different for Denton and it’s different for enamel  it’s lower for enamel because enamel is a harder   structure and Denton is only partially calcified  at softer so it has a higher pH at which point  

57:46it starts demineralizing it starts losing these  little ions of calcium um and again all all bone  

57:54and tooth is is just this GL globular structure  of Cove valent bonded electric Electro negatively  

58:00or it’s an elect it’s an electric attraction  of calcium phosphorus uh water hydroxy groups  

58:08magnesium Boron all these minerals are bonded  together the acid comes in and breaks down  

58:14those bonds and then the calcium starts leaving  the outer layer and the longer the acid is there   the deeper it gets so it’s it’s not in dentistry  it’s more about the frequency of exposure and not  

58:26the amount of exposure so again there’s that that  example of if you’re going to have your diet coke  

58:32drop it down quickly you know if you can guzzle  it or whatever that term is um waterfall it right  

58:38of course that you know you’re not tasting it but  if you’re there sipping it all day or even for an  

58:43hour uh the the pH in the mouth is too low too  long and you’re losing two structure and you’re  

58:49below the critical pH uh so the critical pH for  uh enamel is I think it’s 4.8 so a lot of things  

58:57even like pel uh not pelino uh perier water will  drop below that I mean there are a lot of things  

59:03that you wouldn’t think drop you below that  critical pH of where enamel starts dissolving  

59:08um so but the minute you bring it back up past  the critical pH back to 70 which is the neutral  

59:14state of the mouth then remineralization occurs  but only for a small window because once you’re  

59:19at a neutral pH the rization stops so there’s  that little window there as you pass through it  

59:26where demineralization and remineralization will  occur you’re literally losing and gaining two   structure and we have something called the Stefon  curve in dentistry that plots all that this gets  

59:38way too complicated for the viewer so all they  have to know is if you have to have that Diet  

59:43Coke have it with a piece of chicken breast uh or  or choose zotol gum immediately afterwards because  

59:52that brings you that pH back up and it helps  the REM minimalization I don’t want you to brush  

59:58though because the pH was so low you’ve got this  little slurry of dissolved calcium on top of the  

1:00:06tooth that if you were to brush you’re literally  scraping off that layer you’re not allowing it to   recombine or rejoin the tooth and that’s why we  always recommend depend now if you if you if you  

1:00:16eat a hamburger without a bun you know with an  onion grilled onion on top of it and and maybe  

1:00:22some mustard you wouldn’t have to worry about any  of this um uh but if you ate a typical meal you  

1:00:28would definitely have to worry about all of this  uh and then there’s another so that is the acid  

1:00:34and pH direct contact from the food itself or the  beverage mostly the beverage but then there is the  

1:00:41indirect acid attack and that is when you eat and  I like to pick on goldfish but any kind of refined  

1:00:49uh refined flour snack with a little you know  hydrogenated oils in it or something it doesn’t  

1:00:56even a potato chip by eating that the bacteria a  you’re boosting the levels of stre Mutan which is  

1:01:02the cavity causing bug but but the excrement the  of that metabolic process of those bugs eating  

1:01:08that product you fed them the perfect meal and  they can excrete a lot of acid that lowers the  

1:01:13pH in the mouth as well and that’s kind of the  indirect acid attack so it’s not necessarily the  

1:01:19pH of the food itself but it’s the pH lowering  ability of that food because the bacteria  

1:01:26in the oral microbiome are able to consume it and  that’s the problem with uh refined Foods refined   foods are doing that again that hamburger with a  you know sauteed onion and whatever that that has  

1:01:38no direct pH the bacteria can’t break it down so  there’s no low PH moment or acid attack that was  

1:01:44my next one carbohydrates and sugar so I think we  know the mechanism by which eating processed foods   sugars um can affect the gum the mouth and also  the teeth so then conversely if someone is doing  

Carnivore Diet for Oral Health

1:01:56a ketogenic diet or a carnival diet would  that kind of prevent you from getting getting  

1:02:01cavities or gum disease and help the mouth and  the oral microbiome so a lot of people will ask  

1:02:08on Instagram and in interviews and and again I’m  not a nutritionist but um it’s pretty clear it’s  

1:02:15pretty simple and nutritionists would agree with  me the ones that know about what happens to food  

1:02:21in the mouth um that and and so my easy answer is  Paleo carnivore um ketogenic um because we know  

1:02:31that that diet has a very specific result when it  metabolically speaking and in the mouth it’s the  

1:02:38same thing I mean a high glycemic food obviously  is not good for you know our way of dealing with  

1:02:47glucose and in our bloodstream and that blood  Spike and that glucose spike in the blood um  

1:02:53but remember in the mouth it has the same effect  those bacteria see a high glycemic food and they   go to town and they produce a lot of acid uh  which leads to Decay and even gum disease so  

1:03:04so the easy answer is to eat high fiber foods eat  foods that are high in K2 K2 has another benefit  

1:03:11in dentistry um in terms of the remineralization  process uh a and D3 obviously but if you’re low  

