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muchas gracias y disfruta entre Vista pi

hello and welcome car many stars today

we are with dr. mark Mahaney dr. D who's

out in California and we are going to be

talking about some really important

topics we are gonna be talking about the

health of the mouth and how the mouth is

your reflection of the health of the

rest of your body and we're also going

to be talking about the mouth and how

there are all these signs in the mouth

that manifest and that show us if you

are sleeping properly or not and your

destiny

is determined by how well you sleep and

I think a lot of people's minds will be

blown that you know that a dentist can

actually see if you're sleeping well or

not I don't think most people realize

that that dentist kind of get an inside

look almost a gateway into your solar to

your brain do the rest of your body

because they look in your mouth so we've

got a lot to talk about dr. V I'm very

grateful for your time it's such an

honor to have you here to talk with you

so maybe we start by talking about the


mouth and and how is it possible that

the mouth can can show us what's

happening with their sleep and also

what's happening with the health of the

rest of our body yeah I mean the mouth

it's amazing in so many ways I remember

being in dental school thirty-four years

ago and and it was only ten years ago

that I realized that it was so connected

to for example he said sleep and and it

was that aha moment of course I mean a

few of them it's never that one but

because I had sleep apnea and and but it

didn't surprise me because it does make

so much sense the only part that really

upset me is that I didn't have this

information sooner for my three

daughters and also for my development so

and we've known about it all the little

bits and pieces are out there Western

price facial development and dental

school in the curriculum the nutritional

aspect of it it's all there

but it's never been connected so it's

just now that we're connecting this so

yeah on our website

we talked about how what happens in the

mouth happens to the body and and it can

be the opposite I mean that there's the

gut brain access in terms of the biome


the gut microbiome

there are connections between the oral

microbiome the gut microbiome the oral

microbiome is one of the I think it's

the second most diverse biome and in the

body there are several of them of course

but it's all connected and and it's to

me it's just amazing every day I read

something where aha

ok this is connected to this and this

and this and this it's not simple in my

dental training and some of my medical

training has been very simplistic in

many ways in terms of looking at it in

isolation like this system is is this

and it causes this and then this is how

you treat it to be treating symptoms and

signs and but you know if you go back to

root cause issues and what happened when

prenatally what happened how did we

develop and then what effect does that

have on everything and how it's all

connected

being the interconnectedness of our

biome and and body and immune system and

personality and and and then throw in

the environment it is overwhelming

phenomenally overwhelming but I'm glad

that we're finally seeing it for what it


is and we have a lot to learn and I

totally agree we have so much to learn

and I'm so grateful for dentists like

you I think that it can be challenging

for people to find a dentist that

recognizes that just like any other

organ system we can't simply isolate the

mouth and say the problems are here and

they stay here um you know finding a

dentist that can see the bigger picture

and see how just how connected the mouth

is with the rest of the body that is a

gift and and I hope that more and more

dentists become educated in what we're

talking about in holistic medicine

because

dentists like we're gonna talk about can

can see things that are happening in the

body maybe before they become really

serious problems in the body for example

dentists can see if you're breathing

well or not at night and the way that

you breathe at night it dictates how

well you'll sleep so maybe we'll talk

about that like how well let's talk

about breathing and how it relates to

sleep yeah so so your first point your

right oral health has been isolated if

that happened in the late eighteen

hundreds in us and dentistry and


medicine kind of diverged and physicians

refer to the mouth it's the little black

box so I mean that's not a great thing

and hopefully that collaboration is

going to improve I see signs of it

already yeah so just from a very let me

just use one example and I learned this

after decades I have a lot of patients

that don't like coming to see me in it

I'll tell you right off the bat 90% of

it is because they cannot breathe

through their nose people are like okay

well who cares whether you breathe your

mouth if the dentist has water in the

factory 14 water in the backdoor throat

has his hands and fingers in there and

is as a rubber dam and if you block that

airway and you can't breathe your nose

your primal instinct of nothing able to

breathe that fight-or-flight response is

going to become very active not

necessarily because of dental work and

maybe you know thinking there's maybe

going to be some pain coming it's

because you can't breathe and breathing

is primal compared to like starving or

not having enough water or even not

having enough sleep within a minute or

two no air if you're dead you're gone


and so that

that's primal Drive to bridge is very

strong but with it comes anxiety and if

you can't breathe

so dentists can see this at a very

practical level we can also see it based

on facial development of different

facial types we can see it based on the

color of the gums we can measure

distances between the upper second

molars a wide jaw that is grows forward

and grows width wise is a great thing

but a lot of us are developing with very

narrow jabs

maybe we have some downward growth but

we don't have the forward growth I think

very simple thing I always tell my

patients is that we have three boxes

three very important boxes we have the

mouth box the nose box and we have the

airway box throat and if the mouth box

does not develop correctly and we can

talk about how that happens and we're

seeing a lot of it it's an epidemic if

the mouth box doesn't develop correctly

by age ten then the nose box and the

airway box are compromised that through

the nose you are swallowing and we do

our breathing through them through the

air airway of course it affects our


sleep it can cause sleep apnea but it

can do other things it can cause TMJ due

to a lot of grinding it can cause poor

nutrition it can cause self-image issues

it can cause systemic things like

getting rashes and and being sick and

because the level of acid or pH in your

blood is is high because you're not

breathing properly breathing properly is

the number one skill we all need to need

to learn how to do we need to breathe

properly and of course one real sleep

there's no one there to watch us and

we're not awake course of we're

unconscious we cannot breathe properly

or monitor that so that's where mouth

taping comes in and we can talk about

that as well but

yeah breathing as importantly dentists

are great at this again everything I've

learned after dental school I look back

on my dental curriculum the basics were

there the information was there but it's

nice now to key it all in and bring it

together into something beckon that can

help us thrive and and and live a better

life and live a longer life of course so

okay humans are designed to breathe

through their nose and that and like a


post a few weeks ago and somebody said

no we've got you know we've got two

holes so God is generous but but the

mouth is really kind of a way way way

back it's a plan Z we designed to

breathe through our nose so maybe we

should talk about like why is it so

important to breathe through your nose

we'll talk about that first and then

we'll talk about the problems of mouth

breathing from birth up until adulthood

first why why breathe through your nose

what happens when you breathe through

your nose right I get that a lot

you know why not breathe your mouth

because it's bigger you can get more air

into your lungs well it's how so we we

are we are always balancing co2 and o2

we cannot live an o2 loan we need co2

and when you breathe your nose you are

able to balance this co2 in the o2 and

these this dissolves in your blood in

other words the the lung is kind of this

transitional organ that gets the right

amount of oxygen and pulls out the co2

out of the blood and to do that properly

you have to breathe your nose we cannot

over breathe co2

you can't hyperventilate that's why we

put the paper bag over people that are


hyperventilating I mean breathing

through your mouth creates a lot of

problems brings in way too much oxygen

and when we breathe out through the

mouth for example which is just as

important as breathing into the mouth

we essentially get this acidosis of the

blood all that means is that the pH of

the blood changes when the and the pH of

the blood has to be very neutral it have

to be a six a two seven one seven two

and you can bring that way down by just

breathing through your mouth

and again this people think well I'm

talking which means I'm talking now I'm

breathing from from my mouth

that's true but think about it when

you're at rest think about it when

you're driving think about it when

you're sleeping

hopefully for seven or eight or nine

hours and your mouth is open all night

long your blood level your blood pH

drops it becomes more acidic that's like

adding carbonic acid to water to give it

the bubblies and you know carbonation or

carbon dating your blood and what does

that do causes congestion congestion

causes you it prevents you from


breathing through your nose for example

it increases that is to mimic response

it can cause a host of other issues an

immune response or lack of it it can

even then on top of that it changes your

breathing rate your breathing rate goes

up because your body's trying to

compensate but if it's not able to expel

air through the nose or inhale through

the nose then your co2 levels stay high

the the base of the brain which is a

very basic functioning part of the brain

we don't have control over it's the kind

of the autonomic kind of the

automatically working part of our brain

mean direct control over it we can

control our breathing - that's a

different that's a different areas that

