Ep. 574 This Is Destroying Your Oral Microbiome – The Fastest Way to Improve Hormones, Immunity & Longevity with Dr. Dominik Nischwitz

Welcome to Everyday Wellness Podcast. I'm your host, Nurse Practitioner Cynthia Thurlow. This podcast is designed to educate, empower, and inspire you to achieve your health and wellness goals. My goal and intent is to provide you with the best content and conversations from leaders in the health and wellness industry each week and impact over a million lives. Today I have the honor of connecting with Dr. Dom, it's Dr. Dominic Nischwitz. He's a German dentist and pioneer of the biological functional dentistry and ceramic implantology. He's the founder of DNA Aesthetics and vice president of the International Society for Metal-Free Implantology. He's also an author and has a special focus on optimal health starts in our mouths. Today we spoke about why the oral microbiome is the upper gut, the impact of oral dysbiosis, hormonal changes in oral health, concerns around root canals, cavitations and old wisdom tooth sites, why mercury amalgams are not benign and are a known neurotoxin, why big mouth overhauls have to be carefully planned, and the debate over fluoride versus hydroxy appetite and last but not least, cosmetic dentistry concerns and rapid fire questions that I delivered to Dr. Dom. I know this will be an invaluable conversation and one you will listen to likely more than once. Dr. Dom, I'm looking forward to this conversation. Welcome to Everyday Wellness. Thank you so much for having me. Absolutely. You and I both talk about the microbiome and the importance of it quite a bit. How do you think about the oral microbiome as part of the gut ecosystem? I love the question. Yeah, most people think of the gut as starting right here, right, below your rib cage. However, essentially the mouth is the engine to the gut. It's actually the gut. It's a tube that starts here in the mouth and ends at the back door. And actually there is a microbiome in your mouth. It's called the oral microbiome and this is the second largest to the gut microbiome, but most diversified, which makes sense because it's again the first contact with the outside world. And yeah, it is shaped by what we eat, is shaped by breastfeeding, it's kickstarted by going through the birth channel and then straight away it will be rebuilt to let's say a oral microbiome that is fed by a standard American diet or by a paleo diet or whatever sort of let's say substrate you give these microbes and the gut microbiome is just the extension of it because you swallow about 140 billion, let's just call it bucks per day and they make up about 50% of your gut microbiome anyway. So it's super important. And what do you see are the most common disruptors of the oral microbiome in terms of keystone bacteria? What are the most common things you see looking in hundreds of people's mouths every year? I mean, it depends a little bit. Let's say there are two sorts of human beings. One, being has perfectly healthy teeth, has never seen the dentist and let's say call the other ones altered human beings that have been at the dentist. So let's say number one, the main driver literally for your oral microbiome if in a healthy mouth is just your nutrition, essentially what you eat on a daily basis will shape the microbes and here in my hometown tubing in is a huge university that focus a lot of microbiome, especially the oral microbiome. And lately had a discussion with a professor there and he said, within 12 hours of changing the substrate, the whole microbiome changes starting in the mouth. So that would be number one. So that means a person with a that is feeding on a standard American diet has specific germs that like to eat processed sugars that like to eat processed wheat and flour and all these other processed things, which is usually not too ideal. It's more dysbiotic versus let's say we would eat a more, let's call it paleo-ish diet or more ancestral diet, completely different microbiome, same for breastfed baby versus a bottle fed baby, complete different microbiome. And then we have patient or let's say the altered human has seen a dentist before has some metals, root canals, cavitations, fillings in the mouth, bleeding gums, always dysbiotic, always it's not going to be possible with having previous dental work done to be 100% balanced unless it has been redone by a biologic dentist with complete biomaterial, which is rare. It's fascinating to me because I think about, you know, because my parents grew up in the 40s, 50s and 60s, they themselves because dental care was very different here in the United States and they had a lot of cavities. They were very proactive about making sure my brother and I, you know, ate really nutrient dense foods and I've never had a cavity in my life. And so I sometimes when I have conversations with people, I'm astounded at the amount of dental work people have had no judgment just from a curiosity perspective, but understanding that cumulatively over our entire lifetime, there are a lot of things that contribute to why people deal with dental carries or, you know, why they're dealing with, you know, structural problems in the mouth and the dysbiosis piece I find so fascinating because I would imagine that mouthwash and antibiotic therapy and just chronic stress also are like contributors that are probably positively and negatively impacting the health of the oral microbiome, which you astutely stated, I think a lot of people just don't make those connections much to the point of most of us don't think about the gut microbiome, maybe other than you and I and a few other people that are super interested in it and how our lifestyle actually drives that. So what exactly is dysbiosis for the benefit of listeners when we talk about dysbiotic organisms, help us understand what they do in the mouth that contributes to poor oral health. Okay, so dysbiosis means it's let's say the specific microbes in itself, they're never bad or good. There are some inherent bacteria they're called commensal and then there's some more anaerobic, aerobic bacteria, but also there's there's viruses, fungi, even parasites. And in essence, a healthy oral or overall microbiome is a microbiome that is immune modulated, that is, in balance, kind of like an ecosystem or the immune system uses, sees it as a, let's say, organic gardening. So it would be all in harmony and in balance. The problem is, if it's dysbiotic means we have a few specific ones that are overpopulated or that are as, for example, compartmentalized. For example, you had a previous root canal treated tooth and we know that root canal treated teeth over time because they lack the immune system in there because it's essentially a dead tooth, accumulate anaerobic bacteria and parasites and viruses. That could be a thing or cavitation, also just pockets if you had like bleeding gums a lot and then you get periodontitis, which is like an inflammation down into your bones. The more anaerobic bacteria, the ones that live without oxygen tend to accumulate there and that's in essence already dysbiosis. Or you have more fungi. So if you had, for example, the black silver melgium fillings, we know that mercury and fungi such as Candida and mold oftentimes go hand in hand. And this just means it's not in balance anymore. And none of these bacteria bad in itself. For example, in university, we learned our specific oral pathogens known to, let's say, cause or causative or causative for more tooth decay. One is called streptococcus mutants. Steptococcus mutants in itself is like actually commensal and it's not too bad. However, if you're eating a standard American diet or let's say just a lot of ultra processed foods, you will overfeed this bacteria and then it will overpopulate, leading to another dysbiosis, same for the Candida. And then there's Pofferona's gingiva, Pofferomonas gingiva, that's called a PG, Pofferonas gingiva is pretty hard to say. It's a typical oral pathogen connected to let's say periodontitis, an anaerobic germ that is also in the mouth. It's quite okay. It's a pathogen. However, if there's ongoing bleeding gums and stuff, this germ tends to jump into the system because gum is outside body is kind of like your skin. But as soon as you have opening to your skin, you know bacteria will jump in same in your mouth. The mucosa is constantly bleeding. This bacteria can jump in and then we now know it is also right now the discussion is