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Hi everybody, and welcome back to another episode of Airway First, the podcast from

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the Children's Airway First Foundation. I'm your host, Rebecca Downey. My guest today is Dr. Michael

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Gale, a world-renowned inventor, lecturer, NYU professor, and the author of the best-selling

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book, Gasp, Airway Health, The Hidden Path to Wellness. Known for his breakthrough work in TMJ,

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Airway Center Disorders, Sleep Apnea, Sleep Disorders, and Chronicetic Treatments, Dr. Gale

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has pioneered and coined Airway-centric dentistry and is transforming lives at a scale by helping

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people feel better and breathe better. Dr. Gale has been featured in The New York Times,

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The Chicago Tribune, Fox News, CBS, CNN, Women's Day, The Globe, and ABC News, just to name a few.

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A board member and chair of the Development Committee for the Airway Revolution Foundation,

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a co-founder for the Foundation for Airway Health, the American Academy of Physiological Medicine

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and Dentistry, and the Gale Institute. Dr. Gale was an entrepreneur, a mentor to many,

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and an inspiration to all, with a mission to transform and save millions of lives through

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Airway's centric dentistry. Dr. Gale is a graduate of Tufts University and Columbia University,

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and is the son of Dr. Harold Gale, who pioneered TMJ treatments and linking it to the rest of the

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body. You can find out more about Dr. Gale at galbscenter.com. And now, here's my interview with

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Dr. Michael Gale. All right, thank you for joining us on the show today, Dr. Gale. I really appreciate it.

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Rebecca, it's great to be here. Thank you. Thank you. So let's just jump right in.

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For everybody that doesn't know, your dad is Harold Gale, who pioneered the treatment for TMJ,

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and you've spent your career building on this and have connected that to Airway and Sleek.

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So let's just talk a little bit about how you made this connection and how it's changed the way

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you approached dentistry. Yeah, so in 1990, I got exposed to, I had just taken over the program at NYU,

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the TMJ and Facial Pain Program, and we brought in Jonathan Parker, and then maybe a month later,

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we brought in Wayne Halstrom. They were dentists that were working at that time with sleep apnea

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and snoring. And they inspired me and they showed me how the jaws were related to the Airway.

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No one spoke about Airway, actually. They told me how they had figured out and come up with the fact

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that the upper and lower jaws, actually, by putting them in a different position, we could

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maintain an open Airway. And so I took my dad's work that had brought the jaws down and forward.

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You see, dentistry had been pulling the jaws back, had been retracting the face and retracting the

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jaws for about 75 years. And what we can talk about, this has been happening for the last 300

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years or so, to a large degree, for epigenetic reasons, so environmental reasons, let's say.

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And soft diet. So I think my dad would go to these conferences on fatigue,

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and he would say that when he fixed the TMJ, he got rid, he allowed them to have more energy.

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And he thought it was because he had gotten rid of their pain, and they were able to probably sleep

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better, but he really attributed it to his work with the TMJ. And what my dad didn't, I think,

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realize at the time, but he was really, really one of the first Airway dentists that he and Bill

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Farah and those few dentists, Barney Janklison, that were actually pulling the jaw down and forward,

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were in effect opening the Airway. Okay. And it wasn't until I got a CAT scan, a comb beam scan,

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CBCT, in, let's say, 2010, that I was able to image and I was able to show that by bringing the jaw

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forward, I could get a double, a triple, a quadruple the size of the Airway. And then around the same

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time, we started coming up, Dr. Remers, John Remers came up with the first home sleep test.

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Okay. The two technologies that we got in the last, let's say, 15 years were the imaging,

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where we could finally see the Airway and measure the Airway. And then we could also measure your

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sleep. And before that, it was a $5,000 test, you had to sleep overnight, you had to get all the

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electrodes wired up to your brain, and a lot of people were not doing that. And so the advent

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of home sleep testing in the dental office being given out by the dentist was a huge, huge step

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forward because for the first time, not only could we visualize the Airway, but we could measure

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the quality of a patient's sleep, how many times they stopped breathing, their oxygen every second

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of the night, whether they slept on the right, the left, the back, the stomach, and actually start

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to measure how much deep sleep they were getting and how much REM sleep. Wow. And so you mentioned

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the CBT. So for people that don't understand or have never, it's still kind of a new phrase.

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You know what? It's still really new. So when I say CBT, I'm talking about basically a three-dimensional

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scan the dentist take, it's about 1 40th to 1 50th amount of radiation.

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And we get the results within five minutes form almost immediately, we get the results.

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We send everything out to radiologists, but it's just the most beautiful images of not

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only the TM joints and of the face, but of the Airway, the teeth infections, you know,

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what we can talk about early systemic later. But because we're taking cuts through the bone,

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we can often find infections that regular two-dimensional x-rays would never ever see.

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So you go to a dentist, they say you don't have a problem, but we're able to cut the tooth in

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sections like the $10 million machines do. We can do the same thing for a fraction of the price.

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Wow. That's amazing. And it's not, you know, I've learned this from other dentists, it's not everywhere.

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Right. I mean, so this is, is it a cost thing or is this a training thing or a little above?

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Well, dentists have been taught to be, my father taught me dentists look like this. Dentists,

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you know, dentists are looking to focus on a tooth on a margin on microns. And I'm trying to,

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I'm an advocate of the big field. So I have a very big field view. It should be the standard

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of care in every office. It will become the standard of care because if we want dentistry

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to move into towards children's health, if we want dentistry to move towards health and wellness,

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and of course, all the, all the healthcare specialties are supposed to be about health and wellness.

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Right. So we're not supposed to be repairmen. We're not supposed to be fixing teeth.

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What dentistry is really about is supposed to be furthering and enhancing our wellness.

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Okay. And I'm a big, I'm a big spokesperson for taking dentistry into that next era,

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or maybe back to the era where maybe some of us started and people like Weston Price

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and people that have looked at nutrition and Dr. Barkley. And there were, there've been others

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along the way that have, that have, that have talked about this, but it's never really been

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widely embodied that dentistry, and we can talk about some of the things we're able to do now

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dentistry. But I, when I went into this field because of my father, I thought it was pretty cool

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to be able to get rid of people's headaches and pain and change so fast. But I never imagined

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that I'd be able to do what I can do now that I'm able to open the airway.

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Yeah. Yeah. And for those listening, I'll put a link to a podcast episode we did many months back

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with Dr. Becky and she digs into Weston Price. So, you know, people can, some great information

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in that segment. And this kind of leads me into something that I heard you say actually recently

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on a YouTube video that airway trumps everything else and dentistry,

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which to me, you know, with somebody with a dental background, that's a pretty big statement to make.

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I mean, why?

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Well, you know, it's for, for people like me, it's, you know, it's fairly obvious, but

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when we say that airway trumps everything, so you can go two weeks without eating.

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You can go maybe four or five days without drinking water.

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You can go maybe four minutes with that breathing, with that oxygen, with that air. And so,

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I believe the reason we have teeth, the teeth is the scaffolding that supports the airway.

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And because the dental profession, because we treat the upper and lower jaws and because the tongue

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and the soft palate are attached to the jaws, basically 50% of the airway are things that the

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dentist encounters and works with every second of the day, every patient. And then the nose,

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the other 25% of the airway, which is the nose, is controlled by the upper jaw. So,

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the top of the upper jaw is the bottom of the nose. It's the same bone. And so, the dental

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profession really are the ones, and, you know, I came up with airway-centric dentistry, how we

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hinted in an eye, talk about airway and airway-centric, and we wrote the book, Gas. But the reason

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that it trumps everything is that when you breathe and you sleep, the way that you breathe at night

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determines systemic inflammation. So, in other words, when you stop breathing or you don't

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breathe so well, two things can happen. You can get drops in your oxygen, hypoxia, you can get your

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oxygen to goes down, or your sleep gets fragmented or disturbed. You don't get good, you don't get

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good, you don't get into deep sleep. Both of these can lead to systemic inflammation,

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which is basically aging. It's aging, it's heart disease, it's Alzheimer's. And in addition to

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systemic inflammation, when you get hypoxia and sleep fragmentation, you get oxidative stress,

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you start resting, oxidative stress, endothelial dysfunction, which means your blood vessels,

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like hardening of the arteries, your blood vessels don't dilate the way they're supposed to.