is looking for co2 in the blood and when

it sees a lot of co2 in the blood all it

can do to prevent that from getting

worse is by increasing your breathing

rate which elation of interest becomes

you know start breathing too quickly

right so we look at that during during

deep sleep we want that breathe

rate to drop and so taping your mouth

stuff for example or being able to

breathe your nose will bring down your

respiratory rate I monitor that every


single night I have a device that that

checks my respiratory rate my

respiratory rate goes up at night I know

something's wrong

maybe it's my co2 in the blood so so

it's a very complicated system but it's

not perfect so if your mouth is open all

the time especially at night your body

is able to compensate but it's not a

good compensation it comes with a cost

mm-hmm so this is this is interesting

because a lot of people talk about

shifts in the pH of your blood and they

speak about like acidic foods and

alkaline foods but the actual main

driver of achieve the change of pH in

your blood is not by what you eat it's

about how you breathe is that correct

that's correct so I'm I get a little

tired of that argument about if you eat

like a citrus a citric acid type of food

like an orange is that good for your

blood pH and all that that has something

to do with it but really the main driver

is how you breathe so I would if you're

worried about the pH of your blood start

working on your breathing that is the

biggest predictor of what your pH will

be of your blood absolutely that's


amazing because that just felt so many

myths about people who are concerned

with really nutrient-dense foods like

grass-fed meat for example these are

foods that are that nourish our body and

that are really necessary for optimal

function no but people have this idea

that they're acidic and they're gonna be

bad for our blood pH so okay so that's

important we breathe through our nose to

maintain proper pH of the blood which is

slightly alkaline we also breathe it

through the nose because we produce

nitric oxide can you talk about that

so nitric oxide is a incredible compound

tan

we created through the bacteria in our

diet but another one of the contributors

to this creation of this compound which

I'll explain why it's so great is

through nose breathing there are

bacteria about the nasal biome another

biome exists there if you have a good

nasal biome 25% of your nitric oxide

production occurs breathing because it

occurs in your mouth as well and also in

the gut as I explained but this compound

actually is specter of sidle it's part

of the immune system it but it also if

it helps with pressure it calms you down


it will actually is a dilate of blood

vessels and that that way you get more

blood to your peripheral tissues it

lowers your blood pressure it makes you

a little bit more calm and serene and so

you need you need this compound and 1/4

of it is made by nose breathing so if

you're not nose breathing and your mouth

breathing you're missing out on all that

so nitric oxide is a great compound but

it's only around for like 20 to 5 of a

millisecond you need to be breathing

through your nose to get that all the

Guru's have been right all along you

know all the Yogi's and aromatic you

know it's not just air abetik it's it's

meditation anything that can in where

you can focus on your breathing and have

control over the parts that you can

control that's breathing rage but how

you breathe whether you exhale or inhale

for your nose your mouth all of those

things we've known for a long time have

an effect it's just now that we're

beginning to understand how it's related

and also the volume of air that you

drink through your nose is less and it

comes past the airway which is likely to

collapse if you have sleep apnea and so


if you have a narrow airway and you

breathe your mouth the volume of air

at a much greater volume in for the

given amount of time and that like a

balloon will pull the airway shut

that's why breathing with your nose is

great if you're kind of borderline when

it comes to snoring and having an airway

that collapses so also the nasal biome

that is very important that's where our

sense of smell is being able to breathe

your nose helps that also allergies if

you breathe your nose you're less likely

to get congestion it decreases that it

it lowers that histamine ik response the

threshold for it by being able to keep

this area moist and keep the bacteria

you know happy and keep all those

colonies of bacteria in their optimal

ratios but if you stop using your nose

and your breathing through your mouth

you're gonna lose the ability of making

metros outside of being able to to smell

things and enjoy certain foods maybe

maybe it could even reach out to the

point where you were smelling things

that are good for you nutritionally I

mean our bodies are looking for things

and craving things that are typically

good for us that doesn't with the


processed sugar kind of a mistake that

our body you know wants that but that

came afterwards with industrialized

agricultural and all that but our noses

are important and and people that can't

smell I think are handicapped you know

it's it's an important feature of our of

our senses so when we redo the nose we

actually get less volume of air but

aren't but we're better oxygenated is

that right a little bit so the oru may

be the same but it comes through at a

lower rate okay so it's me mean it's

like a slower more constant or

controlled okay okay and at that and

that's the Bernoulli effect if you pull

air a lot of hair all at once through a

tube you're gonna close down that tube

that tube will suck down but if you pull

the air loose

because it's remember that the air it

has to go through all these baffles it's

a maze back there if you have the right

nasal volume nasal sinus volume and all

that and if it's open and clear but

being able to breathe through the nose

like that slows everything down also it

helps on the exhale in mountaineering a

lot of mountain air Mountaineers when


they're climbing Everest will actually

practice proper breathing methods where

they're doing the scope of the pressure

breath rest step and they're exhaling

their trench get more octave nation

they're going to try to get more up to

to their muscles by doing that they're

properly breathing for their co2 amount

is correct they're doing that through

the nose okay so we're designed to

breathe through our nose we understand

that like optimal human health is not

really possible unless you breathe

through your nose the way that nature or

God designed us so many people now our

mouth breathers they're so when they're

not breathing by design mouth breathing

has repercussions you know huge

repercussions for health some adults

will say oh you know it's because of

allergies my nose gets stuffy but I kind

of before we talk about that I kind of

wouldn't bring it back to why do we have

an epidemic of mouth breathers and I

think it has something to do with

preconception nutrition because like

modern humans are much more narrow then

then that our ancestors for we have more

narrow faces like mine narrow nostrils

narrow Airways so I kind of want to take


it take it into this bigger picture or

maybe before picture as to like why are

we

I don't we must be there's now more than

we were before

why aren't we leaving by designing yeah

so I think it's it's it's not just that

we're good at now making the

differentiation and we're better at

diagnosing this I think it's more than

that I think you're right it's because

we have changed as a species I mean in

terms of our facial development and and

that's probably due to epigenetic

factors prenatal or preconception

nutrition absolutely it's our diet is

asleep it is fluoride in the water it's

a commercial one but it's also the

glyphosate and in our system from the

Monsanto product I mean all these things

have an impact because they impact

mineral deposition building of the bones

of the facial bones I mean remember the

face is developed by muscles it's not

just a it's not just like a blueprint

set breakfast itself you have to have

proper swallow reflex you have to

breastfeed properly you have to be

breathing to your nose and as a infant


up until you're ten years old to get

this face that we need those three boxes

that are referred to so that all three

boxes are right size and patent and open

and working properly so yeah there is an

epidemic where I mean look at it look at

our definition of beauty that has

changed they just forget her name a very

beautiful woman but they she was voted

as the most beautiful woman in the world

by a by a group of Plastic Surgeons and

I was this was a few weeks ago her name

is first name is Bella I think but

anyway but I was shocked as if from a

for dental perspective I mean very thin

tapering chin retro Nath a class-2 chin

pushed back

grinding science of bruxism I mean this

and

lips always parted in the photos I mean

this is not the ideal I mean we've even

changed what we think is ideal in terms

of aesthetics and so it's really messed

up I mean and it does start you're right

it does start before conception but a

lot of it has to do with what happens

after you're born and I referred to

those of course breastfeeding and

epigenetic factors being allergic to

something and then if you're allergic


your nose is blocked and then your

adenoids and tonsils are oversized and

you have breathing issues and then your

sleep is affected and it's it's all

connected so it's really very messed up

I mean we have all the wrong perceptions

of what is going on here what's right

well I think that's a really interesting

point because most people look in the

mirror and they say hey I look the way I

look because yeah that's my destiny it's

my destiny to have the face that I have

to look the way I look what we're saying

is that there's actually um okay the

diet of your parents before you were

conceived the diet of your mom while you

were inside of her the way you were born

if you were born vaginally or by

c-section how long that you breastfed

the quality of the milk that you said

you know maybe your exposure to

allergens as a young child all of these

things shape the way that your face

develops and way that your face develops

literally dictates your destiny

especially in terms of your your

personality I think I mean like you know

kind of like this modern hyped up

nervous anxious person like it's usually


a very

I mean interesting to think of that like

if someone if I have had a different

