Oral Health Is Systemic Health--Nasal Breathing, Diet, Fluoride
TL;DR
- Chronic mouth breathing, linked to dysregulated breathing patterns, negatively impacts oral health by reducing saliva, leading to increased cavities, gum disease, and bad breath, while also affecting systemic health through hormonal imbalances and reduced oxygenation.
- Nasal breathing is crucial for optimal health, and mouth taping can be a beneficial tool to encourage nose breathing, improving sleep quality, oxygenation, and potentially reducing systemic inflammation and hormonal imbalances.
- The oral microbiome is intrinsically linked to whole-body health, and neglecting oral health issues like gum disease or infections can hinder optimized health outcomes, even when addressing gut health.
- Modern diets high in ultra-processed foods and fermentable carbohydrates, combined with frequent snacking, create an acidic oral environment that promotes decay, underscoring the importance of whole foods and mindful eating schedules.
- Ancestral diets rich in whole foods, healthy fats, and essential nutrients like vitamin D, K2, and minerals support optimal jaw development and dental health, contrasting with the detrimental effects of processed foods on facial structure and airways.
- Systemic water fluoridation presents potential risks, including neurotoxicity and thyroid issues, with limited statistically significant benefits for decay reduction, prompting a re-evaluation of its necessity and safety, especially for vulnerable populations.
- Non-fluoride toothpaste ingredients like hydroxyapatite and theobromine offer effective alternatives for remineralization and decay prevention, providing comparable or superior benefits without the potential risks associated with systemic fluoride exposure.
- Early intervention in children's oral and airway development, through practices like myofunctional therapy and functional orthodontics, can prevent long-term issues related to narrow jaws, crowded teeth, and compromised airways.
Deep Dive
The core argument is that oral health is intrinsically linked to systemic well-being, challenging the traditional separation of dentistry from general medicine. This paradigm shift implies that neglecting oral health can lead to a cascade of issues affecting the gut, brain, hormones, and inflammation levels, and conversely, optimizing oral health can significantly improve overall health.
The practice of mouth taping, or nasal breathing, is presented as a foundational habit with broad physiological benefits. By ensuring obligate nasal breathing, individuals can improve oxygenation, leading to better sleep quality, hormonal balance, and reduced systemic inflammation. This is particularly crucial for children, where chronic mouth breathing can impede proper facial and jaw development, potentially leading to long-term airway issues and malocclusion. The causal chain suggests that improved nasal breathing reduces inflammation, which in turn supports better hormone regulation, more efficient oxygen utilization, and optimal growth, thereby impacting everything from mood and weight to cardiovascular health and longevity.
Furthermore, modern dietary habits, characterized by ultra-processed foods and frequent snacking, are identified as a primary driver of both dental decay and systemic inflammation. The high content of fermentable carbohydrates and the acidic nature of many modern foods and drinks create an environment conducive to pathogenic bacteria in the mouth. This leads to a decline in oral health, which, due to the mouth's role as the gateway to the body, directly contributes to gut dysbiosis and increased systemic inflammation. The implication is that a return to ancestral, whole-food diets, emphasizing nutrient-dense foods and mindful eating schedules, is essential for both oral and overall health, providing the necessary micronutrients and reducing the inflammatory load on the body.
The discussion on fluoride in water and toothpaste highlights a controversial but critical aspect of oral health. Emerging research and clinical experience suggest that the systemic benefits of water fluoridation may be outweighed by potential risks, particularly concerning neurotoxicity and cumulative exposure. The argument posits that while fluoride can offer topical benefits, its widespread systemic administration through water may not be the most effective or safest approach, especially when considering the overall "halo effect" of fluoride exposure from various sources. This perspective implies that a greater emphasis should be placed on diet, hygiene, and topical fluoride applications when necessary, rather than relying on broad-based water fluoridation, to achieve optimal oral health without compromising systemic well-being.
