Study after study has shown that people who have poor oral health (such as gum disease or tooth loss) have higher rates of cardiovascular problems. 💊MicroVitamin (multivitamin & mineral that I take): drstanfield.com/products/microvitamin For extra insights + a free health checklist, sign up here 👉 drstanfield.com/pages/sign-up
Personally, I water floss and then brush using a Sonicare brush with a model that has 62000 brush strokes per minute. I use nano hyroxyapitite in a toothpaste that uses nanoXIM from Fluidnova which is SCCS-approved for consumer safety. After meals I'll rinse with water and use xylitol mints or gum to control plaque causing bacteria. Preferably I use gum so that I can chew and produce saliva which from my understanding would help calcify teeth. I use a toothpaste that has ingredients that are meant to support a healthy microbiome rather than indiscriminate antibacterials. I also use a tongue scraper. I combined this with eating a diet that has no added sugar. All working well.
All sounds great except for the toothpaste. You're using ingredients that are proven to be safe, ok... but no mention on whether they're proven to be *effective* at protecting teeth and promoting remineralization. This is where fluoride reigns supreme.
Dentist here. Brad is spot on with all of his recommendations, however I would disagree with the toothpaste recommendation. I recommend Arm and Hammer to my patients, as it is very non-abrasive and helps to reduce acidity - a major cause of decay and erosion.
Presumably though, the baking soda in Arm and Hammer will only have an acute acid-neutralizing effect. Even if you brush multiple times a day, It’s not going to offer any acid-lowering benefit for the few hours between each brushing.
sonic tooth brushes for me were a GAME CHANGER. i can brush with a tooth brush and still scrape off plaque with my finger name. sonic is BEST. and its not expensive anymore
I have heard that You should wait at least 30 minutes after eating before brushing your teeth. This gives your saliva time to wash away acids and remineralize your tooth enamel. Why wait? Brushing too soon after eating can remove the enamel from your teeth. Acids from food and drinks can soften tooth enamel. Saliva contains minerals like calcium, phosphate, and fluoride that help remineralize tooth enamel. While I wait, I chew xylitol gum sometimes I wonder if a water pic would be OK to use as well.
I do the same. But if pressed for time, and every time I brush, I put the toothpaste in my mouth first and work it around to let the fluoride start to work before I brush.
@@DeanguilberryI have heard from recent studies (sorry, I don't have a link) that leaving toothpaste in your mouth and not rinsing is now recommended (to allow fluoride to be delivered to enamel). Or perhaps more accurately, spit out but don't rinse.
You're right about the enamel. Based on a dentist's advice, I use a homemade pH-rebalancing mouthwash if my brushing is any time near after eating. 1 cup water, 1 tsp baking soda, spearmint drops and 2 tsp of xylitol. After a few years, I doubled everything except the baking soda, just to use it as a general mouthwash, too. I rarely brush after eating anyway.
I personally floss using floss picks at night, brush twice daily, and my most important part is that I chew Zellie's Dental Gum. I've heard that since it's just pure xylitol gum, it suppress the growth of some types of streptococcus bacteria, including Streptococcus mutans and Streptococcus pneumoniae. All in all, I haven't had any cavities at all, my mouth produces more saliva which I heard is a good thing, and it's seamless as a routine
I find it cheaper to buy Xylitol crystals and take about a teaspoonful. The saliva will dissolve it and I swish it around in my mouth for 4 to 5 minutes before spitting out. I do that several times a day. The problem with xylitol in gums, I find, is that it gets swallowed too soon as you chew. However, I read a study "Erythritol Is More Effective Than Xylitol and Sorbitol in Managing Oral Health Endpoints" that shows it works even better than xylitol so I've been using that instead.
I have an Oclean X Ultra S sonic toothbrush which literally "blasts"small particles from between my teeth. It even removes the "paper thin shell from beer nuts which lodges between your teeth and gums! Its been for better than flossing with tape or a waterpik. I use Biomin F (a calcium silicofluorophosphate) or BioRepair (contains Zinc hydroxyapatite) for remineralisation and a normal WhiteGlo daily(which has bromelain to help break down the plaque). I spit out the excess (not rinsing for 30 mins) to allow the remineralistion to take place. I use a Xylitol mouthwash (generic) and late at night ( after not eating for at least 2 hours) use Oral 7 mouthwash which contains enzymes to breakdown sugars and bind iron (lactoferrin) to minimise unnatural bacteria to proliferate. My teeth which were bad are now in excellent condition. Literally no plaque after 12 months.