that it's actually activating Alzheimer's or part of Alzheimer's discussion because these, these germs can go into your brain cause microgeal cells to essentially produce neuro inflammation because of specific enzymes, we don't need to go to detail all the jump into your system and go into your joints directly connected with rheumatoid arthritis or into your heart. So pathogens or bacteria, in essence, we are a symbiont and I think we only 10% human DNA, 90% is bucks, but we have to make sure that our immune system keeps in check kind of like organic gardening and then it would be called a normal balanced ecosystem. Dispels just means there's a shift towards something more overpopulated. Does that make sense? Yeah, absolutely. I always describe when I'm talking about the gut microbiome, it's an overgrowth of non beneficial bacteria. And so if an easy or it could be, you know, any micro organism, I would imagine you're privy to looking at the changes that are occurring for women as they're navigating this perimenopause to menopause transition, B-Civ either mouse. And how do changes and alterations in estrogen and nitric oxide production, how does that affect gum and oral tissues? I would imagine it drives a lot of inflammation. It could also contribute to bone changes in the jaw. Oh, 100%. I mean, you know that estrogen is strongly correlated with bone health, no? That is the same in the mouth. If you have osteoporosis somewhere else, it's also going to be in your mouth. It's small. It's then called cavitations, or I would call osteoporosis of the tooth, tooth decay. So more prone to this. Yeah, essentially, it's what it is. Like bones and teeth share the same biochemistry when it comes to building. The builder of the bone are called osteoblasts. And the builder of the teeth are called odontoplasts. In essence, both of these materials, highly rich in mineral, it is, it's hydroxy, it's called hydroxyapatite, it's calcium and phosphate in a specific situation. And if you get a lack of nutrients or also a lack of hormones, also it has something to do with insulin, then this doesn't really happen anymore. It's not just the hormones, it's also nutritional deficiencies, it's lack of vitamin D3, sunlight, vitamin K2, lots of things. But yes, this could be one thing. The other thing is the saliva and also obviously menstrual cycles in itself changes the microbiome, any microbiome in your body, not even in many menopause, but also during your whole life, even before you have specific cycles, as you know, better than me, that they also change the acidity of the saliva as well as all the other fluids in the body. So women are essentially a couple of times a month more prone to tooth decay because the mouth is going to be more acidic. And acidity below 5.4, so the pH level of the saliva is roughly 7.4. If it drops to below 5.5, we were talking about a demineralization state means your teeth lose minerals more than they rebuild it. So this is something that women need to take into consideration even before perimenopause or any hormonal changes. That is something that is just an issue for women and it's not really taught in university, it's not even really there in research because most research unfortunately still is done by men in men and men have no cycles. The pH in the mouth is always the same. On top of that, obviously, if you have hormonal changes, oftentimes if estrogen or progesterone firstly drops, oftentimes cortisol raises at the same time and stress level also affect your digestion negatively. So it's not just the stomach acid that goes down, it's also the saliva production. So some women will complain about dry mouth and dry mouth again. If you don't have enough enough saliva, which is a miracle molecule, then your teeth are more prone to tooth decay or you get like, let's say more gum inflammation, all these different things. So it is all interconnected and the mouth is a part of your body. It's actually, in my opinion, the entrance to the body, the hotel lobby. So it's super, super important on every level. And we didn't even touch like previous dental repair, which oftentimes can affect hormones and everything extremely. We can go into this, of course. If you're in midlife and you've started to notice that your energy, your strength, or even your recovery just isn't what it used to be, I want to share something I've been thinking more and more about lately. For many women, we assume it's all about hormones and hormones are absolutely part of the story. But there's another layer that often gets overlooked and that's about cellular energy. 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That means blood pressure regulation can shift, cortisol can run higher, and many women become more sensitive to dehydration, especially if you're strength training, walking more, intermittent fasting, or reducing processed foods. That's why I love Element. It is my favorite electrolyte formulation, and I've exclusively used their products for the past six years. Element contains a science-backed ratio of sodium, potassium, and magnesium without sugar. Artificial ingredients are unnecessary fillers. It supports hydration at a cellular level, helps reduce muscle cramps, improves energy, as well as recovery, and can even support better stress resilience. This is particularly helpful in midlife when we're prioritizing metabolic health and muscle preservation. I personally use Element throughout the day, and it's become a staple in my routine as well as my household. If you'd like to try it, go to drinkelement.com slash Cynthia to receive a free sample pack with any purchase. Stay hydrated, stay strong, especially in midlife. Yeah, no, it's really interesting because I think that, Priscilla, I didn't know until today that much like everything else in the body, during the menstrual cycle, there's alterations in pH levels throughout the body, not just the mouth, and how that can impact susceptibility to cavities and other issues. It's interesting, I think that we don't even think about teeth as an extension of bone. I think we just think of the teeth being teeth and not even acknowledging that if we're getting what happens in a low estrogen state or we're getting this relative imbalance between bone build up and bone build down, it makes sense that this can contribute. I think about I had a family member who suddenly, even though she was a relatively healthy person, started losing teeth and menopause. I don't think the average conventional allopathic trained dentist is even thinking about, especially if the research isn't there, is even thinking about some of those alterations that are impacting the health of a woman's mouth as she's going through this transition. No, no, unfortunately, so I studied dentistry too. I started as a conventional dentist, right? So conventional dentists, unfortunately, it's in my opinion, it's just outdated. It is mainly a mechanical work and teeth are seen as hard biding instruments that you can just repair. We're usually labeled drill fill and build with just a garage system. We look and fix holes, we look for holes, and then we fix the holes. And then maybe a little bit of aesthetics and cosmetics. That's it. But this is not what we do. What I'm designed on, what I'm working on is a global standard for biological dentistry, the BGS, Biodentistry Global Standard, through my concept called Biodentistry 3.0. And this is the melting of high tech dentistry, precision dentistry with functional medicine and health optimization. It's a completely new category in dentistry. In my opinion, the future of our profession, because it's not contrary to conventional, it's just the next level. For us, the focus is, of course, we are optimizing overall health, but starting in the mouth. And this is, in my opinion, in the health world, the missing link. Just one week ago, I've been in America and San Francisco and spoke on a longevity conference, very highly medical, literally academic. However, usually on a stage, I ask three questions to the audience on all the health conferences and also obviously for medical doctors. And I was assuming longevity clinics like Cleveland, Mayo, all, you know, all these names that they will know. So I asked three questions. Number one is, do you have any metal in your mouth? And you can, the listeners can also just answer if there's a yes, stand up, remain standing. The root canal treated tooth, stand up, remain standing. And final question, did they remove your