Ortho Needs in Kids: Myofunctional Therapy Connection

Foreign.

Hi, everybody. I'm Dr. Sandhya Moldovan, periodontist and nutritionist. Welcome to the Holistic Dentistry Podcast, the show that gives you the tips and tools to detoxify your mouth for a healthier body. As we explore together the root cause of disease. Remember, you're not healthy until your mouth is healthy, so take care of it in the most natural way. Hi, everyone. Welcome to today's show. I'm your host, Dr. Sandha, and with me is Shirley Gutkowski to talk about myofunctional therapy. And Shirley is actually a dental hygienist and became passionate about myofunctional therapy and really helping people and children thrive since 2016. So, Shirley, welcome to the show.

Thank you so much for having me on. It was a pleasure meeting you at the conference a couple of months ago. Yeah, that's right.

We met at iomt, which is for those of you who don't know, International association of Oral Medicine and Toxicology conference in the spring and the fall. And for any dentists and hygienists listening that are interested to find out more about biological dentistry, I highly recommend that you go to this conference so you can meet exciting people.

Like, yeah, it was a great meeting. Really good topics. I was very happy to be there.

Yes, and I'm happy to talk to you about myofunctional therapy because a lot of dentists and hygienists don't even know about it, let alone the general public. So, Charlie, how did you start on this path? Like what? How did you find out about myofunctional therapy? And how did you go from being a hygienist and to being a myofunctional therapist?

It's a very complex story. So let's see if we can wiggle it down into the fewest words as possible. So I graduated from my hygiene program in 1986, and I quickly became disenchanted with clinical dental hygiene because I was very inquisitive and I was kind of an envelope pusher. And I like to try new things and I like to be on top of things. And I was looking for new ways of practicing and new ways to approach some of these, you know, age old problems. And so I somehow was attracted to dinosaur dentists, right, who were practicing still in the 60s. And so it was never very satisfying for me. And I had kind of a moment when I was seeing a new patient. The new patient had just seen the dentist for a new patient dental exam. And I took the first X rays and I was like, why were there no X rays? So I took the X rays, right? And I'm not even legally allowed to take X rays without a prescription from the dentist, right? So I'm like, already outside of my ear. And I had to call them back in because there were two teeth that were completely bombed out. And so for the dental audience, they know what that is, but for the regular people, that means there's like almost nothing left of the tooth. There's just a little shell. So I had to call him back in and say, you know, Dr. Blah, blah. I mean, what am I supposed to do? Just put them in the schedule. I need an actual diagnosis. And he begrudgingly came back in because he just did the patient examination. And I was like, well, I really need you to check out these two teeth. And he was like, well, how did you get X rays? And I was like, I took them. I don't even know. And I'm in my mind, I'm like, you are running my license. You are in charge of my license. And here I'm sitting making your job easier. And it just got. That was near the end, so maybe 1999 or 2000 or. And I was like, this is. This is nuts. How am I this and you're that and you're in charge of me? So at the same time, the Internet started to take hold, and I started to become very entranced by the activities that were going on on dental groups on the Internet. So let's pretend it's 1999 or whatever. And I started to find people who thought like me. In a dental practice, mostly you have you and the doctor and maybe you and another hygienist and the doctor. But it's a very small little group, and in order to go outside of it, you have to go really outside of it. So I found other people that were thinking like me. And then I started writing for a dental hygiene publication, and then I got a monthly column in that dental hygiene publication. And then I started to get invited to speak at local meetings. At local. Not in Wisconsin, local, outside of Wisconsin, because you're only an expert 50 miles from home. I'm finding out. And so then I started to speak internationally and you know, and in the meantime at a ready stopped clinical dental hygiene. And so I was speaking mainly on topics of prevention and what things that we could do besides just floss and fluoride, which is a complete blame the patient problem. And I hated that. I hated having to blame my patients for their disease. When I was the professional, I had professional curiosity I had other options or other solution potentials. And then the dentist would be like, yeah, no, we're not doing that. So here I am talking to all these hygiene audiences, and all of these dental audiences is across the globe, and I never, never came across airway, almost anything. There were a couple of doctors that were like, yeah, airway, Airway. But I had no idea what that meant. You know what I'm saying? What the heck's an airway? I'm not coughing, you know, I'm not, like, out of breath all the time. So what the heck is an airway? What is that of ours? So, yeah, I wasn't taught anything about.