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You're not getting nitric oxide. And so your blood vessels, when they don't dilate,

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you're not getting, you get ischemia, you don't get blood to the brain and you don't get blood to

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the heart. In addition to that, your sympathetic nervous system, your fight or flight nervous

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system gets upregulated. You get increased sympathetic activation, which leads to high blood

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pressure, which leads to more cortisol, which has very negative stress on your liver. And so if you

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really look, you just think about it, that when you manage the airway, now that I manage the airway,

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I'm able to get rid of people's anxiety. Because look, the patient's being choked,

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the patient, the patient's being choked 100, 200 times a night. I'm not going to tell you what

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time someone's going to come in and choke you, or they're going to pinch you in the nose. You're

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going to get panic attacks, anxiety, depression. And by the way, that type of depression is drug

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resistant very often. Really? Yeah. So those people out there where they try all these different

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antidepressants and they don't work, when you open the airway, all of a sudden, either you

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don't need the antidepressants or the antidepressants you were taking start to work. So if you look at

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drug, high blood pressure, same thing, arrhythmia. But there's about an 85% correlation for people

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that don't breathe well at night that have sleep apnea. 85% of people with cardiac arrhythmias

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have sleep apnea. And if you want to lose weight, I mean, that's why they say, if you want to treat

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airway and sleep, it's a lever. James Nestor says it gives you leverage or a lever to treat things

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that you are never able to treat. So if you're trying to get rid of those first 10 or 15 pounds

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or last 10 or 15 pounds, I will guarantee you that if I get you sleeping well through the night,

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you will just lose 10 pounds without even thinking with same diet, same exercise. So when Howie and I,

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when I talk about the pillars of health, which is exercise, diet, nutrition, and a good mental

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attitude, the one that trumps all of those is airway, breathing and sleep. So the fact that

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the dental profession is probably the best specialty. And we work with the NTs and we work

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with pulmonologists and we work with, you know, butteca, we work with a lot of other people,

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but the dental profession are the ones that biomechanically anatomically, we can not only

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grow the airway, we can stabilize the airway with devices, but we can also grow the airway

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in children. And I believe we can prevent children from ever getting becoming a snore or

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becoming a sleep apnea. So those of us that I think they're forward thinking, like Christian

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Guimenault was, and I was with him in India, we believe that these disorders are ultimately

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optional or they're preventable. Okay. And then so this then is what you,

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this is what was at the core of what, when you said that, you know, being airway-centric

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is about brain development because it's all about that oxygen and everything hitting the

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brain and feeding it. Yeah. And also you got to understand that if you go back in dentistry to

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1924, it's also a play on words. Okay. Because when my dad used to have the fights with Peter Dawson

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and with Panky, when the rest of dentistry was shoving the jaw back into what they called

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centric relation, which was a way that you could mount models on a study model. It's the way that

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they would build dentures. It was the way they would build your teeth and you had to shove the

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jaw back into a repeatable position. Now, when they shoved the jaw back, which they started

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doing 1924 and they did up until 1985 and they're still doing today, the reason that I'm now friendly

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with Whit Wilkerson and we become good friends and I'm friendly with Mark Murphy and I'm friendly

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with people from Dawson and Panky, we agreed in the Swiss tradition, we agreed that as long as our

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academies agreed that opening the airway was more important than the TMJ, we would not argue

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any more about TMJ. We wouldn't argue, as long as we all took a treaty and we took an oath,

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that we all agreed that anyone that agrees that opening the airway is important for children

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and adults, we're now all friends and we're getting along great because our mission is so much of a

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higher and more profound level. It's so much more important than arguing about the TMJ because

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actually my airway-centric philosophy says that if you open up everything, if you get someone,

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a woman or a man, but particularly a woman to sleep through the night, she probably won't have

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TMJ. If you give someone good restorative sleep and oxygen, it's probably going to relax all the

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muscles and it's going to get so the airway trumps the TMJ. So if you do the orthodontics that we're

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going to talk about, if you enlarge the maxilla of the upper jaw, you're going to untrap the lower

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jaw and you're probably going to prevent TMJ, you'll never get a TMJ problem. So you understand

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how profound it is? So the whole conversation changed 10 years ago when Gary, Katie, with

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Wilkerson, how we, Hinden and I were in a restaurant in New York City and we said we're going to form

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the Swiss Dental Society, that means we're going to be neutral. We're not going to say we're going

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to all agree, we're going to put up our white flags and we started having these white flag events

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through the APMD and we were bringing people with different opinions and because we were all

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airway focused, airway centric, we could really move a lot further. We were started to collaborate

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much, much more and we realized that we needed individuals like lactation consultants, doulas,

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we needed speech language pathologists, we needed OTs that are working with feeding issues and kids

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and we started to allow everyone to come to the table as equals, not in this position dominant

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and the dentist is subservient, but in a very parallel and equal tract where the speech language

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pathologist is just as important as the physician and the myosophageal therapist and that gave

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everyone a really nicer way to communicate a safer space and it just became the dialogue

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that gets better and better and better. Yeah and for anyone that has never listened, I'll include the link

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to the APMD and the show notes because there's for parents as well as medical professionals,

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there's always events online that people can can join in and I personally have learned

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so much and this was the first time that I had really actually seen this kind of

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cross-functional I guess, a lot of cross-pollination and talk about these issues and

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for me it's really fascinating and then to see how they all play on each other.

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Yeah and listen, we now have airway centric physical therapists like Brad Gilden, so now we

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have a whole group of airway physical therapists and now they're talking with the speech language

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pathologists and they're learning more about myofunctional therapy and the myofunctional

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therapist are learning more about the physical therapy and now we're starting to expand diaphragms

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and we can treat ribs and we can treat injuries that people might have had and we can actually work

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with they're doing botanical breathing, they're doing wim hop breathing and so this whole thing

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and then the book Breath got published and you know we're coming out with movies now and documentaries

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and so you know we got to understand Rebecca only 15% of these patients have been diagnosed that's

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terrible. So 30, we've only moved about two to three percentage points and last I've been doing

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this 32 years, we have failed, we've only, we haven't failed in that more people are talking about it

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but the pace for me has been so slow in that we've only achieved a 15% diagnosis rate that means

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85% of the kids and the adults out there have never been diagnosed with this problem. Wow,

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which is just, I mean that's astonishing to me.

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Kind of along these lines I mean about you know undiagnosed and I can't remember where I saw this,

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if it was something you said or something I read but the research estimates 25% of kids are actually

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born mouth breathers which that alone that just blows me away and 50% of people with orthodontics

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are going to have more breathing issues down the road because of the treatments they're getting now

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and I can see me bear yeah we're talking about what retractive braces. Such a good question so

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you know when I when I kept reading the work of Christian Giminal. So Christian Giminal from

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Stanford he invented upper airway resistance syndrome, he was there at the beginning with

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Bill Dement and he came from France and he settled in and he was always a good thinker but he's the

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one that made me aware that you know all preemies so if you're born before 35 weeks you're a mouth

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breather and then if you try to suck and then I learned this from Lois Lane and Patty Otter if

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you're trying to do suck swallow and breathe an infant that's born too early cannot suck

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swallow the milk and breathe through their nose at the same time they can't they don't they can't

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coordinate those three reflexes because they don't have the development of their nervous system.

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Oh okay and I also never knew and this affected me personally I never knew that a kid could be

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born as a mouth breather I mean I never realized that but then I see all these pictures of these

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kids like this and I know that whether it be the anatomy and and one thing that I that I told Joe

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McCarthy the famous plastic surgeon he said one of the great regrets of his career was that he

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never realized that the kids with Pierre Robin, Cruzon, all these kids that are syndromeal that

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have birth defects, what the kids die of what they die of is sleep apnea so he never realized

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that the kids were dying they weren't dying of the syndrome they were dying that they couldn't

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breathe and the treatment actually when they trach them they would have to trach those kids

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and then they didn't die so we treated some kids at NYU that had syndromes and they all had trachs

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so when I started learning this I mean that was fascinating to me because I never and then I was

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a mouth breather my mother became a myofunctional therapist but too late for me and that's why you

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know children airway first and early early early intervention that was really profound and we can

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talk about Karen Bonick later but the second thing was with the orthodontics okay now the

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orthodontist started taking out by cuspids so if you believe in what James Nestor talks about if

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you believe that our skulls and you could just look at skulls from Smithsonian Institute you

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can look at the Morton collection at Penn like Mary Anna Evans and Kevin Boyd have you can look at

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the Natural History Museum in New York if you look at skulls that are 500 to 1000 years old

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you're gonna see that the midface is much more developed if you go back and you look at Neanderthal

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man you'll see that they had these big broad and wide yeah they had wide faces they had

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projecting snouts I mean they had like and what's happened is as our brains got bigger

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our admit faces started to go back and retract okay we didn't need the orthodontic community

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taking out 14 and then then then they pulled it back more pull it back yeah and my father

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was arguing against this for 40 50 years but I think what's so sad is that there's at least a good

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percentage of the orthodontic community that is stuck in the dogma and is still using retraction

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they're putting brackets on teeth they're putting wires on teeth they're using interproximal reduction