Finally, the emergence of "functional dentistry" signifies a holistic approach that integrates oral health with the broader principles of functional medicine. This movement emphasizes understanding the root causes of oral health issues by examining the oral microbiome, gut health, nutritional status, and environmental factors. The implication is that dentists trained in this approach can identify upstream causes of disease, offering more comprehensive and preventative care. By reconnecting the mouth to the body, functional dentistry aims to address chronic issues like cavities and gum disease more effectively, recognizing that optimal health is unattainable without a healthy mouth.
The key takeaway is that oral health is not an isolated concern but a critical determinant of overall health. Adopting practices like nasal breathing, consuming nutrient-dense whole foods, and critically evaluating the use of fluoride can lead to significant improvements in systemic well-being, from reducing inflammation to optimizing sleep and cognitive function.
Action Items
- Audit oral microbiome: Assess bacterial balance and identify pathogenic strains for 3-5 patients.
- Implement nano-hydroxyapatite toothpaste: Replace fluoride toothpaste for 3-5 patients to support remineralization.
- Create nasal breathing protocol: Develop a 4-week program for 3-5 individuals to transition from mouth to nasal breathing.
- Evaluate ancestral diet impact: Track dietary changes for 3-5 patients, focusing on reduced processed foods and increased whole foods, to assess oral health outcomes.
Key Quotes
"Humans are obligate nasal breathers we were evolved and intended to breathe through our noses but we aren't doing this much anymore up to 85 some i've even said 90 of the population has some sort of dysregulated breathing mouth breathing you know it's on a continuum and so what are the issues with this well it can lead to cardiovascular issues hormonal imbalances immune health you might see weight gain mood disorders you're not getting proper oxygenation and sleep but also uh it can dry out your mouth and so you can get cavities and you can get gum disease and you can get tonsil stones and you can get halitosis or bad breath"
Dr. Staci Whitman explains that humans are naturally nasal breathers, and that mouth breathing, which affects a large portion of the population, can lead to a range of health problems. These include issues with cardiovascular health, hormones, immunity, weight, mood, and sleep, as well as oral health problems like dry mouth, cavities, and bad breath.
"The mouth has been separated from the body for so long dentistry's here medicine's here and dentistry tends to be the brunt of the joke meaning we're made fun of and movies and songs and everybody's afraid of the dentist and we're torturous and barbaric but our teeth and our mouths are incredibly important they're so important for our self esteem for you know sensuality for confidence for articulation expression mastication digestion if you've had dental pain you know it is absolutely debilitating"
Dr. Whitman highlights the historical disconnect between dentistry and general medicine, noting that dentistry is often trivialized. She emphasizes the profound importance of oral health, not just for physical well-being, but also for self-esteem, confidence, expression, and digestion, underscoring that dental pain can be debilitating.
"your mouth is the gut it's the same tube it's the entry way of your digestive system so all these functional medicine doctors who i commend and natural paths who are treating the gut for various ailments bravo but if you are not looking at your patient's mouth and seeing do they have gum disease do they have periodontal disease do they have untreated dental infections you will not be achieving optimized health"
Dr. Whitman asserts that the mouth and the gut are part of the same continuous system, making the mouth the gateway to the digestive tract. She argues that optimizing health is impossible if oral health issues like gum disease or untreated infections are ignored, even when treating the gut.
"we went from a hunter gatherer society to an agrarian society where we started farming and mass producing grains and rice etcetera and then the industrial revolution we started processing and refining and adding flour and adding sugar and now look at us with our ultra processed food world we lost our ability to chew as much or not our ability but we're just not chewing as much as we used to so ancestrally they estimate we chewed for four maybe five hours a day we were foraging nuts and seeds and roots and meat wasn't you know braised and now everything's ultra processed so go gurtz and chicken nuggets and frappuccinos and all these things we don't chew and so it's that that active mastication and chewing that forced the jaws and the bone to grow outward"
Dr. Whitman explains that a shift from ancestral diets requiring extensive chewing to modern, ultra-processed foods has led to reduced mastication. She posits that this lack of chewing has impacted jaw development, causing faces, airways, and jaws to shrink over time, contributing to breathing issues and crowded teeth.