Airway in dentistry either. Yeah, it's completely left out. And I think definitely is a mandatory thing that should be incorporated in all dental curriculums.

It should be incorporated in a specific way. This is my biggest. Aha. Was when I calculate back how many patients I've seen in my dental hygiene career, I'm thinking 10,000, right? It was a long time. You see eight to 10 patients a day, la, la, la. And I'm like, that's 10,000 throats I saw. Never saw an airway. You know what I'm saying? It's the words we'd learned about airway in our CPR class. But you just didn't. I don't know. I just never put the two things together. And I think that's probably everybody's experience, you know? So here I go. Mark Moeller, who is a force of nature, is the son and the executive director of the Academy of Orofacial Myofunctional Therapy. And he said, surely, you know, we'd met at conferences and stuff like that. We built up a little friendship and whatever. And he said, this meeting's in Chicago. You have to come. And I was like, I don't want to. And he's like, it's a drive for you, right? I still. I don't know, any minute. So he made sure that I came down there. I like to say that this earlobe is a little longer than this one from him pulling me down there. And three days of jaw dropping. Jaw dropping information.

Yeah.

So that's another really important group that I would recommend all the professionals to join that meeting. They have a conference one time a year called Collaboration Cures, and they collaborate with the American Academy of Oral Systemic Health. So they hold their meeting together once a year. So I watched all this jaw dropping content, and I was like, oh, my God, my kids were on every screen. And I was like, what am I Doing. How did I not know any of this? What is wrong? How can I go Every three months? I went to the science library at Marquette University. Never stumbled across anything about airway with respect to dental diseases like dental decay, periodontal infections. I never considered sleep apnea other than the context of high blood pressure. I never was able to put all of those little pieces together. So I found out that I could start a practice as a dental hygienist, and I could solve some of these problems with the rest of the people. So that's what I did. And so in 2016, so in 2014, I took my first myofunctional therapy course. I took a boatload of courses, and I'm very happy with primal air now. We solve patient problems, we solve dental practice problems, and we mentor other hygienists who have gone through the program.

Amazing. But what happened to your sons, to your children?

Well, they're old, so now it's a whole different ball game. Right. And I am the old lady mother. So.

Okay, so did they ever go through. Were you able to help them with airway?

No, the number. Our oldest son was newly diagnosed with type 1 diabetes. Okay. So he was 36. And I'm looking at the screen going, I know he sleeps, like, terrible. Like, super terrible. So I got him involved with an airway dentist in Milwaukee, and he had a sleep study and passed. And I was like, now what? Yeah. So that was awkward. And then it just. It was just always, like, bumpy like that, because I lost a lot of credibility points right there. And so we just did another sleep study test because a friend of mine has just died of sleep apnea. He had a heart attack in his shower, getting ready for work in the morning, and he never came out. It was horrible story. So I made everybody take another sleep study. I have one kid who's already on a cpap. This kid, the one that passed the sleep study, however long ago that was, is moderate to severe sleep apnea.

So you bring up a good point. And I think a lot of people don't know how important sleep is. You know, it's kind of like, yeah, yeah, I'm not sleeping, or whatever. But the truth is, sleep apnea kills.

Absolutely.

I think it's 47% risk of mortality if you suffer from sleep apnea. So how do you, as a myofunctional therapist, help people with sleep apnea?