childhoods example a different birthing

story a different breastfeeding story if

I had developed to be a little bit wider

like nature designed would I have a

different personality

I mean maybe things aren't written in

the stars as we think that they are

that's so fascinating from from the eyes

down this is all very malleable right

actually from the eyes little higher

that knows it's important we have a big

responsibility of getting that right and

that's prenatal to age 10 and this this

is can be affected by many of the things

brain development all that of course but

the facial structure of the head is is

is it other than of course as you

mentioned vaginal as opposed to cesarean

that does shape the head a little bit

but I mean there's so many connections

to what you just said for example if

you're born cesarean you miss out on a

lot of your mother's microbiome and your

incidence of your prep your predilection

to getting gum disease is heightened I

mean is is increased I mean it's it's

like it's can everywhere you know if you


were to draw a graph of all the things

that interconnect it would be it would

have to be three-dimensional and it

would be it would take you a year to

really conceptualize it's that

complicated that's unbelievable

so mouth-breathing to bring it back to

the breathing thing mouth breathing as a

child means that you will what exactly

does that mean for your facial

development and for the way that your

tongue is placed in your mouth and how

if your teeth are crowded or not like

what are the repercussions of mouth

breathing as a child right so there I'll

mention all the elements that affect

lower facial development I

it's tongue-tie which we can talk more

about it is how you swallow the swallow

reflex it's breathing your mouth as

opposed to breathing through your nose

it's the type of food to eat if you're

eating a lot of processed foods you're

not getting the resistance that's

required remember I told you that there

are muscles it's the facial muscles of

mastication and even of expression that

shaped the face the lower face and if

those aren't working properly then your


face will be pulled in many different

directions it's a very malleable thing

the bone of a one-year-old is amazing I

mean when I extract a tooth from a from

a toddler I mean that bone is like clay

that way it's not a rigid kind of hard

thing that has been set in stone it is

moving around its dynamic rhythm so

people that breathe through their mouth

for example tend to dry out their

adenoids and their tonsils they tend to

get more infections of course they may

have lower pH in their blood they're not

sleeping well so that has effects and

that comes around but their mouth their

we call it the distance between the

upper second molars it's the neck the

width of the upper jaw the maxilla and

this needs to grow wide and the face

needs to grow downwards and forwards

mm-hmm that is very range badly learned

in dental school although there's been

some modifications to that we always

we're told in dental school that the

ideal oral posture and that's a new term

the ideal oral posture when you're at

rest when you're sitting there reading

or watching TV or driving your lips

should be closed right before your nose

right in the old days who with the teeth


would be slightly apart you know six

millimeters with an overlap now we're

thinking the teeth should be touching

and that the tongue should be pushing up

and slightly forwards so it should be

filling the complete oral cavity

like a big whale in there and it's

pushing out and up and helping that

development gives it a really clear

amount of course if they have to get air

past that that tongues not going to do

that the tongue is going to get out of

the way so that's not going to happen

you're not going to get that whip and if

that box doesn't develop correctly the

nose box is not developing correctly and

then the airway backs the airway box for

the most important one later in life

then you've got sleep apnea you're it's

gonna collapse if the if the structure

of the bony structure of that box is

small it doesn't felt correctly doesn't

get the width and all that tissue in

there that's they're genetically it's

gonna grow as programs it won't have

enough room to get out of the way so

that when you go to sleep at night and

the muscles are paralyzed and relax then

your airway is blocked and then guess


what you wake up you wake up 20 30 40 70

times an hour okay so another question I

have about facial development especially

in children when I speak to people about

the work of dr. Weston a price and a lot

of his work it talks about especially

preconception nutrition and fat soluble

vitamins or vitamins A D and K 2 and

their their importance for proper facial

development many people say oh that is

interesting but the real reason why

especially in Latin America people have

told me this the real reason why we have

narrow faces is because we're not

chewing hard enough food is that like do

you think that valid I mean that's very

valid no no we our food is processed I

have a little granddaughter I'm always

trying to get her to chew on stuff and

of course we're so worried about her not

able to chew it properly and it gets

caught in her airway but I mean that is

absolutely true again it's not just that

it's a combination of so many factors so

baby food ground-up purees is the last

thing you want to feed your child you

definitely want them I mean think of our

ancestors they didn't have blender

or food processors they were chewing on

dried meats when they were you know you


know walking long distances I mean being

held or if they could walk they walked I

mean this is not what we were designed

to do

so the actual again what I said before

it's the muscles of chewing swallowing

speech even the muscles muscles of

facial expression all these muscles are

shaping your face if you don't use them

correctly if you have a tongue type for

example and you can't move your tongue

in the proper way or if you can't

breastfeed properly that will lead to a

specific type of face I mean because

that muscle isn't doing it's not pushing

out the tongue is not filling that

palpable space the palates must be

nicely arched it can become v-shaped and

that's in both dimensions that's in the

shape of the arch of you as you look

down from the top but it can also be the

the the shape of the actual arch all

that is shaped by muscles and part of

that is chewing so I'm not one of her

gum chewing but if you can get your

one-year-old to chew on some gum or

better yet something very crunchy hard

breads maybe but you know all our breads

are soft and gummy our food is processed


everything's chopped up into little

pieces that wasn't the norm before we

had food processors and blenders and

smoothies and and all of that so

absolutely that is that is true that's

interesting cuz yeah I guess baby food

used to be what everybody else was

eating there wasn't much like I mean big

kids were breastfed for much longer

because mom's milk especially Mama's

well nourished is a super it's really he

only but yeah I mean we didn't

these like little herbal smushy little

thing or these your juice pack things

that kids like no fathers with nipples

Worf atomic nipples I mean there's a

lawsuit currently going on I think it's

two moms I'm not sure about that though

but two people two women that are suing

the company that has the word

orthodontic in there is little when I

was writing and that is very misleading

that silicone nipple even though it has

orthodontic qualities to it according to

the manufacturer it is not good for

facial development in fact it's going to

mean your child will be braces so so my

healthiest patient ever that I've ever

met I like telling the story because it

to me it was a shock this was maybe 10


15 years ago this was a young man who

had never seen a dentist he was probably

five four and a half I would say four

and a half maybe five years old but

let's say four and a half he walked in

was tall healthy had a beautiful wide

arch his teeth were intensely white

beautiful bite good oral posture lips

closed nose breathing proper facial

profile everything the other thing that

I notice is that he wasn't nervous a lot

of my young patients are very nervous

because I'm blocking their airway is it

because they're there their mouth

breathing and you know they've got low

pH blood and acidosis and they're

anxious and and a host of other things

right

this kid passed with flying colors I

kept and the mom was sitting there in

the room and as soon as the exam was

done I mean I've had kids jump out the

window

there's nervous little kids they have

jumped out the window passed a screen so

this guy was great he was forthright he

spoke well I mean he was looked you in

the eye I mean it's like I just that's

just not the norm for my younger


patients and when the exam was done of

course there were no cavities no tongue

tie no facial developmental issues was

nothing

to say as soon as he was done he asked

nicely are we done I said yes and I

brought the chair up my dental assistant

was there he jumped out of the chair won

over his mother jumped into her lap

pulled up her sweater and latched on hmm

and I thought but novelty of that

growing up were ideas how I did and in

America and being in the Silicon Valley

was like oh that's kind of weird but

later I thought about it that's why he

was so healthy and again in countries he

was from Eritrea and in those countries

the minute you're off mom's breast you

are susceptible to malnutrition and

poverty so yes

breastfeeding is key in so many

different ways I think when when I was a

young father and we were struggling with

breast feeding and my wife and I and it

was always about the nutrition of the

breast milk and NASA it's about the

emotion the action the ability to

flatten the mother's nipple and pull it

in and up and what the tongue has to do

to do that to get milk out of mother's


breast that is phenomenal in terms of

facial development and being able to

sleep well later in life and that is

truly epic because it because like you

say most people are focused on mothers

milk and the importance of breastfeeding

you know for longer periods of time

because of nutrition but a lot of moms

have less than ideal nutrition which

means maybe less than ideal breast milk

but you're saying even despite that so

we have less than perfect breast milk it

still offers so many benefits because of

the way like mechanically the way the

child has to move and operate in order

to successfully take that milk in and

