The Biofilm Factor

Summary

This week the questions turn to our very own host Dr. Ryan Nolan as we reflect on the guests and themes of season one. Find the links to each episode and its guest in the show notes below!

Bio for Dr. Ryan Nolan

Dr. Ryan Nolan is a dental materials scientist who is among the nation's leading experts on the Oral Biofilm aka Dental Plaque. He attended the University of Illinois in Chicago where he majored in Chemistry before attending dental school at Midwestern University. Today Dr. Nolan is a full time researcher who studies key risk factors associated with dental decay and disease as well as hosts the Biofilm Factor Podcast. Dr. Nolan approaches dental health from a comprehensive standpoint advocating for early intervention, proper diet, custom hygiene regimens and risk factors testing to address problems before they arise. He continues to innovate dental materials and hygiene regimens and discovers new ways to improve oral health.

Season One Episodes

Exploring the Dental Diet ____________________________________________________________ Dr. Steven Lin

Epigenetics _____________________________________________________________________ Dr. Mark Cannon

The Oral Microbiome ______________________________________________________________ Dr. Emily Stein

Making Customized Dentistry Great Again _____________________________________________ Dr. Naif Sinada

Money Matters _________________________________________________________________ Dr. Caroline Zeller

Listen to Your Teeth ______________________________________________________________Dr. Naveen Karim

Good Germ, Bad Germ _____________________________________________________________ Dr. Kim Kutsch

Make a Move _______________________________________________________________________ Mark Rogers

Spirochetes, the OG of Bacteria _________________________________________________ Dr. William Nordquist

To Implant or Not To Implant _______________________________________________________ Dr. Donald Ross

Germs are Friends...and Food ____________________________________________________ Dr. Jenna Macciochi

We're All in This Together __________________________________________________________ Dr. Lewis Chen

It All Begins in the Gut _________________________________________________________ Dr. Alvin Danenberg

It's a Gut Feeling __________________________________________________________________ Adrian Corbett

Basic Solutions are Better _______________________________________________________ Dr. Jason Luchtefeld

Show Notes:

• Why did you decide to do the Biofilm Factor Podcast? [1:15]
• Of all the things you've learned interviewing for the Biofilm Factor, what three things have had the biggest impact on your view of dentistry? [2:08]
• • Dr. Steven Lin
  • Dr. Kim Kutsch
  • Dr. Caroline Zeller
• Dr. Naif Sinada shared that we should foster a culture of wanting to make eachother better. How would you recommend that we do that? [4:55]
• • "We only make each other better when we ask the hard questions." -Dr. Ryan Nolan
• You talked with Dr. Lewis Chen about common misconceptions taught in dental school. What was the biggest misconception you were taught? [6:04]
• If you could change one thing about dental practice, what would it be? [7:43]
• • Dr. Naif Sinada
• You and Dr. Lin talked about the influence that food has on overall health. How can dietary choices impact the development of your overall health? [8:56]
• What was the most interesting thing you learned from reading Dr. Lin's book, The Dental Diet? [10:35]
• Dr. Danenberg talked about how food can influence the gut. What is the overlap between the oral biofilm and the gut biofilm? [11:39]
• Does the gut biome dictate the oral biome or does the oral biome dictate the gut biome? [13:33]
• After chatting with Dr. Danenberg and Adrian Corbett, what advice have you taken to heart in your life about healing the gut? [14:37]
• Why or why not is chlorhexidine still the gold standard? [16:05]
• Dr. Jason Luchtefeld talked about today's dental products. What did you learn from that discussion? [17:43]
• In the episodes with Dr. Karim, Mark Rogers and Dr. Macciochi, you talked about the importance of listening to your body and responding correctly. What lifestyle choices should we implement in our lives? [19:25]
• What ideas would you give a practicing dentist to help improve his or her lifestyle and level of happiness? [21:00]
• Dr. Stein and Dr. Zeller talked about how difficult it can be to get access to dental care and get proper prevention. What advice would you give us to help those in need? [22:33]
• What populations and age groups go the most unrecognized and what is the role of socioeconomics in dental health and treatment? [23:50]
• Dr. Ross discussed his experience with dental surgery and the all-on-4. When dental disease is present and threatening the health of the patient, which factors should we take into account before jumping into a corrective procedure? [25:16]
• Why is it important to do a bacteria profile on your patient? [27:27]
• With Dr. Cannon, you talked about how society villanizes bacteria. How is this paradigm going to change and why should it? [29:28]
• You talked about bacteria and spirochetes with Dr. Cannon, Dr. Stein and Dr. Nordquist. What pathogens did you learn about that you weren't aware of before? [31:20]
• What majors themes have stuck out to you the most during season one of the Biofilm Factor? [32:46]
• How has being the host of this podcast impacted your life?  [33:35]
• What can we look forward to in season two? [34:16]

