Biological Dentistry and Oral Inflammation with Dr. Fabian Schick

00:00:00: When there are studies showing that fluoride accumulated over time could potentially have neurotoxic effects, then I don't need to ask myself whether use it if actually a more biocompatible option available.

00:00:17: That's where ions flow and one of them basically ends up corroding And those are the exact effects we don't want in the mouth.

00:00:26: When you're young, bounce back from a procedure like that pretty quickly.

00:00:30: Try pulling your wisdom tooth on a ninety year old.

00:00:32: That's acutely inflamed and can become life-threatening.

00:00:36: And lo and behold two months later The eczema was completely gone Beyond lifespan.

00:00:41: Two doctors

00:00:42: talk longevity and biohacking.

00:00:44: Fluoride is almost every toothpaste and has been considered for decades one of most essential defenses against cavities period.

00:00:51: At

00:00:51: the same time, there are dentists who intentionally steer clear of it arguing that we look at our teeth way too disconnected from the rest.

00:01:19: Fabian, great to have you here.

00:01:22: You're a biological dentist in Munich and I'm actually a patient of yours which is why we invited you on today.

00:01:29: Your practice.

00:01:31: tell us about what your main focus?

00:01:34: My name is Dr.

00:01:35: Fabian Schick.

00:01:36: I am specialist in Biological Dentistry & Ceramic Implants and founder of BioHealth Munich the center for Biological dentistry and ceramic implants And our focus is on integrative biological dentistry naturally.

00:01:52: We simply try to integrate general medicine more into dentistry, enabling patients... ...to have the healthiest mouth and jaw area possible one that won't turn in a source of systemic inflammation for their

00:02:05: body.".

00:02:06: Okay!

00:02:08: Now you brought up the term biological dentistry?

00:02:11: Everyone's been to the dentist before at least I hope so and goes regularly.

00:02:15: And what's actually the difference in the end between what you do, let say conventional mainstream dentistry?

00:02:23: Well I'd start right at the beginning.

00:02:25: it is in diagnostics.

00:02:27: for a patient truly interested in biological rehabilitation or biological dentistry first visit with us isn't just i take quick peek into mouth check cavities maybe taken x-ray then next appointment is six months.

00:02:41: if nothing hurts With us, it's way more comprehensive.

00:02:46: We collect an enormous amount of data that goes far beyond just looking inside the mouth or taking x-ray.

00:02:54: instead.

00:02:55: we also try to get a better read on patients' immune status.

00:02:59: That includes things like blood tests checking materials they currently have in their mouths maybe also saliva.

00:03:07: metal test can reveal whole lot and what really sets as apart is a specific device.

00:03:15: It's an ultrasound that lets you assess bone density across different areas completely radiation free and when you have immunologically stressed area, the bone density in those spots can actually deviate from healthy areas?

00:03:31: Yeah really fascinating.

00:03:33: so mainly diagnostics are saying essentially real difference.

00:03:36: I remember vividly first time i came to your clinic cleaning, and first I sat down just like you always do.

00:03:44: You sit in the chair...you guys have a really stylish clinic by the way that's got to be said.

00:03:48: but otherwise everything felt familiar at first right?

00:03:51: And then suddenly i was handed this little cup of oil-right?-and it was supposed to oil pull for five minutes!

00:03:57: For me that was already like okay wow all right..I've heard a lot about this but i'd never actually done it.

00:04:01: um and experiencing It also really ensures the whole mouth gets swished out and thoroughly cleaned once more.

00:04:12: And what you guys do sometimes, even after surgery I noticed that you have a dedicated room just for IV drips right?

00:04:20: So thats on top of all the diagnostics You also some follow-up care if i understand correctly.

00:04:26: But you also these little touches in let's say day to day experience That feel different.

00:04:33: Do any other examples like this?

00:04:35: Yeah, I mean the two things you mentioned are actually really good points.

00:04:39: right because a dental procedure or oral surgery is primarily tissue trauma.

00:04:43: We can agree on that i think.

00:04:45: and to give the body the best possible support for regeneration it obviously makes sense to supply the body with things that aid that healing process For instance, when there's soft tissue damage boosting connective tissue metabolism with vitamin C or zinc magnesium all the things that are essential and more extensive surgery on other procedure.

00:05:09: The more crucial that support before an after operation becomes.

00:05:14: by way in orthopedics has been standard practice for years.

00:05:18: preparing for surgery optimizing your nutrition maybe building muscle and so In the mouth, it seems to be treated differently.

00:05:28: yet we perform relatively major surgeries in the jaw and skull.

00:05:32: And nobody even asks what prep work did you do or anything like that?

00:05:37: Instead wisdom teeth get pulled for example... You send out a door half an hour later with a pack of painkillers.. That just doesn't do justice!

00:05:45: The biology remains the same whether your operating on hip joint or knee or in-the-mouth body and that's why we've tailored our whole approach to giving patients the absolute best support there.

00:06:01: That even starts prior to surgery, right?

00:06:04: So don't just have a patient show up on Monday morning and start pulling teeth... We definitely advise preparing for the surgery as well.

00:06:12: of course oral hygiene is one factor.

00:06:15: naturally everything should be clean and ideally biological dental cleaning was done beforehand.

00:06:21: but isn't it also crucial say bone metabolism before the bone even has to heal and that's where you guys are.

00:06:29: The experts too i mean vitamin d level isn't something u build up overnight.

00:06:34: no and thats extremely important for bone regeneration, we just approach the whole thing a bit more thoroughly.

00:06:45: it goes way beyond what normally expect from dentist.

00:06:50: really this practice was built so we could offer things the way we do.

00:06:55: Say I decide tomorrow, let's say to book an appointment with you guys and at first i just want to get a cleaning have a routine checkup.

00:07:04: what would that look like?

00:07:05: how does it go?

00:07:06: And What Do You Do During An Initial Consultation?

00:07:09: Let's Say

00:07:10: Yeah!

00:07:10: You Have To Distinguish.

00:07:11: I mean there is obviously The Full Initial Workup I Was Just Talking About.

00:07:15: That Involves Saliva Analysis Blood Tests Ultrasound.

00:07:21: But then there's also the lighter first visit.