Can you please comment on hydroxyapatite in toothpaste instead of fluoride? Is it as effective in remineralizing teeth and maintaining dental health? Also has tongue scraping been demonstrated to be effective in improving oral health? Thanks
"Based on the results, it can be concluded that all three dentifrices had the ability to reduce the progress of demineralization, while simultaneously enhancing remineralization process on artificial carious lesions. However, within the limitations of this in vitro study, it was seen that nanohydroxyapatite dentifrice produced better effects compared to fluoride- and NovaMin-containing dentifrices, and hence could be considered for use as a potential dentifrice in remineralization of early carious lesions." pmc.ncbi.nlm.nih.gov/articles/PMC6749857/
Thanks for commenting. When I reviewed the research, I couldn't find any particularly good head to head trials of hydroxyapatite vs fluoride in humans. There's lab research, but I couldn't find any real-world research in the form of randomized, double-blind, trials. Tongue scraping is a good idea, and I should have mentioned that in the video
I’ve been wondering recently whether my dental floss could be toxic and out of the blue here comes Dr Stanfield to the rescue. This is the best health channel on RUclips by a mile.
Im 66 and can honestly say that nothing I have ever tried (did all that in the list) comes close to simply rinsing your teeth with natural birch xylitol after gently brushing and rinsing your teeth before going to bed, birch xylitol does miraculous things when it comes to oral hygiene, it heals any cavities re-mineralizes your teeth all and I mean all your plaque will just disappear Seriously it works wonders, just simply 1l2 teaspoon xylitol granules in your mouth saliva will dissolve it slosh it around your teeth and gums for 5 min and spit it out and go to bed, this is lethal to the nasty cavity causing streptococcus mutans bacteria, do your research and have a great 2025🎉
@tubo1812 xylitol can be used as sugar replacement and considered safe for humans but some studies linked xylitol to heart attacks and strokes when ingested in large amount (lethal for dogs) the idea is to coat your mouth and this stuff works wonders for mouth hygiene
There are at least 3 different types of electronic toothbrushes: 1) Rotating 2) Ultrasonic: In the kHz range 3) Megasonic: In the MHz range There are only a handfull of toothbrushes (~3) that operation in the MHz range. The toothbrushes that operate in the MHz range are even better than those operating in the kHz range e.g. MegaSonex and Smilex. Battery life on the toothbrushes operating in the MHz range is excellent with close to 30 days between charges. MHz toothbrushes are usually more expensive... but they're worth it. There doesn't seem to be a major difference between various brands operating at MHz and they seem to use interchangeable toothbrush heads. The replacement heads are a bit pricey (~$50 for 2) but they last 6~12 months. 🙂
Hydroxyapatite does the same job as fluoride i toothpaste, with-ought the toxicity. Its the natural material enamel is made of, you can use it in high concentrations to improve remineralization while brushing, while fluoride is limited because its toxicity to bones. in theory Hydroxyapatite is more effective because it contains already all the minerals, while fluoride needs calcium and phosphate ions from the saliva to remineralize. Xylitol gum is a great addition to the list, it limits the growth of bacteria that cause cavities in the mouth. it is more effective in gum than in toothpaste because it got more contact time in the mouth. (I use it both in gum and toothpaste).
From my experience, I'd put Xylitol at the top of the list. Then I'd talk about Oral-biom health. Then reduction of acid exposure in the mouth, and then remineralizing teeth (a continuous process). Then there is the process hw gums attach to the teeth, and floss may not be the best approach for that. Not all bacteria contribute to plaque and tartar, or contribute to acids in the mouth.
Brad ought to explain RFK's comments on fluoride a bit better: RFK is referring to fluoride in water... and specifically makes the distinction between water and toothpaste. It's not clear exactly what Brad's point about RFK is i.e. Brad seems to be making the same point about fluoride in toothpaste as RFK. 🙂
What about mouth wash? Should you leave the paste for a while or wash it out right after you're done? Is it beneficial to add something to the water you're using in the flosser like soap, baking soda, fluoride, etc.?
Believe there’s plenty of research that stannous fluoride has additional anti-bacterial, anti-gingivitis effects that sodium fluoride does not. Would it not makes sense therefore to specifically recommend making sure to choose a stannous fluoride-contains toothpaste? (“Your” top-pick toothpaste only has sodium monofluorophosphate in it.)
When you use a toothbrush and particularly vibrating head toothbrushes it is very important that you use a very soft pressure because otw it won't clean well. This is particularly the case if you use lighter (cheaper) vibrating toothbrushes in the 10-20 USD price range.
As a person who just had a Dental flap operation on two parts of his gums and waiting for another one in few days, I would strongly recommend you to use an interface brush after each meal. You don't even realize how much food stuck btw your teeth until you start using interface brushes. I wish I started using them before developing gum disease. Regular flossing also necessary but not enough because each time you pass floss tape btw your teeth you are actually pushing food leftovers towards the gums. Interface brushes clean very bottom of teeth and gum in between. Flosssing still necessary for narrow areas and for cleaning sides of the teeth. Water flossing doesn't do sh.t in my experience, just not pressured enough. I also got the exact sonicare electric brush on the video which doesn't feel very good especially if you have ongoing sensitvity on your teeth. Instead I would go for ones that rotate.
