WEBVTT - Lab 054: Say Ahhh 0:00:00.400 --> 0:00:03.920 Every once in a while, I have these dreams where 0:00:04.240 --> 0:00:07.560 I'm talking and then all of a sudden, my teeth 0:00:07.640 --> 0:00:09.280 just start falling out of my face. 0:00:09.600 --> 0:00:09.840 Mmm. 0:00:10.560 --> 0:00:13.880 Okay, if you're a dream interpreter, slide into my DMS 0:00:14.000 --> 0:00:15.960 or comment under our post because I want to know 0:00:16.000 --> 0:00:19.520 what that means. I have them regularly, at least once 0:00:19.560 --> 0:00:23.160 a month, where the teeth are just coming out as 0:00:23.160 --> 0:00:24.599 if they are made of. 0:00:24.560 --> 0:00:27.080 Plato oof, and nobody's hit you in the dream. 0:00:27.280 --> 0:00:29.960 No, I'm just talking and they just start coming out. 0:00:30.000 --> 0:00:31.960 Do you grind your teeth that night? I do. Do 0:00:32.000 --> 0:00:33.879 you think maybe you just grind them so hard that 0:00:33.960 --> 0:00:35.319 the teeth are like help, They're just. 0:00:37.159 --> 0:00:40.120 Trying to save me. It's like you girl, you're grinding 0:00:40.120 --> 0:00:41.760 your teeth into a fine pace. 0:00:42.360 --> 0:00:44.640 Yes. You know how when we had the sleep episode 0:00:44.760 --> 0:00:47.919 and doctor Jean Luis said, hey, you snore you that's 0:00:47.960 --> 0:00:50.640 your way of saying wake up. Your teeth are falling 0:00:50.680 --> 0:00:52.760 out in your dreams because they're saying take it easy 0:00:52.800 --> 0:01:00.560 on us, please take it. Yeah, you know you're not 0:01:00.600 --> 0:01:02.920 the only one t t in the pandemic. We've seen 0:01:03.040 --> 0:01:05.720 an uptick in dental problems. People are grinding their teeth 0:01:05.720 --> 0:01:08.319 because they're stressed out, and with the state of the 0:01:08.319 --> 0:01:11.800 world today, I'm sure there's even more tooth grinding. So 0:01:12.000 --> 0:01:15.679 if you're having those dreams, your teeth wanting out. And 0:01:15.760 --> 0:01:18.479 that takes us right into today's episode, All about Teeth. 0:01:18.800 --> 0:01:21.640 I'm t T and I'm Zachiah and from Spotify. 0:01:21.880 --> 0:01:46.240 This is Dope Labs. 0:01:49.000 --> 0:01:51.800 Welcome to Dope Labs, a weekly podcast that makes us 0:01:51.800 --> 0:01:54.920 hardcore science, pop culture, and a healthy dose of friendship. 0:01:55.360 --> 0:01:58.200 This week, we're talking all about teeth. 0:01:58.400 --> 0:02:01.960 We're seeing a lot of teeth, new teeth, adorned, teeth, 0:02:02.240 --> 0:02:04.600 be dazzled teeth. Teeth have been getting a lot of play, 0:02:04.920 --> 0:02:06.040 and so we're going to talk about it. 0:02:06.080 --> 0:02:09.080 Specifically, we really wanted to know more about the connections 0:02:09.120 --> 0:02:13.400 between dental health and our overall health, and how advances 0:02:13.440 --> 0:02:16.680 in modern dentistry are changing the game for certain treatments 0:02:16.720 --> 0:02:20.200 like braces, veneers, and root canals. They're not as bad 0:02:20.280 --> 0:02:23.120 as they used to be. Apparently, well that's what I'm hearing, 0:02:23.120 --> 0:02:25.880 but I'm not so sure. I just still don't want one. 0:02:26.200 --> 0:02:38.760 Let's get into the recitation, all right, So what do 0:02:38.880 --> 0:02:41.639 we know? Historically going to the dentists hasn't been thought 0:02:41.680 --> 0:02:43.280 of as a fun thing to do. 0:02:43.520 --> 0:02:47.240 On TV and movies, it's always portraying going to the 0:02:47.280 --> 0:02:50.120 dentists as the worst thing you could possibly do. And 0:02:50.160 --> 0:02:52.840 I think another thing is that how healthy our teeth 0:02:53.000 --> 0:02:56.240 are is really tied to what we eat. I know 0:02:56.360 --> 0:02:58.280 I talked about not one of my teeth are right 0:02:58.320 --> 0:03:01.600 out of my face drinking Coca cola in our Habits episode, 0:03:02.000 --> 0:03:04.520 But I know that other aspects of your diet can 0:03:04.639 --> 0:03:06.919 really affect your dental health. 