00:07:23: if someone is only interested in a biological cleaning and just wants to check the place out first.

00:07:28: Then of course you can get the cleaning done.

00:07:32: it's just that does an initial visit with us always has up by a logical angle right?

00:07:38: so i mean naturally will explain that they are further options waste ways to dive deeper into immunology into immune dentistry, To check if I had my wisdom teeth pulled.

00:07:51: maybe take a look with ultrasound to see of the wounds really healed up.

00:07:57: Of course, cleaning itself is done within a biological framework.

00:08:02: you mentioned oil pulling earlier.

00:08:05: in general we're focused on creating the most natural oral flora possible healthiest microbiome healthy or environment which is why we steer clear of those overly harsh disinfectants that can completely throw off a microbiome like that.

00:08:23: Speaking let me cut in real quick, those overly-harsh disinfectants.

00:08:26: what would be an example if something people buy at the drugstore?

00:08:29: Well for instance CHX Chlorhexidine Gluconate is very harsh or even Listerine all those colorful mouthwashers sitting on the shelf.

00:08:40: they don't help Bring your oral microbiome into balance.

00:08:43: You know, they just kill off the bacteria and then you're left with an imbalance in.

00:08:48: Your body has to rebuild that from scratch.

00:08:52: And I talk a lot about cavity prevention too.

00:08:56: When i have a natural oral flora?

00:08:58: I Have natural protection against cavities right But if I completely disrupt That oral flore every single day throw it totally out of whack by eliminating all The bacteria With A mouthwash thats Too harsh.

00:09:11: That can actually increase cavity risk because that flora is super critical.

00:09:16: You have to realize saliva contains cavity protective compounds too, and if I don't produce enough saliva or the saliva lacks quality then right off the bat.

00:09:29: i have a higher cavity risk compared someone who maybe drinks lots of water and generate way more saliva just from alone?

00:09:37: Or who's immunologically in good shape.

00:09:41: They naturally have a lower cavity risk right off the bat than someone who doesn't do that.

00:09:48: now we already touched on cavities and That brings up another very intriguing substance.

00:09:55: That's hotly debated around cavities fluoride.

00:09:59: Fluoride is basically in every toothpaste well most commercial toothpastes.

00:10:03: In our prep talk, We already mentioned that both of us still brush with fluoride Even if that's become kind of uncool in some circles.

00:10:10: So we'd love to get your take on this because it becomes such a controversial topic.

00:10:15: One camp is like fluoride, you're poisoning.

00:10:18: You can't give that to a child.

00:10:19: It's insanely harmful right?

00:10:20: Then the other side goes hey The studies don't show that at all and so forth.

00:10:24: That's our best long-term bet for protecting against cavities.

00:10:28: Didn't Some countries even add it To drinking water?

00:10:31: I'm not totally sure but i think In the US thats done in places Right!

00:10:35: Just share Your perspective On it.

00:10:37: Well, fundamentally you hit the nail on the head by saying two camps have formed.

00:10:41: I also feel this entire debate has gotten way too emotionally charged and of course both sides have valid points but to me The real leverage is somewhere else entirely You know?

00:10:55: The real leveraged lies in things like lifestyle choices or dietary counseling.

00:11:03: Look there are studies showing that In populations that consume less sugar cavity rates are consistently lower, right?

00:11:11: That means tooth decay isn't a fluoride deficiency disease.

00:11:16: When we talk about lifestyle choices and say for example take an apple cut it into eight slices leave them out through the day and eat one slice every hour Right off the bat you've created a constant sugar exposure in your mouth And a much higher cavity risk.

00:11:33: If you eat the whole apple at once and rinse with water afterward You instantly re-neutralize the pH in your mouth and wipe out that sugar trigger.

00:11:43: And, thats a massive difference!

00:11:44: Through small choices like this you can actually manage cavity prevalence too.

00:11:50: See it's not just about what ingredient happens to be on my toothpaste.

00:11:54: The bigger leverage isn't the tooth paste itself...the bigger leverage is lifestyle diet.

00:12:01: What are habits like?

00:12:02: Are they drinking water apple juice?

00:12:05: I don´t know.

00:12:05: Coke Fanta whatever else.

00:12:08: And if the energy currently poured into this debate were instead channeled in to making headway through lifestyle choices, nutritional guidance and so on.

00:12:20: I think everyone would win you know?

00:12:23: Then we wouldn't have to fight this trench warfare between anti-fluoride and pro fluoride camps.

00:12:29: Instead We'd give patients which is what really matters a much bigger benefit.

00:12:39: i mean sure There's evidence that fluoride, how it works makes the enamel more acid resistant by incorporating into forming fluorapatite.

00:12:53: Nobody disputes this at all.

00:12:55: but when there are studies suggesting long term fluoride accumulation could potentially have neurotoxic effects why would I even consider using it?

00:13:10: A more biocompatible alternative that's equally backed by research.

00:13:17: so for us at the practice it is a non-issue.

00:13:19: we don't use fluoride here.

00:13:22: It's not like you want to jump into this emotional debate either but thats my unequivocal stance, if alternatives exist and aren't under scrutiny having neurotoxic effects then of course i'll use those on lifestyle choices, biological cleanings and at home oral hygiene as leverage.

00:13:46: And that's something hardly anyone talks about it always.

00:13:49: just is that ingredient in there or not?

00:13:53: Um...and very few people are actually talking about okay Are we maybe eating too much sugar?

00:13:58: yeah That's.

00:13:59: I mean that's obviously a given right.

00:14:00: the people eat Too Much Sugar but i'm curious.

00:14:02: you haven't Actually named that alternative yet.

00:14:04: are We Talking About hydroxyapatite Here Or do You Guys Work With Other?

00:14:08: Let'S Call Them Fluoride Alternatives?

00:14:10: Yeah, so you hit the nail right on the head.

00:14:12: It's obviously hydroxyapatite.

00:14:14: that material tooth enamel is naturally made of um... You can use it to boost mineralization in the enamel and make more acid resistant without any potentially nasty side effects.

00:14:29: It can also smooth out initial enamel ruptures as well fill them in simply making the enamble harder.

