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Welcome back to Not Alone with Melissa Sue Methfin.
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Today I have a very special guest.
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I am so grateful for her time and honored to have her on.
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It's Dr.
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Praya Gens.
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She is the founder of the Whole Tooth Dentists in Dallas, Texas.
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But how we met is very special.
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I was asked by Dr.
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Delphine here in Sedona to be part my breath work facilitator for her retreat for seven wonderful dentists last February.
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And I was honored to meet Dr.
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Praya.
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And we I still remember going for hike, and you explained your dental practice in Dallas.
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And I was just in awe uh that uh your foundation was actually in treating the nervous system before their appointment, during and post.
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And it really got me intrigued in finding out more of what you provided in the dental practice.
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And I was like, wow, more practices need to lean into treating the nervous system along the way because I do truly feel fear is the number one thing that people patients feel when they're in the dental chair.
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And unfortunately, as a provider, we try and take that on.
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But what if so the way that you treat the nervous system as part of the treatment plan is like nobody else that I've heard.
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You know, I'm sure there is others, but I I know you do it differently.
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And I know sometimes that can be kind of lonely as well because you are doing it differently and you're navigating a different path in the dental practices.
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And but I truly felt that you can be that blueprint for other dentists that want to go this route but don't know how.
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And you can guide them along the way how you got started.
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So, anyways, I don't want to take all that on, but I really want to give an outlook for the listener what we're gonna dive into.
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And it's really what if we introduce nervous system regulation in a dental practice and how that can benefit the patient and the dentist overall.
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And so, welcome.
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I'm just really excited to have you on.
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I'm excited to be here.
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I know it's taken us a while to actually coordinate this, so I kept on going nudging, plunging that seat.
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I'm like, come on, we're gonna do it one of these days.
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With your busy star, although and and so that's why we're here today and it's all divine timing.
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Uh and I'm just so curious because I don't think I ever heard as to why you got into uh whole um biological dentistry, holistic dentistry.
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What opened that door for you?
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Such a good question.
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I think it's happened over time.
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I've always been a more holistic thinker in everything that I do, and I've always been very curious.
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I always love to meet and converse and connect with people and understand what makes me tick and why.
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And so I think the first prerequisite to biological dentistry is to be very curious and to ask why and ask why again, and be open-minded because the answers you receive are not always the ones you expect.
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So for me, um, I grew up in Canada, like you, and uh to an Indian family.
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And so we never really went to the doctor unless there was like a really pressing need.
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Um, most things we could heal truly by just allowing time to pass, right, and to nurture your body.
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Um, as I got into dentistry and dental school, it was much more dogmatic, right?
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You do this, you do that.
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It's very prescriptive, it's very within fractions of a millimeter and angles like if you don't have perfection, you you're dead in the water.
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And um, you know, made it through dental school, and that was fine.
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We did what we did to to make it through.
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And then I started practicing, worked at a dock in a box in Virginia for almost a year, and it was awful.
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Um, we'll not dwell on that, but you know, all of these things are formative in the experience.
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Um, but even then, I mean, my remember I my first day practicing, we saw like 30 patients, and I'm like, I'm used to seeing one patient in the morning and one in the afternoon, maybe if we're lucky, and now I'm seeing 30 with paper charts and film x-rays, and like this is not fine.
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Like, I don't get to connect with people, I don't get to talk to them, I don't need get to understand anything about what's going on.
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It's just like you see what you see, you tell them what they need, and they leave, and hopefully they schedule and they come back and they do the work, and it's just kind of this roach cycle.
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Um moved to Washington State after that to work at what I thought was kind of the dream dental practice, where I started learning more about comprehensive dentistry in a way I hadn't learned before.
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Um, it was with a clinical instructor at the Koyce Center, which is in Seattle, and John Koyce is very big on looking at the whole person, even though it's not holistic dentistry per se, but looking at the person and considering all of the different risk factors that go into what we see in the mouth.
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And so really thinking about each patient as an individual.
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Um, all of his teachings are very based on evidence and changing evidence.
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And he shows you his mistakes, he shows you, you know, things that he's been doing for years, and oh, wait, something new came along that's better.
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Let's adopt that, let's not just stick with what we've always been doing.
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So as I learned that, and as I realized that wherever I went, I was that dentist who wanted to spend time with her patients in the face of like, well, you need to be productive, you need to produce, you need to be faster, you need to, you know, do the things.
