Hormonal Shifts and Oral Wellness in Peri Menopause and Menopause | Free Webinar

Sounds good.

Hi, everyone. Welcome. Thank you so much for joining us on a late evening. We appreciate it. We are excited to have Dr. Moldovan in our office, and she can tell you what she does.

I'm so excited to be here. Hi, everyone. Daylight saving time is upon us. We're here on a rainy day in la. I just came from the office. We have biological three practices in southern Los Angeles, Encino, Beverly Hills, and Newport Beach. And that is my passion, to teach people about a natural way to a healthy mouth. And we were talking about this because a lot of people don't know what a biological period.

Please explain.

So what we do as biological dentists is that we help to detoxify the mouth from microbes and metals so you can have a healthier body because your mouth is connected to the rest of your body.

Absolutely. And, you know, we see. We in our practice at S Medical, see lots of women around the perimenopause menopause age group. And for those of you who are wondering what that age group is, it's really above 35. All the way till your 60s, 70s, you're going through hormonal changes. So in this specific kind of category of decades for women, what do you see in their mouth that may be different than men or different from kids or different from women younger than 35?

I love that you jump right into it. But as I'm sitting here.

Yeah. How do we meet?

Oh, I have to tell the story.

Okay, go ahead. Go ahead.

We met, like, really? Why? Because we're both passionate about oral health, overall health, and how it's connected. And we have patients in common.

Yes, we do.

And I said, who is Dr. Sayana? Because she's really teaching the right things. We were actually giving people some oral supplements.

Yes, we were. So much of the whole inflammation in the gut starts in the mouth.

Yeah. But it's not common for physicians to actually look in the mouth. Were you taught in medical school?

Absolutely not. I think we were taught very little about nutrition and pretty much nothing about the mouth.

Yeah. So how did. Like, how did you learn to put some of that?

I mean, it was really going through my own kind of health journey and realizing that there's a root cause for everything.

Yeah.

And learning that the mouth is really part of the whole GI tract.

Yeah.

And again, it's very unusual to have a dent dentist who's thinking about whole body inflammation and nutrition. How did you get into what you do?

So I actually went to the Institute of Functional Medicine.

Okay.

Which you went.

Yes.

And why? Because I was just interested. I studied nutrition. I was interested how the whole body works, because I didn't know I did the same procedure on two different people. Somebody healed great. You get another person, and I'm like, scratching my head. Why are they healing so poorly? So Institute of Functional Medicine has great courses teaching about inflammation and how the whole correlation. And I remember being in class in this lecture, and there was a physician there talking about chronic fatigue, and he put a slide up with a patient. My patient had chronic fatigue, inflammation, wasn't sleeping well. But we had to address the mouth, and there were cavitations in the mouth. And I just finished my residency at ucla. I'm like, what in the world are cavitations?

Right.

I was not taught about the whole dental education. No. Wow.

Yeah. So this is my whole medical school education. I got three hours of nutrition training. I mean, that's like, such a huge part of what I do now.

Yes.

But it's just very limited. Conventional. I think both dental and medical training is just very limited. We're not seeing the whole person, like, what are your genetics? How do you process fillings? How do you process your. Your diet? How do you process your environment? How do you process stress? And how do you really treat for that? Yeah. And how do you make it personalized?

Yeah. So here I was in this lecture, and I'm like, what are cavitation? And he shows another patient with inflammation and brain fog. And it wasn't until they treated all the infected root canal teeth and got rid of cavitations that the patients were feeling better.

Yeah.

So then I started looking at this information. Okay. Where can I learn about cavitations? And the one doctor that actually has the most experience, the most published was in Switzerland.

Oh, and you went there.

I went there because, you know, I didn't get married till late in life. Yeah. So I was able to do a lot of studying all over the world. So I went and spent some time with Dr. Volt. He had a course going on for five days. And I really got to see the live surgeries and the things that were coming out of the cavitations areas, like all this toxic debris of microbes.

So do you see the difference? Like, you've been doing cavitation and treatment for a while, where you treat the cavitation and you see the patient globally improve.

Yeah. The two main things is less brain fog, like some more. More energy and clearer thinking. Those are the two.

So what is a cavitation for people who don't know?

Yeah, good point. So that is A hole in the jawbone, just like a cavity is a hole in the.

An actual hole.

It's a hole. So when we look with the way we diagnose it is on a CT scan.

Okay.

It's kind of a machine that wraps around the head. 20% of dentists have that in their office today. It's going to be, I believe, the standard of care at some point. Because the small little regular X rays that most of you have seen at the dental office only diagnose about 52% of the problems.

Just half of them.

Yes. And that's been studied, scientifically proven. They don't show all the issues. No, it's not going to be a 52% is nothing. That's why you might have gone to the dentist. You have a pain somewhere and the dentist said, I don't see anything on your X rays. Because he probably doesn't. It's just not missing half of the time. 50.

50.

Yeah, exactly.

And with a CT scan, how much can you capture? Many more problems.

Oh, yeah. So we can see all the way the tooth structure. And they've gotten so clear nowadays. How crisp. And we can see even cavities, how deep they are close to nerve. We can see structures, measurements and millimeters, which are very accurate. The TMJ for people that are suffering from like TMJ pain and.

Amazing. And is it toxic to get all these CAT scans or how often do you recommend patients?

That's a great question. So now they're all digital. Oh, so you know when you work in a hospital, you send somebody for a CAT scan. Yeah, it's a lot of radiation.

Right.

But. But that was the old technology. Technology. The new that, especially the dental ones, you only go really from like the. Right here.

Okay.

So we have.

So it's very limited.

Basically two days exposure of your iPhone.

Yeah.

That's what a CT scan at the Bell office is.

That's pretty wild. That's it.

That's it. So if you put your cell phone away for a couple days.

There you are.

That's all of us.

But that's not much at all. That's great. And you can tell you so much information. Why don't dentists do that, like just for everybody?

Because of two reasons. Number one, CT scans, even though they've come down in price quite a bit.

Yeah.

Probably like a third of the price that they used to be.

Okay.

I remember the first CT scans that we got when I was a resident at UCLA, which was in 22,002.

Yeah.

Those CT scans were around $300,000. So they've come and down in price a lot. Like for us, it's a standard of care. Anybody who's had missing teeth, root canals or dropping TMJ, we need to take 3D imaging because if you can't see, you can't treat properly.

