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166 - Oral health, best hygiene practices, & relationship between oral health and systemic disease
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85,256 Views ā€¢ Jun 21, 2021 ā€¢ Click to toggle off description
Dr. Patricia Corby is Associate Professor of Oral Medicine and Associate Dean of Translational Research at Penn Dental Medicine. Her work focuses on the value of integrating dental services into other healthcare and public health settings. In this episode, Pat provides an overview of dental anatomy, the importance of oral hygiene to overall health, and the association of poor oral health and systemic diseases like cancer and diabetes. She addresses tooth decay, oral hygiene in children, the utility of dental products, and ideal oral care regimens for different populations. She also discusses issues specific to immunocompromised patients and those with chronic illnesses as well as her own research with cancer patients undergoing radiation treatment.

We discuss:
00:00:00 - Intro
00:00:10 - Anatomy of teeth and the purpose of the dental pulpā€”a highly vascularized and innervated region of the tooth;
00:12:53 - Types of teeth and the different purpose they serve;
00:17:18 - Anatomy of the oral cavity, bacteria in the mouth, and what a healthy mouth looks like;
00:22:54 - Patā€™s study demonstrating the importance of flossing;
00:32:45 - Detrimental effects of sugar and the importance of fluoride and oral hygiene;
00:42:27 - Oral health challenges for cancer patients and immunocompromised people;
00:53:05 - Patā€™s current research on cancer patients undergoing radiation treatment and the oral health risks associated with human papilloma virus (HPV);
01:02:45 - Periodontal disease: caries and root canals;
01:18:15 - The relationship between poor oral health and systemic health diseases;
01:25:51 - Potential connection between oral hygiene and COVID-19;
01:31:04 - Dry mouth leading to oral infections and ways to prevent it;
01:37:05 - What determines the appearance of teeth, methods of teeth whitening, and whether you should remove mercury fillings;
01:43:00 - Importance of fluoride for preventing tooth decay, and dental care for children;
01:50:37 - Useful dental products: floss, electrics toothbrushes, and more;
01:59:44 - Ideal oral care regimens;

Show notes page: peterattiamd.com/patriciacorby/

--------
About:

The Peter Attia Drive is a weekly, ultra-deep-dive podcast focusing on maximizing health, longevity, critical thinkingā€¦and a few other things. With over 30 million episodes downloaded, it features topics including fasting, ketosis, Alzheimerā€™s disease, cancer, mental health, and much more.

Peter is a physician focusing on the applied science of longevity. His practice deals extensively with nutritional interventions, exercise physiology, sleep physiology, emotional and mental health, and pharmacology to increase lifespan (delay the onset of chronic disease), while simultaneously improving healthspan (quality of life).

Learn more: peterattiamd.com/
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Views : 85,256
Genre: People & Blogs
Date of upload: Jun 21, 2021 ^^


Rating : 4.765 (47/753 LTDR)
RYD date created : 2022-01-25T06:01:27.238536Z
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YouTube Comments - 193 Comments

Top Comments of this video!! :3

@PeterAttiaMD

2 years ago

In this episode we discuss: 00:00:00 - Intro 00:00:10 - Anatomy of teeth and the purpose of the dental pulpā€”a highly vascularized and innervated region of the tooth 00:12:53 - Types of teeth and the different purpose they serve 00:17:18 - Anatomy of the oral cavity, bacteria in the mouth, and what a healthy mouth looks like 00:22:54 - Patā€™s study demonstrating the importance of flossing 00:32:45 - Detrimental effects of sugar and the importance of fluoride and oral hygiene 00:42:27 - Oral health challenges for cancer patients and immunocompromised people 00:53:05 - Patā€™s current research on cancer patients undergoing radiation treatment and the oral health risks associated with human papilloma virus (HPV) 01:02:45 - Periodontal disease: caries and root canals 01:18:15 - The relationship between poor oral health and systemic health diseases 01:25:51 - Potential connection between oral hygiene and COVID-19 01:31:04 - Dry mouth leading to oral infections and ways to prevent it 01:37:05 - What determines the appearance of teeth, methods of teeth whitening, and whether you should remove mercury fillings 01:43:00 - Importance of fluoride for preventing tooth decay, and dental care for children 01:50:37 - Useful dental products: floss, electrics toothbrushes, and more 01:59:44 - Ideal oral care regimens

4 |

@petervilla1816

2 years ago

At 37 minutes in, Peter you posted a question about: how we cleaned our teeth 100 years ago. You should look into the work of Dr. Weston Price. People had a different diet then and just didn't get the decay and periodontal disease that we do today. It shouldn't be surprising that a century ago diseases like: coronary artery disease; Alzheimer's disease; macular degeneration; type II diabetes; etc ... were uncommon. I believe these all relate to the SAD.

11 |

@terraflow__bryanburdo4547

2 years ago

Since I went keto 11 years ago and carnivore 2.5, my dental health has been amazing in every way, going from crumbling teeth and bleeding gums to steel-strong and resilient.