0:03:07.280 --> 0:03:11.200 Yes, I think we also know that dental problems or 0:03:11.360 --> 0:03:13.720 dental visits have been on the rise. I think there 0:03:13.720 --> 0:03:17.120 were some articles that talked about people not doing regular 0:03:17.240 --> 0:03:19.640 dental hygiene and going to the dentist's office because it 0:03:19.639 --> 0:03:22.680 always feels like an extra thing, right, it's not something 0:03:22.720 --> 0:03:25.040 that's pressing. If you don't have, you know, a crack 0:03:25.120 --> 0:03:27.480 tooth or a toothache, you can kind of put it off. 0:03:27.520 --> 0:03:29.079 And so I think people have maybe put it off 0:03:29.120 --> 0:03:33.600 too long, and now the dentist's office is booming. 0:03:33.919 --> 0:03:34.920 So what do we want to know? 0:03:35.400 --> 0:03:39.400 I have a lot of questions t teeth firstus just 0:03:39.720 --> 0:03:42.720 tooth anatomy. We talk about teeth, but like, what's really 0:03:42.720 --> 0:03:43.480 happening in there? 0:03:43.880 --> 0:03:47.600 Yeah, And I feel like there is no person that 0:03:47.720 --> 0:03:50.080 doesn't think about their teeth, their tooth health. I feel 0:03:50.120 --> 0:03:52.480 like everybody's thinking about, oh, how do I present myself 0:03:52.520 --> 0:03:54.360 when I'm smiling? I hope people like my smile and 0:03:54.360 --> 0:03:56.840 things like that. I think everybody thinks about it. And 0:03:56.920 --> 0:03:59.200 so I want to know what are some of the 0:03:59.240 --> 0:04:02.760 most common things going wrong inside of our mouth. 0:04:03.360 --> 0:04:05.960 I have had a dental procedure. The procedure went fine, 0:04:06.000 --> 0:04:08.240 but I had all my wisdom teeth cut out. Oh 0:04:08.320 --> 0:04:11.280 my gosh, and I was a terror coming off of 0:04:11.280 --> 0:04:12.520 that general anesthesia. 0:04:12.560 --> 0:04:14.520 When was this? I need to know what's a key 0:04:14.560 --> 0:04:14.760 of this? 0:04:15.000 --> 0:04:18.000 Was? This was high school as a kia, Ok, you 0:04:18.040 --> 0:04:21.159 already know. And I just can remember waking up and 0:04:21.200 --> 0:04:22.800 my mom tells a story all the time that I 0:04:22.839 --> 0:04:24.880 thought the nurse had she had on white shoes, she 0:04:24.920 --> 0:04:27.919 was a nurse, and I thought she had stolen my 0:04:28.000 --> 0:04:30.320 new Casewiss that I had. And I was like, she 0:04:30.400 --> 0:04:33.960 has my shoes, she stole my shoes. That's me on anesthesia, 0:04:34.040 --> 0:04:36.719 you don't want to be around. And I'd love to 0:04:36.760 --> 0:04:40.040 know more about the link between oral health and general 0:04:40.040 --> 0:04:42.120 physical health. You know, I've got some interest from a 0:04:42.160 --> 0:04:46.039 microbiological perspective, but I think there's probably more to it 0:04:46.080 --> 0:04:47.159 than I even realized. 0:04:47.279 --> 0:04:48.559 They're biofilms on the teeth. 0:04:48.920 --> 0:04:54.640 Yes, oh that's what you're scraping off. You're physically disrupting 0:04:54.640 --> 0:04:56.360 those biofilms with your toothbrush. 0:04:56.520 --> 0:04:59.560 Oh my gosh, teeth are wearing a jacket. 0:05:01.920 --> 0:05:04.520 L that's so crazy. I'm now I'm like, could I 0:05:04.600 --> 0:05:05.000 draw that? 0:05:07.720 --> 0:05:10.320 And then I feel like the most common thing that 0:05:10.320 --> 0:05:12.360 folks are afraid of is a root canal. But I 0:05:12.400 --> 0:05:14.280 don't even really know what a root canal is, like 0:05:14.320 --> 0:05:17.920 what is actually happening? So I want to know what 0:05:18.040 --> 0:05:20.680 is a root canal actually, and what are you doing 0:05:20.760 --> 0:05:21.720 and how does it work? 0:05:21.880 --> 0:05:24.440 It feels like a paradox. You know, people are both 0:05:24.640 --> 0:05:26.960 afraid of root canals and seeing the dentists for that, 0:05:27.440 --> 0:05:30.800 but we're also seeing an uptick in cosmetic dental procedures. 