Summary

Strong acids can harm your teeth, and soda is not the only acidic thing you put in your mouth. In this episode of the Biofilm Factor, Dr. Ryan Nolan talks with Dr. Jason Luchtefeld, practicing dentist and oral health advocate. They discuss the pH levels of current dentifrice products on the market and break down why acidic solutions may be harming your enamel. In fact, both doctors agree that basic products perform better by promoting healthy mineralization and obstructing the growth of pathogenic bacteria. In addition, they stress the importance of speaking to patients about dealing with dry mouth, using good dentifrice products and making healthy dietary changes. Because, ultimately, everything you put into your mouth will have an impact on your oral health. For more on The Biofilm Factor, follow on Instagram @biofilmfactor and @ryannolandmd or find us on Facebook at The Biofilm Factor Podcast.

Bio for Jason Luchtefeld

Jason Luchtefeld is a practicing dentist and was the previous host of the Prism podcast. He focuses on understanding and educating others about oral health and overall health through managing diet and choosing the correct dentifrice products. He can be found on his instagram @jasonluchtefeld.

Show Notes:

• How did the Prism Podcast get started? [1:25]
• Dr. Luchtefeld tells us about his background. [3:57]
• Discussing occlusal problems. [11:18]
• What is a homunculus? [17:08]
• How are dentistry and nutrition related? [19:55]
• How does Dr. Luchtefeld talk to a patient about making dietary changes in order to improve his or her oral health? [25:25]
• Discussing carifree rinse and the importance of a balanced pH. [31:38]
• What does Dr. Luchtefeld think about chlorhexidine? [33:20]
• Discussing the use of acid in mouthwashes. [37:00]
• Understanding dry mouth, why it is a common problem and how we can deal with it. [40:54]
• What does remineralization balance mean? [44:06]
• Dr. Luchtefeld and Dr. Nolan share their thoughts on biotene? [46:00]
• How many dentifrice products use flavoring to mask the fact that they are not effective? [50:22]
• Discussing the possible benefits of rinsing with coconut oil. [55:10]
• What concentration is needed in order to make essential oils effective? [1:01:20]
• Talking about charcoal toothpaste and mouthwashes. [1:05:25]
• What brands do Dr. Luchtefeld and Dr. Nolan recommend to patients? [1:09:00]
• The demographics of the dental community and how to increase the involvement of the newest generation. [1:14:35]
• Why do you get into dentistry and how should we approach CE? [1:23:50]
• What group of people needs the most help in dentistry and what is the role of socioeconomics in access to dental care? [1:25:17]
• Closing thoughts and information about Dr. Jason Luchtefeld. [1:29:47]

Summary

Do you trust your gut? In this episode of the Biofilm Factor, Dr. Ryan Nolan talks with Adrian Corbett, founder of Gut Geek. They discuss the importance of listening to your gut and taking time to heal it. They encourage we make healthy choices by eliminating soda, eating meat from grass fed animals and being familiar with the personal needs of your own gut. Doing this will cultivate good bacteria that can improve your weight, clear up your skin and even help fight depression. There is so much that your gut can do for you – or will you ignore your gut feeling? For more on The Biofilm Factor, follow on Instagram @biofilmfactor and @ryannolandmd or find us on Facebook at The Biofilm Factor Podcast.

Bio for Adrian Corbett

Adrian Corbett is a lawyer and founder of Gut Geek. Gut Geek is a nutritional program that is designed to help people improve their overall health, heal their gut and better understand nutrition. His work focuses on the connection between an individual's diet and quality of life. He can be reached on his website www.gutgeek.com or on Instagram and Twitter @gutgeek.

Show Notes:

• What is Gut Geek and what is the story behind it? [1:05]
• Food needs to be a part of your lifestyle instead of an afterthought. [6:36]
• You are getting a probiotic every time you eat a piece of organic fruit or vegetable. [11:12]
• Why is the gut such an important part of your body and how does it affect the rest of your body? [12:30]
• The immune system works together with the bacteria in our gut. [17:40]
• Discussing gluten and the gut lining. [19:28]
• Seeing the positives of juicing. [22:15]
• What are the problems with high fructose corn syrup and why is it a part of our food? [27:04]
• What you eat influences the bacteria that is living in your body. [29:44]
• Problems with tooth decay are modern; this is not a problem that cavemen had. [32:58]
• Ultimately, diet soda isn't any healthier than normal soda. [35:50]
• Animals are being fed wheat products when they are designed to eat grass. [38:30]
• Discussing the use of antibiotics in our lives and in animal feed. [42:25]
• The connection between the food you crave, the oral biome and the gut biome. [49:05]
• The difference between probiotics in spore form and regular bacteria. [53:11]
• Suggestions from Adrian about supplements, vitamins or foods that should be incorporated into your diet. [54:50]
• We need dirt in our diet. [1:00:00]
• What tests are offered through Adrian's program and what do they do? [1:01:20]
• Adrian's opinion on post-biotics and how it can keep the gut healthy. [1:05:56]
• Closing thoughts and information about Adrian Corbett. [1:10:06]