20 |

@csoto300

2 years ago

I don't understand their position on root canals. They both acknowledge that root canal procedures can be and have been done improperly. And they both acknowledge that there can be occult infections as a result of such procedures (Attia himself admits to developing a tooth abscess after his procedure). Yet they both deny any association between root canal procedures and systemic disease and seem to scoff at those who think that there is an association. But in the very next section, they affirm the association between periodontal disease and systemic disease. These positions are not consistent. This dentist also suggests that mercury fillings are safe. If they are so safe, then why do the latest recommendations state that pregnant women and children should not receive mercury fillings? It is remarkable that many indigenous populations have never used fluoride, yet they have great teeth. The necessity of fluoride for healthy teeth is questionable. And it is unfortunate that the potential risks of fluoride were not addresed.

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@saganworshipper6062

2 years ago

Too bad most ppl can't afford dental care. For some ludicrous reason, in America, your vision, your hearing, and your teeth are not considered to be part of your "health" so insurance for those things is separate. This is a total racket. Please tell me a coherent answer as to why that is. I'll wait.

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@petey4018

2 years ago

My dentist doesn't believe that I seldom floss and only brush at night before bed (Xylitol fluoride-free toothpaste). I had terrible oral health ten years ago, then I stopped eating sugars, grains, vegetable seed oils. Started keto/primal and taking fat-soluble vitamins, especially K2. Two of my brothers started on just D3/K2 and separately reported a year later that their dentist noticed a significant improvement in their oral health.

13 |

@patriciachung4458

2 years ago

I listen to The Drive in the mornings with my significant other who just happened to be 40+ year dental surgeon. He was disappointed w the answers that this guest has to offer. For example, on the "need for nerve & blood vessels" in the fully formed tooth, there is a very special answer to that question. She is obviously very knowledgeable in her specific area of research and as an MD myself in Family Medicine, I really appreciate her input about oral health in cancer patients & I can certainly focus more in the mouths. My significant other couldn't bear the beginning part & was correcting the information along the way. I had to stop the podcast and come back a few days later & he agreed to finish the podcast w me. If Dr. Attia wants another expert, he can one of them or he can make recommendations on other knowledgeable speakers regarding this topic. Thanks.

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@tonygorman9462

2 years ago

There was not one comment about fat soluble vitamins to maintain bone and teeth health. You may be able to keep your teeth cavity free with obsessive clearing, fluoride and low sugar intake, but it would be much better for bones and teeth that there was a diet with high intake of fat soluble vitamins such as K2 and D. I and 64 and have had many filling and other dental work over the years, approximately a significant treatment every 2 years. I started a keto type diet with added vitamin K2 and sun exposure (vitamin D) 7 years ago and have not had a cavity since. I get my teeth checked by a dentist twice a year and she can't believe the change in my oral health. Even though 50% of my teeth have filling, bridges, crowns etc, I try an avoid all sources of fluoride and my teeth are the best they have ever been.

16 |

@monicaambs

2 years ago

Peter I worked with a nurse who had a root canal and experienced dizziness and severe headache but never tooth pain for one year after the root canal. She was sent to Ottawa to a headache specialist. She was on numerous medications. Nothing helped. Off work for over a year until she was convinced by a MD to have the tooth removed. They found severe infection in her jaw below the tooth. All headaches and dizziness disappeared with the removal of the tooth. In Canada you still are having regular dentist still doing root canals. We need more specialist in small communities. People believe their dentist when they tell them they need a root canal. But no patient is aware that a specialist is needed. And that specialist is only available in very large cities.

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@ghunghroomisra8120

1 year ago

Dr Attia , I am a big fan of your work, you inspire me for keeping fit. Although you tried hard to put up good questions but she really didn't reply for a layman to understand. I request you to bring up this topic again but with another dentist. She must be good with her procedures but couldn't make her points clear at all for a common man to understand. Love your work Dr Attia Best wishes

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@veraarena1583

2 years ago

Great! Very important issue, a forgotten public health problem. šŸ‘šŸ‘šŸ‘ Thank you!

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@Lexrockstheblock

2 years ago

Had to make the decision on a root canal vs extraction/implant this week. Had a lot of doubts about the root canal, but went with it anyway so I could keep the tooth and support my palate/cheekbones. Really appreciate this episode coming out now, because the rest of the alt health/keto/naturalist community thinks that root canals = death. Thanks Peter!

5 |

@TravisMeyerPhD

2 years ago

'How did our species survive before brushing' I have wondered this sooo many times. I get the sense that Peter is searching for why our Ancestors could eat and be merry dentally but today something in our diet is destroying our teeth. I recall a documentary that showed that the shift to Agriculture is what did it.