1:03:18in D3 and you’re not supplementing and you’re  not getting it with your food I mean there’s so   many factors at play here uh you can floss all day  long if you want but if you’re not eating properly  

1:03:26you’re going to have some issues and then that’s  when your dentist shames you but they don’t tell   you that there are other factors at play so so  um that’s the again I love the paleo diet to me  

1:03:38that’s perfect uh I haven’t had a since I became  fat adapted and then I give Mark Sison uh full  

1:03:45credit for this he he changed our lives we became  fat adapted we ate a high fat protein diet um we  

1:03:53could fast for days I just had my colonoscopy I  start stopped eating for 3 days before I started  

1:03:59using the the the materials that help flush you  out um I mean I’m able to do that and that is  

1:04:06because we’re not we’re burning fat you know what  fat adapted is right I mean we’re burning fat and  

1:04:12we’re able our body is able to burn fat that’s  how we want our mouth to be I mean we want our   mouth to be and our brains to be burning fat  not carbohydrates everything along the lines  

1:04:22of ketogenic diet carnivore diet or or hybrid  diet therefore a paleo diet um it works wonderful  

1:04:30for the mouth it it is it solves problems it can  cure gum disease it reverses Decay you’ll never  

1:04:36get a cavity again if you’re doing it right but  the minute you start you know sipping on a diet   coke again or eating something with sweets in it  uh maybe you can get away with it but if you’re  

1:04:45doing it on a daily basis you’re right back to  where you were uh oral microbiome disbiosis oral  

1:04:50disease which leads to systemic involvement okay  I want to talk about some solutions uh but going  

1:04:56back to the foods I heard from somebody else that  after you have an acidic meal let’s just say that  

1:05:02you have some acid or acidic meals or even a drink  if you have a bite of something high fat so a bite  

1:05:09of cheese a bit of bacon even avocado let’s not  make it strict carnivore that is going to help  

1:05:15neutralize the pH levels and then help with your  oral microbiome can you help me understand if that  

1:05:21is a good strategy it’s a great strategy um um and  especially with cheese and we’ve had data on that  

1:05:28there was stuff at the maybe around late 1990s  turn of the century that was talking about how  

1:05:34cheese consumption of cheese uh is a great way  to uh prevent Decay it was really just a buffer  

1:05:41for the acids cheese makes a great buffer but any  high-fat diet I mean you you you listen I mean I  

1:05:47love listening to the glucose goddess and how she  can eat something before a high glycemic food and  

1:05:54then compare that to reversing that I mean the  Europeans they eat their salads and their breads  

1:06:00or they don’t even eat bread well if they do it’s  after the meal is over they eat it with a little   charcuterie or something but they’ve had their  protein first so it’s the same thing in the mouth  

1:06:08absolutely um one of my favorite snacks uh is a  ball of uh Buffalo mozzarella but from the Buffalo  

1:06:17not not from a cow I mean I just I just pull it  out you know it’s it’s wet you kind of dry it  

1:06:22off a little bit and then I just take it out and  walk around with it like an apple I mean that is   an amazing meal for the mouth it’s got the right  form of casine if you’re allergic to uh or lactose  

1:06:32intolerant and it’s uh wonderful for building  bones and remineralizing teeth and and cheese is  

1:06:39kind of having its moment people for a long time  were saying cheese was bad I’ve always believed   in cheese if it was well done if it was sheep or  goat or if it was the right I mean like milk and  

1:06:50those kind of products from a cow that is being  fed hormones is obviously not what I’m talking   about so okay next question for you again same  line of thought so if nitrates which get converted  

1:07:02to nitrides which get produce or increase nitric  oxide help lower inflammation lower blood pressure  

1:07:08and improve your oral microbiome that’s connected  now I want to ask you about bacon I know it’s a  

1:07:15small solution again going back to good foods  that people can eat in abundance that they feel  

1:07:20yes because bacon has been so demonized same with  butter same with cheese you know there foods that  

1:07:27go high and low in fashion this is good and this  is bad so do you think that bacon can help your   oral health boy um well my first reaction  is yes I eat bacon um Can it directly Aid  

1:07:40in oral health um now again I live in Napa and  our source for bacon is amazing um um and then  

1:07:49you can get different types of bacon and uh so I’m  a big fan of bacon especially in like salads and  

1:07:55and uh with other meats and rolling it with like  a like a a fish or something it’s it’s a great  

1:08:03it adds flavor to everything uh and it’s also a  great snack um so and with eggs oh my god um so  

1:08:10um trying to think I think I mean overall there’s  nothing wrong with bacon bacon is a good food  

1:08:16um um directly in the mouth um see the back to  those bacteria that are responsible for that NOS  

1:08:25synthes Pathway to produce nitric oxide those  bugs feed are fed better by uh uh like um  

1:08:34certain vegetables like beets for example um and  arugula uh I love arugula I love the tric salads  

1:08:43that the Italians make which is with Endive which  is great for the gut microbiome I’ll put some uh  