Summary

Healthy eating might be different than you think. In this episode of the Biofilm Factor, Dr. Ryan Nolan talks with Dr. Alvin Danenberg. They discuss how supplements, diet and vitamins influence our oral and gut health. Their simple yet paramount recommendations can decrease your chances of future diseases and can ultimately lead to an overall healthier life. In addition, while discussing the oral systemic link, Dr. Danenberg concludes that the true center of the human biofilm is actually the gut. When are we going to realize that if we continue to eat processed food and don't take care of our bodies, our bodies won't be able to take care of us? For more on The Biofilm Factor, follow on Instagram @biofilmfactor and @ryannolandmd or find us on Facebook at The Biofilm Factor Podcast.

Bio for Dr. Alvin Danenberg

Dr. Alvin Danenberg is a periodontist, nutritional expert and author of the book Crazy-Good Living. His work focuses on the connection between diet and the health of the oral microbiome. He graduated from the Baltimore College of Dental Surgery and got his Specialty Certificate in Periodontics from the University of Maryland. He is also a Certified Functional Medicine Practitioner and served on the faculty of the College of Integrative Medicine. He can be reached on his website www.drdanenberg.com.

Show Notes:

• What made Dr. Danenberg want to be a periodontist? [1:21]
• The connection that Dr. Danenberg made between periodontics and nutrition. [4:21]
• Discussing a double blind study conducted by Johan Wolberg in Germany.  [9:05]
• The key element of nutrition is constantly overlooked. [12:40]
• Chronic disease is not normal; it is unique to the modern man. [14:20]
• Why is contaminated and over processed food continuing to increase in the United States? [18:18]
• Even if you have a healthy diet, your levels of stress can negatively influence your gut and mouth biome. [20:30]
• Discussing the effect of Glyphosate in the body. [23:35]
• The microbiome and the influence of bacteria and plaque. [27:00]
• The gut and oral microbiome connection starts in the gut. [33:40]
• Are there specific things we can do such as taking prebiotics or probiotics, targeting specific bacteria or focusing on the food we eat to improve our oral biome? [36:27]
• Dr. Danenberg talks about his study called The Periodontal Disease Control Study. [41:45]
• "If you can make mitochondria healthy in the mouth, you are making mitochondria healthier everywhere." -Dr. Danenberg [45:13]
• Is it possible to get bacteria to integrate into an already existing biofilm? [45:43]
• Our genome mutates slowly compared to the rate that bacteria can mutate. [52:00]
• There are some things in grains and processed sugars that your body never developed the enzymes to process. [57:30]
• Grains are a problem and should be eliminated from diets. [1:02:50]
• Why is K2 so important for the mitochondria? [1:06:20]
• Although free radicals can have a negative effect, they can also kill bad bacteria. [1:16:00]
• Do not take vitamin C capsules everyday. [1:20:40]
• Find your Vitamin D in natural resources such as foods or fish oil. [1:26:00]
• Juicing or fruit juices eliminate the benefits from fiber and other key elements. [1:29:40]
• What are things that Dr. Danenberg use to eat that he thought were healthy? [1:31:55]
• We were made to be hungry; starving actually improves the mitochondria. [1:35:00]
• Has there been consequences because of the long-term use of chlorhexidine? [1:40:15]
• There is a connection between your blood pressure and killing the bacteria on your tongue. [1:43:44]
• You need to be careful with the supplements you are taking and the length of time you are taking them. [1:45:20]
• Is there a standard way that a biofilm is made or can it be assembled in different ways? [1:50:13]
• What bacterias are spore-like? [1:53:48]
• Dr. Danenberg's opinion on using lasers in dental work. [2:01:35]
• Dr. Nolan shares his experience with laser treatment. [2:04:50]
• Ultimately, fuel your body correctly and pay attention to your gut. [2:10:27]
• Dr. Danenberg shares his opinion on who is the most underserved population and the role of socioeconomics in access to dental care. [2:11:54]
• Closing thoughts and information on Dr. Danenberg. [2:14:21]