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But the issue to me was like, but if the person's not truly comfortable and they are very anxious and they have a story that needs to be told, like, how do they possibly heal?
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How do we actually make the difference that we need to make?
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And so for many years, up until really 2018, when I finally bought my own practice, and this is I started in 07, um, bought my own practice, named it the whole tooth, not realizing exactly what I was doing when I named it.
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It made perfect sense.
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I had this image of like the what's the man?
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Da Vinci's, you know, the man with the armor.
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Da Vinci Code, yeah, yes.
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Um, I'll come, I'll remember at some point.
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Anyways, that was the image I had in my mind of this just interconnected human being, and and we're at the center of it.
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The mouth is that portal.
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And um I thought of holistic with a W, right?
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We're looking at the whole.
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And so started building this practice.
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And as I built it and also knowing, like with my daughter, she was born in 2012.
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Um, with her, I live, we lived in Washington State.
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We were, you know, I was very big into breastfeeding, cloth diapering, um, really trying to make things as clean and natural for her as possible.
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So even, you know, all the dairy she was consuming, I was bringing all the food to daycare and to to school because I was like, I don't want her to have whatever, you know, the USDA dictates is healthy.
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This is garbage.
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And so it was one of those opportunities for me to align what I was doing in my own life with what we were doing in practice.
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And the more I learned, I saw people who have, I mean, as dentists, we were in a super toxic environment, right?
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So we're constantly like at one point placing metals, mercury, and then we're removing this stuff.
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And it's like, I mean, I remember holding it in dental schools.
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We're like working on a little type it on plastic tubes and like messing with stuff like this.
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Stuff is all over.
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It's in our systems everywhere, and it doesn't just stay superficial, it gets lodged in our organs and everywhere else.
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And so we're constantly creating and subjecting ourselves to toxicity.
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And as women, especially, I saw my peers struggling to get pregnant, start struggling to stay pregnant, children being born with just different challenges.
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And I thought, like, this seems like a lot of people within this one field who are having these challenges, and why is that?
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And so, all of that kind of you know, all the stars.
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Did you ever get tested for mercury levels at any point?
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Um, not physically tested.
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I've had some energetic testing done, and I'm high in mercury that way.
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Um, the physical testing is challenging, um, and it's starting to be more of a conversation in dentistry, even like amongst people within like the COIS center, graduates and stuff.
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Um, and what they don't necessarily realize is that if you're just doing like a hair test and it comes out either negative or positive, that's fine.
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At least if it's coming out with something, you're detoxing showing up in our hair and our tissues.
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But what you don't detect unless you do a provoked test with chelation is that there's a bunch of that stuff in our organs, in our brains, in our, you know, lodged in our bodies that you can't detect with a simple blood test or a hair test or any of that.
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Um so I mean, I think anyone in the dental field has to be at least somewhat mercury toxic, and especially if you then have any kind of mutations, um, like the MTHFR mutations, like you're not excreting that stuff.
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Yes.
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Yeah, I got tested for that and my kids as well.
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Once I heard about the MTHFR gene.
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And and if I did the metal testings on my kids, and interestingly enough, what I learned, and I don't know if you've heard that before, that mercury levels could be passed down as well.
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So my kids had mercury, and I was like, oh, well, how do they, you know, well, of course, vaccines and things like that too, but I did hear that could be passed down.
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And Scott, I know all he did was remove amalgams.
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He was a cosmic cosmetic dentist forever.
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So I know that played a big role in his mental health, absolutely.
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Oh, for sure.
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And that's the scary thing, right?
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We see the dental suicide rates even even present day.
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Oh, yeah.
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And that's gotta be.
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I almost get a text now, uh, you know, monthly, if not, you know, it and it's it breaks my heart every time because people will know to reach out to me and say how I could maybe talk to the the wife and now they have the kids and how I process that because there's so much logistically when you own a dental practice too.
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And now you can keep things running.
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And anyway, so it always breaks my heart.
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And that's why I got curious too, asking, well, why?
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Why is the dental profession uh is so high in suicide of burnouts, and and so I love that you bring that up, that awareness of the environment alone, of the toxicity, and I'm sure you know, sensory overload, I know is a big one too.
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Yeah, sensory, the sounds that we listen to.
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It's interesting, and I think we see that in our patients as well, where people who have more capacity heal better, right?