1:08:50uh uh dried walnuts in there a lot of olive oil  I’ll put it into a Ziploc bag add a little fris  

1:08:56get it all nice and marinated let it sit in the  refrigerator for a while and then I’ll add some   gorgona cheese or some uh some very thin strips  of age provolone again all properly made small  

1:09:08batch products and I mean that is what feeds the  uh the bacteria on the back of the tongue more so  

1:09:14than bacon so but I’m not against bacon I think  Bacon’s wonderful can I just clarify something   because I speak to a lot of different experts so I  know my audience they’re going to say oh my God Dr  

1:09:24B said beats that is oxalates and oxalate dumping  so can I provide a clarification that everything  

1:09:32for me personally the reason I follow a carnival  diet is for my gut health and also for my mental   health and many people follow different diets for  many different reasons you do a Paleo slash Primal  

1:09:43is Diet because it works for you but I just wanted  to highlight that if you don’t do well with beets  

1:09:49don’t eat it this is just Dr be’s recommendation  of maybe how you can increase nitric oxide but  

1:09:54also there are nitric oxide to increase it it  doesn’t specifically come from Foods it comes from  

1:10:01what you avoid that’s the biggest thing because  you have to increase and yeah so I just want to  

1:10:06but I just want to ask you about bacon because I  always love bacon Bacon’s wonderful it’s amazing  

1:10:11and I also try and stay away from vegetables  with lectin in them as well um and then beans   I’m not a big fan of but you know some people will  marinate their beans for three days and they seem  

1:10:21to do well with that and uh but yeah beets are I  mean you’ll see that in nitric oxide supplements  

1:10:29so maybe take it that way instead of the bead  itself because it is high in oxalates like   spinach I’m not a fan of spinach that’s for sure  I want to talk now about the perfect oral routine  

Tool: The Perfect Oral Health Routine

1:10:40so that has a bit of components to it cuz you  did another podcast I was like whoa there is so   much to it let’s go step by step people can do as  much as they want let’s talk about brushing so you  

1:10:50say focus on what you eat more than brushing your  teeth if if if one side of the equation is perfect  

1:10:56you wouldn’t have to brush so there’s there’s  a there’s a kind of a a scale there and so it  

1:11:04depends on really what you eat if you’re eating  very well uh you could literally brush without  

1:11:09toothpaste and maybe floss a little bit once a  day um that is very I have a lot of patients that  

1:11:15do that um I’ve never seen any inflammation uh any  morphological changes to their gum I’ve never seen  

1:11:22Decay uh they they either have no Restorations  at all or they’ve the Restorations they have last  

1:11:29forever because that’s where bugs like to get in  and get up underneath fillings and crowns I mean  

1:11:34they’ve changed their their their their their  lifestyle um so brushing is something it’s a  

1:11:42necessary evil it’s it’s a result of our wonderful  modern diet and and way of making food and I mean  

1:11:49it’s very unfortunate but our ancestors I mean you  there are no toothbrushes in in our history there  

1:11:57are sticks and chewing sticks and you know there  are some examples of floss but it was more to get  

1:12:03something out a piece of meat or something uh but  that this is all something we’ve invented in the  

1:12:08last 100 years or needed for the last hundred  years that’s what I think about when I follow   a meat-based and animal-based diet why do we need  to brush so if we are brushing how do we brush our  

1:12:17teeth assuming you’re not a carnivore and you  are eating a lot of carbs um even good carbs  

1:12:25um I I hate to demonize them but you know I’m  very conscious of carbs uh and and I do eat  

1:12:32carbs but as I’m eating them I’m like okay should  I take my berberine now or what’s it going to do  

1:12:37to my blood sugar levels and you know it’s kind  of that thinking but but um um so brushing is as  

1:12:46I said earlier it’s it’s a form of massage you’re  massaging lymphatic channels you’re massaging the   gums for better blood flow and you are thinning  and breaking apart disorganizing the bofilm which  

1:12:59we used to call which we used to refer to as  plaque and plaque has this terrible connotation  

1:13:04it was terrible and the hygienist and the dentist  would get in there they would scrape your teeth   and they would polish down and you had that  feeling of nothing on your teeth right well that  

1:13:13lasted 30 40 50 minutes the bofilm comes back and  that bofilm is needed so we’re not anti-biofilm  

1:13:20in dentistry anymore we shouldn’t be the bofilm  is important the bofilm is there for a reason any  

1:13:25inanimate object in the body has to be covered  by a bofam that’s how we protect it so but it’s   the quality of the bofam so if it’s very thick and  furry and dbio and and all the wrong bacteria are  

1:13:36in that layer it’s a proteas proteoglycan layer  um it will actually dull your teeth and make them  

1:13:44look less shiny and less white uh it will yellow  your teeth uh uh that has to be disrupted um and  

1:13:50the more you feed that with the wrong Foods the  more you have to brush so brushing should be   aim for the gum line I’m trying to keep this  simple um there are lots of videos online  