swallow and be able to breathe at the

same time Wow yep

that is that is so important at such an

important point and it's just like it's

just one more like one more reason and

there's many reasons why breastfeeding

is so important and of course I'm not

able to breastfeed and I'm a man so

maybe this is inappropriate for me to

even mention but what I would like to

see whether it's here in the Silicon

Valley or out in the country somewhere

or of course it does happen in some


parts of the world still I would love it

if all pregnant women there were

breastfeeding got together in a certain

area maybe it's at work there's a room

designated at the Google buildings you

know next to daycare and women that are

breastfeeding in other words they could

breastfeed your child while you made a

phone call and vice versa

sharing the breast milk is important but

keeping that that that that availability

of being able to latch on and have that

motion is so important for development

of the child the happiness of the child

the the longevity of the child

everything I mentioned that to a doctor

once because my friend when she was very

young when she's about 25 had breast

cancer and she was named breastfeed her

second child so she she got breast milk

from other thirteen of the breast milk

bank but I had mentioned to a doctor

like wow what if my friend could you

know just find other lactating women and

the doctor thought that that was sad yes

I mean our our granddaughter

we had some breastfeeding issues in the

beginning and we I remember running down

three flights of stairs and there was a

woman there and would give me fresh


fresh milk kind of run back up I mean it

worked like a charm and I think we need

to kind of go back to that thinking

that's the way we did it we were in the

cage I mean women were relentless and

men were clueless right we were dumb

enough to go out and after make

a crudely made weapon a group of us

probably half drunk right and until a

four five thousand-pound minutes

women are relentless because they had to

micromanage the survival of the of the

the young and and that means teamwork

women are great at teamwork do you think

that if a woman can't breast feed breast

feed then then is breast milk in a

bottle and is the breast milk in a

bottle like well the second best option

would be define of their lactating women

but some people and I think that that's

not great so is breast milk in a bottle

I mean I guess we get the nutrition of

breast milk but pasteurized breast milk

and and we we are missing that what

we're seeing this mix from the cold

development well that's that's my point

I would like to see I would like to see

women get together working women women

that that are home and raising families


and I would like to see them get

together and have centers that are easy

to get to where if you have to do

something you can have your child

breastfed properly instead of that

compromise of taking Pumped breast milk

and putting into a bottle and having

that so-called orthodontic nipple you

know mess up the facial development of

your child well I would totally do it I

think it like you know it takes a

village like me we are meant to raise

children and community because it takes

a community to survive so that's really

interesting it and I'm glad that you

mentioned it because it's something that

a lot of people might not have thought

about before so now I want to steer us

into this um okay we know it's ideal to

me you know to breathe through the nose

we know that we know that because for

many reasons like we're we have improper

facial development and a lot of us our

mouth breathers from the get-go from

from

birth um when we notice a problem with

breathing with sleep with facial

development before age 10 there are like

a different set of approaches that we

can take to remedy those problems versus


after age 10 is that correct because

we've like post age 10 we'd kind of like

set in stone some of these the ways that

were developed so I guess maybe we start

there like what to do before age 10 if

you see that your child is a mouth

breather you know what how do you remedy

that issue for so that as an adult you

have an easier time right now that's a

really good question and I think a lot

of parents that have older children and

realizing that you know they're not

breathing properly and and will have

some regret and and there is hope and

there are newer techniques coming out

and surgeries and we can talk about all

that and and I'm glad to say that

dentistry is leading the forefront on

that but before age depends there's a

lot you can do and as I said before as

we've talked about the face is very

malleable and and that's why it's very

important to be very very attentive to

all these things that can either mess up

facial development or aid in proper

facial development but after age 10

maybe to age 1112 a depends on a lot of

things hormonal growth even your

environs but but and diet but when this


is set in stone so to speak then there

are things we can do for example in the

old days we used to do what was called

orthognathic surgery that's where they

literally do this little uh substantial

kind of either the upper lower jaw or

both and they would move everything

forward but that very often did not fix

the real problem that is the width the

face the width of job

so now there's a lot of talk about these

DNA appliances and and and things that

you can pop in the mouth this is after

age 10 okay rapid maxillary expansion

before age 10 is doable it's a removable

or fixed appliance that you put into the

into the kids mouth and the parents will

turn a little little wheel and that

expansion can happen in six months time

even sooner you're is that expanding

that roof of your mouth yes yes it's

making it's making the maxilla wider and

it's and while the child's growing it's

promoting forward growth with and and

everything's filling in and the teeth

are not suffering as a result of that

but afterwards if you are fully

developed how do you do that let's say

you're an adult and you have a narrow

tapering face you've got sleep apnea


you've retro NAFA I mean I'm describing

myself in some aspects here there is a

way to make that jaw wider and it is

kind of a surgical method and this is

the newest and latest this may sound

kind of not gross but a little extreme

but it's not you can actually dentists

are placing implants into the palate

they're called SDI's a small diameter

implants we can put implants anywhere in

the mouth that's amazing yeah it may

even perforate into the zionists these

things temporarily these implants get

placed into the palate and then the

appliance that we've been using in other

areas gets bolted on to these implants

and because it's bolted on to the

implants it's pushing in a different way

it's pushing the jaw wide a lot of these

devices and adults are pushing the teeth

out and that's not the same thing that's

not promoting the proper jaw development

that's not affecting the box and back

the airway box the nose box you you and

sometimes you can push the teeth right

out of the jawbone those are called

fenestrae

that can be Gummer that can lead to gum

recession and so there is a method now


and the good news is that we can

digitally after a three-song scan in

space can come beam technology after

Africa that gets all that information

gets input into a program there are

algorithms now that will predict what

the face will look like if you exert

certain forces I mean we can predict the

outcome now and so it's much safer it's

gotten easier and this is this can be

done and I'm not exaggerating this can

be done in six months time on an adult

and they can go to work and function and

so there are methods coming and it's

because of this digital the ability to

scan everything digitally and to preview

what's going to happen so it's it's

pretty cool this is all cutting edge in

fact I'm in a study club that is talking

about this and so it's not in the demo

curriculum yet but the technology is

there the techniques are there and also

the studies are coming I mean they

things are looking good it's expensive

yes does insurance cover it maybe it

depends I mean dental insurance medical

insurance will sometimes cover

orthognathic surgery after they just cut

the jaws and slide things forward but

that causes nerve damage then widen the


face so after the fact I don't want to

get I don't want to not have people not

have any hope before I knew of all this

there really wasn't any hope you would

have to wear a CPAP or an oral appliance

and and fix the symptoms and not treat

the root cause now we have a way with

these implants and pushing off of the

implants and with the digital algorithms

that predict what's going to happen we

have ways of basically taking your face

after it's having developed and fixing

that development okay that's really wild

and it does seem extreme like it does

seem like oh man we should just fix the

problem

you know before it happens but but we're

talking about like you know post age ten

phases development how to change that is

what you're speaking about is it as like

a lay persons term print a palette

whitener because I've I've met people in

the West Nate price community who tell

me that they have talent

Widener's is that good okay well it's

more than that so that was the thing I

was referring to that didn't really work

well in adults and that was the one that

pushed the teeth out passed alone


it is a palpable whitener but where it's

being connected what it's pushing off of

is different and it's all because of

those implants that are it's the fulcrum

has changed because of those implants

and those implants are removed by the

way you throw them in you you have the

device you deliver the device you teach

them how to widen it or you have they

come in and then we widen it you get a

cat scan to monitor the progress and in

other words we can't see a lot of this

passed the tissue this this bone scan

allows us to see what's going on we can

measure it we can quantify what we know

what proper facial development is and we

can quantify that we've reached that and

and we're not just looking at the teeth

we're looking at the airway box we can

actually see airways widen let me put it

that way

in simple terms we have a before and

after three-dimensional x-rays and after

we've made the adjustments via the

implants and this powell expander I mean

actually in a resting position this is

not a asleep we can see that the airway

has enlarged

oh that's unbelievable so why do I mean