wisdom teeth? And normally 90% of all the audience stands up and has a yes as an answer, which means there's something optimized. I didn't expect this on a longevity conference, but 95% were standing up. Like almost every single doctor was like standing at one point. And I just wanted to make a point that first of all, obviously longevity means nothing. It's a buzzword, biological dentistry, unfortunately means nothing to that's why I'm creating a standardization, same what they need. However, the other point was, why are we all missing the mouth? It's in your face. It's like the entrance to the body. And this is just because dentists and medical doctors don't speak with each other because dentists are just repairing guys and don't understand that they're actually doctors versus medical doctors. They just didn't learn about the mouth. And of course they don't know what dentists repair in there. So it is a complete disconnect, but there's a huge synergy. That's why I went to this Congress because we should work hands in hands. And then only then we can optimize everything because we can speak about hormones. We can speak about brain health. We can speak about sleep. We can speak about nutrition supplements. We can speak about any sort of lifestyle or anything sort of, let's say, foundations of health. If oral health and previous dental repair are not fixed, you're never going to, you're never going to be able to be, to work on the foundations of health. And usually this is the missing link. So people will do the foundations, but missed this part of oral health optimization goes straight into crazier things such as 10-paise ozone, chelation therapies, blood filtering, peptides, all these different things that are amazing, but sometimes in my opinion, not timed wisely. And this is why we are speaking today anyways, right? That people will know. No, and this is such an important conversation because for listeners, the only time I really interfaced with a dentist as a clinician, because I'm a nurse practitioner, was if I had a patient with a dental emergency. Like if they ended up in the emergency room and we were like, this is beyond our ability to fix this, you have to call the on-call dentist who might be on call or try to get someone urgently in to see a dental expert, other than that, there isn't a tremendous amount of interface. Oh, yeah, true. And this part is even forgotten about, yeah, exactly. We have to deal with emergencies, which is tooth pain. And that's also the problem. Dentists are usually not seen as medical doctors. And most patients hate the dentist, abby honest, no one wants to see the dentist because it's usually painful. And they are, it was like, you hope that they don't find a hole and have no pain, right? I didn't even tell you about like the number one issue for, let's say bad teeth in the future, if you were an altered human, is actually the dental drill. If you start the dental career with someone drilling, that's normally downhill. But tooth decay is not a, is not a drill repair deficiency, is not a fluoride deficiency, is literally just a lifestyle and lack of nutrient deficiency. In itself, and it's the number one chronic disease worldwide is tooth decay, especially in the Western world, where we have all the options to go to see dentists for hygiene appointments. But that's not the main leverage. It's literally the lifestyle. And then of course, dentists, in Germany, you actually graduate as a zahnarzt. So the German word is zahnarzt, if I translate this, it's called tooth doctor, still with just dentists. But what I'm working on is becoming from the technician towards a health expert. So we have to all, all of us doctors out there, if we focus on the mouth or whatever, we have to be longevity doctors or understand overall health, because only then we can work on synergy and guide our patients to optimal health as fast as possible. Otherwise we're just missing things. So on stage, I was speaking with a brain expert, and she didn't know, but Alzheimer's and oral health are connected. But unfortunately, only with that, with the, let's say with this one germ, no one ever thinks about previous dental repair. And metals, root canals, cavitations, jaw bone inflammation are silently hijacking your system upstream, and you try to optimize everything downstream, but it's still in the fearing. So it's fascinating. Yeah, it's absolutely fascinating. And for obvious reasons, this is one of many reasons I wanted to have on the podcast. I would imagine there was probably a sentinel event as a clinician where you were like, okay, wait a minute, we need to change the way that we look at dental care. What happened? I would imagine there must have been something, I'm sure, a lot of clinical experience, but you got to a point where you felt like the current system was not optimized. Oh, I got lucky in hindsight, because I started the health journey because of my own health issues. Already in like second semester, I crashed with my own health issues. So I had to rebuild from scratch while I was studying dentistry. And dentistry was always the technical part of things was always easy for me. And after university, when you have to do a residency, I wanted to become an oral surgeon. And the oral surgeon was still placing ugly, silver black fillings. And I didn't know that they're that they're like toxic. I just knew I don't like them. They look pretty bad. Amalgams, right? So I told my boss, I'm not going to do these. And I had in my mind from my dad, he is also dentist that he wouldn't do amalgam fillings because some sort of like health issues. So I looked it up. And because I had my own health issues, and it took me about five years to fix my was mental health issues, I just crashed early because I did too much partying, my bad, but had to rebuild. I was just saying, today, I am the health expert that I would have needed 20 years ago. And that's why that actually sparked the journey for me, which I got by health issue where I was afraid I'm not going to make it, right? So that sparked my interest in everything about nutrition. I became a naturopathic doctor of functional medicine practitioner and neuro theory, you name it, I have like this folder of different things. So everything outside of dentistry. And on top, I became world class ceramic implant specialist. So but this sparked my interest. And I was looking into amalgam fillings and realized, oh, there's 50% mercury in it. It's the most toxic non radioactive element known to men. Why are we placing these fillings in human beings if we have to remove those as highly toxic waste? That's when I started thinking and then I opened up YouTube. And there was no, there was no Dr. Google or anything in early 2000s. So but there were a couple of amazing doctors such as Dr. Gidrich Klinghardt that were talking about heavy metal detoxification, all these things. And that led up, that opened up a whole university for me and then I, university for me, and then I just got addicted to learning as much as possible. I flew through the whole world, I learned from the best doctors and just never stopped. And at one point I realized, oh, wow, I'm right at the spot as a dentist, because only us we can fix what we have actually created in the past with previous dental repair. And yeah, and then I created this concept and this was in 2010. And since 2015, we have first Center for Biological Dentistry in Europe at least, I think also globally. And now actually, I have an institute for the last three years, it's called the BGS Institute by the Institute Global Standard Institute where I'm training real bio dentists that follow this standardization. The blueprint in my clinic is solid with the complete health optimization lounge. And now it's time to scale. So we're looking in a couple of places globally to expand right now. That's really exciting. Where do you think people develop fear of dentists? Because it is a real problem. I mean, I have patients that will tell me they had a bad experience as a child or a teenager or young adult. And it's easier for them just to ignore their teeth than it is to actually, you know, do the preventative cleanings, even if that's, even if that's all that they need, they just have tremendous dental fear. I agree. Literally every single patient or guest we're seeing has was afraid of the dentist at one point. Mostly like the average of my patients are 35 plus, let's say more like 45 plus in average, or late 30s. And