1:13:59there’s the bass technique but aim for the gum  line with the softest toothbrush you can buy   and replace it every three to four weeks nylon  bristles become very abrasive they break down  

1:14:10and also I hate to say this but little pieces are  breaking off you’re ingesting microplastics so the  

1:14:17you know if you can maybe oil pull if you have  a good diet you could oil pull a little bit um  

1:14:23and then just floss we have silk floss so there  are no microplastics in that I have that on our  

1:14:28store um it’s another company radius on the  East Coast here in the US wonderful product  

1:14:34um but nylon bristles um are problematic and they  do wear and people brush like this and that back  

1:14:42and forth is a cutting motion and it literally  gouges the base of the tooth especially as we  

1:14:47get gum recession and then you get sensitive  teeth and then then you have to either get   those areas filled or you have to use very strong  remineralizing toothpaste to desensitize those  

1:14:57teeth um so it’s it’s the motion it’s a circular  vibratory motion and aim for the gum aim for the  

1:15:05gum and if you’re getting the free edge of the  gum you’re also getting that crucial part of of   the tooth you can brush the tops of the teeth I I  have no problems with electric toothbrushes except  

1:15:14that those heads don’t last as long as you think  I see people I when I go to the guest bathroom I  

1:15:20see the bristles sideways and worn and I’m like  oh dear they are causing a lot of damage teeth   are the hardest substance in the body but they’re  not as durable as you would think they do wear we  

1:15:30can nylon BR bristles especially on an electric  motor on a Sonic Motor can cause a lot of wear  

1:15:35especially on Denton on the root surface so how  often for an electric toothbrush how often should  

1:15:41we change the head I would say every three to four  weeks that’s what I do I I buy them in bulk and I  

1:15:47I I I push very gently because I don’t want to  wear the bristle I don’t want a lot of piece of   plastic breaking off of my mouth and then uh and  I have a toothbrush that tells me if I’m pushing  

1:15:58too hard a little light goes off at the tip of  the handle it’s a pressure indicator um and most  

1:16:04of them don’t do a good job um you know there’s  a wonderful product out there I I could give you   the link and I recommend that everyone try it at  least once it’s not a good everyday toothbrush  

1:16:13it’s just a simple plastic toothbrush but it has  a clutch mechanism on it and when you pick it up  

1:16:20that clutch mechanism is designed to break you can  reset it it’s just like a little thing that gives  

1:16:25and it’s designed to break at a very specific uh  uh kind of force Nano uh not nanometers so Force  

1:16:32what is it I forget what the measurement is but  but when I picked that up someone told me about   it I ordered it I said oh this is going to be  great I picked it up the minute I used it the  

1:16:40clutch kept breaking I was brushing too hard even  though I thought I was brushing very gently and I   think people need to experience that I would say  99% of us overbrush I mean it’s like cleaning the  

1:16:50floors or cleaning the the grout in between the  tile or the sink and the countertop I mean it’s we  

1:16:57we tend to overdo it and that is the worst thing  for our teeth also for the gums you can cause gum   recession that way so so it’s it’s really pick up  a sonic care toothbrush and just very gently it’s  

1:17:08almost like a feather touch I I also tell people  to use their non-dominant hand maybe maybe that’s  

1:17:13better um so I would tell people you’re over  brushing you see I told you that you’re going  

1:17:21to tell us things that are really different to  what we hear so circular motions very very soft  

1:17:26soft brush replace the brush head every 3 to 4  weeks oh my goodness I do not do that it’s an  

1:17:32expensive thing I mean but buy them in bulk and  I would say at the end of the month uh replace it  

1:17:37I mean you’ll be doing yourself a favor and brush  very gently and hold that toothbrush I don’t have  

1:17:42one with me but I mean you know no no no grips  like this it’s more like that hold your toothbrush  

1:17:49like that and let the motor do the job and you’re  bouncing off the teeth and you can rotate a little   bit you can push a little bit bit if that light  comes on at the base of the handle that’s all you  

1:17:58need I mean you’re not trying to remove the pelic  or the bofilm or the plaque layer it’s going to  

1:18:03come back in 10 20 minutes uh all you’re doing  is disrupting it so that the bacteria can kind   of get reorganized and and then hopefully you’re  adding a remineralizing agent like Nano hydroxy  

1:18:15appetite and there’s not much else you need in  toothpaste other than maybe zotol and that’s  

1:18:20it but no essential oils don’t take anything down  don’t nuke anything in the mouth uh and certainly  

1:18:25don’t overbrush or brush too hard over brushing  implies that you’re brushing too often it would be   brushing too hard and I would recommend brushing  twice a day now if you’re if you’re eating junk  

1:18:35food I would I mean we can if if you want we can  talk about that so um let’s say you’re eating a  

1:18:43Burger King at lunch and you eat uh oatmeal  in the morning and even if it’s still cut um  

1:18:49and then you come home and you eat a hamburger or  some pasta you should be brushing after every sing  