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So if you're in a situation where you're toxic or you're not sleeping well, or there's some stress or strain, it's only a matter of what straw is gonna break that camel's back.
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And so within dentistry, yes, we're faced with stressors galore from running a business to um, you know, doing micro brain microsurgery in a dark, wet environment three inches from the brain, on someone who's wide awake and doesn't want you to be in their space, who has a bunch of trauma.
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And like what we're asking for for trouble, and then we're taught in dental school that perfection is the standard and perfection is micro microns, right?
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Fractions of microns.
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And so it really kind of sets us up for some sort of burnout or failure if we don't have built-in ways to to tolerate it.
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And I think we do ignore the concept of toxicity as a major contributing factor in all forms.
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In all forms, and I'd love to kind of what you see, because now explain to us like if I came in to be a patient, I know you had talked, you have you have a treatment plan for them where it you actually get to spend more time getting to know what's going on as a whole in their life and where they're at.
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Are they the patient that's pretty calm or are they coming in and they're hectic, they're a lot of stress and whatnot.
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And so you you really try and and create a safety network with them first.
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And you also have, I I know you've mentioned some breath work.
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So guide us through the appointment with you.
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Sure.
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So um this is in perpetual evolution.
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So in the latest state that it's in, um, what we're seeing a lot of is people are just overwhelmed with the state of the world and the economy.
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So they're coming in stressed, more stressed, more strained than ever.
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Um what we try to do is first of all, our space is just very calming.
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And so we try to keep fluorescent lights off.
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We use a lot of natural light.
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Instead of walls, you have a window that you're looking out over into our garden, which is not looking great right now because it's winter, but it's still nature, and we see birds and squirrels and other things in there.
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Um, but we have the space kind of curated to kind of help calm the nervous system.
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So we do have essential oils usually um flowing, and we've got music that's relaxing, not quite spots, usually kind of like chill Texas sun music, um, little crong bin.
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And then the team, we're not in white coats, we're usually in in black box scrubs, and and just a little bit more comfortably to sort of exude that level of comfort as well.
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Um, and then we have we have an exhale suite, which I think is really fun.
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I love that.
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And so um patients are offered tea, and we have a couple custom blend teas that are actually from um New Mexico, and they can come sit in the exhale suite, although that's about to shift.
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But exhale suite is um it's kind of in the center of the practice, kind of the heart of the office, and it has um like a little salt lamp and some dim lights, and we have an infrared sauna in there, a far infrared sauna that you can sit in before or after treatment, and then um also a Reiki table that has a red light, like a soluma red light that goes over the face or can really go anywhere over the body, but we we encourage our patients to keep their clothing on, so usually it's more just facial in nature.
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Um, and then we have the aromatherapy choices as well.
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So typically the exhale suite is designed for post-care, post-treatment, and the idea is that it helps us to detoxify, recover, and kind of reset our bodies and reorient to the world.
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What we've developed for this year is our inhale suite as well.
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And so our inhale suite is an operatory that we bring patients into.
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We typically are going to take a swab of their saliva or their biofilm and put it under the microscope to look at and evaluate like who's swimming around in there.
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But more than that, this is now a space where you're kind of like taking your shoes off and leaving the world you just were in sitting in this space.
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You've got a beautiful view, and we'll walk you through a guided uh breath work to do prior to care.
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And um, we're also starting to introduce Sonu, which is um it's a headband that uses acoustic resonance to clear your sinuses.
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And they say that like within two and a half to three minutes, it puts you into more of a delta state.
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And so the idea there is also that we're just continuing to calm the system and make it more receptive to whatever procedures are about to happen.
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Um, because if they're in a fight and flight state, if they're nervous that come from the world, I'm sure you've seen as a provider, they're not they can't heal properly.
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They can't heal, they can't receive.
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I mean, even doing some of the simplest, I say simplest, simplest to us things are putting their system into just a tizzy because they're very afraid.
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And in Texas, we're required to take blood pressure before we start any anything.
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Um, and so we're looking at these blood pressures and they're through the roof because where are they?
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And what did they do to get here?
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They were probably driving fast, Dallas traffic is terrible, drivers are terrible.
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I mean, you're playing like Mario Kart on the on the street on your way in.
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Like, this is it's not the place where you can just suddenly calm down, and it's the place where people are more more typically anxious.
