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November 28, 2016

Like the rest of our body, our teeth and oral health systems are a living, changing environment. That is, by just treating from the outside alone (brushing and flossing), you won’t fix any of your oral problems unless you address the inside too. Optimal oral health comes with supporting the body and mouth from the inside and outside at the same time.

Once you start on this 5-step plan, you'll be amazed to see the changes start taking place in your own mouth! Your teeth may get whiter, your gum puffiness may go away, and your dentist (that's me!) may even tell you you're cavity and plaque-free!

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Here, my step-by-step guide to your best and healthiest smile ever.

1. Tongue scraping.

As the function of the bacteria in the mouth becomes more understood, ancient techniques to support oral hygiene are becoming more popular. One practice backed by numerous studies is called tongue scraping (Jihwa Prakshalana). It reduces undesirable bacteria1 which helps in decreasing the likelihood of dental decay and oral disease. It also reduces volatile sulfur compounds (VSC) which are linked to halitosis (bad breath). Lastly, by stimulating the taste buds with tongue scraping, the tongue is better able to perceive tastes.

If you constantly have a white coating, then consider oral chewable probiotics to control yeast imbalance. Research on oral probiotics2 has increased exponentially. A number of well-controlled studies3 indicate that a probiotic formula containing Lactobacilli is the most beneficial to suppress candida growth. Taken as directed, these strains should populate your mouth within just a few days so the good guys can get to work keeping out harmful bugs. Taking them just before going to sleep allows the probiotics to work all night on your behalf, without interference from food or drink—try Replenish the Good which contains strains of good oral bacteria.

2. Oil pulling.

Oil pulling is yet another Ayurvedic practice. The procedure involves4 rinsing (swishing) 1 tablespoon of oil around in your mouth. In order for the therapeutic effect to kick in, a person must swish with the oil for 15-20 minutes each time. The oil "pulls" the bad bugs from under your gums and in between your teeth as though they are being drawn to a powerful magnet. Do not gargle or swallow. And make sure you spit in a trashcan, otherwise spitting in the sink will clog your plumbing.

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3. Rinse with warm water & sea salt (no aluminum or contaminants).

Salt water rinses are good because they alkalinize the mouth and the alkalinity helps kill the acid-producing bacteria which cause dental disease and tooth decay. If a patient cannot stomach oil pulling this is a good alternative, and as it also reduces inflammation and promotes a good oral pH, the result will be a healthier mouth. Adding a few drops of essential oils like clove or mint (to the salt water) helps with freshening breath too.

I also recommend rinsing with a little diluted 35% food grade hydrogen peroxide. Dilute it about 50% with water. It's inexpensive and very effective. I like to have patients stay away from alcohol based rinses because they are really harsh with chemicals which can be irritating to the gums and dehydrating for teeth—in some patients it can cause hypersensitivity.

4. Flossing.

When it comes to flossing, I am on the fence. It works great when you do it properly and along with the other recommended steps for maintaining good oral health. However, I don't believe flossing alone can help prevent periodontal disease. I do notice a lot of patients don't know the proper way of flossing and even when I try to teach them in the chair, they tend to just insert the floss up and down instead of hugging the tooth with it. Or we find that patients don’t like to floss, so we advocate using a Waterpik—it’s an oral irrigator, more effective and fun to use.

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5. Brushing

Brush twice a day at a 45-degree angle, using a soft-bristle brush to help decrease gum swelling. Choose toothpastes free of fluoride and sodium lauryl sulfate. The Lancet included it in its list of neurotoxins (along with lead, arsenic, and more), and a 2012 Harvard University report5 found that kids in areas supplied by high-fluoride water have “significantly lower” IQs than those whose water has less fluoride. The American Dental Association still maintains that fluoride is safe and prevents tooth decay. I recommend more natural brands such as PerioPaste, Dr. Jaikaran's Herbodent, and Deborah Organics Natural Clay Toothpaste.

Lastly, some supplements for periodontal support:

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For general oral health:

Trace minerals:

Chronic mineral deficiency is common today because commercial agricultural practices have stripped minerals from the soil. I suggest taking a quality mineral supplement, such as Trace Minerals.

Keep on reading:

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Karla Solis, DDS
Karla Solis, DDS

Karla Solis, DDS, is a native of California where she grew up in Pasadena. She received her Bachelors Degree in Biological Sciences from University of Southern California. She then received her Doctorate from UCLA School of Dentistry. She is currently a member of the International Academy of Oral Medicine & Toxicology, International Academy of Biological Dentistry & Medicine and Holistic Dental Association.

Solis has been practicing the science and art of dentistry since 2007. She moved into a holistic, mercury-free approach to dentistry in 2013. Understanding how the teeth directly influence other body structures is an integral part to the way she provides comprehensive care to her patients. The mouth is the entrance to the body. Anything we put into the mouth should be compatible with healing the body. Solis' focus at LA Holistic Dentistry is to engage the patient in getting rooted in the health, starting with dental health. It's all about Good Teeth. Good Health. Good Spirits.