0:05:30.800 --> 0:05:34.279 People are getting the diamonds. You remember Monica did it first, 0:05:34.600 --> 0:05:36.200 just one of them days. She had those diamonds on 0:05:36.240 --> 0:05:38.719 her custods. People are really tricking their mouths out now. 0:05:38.839 --> 0:05:41.560 But it feels strange if you're scared of the dentists. 0:05:41.839 --> 0:05:45.280 Yep, I saw a person get fake braces like it's 0:05:45.360 --> 0:05:49.120 actual braces, Like they got them installed, but they serve 0:05:49.200 --> 0:05:51.680 no purpose. She was like, I think I look cute 0:05:51.680 --> 0:05:52.360 with braces. 0:05:52.440 --> 0:05:55.440 Wow. Yeah, there's a lot to unpack here. Let's jump 0:05:55.440 --> 0:05:56.240 into the dissection. 0:06:08.000 --> 0:06:10.880 Our guest for today's lab is doctor Marcus Johnson. 0:06:11.120 --> 0:06:14.359 I'm a dental specialists, more specifically an indodonis and I 0:06:14.400 --> 0:06:17.520 have a private practice in Midtown Manhattan, and we are 0:06:17.560 --> 0:06:20.680 trying to save teeth and eliminate pain for any patients who. 0:06:20.560 --> 0:06:21.440 Need our services. 0:06:21.800 --> 0:06:23.680 You know, for a lot of people, going to the 0:06:23.760 --> 0:06:26.719 dentists isn't a favorite pastime. Well, a lot of people 0:06:26.720 --> 0:06:29.400 actually dread it. But doctor Johnson says, when it comes 0:06:29.440 --> 0:06:31.279 to seeing a dentist, there is a lot to be 0:06:31.320 --> 0:06:32.040 excited about. 0:06:32.320 --> 0:06:37.640 Dentistry has made significant strides and improvements, and modern dentistry 0:06:37.839 --> 0:06:42.680 is very much I think there's affordability within that it's accessible, 0:06:43.040 --> 0:06:46.320 the information is out there, the clinicians are trained well, 0:06:46.440 --> 0:06:49.440 there's so many different avenues to learn, even beyond just 0:06:49.480 --> 0:06:52.600 a traditional classroom. We're learning from each other on Instagram, 0:06:53.040 --> 0:06:54.960 you know, different platforms of communication. 0:06:55.120 --> 0:06:58.479 So don't be fearful of the dentists because the dentist 0:06:58.520 --> 0:06:59.080 is your friend. 0:06:59.520 --> 0:07:03.440 Yeah, I've seen some pretty funny tiktoks from dentists on 0:07:03.560 --> 0:07:06.520 everything from how to properly brush your teeth, like when 0:07:06.560 --> 0:07:09.480 you're supposed to brush your teeth, it's before you eat breakfast, 0:07:09.760 --> 0:07:12.960 of course, to debunking certain myths about oral health. 0:07:13.240 --> 0:07:16.360 So first we ask doctor Johnson to help us understand 0:07:16.360 --> 0:07:19.160 the anatomy of a tooth, because, if we're being honest, 0:07:19.600 --> 0:07:22.800 teeth are kind of weird when you really think about it. Okay, 0:07:22.920 --> 0:07:26.800 let's clear this up once and for all our teeth bones. 0:07:27.360 --> 0:07:29.640 That is a very good question, because I feel like 0:07:29.680 --> 0:07:33.120 I see a lot of really funny memes about this 0:07:33.360 --> 0:07:35.640 very thing. Even though it makes sense that we might 0:07:35.920 --> 0:07:39.440 think that teeth are bones. You know, they're white, they're hard. 0:07:39.680 --> 0:07:41.480 You would think that that's what your bones might feel 0:07:41.560 --> 0:07:45.120 like they show up on X rays exactly. They do 0:07:45.200 --> 0:07:50.480 have calcium. But teeth are not bones. Doctor Johnson helped 0:07:50.560 --> 0:07:52.040 us break it down a little further. 0:07:52.360 --> 0:07:55.080 Teeth sometimes can be overlooked, but the old cavity is 0:07:55.120 --> 0:07:57.280 the entrance into the body, and so when we talk 0:07:57.320 --> 0:07:59.960 about teeth, we have to understand that the importance is 0:08:00.160 --> 0:08:03.240 paramount when you smile everyone sees the pearly whites. 