Well, first of all, I tell them that every single night, they're losing a week of their life. That's how I put it. So that they can understand the importance of what exactly that you just said. And so that opens their eyes. And then I take them along a little trip. I take them on the trip that I was had, that I had to have in order to have all of this stuff make sense to me. I show them what a throat is and how we don't call it a throat anymore, how we call it an airway. And then I show them what our two airway score systems that we use here at Primal Air. Then we talk about the tonsils. Then we talk about what myofunctional therapy can do and how the muscles of the tongue are so important and how dysfunctional they can be and how they can look and what myofunctional therapy did. So myofunctional therapy is mouth exercises. We try to not call it exercises because it's really more intricate than that. The results are more intricate, but for the patient experience, it's mouth exercises. And then I show them how important the tongue is out of the airway, up and out. So nobody even knew what that meant. So we have a picture of the tongue not in the air, not in the vault of the palate. And it's slumped down like this because it's tied here near the back. And then once that's released, how the tongue can get up into the vault of the palate and out of the airway. There are still dentists who tell me that. No, Shirley, the tongue tie ties the tongue out of the airway, and that is absolutely wrong. It is backwards. It's tied into the airway. So then I explained to our patients that this airway is so, so narrow on this picture. And that when you fall asleep, your body goes into a paralytic sleep stage. And when your airway is this narrow and it gets paralyzed and kind of slumps, it's going to go together. And because it's mucus covered, it's going to stick. Now you have to move your jaw forward. You have to grind your teeth. You have to clench in order to tense up these muscles and open the airway so that you can breathe. And then once. Then the next picture is the side view where the tongue is released. It's in the palate completely. The airway is triple the size. When your airway is this big, you are in a fight or flight situation all the time. So all these anxiety people. When you're a child and you're afraid to fall asleep because your body's like, oh, you're going to. You're going to Die tonight. You're going to die tonight. You're going to die tonight. I mean that's what your brain has to be doing. You're naughty all day because you're trying to stay awake. You don't, you can't make a connection to the future, which is the thing that separates us from every other mammal on the planet. We can plan, we can look into the future. And that part of the brain when it's starved of oxygen all night long in these little kids is interfering with their ability to know that being naughty in class today and getting stuck out in the hallway is going to affect them even just next week. They just can't do it. So we drug them, we give them ADHD medications, we put them on all of these other drugs which are the gateway drug to habitual drug use in their future, which is the parents responsibility, which is the doctor's responsibility to get on board with that idea and just do a frickin sleep study. Pardon my French. Are we allowed to say French in here?

Yes, French you're allowed to say. Now I agree with you. It's such an overlooked topic and I'm glad we talk about this, especially in children. You're right, an ADHD medication has its own side effects. Dry mouth. Now we're seeing increased rate of cavities and in the end you end up with like you said, diabetes, you know, dying in your sleep. Because we're not addressing the root cause of the problem.

And it's not as simple as just not waking up. You know, my friend had sleep apnea. Unchartered, untested, unmanaged for a long time. His widow finally said, you know, sometimes he would wake up in the night and just strap an oxygen tank and just sleep with an ox, straight oxygen. Because he knew he was oxygen deprived. Well that has its own problems too. And he just had so much heart damage that it just was over. You know, the heart was like, forget it, I'm out of here. I worked enough for another 20 years and it just kind of follows 65 years old then. That's right, it just kind of follows that he lost a week of his life every night. So he could have lived probably 20 more years without a problem had he had that taken care of. Yeah, if only.

So how are myofunctional therapists different, let's say from like speech therapists? Because you're talking about the tongue, right? So a lot of people think so maybe your tongue is used for speaking a lot, but how are you different?

So it's our education. So. And that's, that's kind of a wrinkle too, because it looks like we all have associate degrees and what we really have is an anointed baccalaureate degree. So we all really have a bachelor's degree. The schools that teach dental hygiene are not allowed to offer baccalaureate degrees. So we take two years of full time prerequisites or just being on the wait list. Then we take two years of dental hygiene classes. And so there's that wrinkle. Right? So we're right there with all of these speech people. We have a better understanding of what goes on in the front. I talked to an SLP early on, a speech language pathologist and she, she was older than me and she says, is it true that the roof of the mouth is the floor of the sinus? And I was like, wow. So they just don't, you know, they don't know either. They don't know what they don't know. So we are here and then there's a war because they're in charge of swallowing and you can't swallow without getting past your teeth. Right. So, so we, we talk about working in a shared environment. We get a lot of kids that have very severe tongue ties that have been in speech therapy for three or five years and they're not making any progress. And no one has said to them, you have a tongue tie. So, you know, we have to all work together. We have to work with dentists, speech pathologists, ENTs, because this is all a shared domain. Where is the cutoff?

That's right. And are most of your patients children or adults or.

No, it's about 50. 50. I don't particularly see the children. My colleague Diane sees the children. She really likes the children and she gets along with the children's parents, wink, wink. So that's how we manage it here. And then she's not big on older people with a lot of complicating issues. And that's my favorite thing. We have three other therapists now, so there's five of us, so we're covering all the territory. We've got everybody from coast to coast.

So in order for somebody to get started or they might not even know if they need a myofunctional therapist. So how does one find out whether or not they need a myofunctional therapist?