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So, um, yeah, we're really trying to treat that system first so that it can receive the care it needs in a way that it can then heal from it as well.
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Um, and so even in the chair, a lot of times we use Nucom, um, which is kind of my replacement for nitro nitric nitrous oxide.
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Um as soon as I purchased this practice, I took the nitrous out because I don't like it.
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Um, a lot of people with NTHFR can't detoxify from it.
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I'm just short waisted and I can't work over it and I would get headaches, and I just didn't feel that that was necessary.
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Um and honestly, I haven't had a need for anyone to to use that in our office.
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Even some of the most anxious patients, we can get them to a place where they're they're comfortable and they're okay with us being in there, um, which I think is great.
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It is really good.
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And do you see, I'm sure you see a shift maybe even for you, if they're calm and if you can work with them, then you're not taking that on on a daily as a provider.
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Like, have you seen a shift like from when you started and not doing these kind of protocols to how you felt at the end of the day compared to how you feel now in the environment that you're in?
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Yeah, I think it's very different because you know, we are energetic beings.
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And so, especially as dentists, when we're touching people, we're receiving a lot of that energy.
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And so when we can kind of better contain it, I think that really helps us and the patients to not have that anxiety there.
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Um, and really, I mean, we want to focus on doing what we do best, not on managing the anxiety that surrounds it.
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And so with the newcom, especially, that was a dramatic shift.
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Um, it's great because it does provide some benefits neurologically and cognitively.
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So they'll use it in like the Olympic village for recovery between events for the athletes.
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Um added benefits there, but then patients, they don't say that they describe it as like this incredible experience, but once they're in it, they're still in the passage passage of time is somewhat irrelevant and they're just kind of there.
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And so we're able to do what we do, and they're just semi-present, semi-absent, and it's it's a beautiful way to do dentistry.
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Yes, yeah, absolutely.
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Absolutely.
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If they could be calm and then you can focus on what you do, instead of them being so tense and half the time they're like twitching because they can see the, you know, either if they see the needle coming in or oh, what's this tool?
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You know.
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Exactly.
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Yeah.
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So I think that's what I love about the what you're incorporating.
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Because I've as I got curious as well, it it really was important to learn to incorporate breath and nervous system tool in a dental office.
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And that's why I'm telling dentists, even for themselves and between patients, you wash your hands every time.
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Why don't you take a few deep breaths while you're doing that?
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Or when you're doing local anesthesia on the patient when uh when you're numbing them, allow to do breath work before you inject them and just make them feel calm because that gives them so much anxiety to see that needle, and how we can shift the environment, the sterile, you know, the smells.
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A lot of people complain about the smells and the lighting.
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So I think where do you see dentists find challenges to shift this direction?
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Because in the retreats that we were at, there were seven dentists, and you were the only biological dentist there.
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But since then, I think almost all of them have been open to change.
00:20:41.519 --> 00:20:45.759
And I am really passionate to see more of that happen.
00:20:45.920 --> 00:20:56.559
But I think there's a block because of how, and of course, you need more time, and they're like, well, I need to stay afloat, or uh, you know, time currently, I won't see it be productive.
00:20:56.960 --> 00:21:00.880
And and also we need to show the patient the value of doing that.
00:21:00.960 --> 00:21:20.319
It's not just extra fluff, it's actually gonna help them heal, like even explaining how let's say you you you have to do an extraction, but if they're in a fight and flight, well, this could cause them to not heal properly in a long term, maybe get an infection, which is called cavitations, right?
00:21:20.799 --> 00:21:32.880
And or what about, you know, go into root canals and and so this could play a major role in the long term for them to heal and avoid any infections or gum disease.
00:21:33.200 --> 00:21:42.160
Yeah, I mean, I think it's I think it's the way to do dentistry for everyone, but there's a lot of different obstacles in our path.
00:21:42.319 --> 00:21:47.680
I think it starts with us um shifting our mindset.
00:21:47.759 --> 00:21:52.000
And it's easy to fall back into the the old mindset that we've been taught as well.
00:21:52.240 --> 00:21:59.759
Um, we've been taught to believe that we again we have to produce, and we do, you know, we've got to keep our doors open, our lights on, and our teams fed.
00:22:00.720 --> 00:22:21.839
Um but there's an element of like I guess because we're doctors of the mouth that we feel uncomfortable almost asking patients to do some of these things because they feel woo or they feel like it's gonna take extra time and I don't have that time.