they all had some traumatic experience because dentists, hopefully not these days, but in the past, they were super brutal. Everything was done without even an anesthesia. So ask your mom and dad, they're gonna tell you horror stories. Teeth yanked out without any anesthesia, drilling into the teeth. And you have to understand that tooth is not a hard biting instrument. A tooth is a tiny organ directly connected to your brain. It's an extension of your brain. So the pain you experience will be in your brain, neuralgia inducing sharp pain. It is hell. So you don't want to experience this. So I understand that this is literally the worst. And this is why I create biodendesis 3.0 and real biodendesis do the opposite. I'm an oral surgeon trained to do huge surgeries, big cuts, masculine, you know, huge trauma, massive swelling, but I'm also an empathetic doctor and I feel out of people's pain. So I created scarless surgeries and my goal is always for patients to experience the whole health optimization week with as minimal swelling as possible and almost no pain if possible. And I show those also on social and Instagram because it's possible, but it's not possible in a normal dental office. It's literally a complete different program, a complete new profession that is minimal invasive, very empathetic. We are taking care of one maximum two guests or patients per day, not 50 plus factory business is just something you have to kind of like experience. So usually when you send in your data upfront, we plan everything online preliminary. And then you prepare even four to six weeks prior to seeing us with the right nutrition leading up to surgery. Because then once you come in for the health optimization week, we will remove all the metals safely, we take out the chronic the infected root canals, place immediate ceramic immediate same day implants ceramic implant, not titanium, take care of the cavitations. But in a way where most of the time you're actually in our health lounge enjoying IVs, red light, hyperbaric laser in your veins, everything to make this dental intervention as seamless as possible, kind of like a five star dining menu of oral health optimization. And then once they leave, they know exactly what to eat for the next four months until everything heals. Then you come back for phase two, which is function and aesthetics, so the stuff you see the bite. And then actually our goal is to never see you again as a dental patient in our life, maybe for cleaning, but hopefully never for any whole or any two three later problem is the opposite of conventional dentistry. Yeah, it's utterly fascinating. So I know listeners are probably curious. Yes. Talk to me about root canals. And we know conventional dentistry treats root canals as standard of care. I don't have any root canals. No one in my house has root canals, but I have plenty of family members that do. But you've been very vocal about the hidden risks. Talk to us about the risks of root canals because I think a lot of people probably don't recognize this. Yeah. So root canals in dentistry are a find out to be fair that you need as an acute pain treatment. In Germany, these where I'm from, this is insurance covered. You and pain, we are just there to help you. So essentially what we're doing is we're taking out the vital parts of your tubes, which is the pulp. It contains blood supply, lymph supply, autonomic nervous system. And then we disinfected, maybe with ozone or whatever, and place the filling inside of these bigger channels, and then fill it up and seal it and put a crown on top. And then this is a find out to just bite on the tooth and it works. And it's amazing. It's I love root canals as a short term temporary. However, what are the risks for root canal treated teeth? A root canal treated tooth is essentially a dead organ now because there's no more blood supply, no lymph supply, no autonomic nervous system. Then we're filling it up with materials that are inherently, let's say this. Yeah, we should discuss them about their toxicity, oftentimes containing in itself, chemicals, microplastics, as well as also some sort of metals or even heavy metals. And also if you look at the root in just one root on a electron electron microscope, you will see that you have about 30 to 75,000 micro tubules that look like this here behind me per square millimeters. So it is the perfect channel system for anaerobic bacteria, parasites, viruses to just live in there. Because the immune system that is not in there anymore, there's good study showing that if there's still a live pulp, there's an immune system that will keep invaders in check. However, if that's gone, it's the perfect cave and your innate immune system that is there to fight against bacteria, viruses, fungi, parasites. It's the macrophage system. Macrophages are just too big. So I'm always explaining this as like the cat and mouse principle. So the mouse is going to be the bacteria hiding in these dentin tubules. And the cat is the immune system the macrophage is trying to protect. And what you can see on X-ray or especially what we do is a three dimensional X-ray on a cone beam scan that usually around the apex of a tooth, you have some sort of chronic inflammation, could be big cyst, which is just the body protecting itself so that nothing of these anaerobic bacteria or toxin toxic byproducts get into the system or extremely hyper dense bone structure, which means the body has built outside. So it's kind of like put the tooth into prison by over mineralization. So these two phases exist. So it becomes a perfect hiding spot for let's say bugs, which then obviously become a chronic infection, which then cause chronic silent inflammation. And we know that silent inflammation is trigger number one for chronic stress. On top of that, the bacteria also produce byproducts such as thioethyls and mercaptanes. They called highly volatile sulfur compounds. Essentially it smells like rotten eggs if you extra polite it or if you like use it, let's say decompose everything that decomposes smells pretty bad, right? You know how it's an old fish smells in the bin. Pretty bad. So the same happens for these teeth. It's just nasty smell, but on a micro dose, obviously, but oftentimes patients will complain. It's like, no, if I floss in there, it just smells pretty bad. Yeah, he smells gross. And if you take these teeth out and you look in those, there are black rotten teeth and they smell so bad. It's so bad. So you don't want to have this in your mouth over for the long term for short term. Yes, for long term, it was never a good idea to leave a dead body part in the body. And it is dead. There is no more nerve supply and no more autonomic nervous system. Whatever every dentist will discuss with you, it is a dead organ and it's a circuit switch for your complete autonomic nervous system. There's and for your meridian system, it is just non ideal and no medical department will allow anything dead or gangrenous in your in your body. Imagine like a black finger or like a black toe or like a black foot from a diabetic leg, they have to cut it off. They don't just leave it there, put plastic in there and like a plastic background and let you walk with it. It doesn't work. It just works because it's a tiny tooth that's in the jawbone. However, it's a tooth, a dead tooth in your jawbone and your jawbone is directly connected to your brain with the trigeminal nerve, which runs like this, right? So whatever we do or whatever bacteria live in there, whatever toxins are in there, your nervous system or your autonomic nerve branch here, the trigeminal lower nerve, alveolar nerve will transfer this directly into your brainstem, into your ganglia, into your hypothalamus, pituitary, in effect, the whole nervous system, immune system, everything. And the problem is it's chronic silent most of the time in your mouth, but you may have hormonal issues. You may be have brain fog, you may be have skin eczema, you may be have gut issues, you may be have frozen shoulders or knee pain and no one ever will connect it to the mouth. And the only thing I'm saying is the root canal don't be fear monger or anything. The root canal won't kill you. It's a fine art. Again, you can bite on it sometimes forever. However, if you are on your journey to optimize everything and you're doing everything and you're not super human or you have still a lot of nagging issues such as brain fog, gut health, skin eczema stuff that you barely