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in other words they're shaving between the teeth like with Invisalign so that they can make everything

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smaller and if they have a jaw well you have buck teeth instead of moving the lower jaw forward

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they'll they're moving the upper jaw back which again pinching the airway at that point and pushes

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the tongue back which blocks the airway right and so you know the orthodontists had a conference

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in Marko island and basically they're a guild they're trying to protect their own instead of

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admitting that you know there are better ways to do it and that airway trumps and that Gilben

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Hinden are right as well as many people like David Gazal, Ron Chervin, Steve Sheldon, Karen Bonik

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I mean we know the relationship is there between ADHD prefrontal cortex issues and the airway and

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Steve Sheldon has said it he's written chapters he said probably 50% of the kids out there that

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have ADHD and these behavioral issues probably don't have ADHD they probably just have a sleep

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problem an airway problem and we know that we and we can get them off of medications once we take

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out the tonsils and adenoids or once we expand the airway the kids are perfectly fine and and

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we're thinking that that's because it goes back again to air and the brain and the whole connection

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well you got to realize that the brain yes the brain develops between birth and age six or seven

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so the most rapid period of brain development is also when we get those tonsils and adenoids in

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and so by the orthodontic community waiting until 11 or 12 which is what they did for 100 years

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now they put it back to seven but the brain tissue is already developed by seven

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Kevin Boyd has told us you got to get in there earlier than age five so we'll get in there

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in one day of age we'll treat a frenectomy we'll cut the tongue tie so the kid can latch on because

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breastfeeding is the first best defense breastfeeding is the way that you start to develop the airway

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at birth right a lot of these kids that have feeding issues are also kids that are mouth

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breathers are also kids that they can't suck swallow and breathe so the same kid that has

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sensory integration issues the same kid that's going to have issues with speech later on

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is the same kid that also happens to have a narrowed airway and then as adults the same people

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that are getting laryngeal spasms that are choking on food they're also the ones that have a narrow

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they're narrow in this part of their body that's where your air comes down and that's where the food goes down

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you're listening to airway first with today's guest dr. michael gelb you can find out more about

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the children's airway first foundation and our mission to fix before six on our website at

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children's airwayfirst.org the calf website offers tons of great resources for parents

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and medical professionals including videos blogs recommended reading lists comprehensive medical

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research podcast and so much more we encourage parents to join the airway huddle our facebook

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support group which was created for parents of children with airway and sleep related issues

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you can access the airway huddle support group at facebook.com backslash groups backslash airway

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huddle are you a medical professional or parent that is interested in being a guest on the show

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or do you have an idea for an upcoming episode shoot us a note via the contacts page on our website

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or send us an email directly at info at children's airwayfirst.org as a reminder this podcast and

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the opinions expressed here are not a medical diagnosis if you suspect your child might have

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an airway issue contact your pediatric airway dentist or pediatrician and now let's jump back

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into my interview with today's guest Dr. Michael Gelb

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so because our skulls have changed and because of our atrogenic dentistry because the way the

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dentistry has been done it just makes a bad situation worse and we think the orthodontist

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or the pediatric dentist should be the superheroes but working with the allergist working with ENTs

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working with pediatric sleep specialists and we know that there's a way out of this so yeah my

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father looked at orthodont the orthodontists didn't want to listen and of course they were

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in the orthodontic literature people like linda erinson and big and uh you know with the monkey

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experiments um the people like uh you know rickets and brody they knew that the airway they know the

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airway is very important but it's kind of been forgotten from their literature and now there's

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a new young generation of orthodontists coming up and they're great ordrey ewn some of the people

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at stanford the whole generation of orthodontists coming up that are very good and they're starting

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at a very young age and people like myobrace out of australia chris parrell healthy start

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vivos there are these myofunctional devices appliances that you can use starting in age two

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two and a half so they're out there it's just that we're encouraging more general dentist pediatric

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dentists to get into this and not wait for the orthodontist to see the patient at age seven

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when they're seven or as dr boyd refers to then geriatric which they're old already they're like

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geriatrics at age seven i mean kevin boyd said like steve shellen they're like geriatric patients

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in this practice seven year olds yeah which is that's just such a mind that'll i mean it's when i

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remember the first time i heard him say that and i thought there was such a strange comment but the

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more i thought about it i mean that's kind of a profound statement that they're it's too late i

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mean they're geriatric we listen kevin boyd has taught me a lot we all feed off of each other right

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yeah and then finally we got bill hang now now bill hang is teaching course on early

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childhood intervention backup so now finally we got bill hang bill hang would would would would

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go in an age eight with bio block but after listening to people and we were all part of the

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course at nyu that i started we had barry rafael there kevin boyd we're all in the same wavelength

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is that and moralia we got to get in there in an early the earlier you get in there the better

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listen orthodontics is all about brain development orthodontics has nothing to do with teeth okay and

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his dentistry is not really about teeth dentistry is about the health and the wellness of the patient

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attached to the to the teeth and i used to like to listen roger price would talk about that we've

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got to treat the person who's attached to the teeth the teeth only go in the foundation and the

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foundation like barry talks about and ben talks about our foundation our bone every generation

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we're like rats our bone and our faces get more narrow more collapsed and we don't have the

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architecture we have to make everything wider and then the teeth will be straight again and we

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can do things like i guess there's two points just to clarify this is why that whole cross-functional

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team this this mindset we have to shift to instead of everyone's siloed you have to come at it as a

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team because the lactation consultant early on could spot some of these things and help some of

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these things so that the child can breastfeed and work on that jaw development and the tongue

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in the tongues yeah strengthening the time getting it where it needs to be in the tone yes the tone

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getting the tongue the proper rest or a posture so getting the lips together and getting the tongue

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up on the palate and get the tongue to get the tongue being up there as a muscle to start to

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expand and get these muscles to relax and get the swallow to be correct get the tone the tone to be

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better and so we have to work with our myofunctional therapists our speech language pathologist our

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hygienist and then the ot's have to start talking to the slps have to start talking to the physical

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therapists right and we can't all be siloed so we that's the educate we're getting the ot's in

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there now because artificially we've given the ot's we give the kids to them from zero to two or

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zero to three for feeding it and they have it and then they hand it off but it's too artificial that

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there shouldn't be that designation between the ot and the slp it goes down to curriculums it goes

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down to turf wars and we know that the curriculum is so outdated at least i know in the dental

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curriculum but i've said the same thing has to be true in the ot curriculum and the slp curriculum

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right and that's what we're hearing that it's um i've had many pediatricians make comments about

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we didn't even talk about the airway or we spent three hours and that's it so and i wasn't even

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allowed right i when the iam i wasn't allowed to speak about airway seven years ago wow they wouldn't

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allow it they didn't think it was in their charter they didn't think it was in their uh

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description of the specialty that they should have anything to do with airway they thought their

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profession was about speech it's like dentists think it's about teeth orthodontists think it's

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about straight teeth orthodontists is not about straight teeth right but they think that a lot

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of them think it is and the public within busyline they think it's about aligning teeth aligning teeth

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is sometimes not the best thing for the airway or the tm joint okay sure and i see this um in your

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practice and anyone that goes to your website will put a link on there as well but on your website

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your hygienist are actually it's in there as the oral systemic wellness hygienist um and to me it's

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just again it's a simple thing but that really does kind of set the tone for how you and your

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practice approach well listen i missed the boat so at that same dinner that i had with gary katie and

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witt worpison howie gary said why don't you come down and meet me in nevis and when i went down there

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to talk to his group about airway bailyn denine brad bailyn amy denine we're talking about the

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harmful bacteria that live in the mouth the oral microbiome and they explained to me how p gengivalis

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and a and other and now we know there's really five but they did the studies that showed that

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these bacteria made it increased inflammation so remember we talked about inflammation

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you have these harmful bacteria not only do they make the gut the epithelium more permeable we used

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to call it leaky gut but it leads to systemic inflammation and then the wall of the artery

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they call it the atherogenic triad they're more susceptible to strokes they're more

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acceptable to mild cardinal infarction so they say we will guarantee you patient you'll never get a

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heart attack of stroke or diabetes but you have to go to a dentist that has a CAT scan a cbct you

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have to do a disinfection protocol so if you have these five or these eight bacteria in your mouth

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you have to neutralize the bad ones leave the good ones alone because they're good for you i mean

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our microbiome runs the show and then it's been evolving with people like you know Doug Thompson

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and guineatis still alive and him kush with tarry free and so we have these mechanisms now

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that we can start to manage oral systemically now a part of that like how he says to me and

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Michael the first part of that is doing this right because you're right you got to close the mouth

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and what what people don't talk about when you get increased oxygen in the system it kills a lot of