00:22:21.920 --> 00:22:26.319
And a lot in conventional practices are built that way, right?
00:22:26.640 --> 00:22:40.160
They're built to maximize the number of patients in the chair, the amount of care rendered, and how much they're collecting, especially if they're insurance-based, because you have to be respectful of your overhead.
00:22:40.240 --> 00:22:44.559
What's it costing to stay open versus what am I making?
00:22:44.799 --> 00:22:47.200
And so it in dentistry is expensive, right?
00:22:47.359 --> 00:22:50.400
Every single thing we do has a dental tax added to it.
00:22:50.559 --> 00:23:00.960
You can buy an autoclave for a veterinary office that's doing the same thing, it's the same exact model, and it's like quarter of the price, which is crazy.
00:23:01.279 --> 00:23:01.519
Yeah.
00:23:01.599 --> 00:23:02.079
Oh, I know.
00:23:02.160 --> 00:23:03.279
We're having dental chair.
00:23:03.359 --> 00:23:04.640
Yeah, well, we need a new dental chair.
00:23:04.720 --> 00:23:05.680
Well, that's so expensive.
00:23:05.839 --> 00:23:07.119
Everything, every little thing.
00:23:07.519 --> 00:23:12.319
But then, like a spa chair that's almost the same is a fraction of the price, and so it's frustrating.
00:23:12.559 --> 00:23:20.400
But point being, what we do just the cost to do general dentistry the normal way is one thing.
00:23:20.640 --> 00:23:25.920
When we suddenly decide to not suddenly decide, but when we want to take more time.
00:23:26.319 --> 00:23:29.759
So instead of seeing five patients an hour, we're seeing one.
00:23:30.640 --> 00:23:43.519
And we need to have the knowledge to back it up, which means we are seeking additional education, we're seeking ways to perfect what we're doing or go deeper or ask better questions.
00:23:43.680 --> 00:23:54.240
All of that's taking more time and education and knowledge and time away from our families and the things we may otherwise want to do so that we can deliver this other form of care.
00:23:54.480 --> 00:23:56.400
And then maybe we need other resources.
00:23:56.559 --> 00:24:00.480
Maybe we're ordering or buying a machine that makes ozone.
00:24:00.640 --> 00:24:01.920
Maybe we're doing these different things.
00:24:02.000 --> 00:24:15.599
And now that we're doing these different things that are not in the conventional realm, we're having to also kind of protect ourselves legally because we have to stay in our lane and we have to do things that are safe.
00:24:15.920 --> 00:24:22.000
And those that are overseeing what we do don't understand it.
00:24:22.160 --> 00:24:33.759
And so there's just this crazy tension of things that make things cost more, take longer, create fear on top of the okay, now we need to treat these patients.
00:24:34.000 --> 00:24:39.680
And everybody deserves to have extra time with their medical provider.
00:24:39.839 --> 00:24:45.279
Everybody deserves more time and expertise, but there's only so much time we can give.
00:24:45.440 --> 00:24:51.039
And so it's it's interesting and it's tough.
00:24:51.279 --> 00:24:54.559
And you have to really, if you're gonna do it, you kind of have to do it.
00:24:54.720 --> 00:25:07.519
You can't really go dip your toe in and just do that because you're not serving yourself or your patients the way you ought to if you go part of the way.
00:25:07.680 --> 00:25:08.799
I don't know if that makes any sense.
00:25:08.960 --> 00:25:20.079
Yeah, that makes sense, and then I'm sure once you go all in, that what keeps you going all in is probably seeing the changes in your patients, in yourself.
00:25:20.160 --> 00:25:27.279
And so, okay, you start believing in this technique and it really works because a lot of it is not going to be covered by insurance.
00:25:27.599 --> 00:25:36.240
And so it's also building that trust of patient to understanding why it's not at every dental office right now, because there's a lot of fear.
00:25:36.319 --> 00:25:38.720
It's not what your foundation was at school.
00:25:38.880 --> 00:25:41.039
So they have to, it's kind of like it in life.
00:25:41.200 --> 00:25:52.000
We have to shed layers of all beliefs that we were taught as a young child that was ingrained in us by, you know, like you said, dogma or whatever society or environment.
00:25:52.240 --> 00:25:58.400
But as we get older and we do the work, the inner work, and we trust our intuition, we're like, oh, you have to shed these layers.