Well, they can start by looking on Google and looking up the symptoms that they have. So sleep apnea, snoring, jaw joint problems, also known as TMJ problems, anxiety, ADHD symptoms, inability to chew Choosing just no chew foods. Like all you eat are noodles. Braces, Braces relapse. Let's see, there's just a lot of different things. Headaches and migraines. Yes. Neck and shoulder pain. You go to the chiropractor every week and get yourself cracked and nothing stall, you know, nothing stays. We work with a lot of chiropractors, so it's all of those kinds of things. You would never know that all of that is tied into the tongue.

Can somebody come directly to you or do they need a referral from a dentist?

No, they can come directly to us. We don't operate on referral only.

So when somebody comes to you, obviously they have a slew of symptoms. Tmj, how do you take what is the patient's journey look like in your program?

So if they're from far away, then they have to send us a boatload of pictures in different poses. So I send them a bunch of pictures to copy. So in the tongue, in different poses and with different angles and stuff like that. So it comes to, I don't know, 23 pictures or something. And so then they will also fill out two part health history. One is just your typical health history, but we start with infancy. We want to know how were you born, were you able to nurse, did you have a lot of cavities as a small child? Did you have a bunch of ear infections? And then I have it categorized in infancy, childhood, adolescents, young adults, and over 40. So that's how I have it divided out. I also have epigenetic questions in there because I'm finding that some of the problems are so far back, and then to bring people up to health in their current time, we may have more things to overcome than what they first thought. In particular, I ask about smoking history, trauma, birth traumas, and seed oils in the diet. And you're not going to be surprised to learn that a lot of people are in their third generation of a processed food diet. So that makes it a little bit harder because all of the cells are damaged. And we have to put that into the context of what we're trying to do. So sometimes we refer even to a nutritionist.

I'm glad you're bringing that up because a lot of people don't know that previous generations affect the way we are today. And seed oils, like you said, especially the processed oil, they're so dangerous and.

So bad for our health and they last forever. It takes some people are talking about two years to get all of that rinsed out of your body. You Know, every single cell in the human body is covered in a bubble of fat, and that fat has to be a saturated fat. If it's not, it's going to be crooked and the cell wall will be damaged. And every time you make a new cell in your body, it needs all of these ingredients. And if it's just predominantly plant, plant fat, you're going to end up with cell walls that don't make vitamin D, that don't manage glucose properly, that don't do this properly, don't. I mean, there's a busy, busy cell wall, you know, so, you know, those are all the things that I want to know as far as the health history. Then we have our validated test. We use the upward test, Epworth test, a reflux screener, hyperventilation screener. I also have PTSD questions because a couple of people have been triggered by some of our exercises. So I want to know what I'm getting into there. What else? TMJ screener. So we have a lot of screening questions so that we're pretty on top of things by the time you either get here online or in person. And then we do a breathing test. We do something called the Rosenthal test. We do a caudal maneuver. We do a Buteyko control pause. And then I do. Then I look in there if I can, you know, and then we make little assessments and adjustments. Then I Show them the PowerPoint of all the things that I mentioned to you a minute ago with, you know, this is what the throat is. This is what myofunctional therapy can do. And then go down that list. And then I show them a video called Airway and tmj, which is awesome. It brings everything together so that they can see the full picture of what happened to them. And then we usually have them call back on a video call just to go over the treatment plan and the finances. So all of that together is maybe an hour and 20 minutes total.

This is a very thorough screening, Shirley. Probably more thorough than most dentists. You know, most dentists actually just, you know, have their intake. I don't feel in dentistry we have enough screening questions. It's mostly about whether or not you're sick or if you have any diseases, whether you like your smile, you know, you have bleeding gums. But most of the time, there are no airway questions unless the dentist specializes in airway. But I feel a lot of these questions, like you're saying, even the epigenetics are so important, you know, in everything. Periodontitis, you know, bone Loss. All kinds of things that we're dealing. Yeah. Excellent. What kind of exercises do you have? People do. I know this is kind of a general questions, but I know people.

You're not supposed to ask. It's proprietary. So we just try to get the tongue to do what it's supposed to do. It's supposed to live on the roof of the mouth. So for a, you know, a three year old it would be. And just doing clicks. I can't believe how many parents can't do clicks and never did it with their baby. Unbelievable.

Wow.