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those anaerobic bacteria so in other words the ph the ph balance and and and kim kush and susan

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maples talk about the ph balance is very important part of maintaining that ph balance and it's got

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to be between you know it could be off by point one or point three but breathing through the nose

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at night and having an open airway is also part of the oral systemic balance and interacts with

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how the the the environment where we allow these bad bacteria to get away and live

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okay so so so the oral systemic is directly related to the airway but we have to have the

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hygienist out there and the dental practices i believe should be anti-inflammatory dental practices

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anti-aging so you could call your practice i'm an anti-inflammatory dentist basically what you're

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saying is i care about your health and i realized that i'm not just treating teeth i'm treating the

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structures the hiding areas the gums the periodontal and i i'm treating the bacteria that reside in

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your mouth because i understand that there's a relationship between oral health or the oral

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microbiome and the brain by a microbiome and systemic health so in other words the oral the

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oral microbiome talks to the gut microbiome because it goes down there and lots some of those

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bacteria survive but also if you have leaky gut and the p-ginge of alice gets out p-ginge of alice

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which starts here in the mouth number one offender bacterially for Alzheimer's disease

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so in other words you would never think you would never think that if you had a relative

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or you wanted to prevent Alzheimer's you wouldn't think that the first person you should go to is

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your dentist no no but i'm telling you that the dentist plays a key role in Alzheimer's prevention

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now people don't care as much about the heart because you can get bypass surgery

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there is no brain there's no bypass for the brain you can't put in a new brain there's no

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the replacement you can't put stents in right so there's a lot of us out there we know by 2050

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half the baby boomers are going to have Alzheimer's so i think it behooves us to make sure we're

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getting enough slow wave sleep delta sleep it behooves us in our 50s in our 60s to make sure

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it's good for sleep tests and going through an airway centric dentist

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that we're getting good oxygen we're getting good sleep because that will stall or put off

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or prevent so Dale Bredesen says that Alzheimer's is now optional

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but he's got to fill up the 38 holes in the roof you've got to fill up at least 12 of them

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number 13, then the other ones tend to fill in.

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So in other words, you got to exercise.

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Okay.

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That'll cut Alzheimer's by 50%.

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But you also have to have a dentist

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and Chip Whitney is teaching us now.

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It's called the recode protocol.

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You've got to have the recode protocol.

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Okay.

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You've got to have a dentist and a hygienist on the team

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along with a neurologist, along with your trainer

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who's going to have you do exercise.

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Okay.

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So it's a, again, it's a team.

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It's a slightly different team,

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but it could be part of the airway centric team

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because we want our team also to be,

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and at our meeting at APMD,

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00:41:40,200 --> 00:41:41,760
we're going to have more and more lectures

389
00:41:41,760 --> 00:41:46,400
and we, Dale Bredesen is going to be the keynote.

390
00:41:46,400 --> 00:41:48,400
And he's going to be telling the dentist

391
00:41:48,400 --> 00:41:51,160
how you can prevent Alzheimer's in dementia.

392
00:41:52,480 --> 00:41:54,280
And that to me, that's just,

393
00:41:55,320 --> 00:41:57,840
I come from a family where Alzheimer's is rampant.

394
00:41:57,840 --> 00:42:01,360
So to have somebody that actually can,

395
00:42:01,360 --> 00:42:03,920
that to me is just so groundless.

396
00:42:03,920 --> 00:42:06,520
Tomorrow you should go get the HR5 test

397
00:42:06,520 --> 00:42:08,800
or oral DNA or oral vital,

398
00:42:08,800 --> 00:42:11,080
get a bacteria test for your mouth

399
00:42:12,200 --> 00:42:13,880
and see what your profile is

400
00:42:13,880 --> 00:42:18,080
because I bet your family members are susceptible

401
00:42:18,080 --> 00:42:21,480
to having some of these bacteria like P. gingivalis.

402
00:42:21,480 --> 00:42:23,040
And you guys may have high levels

403
00:42:23,040 --> 00:42:26,640
and you may have to do certain type of treatment

404
00:42:26,640 --> 00:42:31,640
that decreases the level of something like P. gingivalis.

405
00:42:32,720 --> 00:42:34,320
And these kind of conversations,

406
00:42:34,320 --> 00:42:37,440
I mean, to me, this gives a whole new meaning to,

407
00:42:39,080 --> 00:42:42,160
as a biology major, and you went through this,

408
00:42:42,160 --> 00:42:43,720
this is the gateway for everything.

409
00:42:43,720 --> 00:42:45,240
This is the gateway to your body.

410
00:42:45,240 --> 00:42:47,800
But the way we were taught,

411
00:42:47,800 --> 00:42:50,120
it has more to do with what we're putting in it.

412
00:42:51,360 --> 00:42:53,120
And, yeah.

413
00:42:53,120 --> 00:42:55,560
And this is just, it is the gateway,

414
00:42:55,560 --> 00:42:58,040
but it's a very different gateway.

415
00:42:58,040 --> 00:42:58,880
It's different.

416
00:42:58,880 --> 00:43:00,680
And also when everyone talks about sleep,

417
00:43:00,680 --> 00:43:02,960
it's all about how many hours did you get?

418
00:43:02,960 --> 00:43:03,800
Right.

419
00:43:03,800 --> 00:43:05,720
I don't hear a lot about quality.

420
00:43:06,600 --> 00:43:10,320
I just hear, well, do you need to get eight hours, seven to eight?

421
00:43:10,320 --> 00:43:11,880
Well, I know people to get 10,

422
00:43:11,880 --> 00:43:14,480
but that are exhausted because the quality of the sleep

423
00:43:14,480 --> 00:43:17,960
is so poor, the oxygenation is so low,

424
00:43:17,960 --> 00:43:20,640
and the sleep fragmentation is so high,

425
00:43:20,640 --> 00:43:22,240
they can get 20 hours of sleep

426
00:43:22,240 --> 00:43:24,200
and they wouldn't feel refreshed.

427
00:43:24,200 --> 00:43:25,400
Right, because they never get to where

428
00:43:25,400 --> 00:43:26,240
they need to.

429
00:43:26,240 --> 00:43:28,600
And so is this where these oral appliances,

430
00:43:28,600 --> 00:43:31,960
these oral sleep appliances specifically like the air,

431
00:43:31,960 --> 00:43:33,240
that air VEDA?

432
00:43:33,240 --> 00:43:37,000
So the air VEDA, the air VEDA, the air VEDA,

433
00:43:37,000 --> 00:43:38,720
that's the new healthy night guard.

434
00:43:38,720 --> 00:43:40,520
So let's talk about that.

435
00:43:40,520 --> 00:43:45,520
You've got to understand that 90% of the dentists in America

436
00:43:46,000 --> 00:43:49,560
are putting in night guards that are closing the airway.

437
00:43:49,560 --> 00:43:51,880
So we were taught in dental school,

438
00:43:51,880 --> 00:43:53,880
we were taught if you want to get an A

439
00:43:53,880 --> 00:43:58,360
and pass your boards, we were taught to put the jaw,

440
00:43:58,360 --> 00:44:00,800
sometimes in a backward position,

441
00:44:00,800 --> 00:44:04,400
cuspid guidance to have very smooth platforms on it.

442
00:44:04,400 --> 00:44:08,320
So I'm telling you, the literature says 50%.

443
00:44:08,320 --> 00:44:11,120
I'm saying it's 50 to 90% of these night guards

444
00:44:11,120 --> 00:44:13,160
that people are wearing every night

445
00:44:13,160 --> 00:44:15,680
are actually closing the airway,

446
00:44:15,680 --> 00:44:17,360
they're increasing snoring

447
00:44:17,360 --> 00:44:19,320
and they're increasing sleep apnea.

448
00:44:19,320 --> 00:44:22,960
And so Lane Martin and I came up with the air VEDA,

449
00:44:22,960 --> 00:44:25,680
which we have the airway promises.

450
00:44:25,680 --> 00:44:28,080
So the airway promises means with our,

451
00:44:28,080 --> 00:44:31,040
with the old primitive night guard,

452
00:44:31,040 --> 00:44:33,360
it would prevent you from wearing down your teeth

453
00:44:33,360 --> 00:44:34,520
and breaking teeth.

454
00:44:34,520 --> 00:44:36,080
Yes, it did that.

455
00:44:36,080 --> 00:44:39,560
But at least a 50% chance of closing the airway.

456
00:44:39,560 --> 00:44:41,920
With the new night guard with the air VEDA,

457
00:44:43,360 --> 00:44:45,560
we open the airway,

458
00:44:45,560 --> 00:44:48,640
you wake up in a better mood, more refreshed,

459
00:44:48,640 --> 00:44:50,720
no clicking, popping, locking,

460
00:44:50,720 --> 00:44:53,000
decreased clenching and no headache.