Summary

Ultimately, dentists and doctors are on the same team. In this episode of the Biofilm Factor, Dr. Ryan Nolan talks with Dr. Lewis Chen. They discuss the rise of diabetes, and the influence it can have on an individual's length and quality of life. In addition, they promote prevention through investing in one's health early on through proper nutrition. Dr. Chen talks about the current workings of dentistry and the needed shift for dentists to become more involved in the patient's overall health instead of limiting their work to simply endpoint treatment. What dentists are taught in dental school is insufficient. Everything in our bodies is linked; isn't it time for healthcare to do the same? For more on The Biofilm Factor, follow on Instagram @biofilmfactor and @ryannolandmd or find us on Facebook at The Biofilm Factor Podcast.

Bio for Dr. Lewis Chen

Dr. Lewis Chen graduated from Columbia University with his Doctorate of Dental Surgery. He is currently a clinician who takes a modern approach to patient management and emphasizes the influence of nutrition on a patient's oral and overall health. He can be reached on Instagram @dr.lewischen or on his website www.lewischendds.com.

Show Notes:

• What got Dr. Chen interested in dentistry and what is his vision moving forward? [1:05]
• Is dentistry going to change in the next 10 or 20 years through research and product development? [3:10]
• Discussing the possibility of nutritional counseling in dentistry. [5:30]
• Invest in your health by avoiding poor food choices. [10:00]
• Understanding the oral systemic link and why it is so important. [14:40]
• The oral systemic link is beyond just your personal oral and overall health. [16:40]
• Dr. Nolan discusses the case study of one of his patients. [19:00]
• Always read the labels because you don't know the amount of sugar that is being added to your food. [23:20]
• Recent research shows the slim connection between diet and your cholesterol levels. [26:33]
• Type 2 diabetes and elevated insulin influencing your immune system. [29:00]
• 9.4% of Americans are diabetic and 26% are prediabetic. [31:00]
• Why diabetes is bad in terms of bone loss and how the immune system handles it. [34:00]
• Dr. Nolan shares his experience with a patient who suffered from lesions. [38:15]
• Checking people's blood pressure when they come to the dentist because they might not be seeing a doctor. [41:11]
• On average, dentists are seen more often than doctors, should dentists give nutritional counseling for the overall health of their patients? [43:50]
• What is the importance of antioxidants for your oral and overall health? [48:20]
• The food you eat influences your gut biome and your microbiome. [52:00]
• Discussing the differences in disease states between the United States and Asia. [54:37]
• What diet are we enforcing? Processed or fresh? [59:00]
• Dr. Chen's thoughts on chlorhexidine use. Is it still the gold standard or is there room for improvement? [1:00:40]
• Dr. Chen's thoughts on xylitol. [1:03:38]
• Discussing the use of antibiotics and the future of antibiotic use. [1:06:17]
• Dr. Chen gives advice to dentists in the United States. [1:09:45]
• What population and age group goes the most unrecognized and what is the role of socioeconomics in dental health and treatment? [1:14:10]
• What was the biggest misconception that Dr. Chen was taught in dental school? [1:15:58]
• Dr. Chen talks about a case that changed his life and made him think about dentistry differently. [1:18:33]
• Closing thoughts and information about Dr. Lewis Chen. [1:21:30]

Summary

You're not immune to a bad diet. In this episode of the Biofilm Factor, Dr. Ryan Nolan talks with Dr. Jenna Macciochi, an immunologist. They discuss the connection between a balanced diet and our immune system, further proving that everything, from the bacteria in your mouth to the bacteria in your gut, is connected. In addition, they talk about the importance of exposing ourselves to new environments in order to create a healthier future generation. The things we experience and eat now can prevent allergies and intolerances in the future. We've pushed away germs for so long, but it turns out they are actually keeping us alive. For more on The Biofilm Factor, follow on Instagram @biofilmfactor and @ryannolandmd or find us on Facebook at The Biofilm Factor Podcast.

Bio for Dr. Jenna Macciochi

Dr. Jenna Macciochi is an immunologist and lectures on her research about the impact of fiber, immune factors and postbiotics on our overall health. Dr. Macciochi focuses on the need to better understand the microbiome and how it is increasingly relevant to the function of  our overall immune system. She is currently working at The University of Sussex and can be reached on Instagram @drjennamacciochi.