That makes complete sense. Before we go on and talk about this in depth, I wanted to give everybody the opportunity to drop in chat any questions you really want us to address or things you're hoping to get out of this webinar so that we make sure we address it along the way. I'll keep an eye on the chat and just let us know if there's specific questions you wanted us to address.

Yeah, we really want to make this webinar for you. I know some of you maybe have questions. You know, Dr. Sam and I have a great relationship. Over the years we've treated a lot of patients in common for actually happens.

To be my dentist.

Yes.

And so it's really important, I think, to. For a lot of our patients to really be like, well, how what's happening in my mouth during this hormonal changes and how is it different from just going to see a conventional dentist? What should they be looking for that are changes that are happening in their oral microbiome or in their gums or their teeth? That's important to think about during the specific phase of transition from perimenopause to menopause, as we all are guaranteed to go through that.

Yeah, so true. And actually, you know, I'm turning 50 this year, so. But I'm feeling some of these changes and I'm seeing in my own tissues. And I invite all of you to actually do a little oral self exam. It's not as hard as you might think. Basically just kind of look in the mirror. You don't have to do it right now, but basically open wide and kind of pull your cheeks aside and look at the gums. Do you see a little yellow next to the gum? Are your gums receding a little bit? That's usually one of the things that happens in perimenopause and menopause is our collagen thins out. The gums actually have a lot of estrogen receptors. Typically in pregnancy we see a hypertrophy of the gums.

More gum tissue.

More gum tissue because of the increase in estrogen.

Makes sense.

But as the estrogen drops, we've seen thinning of the gums. Wow.

So what symptoms does somebody have like bleeding or just recession? Like what happened? They Attack.

So sensitivity, that's number one. You can have a change in the microbiome. For example, you can see maybe a more whitish tongue. So just stick your tongue out, kind of see what is your coating on the tongue. It should be like a nice white, like pink color, not white.

Right.

Typically if you have a white coated tongue.

Yeah.

And a lot of you might think, well, I clean my tongue every day, which is awesome. But you know, it's interesting because my acupuncturist actually says that we shouldn't have to clean our tongues.

They should be always pink.

Yes. Because if we sugar, it kind of cleanses itself.

Yeah. I would imagine the body's pretty amazing.

Yeah. And I notice this on myself too, you know, when I check in with my tongue. If I have like a low sugar, high fiber, my tongue is always thick. I don't need to brush it all that much.

That makes sense.

But more processed foods, more sugar. Even if it's natural sugar, you'll see more of an overgrowth on your tongue and an overgrowth of fungus. It could be candida or it could be bacterial. Yeah.

We see a lot of patients here because we are thinking about putting women on hormones or looking deeper for inflammation. And we do a lot of gut testing and. And biggest thing we always commonly find is sibo, small intestinal bacterial overgrowth, high amounts of methane and hydrogen. And patients generally either say they bloated or sometimes they say they have bad breaths. And by treating the gut, we have improvements in the whole GI system.

Absolutely. So probably a lot of the patients that have the bloating have a white coated tongue.

I think they do.

Yeah. We usually check this. Usually when I see people with white coated tongue, I ask them, how is your digestion? There's always.

There's a connection.

Yeah. And the thing is, a lot of people, I think that bloating, they're so used to it, they're like, yes, I'm just bloated.

That's so true. And yeah, a lot of times we ask, which is like, oh, 50 of our patients we test for gut issues are like, I don't have any gut issues. And then when the tests come back and like, we see they're really inflamed or you have the wrong bacteria. And then they're like, well, now that I think about it, I think I.

Do have some bloating or I do.

Avoid foods because it actually causes symptoms. But yeah, gut inflammation is so critical to even think about.

Yeah. And another thing that happens in perimenopause and Menopause is something called a burning mouth syndrome. And I've actually experienced that. It's a sensitivity. Yeah. On the tip of the tongue. What almost feels like a burning sensation. When I look at it, it actually looks fine, and it's gone away. Okay. But what happens is I have women at ages, like mid-50s, 60. They come in, you know, my mouth is burning, and everything I'm doing is just burning. And that's typically hormonal.

Yeah.

And it's actually. They have this burning sensation. Some of them also report a Velcro. Like. Like, you know, I feel like I have Velcro in my mouth. Okay. That has to do with the drying of the glands. So. And this could be a sign of autoimmune issue.

Naturally. We have so much undiagnosed autoimmune disease. A lot of my patients are like, well, you know, nobody's ever looked deeper because AI hadn't either asked them to. I haven't even asked them to. Or I haven't, you know, they haven't taken me seriously enough to look deeper.

Yeah.

It's so important to ask your doctor that, you know, is there some. Do I have an autoimmune condition? Because perimenopause and menopause, your likelihood of getting an autoimmune disease is four times more likely than your previous decades. And, yes, a lot of people complain of dry mouth as that person, and probably come and see their dentist.

Yeah, absolutely. So I. I think this is one of the things that it's important to treat, dry mouth, because dry mouth can lead to cavities. So you might see and brittleness of teeth. And I think this, you know, I'm super passionate about this because we can prevent it with calcium hydroxyapatite tooth products. You'll notice, like, you know, the enamel of the teeth is starting to thin. And I'm noticing this on my two front teeth.

Oh.

Edges of my teeth are becoming thinner.

Makes sense.

And as a mouth gets drier, we see more and more brittleness of the teeth, and the enamel becomes softer. The enamel is very much dependent on the saliva. The saliva mineralizes our teeth, so there's not enough saliva there. Now we get enamel that's not. Doesn't have enough minerals, so it's not.

As thick and sturdy.

Yes, that makes sense. And you can get minerals from the saliva. You can also apply minerals on the teeth, especially on saliva.

You guys have a product I've seen at your practice that. Is it a powder and what does it do?

Yeah. So my recommendation is. Is A toothpowder. It's called Orasana. It has actually nano calcium hydroxy appetite. And we can drop a link in the chat.

Yeah.

And this one has probiotics as well, just to help. We know a lot about probiotics today.

How does it take A lot of my patients always like, well, how does it taste?

Well, because I geared it towards women with dry mouth, I made it so that it's not super minty. When you have dry mouth, you cannot tolerate strong flavors. So if this is more of an orange flavor it has, often you use sediment. So we recommend people that have sensitivity to actually put it on their teeth with a toothbrush or with their finger and just leave it overnight. It could be a treatment as well. Okay. Or it could be a toothpaste in itself, just as a tooth powder.

Just to put it overnight.