461
00:44:55,040 --> 00:44:57,640
So does more obviously more than just prevent the grinding,

462
00:44:57,640 --> 00:45:00,960
somehow you're helping open a little bit?

463
00:45:00,960 --> 00:45:01,800
Well, you're opening.

464
00:45:01,800 --> 00:45:03,480
So instead of pushing it back,

465
00:45:03,480 --> 00:45:05,240
it's what my father was saying.

466
00:45:05,240 --> 00:45:06,080
Okay.

467
00:45:06,080 --> 00:45:09,600
It's in a phonetic position like 66, Mississippi.

468
00:45:09,600 --> 00:45:12,480
So when I speak, when I say the S sounds,

469
00:45:12,480 --> 00:45:14,320
my jaw comes forward.

470
00:45:14,320 --> 00:45:17,240
So we're putting them in an airway open position,

471
00:45:17,240 --> 00:45:19,120
airway friendly position,

472
00:45:19,120 --> 00:45:22,480
airway centric position, airway centered position.

473
00:45:22,480 --> 00:45:25,080
We're aware of the airway because we can image it,

474
00:45:25,080 --> 00:45:25,920
we can test it.

475
00:45:25,920 --> 00:45:28,920
And anyone that gets a night guard

476
00:45:28,920 --> 00:45:31,040
gets a home sleep test first.

477
00:45:32,720 --> 00:45:33,560
Okay.

478
00:45:33,560 --> 00:45:35,720
So the American College of Prostadonics,

479
00:45:35,720 --> 00:45:37,080
they're the ones, look,

480
00:45:37,080 --> 00:45:38,760
it wasn't Michael Gelbeth said this,

481
00:45:38,760 --> 00:45:40,560
the American College of Prostadonics said,

482
00:45:40,560 --> 00:45:43,040
look, you guys are gonna have liability out there

483
00:45:43,040 --> 00:45:45,520
because they showed the studies

484
00:45:45,520 --> 00:45:47,560
that showed that 50% of these devices

485
00:45:47,560 --> 00:45:48,960
were closing the airway.

486
00:45:48,960 --> 00:45:51,600
That their members have been making.

487
00:45:51,600 --> 00:45:53,120
And then look, there's nothing wrong.

488
00:45:53,120 --> 00:45:54,600
We didn't know any better.

489
00:45:54,600 --> 00:45:55,440
Right.

490
00:45:55,440 --> 00:45:56,480
Don't know what you don't know.

491
00:45:56,480 --> 00:45:58,360
But once you have the me too movement,

492
00:45:58,360 --> 00:46:01,240
once I tell you can't sexually harass a woman,

493
00:46:01,240 --> 00:46:06,240
once I tell you that this behavior is not allowed anymore,

494
00:46:07,920 --> 00:46:11,600
it's not the way that we do business,

495
00:46:11,600 --> 00:46:14,240
the dentist are no longer allowed to close the airway

496
00:46:14,240 --> 00:46:15,560
as of today.

497
00:46:16,400 --> 00:46:18,240
So anyone that listens to me,

498
00:46:18,240 --> 00:46:21,080
it's like Gary Katie said, it's like Thomas Cune,

499
00:46:22,200 --> 00:46:23,160
you can't see it.

500
00:46:23,160 --> 00:46:25,960
Once you fried the A, you can't unfry it.

501
00:46:25,960 --> 00:46:28,600
Once you see the arrow between the E and the X

502
00:46:28,600 --> 00:46:31,080
and the FedEx logo, you're always gonna see the arrow.

503
00:46:31,080 --> 00:46:32,560
You always see it, yep.

504
00:46:32,560 --> 00:46:35,200
So once you see someone who's worn down their teeth

505
00:46:35,200 --> 00:46:37,840
or once you see someone that has a large tongue,

506
00:46:37,840 --> 00:46:41,120
scallop tongue, or once you see a cross bite,

507
00:46:41,120 --> 00:46:44,240
or once you see someone that's breaking restorations,

508
00:46:44,240 --> 00:46:48,400
or once you see a kid that has a high narrow palate,

509
00:46:48,400 --> 00:46:51,040
or when you see a kid that has circles under their eyes,

510
00:46:52,120 --> 00:46:53,600
you can't unsee it.

511
00:46:54,560 --> 00:46:57,200
But dentists never looked at the tongue.

512
00:46:57,200 --> 00:47:00,160
You know what dentists think the tongue is?

513
00:47:00,160 --> 00:47:02,280
Something that gets in the way when they do a filling

514
00:47:02,280 --> 00:47:04,000
on your lower molars.

515
00:47:04,000 --> 00:47:06,240
That they have to move it.

516
00:47:07,800 --> 00:47:09,560
We got an assistant, can I get a mirror?

517
00:47:09,560 --> 00:47:12,560
I gotta keep that tongue out of the way, so I don't,

518
00:47:12,560 --> 00:47:14,600
the dentists don't even know there's a tongue.

519
00:47:14,600 --> 00:47:16,960
The tongue is just in a nuisance.

520
00:47:17,840 --> 00:47:20,720
And we never lift up the tongue.

521
00:47:20,720 --> 00:47:22,040
So look under, yeah.

522
00:47:22,040 --> 00:47:24,560
Well, we never were taught to do that.

523
00:47:24,560 --> 00:47:28,960
So that's missed like 98% of the time.

524
00:47:28,960 --> 00:47:31,640
And we never look at the size of the tongue.

525
00:47:31,640 --> 00:47:32,840
We don't grade the tongue.

526
00:47:32,840 --> 00:47:36,200
So we have to start doing that on every patient.

527
00:47:36,200 --> 00:47:40,080
Every dentist, Rebecca, is an airway dentist.

528
00:47:40,080 --> 00:47:41,600
They're either closing the airway

529
00:47:41,600 --> 00:47:42,720
or they're opening the airway.

530
00:47:42,720 --> 00:47:43,560
They're opening.

531
00:47:43,560 --> 00:47:45,200
Everything that we do in dentistry

532
00:47:45,200 --> 00:47:47,160
has an impact on the airway.

533
00:47:47,160 --> 00:47:51,120
How as parents do we find these dentists though that are,

534
00:47:51,120 --> 00:47:53,040
whether they're certified airway-centric

535
00:47:53,040 --> 00:47:54,960
or at least they're just focused.

536
00:47:54,960 --> 00:47:56,440
They've made that shift in their mind.

537
00:47:56,440 --> 00:47:57,600
How do you find them?

538
00:47:59,280 --> 00:48:00,320
So I think, you know,

539
00:48:00,320 --> 00:48:02,840
the foundation of airway health had an airway pledge.

540
00:48:02,840 --> 00:48:06,440
So on the foundation for airway health,

541
00:48:06,440 --> 00:48:10,360
on that website airwayhealth.com, I think,

542
00:48:10,360 --> 00:48:13,200
we have people that have taken the airway pledge.

543
00:48:13,200 --> 00:48:15,600
Now we're not certifying, we haven't gone,

544
00:48:15,600 --> 00:48:20,360
but they believe that opening the airway is the right thing.

545
00:48:20,360 --> 00:48:24,000
And then if you look at the AAPMD website,

546
00:48:24,000 --> 00:48:27,120
we have a list in every state and internationally.

547
00:48:27,120 --> 00:48:29,960
And then lately, we're forming liaison groups

548
00:48:29,960 --> 00:48:31,280
now around the United States.

549
00:48:31,280 --> 00:48:33,480
So people want a curriculum.

550
00:48:33,480 --> 00:48:36,320
If people want to have meetings and meetups,

551
00:48:36,320 --> 00:48:39,520
these collaborative groups that you and I are talking about

552
00:48:39,520 --> 00:48:41,000
that we have to work collaboratively.

553
00:48:41,000 --> 00:48:42,880
So these groups will get together,

554
00:48:42,880 --> 00:48:45,720
let's say once a month, like a study club,

555
00:48:45,720 --> 00:48:49,440
and either we can provide the speaker or they have a speaker.

556
00:48:49,440 --> 00:48:52,080
And so we have these liaison groups around the country.

557
00:48:52,080 --> 00:48:55,320
So this is like a movement, a groundswell movement,

558
00:48:55,320 --> 00:48:57,160
because everyone asked me the same question.

559
00:48:57,160 --> 00:48:59,840
I got the same question last night in New Jersey

560
00:48:59,840 --> 00:49:01,800
at ProSemile, they go, well, how do I find,

561
00:49:01,800 --> 00:49:04,960
the ENTs are telling us that it's fine to have big tonsils

562
00:49:04,960 --> 00:49:06,840
that we choose to leave it alone.