11 |

@mattaustin4129

2 years ago

"People talk about generational wealth. I don't have generational wealth but I have generational toothpicks." Lolol

7 |

@IvicaOS

2 years ago

omg was this an eye-opener podā€¦thanks so much Peter and your Guest šŸ¤—šŸ™‹šŸ»ā€ā™‚ļø

3 |

@Zoey_Van

1 month ago

I'm a dental hygienist and your dental hygiene routine is so important. I see firsthand the patients that work on their routines and the ones that don't. I know that going to the dentist is not possible for everyone but try! or do bettermouth its like $50. or simply brush twice a day and manage your diet! Do your research but your daily routine is the secret to good oral health!

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@user-ps3gr3ed1z

2 years ago

Love the camera angle, lighting, + editing on this one

12 |

@petercoderch589

2 years ago

It's crazy that I follow this podcast for my interest in longevity. I fast weekly for 24-48 hours, I take NAD precursors, I follow a leucine-methionine restricted diet for MTORC-1 suppression, I take senolytics every 3 months and I even take potent experimental telomerase inducers for my anti-ageing. Yet, I neglected my oral hygiene because I didn't feel it was radically iumportant, and now I am paying a huge price for it. I lost a pre-molar on the upper left arcade which required restauration and root canal treatment. I lost two molars on my upper right arcade. The most backward one cracked and splitted in a war I couldn't restore. I had it removed because of the excruciating pain. The other one I had root canal. Just this week, the teeth cracked because the root canal failed and the root inflammed, and I went through the most horrid pain imaginable(worst than third degrees burns, and I can speak on this since I have experienced both). The pain is so horrid that even narcotics only reduce 40% of it. I had emergency surgery, the dead roots were removed, the canals were disinfected and sealed, and a temporary clay was put to save the little structure of the tooth left. The dentist said we need to wait a few weeks to see hows the tooth will react to see if it's possible to save the tooth or not. If not, I will be left with NO molar on my upper right arcade, as I also had my wisdom tooth removed when I was 23. I am 41, and I am going though hell on Earth because of my teeth. In the last 2 years, I had so many holes drilled in my teeth, so many restaurations and have gone through 100 X more pain in the last 2 years than in the previous 39 years of my life. While I do blame this on my neglect, I also blame it on medicine, which is SO pathetic that it cannot make brand new teeth grow even though we are more than 2 decades into the 21rst century. I do feel very angry at medicine for this failure. The only solutions they have now are the same from 40-50 years ago, root canal treatment or implants, both are which are very shitty. Don't neglect your teeth, folks. You got just one set for life, and if they perforate it's HELL ON EARTH!

5 |

@DessicatedCadaver

2 years ago

Iā€™m a huge Dr. Attia fan, and most of his podcasts are super informative. However, from time to time, the guest transpires to be a failure, and this is perhaps the worst example. Iā€™m very interested in oral health and have been reading about it for decades, so I was super excited to hear this. Unfortunately, this guest is a bust. She does not engage with a lot of the questions, giving responses that donā€™t actually address the question, she simply talks about whatever she wants on a very basic level (all 101 stuff) - but does NOT answer the actual question about 60% of the time. And sorry to say, she does not seem very knowledgeable - at least in the areas that Peter asked her about. This is a super important subject - so I think Peter owes us another crack at this subject with a better guest who actually knows the subject on a deeper level and actually engages with the questions. Sorry, Peter, you usually hit it out of the park, but this time, it was a giant FAIL. Hey, it happens. I think you need another crack at this. As I see from the comments, Iā€™m not the only one who noticed this guest is underwhelming. Of course Iā€™m happy for those who still got value from this, but for those of us who were looking for Peterā€™s customary DEEP DIVE, I am hoping for a do-over. Thank you Peter for all the fantastic work you do (even if nobody bats 1000!), and the youtube format brings a lot more compared to the aural only podcast. Thank you again!

72 |

@stevenkrzentz4641

2 years ago

Very frequently chewing Trident gum saved my teeth. Early in my adult life the dentists started noticing gum pockets. I was eventually diagnosed with gingivitis and later, peridontal disease, ultimately with bone loss. I always very diligently brushed and flossed, usually brushing very thoroughly after eating or drinking anything other than water. I took prescription fluoride rinses and other mouthwashes, and used electric brushes. The dentists would deep-clean my gums, and I was seeing the hygienist three or four times a year. The deep cleanses would set the disease back a bit, but it would always come back. Then I started chewing Trident, almost continually each day, and the disease immediately stopped. My ligaments healed, and the pockets shrank. I still have deeper pockets than ideal, allegedly because of bone loss, but the pockets are much shallower than before, and they're stable. I also stopped getting any new tooth decay. I write this five years after having started chewing gum. The benefit has persisted, even though I now only brush once daily. Based on my experience, I recommend that anyone concerned about their oral health consider chewing sugarless gum, and preferably chewing it quite a lot. I think it's key to chew it a lot. Just try not to bite your tongue. Why did I have the problem in the first place: it may be linked to my need to usually breathe through my mouth when I sleep. It may also be linked to allergies. Something made me vulnerable, and the standard of care could only slow the disease, but not stop it.

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