0:08:03.440 --> 0:08:05.280 That's the enamel, that's the outer covering. 0:08:05.520 --> 0:08:09.920 The enamel is actually harder than bone. Doctor Johnson told us. 0:08:09.960 --> 0:08:13.600 It's one of the hardest substances within our bodies and 0:08:13.640 --> 0:08:15.760 it acts as a protective layer for the tooth. 0:08:16.000 --> 0:08:19.480 Inside of a tooth, underneath that is another layer, which 0:08:19.520 --> 0:08:23.280 is dentin, and that's like a forgiving aspect of the tooth. Essentially, 0:08:23.320 --> 0:08:26.560 if there's cavities or any sort of trauma to a tooth, 0:08:26.880 --> 0:08:29.720 that's going to be a protective mechanism for the tooth 0:08:29.760 --> 0:08:32.880 and actually respond in a way where cells can regenerate 0:08:33.080 --> 0:08:34.160 or sometimes they may not. 0:08:34.760 --> 0:08:37.680 And beneath the dentin is the pulp of the tooth. 0:08:37.800 --> 0:08:40.280 That's where all the nerves and blood vessels are located 0:08:40.559 --> 0:08:42.559 and those supply the tooth with nutrients. 0:08:42.920 --> 0:08:45.720 The whole idea is to protect the pulp, and the 0:08:45.760 --> 0:08:47.440 pulp is what you think about when people say, oh, 0:08:47.480 --> 0:08:49.000 I have a nerve that's exposed. 0:08:49.120 --> 0:08:50.040 Have to get a root canal. 0:08:50.520 --> 0:08:54.240 So protecting the pulp, those nerves and blood vessels inside 0:08:54.280 --> 0:08:58.120 the tooth is critical. The root canal is a passageway 0:08:58.160 --> 0:09:01.079 where nerves and blood vessels are connected. To the head 0:09:01.120 --> 0:09:01.840 and neck. 0:09:01.960 --> 0:09:05.280 And that's where sensory is applied to the cerebral cortex 0:09:05.360 --> 0:09:06.680 and the thouamus. 0:09:06.720 --> 0:09:07.800 We're pain as processed. 0:09:07.800 --> 0:09:10.040 So ideally you want to keep our teeth as healthy 0:09:10.040 --> 0:09:12.719 as possible so that we don't have any insult or 0:09:12.800 --> 0:09:15.200 threat which is going to cause pain, or any sort 0:09:15.240 --> 0:09:19.239 of noxious stemuli which is gonna you know, listen, discomfort. 0:09:19.880 --> 0:09:22.839 But it's not just about protecting our teeth from discomfort. 0:09:23.200 --> 0:09:26.920 That enamel denting and even the soft tissue gums surrounding 0:09:26.920 --> 0:09:31.400 our teeth, those all help protect each tooth from bacteria. 0:09:31.520 --> 0:09:33.400 So when you have bacteria that are within the mouth, 0:09:33.679 --> 0:09:35.800 once they have a way to get into the tooth 0:09:35.880 --> 0:09:38.199 and affect the nerve, they cause disease. 0:09:38.559 --> 0:09:41.120 And you know, there's always bacteria in the mouth. The 0:09:41.200 --> 0:09:44.040 problem is when we don't keep up with our oral health, 0:09:44.280 --> 0:09:47.000 the bacteria begin to feed on sugars and starches from 0:09:47.040 --> 0:09:49.559 our food that stay in the mouth, and this leads 0:09:49.600 --> 0:09:53.800 to plaque and tartar build up, and that's just biofilms, 0:09:53.880 --> 0:09:58.640 biological films of bacteria, and then this makes way for 0:09:58.800 --> 0:10:03.319 tooth decay and catvities and potential infection and cavities and children, 0:10:03.480 --> 0:10:06.720 also called childhood carries, is one of the most prevalent 0:10:06.800 --> 0:10:09.720 dental diseases in the United States, and. 0:10:09.600 --> 0:10:13.720 We have made significant strides in combating all health disease, 0:10:13.720 --> 0:10:18.760 specifically childhood carries through fluoridation community floridation of water. We 0:10:18.800 --> 0:10:21.959 know that communities where there is floridated water there's about 0:10:21.960 --> 0:10:25.480 a twenty five percent decrease in overall childhood are just 0:10:25.600 --> 0:10:28.600 carries in general for adults and children, and of course 0:10:28.679 --> 0:10:29.640 dental ceilings. 