563
00:49:06,840 --> 00:49:11,840
So 80% of the ENTs out there are not trained in airway.

564
00:49:11,840 --> 00:49:16,560
So we have to look for those one or two in each community

565
00:49:16,560 --> 00:49:19,280
that have had the training from the right school,

566
00:49:19,280 --> 00:49:20,720
they've been to the right lectures,

567
00:49:20,720 --> 00:49:24,960
they understand how important it is to have an open airway,

568
00:49:25,880 --> 00:49:28,560
and they're willing to go in and they're willing to treat,

569
00:49:28,560 --> 00:49:29,920
and they're not gonna make the parent

570
00:49:29,920 --> 00:49:31,840
or the kid feel like they don't know what they're doing

571
00:49:31,840 --> 00:49:34,440
or the dentist, they're not gonna contradict

572
00:49:34,440 --> 00:49:38,800
what the dentist said. So you gotta be on the lookout.

573
00:49:38,800 --> 00:49:41,040
And that's the way I would do it would be

574
00:49:41,040 --> 00:49:41,920
to go to that website.

575
00:49:41,920 --> 00:49:43,720
I mean, everyone has the same issue

576
00:49:43,720 --> 00:49:45,200
and we're trying to find providers

577
00:49:45,200 --> 00:49:46,760
and we're trying to get a list.

578
00:49:47,920 --> 00:49:52,040
There is the AEDSM, American Academy of Dental Sleep Medicine.

579
00:49:52,040 --> 00:49:54,120
You know, these are dentists that have been trained

580
00:49:54,120 --> 00:49:59,120
in their interest in sleep apnea and snoring.

581
00:49:59,320 --> 00:50:00,520
That's another group.

582
00:50:01,960 --> 00:50:04,280
And that's it, it's kind of like a grassroots movement

583
00:50:04,280 --> 00:50:05,360
at this point.

584
00:50:05,360 --> 00:50:10,360
Yeah, and I'll make sure that we add those other two

585
00:50:10,600 --> 00:50:12,880
on the Children's Airway First website.

586
00:50:12,880 --> 00:50:15,640
We do have a link to the Airway Health Solutions,

587
00:50:15,640 --> 00:50:16,480
to their list.

588
00:50:17,640 --> 00:50:19,840
But we'll comment here that we have the others.

589
00:50:19,840 --> 00:50:22,240
And Airway Health Solutions, like Ben Moralea,

590
00:50:22,240 --> 00:50:25,520
Lauren Geitz, Airway Health Solutions is another good group.

591
00:50:25,520 --> 00:50:27,440
They probably have a thousand dentists now

592
00:50:27,440 --> 00:50:28,920
that Ben and Lauren have trained.

593
00:50:28,920 --> 00:50:32,320
I'm training them on TMJ, and I talked to them at Airway.

594
00:50:32,320 --> 00:50:34,800
So look, we're trying, we're educating,

595
00:50:34,800 --> 00:50:37,400
we're out there at all these meetings,

596
00:50:37,400 --> 00:50:40,240
attempting to spread the word.

597
00:50:40,240 --> 00:50:42,080
Yeah, yeah.

598
00:50:42,080 --> 00:50:44,800
So as parents, I mean, aside from finding an Airway

599
00:50:44,800 --> 00:50:47,440
centric dentist, which at this point,

600
00:50:47,440 --> 00:50:48,360
there is no argument,

601
00:50:48,360 --> 00:50:51,000
that's what we all should be looking for.

602
00:50:51,000 --> 00:50:53,480
What are some things that we can do on our own as parents,

603
00:50:53,480 --> 00:50:56,000
just to help with our children's oral development,

604
00:50:56,000 --> 00:50:59,200
just to get them off, aside from breastfeeding, obviously.

605
00:50:59,200 --> 00:51:01,320
Yeah, what do you have over kids?

606
00:51:01,320 --> 00:51:03,400
The number one thing,

607
00:51:03,400 --> 00:51:06,080
and Jeremy Montrose talked about this last night,

608
00:51:06,080 --> 00:51:08,920
my associate, maybe the number one thing

609
00:51:08,920 --> 00:51:12,240
is that they become nose breathers, nasal breathers.

610
00:51:12,240 --> 00:51:13,200
Okay.

611
00:51:13,200 --> 00:51:16,280
So you said at the beginning, you said 25% of kids

612
00:51:16,280 --> 00:51:18,280
are probably, I think you're probably about right.

613
00:51:18,280 --> 00:51:20,880
So those kids are gonna be at risk,

614
00:51:20,880 --> 00:51:22,600
though they're gonna grow up looking like me,

615
00:51:22,600 --> 00:51:26,920
they're gonna become vertical growers, long-face growers.

616
00:51:26,920 --> 00:51:30,200
So in other words, my face could have grown differently

617
00:51:30,200 --> 00:51:32,600
if I was breathing through my nose.

618
00:51:32,600 --> 00:51:35,320
And my prefrontal cortex would have,

619
00:51:35,320 --> 00:51:39,320
so beginning like North American Indian mothers do this.

620
00:51:39,320 --> 00:51:40,160
Oh yeah?

621
00:51:42,720 --> 00:51:45,600
They teach the kids, they train them like therapists,

622
00:51:45,600 --> 00:51:47,000
the mothers do this.

623
00:51:49,280 --> 00:51:51,760
And so if your kid is making noise when they sleep,

624
00:51:51,760 --> 00:51:54,120
but they're noisy breathers,

625
00:51:54,120 --> 00:51:57,040
if they sleep with their heads arched back,

626
00:51:58,040 --> 00:52:01,760
if the kids, I wet my bed until I was six,

627
00:52:01,760 --> 00:52:03,920
when I had my tonsils and adenoids out,

628
00:52:03,920 --> 00:52:05,880
I stopped wetting my bed the next day.

629
00:52:07,240 --> 00:52:09,240
So my daughter went into speech language,

630
00:52:09,240 --> 00:52:12,040
we treated this kid who was wetting his bed at age 13.

631
00:52:14,200 --> 00:52:16,360
The day that I put a prosomeness device in,

632
00:52:16,360 --> 00:52:18,320
he stopped wetting his bed.

633
00:52:18,320 --> 00:52:20,320
Because he's out of that fight, flight mode at night,

634
00:52:20,320 --> 00:52:21,840
he's actually resting.

635
00:52:21,840 --> 00:52:24,160
Look, you and I will get up to take a pee,

636
00:52:24,160 --> 00:52:25,000
we'll go to the bathroom.

637
00:52:25,000 --> 00:52:26,800
The kid's in such a deep state,

638
00:52:26,800 --> 00:52:29,960
the kid doesn't, he just goes in the bed.

639
00:52:29,960 --> 00:52:32,320
He doesn't, he has to go,

640
00:52:32,320 --> 00:52:34,560
but it's related to angiotensin,

641
00:52:34,560 --> 00:52:37,600
it's related to these factors with the kidney.

642
00:52:37,600 --> 00:52:40,680
And once you open the airway,

643
00:52:40,680 --> 00:52:42,960
you get rid of night terrors,

644
00:52:42,960 --> 00:52:44,640
you can get rid of clenching,

645
00:52:44,640 --> 00:52:46,560
you get rid of bedwetting,

646
00:52:46,560 --> 00:52:48,880
and sometimes even narcolepsy can improve

647
00:52:48,880 --> 00:52:50,040
when you treat the sleep apnea.

648
00:52:50,040 --> 00:52:53,440
So I'm saying, if you're beating yourself up as a parent,

649
00:52:53,440 --> 00:52:56,720
the kid is having feeding issues.

650
00:52:56,720 --> 00:53:00,520
All they want to eat is potatoes, they're very particular.

651
00:53:00,520 --> 00:53:02,840
A lot of those kids really have airway issues.

652
00:53:02,840 --> 00:53:04,360
And if your kid's been labeled

653
00:53:04,360 --> 00:53:07,320
as having oppositional defiant disorder,

654
00:53:07,320 --> 00:53:11,280
don't wait for a school psychologist to label your kid.

655
00:53:11,280 --> 00:53:13,520
We got two types of kids, Rebecca.

656
00:53:13,520 --> 00:53:18,520
We got the lethargy kid, we got the heavy kid, low tone,

657
00:53:18,520 --> 00:53:20,800
like Joe the fat boy in Dickens.

658
00:53:20,800 --> 00:53:23,800
We've got the heavy kid, who's lethargic.

659
00:53:23,800 --> 00:53:26,920
And we got the thin kid, he's running around,

660
00:53:26,920 --> 00:53:29,800
he's hyperactive, he's bouncing off the wall.

661
00:53:29,800 --> 00:53:33,120
So it goes in two ways, right?