Motorboat. Never. Simple, simple things. Oh, that makes my nose itch. So. So, you know, with littles. And then we have some tools where, you know, we'll do like a sucking on a cork and popping it out. That really helps. This over here, doing this jawbreaker kind of thing.

Huh.

Strengthens these muscles down here. I mean, it's just, there's nothing hard. It's mostly just coordinating. And by the third or fourth week, you're catching on really fast. And then the exercises aren't so hard. It's not even that they're hard. It's that they're, they're hard to coordinate because you're just not used to it.

So if a child. This would be maybe a good screening exercise for moms for their children. So at three years old, they should be already able to do clicking sounds.

Oh, yeah, that's way earlier than that. But yes, by three for sure, they should be able to do some kind of a raspberry or motorboaty. I call it horse lip sometimes. Yeah, they should be able to, you know, move their tongue around. And that's what my, my book was about. I was so verklempt over these poor, poor parents. Nobody agreed with me. I knew they had a tongue tie and, you know, and they're in here crying and I don't want to see babies. I really just don't want to see babies. And that's where the true prevention is. And when it takes you eight years to find me, because now your baby's not a baby. That's wrong. So what's happening is that the, is that the mothers are getting pooh poohed. The fathers don't know who to believe. You know, they're like, oh, my wife's crazy. This baby is fine. And the mother's mother is also going, this is the beautiful baby. Oh, that's fine the way it is. It's not a tongue tie. Then they go here and there. And I really wanted to support those Mothers. The book is like under 50 pages or 48 or whatever. 51. And it's for new parents to read before the baby comes. So it's a perfect gift for, you know.

Yeah, I agree with you, and I love it that you made it short for anybody to read in a short.

Period to read it quickly. Do you want me to show the picture of it? Yeah.

It's called More Than a Kissing Spot. Your new baby space, for those of you that are listening on the podcast and are not able to see the COVID or you can go to my YouTube channel, Ask Dr. Sanda, and you can comment there. So. So you talk about your new baby's face. Why is that? Does myofunctional therapy change the shape of the face?

Yes, because the face has been changing on its own is the reason why we need myofunctional therapy. So because of the diet, as we're talking about epigenetics. Because of the diet. Not only the diet, but what we have done to the food and the shenanigans that have happened over telling you what's good to eat and what's not. We have shrunk the face. The face is appreciably smaller than it was 150 years ago. It is measurably smaller as humans, and so is the cranium, the top of the head. So everything is getting smaller. If it's getting smaller. So how do I want to say this? It is getting smaller. And part of it is because the palate, the top jaw, grows from the competing forces of the tongue pressing against it and the cheeks pressing back. And when you're an infant, you have to breastfeed because that's part of the cranial facial respiratory complex. That boob is what's growing the face. If the tongue is not in the right place or can't maneuver around well, the face is not going to become optimized if this part of the face is not optimized. The sinuses are also not optimized. What's right above the sinuses? The orbits, the eye sockets are not optimized. And these are smaller, which changes the shape of the eyeball. It's a very bad domino. Right. When the tongue isn't in the right place, the sphenoid bone is what houses, I don't know, like, nine of the 12 cranial nerves go through there, and the pineal gland is resting in there, and that's got the growth hormones. And, I mean, it's a bad thing when the tongue doesn't work. And so that's kind of what the book is about in regular, non scary language. So that was my goal there, is to solve this problem before it gets to be so out of hand that you need to have braces and you need to have your jaw wired shut and you have to have surgical interventions. And it's not a pretty picture. And the sooner we can get to these problems and solve the growth and development piece by making sure the tongue is mobile and flexible, then everything's going to go better. It's not evolutionarily consistent that breast milk would melt baby teeth. It is absolutely not a fact. And it is evolutionarily inconsistent that your breast milk would dry up at four months. It is a function of the baby's mouth. So those are some of my big flags. Yes. I need everybody to get on board with because we've been fed a lot of goofy information and we need to. We need to be better because we need our kids to be better.

Absolutely. I mean, of course it makes more sense than when the bones are growing and developing. That's when we can change. That's when we can have the most impact. Do you see sometimes when you work with, like, young adults or maybe even older adults, that their face can also change?

Yes.

Okay, so that's. That's an interesting point that I want to make because I've seen that too. Surely, like, after people have worked with myofunctional therapists that their face has actually changed. And also the position of the jaws have gotten more aligned. And also, you know, the face is not so strained, so we can have an impact on the bones even later on. It's not like it's fixed.