that without moving the chin forward


well the chin forward is tough that is

tough to do although sometimes that will

go with the widening of the effort and

there are things you can do on the

bottom that is ELISA it's not ideal it's

not it's best to do this before age 10

but I have to say this is a pretty

impressive method it's better I think in

most time in most cases better than the

the Napoli surgery orthognathic surgery

had a recovery time of six to eight

weeks and even then it would take a full

year

this method is quick and easy and it it

sounds terrible but you know to to do

this start to finish

I mean clinically it these are short

short surgeries and and and not much

trauma

what is the name what is the name of

this surgery or the name you said it

doesn't really have a name I mean it's

just a technique now of its rapid

maxillary expansion that's how you do it

that that is that counts you know what

are you pushing off of now there is a

surgery where they cut the midline in

the pallid they cut that open and then

they hope it fills in after you widen


the palate it doesn't always fill in

that's painful there you're driven

trauma some bone trauma some bleeding

some potential for infection okay okay

dad like all of that is wild and I don't

know what to think about it I mean you

know no I'm well I'm thinking that so

there are so many people who maybe don't

have access to that and so like another

way to remedy let's talk about like

other ways to remedy breathing which

means to remedy sleep to make sure

you're getting into deep enough sleep

which affects every area of your life

you mentioned and in your book um you

talked about

CPAP machines eight-pack machines and

you talked about em ad mad devices can

we talk about those things and how they

affect sleep I understand that like

those are band-aids

you know to some degree they're fixing

they're they're not fixing root cause or

they're not changing facial structure

but rather they're just to be properly

oxygenated so that you sleep well

right exactly so in simple terms let's

say you get a diagnosis for sleep apnea

your airway doesn't have the space or

room that when it relaxes it can't stay


open it collapses so what do you do

well the since I think the 60s we had

this machine that would blow air into

your system it would bloat like a

balloon it would keep the the airway

pressurized so that it couldn't collapse

mm-hmm oh stove is of course you're

wearing a mask and it can rub on your

face it can dry out your airway you can

predispose you to pneumonia perhaps

that's difficult it's expensive you have

to carry it around a lot of people don't

like the stigma of having to wear this

mask you can also wear an oral appliance

which is what I wear I have I used to

have 12 interruptions per hour now I

have a zero this is all based on sleep

studies my jaw gets held in place in a

forward position if my jaw falls back at

night which everyone has the same same

issue because their muscles are relaxed

the only muscles that work in deep sleep

hopefully you are in deep sleep are your

diaphragm muscle for breathing for basic

breathing your heart muscle of course

your eye muscles for REM sleep for rapid

eye movement there is a muscle in the

ear that it still still has meant we're

not sure why but all the other muscles


relax they become paralyzed and they

lose their tone so these airway muscles

especially as we get older will fall you

know and if you're breathing through

your mouth a lot those that airway is

very dry when they do stick together

they're more likely to stick together

that's why nose breathing is so

important another reason for it but

anyway so what do we do well we blow air

past that and create enough positive

pressure inside that closed system so

that this can happen pretty it's not

very elegant

I mean it's the machine that's blowing

you up all night long the oral appliance

is great because it just pulls your

tongue forward or your jaw and tongue

forward that actually creates a lateral

expansion of the airway and doesn't work

on everyone and that's not necessarily

the go-to remedy CPAP is I recommend to

all my patients if the insurance pays or

even if they don't get the CPAP get an A

PAP and get used to that if you can it's

very difficult to learn how to use but

it's always a great backup it's great to

have and then if you have mild to

moderate sleep apnea then an oral

appliance made the effective for you and


those are simpler you just pop them in I

pop it in in in my mouth at night and I

go to sleep I mouth taped put something

over my eyes to make the room dark and

I'm good that literally takes me less

than 10 15 seconds okay so then the

question is how do I know if I have a

sleep problem most people wake up

feeling tired I would say most people

wake up feeling tired with some aches

and pains and they need coffee in a good

hour to get going that is not normal

even though it's become the new normal

so you talked about in your book the

importance of of measuring because you

you know we I cannot even though I'm

exhausted when I wake up I still can't I

don't know exactly what's happening when

I sleep so how do we measure right so

that's a really good question and that

is part of the big issue so let me tell

you what I I'm a very observant very

scientific person I'm always measuring

that's just the way I am I've always

been that way so before I knew anything

about sleep and my sleep and my ability

which was not good I could tell you the

difference between a good night and bad

night of sleep right that's where it was


terrible Abbott asin turn and then I

would wake up and it would be grumpy and

tired it'll take me a while to get out

of bed and I didn't feel well for the

rest of the day maybe I got sick the

following day and then there were some

nights that I slept a little bit better

but I was still tired so that Delta

between a good and bad night was almost

the same when I treated my sleep apnea

and had no interruptions and was in deep

sleep deeper stages of sleep longer and

I had REM sleep and and and I didn't

toss and turn then now I know the

difference now because my baseline has

changed and because I now know what a

good night's sleep is and what a bad

night's sleep is I fixed it or because

for the first few nights maybe I didn't

wear my device then I would wear it plus

I was testing with external devices

because I was looking and helping

develop tests for this at home

I mean I'm now much better at

determining how I slept and that

knowledge compared to what I was before

even though I have a scientific

background it's ridiculous you cannot

verify or make an assumption about your

own sleep if you don't have that that


basis or that that background or that

context its context so that's the thing

I always tell and that's what I said in

my book you cannot verify your own sleep

you cannot make any assessment of it

maybe your sleep partner can you know if

they're tossing and turning and kicking

and storing that is more a more accurate

assessment from the person you're

sleeping with but for anyone that tells

me honestly fine i right away discount

that and that was me I would I would

tell people I slept well I would I would

I was a light sleeper I was very proud

of that because I could hear my

daughter's come in late or I could hear

the dog getting up and you know

wondering if there was a threat outside

but that's not good sleep and also I was

very

being able to go to sleep quickly that's

sleep latency it should take you 10 15

minutes to get to sleep when you wake up

in the morning you see within 30 seconds

of opening your eyes you should be

getting out of bed and feeling good and

stretching or feeling that need like

you're bored you can't sleep anymore I

thought you know before that let me just


get another 15 minutes

I was sleeping past the alarm that's not

normal

you cannot assess your sleep you need to

get tested or or maybe you have a spouse

or a partner sleep partner or loved one

you know maybe maybe we can train dogs

to to tell us that we're not sleeping

well I mean they do so many other things

so well so yes it's so um it is the new

norm and and I'm so so concerned to hear

people oh I'm this is how I slept last

night last night was a good night last

night was bad night

don't go there I went there it was a

mistake I had no idea let the

professionals get in there maybe wear a

wearable you know that's a place to

start maybe have your iPhone on at night

listening to listening to you while

you're snoring I mean I'm not going to

tell you that those are perfect but I am

looking for something where and and

they're coming these devices are coming

where everyone can customers sleep every

single night

hopefully we don't get too obsessive

about it but where we can get good

accurate data on how much rim we got how

much deep sleep we got and whether this


is a good day or bad day ahead of us

well you know I have so many thoughts I

think a lot of people are really

defensive about their sleep I tried to

talk to my dad about it because I

realized um well as a diabetic older man

who wakes up a couple of times tonight

she's the bathroom and has a thicker

neck and doubt and all these things

there is no way he does not have a sleep

disorder but he's like I slept fine I'm

sleeping better

you know I don't I don't store anymore

so and I just had another conversation

with the neighbor about it you know he's

like I sleep fine and and and so it is

interesting I I do think that people

don't understand like the repercussions

of not sleeping well are so grave not

just quality of life but also shorter

lifespan and I think about like the

number of books and the number of people

now that are suffering with anxiety and

depression especially like younger

fitter thinner women like myself I have

that profile you know people that think

that it's some sort of personality

defected they have that they you know

that they are have the personality they


have but it's you know if you don't

properly enter into deep sleep at night

your brain cannot detoxify yourself it

cannot prepare itself and you literally

not fulfill your potential as a human

being so it really makes sense that like

ideally getting a sleep study which you

discussed in your book a Pete psg is

gonna be great

I think that and I'm thinking too about

my audience there are probably a lot of

people that don't have easy access to

that so if your partner tells you that

you snore sometimes and if you roll

around you have twisted bedsheets

between you're moving too much if you

[Music]