manage, then it's time to look into the mouth and find a certified real bio dentist that will guide you there because this is the missing link to overall health. This is fascinating. So let's talk about, as someone who's never had other than wisdom teeth extracted, I'm curious to talk about cavitations and then what is defined as poorly healed wisdom teeth extraction site as silent drivers of chronic inflammation because I was like, oh, I've never had a cavity. I've never had a root canal. I've never had any of these things. But when you said have you had wisdom teeth extracted? Oh, you said yes? Yes, I had four taken out. So then I'll see you soon. No, I can't, I'm just assuming. When did they remove them in your teenage years or early 20s? I was a teenager. I think I was 17. Yeah, 17. I'm assuming your parents told you tomorrow they're going to take out your wisdom teeth and you had massive swollen cheeks, maybe even dry socket and painkillers. My mom was on top of that. But no, I remember I was very, very edematous. Like I was very swollen. Like whereas my kids, I have one that had two taken out and he had little to no swelling, like zero. Totally different. Usually, most unfortunately, most likely you would lick the primate ties and hit you 20 rounds. Yeah, I looked like a chipmunk. Exactly. Me the same. I looked the same. I couldn't barely eat anything for like a week, liquid diet only for two weeks and school leave. So if that is the case, I can already tell you in 99.9%, you're going to have cavitations there because your body was not in a prepared state to deal with that stress and trauma and be repaired because you were growing up in a teenager and you didn't have your diet on point. You're most likely had a vitamin D3 deficiency, mineral deficiency, everything every teenager has if they're not optimized. So that what happens then is your body is not able to really build it. It will just primarily close or secondary close, let's say the tissue and the jaw bone on top, the cortical part. It's the outside of the bone. But inside where you have to have healthy sponges bone, oftentimes the body lacks nutrients to finalize this construction site. And what happens then is over time, it becomes a cavitation, a cave for anaerobic bacteria, anaerobic bacteria, viruses, fungi, parasites, glyphosates, heavy metals, like a huge dumping area. And the problem here is it's silent. It's chronic and no one knows about it because this is something you do not learn in university and most likely again 90 plus percent of all dentists will tell you that's quackery, it's bullshit, which is not. It's just ischemic bone disease, it's cavitation, it's fatty necrosis, fatty necrosis of the jaw bone, it's NICO, neuralgia inducing cavitation, osteumatic grosis. There's so much research out there and we're doing more and more and more. And only just this year, 2025, one of my friends, Heidi Rang, professor in German University of Frankfurt, Professor Ganati, Sharam Ganati, he made his first research paper showing after any tooth extraction, you will develop cavitation. He didn't go into how to prevent it, that would be my part because that's essentially systemic bone healing and how you have to make the body anabolic and in a healing state. However, it's shown now and it's going to be not long until it's going to be medical guideline. Same for ceramic implants, I'm one of the first ceramic implant specialists. By that I mean if you have lost a tooth, you need a dental implant. 99.9% or let's say 99% now of all dentists worldwide will use a titanium implant, that is a metal implant and it's gold standard. However, for more than 12 years I'm placing ceramics only, I was heavily criticized for that, attacked to the extreme especially because I also placed them immediately same day after taking out a root canal. However, since 2023 because of our clinical work, they're now medical guideline, higher guideline than titanium implants. So it will all just take a little bit of time of people like us that are very, let's say stubborn and consistent and just swim upstream and already for change but trust me, university just takes ages and I'm doing it for 20 years now, 20 years, it's still pioneer's work. Well, I know I tell people on the podcast all the time like in traditional medicine, it takes five, 10, 20 years for things to trickle down from research. So it takes a long time and there's a degree of cognitive dissonance that I think is not unique to allopathic medicine, I'm sure dental medicine is the same way people, whatever they learned in school is the only thing they want to do and they don't oftentimes want to pivot or deviate from what they were originally taught. That was something I realized too. I was questioning whole university already because I learned so much about overall health at the same time but I realized, yes, you completely right. Most of my colleagues were just happy to have finished university and that's it. For me it was just the entrance card. I started to look what's next because dentistry in itself for me was just boring. I love the technical side of things, it was super boring. Yeah, that's such an honest statement. It was so boring and it was like literally it was outdated when I studied it from 2003 to 2008. The curriculum was from 1959. No. Yes, no kidding. It is so outdated. Now it changed a little bit but still you know how research and stuff work. What we do, going new ways, finding new answers, being curious, that's called science. Research is not science. Research is when we have agreed on something on a broad basis. That's actually the end of science. That's okay, that works. We agreed on it. That is research. That is how long people are waiting even if they would see that something else will change. Our first principle as medical doctors and a dentist in Germany or also in America should be a medical doctor. In Germany it is. First, do not harm. If you know that something will harm the body, such as mercury, is a known neurotoxin. I personally could never place this in a human being or in someone like me. My decision making is super simple. Can I do this for me, my wife, my kids, my mom, my dad? If the answer is no, I don't do it for any patient. I don't understand how anyone could have a different approach but I know unfortunately it's the reality that people just do whatever they're told to do and don't even question it. Only then, if they had their own issue and problem, then maybe they would look for alternatives but not in terms of what they're trained to do. We have to have people that think outside the box and go against the stream, otherwise it doesn't work. I agree with you. It's interesting. Mercury is unique. It has a high affinity for the brain. Can you talk about what mercury does to the brain? Mercury is a known neurotoxin. So mercury fillings, they're called amalgam filling or silver black amalgam filling. They're also called silver fillings which is not allowed anymore. 50% is mercury and if you chew on them or grind on them or buy it or acidic foods, even hygienists, you will release a tiny little bit of mercury vapor. Mercury vapor is essentially see-through. It's called HG, is mercury plus. So this goes through all cells. It goes through seven layers of gloves. It goes directly into your nucleus, into your brain and will be what to say is simple. It will be stabilized in your tissue by some sort of enzymes called catalases. It then becomes HT2 plus. That's maybe too chemical. Doesn't matter. The half-life now of mercury in your brain or in your cell is 16 to 32 years depending on your individual detoxification capacities. Some people cannot detox it at all because they lack certain enzymes and protein carriers. So it will alter your system. Mercury unfortunately binds to sulfur groups, oftentimes changes enzymes, oftentimes pushes out other minerals that should be in the center of a specific enzyme. So it's literally, it can call gene therapy, but you're changing everything in your system. It's really a toxic, it's a super toxic metal. It's the most reactive, it's the most toxic non-radiative element known to men. It's not supposed to be in your mouth or even in the environment. Unfortunately these days, there is no environment without mercury. That's just something we have to deal with and your body is able to detox it. And the mercury that you inhale as HT0 is not the same mercury as the mercury you already eat from fish, right? If fish has it in their