Show Notes:

• Why did Dr. Macciochi decide to study immunology? [1:00]
• What does Dr. Macciochi currently study and why is it important? [4:30]
• When we are not exposed to germs we are more likely to get allergies. [8:30]
• We need those bugs; they're all over us and in us. [10:30]
• Discussing the health concerns of the modern diet. [11:40]
• Certain foods are more dangerous for your gut barrier than others. [14:20]
• What key factors are missing from our diets because of the modern diet? [16:05]
• Understanding the opening and closing of the gut barrier. [17:30]
• Being cautious about the use of antibiotics. [20:30]
• Discussing diets without gluten and how to eat properly. [25:00]
• Breaking down the modern diet. [33:18]
• We are not meant to have sugar in our blood for too long. [34:50]
• How the disease process influences our immune system and how that helps us understand why chronic inflammation is a problem. [37:40]
• There is something missing ‒ it isn't just about focusing on diet. [39:30]
• How does having a balanced diet influence our bone size and strength and immune system development? Is there a connection between past generations and generations today? [41:55]
• What mothers do and eat can affect how sensitive or allergic their child is to certain foods. [42:45]
• Discussing the role of breastfeeding in the health of a child. [46:50]
• Fiber is becoming increasingly important to consume in the ideal diet. [51:50]
• Your diet is only as good as your microbiome. [54:30]
• How does diet affect our microbiome, gut and immune system. [58:30]
• How does butyrate act as an anti-inflammatory, and what does it act on? [1:01:25]
• Discussing plaque fluid in the oral microbiome. [1:03:36]
• Finding the unique balance for an individual's oral tolerance. [1:09:55]
• What are some vitamins, minerals and specific foods that you should eat to avoid certain health problems? [1:12:33]
• Dr. Nolan shares a recent case of a patient with extreme and sudden root decay. [1:17:05]
• The benefits of turmeric and how it can contribute to the immune system. [1:19:10]
• How do polyphenols influence our immune system positively? [1:21:03]
• The difference between the innate immune system and the adaptive immune system and why both are important. [1:23:33]
• Our immune system is what makes us unique. [1:28:00]
• What are cytokines and what is their role in our immune system? [1:32:00]
• Dr. Nolan talks about the modern diet and his grandfather's experience with cancer. [1:36:40]
• Don't destroy what is keeping you healthy. [1:42:30]
• Are there any upcoming advances, innovations or paradigm shifts that the dental community needs to prepare for? [1:45:00]
• Dr. Macciochi's opinion on the role of socioeconomics and the unrecognized populations. [1:46:40]
• Discussing the negative influence of soda and other processed foods. [1:50:50]
• The #1 cause of bankruptcy in the United States is medical bills. [1:57:50]
• Closing thoughts and information about Dr. Jenna Macciochi. [1:58:30]

Summary

Your teeth are one of your greatest assets. Don't lose them or Dr. Donald Ross will be on your case. In this episode of the Biofilm Factor, Dr. Ryan Nolan talks with Dr. Donald Ross, prosthodontist and founder of Digital Ape Dental Labs. They discuss the All-on-4 procedure and the currently flawed attempt by the dental community to provide a successful "Teeth in a Day" experience for patients. Our current lack of dental research on the All-on-4 and poor communication with patients who need this procedure is the "Wild West" approach described by Dr. Ross. Instead, there needs to be a shift towards a cohesive method that ensures success, one supervised by a specialized restorative doctor. When teeth are on the line, we're not keeping our mouths shut. For more on The Biofilm Factor, follow on Instagram @biofilmfactor and @ryannolandmd or find us on Facebook at The Biofilm Factor Podcast.

Bio for Dr. Don Ross

Dr. Donald Ross is a prosthodontist and the founder of Digital Ape Dental Labs. He is a graduate of the University of Iowa College of Dentistry where he also completed his residency program in Prosthodontics. This dental lab focuses on providing the optimal team for the All-on-4 procedure to assist dentists and surgeons in a smooth transition through the All-on-4 process. In addition, their vision is to improve the outcomes for patients in a standardized and successful way. Dr. Ross can be reached at the Digital Ape website www.digitalapedentallabs.com or on instagram @digitalapelabs.

Show Notes:

• What started Digital Ape Dental Labs and what is the vision behind it? [1:00]
• What is an All-on-4 procedure? [4:05]
• Dr. Nolan's experience with an All-on-4 case. [5:18]
• Dr. Ross shares his experience with a specific All-on-4 case. [6:35]
• The difference between having everything under one roof and the "Wild West." [8:40]
• Digital Ape focuses on the restorative side of the All-on-4. [11:48]
• An emphasis is not placed on the end goal of restoration. [13:55]
• Explaining the idea behind the name "Teeth in a Day."  [15:35]
• Understanding the procedure behind an All-on-4 case. [17:00]
• Discussing the need for education on the dental side and the possible consequences. [20:21]
• Is it best to wait in certain cases because of immunocompromised situations? What aspects are considered for long term success in All-on-4 cases? [21:12]
• Dr. Nolan shares his findings about pre ISQ values and post ISQ values in regard to loadings. [26:17]
• All-on-4s can change the quality of a patient's life. [29:40]
• Three types of patients that would benefit from having an All-on-4: patients who are unsatisfied with their dentures, patients with permanent dentitions who don't want dentures and patients who have heavily restored dentitions. [31:45]
• Having teeth to chew allows an individual to eat wholesome food and get the right nutrition. [35:35]
• The most common material used in All-on-4 is a titanium bar with an acrylic wrap-around, although acrylic is bound to break. [39:00]
• Why is it important to have the right team for a dentist and the patient? [42:46]
• Normally the team consists of a surgeon, lab and restorative doctor. [44:10]
• Which population or age group goes the most unrecognized for this treatment and would benefit the most from it? [47:37]
• The average population that needs an All-on-4 is getting younger and younger. [50:43]
• Understanding when to extract and when to restore on a patient. [53:49]
• Taking into account the biofilm and oral health of the patient when deciding a treatment plan. [57:00]
• Discussing failed implants and why they fail. [59:40]
• How do you explain to a patient that implants can fail and they need to be taken care of? [1:01:53]
• Explaining the concept of platform switching and how it influences implant bone loss. [1:06:03]
• Zirconium abutments versus titanium abutments and what factors determine success. [1:10:27]
• Dr. Ross shares his experience about a patient and implant problems. [1:14:54]
• Has Dr. Ross dealt with any high risk factors that influenced his decision to do an All-on-4? [1:19:30]
• What is a big misconception that Dr. Ross was taught in dental school that he realized years later was not relevant? [1:21:59]
• Closing thoughts and information about Dr. Donald Ross. [1:26:50]

Summary

Do you play an active role in deciding your health or will you be at the mercy of modern medication? In this episode of the Biofilm Factor, Dr. Ryan Nolan talks with Dr. William Nordquist, practicing dentist and author of The Silent Saboteurs. They discuss the importance of recognizing not only the food you eat and the places you come from but also the medication that you take in understanding the bacteria in your body. In addition, Dr. Nolan and Dr. Nordquist talk about spirochetes, and their power to manipulate the immune system and control your overall health. These resilient buggers are the OG of bacterial infection. For more on The Biofilm Factor, follow on Instagram @biofilmfactor and @ryannolandmd or find us on Facebook at The Biofilm Factor Podcast.

Bio of Dr. William Nordquist

Dr. William Nordquist is a practicing dentist with a MS in microbiology. His books, publications and research revolve around the biofilm with an emphasis on the dangerous influence of spirochetes. Dr. Nordquist works to better understand the consequences of the oral microbiome on the health of his patients. He can be reached at www.williamnordquist.com to discuss questions and concerns involving the oral biofilm.

Show Notes:

• What is Dr. Nordquist's background and what got him interested in oral health and pathogens? [0:58]
• What is the oral systemic link and why is it important? [5:45]
• Explaining chronic inflammation and how it connects to disease. [7:12]
• Is there a higher prevalence of diseases now that use to be rare? [8:48]
• Dr. Nolan references an excerpt about trench mouth from Dr. Nordquist's book. [12:24]
• Why was trench mouth such an important finding and how does it connect to the rest of the body? [13:23]
• Spirochetes should be a very small percentage of the oral microbiome. [17:00]
• How do spirochetes keep coming back and living? [24:59]
• Anything that goes in your body should be easily recognized by your body. [31:00]
• Vitamin D is good but can be bad in excess. [34:30]
• Discussing osteoporosis and misinformation about methods to treat it. [37:37]
• Money can't fix your diet or your immune system. A patient needs to make life changes. [41:59]
• Incorporating the influence of the biofilm in the dental approach when implants fail. [46:00]
• Discussing what happens when a tooth dies and the pros and cons of immediate implants.[50:30]
• Does Dr. Nordquist have his patients get a blood test before testing for health issues? [55:48]
• The connection between mental problems and chronic diseases and periodontal disease. [57:09]
• It is important to keep your immune system strong. [1:03:50]
• Can spirochetes travel through your nerves and is there spirochete DNA in plaque? [1:05:59]
• Does spirochetal DNA in amyloid plaques have a connection to Alzheimer's disease? [1:07:27]
• The body doesn't know what to do with modified spirochetes. [1:10:15]
• The areas of the United States with population migration have a huge disease diversity. [1:12:30]
• What is a preon and what is its significance? [1:14:50]
• Dr. Nolan shares his experience with one of his patients who had AA, secondary candida and other oral issues. [1:17:28]
• Dr. Nordquist comments on Dr. Nolan's case and why it happened. [1:19:58]
• What is the "Black Knight of Disease"? [1:24:00]
• Dr. Nordquist talks about the study that showed that diet is able to neutralize levels of NF κβ, which makes cancer cells more docile. [1:25:46]
• Tumeric, pepper and coconut oil help your brain function properly. [1:30:00]
• Discussing an excerpt from Dr. Nordquist's book about Vitamin D. [1:33:50]
• Bridging the gap between this information and clinicians and ultimately their patients. [1:40:04]
• What does Dr. Nordquist think of the current hygiene dentifrice products on the market and how can they be improved? [1:43:28]
• Dr. Nordquist talks about a patient that had a problem with periodontal disease. [1:47:45]
• The shift away from the elimination of all bacteria in favor of cultivating the better bacteria. [1:49:05]
• Discussing Xylitol and recent studies relating to it and how it was used naturally. [1:51:28]
• Dr. Nordquist's opinion on the influence socioeconomics has on risk for oral systemic disease. [1:53:20]
• Closing thoughts and information about Dr. Nordquist. [1:56:12]