662
00:53:33,120 --> 00:53:34,920
The phenotypes go in two ways,

663
00:53:34,920 --> 00:53:37,240
but they're both kids have problems.

664
00:53:37,240 --> 00:53:38,600
The same thing though.

665
00:53:38,600 --> 00:53:39,920
It's the same thing.

666
00:53:39,920 --> 00:53:41,320
It's the same thing.

667
00:53:41,320 --> 00:53:43,160
Sometimes it goes to the cardiac

668
00:53:43,160 --> 00:53:44,920
and sometimes it goes to the brain.

669
00:53:44,920 --> 00:53:46,760
So sometimes it's more metabolic,

670
00:53:46,760 --> 00:53:51,760
sometimes it affects the way that we concentrate our behavior.

671
00:53:53,200 --> 00:53:55,440
We're beating up other kids, we're aggressive

672
00:53:55,440 --> 00:53:56,760
or we're overly shy.

673
00:53:56,760 --> 00:53:59,920
So I'm saying, you're gonna know if your kid,

674
00:53:59,920 --> 00:54:03,960
and this is much more true for ADHD than on the spectrum.

675
00:54:03,960 --> 00:54:06,840
Kids on the spectrum growing up will have insomnia.

676
00:54:06,840 --> 00:54:09,160
They'll have a lot more behavioral issues.

677
00:54:09,160 --> 00:54:11,560
But what most people believe is this,

678
00:54:11,560 --> 00:54:14,880
look, give your kid the best possible diet you can

679
00:54:14,880 --> 00:54:16,880
or organic food.

680
00:54:16,880 --> 00:54:18,760
As much as you could afford.

681
00:54:18,760 --> 00:54:20,840
Let your kid get out and exercise,

682
00:54:20,840 --> 00:54:23,160
keep them away from pollution.

683
00:54:23,160 --> 00:54:25,280
Get them in a pollution-free environment,

684
00:54:25,280 --> 00:54:27,280
let them exercise at least an hour a day,

685
00:54:27,280 --> 00:54:29,240
reach your kids at night,

686
00:54:29,240 --> 00:54:31,240
and make sure they have an open airway

687
00:54:31,240 --> 00:54:33,440
and that they're nose breathers.

688
00:54:33,440 --> 00:54:34,840
But if you're a parent,

689
00:54:34,840 --> 00:54:37,320
you're gonna be starting to notice the behavior of your kid

690
00:54:37,320 --> 00:54:39,520
when they're two months, three months old.

691
00:54:41,400 --> 00:54:42,960
And then once they can run around,

692
00:54:42,960 --> 00:54:44,960
you're gonna see if they wanna run around

693
00:54:44,960 --> 00:54:46,400
or you're gonna see if they're...

694
00:54:46,400 --> 00:54:49,200
No, but you're gonna know something's wrong with your kid

695
00:54:49,200 --> 00:54:51,960
when you compare them, the other kids in the playground.

696
00:54:52,960 --> 00:54:55,360
And look, you're gonna look for the best in your kid,

697
00:54:55,360 --> 00:54:58,000
but what I'm saying is there interventions that you can do

698
00:54:58,000 --> 00:55:00,800
as early as day one or day two in the kid's life,

699
00:55:00,800 --> 00:55:04,200
like go look under their tongue and see if they have a tongue tie.

700
00:55:05,200 --> 00:55:10,600
So there should be nothing holding it down at all under there?

701
00:55:10,600 --> 00:55:14,040
Well, it shouldn't be restricted. So sometimes they can't...

702
00:55:14,040 --> 00:55:17,600
They can't press the nipple up against the palate

703
00:55:17,600 --> 00:55:21,160
because the tongue can't extend up that high.

704
00:55:21,160 --> 00:55:24,600
So they can't express the milk, they can't latch on.

705
00:55:24,600 --> 00:55:27,600
And so they should be able to latch on easily.

706
00:55:27,600 --> 00:55:30,600
They shouldn't have a lot of reflux, a lot of gas.

707
00:55:30,600 --> 00:55:34,000
And so the lactation can sold in Brazil, you know,

708
00:55:34,000 --> 00:55:36,240
there's a law that you have to do a tongue

709
00:55:36,240 --> 00:55:38,400
of freedom inspection at birth.

710
00:55:38,400 --> 00:55:39,600
Right.

711
00:55:39,600 --> 00:55:41,800
We should have the same thing in the US,

712
00:55:41,800 --> 00:55:45,000
but every parent should be doing their own freedom inspection.

713
00:55:46,600 --> 00:55:49,200
And meaning just look to see...

714
00:55:49,200 --> 00:55:50,600
Just go like this.

715
00:55:51,600 --> 00:55:54,600
And see if you can elevate the tongue.

716
00:55:54,600 --> 00:55:57,600
Just lift your kid's tongue up and see if the skin,

717
00:55:57,600 --> 00:56:00,600
if that piece of tissue, the attachment is so tight,

718
00:56:00,600 --> 00:56:01,600
you'll see it.

719
00:56:01,600 --> 00:56:02,600
I think it lifted.

720
00:56:02,600 --> 00:56:04,600
You'll see it at birth. You'll see it.

721
00:56:04,600 --> 00:56:06,600
Okay. Got it. Got it.

722
00:56:06,600 --> 00:56:07,600
So that's easy.

723
00:56:07,600 --> 00:56:09,600
An easy thing to do.

724
00:56:09,600 --> 00:56:11,600
Yeah. Very easy.

725
00:56:11,600 --> 00:56:13,600
And you're talking about these, these gatherings.

726
00:56:13,600 --> 00:56:17,600
There's one coming up December 9th through the 10th

727
00:56:17,600 --> 00:56:20,600
in Savannah, Georgia, which is their way, Palooza.

728
00:56:20,600 --> 00:56:23,600
Um, calf will be there. A lot of people are going to be there.

729
00:56:23,600 --> 00:56:25,600
I believe, you know, you and James Nester,

730
00:56:25,600 --> 00:56:27,600
maybe Dr. Boyd, y'all are all speaking there.

731
00:56:27,600 --> 00:56:28,600
Dr. Boyd is going to be there.

732
00:56:28,600 --> 00:56:30,600
Ben Moralia is going to be there. Scott Siegel.

733
00:56:30,600 --> 00:56:31,600
He does the tongue ties.

734
00:56:31,600 --> 00:56:32,600
He's going to be there.

735
00:56:32,600 --> 00:56:34,600
Susan Maples who talks about the way he's doing it.

736
00:56:34,600 --> 00:56:37,600
He's going to be there.

737
00:56:37,600 --> 00:56:40,600
Susan Maples who talks about oral systemic health is going to be

738
00:56:40,600 --> 00:56:41,600
there.

739
00:56:41,600 --> 00:56:44,600
Yeah. Also on our board. We, um, so there's just.

740
00:56:44,600 --> 00:56:47,600
What makes this, this event though,

741
00:56:47,600 --> 00:56:50,600
different than a lot of the other dental gatherings.

742
00:56:50,600 --> 00:56:53,600
And why is this, you know, why do we want to tell Dennis,

743
00:56:53,600 --> 00:56:56,600
if you haven't already gets us to Vanna in December.

744
00:56:56,600 --> 00:56:59,600
Well, first of all, it's always a treat to have James Nester,

745
00:56:59,600 --> 00:57:01,600
who's a journalist.

746
00:57:01,600 --> 00:57:04,600
And then, you know, he's a journalist.

747
00:57:04,600 --> 00:57:05,600
He's a journalist.

748
00:57:05,600 --> 00:57:08,600
So he gives us all more credibility because he,

749
00:57:08,600 --> 00:57:11,600
he doesn't have a vested interest. Right. Right.

750
00:57:11,600 --> 00:57:13,600
And he's looked at this with the journalist.

751
00:57:13,600 --> 00:57:16,600
I, he's interviewed a lot of people.

752
00:57:16,600 --> 00:57:19,600
And so it's very rare that we've got,

753
00:57:19,600 --> 00:57:23,600
it's very rare that you get Kevin, Ben, me, um,

754
00:57:23,600 --> 00:57:27,600
Scott, see that you get us all in the same place at the same time.

755
00:57:27,600 --> 00:57:29,600
And that there's a lot of social time.

756
00:57:29,600 --> 00:57:31,600
And so you get to know each other.

757
00:57:31,600 --> 00:57:34,600
You know, you get to know each other outside the lecture hall.

758
00:57:34,600 --> 00:57:37,600
Sometimes then you learn in the lecture hall.

759
00:57:37,600 --> 00:57:39,600
And so if you have a question about your own kid,

760
00:57:39,600 --> 00:57:42,600
if you have a question about a patient, you're treating.