0:10:29.720 --> 0:10:32.040 In twenty eighteen, the CDC found that about seventy three 0:10:32.080 --> 0:10:34.520 percent of communities in the United States had access to 0:10:34.520 --> 0:10:38.200 fluoridated water, and so like doctor Johnson said that access 0:10:38.360 --> 0:10:41.800 leads to a twenty five percent decrease in cavity formation 0:10:42.000 --> 0:10:45.320 in kids, so twenty five percent of the population is 0:10:45.440 --> 0:10:46.960 missing out on that benefit. 0:10:47.160 --> 0:10:50.839 The other solution doctor Johnson talked about is dental sealants 0:10:50.880 --> 0:10:52.559 to protect young teeth from disease. 0:10:53.000 --> 0:10:55.640 Once a permanent tooth comes in and for most kids 0:10:55.679 --> 0:10:58.160 around age six or seven, as those teeth are upt 0:10:58.240 --> 0:11:01.200 we can use composites to kind of bond onto the 0:11:01.240 --> 0:11:05.280 tooth to actually create a seal, so that like I mentioned, 0:11:05.400 --> 0:11:08.160 bacteria or sugar from food and. 0:11:08.120 --> 0:11:10.840 Things of that nature does not actually get into the 0:11:10.920 --> 0:11:15.040 grooves of the tooth, leading to an inflammatory response that 0:11:15.600 --> 0:11:18.720 leads to the breakdown of the tooth enamel. It's a 0:11:18.840 --> 0:11:22.720 very basic procedure. It's relatively inexpensive. One of the beautiful 0:11:22.760 --> 0:11:25.120 things about the Affordable Care Act as it made it 0:11:25.160 --> 0:11:29.240 a strict requirement that for all children under eighteen that 0:11:29.440 --> 0:11:32.360 all healthcare are at least prevented to services are included 0:11:32.400 --> 0:11:34.080 within that provision of health. 0:11:34.200 --> 0:11:36.720 So is this different from the fluor eye varnish I 0:11:36.760 --> 0:11:37.160 got as a. 0:11:37.200 --> 0:11:40.040 Kid, So sealants are not the same thing as a 0:11:40.080 --> 0:11:44.120 fluor eye varnished. According to doctor Johnson, sealants are actually 0:11:44.360 --> 0:11:46.920 bonded to the teeth and are meant to last until 0:11:46.920 --> 0:11:51.160 they're worn away from regular function. They provide additional protection 0:11:51.240 --> 0:11:54.600 from food, bacteria and things like that from getting into 0:11:54.640 --> 0:11:58.080 the grooves or crevices of the teeth, but they're not 0:11:58.160 --> 0:12:01.680 a substitute for brushing. And Fluoride, on the other hand, 0:12:01.760 --> 0:12:05.840 strengthens enamel to resist breakdowns that lead to cavities, but 0:12:06.240 --> 0:12:10.000 that's temporary and the effects are not long lasting like 0:12:10.120 --> 0:12:11.000 it is with a ceiling. 0:12:16.320 --> 0:12:18.400 So those are some common issues that can happen with 0:12:18.440 --> 0:12:21.720 the tooth itself. But another area where disease is very 0:12:21.760 --> 0:12:24.400 prevalent is the gum tissue or periodontia. 0:12:24.559 --> 0:12:28.559 At least for adults over thirty, periodonal disease or diseases 0:12:28.600 --> 0:12:31.480 of the gums are very prevalent, maybe even upwards to 0:12:31.559 --> 0:12:34.280 fifty percent of those over thirty are going to experience 0:12:34.320 --> 0:12:40.160 some sort of parodonal disease, inflammation, gum irritation, bone loss 0:12:40.200 --> 0:12:41.480 just to lack of potental care. 0:12:41.679 --> 0:12:44.880 And as doctor Johnson says, oral health is not just 0:12:44.960 --> 0:12:48.400 about protecting our teeth. There is also a connection between 0:12:48.559 --> 0:12:52.000 oral health and general health, especially because people tend to 0:12:52.040 --> 0:12:55.599 see dentists a bit more frequently than primary care providers. 0:12:56.040 --> 0:12:59.280 Dentists are really on the front line of a larger 0:12:59.280 --> 0:13:00.920 community of health health care providers. 