It's interesting because in the beginning, like 1950s, we had a lot of tooth powders and then it kind of fell out of favor. We actually have a dental museum over in Washington, D.C. so like, oh, look at all these tooth powders. And they have charcoal tooth powder back in the 1970s. Charcoal.

That's amazing.

And now it's a hot thing.

Yeah. Now it's all too faced.

But we didn't have calcium hydroxyadite at the time. That's one thing you didn't have. They're mostly powders with calcium carbonate. Calcium carbonate is, is good, but it's not enough. You really need that calcium hydroxy appetite.

Because that's the same kind of calcium we use for our female patients with osteoporosis. Oh. If they have a pretty severe like bone degeneration, we're going to try a specific kind of calcium. So as you say, the bones and the tethus are correlated.

Yeah. Because teeth are bone. The structure, like.

Yeah, really bone.

The only difference. So the top layer of the tooth is called enamel. Super mineralized, has got no live cells. But underneath the dentin is literally the same collagen composition and calcium hydroxy. Just like bone. Wow.

Okay, so that makes sense. And then when you tell it, so what, what kind of regimen would you tell women to have in these like couple of decades, you know, about 40, 50. How can they protect their mouth against like inflammat and also preserve their teeth?

Yeah. So I have really like four recommendations. Some of them are going to be topical. How to take care of teeth. And one is going to be ingestible because we need to teeth rebuild also from within. And gums we can't forget about the gums and they need minerals. So a good healthy diet is important. If you're just using topical calcium hydroxide, but you're not really having a good intake of calcium, phosphorus and phosphorus you can find a lot of times in organ meats.

Yeah.

Maybe there's some plant based things. Yeah.

Organ meats have a lot of great minerals. It's hard to replant vegan. And we have a lot of vegan patients. Then they have to kind of supplement.

So. So from a topical perspective, I have three, like a three step to optimal oral health brush using the calcium hydroxy. And I'm not, you know, a big fan of electric brushes. If you want to use a manual brush. Like I've seen a lot of patients that don't use electric toothbrushes. Yeah, okay. Like they come in. I'm like, did you brush your teeth? Because I don't, you know, it's like. Yeah. So sometimes electric toothbrushes don't especially. Yeah. They don't get everything. Or maybe people don't hold it as close to the gums. We should really be brushing like 45 degrees into the gum.

I see.

I said I just hold how organic.

A time the men in terms of 30 seconds on the top, 30 seconds on the bottom.

Yeah. I mean, my recommendation is really use a manual brush.

Okay.

Small circles. Okay. If you want to use an electric, especially if you have dexterity issues, you have arthritis or something, you can. But then I would move it around. Okay. You know, I wouldn't hold it just in one spot. Just get it around. Yeah. Kind of like just slower.

Obviously that sounds so obvious, but I see my kids just holding in one spot and I'm like, I watched you in time.

But yeah, they're probably busy doing something. Yes.

Looking at the phone. So.

So brush with calcium hydroxyapatite. Secondly, use a water flosser or string floss. If you really, really love your string floss, by all means keep using it. But a lot of people, what we find is like, they're not really good about their technique with floss. So either I see floss cuts of people just kind of putting it straight up and down and it cuts the gum. And that can create actually an opening in between the teeth where the gum gets receded. So you can actually induce gum recession with hard flossing.

People who are like really determined flossing.

Yeah. And the other thing that I don't like about string floss, and I know it's interesting for you to hear a dentist who doesn't like Straight floss.

Everybody does that.

There was a study that came out on Glide floss. And a lot of people love Glide Floss.

Such a popular brand.

It is. Why? I don't know. Have you ever tried it? I tried it, yeah. It's great because it slides slow, easy. It glides in between the teeth.

Hence the name.

Hence the name. And it doesn't, you know, sometimes you get those floss threader, like, just like. And they get floss stuck in, like in the last mower there. So Glide doesn't do that.

That's pretty amazing. Yes.

It's coated with Teflon. What?

Teflon.

Coated with Teflon.

Oh, no. I have to use that every day.

So they have a study on a group of women, actually, that was using glide floss for 10 years. I don't know how they were able to do it. That's impressive that they can follow that. Yeah. And every single one, they had elevated levels of Teflon right after fl. Wow. In their blood.

Ladies, please, no using Glide, no using life. It's everywhere.

Yeah. But I think Teflon also on cookware.

Yes, it is.

It's so ill.

But I don't think we've really come there as a society to appreciate the fact that toxins can really mess up your hormones and mess up your neurotransmitters and shouldn't be part of our food or our, you know, daily, daily use of activities.

What does stuff one really do to the body?

Teflon is a toxin. And so for people who don't detoxify. So if your genetics don't really get rid of toxins, toxins, it can impact your neurotransmitters and your hormones, and it can also disrupt your gut microbiome by increasing inflammation. It really doesn't belong in our bodies. Yeah. Especially for those who can't get rid of it. Like some. A majority of us are pretty good at detoxifying, but one third of us are not. And for those one third, when you have these toxins in your system, it increases inflammation. Autoimmunity pushes you quicker into perimenopause and menopause. So it's important to not have those things. So you say don't do the glide.

No. So there's other healthier choices of floss out there. There's some natural silk ones that are coming back. And if you want to use waxed floss, just look what kind of wax it is. Some wax can be like, you know, petroleum place. And again, whenever your gums bleed. What's the thing with the mouth, you know, gums bleed, you end up getting whatever it is that you're putting there into the bloodstream, including bacteria. So if you have inflammation and you know, actually have patients that said, oh, I don't floss, because. Yes. Oh, yeah. And they just didn't want their lumps to bleed.

They.

They really thought, you know, and so my recommendation is use a water flosser.

That sounds pretty gentle. That's what I use.

Yeah, yeah. It's just the safest in terms of. Especially when, if you start something new, you haven't flossed in a while, start on the lower power and it'll actually. The pulsation. There was a study done on us at usc, this is a few years ago, where they have a Centers for oral biofilm. Three second pulsation with the water flosser removes 99.9% of plaque.

That's amazing.

Yes.

Just three seconds.

Three seconds.

Wow. That's good news.

So that's why I say, you know, we have 28 teeth, most of us, because we're missing. Unless you have the wisdom teeth and you have 32. So if you do three seconds for each, that's like a minute and a half.

That's like not much in terms of self care. I'm gonna have some patients at three seconds you can use. You need to do that for your teeth.

Yes.

So I have some questions.

Oh, I forgot to say. So the other thing that you know, because those are the three things, but the fourth thing is taking collagen supplementation. That's not just great for skin, but it's actually great for the gums.