00:14:39: And yeah, for me there's really no question about what we use at the clinic.

00:14:45: Right?

00:14:46: I have another question...I keep seeing tons of ads for these hydroxyapatite chewing gums.

00:14:51: Do you think they're actually useful?

00:14:52: or would say if your chewing gum anyway go-for it can't hurt might help?

00:14:57: You don't need to be holier than a pope.

00:14:59: but basically chewing gum isn't something that supports natural microbiome.

00:15:04: It's not for nothing that it says on the back, And

00:15:34: now there's also, or there was this big trend.

00:15:37: Or at least I've read about it a lot online where people took straight-sided to like birch sugar let it dissolve in their mouth and then swished with it.

00:15:44: that would ultimately have Let's say an ideally anti cavity effect?

00:15:49: Um i'm assuming.

00:15:50: what's your take on that?

00:15:51: Honestly, I haven't heard about that one yet.

00:15:53: Okay

00:15:54: Yeah cool

00:15:54: But I...let's put it this way anything taken too extremes is maybe A bit much when you're mouth is full of If you just approach things with common sense, right?

00:16:05: Maybe use a tongue scraper in the morning.

00:16:08: Brush your teeth do some oil pulling and then spend the next few hours With nice neutral pH level And healthy microbiome.

00:16:18: I think that's best thing for yourself.

00:16:21: Tongue Scrapers tell us more about that since i think You brought it up.

00:16:24: Yeah.

00:16:25: so naturally A bunch of bacteria builds on the tongue overnight for instance, so in the morning you can definitely use a tongue scraper to go ahead and reduce that bacterial load.

00:16:40: In your mouth it also helps patients who are dealing with bad breath or things like that.

00:16:46: That could be an effective way of achieving this.

00:16:51: For example I have a copper one – does it need to be copper?

00:16:53: Or is it purely about mechanical cleaning?

00:16:57: It's both, so copper definitely has additional benefits thanks to its antibacterial properties.

00:17:03: But the mechanics play a bigger role I'd say but of course you can certainly use a copper one if you want both upsides.

00:17:11: there is absolutely nothing wrong with that.

00:17:14: Something thats been out style for longer compared to fluoride let us say is amalgam right?

00:17:20: Those classic mercury fillings?

00:17:23: you see them on some older or middle-aged folks, let's say when they laugh.

00:17:27: right then depending where the filling is.

00:17:30: You can this dark

00:17:31: spot

00:17:32: showing through first off.

00:17:34: it just doesn't look great.

00:17:35: It used to be standard up until a few years ago.

00:17:38: insurance even covered instead of these newer I think composite fillings whatever else out there.

00:17:42: now what Is your take on amalgam?

00:17:47: They pretty much don't do anymore.

00:17:49: I assume you guys don't do it either, obviously.

00:17:53: That'd be pretty anti-biological dentistry i think.

00:17:56: Yeah maybe you can share a bit about that.

00:17:59: yeah.

00:17:59: so Basically what?

00:18:01: You have to.

00:18:01: I mean your spot on right.

00:18:02: we don't offer it and We never have.

00:18:05: It's actually kind of a funny story.

00:18:07: So our background stems from dr lechner old clinic And

00:18:11: he

00:18:12: already refused to place Amalgam fillings thirty years ago.

00:18:17: back then there were huge debates with the dental boards and all that.

00:18:22: For him it was a bit of a triumph when he actually got banned thirty years later, but the reason its not good for your health is pretty obvious.

00:18:33: I mean filling consists off fifty percent mercury along with other metals.

00:18:39: The mouth has a saliva liquid environment where things can naturally dissolve especially Other metals present in the mouth too, right?

00:18:50: So if you have an amalgam filling Right next to a gold filling for instance.

00:18:54: You've got a high high electronegativity gradient Which can naturally cause iron migration speaking of the microbiome

00:19:02: Maybe maybe explain that real quick.

00:19:03: about the golden amalgams.

00:19:04: so you're saying it's a gold feeling and an Amalgam feeling are right next to each other.

00:19:07: That's worse then if you only have amalgam fillings for example.

00:19:10: way worse of course.

00:19:11: i mean it's like a tiny battery and irons just flow in.

00:19:15: one of them ends up corroding at the end of the day.

00:19:18: And those are the exact effects.

00:19:19: we do not want to mouth, because is we want healthy microbiome and healthy oral flora and healthy environment than heavy metal.

00:19:28: ions don't belong there.

00:19:31: your swallowing them over months years decades.

00:19:35: that can definitely put a strain on the gastrointestinal tract, too.

00:19:39: I was just talking to really nice patient who runs a functional medicine clinic here in Munich as well and she says hey!

00:19:46: The microbiome isn't just stomach and gut and all that.

00:19:50: it starts in the mouth.

00:19:52: And if we already have negative trigger there It's much harder for the gut to buffer than If We Have A Totally Healthy Mouth & Biocompatible Materials.

00:20:03: Since you already brought it up, what's your take on gold fillings?

00:20:05: If can afforded is a good idea or would just skip it.

00:20:08: Well in general if I have metal free alternative i'd much rather go with the metal-free alternative

00:20:14: Cheaper too

00:20:16: Yeah!

00:20:17: In terms of raw material cost sure but manufacturing process itself probably isn't.

00:20:24: Still with Gold Fillings they're always dental alloys.

00:20:27: They contain certain percentage of gold But there are also other materials in their that we pay crazy close attention to and other areas.

00:20:35: Nobody wants aluminum in the deodorant, for example.

00:20:39: right but whoever asks whether they might be aluminum in a dental alloy?

00:20:43: And these are things which point out as great test.

00:20:46: I know you didn't do it with because don't have metal on your mouth.

00:20:51: For example chewing gum saliva analysis where you just have the patient chew on gum for five minutes and spit repeatedly into a small tube that gets sent in and tested for metals.

00:21:04: You'd be shocked at how much metal actually ends up in the saliva, what's the reference baseline for?

00:21:09: that really is obviously more metals are installed there and the more very those metals.

00:21:16: i mean it not just gold alloys an amalgam.

00:21:19: we also have titanium implants or maybe retainers or whatever That inevitably ends up in your saliva.