Books:

The Silent Saboteurs by William Nordquist

Protect Your Patients and Practice from Prions, Viruses, and Systemic Disease- Dentistry Today

Anticancer: A New Way of Life by David Servan-Schreiber

Missing Microbes by Martin J. Blaser

Summary

Being intentional with your health, your movement and your goal setting is key in maintaining a healthy lifestyle. In this unique episode of The Biofilm Factor, Dr. Ryan Nolan talks with Mark Rogers, founder of the Simply Human podcast. They step back from dentistry and take a holistic approach towards healthy living by understanding the connection between movement, sleep and nutrition. In addition, they discuss the growing struggle to maintain a daily range of motion and how misinformation can manipulate society's view of health. "Healthy" isn't just a number. It's not how you look. It's how you feel. For more on The Biofilm Factor, follow on Instagram @biofilmfactor and @ryannolandmd or find us on Facebook at The Biofilm Factor Podcast.

Bio of Mark Rogers

Mark Rogers is the founder of the Simply Human podcast. He is an advocate of constant movement and nutrition. The Simply Human podcast encourages people to overcome a sedentary lifestyle through simple and enjoyable ways. The Simply Human podcast can be found on itunes and Mark Rogers can be found on his website at www.simplyhumanlifestyle.com.

Show Notes

• What made Mark Rogers start the Simply Human podcast? [0:55]
• Discussing barefoot running and how it is not a new idea. [7:30]
• Finding and maintaining a balance with movement and health. [10:23]
• The body learns to reinforce the most commonly used positions. [13:12]
• Increase the movement in your everyday life by not staying in the same position for an extended period of time. [14:18]
• Mark Rogers talks about mountain biking and the importance of finding a type of movement that you enjoy doing. [15:40]
• Different ways to maintain health such as building muscle or lifting heaving items. [19:00]
• How do you define what is "healthy"? [20:00]
• The connection between a high risk of decay and marathon runners because of a lack of nutrients. [21:40]
• Don't complain about your look, instead complain about how you feel and how you perform. [23:40]
• Mark Rogers talks about using pull ups to gauge your health. [25:00]
• Discussing the increase in high cholesterol and type two diabetes within society. [27:28]
• Suggested dietary choices have changed over time as new information has been released. [29:50]
• Movement, sleep and nutrition are all connected. [33:50]
• Dr. Nolan talks about the importance of movement as a dentist who is sitting in one position and the benefit of adding rock climbing to his schedule which added a variety of movement. [36:08]
• The difference between running on a treadmill and running outside. [38:20]
• Discussing the influence of the light unit lux that we are exposed to and what we are actually designed to have. [40:20]
• Focus on mini habits and goals that you can make in your life to promote better health. [42:15]
• If a goal is too high, do the chances of achieving it decrease? [44:35]
• How do we get kids and people to go and play outside? [47:15]
• Create an environment where kids want to move. [50:48]
• Remove unhealthy things from your life such as smoking. [55:30]
• 26% of the US population is prediabetic. [57:00]
• Discussing the shift towards grains and how it has changed the way the human body grows. [59:15]
• Human wasting disease is because of a lack of movement and nutrition. [1:00:45]
• Closing thoughts and information about Mark Rogers and the Simply Human podcast. [1:02:27]

Books Mentioned:

The Calorie Myth Jonathan Bailor

Cholesterol Clarity Jimmy Moore

The Dental Diet Steven Lin

Antifragile Nassim Taleb

Let Them Eat Dirt Brett Finlay and Marie-Claire Arrieta

Summary

The bacteria in your body is more important than you might realize. In this episode of The Biofilm Factor, Dr. Ryan Nolan talks with Dr. Kim Kutsch, CEO and founder of CTX CariFree Rinse. They talk about the role of bacteria and how good and bad bacteria interact within your body; in fact, they influence the food you crave, the strength of your teeth and your chances of developing health risks. In addition, they discuss the four main risk factors of dental caries and how they manifest differently in each patient. Maybe it's your genetics or maybe it's your diet, but ignoring bacteria is not an option. For more on The Biofilm Factor, follow on Instagram @biofilmfactor and @ryannolandmd or find us on Facebook at The Biofilm Factor Podcast.

Dr. Kim Kutsch's Four Main Risk Factors:

1. Dry Mouth
2. American Diet
3. Poorly Managed Biofilm
4. Genetics

Bio of Dr. Kim Kutsch

Dr. Kim Kutsch is the CEO and founder of CTX CariFree Rinse. His company focuses on improving the oral health care of individuals as well as providing a customized approach to those that are not easily treated through the one-size-fits-all mindset in dentistry. Dr. Kutsch advocates for prevention and the promotion of laser dentistry through foundations and research. He is involved and gives lectures with the American Dental Association. He can be reached at his email [email protected].

Show Notes

• What made Dr. Kutsch start CTX and what was the vision?  [1:02]
• Mouthwashes on the market have very low pH levels. [5:19]
• We are eating food that has been acidified. [7:48]
• Dr. Nolan talks about the effect of cutting out Coca Cola from his diet. [8:56]
• What is the pH of bottled water? [11:30]
• Dr. Kutsch explains the pH scale. [14:02]
• Are we actually recognizing or understanding the real risk factors of dental caries? [16:24]
• First greatest risk factor for dental caries is not enough saliva. [18:00]
• Second greatest risk factor for dental caries is the American diet. [21:50]
• Only 3% of your daily calories should come from sugar which is approximately ⅔ of a teaspoon. [23:00]
• The third greatest risk factor for dental caries is too much biofilm or a biofilm that is not acting properly. [25:35]
• The fourth risk factor for dental caries is genetics. [27:39]
• Which teeth are the most protected in the mouth? [30:54]
• Genetics count for 30% of a patient's risk for dental caries. [32:40]
• There is no way that an individual can get all the necessary nutrition if he or she can't chew. [34:30]
• 90% of the cells in the human body are not human cells. [35:30]
• Periodontal pathogens play a role in peripheral vascular disease and the book How to Beat the Heart Attack Gene. [38:00]
• Pay attention to oral bacteria because your mouth plays a major role in your systemic health. [42:08]
• Do certain bacterial adaptations allow for overgrowth and influence other bacterias such as S. mutans? [43:30]
• It all comes down to the behavior of the biofilm factor. [47:00]
• Bacteria across various species in your mouth can share DNA. [48:50]
• The biofilm is a function of the environment whether you are moving towards good health or poor health. [50:53]
• "Your biofilm in your mouth is more unique than your fingerprint."-Dr. Kutsch [54:20]
• Recognizing the patterns of bacteria clusters and the insight into an individual's risk of dental caries. [57:02]
• Are there times where the biofilm is less diverse and more monochromatic? Does diversity play a role in disease states? [58:16]
• The body is designed to be healthy. [1:03:20]
• Dr. Nolan discusses dry mouth and different methods other than diet to eliminate it. [1:03:40]
• Xylitol benefits with women who are pregnant or breastfeeding as well as other health benefits. [1:07:30]
• The biofilm begins to develop as an infant exits the birth canal. [1:09:10]
• We need to target our research and therapy to match the specific risks of patients, not general risks. [1:13:55]
• Is chlorhexidine still the gold standard? [1:15:50]
• Dr. Nolan talks about the benefits he has seen with using CTX. [1:24:30]
• Your saliva is saturated with HA and fluorapatite.  [1:29:11]
• We can't even begin to appreciate the human body and the building blocks of our teeth. [1:31:30]
• The first report in 1942 studied the use of fluorapatite and its influence on decay reduction. [1:34:14]
• Dr. Nolan and Dr. Kutsch talk about Pompeii and the civilization's technology. [1:39:40]
• What does Dr. Kutsch think about probiotics and prebiotics? [1:41:50]
• Dr. Nolan thinks probiotics for the mouth are possible despite the difficulty of overcoming an established biofilm. [1:45:04]
• Closing thoughts and information about CTX and Dr. Kim Kutsch. [1:47:20]