cells, it's already been bound by catalases. So it's methylated mercury or whatever, so it's way less reactive than the one that is gassing out of your mouth when you have these fillings or when you drill them out wrongly. This is something just to make a point here that, yes, if you eat too much fish, you can actually get heavy metal toxicity. Then you have to eat like the bigger fish, like tuna and saltfish. But the single event of drilling out an amalgam fillings without protection could do way more harm. That's why you should never go to see a dentist, because you get my information that amalgam fillings are toxic, and just get them out. No. I'm here to fear mongrel you again. Just more information. These fillings are toxic. However, it's a daily release of two to three microns. If you go to a dentist and just let it drill out, you find a lot of videos about this on my Instagram. This will be a toxic event of like 100 to 1000 to probably 100,000 X of mercury exposure. And I've seen a lot of my patients that had chronic health issues after this event, not before. So if you want to take these fillings out, you need to find a certified real bio dentist. You can find my directory most likely in the show notes. Or there's also another certification in America called smart certification stands for safe mercury amalgam removal technique. They are not real bio dentists, but at least they know how to remove mercury safely because you have to do this very, very safely. So you don't intoxicate yourself with more mercury. That is the most critical thing. And most dentists don't know how to do this. Yeah, it's really interesting. So for listeners, CS Lewis wrote Alice in Wonderland. And yes, the reason why the header was mad was because of mercury toxicity. So number one, number two, my husband had his mercury amalgams removed biological dentist recommended to us by our functional integrative doctor. And it was quite a process. And my husband was not 100% on board with the need to do this. He only had two. But I remember he came home and he said, Oh my God, that was quite a production. And I said, Well, it's designed because mercury has such a tremendous affinity for the brain. It's designed to protect you and the physician that's in your mouth. It's insane that he just mentioned this like the mad header is a disease in the medical textbook. It's called mad header disease just from the guys in England, I think in the 17, 1800s that used mercury to seal these heads. And I wouldn't say that my dental colleagues are mad headers, but there is research showing if you have imagined a dentist, he doesn't have one toxic event. He maybe does this for 30 years and inhales the fumes all the day, all the time. And his nurses to the assistants to so there's studies showing that the pituitary gland of dentists has way more mercury than all people. So you don't know what it does to the pituitary but I'm just assuming mercury being a metal that changes enzymes and specific pathways, it will most likely alter everything. And what they're saying in mad headers is that you lose your ability to think clearly and make clear decisions. So most likely these people will tell you what, I have no problem with mercury fillings. I've drilled those out my whole life. Yeah, exactly. Are you feeling off at night waking up more tired than when you went to bed? It's not just stress. Sometimes it's our bodies navigating the hormonal changes that occur in the perimenopause to menopause transition. And years ago, I used to lie awake worrying, tossing and turning only to wake up feeling super exhausted and poor sleep made everything else from focus to mood and digestion even harder the next day. Ever since I started using bi optimizers, magnesium breakthrough to my nightly routine, I feel more settled and ready for rest. 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If you're tired of blaming yourself for changes that are actually biological, this book will help you understand what's really happening and what to do about it. You can pre-order The Menopause Gut wherever books are sold. And when you do, be sure to check out the special pre-order bonuses I've put together for you. Again, you can go to www.syntiotherlo.com. You'll click on the banner. It'll take you to multiple options for where you can order The Menopause Gut in pre-sale. So I think it goes without saying that you've been very proactive about mentioning that metals in the mouth are to be avoided. Oh yeah, any metal. When you're working with, and I'm going to be slanted towards middle-aged women, I'm sure you're seeing a lot of autoimmunity, a lot of neurologic symptoms, a lot of allergies. Yes. And they're probably dealing with these big mouth overhauls. How do you walk? You mentioned a little while ago that you have a whole process. It's not, you don't do everything all at once, but right. But I'm saying that you have a process of you know, kind of walking people through that. When you're looking at removing root canals, cleaning cavitations, placing ceramic implants in a controlled environment, how is that different than what some of these other non-biological dentists are doing? Obviously, some of it's technique training, materials, but it sounds like you caution people about doing these big overhauls unless they're working with someone that has this specific kind of training that's doing these that are very safety focused. And let me be clear, I'm not suggesting other dentists are not being safe. I'm just saying that they're thinking like a traditionally trained allopathic dentist and they're not thinking a little more broadly. And as you said, functional integrative approach to dentistry. Exactly. So what I gather as normal dental experience is you have an appointment, you go there, you stand in traffic, you go to the waiting room, and then you get a maybe an anesthesia and you're feeling drilling or whatever. And that's it. That's the normal approach for anything dentistry, right? Would you agree? Yep. So what we do is it's more like a health architect. We get a panoramic x-ray. This is the two-dimensional overview of everything that has been done in the past. I literally look inside your bone and inside your teeth. And I will see previous metal repair, metal restorations, even titanium blends, the root canals, remove wisdom teeth. And then we plan this complete process. But in order to make this possible in one week to restore this safely, we have to prepare our patients in advance to make them come in on a highly boosted level. Let's say the nutrition will be taken care of for at least four to six weeks prior, depending on your resilience. We start you on the food design concept, which is specific nutritional design I've created. You also start the bone healing protocol, which is specific micronutrients that are designed to upregulate liver phase one, two, and systemic bone healing and tissue healing. And then once you come in, of course, we do the highest dental accidents possible. Of course, remove the metal safely. So usually you come in on day one. First of all, of course, after greeting you, we will scan your whole body on an in-body scan to see how your complete body composition looks like, because we want to optimize everything. We look for a lot of data. We will do a three-dimensional x-ray to confirm all diagnosis. This is gold standard in surgery, even though I realize only 15% of all dentists even use one. So literally, we're seeing three-dimensionally inside your jaw bone and can really diagnose. Then on day two, you're going to use the health lounge. You will have a lot of time with IVs and specific treatment protocols, hyperbaric, and you will most likely have your phase of metal removal. We do this in one day. Why? Because we can't, because with all the safety measurements in place and your body is in a healing state, non-stress, you're there for the whole week. We do this safely. We give you temporaries and then usually on day three, we continue the health optimization, red light, hyperbaric IVs, blood draw, PRF, ozone, and then there's surgery where we take out as minimal invasive as humanly possible. We're taking out all these infected teeth. We're taking out, oh, we're dealing with, oh, clean indigo carotidations. We're using piezo. We're using you know what PRF is? It's kind of like PRP. So we're drawing blood. Yes, PRP. Yes. Yeah. Let's say it's the dental equivalent to PRP. It's a little bit different, but it's essentially membranes