00:21:29: You swallow it down and for patients who are sensitive to that It can also become an immunological burden.

00:21:36: Do you advise people?

00:21:37: Who have a feeling to get it taken out?

00:21:41: Well, you have to be realistic here.

00:21:45: the alternative materials.

00:21:46: we use Composite resins honestly composite resin.

00:21:50: We don't want microplastics in our water bottles Drinking out of them either.

00:21:55: That's also being debated for having potential carcinogenic risk.

00:21:59: Nobody bats an eye when it's in the mouth.

00:22:01: different types of plastics are placed in there and they're not health-promoting, either.

00:22:05: that's why we can I do believe There is less toxic potential coming from composite fillings or ceramic crowns or ceramic inlays.

00:22:17: That's why i do recommend removing The metals but always following proper diagnostics.

00:22:23: For instance, you could run a saliva analysis and base the decision somewhat on that or if they're failing... If there are marginal gaps of decay then it's done deal anyway but need to be replaced.

00:22:35: plus there are immunological tests where you can screen for the metals And one of them triggers response in your blood or immune system reacts aggressively to metal.

00:22:48: Then my mind is no question at all whether should stay in your mouth or not.

00:22:53: You don't want to carry around that constant immunological stress, right?

00:22:56: So

00:22:56: it's always kind of dependent on diagnostics and maybe not so bad if people have had them for thirty years since a lot might've already leached out...

00:23:05: Well I wouldn't put it that way!

00:23:07: If all the mercury had leached.

00:23:14: um sets our practice apart and differentiates us from the vast majority of biological dentists.

00:23:21: The medical indication always comes first before any treatment right?

00:23:25: You can't just go okay because I don't like metal or i read or heard somewhere that they might be harmful, and drill them all out!

00:23:32: That wouldn't be right.

00:23:34: but if you have the medical indication and backed it up with thorough diagnostics then... ...you have proof of why your doing it and its definitely the right call.

00:23:44: Yeah, fascinating.

00:23:45: Let's move to another topic wisdom teeth.

00:23:47: I think that was a topic for you too max right something You had checked out personally?

00:23:52: I only ever had two wisdom teeth both on top and they're gone now To A few years ago at least subjectively.

00:23:58: i haven't had any issues but you didn't either Right.

00:24:02: No exactly i mean i went to fabi And i was honestly just curious about what he does and wanted to check it Out and i'd also heard About It from one of I think a colleague of yours on top of that, Dr.

00:24:15: Dominic Nischwitz?

00:24:16: Did i say his name right?

00:24:18: Yeah exactly he does some similar surgeries like you as far as I know just not in Munich and I kind of picked up on that.

00:24:25: so I texted you hey do actually do that too!

00:24:28: And you were like yep...I wanted to get checked out because I definitely had all four wisdom teeth pulled at once.

00:24:33: the whole thing took maybe fifteen minutes And then you ran thorough diagnostics and actually found something.

00:24:41: but maybe it can just explain what the underlying issue is with all of that.

00:24:45: Well, basically the bottom line is simply this when we extract teeth especially wisdom teeth um... We create relatively large wounds in a jaw bone.. ..and were talking earlier about what should bone metabolism look like?

00:25:00: What should connective tissue metabolism looks at the time of surgery?

00:25:04: if thats not on point or the patient has a poor diet lacks, the right micro and macro nutrients.

00:25:12: Then it's hard for the body to achieve complete bony regeneration in those areas.

00:25:17: that why you get immunologically stressed areas.

00:25:22: other words poorly healed wounds in wisdom tooth sites don't even see an x-ray at

00:25:28: first

00:25:29: but can still be chronic focal infections.

00:25:35: That's also discussed very, very controversially.

00:25:38: I should add that i come out of Dr Lechner clinic.

00:25:41: it is known for well historically known internationally for these surgeries and Of course I perform a lot of the surgeries.

00:25:52: but even then medical indication always comes first and you can't just go okay i think there might be something they're and then just drill into it.

00:26:01: that's where diagnostics come in to play again because if u saw an ultrasound ok could be something.

00:26:07: And the blood work.

00:26:08: my support that the run test levels because thats inflammatory cytokine often found over exposed overexpressed these wounds, and on top of that you can see on the three d x ray.

00:26:24: There's no real structural remodeling in that area.

00:26:27: so right there you have three factors pointing to something being off.

00:26:32: when do the surgery can also take a sample.

00:26:36: Take a biopsy from it and send it to histology.

00:26:39: they'll see if wasn't healthy bone.

00:26:41: plus you can send a sample for run test analysis once checked all those boxes.

00:26:46: your pretty safe say actually help patient out.

00:26:50: What happens if you have something like that and don't do anything about it, what would you notice?

00:26:57: That's completely individual too.

00:26:59: There are patients who feel pain there from the pain of those poorly healed wounds is where the term NECO comes form right.

00:27:07: maybe your heard a bit doesn't apply to every patient.

00:27:10: not everyone has pain.

00:27:11: their better term actually FDOJ or fatty degenerative osteonecrosis of the jaw bone simply cavitation basically just a hollow space where no bone formed.

00:27:24: The interesting thing is, even though it's controversially debated we've actually been working with the University of Frankfurt for long time now with Professor Ganati and through biopsies by analyzing those tissue samples We have already been able to demonstrate this pathology.

00:27:42: so its not longer someone thinking there might be something there.

00:27:47: No!

00:27:47: Its peer reviewed published also backed by universities.

00:27:53: Yeah, I mean you actually found all of that stuff in me right to be completely honest but i had zero symptoms.

00:27:58: and you told me too yeah we can do it but you don't necessarily have to.

00:28:03: so i decided not to do it for now because i always have to take a week off work for that or even longer... You generally recommended two weeks.

00:28:11: i think of rest or at least taking it relatively easy.

00:28:16: What would be a sign for you where you'd say, okay Max maybe we really should go in now?

00:28:21: Well.

00:28:21: You bring up a totally valid point.

00:28:23: I mean if a patient is completely asymptomatic then you have to weigh whether to do this surgery.

00:28:29: of course If they're An optimizer and want to be as healthy as possible Then you can certainly debate even further Whether to do the surgery Even without symptoms.