you know wake up exhausted can you skip

the professional sleep study and like

self well we just said you can't self

diagnose see that's the issue I I just

feel like the problem is that you

disgust this is like lack of

accessibility to professionals who can

really not only help diagnose the issue

but also walk you through this kind of

long process of cute right and that's

the purpose of the book the book has

been people love the book

for the fact that in four or five hours


with the long checklist and a very

organized way of of presenting this data

if they can they can get to the solution

very very quickly and so here's the

thing I hear people I hear people fixing

their sleep all the time and and what

you were talking about with your dad

reminded me of this is they would say

well okay so I snort a little bit my

wife told me I snored

well I got some blackout curtains I got

a different pillow a better mattress and

now I don't snore and I fixed my sleep

issue that's something we cannot do

that's something that you need to leave

to the professionals you need to know

what sleep is so complicated and we

understood so little of it and we still

do to a certain point I mean I can go on

and on about what a good night's sleep

is and tell people what it is and but

the problem is is they'll go home and

try and fix that for example getting up

a little night to go to the bathroom

that's probably a comorbidity of sleep

apnea you know I mean it's and that can

be fixed but it's best to measure it you

need to leave it to the professionals

you need to get a psg and you really


need to know at what at what part of the

night are you getting deep sleep the

first part of the night and then later

in the early morning are you getting

more REM when does your resting heart

rate dropped is it early in the night is

it late in the in the morning I mean in

the in the night of sleep and you know

there's so many parameters that we can

look at there is one device that I like

it is a little pricey it's a $300 ring

it's literally this little ring that's

called the aura ring you've heard about

it it's probably about sixty percent

accurate when it comes to sleep stages

but it gives you a lot of other data and

does give you a good idea of what is

going on in the middle of night but I

would not recommend that ring to anyone

unless they've had a sleep study I've

had like ten different sleep studies

probably more that's official studies

then they're all the though testing

devices kind of studies and all bad and

so I know my sleep very well and I

compare it to the aura ring and it is a

useful device

are there other trackers out there that

are useful there's some that are

terrible and then I have a lot of


patients you know telling me you know

look at my watch here tells me I'm

sleeping great and I know they're not

they're drinking coffee in between

conversations and they're tired and this

is a two o'clock in the afternoon and

and they you know they can't get out of

bed and they are they they're overweight

and they're making bad food choices and

they're not happy and and their blood

pressure is elevated and they're there's

so many ways to to see sleep or sleep I

when I go to cocktail parties and I

drove my wife nuts of course I mean I

pretty much know within seconds of

having spoken to someone

sometimes minutes who's got sleep apnea

and who doesn't you know in my day

identifying that and you know it's not

always pleasant for people and men are

more difficult than women of course

women listen and and think maybe I do

have sleep apnea men are like that

that's not me it's the guy over there

but it's not me you know large neck size

high blood pressure going to the

bathroom a lot in Illinois they're

getting sick a lot and and you can't I

think it's I wish I had treated my sleep


apnea earlier I didn't know of course

but you know when you're 80 years old

and you're near the end of life maybe at

ninety maybe at 100 whatever you're

gonna wonder how much smarter would I

have been how much happier would I would

I have been would I have done things

differently

would I be thinner healthier would it be

in less pain with my organs wouldn't be

healthier if I had treated it and the

answer is yes hmm

yes so I

help people know don't be that person

when you're 85 and suffering because you

didn't take decisions now that will help

yeah I think that we're designed to be

happy and healthy and if we're not then

we say well why aren't we and I and I do

think that so many well everybody is

really looking for the answers in our

waking hours without regard for what's

happening in our sleeping hours there

are no how do I say this like there are

later there are no herbs there are no

supplements there are there is no amount

of nutrients liver and grass would be

thing that can save you from a bad

night's sleep it's just

it cannot the straps on your organism


cannot be like maybe can be helped a

little bit by those things but you're

fixing it after the fact you know

methylation oxidative stress and all

that you're fixing it out to the fact

that nutritional health and exercise and

and maybe medication and all that but

you're not treating the root cause if

you're not fixing your asleep right okay

I want to discuss briefly mouth taping

because this is something that you spoke

that well you've mentioned earlier in

the interview and that you've spoken

about in depth in your book and then in

other resources that you've haven't um

like I talked about mouth taping a few

weeks ago and one of my facebook posts

and people are like what you know this

is unbelievable

that's pretty wide table who makes that

tape is that Rosen 3m micropore 3m yeah

I know do you take well I honestly like

I feel like I'm going to suffocate

because I'm always even now in this

interview like I'm always gasping for

breath even during day I mean I don't I

have been an athlete in real life in not

new I mean there are a lot of tests out

there a lot of there's so much there's


been so much that it's been written

about of example if you can do mild

exercise and talk at the same time

that's a good sign you're breathing

through your nose so so yeah that's

exactly how I tape I use 3m next care

it's a little stick here a little bit

more comfortable a lot of people can't

do this and it's not dangerous no one's

gonna die or suffocate but I use it as a

differential diagnostic in other words

if people can tape and the tape is on

all night long and they wake up with it

then I know that they have potential to

nose breathe maybe their mouth falls

open anyway and then I would say keep

continue to mouth tape if the tapes

always coming off your you need to see

an ENT you need to fix that and the root

cause is that you don't have the

structures inside your nose that allows

you to be able to breathe your nose so a

lot of borderline cases of you know pre

sleep apnea can be fixed by this if your

child is breathing through their mouth I

would encourage you to keep trying to

mouth tape and sometimes you can force

the issue it depends on your nasal

patency is it partial is it correct is

it is it a is it full I mean are you


fully blocked I mean you would know that

within a few minutes if you can keep the

mouth tape on for a few hours maybe by

trying and continuing that and bringing

down your breathing rate of course that

helps then maybe you'll reach a tipping

point where you can mouth tape all night

long so others anything it's very

controversial if you talk to an ENT they

will tell you that's the worst thing you

can do I don't understand what that

would be although there are some

surgeons now that are recommending it

and it's a great tool it's a great

device I tape every night

I most of my patients take most of them

I would say 95% them they're amazed at

what it does for them almost immediately

usually the first that the next morning

now if it keeps coming off then that's

great

that tells me time to refer to an ENT I

have an ENT nearby me he's all set to do

a modified Muellers maneuver and and to

be able to tell me what's the problem

usually we get a sleep study at that

point and and so this is concrete data

this tells us a lot wouldn't you want to

know whether you could breathe through


your nose or not this is the easiest way

to do it it's easier than going to see

an ENT

knee and he can tell you but this is

testing it right so if people are

uncomfortable at first when taping at

night that's a really good idea like oh

I'm working on the computer for two

hours so let me take myself and you'll

about that it's hard it may be harder to

do while you're awake because your

breathing rate is higher hmm remember

tape a lot of people think they need to

tape it shut so it can't be forced open

the tape is a reminder it is a reminder

just to keep your lips closed your your

jaw is still opening and closing you can

vertically tape there's also a nice

product out there called saamne fix it's

a very nice-looking lip shaped tape with

a vent in it but people that I mean

people know that they can do this or not

instinctively there's what I recommend

mouth taping you know like that's not me

forget it or they they look at you like

they're shot those people know that they

are mouth breathing but then we talk

about it and see if we can do it

experiment in the chair and and and that

there read about it on the web there's


lots of great information and there's

there are probably 25 good reasons you

should be breathing through your nose

there's some crazy reasons out there for

example if you have a properly if you

have a lot of space in your nasal

passages and and I think I see this I

mean the the hypothalamus can

see light and that could affect your

circadian rhythms if you can't breathe

your nose and it's very blocked that's

not going to happen

humidifying the nose we talked about the