1:18:54meal and every every snack but not you have  to wait 30 minutes because your teeth are like  

1:19:00dissolving and then you should be chewing xotl  after every one of those moments so at least you   can bring the ph up and prevent the loss of more  enamel that’s what you should be doing is that the  

1:19:11majority of us probably that’s a good portion of  the population um um so I brush uh in the morning  

1:19:18first thing um and a lot of people think that  a little counterintuitive but that’s when my bi  

1:19:24film is at its thickest even though I’ve mouth  taped and my mouth is not very dry because we stop  

1:19:30salivating at night I mean it’s still that’s and  the tongue hasn’t moved a lot the bofilm thickens  

1:19:36a little bit and these are bacteria they grow if  there’s no you know external movement or or or  

1:19:43saliva flow bathing uh the the surface uh they’re  they’re going to start growing and hopefully  

1:19:48they’re growing correctly but that’s when I think  you need to thin the bofilm so I would scrape your  

1:19:54tongue and brush in the morning sometimes with  toothpaste sometimes not I have sensitive teeth so  

1:20:00sometimes I will use a toothpaste because I need  that remineralizing agent um uh and then and then  

1:20:06that’s it and then sometimes uh I I don’t like to  brush before bed especially if you’re using a uh a  

1:20:14toothpaste that is a lot of these toothpastes burn  with that essential oil of spearmint and mint and  

1:20:20by the way that is a neuro neural uh stimulant any  EO like that I mean they they they use that in in  

1:20:29um in the you know the older forms of medicine  arotic medicine and all that if they wanted to  

1:20:34stimulate someone they would have you breathe in  some essential oils that’s the last thing you want   before you go to bed so I I typically will brush  after dinner and sometimes without toothpaste but  

1:20:44you know it depends depends on what I ate and that  would be within 30 30 minutes of the meal uh but  

1:20:50zotol gum I think that fixes a lot of things  if you’re on the go and you’re eating poorly   even if you’re not just have that in your pocket  okay let’s talk about toothpaste um because you  

Tool: Nano-hydroxyapatite for oral health

1:21:00mentioned Nano hydroxy appetite can you explain  just briefly what that is and then your brand is  

1:21:05fantastic not trying to plug your brand not  everybody has to buy Dr B’s brand but it is  

1:21:11fantastic and I know that you mentioned that  you know these toothpastes do run a little bit   more expensive um but we have to understand like  what these chemicals are doing in our body which  

1:21:20you highlighted earlier so again can you explain  Nano hydroxy appetite what that is why we need it  

1:21:27and maybe one or two Brands to buy yep absolutely  so uh great question it’s kind of the question of  

1:21:33of the day um uh there’s a real war going on  out there um so fluoride is being phased out  

1:21:41although not as quickly as we would like um and  obviously the profession and and and users want  

1:21:48a remineralizing agent well this has been sitting  underneath our nose for a long time um hydroxy  

1:21:54not the Nano form but hydroxyapetite is the  structure of the enamel of enamel in Denton  

1:22:00it’s a little globular uh again it’s that calcium  with phosphate hydroxy group combination and they  

1:22:09all stick together because they’re attracted to  each other electrically speaking uh it’s a bonding  

1:22:15electrical bonding and that’s how the body makes  calcified tissue that’s how it makes bones um so  

1:22:23that is the actual ingredient now what doesn’t get  talked about is if you measure that natural form  

1:22:33of hydroxy appetite in the tooth it is already a  nano structure it’s around 40 to 60 nanometers and  

1:22:39Nano has is a four-letter word in a lot of areas  and nano titanium nano silver um you know Nano  

1:22:47zinc o zinc I mean all of those things I would  stay away from they’re not digestible products   I wouldn’t want Nano gold for example that’s been  in use uh in certain aspects of healthc care these  

1:22:57are products that the body can never get rid of  and instead it walls it off it covers it you know  

1:23:02with tissue and and who knows what happens to it  um so but this is nanocalcium it’s already in the  

1:23:10tooth in a nano form and it is the building block  of a two structure and if it is lost it dissolves  

1:23:16into calcium uh these this product can get into  the bloodstream uh obviously just like anything  

1:23:23else but it at that point it’s a supplement it’s  calcium and we need every cellular process is is  

1:23:29is regulated by calcium Minerals Magnesium all  of these things so so NASA developed a synthetic  

1:23:37version of Nano and this was for their astronauts  and zerog G and loss of bone density and all that  

1:23:43and then they sold the rights to a Japanese  company and that was in the 50s I think so   nanohydroxyapatite is an ingredient in toothpaste  that is also in your teeth so it’s biomic it’s  

1:23:54it’s found in nature and it’s been in use by  the Japanese by a a toothpaste company called  

1:23:59apagard uh which is a good toothpaste it’s hard  to get here uh it has surfactants in it it has  

1:24:05emulsifiers but it’s much better than it’s a  much better choice than Colgate or Crest uh  

1:24:11the problem is is that there are a lot of people  out there including dentists that are saying no   Nano products the good news is that if you use  the right form of nanohydroxyapatite which we  