761
00:57:42,600 --> 00:57:45,600
It's a really good time to get together and to.

762
00:57:45,600 --> 00:57:48,600
You know, mingle and get to know some of these people.

763
00:57:48,600 --> 00:57:51,600
Because look, they, they shape my career. They mentored,

764
00:57:51,600 --> 00:57:54,600
helped mentored me. I'm sure I helped mentored some of them.

765
00:57:54,600 --> 00:57:57,600
But, you know, we all learn from each other.

766
00:57:57,600 --> 00:58:00,600
And, and I think that's the most important part of this,

767
00:58:00,600 --> 00:58:04,600
and I guess it's really important to look at what the latest information

768
00:58:04,600 --> 00:58:09,600
is and, um, you know, like this whole phenomenon of lip-taping James,

769
00:58:09,600 --> 00:58:10,600
James Nestor,

770
00:58:10,600 --> 00:58:14,600
probably has done more to promote nasal breathing than probably anyone

771
00:58:14,600 --> 00:58:15,600
in, in, in history.

772
00:58:15,600 --> 00:58:19,600
Yeah.

773
00:58:19,600 --> 00:58:23,600
So I got to give him a lot of credit and he's a great speaker.

774
00:58:23,600 --> 00:58:26,600
So we first heard him at panty Steve Lamberg's event on Long Island.

775
00:58:26,600 --> 00:58:30,560
really the second time that I'm going to be with James Nester and it should be, it should

776
00:58:30,560 --> 00:58:36,240
be a really wonderful event with a lot of time to spend with these speakers.

777
00:58:36,240 --> 00:58:41,920
Yeah, and actually, I just did, he's on our board as well and I just finally, because

778
00:58:41,920 --> 00:58:46,480
he's been traveling, he's been all over, got to sit down and talk with him a little bit.

779
00:58:46,480 --> 00:58:48,120
Oh good.

780
00:58:48,120 --> 00:58:51,080
And it's funny when you talk to him about lip taping.

781
00:58:51,080 --> 00:58:54,760
He's funny about it because he makes it clear.

782
00:58:54,760 --> 00:58:58,840
I'm not telling you to do it, but hey, it worked for me and I did some research and it's really

783
00:58:58,840 --> 00:59:05,160
good and now because of the book, that is actually, people talk about it now in mom

784
00:59:05,160 --> 00:59:16,200
groups and we talk about lip taping and it's, I think you were, your perspective that why

785
00:59:16,200 --> 00:59:20,280
it's so profound is because he doesn't have skin in the game.

786
00:59:20,280 --> 00:59:23,840
He really has come at this from a journalist standpoint and just looked at the research

787
00:59:23,840 --> 00:59:25,640
and here's what I've got.

788
00:59:25,640 --> 00:59:28,720
Yeah, I mean, yeah, that's made all the difference.

789
00:59:28,720 --> 00:59:29,720
Right, right.

790
00:59:29,720 --> 00:59:35,440
I mean, look, I'm a dentist, I'm bested, I'm really out to do what's best for kids.

791
00:59:35,440 --> 00:59:38,640
Like I want to change the way that we're practicing.

792
00:59:38,640 --> 00:59:39,640
Yeah.

793
00:59:39,640 --> 00:59:44,280
You know, that's why I'm a little critical sometimes of the dental profession because

794
00:59:44,280 --> 00:59:49,800
like my father before me, I think we can be better and I think we need to strive to be

795
00:59:49,800 --> 00:59:56,320
health and wellness people to add to the health and wellness of the family and the children

796
00:59:56,320 --> 01:00:01,160
and I think that certain things that we're doing may not be really the best for kids

797
01:00:01,160 --> 01:00:07,000
health and I think we need to go in a little bit of a different direction and to intervene

798
01:00:07,000 --> 01:00:13,840
earlier and to focus on nose breathing and to be more collaborative and to find our community,

799
01:00:13,840 --> 01:00:16,880
wherever that community, wherever you are in the United States of the world, there will

800
01:00:16,880 --> 01:00:20,480
be a community of people that believe in what we're talking about.

801
01:00:20,480 --> 01:00:21,480
Yeah.

802
01:00:21,480 --> 01:00:26,280
And I guess I'll not note, typically at the end of every episode, I like to turn it back

803
01:00:26,280 --> 01:00:30,200
over to the guests because I'm already experts.

804
01:00:30,200 --> 01:00:37,880
Any last thoughts that you would like to leave with parents or with others in your industry?

805
01:00:37,880 --> 01:00:40,120
Yeah, you know what?

806
01:00:40,120 --> 01:00:46,080
If you find people that don't know, I mean, Sharon Moore's book, Sleep Rec Kids.

807
01:00:46,080 --> 01:00:54,280
So all you need to do is pick up Sleep Rec Kids or Shereen Lim just wrote a book, Sleep,

808
01:00:54,280 --> 01:00:55,280
Read and Thrive.

809
01:00:55,280 --> 01:00:56,280
Yeah.

810
01:00:56,280 --> 01:00:57,880
That's a great book.

811
01:00:57,880 --> 01:00:59,680
You can pick up the book, Gasp.

812
01:00:59,680 --> 01:01:06,000
So we're trying to give you resources that you can take to your doctors and what I would

813
01:01:06,000 --> 01:01:15,080
say to the parents out there, keep looking until you find a practitioner that will understand

814
01:01:15,080 --> 01:01:17,000
what you're saying.

815
01:01:17,000 --> 01:01:21,520
And you guys, unfortunately, you still have to be, we're in the minority now, right?

816
01:01:21,520 --> 01:01:28,120
We're not, this is a movement that's, we started it over 10 years ago with the APMD.

817
01:01:28,120 --> 01:01:32,480
And you know, I've been in this field 32 years, so we want more people to come over and just

818
01:01:32,480 --> 01:01:36,280
give it, listen a little bit and see if it makes sense to you.

819
01:01:36,280 --> 01:01:38,080
I think it makes a lot of sense.

820
01:01:38,080 --> 01:01:41,080
But then I had my father mentoring me for 28 years.

821
01:01:41,080 --> 01:01:43,600
He just passed away on November 7th.

822
01:01:43,600 --> 01:01:46,120
So I had him for a long time.

823
01:01:46,120 --> 01:01:53,400
But he was speaking about these types of things for 60, 60 since 1947.

824
01:01:53,400 --> 01:01:55,760
And he worked until he was 87 years of age.

825
01:01:55,760 --> 01:02:01,120
So you know, I have a little bit of an advantage, which why it seems kind of very simple to me,

826
01:02:01,120 --> 01:02:04,720
very straightforward that an open airway is better than a closed airway.

827
01:02:04,720 --> 01:02:09,240
And the dental profession is part of the answer, part of the answer.

828
01:02:09,240 --> 01:02:12,040
Not all of it, but part of it.

829
01:02:12,040 --> 01:02:13,040
Yeah.

830
01:02:13,040 --> 01:02:16,240
So thank you enough for coming on today and sharing all of your insights.

831
01:02:16,240 --> 01:02:18,000
I really appreciate it.

832
01:02:18,000 --> 01:02:22,400
It was a pleasure and you were, you asked me some great questions and it was, it was terrific

833
01:02:22,400 --> 01:02:23,400
talking to you, Rebecca.

834
01:02:23,400 --> 01:02:24,400
Thank you.

835
01:02:24,400 --> 01:02:25,400
Thank you.

836
01:02:25,400 --> 01:02:33,640
Thanks again to today's guest, Dr. Michael Gelb for sharing his medical insight and to

837
01:02:33,640 --> 01:02:35,840
each of you for listening to today's episode.

838
01:02:35,840 --> 01:02:40,000
If you're new to our podcast, please don't forget to subscribe.

839
01:02:40,000 --> 01:02:43,760
And if you enjoyed today's episode, leave us a review or a comment telling us about

840
01:02:43,760 --> 01:02:46,560
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841
01:02:46,560 --> 01:02:50,280
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842
01:02:50,280 --> 01:02:53,680
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843
01:02:53,680 --> 01:02:58,400
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844
01:02:58,400 --> 01:03:02,960
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845
01:03:02,960 --> 01:03:04,480
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846
01:03:04,480 --> 01:03:06,400
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847
01:03:06,400 --> 01:03:11,560
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848
01:03:11,560 --> 01:03:15,760
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849
01:03:15,760 --> 01:03:19,720
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850
01:03:19,720 --> 01:03:28,520
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851
01:03:28,520 --> 01:03:32,240
And finally, thanks to all the parents and medical professionals out there that are working

852
01:03:32,240 --> 01:03:36,240
to help make the lives of kids around the globe just a little bit better.

853
01:03:36,240 --> 01:04:05,240
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