rate of air coming in and out was

important the nitric oxide under oxide

it's great for busy violation it's also

great for oxygen uptake it helps oxygen

uptake everybody wants more oxygen to

their muscles and to their brain they

also want to be happier I mean there are

so many development proper development

for children nose breathing is important

I would I ask everyone every time I see

a new patient I ask them please let's

talk about the ability to North Korea

that is like one of the most of us a

pillar of health and if you can't

breathe who knows I have solutions for

you we can fix it maybe it's maybe it's


learning a how to mouth tape maybe it's

pushing that envelope a little bit a lot

of people can't even mouth tape at night

because their hearts racing their

breathing rate is so high you got to

bring that down then put the tape on see

how long it stays on anyway it's it's a

fascinating area we talked about it in

the book there's been a lot more

discussion about it since I wrote the

book right well I like the idea of

mounting because it's something that's

accessible to everybody and my concern

is that people don't have dentists and

don't have auntie's that are trained in

this because I think I think about

myself I had so many now to me very

obvious signs that my entire life I had

mouth breeds which has been one of the

issues why I'm not compromising at night

and I have not

I've never had a dentist or a doctor

tell me that I was not breathing right

so I guess birth it's it's very

disheartening sometimes to to to to to

realize how alone you might be and this

journey towards towards better health

and define

these root cause issues and so like I

like the idea of mouth taking because it


is accessible but my concern is that

like if it's a diagnostic tool and I

can't now tape properly then yeah then

what like I don't have a team of people

how do i you know that's I think that a

lot a lot of people are gonna be in that

predicament because even made a post you

know about all this and several people

in the comments said my my chart might

my little girl's mouth freeze and she

tells me she can't close her mouth and I

don't know what to do I think I think

just don't when things aren't well like

there's this sense of like I have no

idea what to do and I feel alone in this

path right that is a real problem even

in the area where I practice it's hard

to find like-minded people and they're

there and even as a practitioner it took

me a long time to find them refer to

them and that will change but for now I

feel very bad for the people that really

only have the internet for that kind of

information for that guidance that is a

sad thing but you know on the other hand

how nice is it to be able to be told

try mouth gaping if it keeps coming off

you know that you can't breathe through

your nose
that's wonderful information that's

information you would never have liked

you would never have gotten by just

going in to see your primary care

physician

they're not looking at you going like I

am with my patients one of the first

things I talked to them if I know even

if I don't notice that there's a problem

how are you at nose breathing and

they're like what I mean really and and

in dentistry there's the whole dental

aspect of it breathing through your

mouth increases your chance of gum

disease decay

cavities I mean because your mouth is

dry how do you how do you upset a biome

well rugs pH change

I mean medications diet and and one of

the great factors in pH is a dry mouth

and it's so easy to happen it's so easy

to occur it happens almost immediately

keep your mouth open for 45 minutes I

guarantee you'll see a big drop in pH

keep it open all night long and you know

the biome changes dramatically yeah it's

just it's it's it's true it's truly wild

how you know we we've totally not paid

attention to probably the most like the

most important function which is


breathing I do want to just mention diet

briefly because we mentioned like hey

you know what maybe the prevention and a

lot of these issues at least to some

degree is is proper preconception

nutrition so mom and dad are healthy

before they even conceive and the mom is

well nourished in pregnancy mom is well

nourished when she's given breast milk

and then you as an adult can nourish

yourself limit food allergies like you

know have as Li as low level of the

congestion as possible to promote

optimal breathing so what is is there an

optimal human diet for support of proper

breath and support of proper sleep well

there there probably is and the answer

is yes but it's it's a complicated

answer let me just get one thing in that

relates to this because I always forget

to mention it in Crete conception

nutrition one thing that I was am very

concerned about is sperm motility and

the the quality of the sperm in someone

who is not sleeping well I mean Oh dad

as that are trying to get you know a

couple

trying to get pregnant make sure you're

both sleeping well especially the


husband because there's a lot that can

go wrong there in terms of DNA and

motility and infertility and etc but

then of course it's also about diet the

big one that I find just really

disheartening is in in Western medicine

we always fall back on hey by the way we

can eliminate for example midline

defects if you just take all these

vitamins I'm talking about you know the

benign folic acid right but that turns

out to be the wrong form that that's in

our diet if you eat the right diet

you'll be fine but it turns out a lot of

women have been taking the synthetic

version of of they've been taking folic

acid which is the synthetic version of

folate right but and then there's some

genes that prevent you from converting

it to fully but if we just been eating

the right diet and not so focused on

these wonderful magic pills like these

vitamins prenatal vitamins we would be

fine

so we're seeing a lot of Tong ties now

because it turns out we've been taking

the wrong form of this B deceive item

and that prevents benefited and all that

and because of that all we had to do was

even right diet this is the Western


price diet

it's a paleo diet it's a carnivore diet

I mean I hate getting into diet because

everyone that the whole vegan carnivore

thing gets gets stirred up and and and

that's that's very sad that we're having

those conversations and and dealing with

that and of course that's a personal

decision but remember what you eat

before you conceive after you've

confused the perinatal phrase and the

postnatal phase those are those are also

important and the big ones are and

Western price has been given credit for

that that missing link or that that

factor X and a lot of people say it's k2

but but

you know Diaz 43 is important especially

if you're not getting a lot of sunlight

exposure a is important we're and then

eating a lot of calcium as importance

that comes from our diet of course but

once the calcium gets in your body what

helps it get across the gut the gut

barrier

well d3 then it's in the bloodstream

well what helps it get to all the

calcified tissues we need to have k2 on

board right and make both versions of k2


MK 4 MK 7 once fat soluble once water

soluble I mean it's it's very

complicated and we try and take this

over with nutrition magic pills when

it's all it's always been okay dr. B we

lost connection for a little bit but we

were talking about how people have

become to rely on pills and you know

kind of these synthetic versions of

these vitamins but but without focusing

on a nutrient-dense diet and humans are

omnivores

I mean period we need nutrient-dense

animal products to thrive we do so it

really upsets me because we always think

we have a better way of doing things and

then we mess it up and that whole whole

a colic acid is a perfect example I mean

it's probably why we're getting more

tongue-tied there's some people that say

it could be why they're we're seeing

rise in autism I mean I'm not I'm not

saying I agree with that but but we

really have to focus on diet and we have

to make sure we have a good clean diet

free of chemicals and then what about

mercury and metal fillings I mean what

does that do to conception and

preconception issues and all that I mean

there's so many toxins in our world


flora in the water is a big mistake in

terms of calcification and growth of

calcified structures MIFA site is

probably a inhibitor in terms of growth

of jaw bones and even any calcified

tissue and it's everywhere I mean

you can't hide from it on this planet so

yeah see I think we really need to know

what the master plan is the master plan

is already in place we know what it is

we just have to look back at to our

ancestors and that's what what's from

price did his observation of that and

I'm proud to say that he was a dentist

who it was was brilliant I mean he

didn't get it all right but he got a lot

of it right well before anyone else did

so so that's wonderful and I think we

need to think a little bit more like he

did I mean what what are what are the

people that are developing correctly

what are they doing right a lot of it is

diet just eating the right foods not

vitamins and you know how do we know we

get the vitamins right how even others

stored properly how do we know that they

don't you know take on too much moisture

or they're exposed to heat in the

warehouse before they're shipped to you


these are all factors that influence the

bioavailability and the efficacy of this

supplement and obviously the the way we

make is synthetic not synthetics you

know does a mother convert folic acid to

folate I mean we need to know all this

stuff before we start throwing out these

things these these advisements on what

to take before birth you guide your

patients through diet or do you just

focus more on diagnosis of sleep

disorder remedy of sleep disorder proper