1:24:21do obviously in our toothpaste fig um uh it it  there’s a one version that has been approved by  

1:24:28the EU by a scientific committee called the sccs  and after I think it was seven or eight actually  

1:24:34it was six or seven years of looking at all these  Nano products in cosmetic products only uh which  

1:24:39toothpaste falls under unfortunately uh I mean  it should be more than that um because you’re  

1:24:45ingesting it uh it it is deemed safe uh in that  version because they know the particle size and  

1:24:52and they know that it’s not coated and all of that  so so there’s a lot of it’s a it’s a war out there  

1:24:59on toothpaste so the people that like fluoride are  saying oh nanohydroxyapatite toothpaste that that   crosses the blood brain barrier and and lodges  in your tissues well that’s what nano titanium  

1:25:09does but not nano hydroxy appetite in fact it’s  found in your teeth so when you’re grinding your   teeth and you’re losing two structure and you’re  swallowing that you’re swallowing Nano hydroxy  

1:25:18appetite it is a wonderful remineralizing agent  it is already in your teeth it’s already in your  

1:25:23Sal Sala as it breaks down as you demineralize the  tooth you’re pulling Nano hydroxy appetite out and  

1:25:29it’s in solution in saliva if you are getting a  lot of cavities you want your saliva to be doped  

1:25:35with a high concentration of nanohydroxyapatite  so that when that remineralizing moment comes  

1:25:40below critical pH you’ve got a boatload of these  particles that can be reintegrated into your to  

1:25:47structure and reverse Decay so it’s a miracle  product it’s been around for a long time there   shouldn’t be the controversy that there is uh  I use it my kids use it it’s safe for kids kids  

1:25:58using floridated toothpaste and swallowing it  you know their IQs are dropping by four to seven  

1:26:04points I mean inflammation of the brain it affects  the mitochondria of your brain a fetus even a  

1:26:09fetus if you’re pregnant as a mom and you’re  drinking fluoridated water your baby’s brain  

1:26:14is being harmed by that fluoride so obviously  Nano is nanohydroxyapatite is the way to go now  

1:26:20you can buy toothpaste without any remineralizing  agents um the brands I used to recommend obviously  

1:26:27I recommend my own now but bokeh I have to give  them credit they were the first to mass Market  

1:26:33here in the US a boutique brand with Nano hydroxy  appetite in it and they use the noox formula which  

1:26:38we do out of Portugal the one that is the only  version that has approved uh to have certification   for safety and efficacy um rise wall makes a good  product I’m not crazy about taste but some people  

1:26:48swear by their taste reputable brand dentists are  behind it um I like it when dentist are behind  

1:26:54the brands it’s typically a little bit better and  then there are a lot of Brands out there that are   just outright lying on concentration and you  know they’re they’re sourcing a nano hydroxy  

1:27:04appetite but it’s low quality it’s got different  Siz chunks I mean we’ve we’ve scanned all of  

1:27:09this uh with scanning electron microscopes we’ve  actually just completed a study at the University  

1:27:14of Texas comparing all these Brands to our brand  and some of the brands that make these outrageous  

1:27:20claims are on the bottom on that study um they’re  also tablets I would be careful of tablets I don’t  

1:27:26think the uptake of the of the calcium mineral is  as good it’s not as available because it clumps  

1:27:33it Aggregates you really want it in solution  properly dissolved and held in solution until  

1:27:39it gets to your saliva where there it’s held in  solution very very well so that when that tooth   is like kind of bare and naked and it’s missing  a few of those little Nano hydroxy appetite  

1:27:48molecules uh compounds um it it it can pull from  it it’s pulling a likeminded like uh similar uh  

1:27:58biomimetic uh material and making itself stronger  so so it’s it’s a lot of controversy but it’s here  

1:28:04to stay and it’s growing very quickly which I’m  very excited about so I think that if people don’t  

1:28:10follow a carnival diet maybe you probably have  to brush um you can have that remineralization   agent which is nano hydroxy appetite um so again  I’m going to link all of the toothpaste that you  

1:28:22mentioned that the the good ones incl including  your brand fig FY g g uh it’s going to be in the  

1:28:28Primal lab so usually I have a section where  we go into detail about this episode lots of   infographics and information plus links for  the guest speaker which includes you so that  

Tool: Flossing and oral health

1:28:38if somebody wants to invest in this then they can  do that I want to ask you about flossing before  

1:28:43you brush I always floss after I brush that’s a  problem yeah it is um it’s a great question I I  

1:28:51think we can all agree on the answers uh most of  us agree in the profession if you if you’re using  

1:28:57a remineralizing agent and there’s something in  your toothpaste that you want the teeth to take   up it would be Nano hydroxy appetite ideally  um you really want to break apart the bofilm  

1:29:08there are little bridges of bofilm there’s food  getting caught in the embrasures sometimes in   between teeth that remineralizing agent will not  be available to those areas if you don’t break  