That's so great. And we have a genetic test that we measure here where people just can't make enough collagen, and so they're at risk for soft tissue injuries. Probably have really poor oral health as well. So we really do encourage people to take collagen powder, pill, whatever form you can tolerate that's clean.

I have no idea. You have a test?

Yes, it's a DNA life test where we actually measure all your genetics. But one whole section is about how can you make your own college and how do you process collagen? Yeah, and a lot of people actually don't, especially women. And then especially, you know, you entering now perimenopause, menopause, where your testosterone naturally declines. And that doesn't have the protective impact on inflammation and on your ligaments. So your ligaments that were nice and flexible now become kind of stiff and hard. So all these women have like frozen shoulder. And they're like, why now? I just turned 45 or 47 or 55. But it's a lack of hormones that are doing that. And if they also have a collagen gene, a snp, then it makes it doubly worse.

I see.

So I want to make sure we get to these questions. Are there serious dangers to having a root canal?

That's a great question. And I have to start with a story because I had a root canal, which I no longer have. So when I. Yeah, I only had one because the second teeth that I actually lost, I refused to get a root canal. I just said to Dr. Diego, go ahead and remove it. Because the first one, I had it at a young age. I was living in Romania at the time and was a big cavity because I was addicted to sweets when I was younger. So, yeah, so the dentist there did it. And you know, Romania at the time, we didn't have good, good root canal procedures. I had a readone here when I was in college. So I have that root canal since I was 14.

Oh, wow.

And then I started flossing around and I remember this was maybe when I was in my room like 10, 15 years ago when I started to not smell good. And whenever I looked at the gum, it started to turn dark. So this is another part of your self exam. If you have root canal teeth kind of look to they're doing at the gum line. Okay, look and see. Are any of your teeth starting to turn gray, especially at the gum line? If you see that, that's not a good sign. The teeth have pores inside of them, so those pores can get filled with microbes. Same thing was happening to my tooth. That's why every time I flossed around it, I would get a smell.

Ah.

But I. On the CT scan, everything will look fine. But I told my friend, you know what, I don't have a good thing about this. I said, gotta get it out.

Wow. Plus my dad told me to take it out.

Yeah, I was getting heart palpitations, which was weird. I didn't know actually was an association at the time, so. But any kind of oral infection can cause like heart palpitation. So I had it removed. I have an implant place there now. And I started to feel better, actually after I had. I had more energy. I didn't have any more heart health.

What kind of implant did you get.

Put in at the time? It was titanium. I didn't know about. We didn't have yet ceramic implants. Now we do so we've had titanium implants since like the 80s and ceramic implants, I think they came like beginning of the, like 2010.

I have ceramic one. You put in.

Yeah, yeah.

So what do you tell women who like, should I do a root canal instead of.

So can root canals be dangerous? Yes, they can, because they can harbor bacteria that you don't see. The only way to diagnose them. And I encourage you, if you do have root canals, get a cone beam CT scan to evaluate the root canal.

Cone beam.

Okay. It's a cone beam CT scan. It's the digital CT scan. Okay. So. So you don't get radio. And then we can see. Is there bacteria that's leaching? And how do we see this? On the scan, we actually see darkening of the bone around the tooth base.

Then you can tell.

Yeah. Some women actually came and they had sinus issues. Women that have root canal teeth that are in the sinuses. I constantly have chronic sinusitis. Wow. I have a lot of patients who have that. I took out the root canal, treated teeth and their sinusitis. Pretty much 90% better. Yeah. Also, like sometimes ear pain or kind of like a diffuse pain. Like, I remember I have this patient in her 60s, she had this p molar and they diagnosed her with trigeminal neuralgia. I don't know if you know what that is. It's basically the trigeminal nerve. Oh, my God, I'm in pain all the time.

People have waistens.

I took out her root canal treated tooth. Yeah. Her neuro trigeminal neuralgia went away in a week and never came back.

That's amazing. It was all just that one tooth.

That one tooth. Wow. So. So the root canal teeth can be dangerous because they can cause these kind of, you know, bacteria. We believe they can travel up the nerve because they don't have their own elect nervous system. So they love electrical signaling because we believe they communicate colonies between colonies that way. So, yeah. So like viruses also release pain. So can bacteria.

So just taking them out of them and then can anyone remove them or. You have to go. Should go to biological dentist to be safe.

So actually, if you go to. I have a podcast called the Holistic Dentistry show where I go into depth about how to get a tooth removed.

Right.

So that the area heals properly.

Yeah.

Some dentists are not trained enough. Yes. Can they remove a tooth? Yes. But in terms of cleaning the bone, it's super important. And the periodontal ligament, because if we leave any of this bacteria and the Ligament inside. Now we get a cavitation.

Oh, the one we don't want.

The one we don't want. Our microbes are stuck because a lot of the microbes in the mouth don't need oxygen to survive. They can live there just fine. And especially some of them, like we have a Porphyromala gingivalis that actually can stay within the jawbone, can travel to joints. So some people can get achy because of it. We call it a stealth organism. Because the immune system doesn't see it, it becomes somehow invisible to the immune system.

That's scary. And it could be like a whole cause for all kinds of autoimmune conditions or other things. So going to the right dentist.

Yeah. Super important to have it removed properly. Also using ozone. I'm a big fan of ozone.

Ye.

Okay. Ozone is basically three atoms of oxygen instead of two. Oxygen is what we breathe.

And how do you apply it on the mouth? Is it through a spray? What do you do?

So we apply it in our. Is in our water line. So we run ozonated water. We have you rinse with it. I apply it in the form of gas in combination with oxygen. There's been research done, especially a lot of it coming from Europe and Cuba, on the power of ozone and oxygen. What's the right ratio? And actually, we need very little ozone to oxygen ratio in order to be effective.

Wow.

So that area is basically sterilized. And then we use something called prf or plate.

Tell us a bit more about what that is. Sure, yeah.

Like we actually draw blood and use on the patient. From the patient.

Yeah.

So we usually like a vial or two.

Yeah, A four.

Two.

Right. That day. Okay.

We extract the growth factors and fibrin. And there's also immune cells there, actually. And it becomes like a jelly. Literally looks like jello. PRP is a liquid.

Right, because we do that here.

Yes.

Yeah.

And prp. Yes, prf. It's a full clot. Because we want a full clot.

And then how do you apply it?

I actually stitch it inside so that we don't. It doesn't allow, basically, microbes to crawl in and infect us.