00:28:40: but Maybe to give an example i had A patient who had been struggling with really severe atopic eczema for years.

00:28:48: And in her case, she'd already seen various dermatologists and got cortisone cream over again tried diet alkaline baths god knows what else you try.

00:28:59: it went really deep down that rabbit hole.

00:29:02: everything always brought temporary relief but never anything lasting.

00:29:07: so as a last resort she came to us.

00:29:09: And of course, we discovered that she doesn't tolerate various materials in her mouth.

00:29:15: That she had foreign bodies in her jaw bone from extractions which naturally triggered these osteolytic areas we keep talking

00:29:22: about.".

00:29:23: So you mean a tooth was pulled and there were still pieces left behind on the jaw?

00:29:28: What it ultimately is I can not even tell but... It could also be a piece of an instrument.

00:29:33: You know, there's a lot of drilling involved and if one instrument hits another it Could have been metal particle too but the body wants to get rid of it.

00:29:40: An immunological reaction takes place which you can then detect later through bone density seeing that something is off.

00:29:48: And The other thing was that she still had various inflamed teeth that you might not have really spotted.

00:29:55: on a two d x-ray we take the three d scan and all of sudden we see assist with diameter five millimeters.

00:30:02: And then i don't have to wonder, I mean whether that might throw the immune system out of whack because atopic dermatitis is in away an autoimmune driven condition when the immune systems goes completely crazy because it's constantly having to fight this chronic oral infection.

00:30:21: Couldn't that also be a root cause to address for such an autoimmune disease?

00:30:26: We completely restored this patient's oral health, we regenerated those compromised areas using platelet concentrates and our bone healing protocol replaced the metal implants with ceramic implants.

00:30:41: And also replace the root cannelled teeth that were inflamed.

00:30:45: Low and behold two months later The eczema was completely gone.

00:30:49: that was four years ago.

00:30:51: it's still gone and this case remains a case report but its also peer reviewed, published.

00:30:57: And you have to face the scientific community on this not just tell stories... But we did in these cases because truly felt like is fantastic cause could really correlate blood findings accurately.

00:31:11: I mean look into the dermatology literature where atopic dermatitis might originate.

00:31:17: The topic of Rantis is already being discussed there, right?

00:31:21: And when we subsequently remove a high concentration of Rantus from the jaw triggered around this foreign body or around titanium implant by Titanium particles are triggered by bacterial toxins.

00:31:33: From a root kennel tooth.

00:31:35: then We definitely did the patient some good Right but um...we also have to admit were not miracle workers.

00:31:41: You can't cure every problem But you Can reduce inflammation, the oral source of inflammation.

00:31:48: You can make the mouth and jaw as healthy as possible to have a positive impact on your systemic health?

00:31:56: Maybe on that rantis topic because I mean it is just a cytokine for starters.

00:32:01: how specific Is It To The Mouth To The Jaw?

00:32:04: Not at all!

00:32:05: It's not specific whatsoever.

00:32:06: That's why you have to be careful with blood panels.

00:32:09: right i always explain that to people.

00:32:11: now there is study by colleagues from Luxembourg who demonstrated a high percentage where after these surgeries, the blood rantis levels dropped.

00:32:23: But it's not like you can just cut out rantis from the blood through dental surgery because rantis level aren't jaw specific meaning it can stem from various chronic sources of inflammation throughout your body.

00:32:37: Okay okay but its definitely a clue that could come to my mouth once I found something... So you wouldn't measure Rantis first.

00:32:45: You probably do imaging first, so an ultrasound or X-ray and only then add Rantis on top?

00:32:50: We actually proceed from noninvasive to invasive right!

00:32:55: First we do radiation free ultrasound.

00:32:57: if that indicates hey there could be something... Then you do three D and validate the whole thing ...then run a blood panel.. If those things align ..the medical indication comes out of combination.

00:33:09: I have one last question about wisdom teeth.

00:33:12: If we take a step back and look at all those cases where someone gets wisdom teeth pulled that might be coming in crooked but aren't causing any issues yet, then you run a blood panel.

00:33:23: And if those three things align than the medical indication comes from the combination.

00:33:29: I have one last question about wisdom teeth.

00:33:31: .If We Take A Step Back Look At All Those Cases Where Someone Gets Wisdom Teeth Pulled That Might Be Coming In Crooked But Aren'T Causing Any Issues Yet.

00:33:40: What's Your Stance On That?

00:33:41: only take them out if they cause problems or get ahead of it early.

00:33:46: You have to evaluate that individually too, I mean really comes down.

00:33:51: how old is the patient?

00:33:52: How long are the routes already?

00:33:54: you also have do a risk assessment somehow.

00:33:56: what other odds this tooth causes issues and doesn't over time when your young bounce back from procedure like pretty quickly try pulling wisdom tooth on ninety year-old with acute inflammation can become life threatening.

00:34:10: In that case, I might say if we see it's crooked and bound to cause issues down the road take surgery could truly jeopardize your health.

00:34:21: On the other hand, there's also a major mandibular nerve right next to wisdom teeth.

00:34:25: The older you get, the longer the roots grow and harder it gets to pull that wisdom tooth.

00:34:30: And that is why maybe preemptively remove problematic teeth but always with well thought out wound healing and bone-healing protocol.

00:34:37: That starts beforehand.

00:34:38: You don't need all four out in fifteen minutes like Max was saying earlier.

00:34:43: Then do one side first so regenerative capacity of that person, their body because we want those wounds to heal as best is possible.

00:34:52: And then there's also the option of autologous blood concentrates which can be put into these wounds and support healing.

00:35:00: so first off it's crucial that its done atraumatically right?

00:35:04: Atraumatic doesn't mean your out-the door in fifteen minutes could happen if they're straightforward but you can section the tooth pretty a dramatically so not as invasive.

00:35:17: then incision design plays place a huge role.

00:35:19: biological incision designed it respects blood circulation and tries to not too excessively compromise circulation in the surgical site.

00:35:29: so vertical incisions where you'd severed too many blood vessels that we actually need for healing.