1:29:17that apart by flossing first so uh my favorite  flosser is a floss stick it’s a rechargeable  

1:29:23little battery it it vibrates it’s called the  Slate flosser I’ll give you the link for that use  

1:29:29that first then then use an electric toothbrush or  a manual toothbrush with uh a nanohydroxyapatite  

1:29:35based toothpaste that is the best way to rebuild  your teeth so why should we tongue scrape uh  

Tool: Tongue scraping and oral health

1:29:40because if you don’t you’re gonna you’re going to  suffer you’re G to it’s going to affect your life   in so many different ways you’re going to have bad  breath it’s going to affect your social life uh  

1:29:48it’s going to uh affect many things uh everything  from erections and that’s for women as well to  

1:29:58yeah blood uh cardiovascular health uh longevity  of organs blood flow to the peripheral uh blood  

1:30:06supplies in the body Eye Health uh brain health  um immune function when the next covid comes make  

1:30:13sure your nox levels are high it’s amazing what  that happens it it helps lung Health as well uh uh  

1:30:21uh inflammation of the lung the lining of the lung  which is a big item a big issue and during the co  

1:30:26uh uh era um I mean it it has so many it’s really  the it’s the Fountain of Youth it’s what Pon Delon  

1:30:34was looking for remember he was looking for the  Fountain of Youth in Florida he was sailing from   Spain and it’s really a fountain of nitric oxide  the problem is is that it’s a short-lived gas it  

1:30:43it you know when you produce it it it survives  for like a quarter of a second uh or a millisecond  

1:30:50um so absolutely you got to scrape your tongue  that is one of the best ways to get the nitric  

1:30:55oxide uh production up and of course you have  to eat well you have to you really have to have  

1:31:00the right oral microbiome uh uh to produce that  uh that wonderful elixir of of Youth and health  

1:31:08okay is a step of um tongue scraping after  flossing brushing and then tongue scraping I’m  

1:31:15not too worried about the order of uh of tongue  scraping um I tend to go right to tongue scraping  

1:31:24first I don’t know why uh if you were to tongue  scrape after you brush I’m not too worried about  

1:31:30that I mean you’re not remineralizing your tongue  some would argue that it’s good to have a clean   tongue before you uh brush and floss I wouldn’t  worry don’t complicate your regimen unnecessarily  

1:31:44but I would floss first brush and then tongue  scrape whenever you want it doesn’t even have to   be at the time that you’re brushing and flossing  um I think ideally the best time to tongue scrape  

1:31:53is right before bed because whatever you have on  the back of your tongue it could be could be that  

1:31:59bullion soup that you had with onions in it and it  could be it could be something that gets caught I  

1:32:05mean the tongue is like a shag carpet a lot of  stuff gets caught in there you don’t want that   stuff sitting there when you get these low saliva  moments as you’re sleeping saliva flow drops and  

1:32:15your mouth gets dry especially if you’re mouth  breathing and so make sure your tongue is as clean   as possible because the next morning when you  wake up your biome will be that much better for it  

1:32:24and you’ll be able to produce a little uh nitric  oxide at night perhaps uh as well so which also   helps with sleep wonderful okay I also want to  ask about the xylol gum so how does xylol so we’re  

Tool: Xylitol gum to fix oral health

1:32:34not talking about the sweetener in eating xylol  we’re talking about xylol gum so can you explain  

1:32:41how that helps with protecting or fixing chronic  inflammation and the gum and the mouth so it’s a  

1:32:49um it’s it’s a sugar but it’s a non-digestible  sugar uh um and it has been around for a long  

1:32:57time there’s allulose there’s arrol thank you for  saying it’s not about ingestion because zotol and  

1:33:02orthol have recently been featured in a study  which was actually poorly done but at the end  

1:33:08of that study it it it refers to U only ingested  uh uh um zotol or rol so zotol is amazing it it  

1:33:18does not attack it does not kill the SM muten bug  it dis Ables it so it the the bug numbers are the  

1:33:27same this is very light this is the easy version  to digest zotol will look well when it comes into  

1:33:33contact with the sm10 bug it deactivates it and  prevents it from digesting and producing a lot of  

1:33:40acid also its ability to stick to two surfaces but  it doesn’t kill the bug so it’s very selective in  

1:33:46what it does so it’s not nuking the mouth it also  tastes great in toothpaste uh it has some other  

1:33:51functions as well unfortunately there not many  there’s one dentist that poooo zotol unfortunately  

1:33:57and and yes there are some GMO versions of zotol  but our toothpaste and many many other toothpaste  

1:34:04use a non-GMO version of zotol and by the way the  zotol made from birch trees is not sustainable you  

1:34:11you’re killing a lot of trees just for the bark  uh I wouldn’t recommend that uh synthetic zotol   is amazing if if it’s properly made okay I think  that has been the most comprehensive oral care  

How to find a functional dentist

1:34:21routine how we can prevent um gum disease but  also chronic inflammation because they’re all  