And it's your own body's blood, so you won't react negatively.

Yeah. So sometimes, you know, when I first finished my residency, I was doing more bone grafting, because that's what's taught.

Yeah.

But what's interesting, some bone grafts, especially the bovine type.

Yeah.

Can trigger autoimmune.

That makes sense. It's not your tissue.

Okay. So I don't do. If I do bone graft, I always is the patient's own bone. We usually can harvest it from somewhere, usually for bigger, like car accidents or something like that. Or it could be like a donor, like a gift from another human. But I mean, I don't use animals.

Yeah, no, that all. Putting something else foreign in your body is like a big trigger.

Yeah.

For autoimmune. A few more questions. My mom. Let me start with this one. Hi, doctors. I have four cavitations and found some crazy things thriving there. They were in my wisdom sites. My daughter was 19, developed TMJ due to my sickness. You mentioned TMJ as a potential cavitation. Does TMJ and age matter? Is there a relation between TMJ and cavitation?

TMJ can actually be triggered when wisdom teeth are removed. Oh, you're mentioning wisdom teeth in there. So that's typically when we see it. The reason is either patient is asleep and they're opened a little bit too big. Or maybe the doctor, when we're trying to get the tooth out, it luxated the jaw. So my recommendation is either some adjustment from the chiropractor after wisdom tooth removal. And if the pain persists in the joint, definitely there's another CT scan of the joint itself to see what the disc is doing. Was there damage done to the disc? Is it tendonitis? Because then we have different injections that we can do to. Peptide injections and ozone to help.

Let's see. My mom's 57 and already lost most of her top teeth. We're trying to figure out what the cause is. Is that normal for menopause? Would you say it's normal to lose so many teeth?

No, it's not normal to lose. So my guess is if she lost all her top teeth is probably due to periodontal disease. So my recommendation is if your dentist, if you've had a deep cleaning, just make sure you keep on to stay on top of it. If you have gum disease, we have much better ways to treat it today. So, for example, in the past, when I was a resident at ucla, the way we used to treat it is like, okay, you first get your deep cleaning. Six weeks later, if the pockets are not resolved, we get surgery. But nowadays I do an oral microbiome reset. It's not surgical. We do. We do a saliva test. Yeah.

What do you find in the saliva test?

So we look for 11 different pathogens that. That might cause disease. Okay. And we look at the different levels.

Okay.

And we also check for IL6. Okay. Because if it's high, genetically predisposed as high, then we know they're going to get more bone loss.

So.

So we need to know that information so we can gear how often you should come in for us to. To. To do a cleaning.

That makes sense. Interleukin 6 is something that's, you know, super common. People who have issues with that can react to infections and other things much higher than people who don't.

Yeah. So it's an important thing for us to know.

So. Yeah.

So, Yeah, I mean, it's not common for dentists to check for IL6. Just so you know, this is like, why.

And then, you know, tying back to menopause, you know, as you're losing that estrogen, especially if your mom's not on hormones, your estrogen really does control your immune system and controls your inflammatory response. So if estrogen is very low, then she can have more inflammation in general. So that's probably kind of tight.

But that's.

So that's so hard to like, lost all your teeth.

Yeah. The good news is there's good techniques like ceramic dental implants that we can actually place, let's say four or five implants and put a whole row of.

Teeth the same day we have a neutral patient. And she lost all the teeth. And you did her entire mouth. And her mouth looks amazing.

I just saw her actually a couple days ago, I want to say maybe four years ago, and that was amazing.

She looks like 10 years younger, too, because the mouth's, like, sparkling.

Yeah, yeah, yeah.

So that's when you ended up doing.

Implants for top and bottom with her, but she actually ended up losing and also from gum disease. So, you know, if your mom lost all her upper teeth, let's make sure the lowers are still there. And definitely it's a good time. You know, we have to look at her, you know, osteoporosis and see how her jawbone quality is. And you think about dental implants is a great option to maintain the jawbone so that it doesn't dissolve so it goes away with the denture.

One more question. I have always been terribly. I always have terribly sensitive teeth. It takes about four novocaine shots for me to. To deaden before procedures. I recently had two root canals and still have pain with those two teeth. What can be causing it if there are no nerves there? I'm 53 in active menopause and a 4 to 5, 4 or 5 autoimmune diseases starting at age 5, which is like the Perfect setup.

Yeah. So, you know, it's interesting, the sensitivity. It could be because of dry mouth, like we were mentioning earlier. So my recommendation is definitely a chewable probiotic and the calcium hydroxyapat just to kind of. The chewable probiotics also help to stimulate saliva. And the Orasana chewable probiotics that I formulated, they're vegan certified.

Okay, great.

And. And it just basically protects against cavities. We have studies that they do that. And also it helps to stimulate saliva just by letting it dissolve in the mouth. But also with. With quite a few autoimmune issues. My recommendation is get rid of your organizer else.

Wow.

Especially if they're symptomatic. Your body is trying to tell you something. I always say, pay attention, you know, to the signs that your body's giving you. And unfortunately, I have many patients that come in and say, my dentist said my root canals are fine, even though they're hurting me.

Oh, that's so devastating to hear as a patient.

Yes.

Yeah. And that's.

Yeah, they're not. Okay. So if you haven't had a cone beam CT scan to evaluate the root canals, I would say definitely do that to see if there's inflammation around them. If there's inflammation and the root canal's already been done and they've been done well. Yeah, but that means your body's just not responding well. And, you know, we do this biocompatibility test.

Okay.

For people that have a lot of sensitivities.

Okay.

Almost 100 of the time, the material that's used inside the root canal, it is not compatible with a human body.

Oh, my gosh. And we're using it anyway.

Yeah, we're using it because nobody tests for it. It's not the norm.

It. That's so unfortunate. It is.

Wow. It comes. It's actually a, A, a cork coming from a tree. Oh, wow. Material. And nobody responds well to it. Almost nobody.

That's so disturbing.

Yeah. There's a lot of root canals being done.

And that's conventional dentistry.

Conventional dentistry. There is. There's only a couple, maybe endodontists in the whole United States that actually use a cement paste. They don't use a gurcha at all. Okay. It's actually much better in terms of, you know, allergy and responding to it.

So I think that's disturbing. And if you already have four or five autoimmune processes, definitely work with a functional medicine doctor to see what's going on. And why is your body triggering this? Because you want to just keep collecting more so you can reverse that. What is the tooth powder?