00:35:35: We naturally try to avoid all that combined with the wound healing, modulating or immuno-modulating IVs we administer afterward leads to us getting the most optimal healing outcomes.

00:35:51: It's not just um, the surgery itself it's the preparation.

00:35:55: then comes the surgery but also the post op care.

00:35:58: for example We also have a photobiomodulation lamp that we place patients under afterwards too in those areas activate metabolism and support or even post electromagnetic field therapy.

00:36:12: I mean, those are all add-ons in the end just to bring the body into a state where it can properly heal those wounds with solid bone and naturally supplementation like your vitamin D levels already plays a role there.

00:36:28: Fascinating!

00:36:29: In my case was definitely super rushed probably just like yours.

00:36:33: fifteen minutes when everything is done but super interesting.

00:36:37: what else could be done?

00:36:39: Your specialty or one of your main focuses is implants, right?

00:36:43: So if the question comes up.

00:36:47: The tooth has to come out it needs to be replaced.

00:36:50: there are different materials to choose from.

00:36:52: what's your go-to?

00:36:54: well as a center for ceramic implants we naturally rely on metal free ceramic implants.

00:37:00: that really is with ceramic implants basically no indication.

00:37:04: you can't resolve metal free.

00:37:07: they've been developed so and are so fracture resistant that you don't have to worry about at all anymore.

00:37:16: I was also part of the first international consensus conference last year in Nice, where together with international professors it is determined they genuinely equivalent and zero mechanical disadvantages.

00:37:32: what needs said?

00:37:33: simply offer biological advantages.

00:37:39: tissue-friendly material, meaning the soft tissue can form a much tighter seal with the implant create an adhesion that seals the whole thing off tightly.

00:37:52: Soft tissue cannot do that with metal or metallic materials and if we look closely at this interface it's comparable to leaky gut phenomenon for instance.

00:38:02: you know leaky guts lots of people talk about as immunological stressors right?

00:38:06: A lot of peoples struggle And at the end of the day, leaky gut just means that the intestinal or gastric mucosa is too permeable allowing substances to be absorbed into the body.

00:38:16: That really should stay out.

00:38:18: simple as that and if we apply that um... To the mouth in the epithelium which runs from the esophagus right up into the mouth it's the exact same epitheliom and its job is to protect the interior of the body for whatever might enter form outside on right there that interface where danger lies because thats were Everything you have in your mouth can instantly get down into your bloodstream, down to the bone through that interface.

00:38:45: Like with teeth where periodontitis or gum disease is a major issue and thats why they're linked to various chronic diseases being actively discussed.

00:38:56: for example there's debate over whether rheumatoid arthritis might be linked to these pathogens.

00:39:04: Endocarditis is an issue, Alzheimer's as an issue and that's why it's extremely important to use biocompatible materials in the mouth that actually manage to close that immunological door.

00:39:17: I once published an article where i called That The Immunological Firewall basically making sure what should stay out please stays out.

00:39:26: And thats only possible with truly tissue friendly materials And with ceramic implants, we see that you can visibly tell right.

00:39:36: I mean for me it's always a dream when i see the crown on a ceramic implant because That soft tissue is just completely pink and aesthetic purely Because its natural.

00:39:49: The tissue has nothing.

00:39:51: It doesn't have to fight anything off Right?

00:39:54: And um...that why biological dentistry Is so insanely fun To practice!

00:39:59: Because as a byproduct it just delivers aesthetics natural esthetics simply because its healthy, healthy things are always aesthetic.

00:40:10: and of course the color plays right into our hands.

00:40:14: if you have a front tooth extracted in your place white implant.

00:40:19: The gums will never have those dark shadows that might know from people who smile on.

00:40:24: how does dark margins?

00:40:26: it could also be a metallic abutment shining through right or metal ceramic crown or titanium implant whatever.

00:40:33: and with the one-piece ceramic implant we just have massive advantage not from color but structure too because, is made of a single material from top to bottom.

00:40:47: There's no micro gap, there's no screw connection nothing... ...there's no bacterial micro leakage and that is simply the most biological way to replace a tooth when it eventually has to come out.

00:40:57: Now first off I assume you generally advise against titanium implants right now?

00:41:02: Did i get that right?

00:41:04: Well we don't do any others.. ..I don't recommend titanium implants to patients.

00:41:08: You personally

00:41:09: wouldn't recommend it.

00:41:10: No!

00:41:10: I would not recommend that.

00:41:12: Price

00:41:12: wise.

00:41:13: what's the difference?

00:41:14: because i mean i think standard in most practices is probably still titanium right.

00:41:19: or how would you see that

00:41:20: straight forward?

00:41:20: so ninety eight percent of colleagues obviously rely on titanium implants, The long the most long term data somehow and have been studied longest.

00:41:32: maybe they also learned it that way in their system.

00:41:35: don't want to switch because with ceramic implant ology you really have to adapt your workflow a bit right, Because it's a one-piece implant, you also have to manage when the tooth is pulled.

00:41:51: We do a lot of immediate implants.

00:41:54: You have to managed place the implant stably in the right position.

00:41:58: It's not so trivial that... ...you say okay this can....You have to learn at first.

00:42:04: But once you've learned it A lot things get much easier.

00:42:07: Its just learning curve.

00:42:09: Not many people face and thats why not everyone dares to tackle.

00:42:16: Yeah, I think it's also just one of those things.

00:42:19: if your system works in the practice you're reluctant to To change because of course there is a lot more tied too at.

00:42:25: the dental assistants have to manage It as well and so on cost.

00:42:30: Well price wise biological approach Is naturally higher than If You do it completely conventionally but um its Also A totally different level Of care.

00:42:42: In my eyes, you really get the best possible medical solution.

00:42:47: That's a specialist service that maybe not everyone can provide with all of the time.

00:42:53: intensive treatments IV infusions photo bio modulation and so on naturally price wise it is in higher category there.

00:43:01: no point hiding but I think its worth

00:43:06: okay.

00:43:06: we could leave at for now.

00:43:08: also do continuing education for other dentists, right?

00:43:12: On this topic too.

00:43:14: Yes so once a year I offer a course on ceramic implantology because through the School of Practice Dr.

00:43:21: Lechner's clinic i was able to learn a whole lot very quickly.