that we can make out of your own blood. We use ozone a lot and we're working as minimal invasive as humanly possible. So it is possible to take out a tooth without hurting your anatomy at all, because the tooth is just hanging in there. You have to be experienced to do this, but it's pain free. Taking out a root canal, treat the tooth, including the cyst and disinfecting everything. Health comes first and then placing a ceramic immediate same day implant. It is a pain free treatment. If I would just do this for you, if you had one tooth here that you need to take care of, we will take it out, clean everything, place the ceramic implant, put a temporary on top and no one sees it and you have zero pain, zero swelling. It's a painless treatment. It's the opposite of what you think yanking. Yeah. And then the same for the cavitations we use. Piazza surgery is all minimal invasive designed to help your body heal. So it's as non traumatic as humanly possible. And at the same time, you will experience everything needed to make it seamless from health optimization on the base of you being on a strong nutritional diet and having all the leverage. So if that is not the safety net you're having right now, then obviously the dentist shouldn't approach this approach because you need this experience. I've personally placed over 5000 ceramic implants and 90% of them were immediate. So I just have the skill level on all my dentists do and all the ones I'm training too. So this is just experience, stubbornness, systemization of everything and standardization. It's literally a new profession. And also if I tell you see a biological dentist, that means nothing. It's like seeing a longevity doctor. Biological dentists could be an amazing experience, could be very bad and someone marketing it themselves as a biological dentist. And what they do is a biological root canal treatment and play a singing bowl at the same time. That's possible. Yeah, this is why biological dentistry is nothing else as a buzzword, a loose marketing term. And this is why I literally have to create a global standardization, BGS, biotentistry, global standard, training real biotentists, because I feel the responsibility because it kind of like trailblazed this movement for the last decade. But then if we really work hand in hand, then we become stronger in numbers. And I think this is the way how we change dentistry as a professional also in university. We'll take another 10 years, at least, maybe it's that fast now because everything is so fast right now. Maybe the x20, doesn't matter. My goal was always to change dentistry. And I think it's possible now if we all work together. And it's actually not against any dentist ideas. Dentists are just sometimes too stubborn and it's like, Oh, what is this guy talking about? Guys, wake up. It is the future of your profession. And if you miss this now, there's no more repair in the future. Ideally, we don't need even need a dentist in the future to repair. Right now, unfortunately, we have to repair, especially everyone above 40 at least had previous dental repair. And my so for us in the clinic, I don't know if it's because of me or whatever. Like, I think it's because women are just more health conscious. 75 plus percent of all my patients are gass are women same on Instagram following. I think you're just more proactive. And usually, you bring your men. You know, it's fine, right? I'm fine. I don't have anything. And then we look into their mouths and we're like, Oh, God. Well, I mean, that's the only reason why my husband had his mercury and all guns removed. I was like, you need to have them removed. If he was like, I'm not having any problems. I don't need to do that. Let's briefly touch on fluoride, which is still pushed, you know, fluoride treatments, fluoride in the toothpaste. I know that you are a bigger fan for hydroxyapatite, but talk to us about your concerns around fluoride. Because I think this is worth addressing so that people hear it more than once. I had another biological dentist on and I had her touch on fluoride as well. But I think it's important. And I'm going to actually share this with my husband who still uses a fluoride based toothpaste. Sorry. Yeah. Fluoride is again, fluoride is what we learn in university. It is standard medical care. It is, I would say it's just a bandaid that was designed for poor lifestyle. Because we know that fluoride is an active ingredient and fluoride will go into your tooth enamel, which is the hard part and makes it hard dish. I would actually say it makes it more brittle, harder, but more brittle. And we know if you have too much fluoride in your diet or in your water, fluoridation or whatever, you get dental fluorosis because you see it first in your teeth. And then you have these yellow spots that never go away because they're just in there. So fluoride has is a protection, but a bandaid. It comes with some sort of tradeoffs. There is no solution. There's always tradeoffs, right? So the tradeoff health wise is that is no neurotoxin, that it's so fluoride. So it produces fluorapatite, but your tooth enamel is hydroxyapatite. So I would just think, okay, if we have hydroxyapatite available, why not just swap fluoride that comes with side effects and use hydroxyapatite, which is the normal material. That would be just my logic thinking. However, it's actually quite hard to find a hydroxyapatite toothpaste. I tried. It's a sport that I'm doing in every country I'm visiting. I look into the oral health care section and it's copy paste. Every single supermarket is the same, the same brands, the same fluoride. Buy it online. That's actually where I get mine or I have like a, where do you get it? I have to buy it online. Exactly. Yeah, you can find it online. The problem is most people that listen to social media, they think fluoride is now pretty bad and they miss the nuance. Fluoride is a bandaid and if you diet in lifestyle is not in check and you're eating a standard American diet and you just go fluoride free, that is not a good strategy. That's actually would be terrible advice because you will then have no more protection and you didn't change your nutrition the way it should be first so that you don't have any deficiencies. So then you have also no more protection from fluoride. So the safety net is gone. Most likely your kids and yourself will have toothpaste. Okay, then that is not good advice. And I never say this. I'm team no fluoride, but I'm also team hydroxyapatite. You can go without any active ingredient. However, most people do this and I checked it in normal stores. You just find only non fluoride toothpaste, but they never have an active ingredient. You literally have to go online to find a hydroxyapatite containing toothpaste, which you could do. So fluoride is the standard of care. However, the best solution is hydroxyapatite. Don't just go non fluoride. If you want to go no fluoride or don't even want to brush your teeth, you have to have your diet in check 100%. You eat only real whole foods. You check your vitamin D three level, you go outside in sun, you ground yourself, you do all the things. And then maybe your teeth are hard as stone, which they are actually in nature. And then maybe you can get away with not brushing, which I wouldn't recommend to anyone. I can do it because my life's I is in check. And my teeth had never seen any drill and there's no toothpaste decay and they're hard as granite. I still brush with the hydroxyapatite. And this is what I want to bring across. Don't just go fluoride for you. However, fluoride is again a toxin, depending on obviously dosage. Every, every toxicity is those dependent. So let's see this. Why do we need a warning sign on every single toothpaste on the backside? That is crazy. So it says if you accidentally swallow too much, call poison control. And the most time in America when they call poison control is actually from ingesting too much fluid toothpaste. And me and my brother, we were guilty of this because when we were kids, there was a toothpaste in Germany called blendi, which tasted like tooth, like chewing gum. And we would 100% eat one package a week. It was so good. So we most I get way too much fluoride because it also says when you read literally read the backside of a toothpaste, no one ever did use a pea size. Yes. Then in marketing, they used a full swoop on a complete bristle, which is already four times the amount. And then kids will eat it. I designed