0:13:01.120 --> 0:13:05.040 There's been significant research that shows the strong link between 0:13:05.320 --> 0:13:09.720 oral health and systemic health. And so sometimes a patient 0:13:09.800 --> 0:13:12.720 may come in, they'll have some sort of peridonal sores 0:13:12.800 --> 0:13:16.160 or gum sores or something like that, certain just presentations 0:13:16.160 --> 0:13:18.160 within the mouth that may say, you know what, you 0:13:18.240 --> 0:13:22.120 may be a candidate for diabetes or some other systemic 0:13:22.160 --> 0:13:25.040 element like hypertension. Why don't you go ahead and take 0:13:25.080 --> 0:13:28.000 this go follow up with your primary care provider at 0:13:28.080 --> 0:13:28.960 least gets screened. 0:13:29.200 --> 0:13:33.840 That sounds like a good dentist to me. Yes, it's 0:13:33.880 --> 0:13:36.160 really fascinating when you think about it, because I don't 0:13:36.200 --> 0:13:38.640 think of the dentist visit the same as I think 0:13:38.679 --> 0:13:42.760 of a doctor's visit. And because dental insurance is always build, 0:13:42.800 --> 0:13:46.240 you know, separate from our overall health insurance, we're kind 0:13:46.280 --> 0:13:48.840 of trained to view dentistry and oral health as separate 0:13:49.200 --> 0:13:53.360 from our overall health. But it's really super connected. Yeah. 0:13:53.400 --> 0:13:57.240 Doctor Johnson gave us another example with pregnant people. Healthcare 0:13:57.280 --> 0:14:00.600 providers have found a systemic link between pregnant people with 0:14:00.720 --> 0:14:04.320 untreated gum disease and low birth weight in babies. And 0:14:04.360 --> 0:14:07.080 it's not just oral health that can be an indicator 0:14:07.280 --> 0:14:11.440 of things like diabetes or hypertension. Those things can affect 0:14:11.440 --> 0:14:13.160 your oral health just as much. So it's like a 0:14:13.240 --> 0:14:16.480 chicken or egg type thing. Your health can affect your teeth, 0:14:16.559 --> 0:14:18.120 and your teeth can affect your health. 0:14:18.320 --> 0:14:20.000 And just to put it a little bit more plainly, 0:14:20.560 --> 0:14:24.680 if someone were maybe to have hypertension uncontrolled diabetes, we 0:14:24.800 --> 0:14:27.520 understand that diabetes delays healing. 0:14:28.080 --> 0:14:30.640 The increase in the sugar. It's going to prevent proper healing. 0:14:30.960 --> 0:14:33.240 Well, now that we're talking about healing, let's go ahead 0:14:33.280 --> 0:14:37.240 and get to the number one invasive thing we always 0:14:37.280 --> 0:14:39.560 hear about when it comes to teeth on television, and 0:14:39.600 --> 0:14:40.760 that's root canals. 0:14:41.000 --> 0:14:45.400 Oh no, I'm nervous. 0:14:50.800 --> 0:14:54.640 The only thing that felt as globally hated as root 0:14:54.640 --> 0:14:58.320 canals growing up was Brussels sprouts, Like those are the 0:14:58.360 --> 0:14:59.400 two things on TV. 0:14:59.280 --> 0:15:02.520 That everybody this is absolutely. 0:15:02.000 --> 0:15:04.800 But doctor Johnson is saying, hey, the times will change. 0:15:05.160 --> 0:15:07.120 It's telling us we shouldn't be afraid of a root canal. 0:15:07.480 --> 0:15:10.040 Patians think that by going to get a root canal, 0:15:10.040 --> 0:15:13.080 they're going to be in pain. Quite the opposite. When 0:15:13.080 --> 0:15:15.280 you go to see the endodonnas or go to get 0:15:15.280 --> 0:15:17.720 a root canal. Our whole focus is to eliminate me 0:15:18.320 --> 0:15:21.640 and with modern advances in local anesthetics as well as 0:15:21.760 --> 0:15:25.440 general anesthesia, just a lot of ways that we can manage. 0:15:25.160 --> 0:15:27.880 And properly treat these cases in a seamless fashion. 0:15:28.200 --> 0:15:30.320 There's a lot of other reasons why a patient might 0:15:30.400 --> 0:15:34.000 need a root canal. Doctor Johnson gave us four examples. 0:15:34.240 --> 0:15:36.760 The first is trauma to the teeth, so from a 0:15:36.840 --> 0:15:40.520 sports injury or a fall or an accident that might 0:15:40.560 --> 0:15:43.040 have happened that might disrupt the nerve complex. 