00:43:25: Of course not just anyone can enjoy This kind of training So-to speak...I arrived there as A young dentist..i was at another practice before Had placed titanium implants Before two And for me it was always, I had this bad gut feeling about screwing the gray metallic implant into healthy bleeding jaw.

00:43:50: It never gave a good feeling.

00:43:52: that's why i looked for alternatives and through through those alternatives I discovered that this field, it's not just the implant.

00:44:01: There is way more behind biological dentistry.

00:44:05: Biological dentistry has actually more or less health optimization right?

00:44:09: It isn't just mechanical – i fix the tooth and make sure you can chew well but don t have pain…it s more of an immunological relief which we try to boost systemic the profession of a biological or integrative, biological dentist.

00:44:29: So interesting

00:44:31: now we've talked let's say a ton about removing repairing replacing and all that right?

00:44:37: How would you describe ideal or good oral hygiene so that ideally You never end up there Or as late As possible?

00:44:47: well There are these cavity free mouths That Don't really do much oral hygiene, right?

00:44:54: You have to say that.

00:44:55: I mean there are people who don't brush their teeth every night and still never had a cavity And i attribute it more to lifestyle decisions How you behave throughout the day Of course what you consume.

00:45:13: We already talked earlier about the oral environment in pH levels.

00:45:17: If someone has habits where they just drink plain water because um, They've never done it any other way then right off the bat in terms of oral hygiene and Kerry's prevalence.

00:45:27: There are a much better position than some one who I don't know takes uh A sip of apple juice every hour or something like that.

00:45:35: And i think thats lifestyle is The biggest lever we have in Kerry's prevention.

00:45:42: Reduce sugar exposure make sure That not as many acidic drinks are consumed.

00:45:50: But of course, at the end of day it still has to be cleaned right?

00:45:54: Even someone eating other things will build plaque eventually.

00:45:59: so home oral hygiene is obviously a big factor too and we've already discussed things like tongue scraper being good idea or oil pulling where you can support the microbiome nicely.

00:46:14: That's obviously a great thing too and that way i think you can keep the dent teeth cavity free over along period.

00:46:22: of course we also recommend our biological cleaning twice a year.

00:46:26: That kind of are standard for some who have completely spotless teeth.

00:46:31: I sometimes say once a year but not rare.

00:46:34: if someone already has early period on pockets for example then i tend toward uh... rhythm three times a year, you always have to look at that individually too, what do they need?

00:46:46: how much support does patient a b c need.

00:46:50: And based on that it's also an individual decision.

00:46:53: like so many things in our practice right we want to offer personalized dentistry not say okay were taking out all the metals and taken out all root kennel teeth we always one individualized decisions.

00:47:07: That is where we differ from any biological practices Like okay everything has to go at once and everything has come out fast within twenty four hours.

00:47:19: We're more individualized there because not every patient can handle that kind of surgery right.

00:47:25: i mean a patient comes in at seventy five with three chronic illnesses, I don't think it's good idea place ten implants on them all at once.

00:47:35: maybe you have to step by step so the regenerative capacity is overwhelmed and that's why individualization is so extremely important to us.

00:47:46: Where do you stand on the whole sparkling water thing?

00:47:49: And when you look around social media a bit, some people also say yeah well I'd say it better.

00:47:55: if i drink regular water instead of carbonated water would you say even makes difference or does totally not matter?

00:48:02: Well actually have to look into this more.

00:48:04: see if changes the pH level but off course if u drink still water that gives you a decent amount of minerals.

00:48:13: then your certainly not making any mistakes and doing something good for the body.

00:48:18: But even if you drink sparkling water i think the effect is pretty minor, but like I said have to look into that more closely.

00:48:27: maybe just real quick rapid fire.

00:48:29: what does your oral hygiene routine look like?

00:48:32: what do you every day?

00:48:34: no compromises

00:48:38: Yeah, so basically the first thing is I just drink water to begin with.

00:48:43: most of the time anyway when i'm working there's nothing else but Water.

00:48:46: There's no juice going into it either.

00:48:48: anything with color you can keep in mind lowers The pH and that's why?

00:48:52: It's um the best thing.

00:48:54: tea

00:48:54: and coffee too

00:48:55: those two yeah tea definitely.

00:48:57: i mean You Can feel That Too right like When You leave a fruit be Fruit Tea Bag In There A bit too long.

00:49:02: that's Acidic To Naturally.

00:49:06: or A good example you've had a coca-cola before right?

00:49:10: No, not yet.

00:49:11: afterwards.

00:49:12: You bit down on your teeth and felt that rough sensation.

00:49:15: That's that's phosphoric acid doing its thing.

00:49:17: And say someone drinks the coke zero in the evening or something goes to bed afterwards without Without of course brushing.

00:49:26: their teeth are neutralizing it.

00:49:28: On top of that they grind their teeth.

00:49:30: you can imagine what happens there.

00:49:31: They're wearing down quite a bit of their healthy tooth enamel if that happens frequently.

00:49:36: And those are more the oral hygiene tips i want to pass on people.

00:49:41: I personally brush with a hydroxy appetite based toothpaste.

00:49:46: there are different ones in the market.

00:49:49: you just have try them out to see which one.

00:49:51: we talked earlier briefly about the feel.

00:49:54: what gives you freshness that it gives me.

00:49:58: good toothpaste can also give you that freshness and oil pulling is great thing.

00:50:05: do myself which oil.

00:50:07: take coconut oil by yourself a high quality coconut oil.

00:50:12: you don't need to over complicate it at all.

00:50:14: they have that any in any drug store and can just take a spoonful of it.

00:50:20: just leave your mouth for three or four minutes.

00:50:22: spit is the trash and you're done.

00:50:24: And notice if feels amazing afterwards when you head off work, and don't consume anything else except water from next four hours.

00:50:34: Then for a big part of the day, you've already done a whole lot right.

00:50:38: This oil pulling.

00:50:39: do that before brushing your teeth or after brushing?

00:50:43: You can.

00:50:43: some say Before Some Say After um...some also claim it's supposed to carry away fat soluble bacteria out in your mouth somehow.