1:34:27connected Dr B you are absolutely incredible I’m  sure that people want to get an appointment with  

1:34:32you but you’re retired so if people want to find  a functional dentist or somebody that understands  

1:34:38the oral microbiome how can they do that you know  it’s a hard thing to do and that’s uh you know   after educating people online for 10 years about  functional Dentistry my daughter and I we realized  

1:34:49we had created a little bit of a problem because  they kept saying we got the message we love it but  

1:34:54when I go to my dentist they’re like you know  either they get shamed or the patient get shamed   or it’s like I don’t know what you’re talking  about so we created a directory so we do have  

1:35:03a directory on our website it’s free you can  search by ZIP code and location and city it’s  

1:35:08worldwide it’s a small directory I think we have  about 250 dentists on it that has worked out very   well we get a lot of great feedback on that uh  including from the dentist I just had lunch with  

1:35:18someone on the directory and I asked her about  it and she say oh my God that’s our one of our   biggest refer refer B uh referral basis uh um and  uh I mean it’s not perfect but seek out someone  

1:35:31that speaks to you about the oral microbiome that  is aware of everything that we talked about today  

1:35:36that does kind of talk about all the nuances  that starts off Upstream root cause you know  

1:35:42why are you here why are you here with that big  hole in your tooth I can fix it and you always   need a good clinician but let’s prevent it from  occurring again uh I think that’s where a lot  

1:35:51of frustration uh with our patients comes from  they keep going back to the dentist for the same  

1:35:56thing over and over and the money just piles up  and then the time in the chair and the pain that  

1:36:02goes along with it and the discomfort uh it’s  really unnecessary if you think about it um and  

1:36:07the profession needs to do a better job we need  to stop relying on things like fluoride there the   Cochran uh group you know they’re they’re known  for big systemic reviews and overviews of all the  

1:36:19studies they just updated their review on fluoride  and they just said basically there’s no benefit to   fluoride in the water and you know why are we even  bothering and now if there’s a threat to the brain  

1:36:30of children developing of the developing brain  why are we even including this so despite that  

1:36:36the Ada the American Dental Association the uh  Dental Pediatric Association they’re all digging  

1:36:42their heels in they say fluoride is good it’s not  all the study is against them all the studies and  

1:36:47the research is supports that there’s no benefit  to ingesting fluoride and there’s certainly a  

1:36:53lot of harm yes and it’s so interesting there’s  conflicting arguments around fluide still it’s  

1:36:59harmful but some people are saying maybe it’s  beneficial uh but I think that if people follow  

1:37:04your advice outlining this oh did you want to say  something about that no I I agree with you it’s   so hard to undo 75 years of Dogma I mean it’s the  same thing with the demonization of fat and meat  

1:37:15right it’s the same thing and and that now we  know that was a big mistake and it was based on   that one study uh and that one doctor that that  MD from Harvard that was going around saying oh  

1:37:25no it’s and of course he was on the payroll of big  food he was saying oh no cholesterol is bad it’s  

1:37:31bad for heart disease eat these carbs uh it’s  the same thing it happens in so many different   areas of health care but certainly in the the  food chain and the and the water that we drink  

1:37:41absolutely well Dr B thank you so much everything  I’m going to link in the Primal lab so everything  

1:37:47that you have in terms of products all the  information from this episode is going to be   linked there I just want to say thank you again  and again and again because say you’ve opened my  

1:37:54eyes to tongue scraping the type of toothpaste I  should be using I got to fix I got to replace my  

1:38:02brush head every three to four weeks never did  that um I’m sure that so many people are going   to gain incredible insights from this episode  thank you so much and I’m sure we’re going to  

1:38:10see you very soon and thank you for featuring oral  health it’s important thanks thank you for joining  

Free guide to chemical-free oral care products; support the podcast, watch next

1:38:16me today on this episode with Dr Mark branna now  if you want to improve your oral health you can   find the full show notes including all the links  to oral care routine products in the Primal Labs  

1:38:26that’s going to include fluoride free toothpaste  the toothbrush that you need to use and other   Oral Care Alternatives that is chemical free all  you have to do is go to the description of this  

1:38:36video click on the Primal Labs that’s going to  open up and you’ll see all the information there  

1:38:41now if you’re learning from and enjoying these  free episodes please hit the Subscribe button   that is an excellent zeroc cost way to support  this free health podcast you can also find me on  

1:38:49other social media accounts I’m on Instagram and  on Twitter under the name of the Primal podcast  

1:38:55now if you love this episode you’ll love another  episode I did with Dr Nathan Brian who is an   expert in nitric oxide nitric oxide is a naturally  occurring molecule in the body that helps reduce  

1:39:05blood pressure and overall inflammation Dr  Brian will talk about the ways that we are   reducing our nitric oxide through everyday things  like over-the-counter medications and ant acids  

1:39:15he’ll also talk about the six ways that you can  naturally increase your nitric oxide and bacon  

1:39:21is one of them thank you for your interest  in cause healing and I’ll see you next week