breathing and then kind of allowed the

diet to shift

oh no diets related to caries gum

disease overall health I mean I might

first visit with my patient with the new

patient is one hour long and typically

it'll run over or go to another half

hour visit and I mean I for some reason

patients expect to be able to spend more

time with the dentist which is wonderful

I'm all for that but with the position

it's it's quick it's over with and

1215 minutes which is unfortunate and

typically what they're doing is they're

medicating and they're looking at one

specific thing and maybe it's a maybe

it's a physical but my physicals take

maybe a half hour at the most


that's a physical that's the whole body

giving a lot of nutritional advice yes

okay do you have any like like top three

nutritional advice that you give to be

bar well the the the top one is to eat

an optimal diet I mean what great what's

better nutritional advice can you give

but then you know I we have a lot of

vegetarians in our area and it becomes

difficult there and then and you have to

you have to talk about the diet that's

best for that person what's their ethnic

background where did they grow up you

know what you know what how did the

genes play with their environment and

with their diet that's a little bit out

of my realm but I have a referral for

that we have a lot of very unhealthy

South Asian very thin South Asian males

that's a very specific very homogeneous

kind of very vertical type body type of

physiological visit physiology type and

that's that's impacted greatly by the

Western diets they have sleep disorders

there they get dumb bizzy's very quickly

very readily and heart disease there's a

specialist in our area that works just

with South Asian males I mean it's it is

it is overwhelming I don't think


patients understand how difficult it is

for someone to get the big picture and

that's why I like functional medicine I

also refer a lot of my patients to a

functional MD or practitioner because

they know they're not getting the right

advice or they're not getting any

solutions from their conventional

Western medical doctor so so yeah I'm

kind of doing all that it's kind of hard

to build for the

but it it it you know that patient is is

with you for life and and and I'm hoping

that they don't have any dental needs if

you give them the right advice

beforehand in terms of gut microbiome

they're gonna have fewer cavities there

there are connections they're gonna be

they're gonna be a better patient

they're gonna come in more often and get

their cleanings done they're going to

eat better it's the whole picture you

always have to look at the whole picture

dentist of course are looking at teeth

physicians you know specialists are

looking at whatever part their shared

good at treating and what they've been

trained in and there has to be more

collaboration where do people go to find

a good dentist is there a website like


dentist

yes I wish there was it depends on the

area I think really it's you have to

search on the web and I think what I

would I tell patients and we have a blog

post on this and how to find a good

functionally minded dentist and someone

that can predict whether you're gonna

have sleep apnea and you know maybe

you're taking the wrong form of B b6 b9

b12 you know that's burning mouth

burning tongue I mean they're they're

all again as you said at the beginning

of the show what happens in the mouth

it's it's almost it's not a window to

what is happening it is what is

happening exactly it is I mean it can be

a reflection of course but and it's so

you can tell a lot from the mouth and of

course the mouth contributes to overall

inflammation I have a lot of physicians

that are treating based on CRP levels

and they've completely ignored the the

contribution of from gum disease or even

gingivitis to CRP but I have a forum a

two-page form that I give to the patient

to take to their physician that allows

them to see how much of that CRP is

determined by what the


patience going through in terms of oral

health like gum disease and a lot of

cardiologists call me I go my god this

is brilliant because I've been trying to

get this patients er beat down and I

can't do it I didn't realize that they

had full-on gum disease well porous gum

disease is related to heart health and

so again at a practitioner and it's not

easy I'm not telling you it's easy I'm

not saying it's easy practitioner has to

any practitioner whether it's a

functional health practitioner that came

out via through being a acupuncturist I

mean we have all of us have to look at

the big picture including the patients

yeah it's really important then it's you

know that's the the the beauty of the

internet even though you know it creates

a lot of disadvantages and lots of noise

we do have access to more and more

information and even people that are

watching this interview and don't speak

English you know Google Translate does a

very very good job so copying and

pasting articles from ask the dentist

com is a good place to start you know

there's there's a lot of good

information you are your team your

daughter and yourself have have made


this information accessible and also

understandable to the general public

which is really important just to wrap

that one up because we've talked about

so many things today I just I guess I

want to reiterate the fact that like a

dentist does so much more than just fill

a cavity like a dentist like you said

sees your mouth and what happens in your

mouth is what's happening in the rest of

your body

a dentist can see whether or not you're

breathing properly

we know that by design we should be

breathing through the nose and not

through the mouth breathing

the mouth creates a variety of issues

including lack of ability to sleep

properly to get into deep sleep and

without deep sleep we simply tend not

functions optimally as human beings so

that's kind of a wrap up and then you

know I just wanna like reiterate what

are the action steps cuz I do feel like

people will see this like oh my gosh

that's a great question

that's a great question what I would

maybe one thing you could do I think

it's important even if you're a


healthcare provider we have this oral

microbiome reset program it's a 28-day

program I sign up for that and we talked

about this earlier if we get enough

signups we will translate it into

Spanish we will have it translated I

think that's a great place to start

because if you don't see the big picture

properly every little road you go down

in terms of treatment two paths and

diagnostic paths will be wrong

right I mean they will lead you to the

wrong modality of treatment and and that

can be problematic then you talk the

instrument side effects and and or or or

no results at all so I think everyone I

always tell Deniz we need to become

practitioners of the oral microbiome

that's what a dad needs to do we need to

start there that is the fundamental

pillar of how we need to see the mouth

it is a extension not an extension it is

part of the gut it is the head way or

the headwaters to the gut the bacteria

in the mouth and the bacteria in the

judge are share there's a 50% overlap

and remember we're swallowing 140

million bugs a day in the saliva that we

swallow the bugs here determine what the

bugs are doing here we know how


important that gut microbiome is of

course so that's how we need to be

seeing things I'm seeing things now

differently I wish I had seen this back

when I was

young Denis 34 years ago this is how all

dentists and patients I include patients

we need to see the mouth as this very

complex beautiful kind of environment

kind of like a in organism a super

organism that does so much for us but if

it goes if we mistreat it like the wrong

mouth washes the wrong toothpaste the

wrong chemicals mouth breathing whatever

we're brushing under brushing poor diet

then then that goes south and other

things go south from the body so again

we I would start off with a program like

that in those 28 days you high guarantee

you you will see the mouth in a

completely different way and it'll

motivate you to do things that maybe you

didn't know about before well and so

maybe that's a great place to start and

that's even I'm I'm even saying that to

practitioners a lot of people that I

know and know well and respect and can't

believe what they're saying in terms of

how brilliant it is and then we start I


start talking about you know gingivitis

and how it can lead to Alzheimer's they

they just draw a blank stare and and

that's sad and that's the fault of

medicine in dentistry we diverge we buy

fur cated in the late 1800s it's a long

story you don't want to hear it in those

days though it is absolutely ridiculous

hmm okay so yeah I I think that that

program I there's no doubt in my mind

that we can generate enough interest to

be able to translate that program that

oral microbiome program into Spanish

because I think it's really important

and I think that yeah I just think that

this information about the mouth and

about the mouth and relationship to

sleep is just it's true it's so

significant for health it's so

significant for well-being and it's so

significant for mmm so that someone can

really and truly

like live their full potential which is

to be happy and healthy and probably

like a glass half-full kind of person

even when the world doesn't seem like

such a great place you know so so I will

definitely be sharing information about

that program we already mentioned the

website asks the dentist come it's also


on and also an Instagram is accident is

calm and I really appreciate your time I

I'm just so grateful for your work I

think it's it's it's really important

thank you very much though thank you I

will talk to you soon

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