One other thing that we found really interesting with sensitive sensitivity but a couple of patients with severe like sensitivity to cold ozonated water rinses. Oh ozone.

And they do this at home?

Yes. There's actually these little tumblers that we have in our office and if you're local you don't have to be a patient to purchase like a product. But it also made in tumblers. You might be able to also find them online. Yeah, just swish with this for like 1 minute twice a day. And we found a significant decrease in tooth sensitivity. Wow. We think it has to do because it cleans the plaque from the little.

Tubules of the teeth so decreases inflammation, takes up microbes. Does it taste different those in water?

To me it tastes like rain water. That's a.

That's a great hack. And then what's the tooth powder? We'll put it in there. In the chat from Orasana and my dentist recently prescribed a 1.1% sodium fluoride toothpaste. What do you think of that?

Well I feel and from the studies we have calcium hydroxyapatite works better than fluoride. I'm not a big fan of fluoride because if you end up ingesting it it's toxic. I mean we use fluoride in the fields as a pesticide. And there's a great documentary actually called Fluoride Gate.

Oh, fluoride Gate. Yes I've heard of it.

Yeah. It explains how fluoride ended up in the water here. And actually for those of you who might not know, finally the EPA admitted that we should have no fluoride in the water because there's no safe level of fluoride in the water.

That's wild. And we've been doing it for so long.

My association, the IOMT actually has been has hired attorney for years now to fight this because we have so much research on how fluoride is toxic and finally they agreed it shouldn't be in the water. Now getting it out of the water is probably going to take another few years.

Was. And in terms of actually be having safe water.

Wow. So. So I'm. I'm again it's what it's fun and then I'm full of fluoride still. Yeah.

Can you fix teeth by remineralizing them with remineralizing gum or foods?

You can reinerize teeth as long as your teeth are alive and they don't have root canals they can grow Mineral. They just need the right environment. So especially even cavities. Cavities can heal. Teeth can heal. Cavities is just a sign of imbalance where you actually have too much acid in the mouth. And what causes acid is the microbiome. We actually also do a saliva test for kids, you know, or people with dry mouth that all of a sudden have a bunch of cavities.

Yeah.

And then we try to lower the specific bacteria first. And then using ozone. Okay. Yeah, Great.

So not antibiotics, anything like that.

Ozone. Using ozone. Then we make this mineralizing trays that you can actually put like the powder in it. In it. And then you put the tray on so it holds the powder, the calcium hydroxy on the teeth.

Nice.

Yeah. So that will help to mineralize. So, yes, you can mineralize teeth and also reverse cavities.

Right. And then what is the last word of the nano? Calcium hydroxy. Appetite. Right. What's it. Yes, it's atomic. Then. Oh, question about if UCLA has a cone beam scan, why is any of this not covered or available to members? I had to pay out of pocket for most of my biological work. Not insurance. Any thoughts on that? Yeah, I get the same questions about functional medicine. So frustrating for patients when I hear them.

Yes, No, I completely understand. And that's true. Why doesn't UCLA cover it? You know, if they have conventional dentistry, you have to look at the insurances as a business. Yeah, they are a business. They get money from you as clients, but they. Then they. The more money they keep, the more profitable they are. So.

Yeah, don't do tasks, don't do things.

They're not about doing the right thing because a lot of patients come. I'm just gonna do whatever my insurance covers. But insurance is not your best friend.

No. So I want you to have it at the bare minimum.

I heard, like, we have this one patient, she was working for an insurance company, and she was mentioning that every fifth claim she had to put it in the trash and pretend they never got it. I saw that. Yeah, it sounds.

Yeah.

So.

And then insurance is really more. You need insurance and you need car insurance. You need your house insurance, but you don't rely on that for your oil changes to make sure things are running smoothly or if you have a broken lock. It is frustrating, though, given how much we pay for insurance.

Yeah. So we try at our office to even take photos. I have to write a detailed narrative. So we try to help as much as we can, even with biological code codes we've had, like, obviously extractions and dental Implants, depending on your plan, those get covered and crowns and things like that. But things like ozone might not get covered. But then again, ozone is not that expensive. I think it's totally worth.

Yeah, that sounds like. And easy to use. Yeah.

Even like if you're going to remove your mercury, sometimes insurance would love to deny those things. So now photos are super important. So if you're going to go to a biological dental office, just make sure they take photos. To submit photos and X rays to the insurance.

Is that effective in getting something covered?

Because you can see if something has a cavity on a photo. And X rays, as I was saying, only show 50 degrees out of the problem. So you can see it's good for insurance purposes because they don't want to pay.

Makes total sense.

Yeah.

And then one person asked, how do you get rid of a root canal?

Again, you.

Maybe you could refer back to your podcast.

Yeah, I think so. So basically how we get rid of a root canal is depends if it's a front tooth or a back tooth and how infected it is. Typically back teeth, I like to take out each root at a time so it's all together.

But.

But it just puts less stress on the bone. So we always think, you know, everything's alive, so we want to keep everything happy. Once a root canal is removed, I use something called a piezoelectric device. It's basically an ultrasonic tip that cleans out the area without creating heat because heat is damaging. Okay. Then ozone, gas, prf. And then I put usually a little bit of a tent over the top. It's called guided wound healing. To help prevent food from. Yeah, exactly.

And you usually recommend antibiotics before these procedures?

No, because of ozone.

That really helps.

It really helps. So when I say removals of teeth that are infected. No. No antibiotics are needed.

That's huge. And then how do you feel about oil pulling?

Great question. Oil pulling has been around for thousands of years, since ayurvedic times.

Yeah.

And I actually had to give a. An interview about this. So I did some research on. Let's see what, what's happening. Yeah. So I found some. A couple of research papers from Indian universities. And it helps with gingivitis. Okay, so that's good. Why? Because it was actually traditionally sesame oil was used because today there's more like coconut based oils on the market. And the thing with, with the oils, if you swish them back and forth in between the teeth for 20 minutes, which is the right way to oil.

20 minutes?

At least 20.

My patient's like, I don't have time for 20 minutes. Yeah, I know.

But still, it' turn into a soap.

Wow.

That's what this. You know, so you swish. My grandfather actually used to make soap out of oils.

Really?

Yeah. So. So that's what happens. It becomes a soap, like fluid that cleans plant. Okay. But the research that I saw only shows that it only goes about a millimeter under the gum. So I think if you're using a water flosser, you get. You could not with the oil, just. With water, you can finish in two minutes. Be more effective versus for 20. So for. And also I found a couple of cases where patients inhaled the oil droplets in their lungs and they got an infection.