0:15:43.520 --> 0:15:47.240 Second, cavities can break the teeth down over time. 0:15:47.600 --> 0:15:51.040 The third is rapid movement of teeth that disrupt the 0:15:51.080 --> 0:15:54.640 nerve complex. Now, I just need to know where are 0:15:54.760 --> 0:15:56.360 those teethe's going. 0:15:56.840 --> 0:15:59.440 Well, you remember in middle school back when kids used 0:15:59.440 --> 0:16:01.400 to put rubber hands on their teeth and stuff like that, 0:16:01.480 --> 0:16:02.200 making fake. 0:16:02.040 --> 0:16:04.080 Braces, homemade braces. 0:16:04.280 --> 0:16:06.640 And you know, like you said, some people on TikTok 0:16:06.640 --> 0:16:09.640 and Instagram, they're making fake braces. So if you are 0:16:09.720 --> 0:16:11.880 not doing this stuff under the care of a dentist 0:16:11.960 --> 0:16:14.480 or orthodontist, you were not moving your teeth at a 0:16:14.480 --> 0:16:16.960 slow pace, and you could have this happen. This was 0:16:17.000 --> 0:16:19.560 what some of the dentists were complaining about. For some 0:16:19.600 --> 0:16:23.480 of those Instagram companies that were sending trays directly to people, 0:16:23.680 --> 0:16:26.640 they're not linking you up with a dentist and you 0:16:26.680 --> 0:16:29.320 start getting some rapid movement, things can go wrong. 0:16:29.560 --> 0:16:30.800 Them teeth are sprinting. 0:16:32.520 --> 0:16:34.200 It's supposed to be slow and steady. 0:16:34.240 --> 0:16:37.160 It's supposed to be a leisurely walk. Them teeths printing 0:16:37.240 --> 0:16:38.640 to the finish line. 0:16:38.320 --> 0:16:41.440 And then the final thing is crack teeth from grinding. 0:16:42.320 --> 0:16:44.160 I know, we saw a lot of stress grinding of 0:16:44.200 --> 0:16:47.480 teeth during the pandemic, so root canal is going up, 0:16:47.600 --> 0:16:48.000 up up. 0:16:48.200 --> 0:16:49.800 I was actually one of those people, but I was 0:16:49.960 --> 0:16:53.280 lucky because I have a retainer. So it almost looks 0:16:53.280 --> 0:16:55.720 like an invisil line. I had a retainer that I 0:16:55.880 --> 0:16:59.360 was putting in and I grinded through the retainer, so it, wow, 0:16:59.600 --> 0:17:02.880 basically acted as like a shield from my actual teeth. 0:17:02.880 --> 0:17:05.320 I probably would have grinded down to my gums. 0:17:05.440 --> 0:17:07.600 Oh wow, So you're saying you think you could have 0:17:07.600 --> 0:17:10.800 grounded through your enamel. Denton numbers stuff. 0:17:12.200 --> 0:17:12.680 Nerves. 0:17:14.040 --> 0:17:17.600 Two thirds of dentists have seen an increase in patients 0:17:17.640 --> 0:17:21.080 coming into their practice with practee, and so we know 0:17:21.160 --> 0:17:24.480 that is a direct result of the high anxiety from 0:17:24.600 --> 0:17:28.880 the pandemic. Patients staying at home more, snatching more frequently, 0:17:29.200 --> 0:17:31.600 sitting in front of the computer zoom, things of that nature. 0:17:31.880 --> 0:17:35.440 The root canal is all about saving the tooth, which 0:17:35.520 --> 0:17:39.040 doctor Johnson says is more preferable than an extraction, so 0:17:39.160 --> 0:17:42.200 pulling the tooth out. Here's how the process works. 0:17:42.480 --> 0:17:44.080 One of the analogies I like to use is like 0:17:44.200 --> 0:17:46.480 a number two pencil. So early I gave us the 0:17:46.520 --> 0:17:48.800 anatomy of the tooth. Well, if you think of a 0:17:48.800 --> 0:17:51.920 pencil as the tooth, the lead would represent the nerve. 0:17:52.440 --> 0:17:55.800 So by completing a root canal, essentially we are removing 0:17:55.840 --> 0:17:59.280 the lead from the pencil. You still have the pencil intact, 0:17:59.760 --> 0:18:02.399 and cleaning out that space and then filling it up 0:18:02.440 --> 0:18:05.280 selling it up as to keep any contaminants or bacteria 0:18:05.320 --> 0:18:06.800 from getting back into that space. 