"if i were to narrow it down to one thing is inflammation so when you when you when you breathe through your mouth you're going to have more systemic inflammation your body has to work harder you're less oxygenated so you get about 20 less oxygen this is very important in children think of brain development i mean so their brain is in getting less oxygen their hormones aren't optimized"
Dr. Whitman identifies inflammation as a primary consequence of mouth breathing, leading to systemic inflammation and reduced oxygenation. She highlights that this decreased oxygenation is particularly detrimental to children's brain development and can also disrupt hormonal balance.
"the problem with water fluoridation we can't dose it someone drinks this much water a cup a day someone drinks is an athlete and drinks a liter a day someone has kidney dysfunction shouldn't even have fluoride because they or they have calcium metabolism issues or they have iodine deficiency or there's actual patients that are fluoride sensitive or intolerant or there's genetic polymorphisms that impact detox pathways we don't even know about or pregnant women and fetuses or more vulnerable or infants who are drinking fluoridated water formula you know formula with water more vulnerable what are the cumulative effects this is the issue it's i no one's arguing one glass of water is going to cause this it's the cumulative effects day after day you know week after week month after year after year"
Dr. Whitman expresses concern about the inability to control individual doses of fluoride in public water systems. She argues that the cumulative effects of daily exposure are problematic, especially for vulnerable populations like infants, pregnant women, and individuals with specific health conditions, due to varying consumption levels and individual sensitivities.
Resources
External Resources
Books
- "Breath" by James Nestor - Mentioned as a recommended read for understanding airway discussion and nasal breathing.
People
- Dr. Staci Whitman - Guest, functional dentist specializing in the oral-systemic connection.
- James Nestor - Author of "Breath," credited with coining the phrase "disevolving."
- Dr. Victoria Samson - Colleague of the host, mentioned for discussing the importance of dental health to the wider body.
- Weston Price - Credited as the first functional dentist, studied ancestral tribes and their dental health.
- Dr. Stephen Lin - Functional dentist from Australia who modernized Weston Price's work, author of "The Dental Diet."
Organizations & Institutions
- The Breathe Institute - Mentioned for conducting studies and creating protocols for lip seal tests.
- Institute for Functional Dentistry - Co-founded by Dr. Whitman, aims to standardize functional dentistry training.
- Institute for Functional Medicine - Allied partner with the Institute for Functional Dentistry, providing functional medicine training.
Websites & Online Resources
- The Doctor's Kitchen app - Offers recipes and resources.
- The Doctor's Kitchen dot com - Website for show notes and newsletter sign-up.
Other Resources
- Mouth taping (or sleep tape/lip tape) - Discussed as a method to encourage nasal breathing during sleep, with benefits for sleep quality, oxygenation, and inflammation reduction.
- Nitric oxide - Mentioned in relation to nasal breathing.
- Functional dentistry - An approach that emphasizes the connection between oral health and overall systemic well-being.
- Oral-systemic connection - The concept that oral health is linked to gut health, brain function, hormones, and airway health.
- Myo Munchie - A silicone appliance suggested for children to retrain nasal breathing and strengthen oral muscles.
- Xclear - A brand of xylitol saline rinse recommended for nasal cleansing.
- Myo Tape - A specific brand of mouth tape with an opening in the middle, created by Patrick McKeown.
- Buteyko breathing - A breathing technique associated with Patrick McKeown.
- The Dental Diet - A book by Dr. Stephen Lin discussing the link between diet and dental health.
- Hydroxyapatite - A mineral compound used in toothpaste as an alternative to fluoride for remineralization and decay prevention.
- Theobromine - A compound found in cacao, mentioned for its remineralizing effects on teeth.
- Xylitol - An ingredient in some toothpastes and nasal rinses, acting as a prebiotic and influencing oral bacteria.
- Reverse osmosis filters - Water filters that remove fluoride and other contaminants but also strip minerals, requiring re-mineralization of the water.