Yes, right. Yes.

So there was that. For our patients that have gum disease, we actually have an ozonated oil. Okay. That we use. But you don't have to switch for. Switch for 20 minutes because we're not counting on the soap effect. We're counting on the ozone to do the work. So we're just having patient swish for one minute. And it's very effective.

Where do people even get that? They can get it from your office.

They can get it from our office. Air1 sells some of our products.

Okay, great.

And on Amazon, some of them.

And.

Or orama.com. perfect.

Thanks, Alyssa, for adding that link. I see it here. And then one patient ask, I'm using a calcium hydroxy appetite toothpaste. Is it also safe to use the mineralizing powder? And is there a risk to using too much hydroxy?

Yeah, there's no risk for that. So I have lots of patients that, you know, love their toothpaste. And I always say, okay, that's fine. Just sprinkle some of the powder over your toothpaste that you love.

Yeah.

Then you can combine the two. Or just you can brush and then just apply the powder as a treatment. Okay. And just leave it on your teeth because it's got the probiotics, it's got the calcium nitrox. Oh, just overnight.

Overnight.

Yeah, overnight. Because the mouth is the driest at night, and it really stays on there.

That's amazing. When you're talking about using appliances at night. I have clenching, which I discovered, you know, at your office. And using the mouth guard has been so effective, especially because you can personalize it to the mouth. Can you explain how you do that? I saw your printing device. Yeah. I just thought it was so kind of fascinating.

Yeah. Well, I'm glad you brought that up, because I was just talking to somebody about the Type of material that we make the night guard. So make sure you ask your dentist. Make sure they're BPA free.

Yes, please. I don't detoxify.

Well, anyway, yeah, so bpa, bisphenol A, you know, it's an estrogen like modulator. Modulator. So you do not want that. What happens when you're growing, you know, and especially in a warm environment, BPA of comes off the. The surface. Yeah. So BPA free and night guards essentially doesn't do a couple things. I think they're really good insurance for teeth, especially if you're clenching and your mouth is drier now you're, you know, even more so damaging teeth. And also it helps with the tmj. So at night, when we open up the jaw a little, it leaves more room here so things can oxygenate, rejuvenate, and get more blood flow.

You know, a lot of my patients in these, like perimenopause, menopause decades are like taking care of their parents.

They take.

The kids are leaving, they're taking care of the kids, they're working hard. It's the peaks of their careers and there's so much stress. And a lot of them, I think, don't even realize that they are clenching and grinding at night. How can you tell that you are like. I didn't realize until somebody you told me or one of your dentists told me. Yeah. Hey, do you know you're clenching? I was like, really? But the mouth guard really helps. I do feel relaxed. So how would a patient be able to tell they have to go to the dentist to ask if they're clenching?

That's a great, great question. No, when you wake up in the morning, just beyond. And feel on the side of the face, if you feel tightness here or if you open and close, actually have a little popping and you're feeling a little popping on the side of your ears, it means your joint there is getting a little suppressed. So usually I could tell in the morning when I'm clenching, you know, because. Because this right here gets really tight. Yeah.

So that's where you could have clenching. And then you have. Do you have a printer in your office? Because it fits so snug to my teeth and it doesn't cover the front.

Yeah.

So how do you actually make it for patients?

Yeah, so we've changed a lot. Like a lot of them used to be so uncomfortable.

Yes. I couldn't imagine being compliant if they didn't fit well.

Yeah. We do digital impressions now and 3D printing. So the Design is like, we keep the front teeth open so that you can. It just doesn't feel so bulky. And another. I work with a couple osteopaths, and I learned from them not to ever make an upper night guard because it locks the cranial mechanism. So from here up, we have like a midline suture where the bones interlock like this. So as we breathe, there's a micro movement.

Okay.

But the lower jaw is a full jaw. It doesn't have that. So a lot of people, the reason why they don't feel comfortable with an upper guard is because it locks the breathing and the movement of energy. So people's like, oh, my God, I get anxiety. And actually, even I have patients that we had to put a bridge across and they couldn't tolerate it.

Interesting, because mine doesn't have anything. It's, like, empty.

Yes. And yours is alone.

Yes.

But the upper. Usually any kind of crossing over this midline, a lot of people can't tolerate it because of the cranial movement.

Can they tolerate other devices or just they have to lower.

Focus on the lower.

Good to know. Oh, great.

Yeah.

Then what do you put to fill the space after you move the root canal? And is it permanent? Lots of root canal questions.

Yeah. So after we remove the root canal, we put the prs and the root guided w healing. So typically within four to six months, it heals your bone cells. Know what to do. All I'm doing is creating an environment so your bone grows in. So the bone health. Bone cells crawl in about a millimeter a day. So the space is filled usually about three, maybe three months. And then mineralization occurs. That mineralization, depending on where you are. Now, if you're postmenopausal.

Yeah.

It's slower. If you have the more testosterone you have, the better bone we get.

It makes total sense.

Right. So. And then usually it could take up to two years, the mineralization process. But typically we have enough bone at four to six months to place an implant.

Okay.

Okay.

And how do you feel about using red light therapy for the teeth and gums?

I love red light.

Okay.

We use it for healing in our office. TMJ pain is great for that, especially for pain. But also, I wouldn't use blue light. I know there's some companies out there that are selling blue light. Blue light can be, like, disturbing the DNA, like UV light type. So I would say yeah, yeah. So, plus, blue light also disturbs the sleeping cycle, especially to use it at night. Any kind of blue light is just not advisable. So Red light, totally great. It's anti inflammatory, anti aging, fan of it as well.

Then somebody wants a link to the Ozonated Tumblr and maybe we could, when we send, we could send, when we send a copy of the webinar, we could send some of these links in there so people could have them. Is it bad to have upper mouth guard? And do most regular dentists have access to BPA free mouth guards? I guess you have to ask.

You have to ask. And if you know what we find is like a lot of dental offices, they're not exactly sure what's in the material because, you know, it's distrust that everything that's on the market is okay to buy, but we find that that's not the case.

Right.

You have to ask like even in terms of, you know, fillings, like white fillings, there's a lot of white fillings with BPA in it. So you just have to ask the dentist, are your fillings BPA free? They should be. I mean we have great fillings nowadays from the dental suppliers. Europeans, Germany is one of the ones that have really, really good biocompatible materials. As I was mentioning, this biocompatibility test test tests about 6 to 700 different dental materials and a lot of them are not satisfactory for that particular patient. So they are after all man made, they're synthetic. So everybody's body is different.