0:18:07.119 --> 0:18:10.639 So by doing the root canal, technically we are saving 0:18:10.680 --> 0:18:11.160 your tube. 0:18:11.520 --> 0:18:13.640 I get it. The goal is to get in there 0:18:13.720 --> 0:18:16.080 and clean out all of that bacteria from the canal space. 0:18:16.520 --> 0:18:19.000 And they do need to use a drill or sometimes 0:18:19.000 --> 0:18:21.280 they use lasers to drill a hole into the tooth 0:18:21.320 --> 0:18:23.720 to get down in there, and that can turn a 0:18:23.720 --> 0:18:26.000 lot of people off. I feel like, keep the lid 0:18:26.000 --> 0:18:27.000 in my pencil. 0:18:26.720 --> 0:18:30.080 Yes me, I am people, I'm gonna keep all those pencils. 0:18:30.119 --> 0:18:34.000 It'll be fine. In terms of comfort during the procedure, 0:18:34.080 --> 0:18:36.400 which can take an hour to an hour and a half, 0:18:36.440 --> 0:18:39.639 the patient is typically placed under general anesthesia so that 0:18:39.680 --> 0:18:42.960 there's no pain. And now dentists will offer headphones for 0:18:43.000 --> 0:18:46.040 patients to listen to music or watch TV instead of 0:18:46.080 --> 0:18:50.280 hearing all those dental sounds. You know the zoo, Yes, 0:18:50.680 --> 0:18:53.399 those are the noises. I don't like blood pressure through 0:18:53.440 --> 0:18:54.439 the roof as soon as I hear it. 0:18:54.600 --> 0:18:56.200 Well, let's take a break and when we come back, 0:18:56.280 --> 0:18:58.720 we'll get into some of these new developments, trends, and 0:18:58.800 --> 0:19:00.040 technologies in dent. 0:19:20.240 --> 0:19:23.680 We're back. We've been talking to doctor Marcus Johnson all 0:19:23.720 --> 0:19:27.040 about teeth oral health and how it's connected to our 0:19:27.160 --> 0:19:30.000 overall health. But before we get back to that, let's 0:19:30.000 --> 0:19:32.520 talk about what we're covering in next week's Live. 0:19:33.000 --> 0:19:37.879 Next week, we're talking all about cybersecurity. Scamming stories have 0:19:38.040 --> 0:19:41.840 been on the rise, from inventing Anna to the tender Swindler. 0:19:42.280 --> 0:19:45.040 You know, we've been hearing a lot about ransomware attacks 0:19:45.080 --> 0:19:49.359 and other cybersecurity threats too, So we're digging into exactly 0:19:49.440 --> 0:19:52.479 what that means and how to keep our online information safe. 0:19:52.560 --> 0:19:54.560 But in the meantime, let's get back to teeth. 0:20:02.400 --> 0:20:04.679 I've seen on TikTok that there are some people who 0:20:04.760 --> 0:20:08.240 are really taking their oral health into their own hands. 0:20:08.280 --> 0:20:11.600 I saw a TikTok of a woman who was like, 0:20:11.840 --> 0:20:15.800 I just got three teeth pulled in that apartment right there, 0:20:16.000 --> 0:20:19.840 and she points to this high rise apartment. I was like, no, 0:20:20.080 --> 0:20:25.080 that is not where a dentist is doing business. I'm sorry, dog. 0:20:27.040 --> 0:20:30.240 I've seen people getting like all of the technology they 0:20:30.240 --> 0:20:33.280 need to put on their own braces. I've seen people 0:20:33.320 --> 0:20:36.679 making their own retainers with plastic beads, and you put 0:20:36.720 --> 0:20:39.440 the plastic beads in hot water. Once all the plastic 0:20:39.480 --> 0:20:41.679 beads like melt, you put in your mouth and you 0:20:41.720 --> 0:20:44.320 shape it around your teeth. It's how you make like 0:20:44.480 --> 0:20:48.119 a mouthguard for when you're playing sports. But they use 0:20:48.160 --> 0:20:49.000 it as a retainer. 0:20:49.720 --> 0:20:51.880 No, no, no, and no. 0:20:52.119 --> 0:20:56.840 I've seen everything on these internets. It doesn't seem safe. 0:20:56.920 --> 0:20:59.680 We're taking pinterest in dy too far, too far. 0:21:00.560 --> 0:21:03.080 Not everything is meant to DIY. You shouldn't be diye 0:21:03.119 --> 0:21:05.240