00:50:53: In That Case Before Brushing Would Be Better.

00:50:56: Honestly I wouldn't overthink this much.

00:50:58: Just Do It!

00:50:59: and you're doing something good for your body before or after brushing, whatever feels right to you.

00:51:04: Personally I do it after brushing because i want to take the taste with me over the next few hours and just feel good doing it.

00:51:11: Do that once a day mostly in the morning?

00:51:14: Or also during evening?

00:51:16: After brushing my teeth then go to work not at night.

00:51:21: but also people who tend to get gingivitis.

00:51:24: try natural way of oil pulling.

00:51:29: You can achieve a lot with that, you know.

00:51:31: instead of immediately hitting it within Aggressive with an aggressive mouthwash try bringing the microbiome and everything back into balance naturally first And maybe that can have a positive effect too.

00:51:43: Then I think you've done yourself a big favor.

00:51:48: Okay

00:51:52: We've got another question for you.

00:51:54: we actually been holding on to this one.

00:52:01: We can't really answer this from any kind of expertise.

00:52:04: So Max, do you want to read it out real quick?

00:52:07: Yeah absolutely I have a root canal tooth zero symptoms and my dentist says everything looks fine.

00:52:13: on the regular x-ray Do i still need to have it checked out more thoroughly at some point or Can i just leave It alone?

00:52:21: yeah so i definitely say You should take A closer look At it because i mentioned earlier that On a regular X ray You just don't see sites of inflammation that you would see on a three d x-ray.

00:52:33: That's because roots partially overlap like an upper molar sometimes has three routes and when you look at that on the two D X ray, those roots overlapped means you can really evaluate whether it hasn't inflammation or not.

00:52:47: why i definitely take a closer look.

00:52:50: you can also do other tests off course like you can do a toxicity test.

00:52:55: basically You have to understand what happens during a root canal.

00:52:59: So, um... During the root canal The tooth nerve is removed from the pulp cavity From the pulp chamber.

00:53:08: The blood vessel Is also attached To that nerve And there are actually studies showing That.

00:53:16: very rarely Are teeth with root canals Bacteria-free.

00:53:22: What did we do?

00:53:23: We removed the blood vessel.

00:53:26: Those bacteria remaining in there can no longer be fought immunologically, meaning that has to be fought from the outside by the bony tissue.

00:53:36: The question is just how long you want this burden on your body having to keep it in check?

00:53:45: Sure!

00:53:45: You mentioned earlier too... who have had that for decades and have no issues, but I would just take a closer look to see if they're really that inert or if they have to be fought immunologically in some way.

00:54:00: Constant immuno-logical activation can also mean constant immunological stress hormones like adrenaline cortisol.

00:54:09: If we assume chronic stress is the cause of chronic illnesses then maybe should make sure Stress signals are coming from the mouth and that's why you should just get it checked out.

00:54:24: There are different methods.

00:54:25: The regular x-ray like the listener asked here is maybe not the end.

00:54:31: all be all.

00:54:33: Yeah, fascinating because I mean like you said right this chronic inflammation isn't Just i mean It can start form a tooth.

00:54:39: it Can come for many other things most of time?

00:54:42: You don't even notice it.

00:54:44: But then twenty thirty years down the road you end up having Something like a heart attack earlier, something that puts extra strain on your vessels.

00:54:51: It's basically bad for

00:54:52: everything.".

00:54:53: There is also the term being talked about in longevity medicine right now, inflamaging.

00:54:57: those are small chronic hotspots of inflammation That make you cells age faster even if they don't hurt at first and thats exactly what biological dentist addresses.

00:55:09: We want to eliminate hotspots of inflammation from the mouth, from the jawbone.

00:55:13: Regenerate the whole thing as healthily and naturally as possible using biocompatible materials.

00:55:19: so we're not giving the body these constant inflammatory triggers.

00:55:22: And by doing that for someone interested in longevity... ...we are definitely doing them a big favor right?

00:55:30: Yeah super fascinating.

00:55:31: thank you so much!

00:55:32: We kind of jumped ahead into the biohack earlier.

00:55:35: That was oil pulling.

00:55:36: We just quickly swapped the order around.

00:55:39: Definitely super fascinating at home, I actually have some oil like that too.

00:55:43: it was already bottled up in a little bottle i got as gift somewhere and definitely going to use over next few weeks months.

00:55:50: see what kind of difference makes for me other than if anyone wants drop by your clinic.

00:55:55: you also have website which will obviously put on show notes Exactly.

00:56:00: I hope you still have openings where people can reach out, everyone's welcome to get in touch with your team.

00:56:06: and what is the website called?

00:56:07: That's www.biohealth-munic.de.

00:56:12: Wonderful!

00:56:12: Other than that thank you so much.

00:56:15: Do you have any nice closing words or anything you'd like to leave for folks who listened, watched today?

00:56:22: Yeah So it already came up way back at the beginning of our intro.

00:56:28: claim that we look at teeth too much in isolation.

00:56:32: And I think that's true, the mouth it is a part of body and thats how should treat it.

00:56:38: its not detached Its connected to rest.

00:56:42: You can improve health Not just through metabolic issues supplementation but also very good oral hygiene Very good oral health jaw health.

00:56:54: you really make positive impact.

00:56:57: And yeah, there are so many problem areas in the mouth.

00:57:01: So many materials built-in their and I think that's definitely a potential inflammatory factor you should keep an eye on and definitely under control to live as healthy for long as possible.

00:57:17: Wonderful!

00:57:18: That was really great.

00:57:19: closing statement.

00:57:20: thankyou very much.

00:57:21: If anyone listening at home has questions, suggestions complaints feel free to leave a comment on YouTube or Spotify.

00:57:28: You can also send us an email at podcastatbeyondlifespan dot.

00:57:33: A bit more info will definitely be in the show notes.

00:57:35: We also have a poll for you on spotify about oil pulling.

00:57:39: we'd definitely love to know if you've ever tried it yourself Otherwise.

00:57:42: thanks so much for listening.

00:57:44: Thanks Max!

00:57:45: Thanks Fabian and until next time Bye

00:57:51: Beyond Lifespan.

00:57:53: Two doctors on longevity and biohacking.