So and that's so important. You know, even when we're thinking of like hormone replacement therapy for women, we really are thinking like, what is your body and can it tolerate these hormones? Is your liver able to process tomorrow's hormonal dose? And so much of it is dependent on do you have, have toxins in your body? And the number one toxin we see in our patients is mercury. And sometimes it's from amalgam fillings and sometimes it's from, we're in la, it's all about the sushi they're eating. But yeah, and we don't want them to have that mercury because the mercury mimics estrogen. So as we're giving them their hormones, they have too much estrogen and that can cause inflammatory issues. How do you remove mercury fillings? Amalgam fillings. And is it important to see a biological dentist physically to a conventional one? What's the difference?

Yeah, great question. And we haven't got a chance to talk about 16 large mercury fillings in my mouth. So I know 16 and they were huge. I remember taking this fork and touching it on one of my mercury filings and it would give me a zinger.

Please.

Electrical current. So if you have metal against metal in the mouth in a wet environment, it creates a battery and that battery steals energy force from you.

Wow.

So you know, that's why metal against metal. Definitely not advised. How do you know you have mercury fillings? If you look in the mouth, you do your self exam and you see gray, silver, it's usually mercury. 50%.

Wow.

You can also, if you have old crowns that are 20 years old, a lot of times dentists would leave mercury underneath the crown crowns. Wow. So they could also exist underneath old crowns.

Okay.

I see sometimes.

So sometimes when I'm seeing like white on the. I'm not a dentist, I'm looking at mouth, I'm like, oh, they don't have any amalgams. But we don't know. Me and the patient doesn't know. Yeah.

You can also ask, do you have old crowns? So that's how you know. Yes.

And then send them. You guys could see them on CT scans.

Unfortunately not.

Oh. So how do you.

By removing the crown.

Oh.

But usually if they're 20 years old, you know, they're leaking to some, you know, they're not the safest.

Oh yeah. I didn't realize that. Cuz sometimes it just looks white and I'm like, I don't think you do.

Where is an unusual place where I find mercury is in the gum.

In the gum?

In the gum. We call them mercury tattoos. And it's from when the mercury was placed that this band used to be around the tooth and the dentist would just pound it and then somehow it wedge under the gum and it stays there and it actually migrates under the tissues.

Oh, that's not measuring it in the blood.

That's right.

Right.

And the. You could see from the outside that the gum is bluish. I cut out the gum. Oh, wow. And usually when I cut it open, there's tons of mercury under it because it's just showing me the bluish tint on the outside. But underneath, usually this right hand just stays scary.

Yeah.

I've had one patient who actually have a lot of mercury just in the front here. She actually ended up with the skin cancer right on the outside of her chin.

Cheese. Right then.

Yeah.

That's super scary. And do you recommend at all bonding over grafting? And my general dentist recommended it and said it was more permanent as grafting may not take.

So the problem with recession putting bonding on it is like when we put bonding on there, the gum now goes away even more. So you're just putting a band aid on the problem. Well, if your gums are receding, usually it's because they're thin and they're going to continue to recede. So I wouldn't say it's. Yes, it's a permanent fillings, if you would say that. But every five years, typically we need to replace these fillings because at that area of the tooth that just flexes, so it's a lot more prone to chipping and leakage.

That makes sense.

So usually about every five years, I wouldn't say it's permanent. I always like to repair the defect that was there with the same kind of tissue. So if your gums receive it, let's work on the gums. The other problem with fillings is once you cut into a tube to put a filling. Now you're going to replace that filling. Every time is more of an injury to the nerve. Oh. So you might end up actually with a root canal or, you know, or sensitivity. So I don't think fillings are a good way to treat recession. If recession is 1 to 2 millimeters, don't treat it. We, we actually observe that we don't treat every recession.

What do you wait for? How much before you do something?

Well, usually it's 3 millimeters or more. And us the quality if the cup is like bouncy and very, very thin, then we'll do something about it.

Okay. Right.

Yeah. Yeah. But Billings, I would say they only make the situation worse. That makes sense.

You know, we've already come to an hour. I know that's hard to believe, but I think we did answer everybody's questions. And then a few people asked about practice and where we. We where we practice. So if you could just put that slide up for me, Alyssa, just with the QR codes, if you guys do want to come and see us. Functional medicine or holistic biologic dentistry. That's a QR code. And you have something you want to offer this audience?

I was talking to Dexa Cyana right before this. I'm like, what can we offer? So we're going to offer. If anybody's interested in coming to visit us and get an opinion, we're going to offer a complimentary consultation up until April 10th. And I'm going to message my front desk because we just decided, and that.

Is far too many mean most of you on here are my. Already are our patients. And you guys want functional medicine. You know, please come and see us. The QR code is on there. But I do think it's so Important, especially women in these decades, are to put everybody else first. And it's important to put yourself first and really start with your mouth.

And one thing I love about you, you know, the way you treat patients. You know, my husband and I are both patients here. It's like you're such a good detective. Yes. You know, because there's a million things sometimes happening. The house can have its own problems with EMFs and mold and things got issues about. But you have such a good way of kind of sequencing everything so that everything's done at the right.

And you just have to have a very clear protocol so you don't miss anything.

Yeah.

But, yeah, functional medicine is just so. It's given myself and all my family and patients just like their life again. And it's so important to look deeper and find a dentist who's going to look deeper and just advocate for yourselves. You know, if somebody isn't, isn't the right person on your team, change it around. So we'll be sure to send this webinar to everyone. Use the QR code. Make sure you mention the Cyana webinar so that people at Dr. Moldovan's office can see you for that complimentary consultation. And then we do have a raffle for somebody to get one of my favorite products I feel women in their perimenopause menopause decade need. And that's Relora and it's a supplement that's Magnolia work that just helps you decrease your stress levels. And it does help a lot of people with TMJ with clenching. But it's, you know, all of us are so unconscious of our stress. And I think you already found the person, the winner, and it's going to be Eliana Bacon Burns. So you're going to get the Laura and we will ship it to you. It's very safe to take. Take one or two pills at night or during the day. It should may cause sleepiness. So try it at night time. But you should just feel more relaxed. I hope you enjoy it. And if you guys have any questions, feel free to contact our offices. Thank you so much and I really appreciate you taking the time. Anytime. Take care, you guys.

Bye, everyone.

Bye. Bye. See you.