my own toothpaste because of all these issues. And because that was the most asked question in the last five years. What toothpaste do you recommend, Dr. Dome? Essentially a toothpaste that you can eat. You and your kids should eat your toothpaste. It should be food because whatever you put into your mouth will be absorbed by your mucosa and was like you got to swallow a little bit. Why would you put something in your mouth that is full of toxins? It's not the fluoride. It's SLS, sodium laurel sulfate, a detergent, carrageenan, trichloxan, saccharine, a titanium dioxide, which is actually banned in Europe, but the white coloring is titanium dioxide and nonium, you're a disruptor. Even I think it's called xenogenic class one in the toothpaste because it's white. So you're expecting a fresh, minty mouth that is foaming and white. That's what most people expect from the normal toothpaste brainwashing. However, it should be edible. So let's find something that has an active ingredient, hydroxyapatite number one, toxin free, ideally maybe coconut oil base and all ingredients safe to eat. And then you're good because your kids will eat it, trust me. And why would you need a kid's toothpaste in the first place anyways? So I've designed one that is edible for me and my kids and it actually should stay in your teeth. You can spit it out, but you shouldn't rinse. It should literally stay there because then the hydroxyapatite will be absorbed by your enamel, which is great. And also we put lactiferin in it and lactiferin is known to help with the mucosa, not just of your mouth, but also of your gut later. Fascinating. I have a question for you. I mean, this is more of a cosmetic dentistry concern, but I think as I'm like on TikTok or social media, the amount of people with veneers and a lot of this cosmetic turkey teeth, and the people that go to Turkey and get their teeth all redone, what are the concerns you have? I mean, I would imagine if it's not done properly, it's a portal of infection. Not to mention, I would imagine a lot of the composites that are utilized to reconstruct the way these teeth look are also toxic. Yeah. So I have nothing against vanity. I have nothing against cosmetic dentistry. I'm actually a cosmetic dentist at the beginning. The problem I'm seeing is if we do aesthetics first and we don't care about health. So real aesthetics, this is the first principle thinking. It's form follows function. This is something you learn in arts. There's something that already Da Vinci knew. So if you have amazing function, you can then build the most aesthetic teeth. And in nature, actually teeth are quite aesthetic and healthy and white. I get why they want to have this back if you had like bad teeth. So if you get an amazing skilled cosmetic dentist, they will backward plan the whole case and make sure that they actually don't even drill your teeth or maybe even a slight tiny bit because they plan this digitally backward digital smile design is different specific things you can do mocking these up like you can actually pre-plan this. If you go to Turkey and you Turkey teeth, what will happen is you get nice white teeth, but they shave it all down. It's not veneers. It's crown veneers, thin ceramic layers that are kind of like your fingernail. Maximum is 0.3 millimeters. You have to have the extremely skilled lab technician. We do. We work with an oral design that's specific that's a accreditation that only very few in the world have that can do this. But trust me, most people that get veneers don't have veneers. They just have crown work and underneath maybe get out with like 10 root canals because they prepped a little bit too much of the truth away, then they get sensitive and then add a root canal or even get a root canal for prevention. This is the main issue with root canals that I'm having. If they're not an acute treatment, you don't need a root canal. If you're not in pain, the root canal for prevention is a huge problem. I've seen this. I've seen a lot of patients having a perfect healthy teeth, go to cosmetic dentists, come back with 12 root canals and nice veneers. No one sees that they're rotten underneath, but this is the opposite of what we do. But biologic dentistry 3.0, biodental medicine 3.0, doesn't exclude cosmetics. They are part of it because it's called health and aesthetics. Health first, aesthetics follow. The same for the body. If you're healthy, you usually quite lean and you have a six-pack. There is no issue. You don't need fat suction to get a six-pack. You have to work a little bit harder and then watch your calories and eat real food and then you have a six-pack, right? Same for that. So there's no quick fix. But if you do quick fixes in your mouth, it can be with terrible horrendous health issues that no one even will connect later. Yeah, I don't know why, but there's a cosmetic dentist that I follow on Instagram. And people come in, God bless them. They have significant dental decay. Sometimes they are missing teeth. And in one day, they come back and you can see their confidence. They feel so much better about themselves. They're smiling. They're clearly so happy. So important. But I sometimes wonder, and I'm not suggesting this individual is not competent, but I'm just saying, I think there are very good people out there, but I think many people that are doing cosmetic work, it's quick fix as opposed to thinking thoughtfully long-term. Exactly. You have to think thoughtfully long-term. You have to see a health architect that does it all. For us, for me, the goal was always in phase two, when patients come back with all the implants healed and then we do the function and aesthetics. We do the highest level of aesthetic that is humanly possible. My goal was that they tell me my chronic migraine is gone. My joint pain is gone. My depression is gone. 80% of all my health issues are gone. And by the way, they also gave me beautiful, amazing teeth. That was my goal. Instead of someone saying, oh yeah, I have amazing teeth and here's a little tiny edge that I don't like. So that is two different worlds. But essentially the high tech craftsman skills need to be there. And this is the critique that I understand that most of the dental colleagues have with holistic and biological because it's true. Many use this marketing term and they're not good with their hands and with their skills. So this is why this all differs and why we work on the standardization. It's dental excellence melted with functional medicine, health optimization, just the next level of future of our profession. And yes, you should have nice healthy and white teeth. I have nothing against teeth whitening in anything. Just have have it in healthy, not in fake and quick fix like the quick fix is most likely a problem. Yeah, absolutely. I have a couple rapid fire questions for you. Yes, please. True or false, bleeding gums in midlife is just hormonal. That's wrong. Yeah. One dental material you would never put in your own mouth or your mother's amalgam fillings. Biggest oral health mistake women make in perimenopause and menopause. Biggest mistake, not seeing a real bio dentist for cause for the root cause of it. Yeah. Most underrated nutrient for strong teeth and jaw bones. Vitamin E3K2 magnesium. Awesome. This has been such a pleasure. Please let listeners know how to connect with you outside of the podcast, how to learn more about your work or become one of your patients. Thank you. So the easiest is actually social media. My Instagram handle is at Dr. Dome one. So this is D R D O M E and the number one. Or you can also go to the website, DrDomeOfficial.com. And then you will see my clinic in Tubingen and hopefully soon globally the BGS. You will also find if your dentist listening in, you will find the certification process, how to become a real bio dentist, how to also on the clinic, how to become a patient, the guest of us. This is a very streamlined onboarding because it's over a decade that people flying from all over the world to our little tiny town in Tubingen, Germany, which is actually not too easy to reach, but seems to be an amazing place to travel to. So yeah, we're prepared for this. So we see no one, we every single patient we see remotely first. So that is this way it's designed as a destination place. So everything is there. And I think you most likely have it in the show notes too, right? Absolutely. Thanks again for your time. It's been a pleasure. Thank you for having me.