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Shahzrad: In part, yes, definitely the foods that you’re consuming. When you say slow, it’s not necessarily the amount of times you chew, but the actual foods you’re consuming? They feed more on fibrous fruits.ĭerek: Good and bad in this sense are based on the foods you’re eating. The slow eaters are actually the ones that are designed to digest longer, more complex molecules. When we eat sugary, white flour foods, we send these back bacteria into a frenzy. The fast eaters feed on simple carbohydrates like sugars. Shahrzad: Good and bad bacteria is divided into two groups: the slow eaters and the fast eaters. David Wong on Salivary Diagnosticsĭerek: What causes bad bacteria in your mouth? Interview with Dr David Wong on Salivary Diagnostics Imbalance causes the dysbiosis between the good and bad bacteria. What’s important to understand is that we’re not saying “antibacterial.” We are saying you should have a balance of bacteria. You activate your vagus nerve the first time you swallow, which activates the rest of your digestion. The first part of your digestive system is the salivary enzymes that are exuded from your salivary glands. Sometimes a trigger, such as thinking about food, can make you salivate. That’s the main way swallowing bacteria is going to further affect your immune system downstream.ĭerek: And you start salivating before you even begin eating. If there’s an imbalance, you’re passing that down into the ecosystem along the way. Any diet that you follow-keto, paleo, vegan-you’re actually first coating the food with your saliva. If you think of the gut as a long tube, sort of like a conveyor belt, you put the food in your mouth first. Your gut is now responsible for 80 percent of your immune system and your gut starts in the mouth. In terms of your microbiome, we all hear so much about gut health, which is really your digestive system. We can do a simple chair-side salivary test to tell you if your bacterial levels are off. We have so much more information that we can pass on to our patients in terms of their overall health, like salivary testing for your pH levels and your airway assessment. We need to move toward functional dentistry. When you come in for a dental visit now, we are only doing a cleaning, checking for cavities, recommending whitening, and sending you on your way. We should take a cue from our medical colleagues, who have made a shift toward more functional medicine and looking at root causes of diseases. With our distaste for dental checkups and focus on treatment versus prevention, we really fail to see how dental disease is a warning sign of so many other diseases. There is a missing link between what happens in the mouth and what happens in the rest of the body. Shahrzad: It’s a great place to start, but maybe we can back up to how dental health affects your whole being and overall health. Insurance companies need to figure that out, too.ĭerek: In your office, you pointed out the connection between dental health and the microbiome, which is something I had never thought about.
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Fattahi: Holistic health needs to include oral health.
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One thing became clear while I talked to Dr.
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In fact, as you’ll read below, saliva contains nearly as many molecules as blood, making chair-side salivary diagnostics an important part of the future of medicine.ĭuring our wide-ranging discussion (much of which I couldn’t fit into this article), we talk about why dental insurance is separate from medical insurance-one of those givens in America we rarely question-as well as the connection between gut and mouth health, how to promote good bacteria and reduce bad bacteria, why dentistry misses so much by focusing on cosmetics instead of functional health, how oral health affects your breathing, and the best way to help your child develop a strong, healthy jaw for life: breastfeeding. Yet I’d never made the connection about just how important food is from this particular perspective. The entryway into our gut microbiome is the mouth. Fattahi mentions that the mouth has its own microbiome: Oral health affects a variety of autoimmune disorders, cancers, heart problems, and cognitive issues. On this occasion, I mention the microbiome it’s something I’ve been writing about lately. Part of the reason I enjoy our visits is that we end up spending half the time talking about a variety of topics related to health. I gladly travel the extra distance to get to her Playa Vista office-we sometimes forget how much a good doctor matters until we find one. Thankfully, a mutual friend recommended me to Dr. Leaving my doctors in New York City was one of the hardest aspects of moving. While dentist offices rarely inspire joy, I always enjoy visiting Shahzrad Fattahi.
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Over the summer, I was sitting in the dentist’s chair, waiting for a cap to be placed over a cracked tooth.