Yep. So our. I've not been good about measuring the, the suture. You know, you've got that line that goes from the front to the back in your palate. And the. The 40 year myofunctional therapists all concur that they consistently get 2 millimeters of expansion in their myofunctional therapy patients. Of the few patients that I measured. It's right there. Yeah, it's 2 millimeters for sure.

Yeah. Just by you. The tongue is a very powerful muscle and it's able to move bones. It's pretty incredible.

Yeah, it is incredible.

Yeah.

Super.

So when does your book come out? It's not yet out. You mentioned last month. I know how that is. Oh, man. That is. It's so. Yeah, my book was postponed as well. You know, it's always like that. But hopefully before the end of the year.

Yes. Oh, yes. So we're now in June, so it should be, you know, if you just email me@primalairomtmail.com that is probably the best way. And then I'll put you on a list and let you know as soon as it's ready. And maybe by the time this thing airs, it will be ready and. And then everybody can just get going.

Yes, and we will put that email in our show notes.

Thank you.

Primalairomtmail.com and also you can go to primalair.com to find out more information about you and how you work with patients and anybody listening that have had symptoms that you mentioned such as headache, DMJ pain, even sh. Shoulder pain and neck. Yeah, I know. I have plenty of that myself just from being a dentist, so.

Right. And that's what everybody does. They blame their job. And I'm like, yeah, maybe not.

Maybe not. Maybe I have to come see you.

Maybe you do. Wisconsin's very pretty this time of year.

Sounds good. Last words of wisdom that you have for anybody listening.

I just think that everybody should just take even a look at it. If you can't open your mouth as wide as comfortable and then lift the tip of your tongue to the spot behind your upper front teeth, your tongue should. Your mouth should not close more than 50% of the way. And the floor of your mouth should stay at the floor of your mouth because that's what happens. Like mine. The floor of the mouth comes up. Right. So that's. If that happens, if the floor of the mouth comes up, if you have to close your mouth more than 50% in order to touch the roof of your mouth, you probably have a tongue tie and somebody should take a look at it and keep looking for the right person because myofunctional therapy can be a solution for your sleep problems, your anxiety problems, your crooked teeth problems, your snoring problems, your high blood pressure problems, it can be a part of your complete solution. And that's what holistic dentistry is all about too, is. It's the whole. The whole thing.

Yeah.

Cavities. If you're sleeping with your mouth open all day or all night, you're at risk for periodontal disease and cavities. So definitely.

And I love this exercise you mentioned because I think this is also a good screening tool for dentists and hygienists listening to the show. Look at your patients, you know, have them do this exercise. Have them put the tip of the tongue behind teeth eight and nine, which is a two front incisor, you know, after they Open big and see if they're closing or if the floor of the mouth lifts. So we can check that. I think this. This is. Yeah, yeah. And it's not part of a dental exam. Unfortunately, most dentists, I don't think, check for that. It's super important.

So I just spoke for the Massachusetts Dental Hygienist Association. We went over new words to use in an oral cancer screening because you're doing all of that already and you're making observations about tissue changes when you could be making observations about the tongue mobility and the patient's airway. So it's right there, everybody. It's right there.

And it's such an easy thing to fix, you know, doing a frenectomy. You know, I'm a periodontist, and as doing a frenectomy nowadays with a laser, it is not a difficult thing to master for, you know, dentists can easily learn this and actually do so much good for these patients. Well, Shirley, it's been such a pleasure chatting with you today. This is such an important topic that we want, you know, everybody, not just our community, but people to know about it because it could really change the way they feel. They could live in optimum health, you know, if their mouth functions in harmony.

Exactly. Thank you so much for having me. I really appreciate it, everyone.

Again, you can go to our YouTube channel if you want to see Shirley and how some of the exercises she was doing, obviously you couldn't watch them on the podcast. If you go to Ask Dr. Sanda YouTube channel, you can see it then. And please comment below and let us know what other topics you would like to listen to. Until then, have an amazing day. Thank you so much for joining me this week. Please make sure you check out the show notes for any links mentioned in the show. If you like today's show, please invite your friends to listen as well. That would mean a lot to me. Do you have a question you'd like me to answer? Message me on Instagram @. Dr. This is Dr. Sandha. And remember, your mouth is the gateway to your health, so take care of it in the most natural and best way possible.