I think it's called interdental brush not interface brush. My mistake. It's a tiny flexible brush. Has different sizes for different teeth spacing. Like a flexible toothpick with hairs.
In light of the cascading studies about microplastics, I'm thinking a case could be made against vigorously rubbing nylon all over your gums. Perhaps a bamboo or other non-plastic alternatives is the healthier option?
Dude...i love your content, but when i just looked up consumer reports on dental floss the only ones that had no pfas or known harmful ingredients were silk flosses, namely nudge, radius, and earth loves it too. The reach mint waxed said known for both categories. Can you provide a link to the consumer report you found that said it was free of toxic ingredients?
My dentist also told me drinking a lot of water can help. Not for hydration but just the act of drinking a liquid often, water being the best of course.
What are your feelings about the new wave of thought from some dental schools of thought about lowering nitric oxide levels by killing oral bacteria? Thanks!
What if you use a toothpaste that has NO FLUORIDE, but contains hydroxy appetite with xylitol? Can you rinse your mouth with fluoridated water to get the benefit of the fluoride with the hydroxy appetite?
Thanks Brad - excellent practical information. Though I still skip fluoride toothpastes - you didn't mention all the additives commonly found in mainstream toothpaste. Keep up the great work!
The very modern dentist recomend ultrasound toothbrush instead (I have not bought one yet , seems as an interesting project ….. )Yes so important to care for dental /gum health . Apparently there is a rather high correlation between gum disease and development of dementia . Some persons are allergic to fluoride . Fluoride blocks the uptake of iodine , make sure to rinse well mouth and the teeth after using the fluoride toothpaste .
I have to dissent on your approval of waxed and Teflon-coated floss, especially the latter. It is so slippery it's hard to get a grip on it plus I suspect that it's so slippery that just glides over the plaque. I think some friction is needed to remove plaque.
I used the oralucent toothbrush. It glows red and blue for purple light effect phototherapy. I think it is worth the investment. It is also 6-speed sonic. I cannot tell if the phototherapy is effective, but it looks cool and feels good psychologically
In my own experience, i used to gather a lot of plaque and had to get my teeth cleaned by a dentish every 6 months. I was a smoker and after quitting, i shifted to nicotine gum which i used for almost 2 years. Ive not seen even a bit of plaque since. I quit nocotine gum but still chewing sugarfree gum
Regular consumption of fermented foods can deal with that as well. Washing mouth with alcohol is bad no matter what. I personally use fluoride containing alcohol-free mouthwash enhanced with 5 percent xylitol and concentrated chlorohexidine ( studies have shown a combo is more potent in preventing cavities than each one of these ingredients alone) to achieve a final concentration of 0.05 percent ( same as sold in pharmacy). I compliment this with a generous amount of fermented foods daily and it solves any issues with microbiome. As you can see there are multiple paths to achieve the same result.
Well done Dr. Thanks for the advise. I might add, poor dental hygiene is also bad for the. Brain. Also, in my opinion, Floride is dandy topically, for your teeth, but I would never knowingly drink it.
I get bloating from xylitol, but I am fine when I use it as a mouthwash. I will spit it out and ingest only small quantities. I think xylitol is really effective and should not be skipped .
Everything is if you have too much. The real question is how high a safe dose can be. You probably shouldn't be eating it like most eat regular sugar but a few grams isn't so bad.
Dr. Stanfield, is there a supply issue with MicroVitamin? I normally get it through subscription on Amazon for convenience, but they haven't had it in stock for nearly a month.
I'm an American, too. I pay $600/yr for dental insurance that covers 4x2 free cleaning per year, plus insurance for everything else (such as emergencies and the $1K I got off for each of my kids' braces).
Thanks for the great video doctor. I do everything that you recommend in a little bit more. Russian several times a day also seems to help they say. Just start seeing a periodontistt a couple years ago and my gums were in pretty good shape but I've got a lot of problematic teeth.
I highly recommend looking into nano hydroxyapatite toothpaste such as Apagard Premio. It's even better than fluoride and zero concerns about toxicity with those.
Fluoride is good for the teeth, but how about the damage it causes to our brain and other internal organs? A good video could give alternative recommendations to Fluoride for those who choose not to use fluoride.
Great videos thank you! Please can you do some more research or videos on before pregnancy/ during pregnancy & after pregnancy/ breastfeeding & babies women would love more support on growing their babies x
I recommend recreational flossing. I try to do 20 minutes + a day while watching RUclips! I have gums healthier than a newborn (can't get them to bleed etc.) . Also I invented a finger sweep to clear my tonsillar crypts. Haven't had morning breath in 10 years.
Calcium apatite (small particles) toothpaste doesn't work as well as calcium phosphate (powder) toothpaste. Tooth sensitivity disappears almost immediately using a calcium phosphate toothpaste. Calcium apatite toothpaste doesn't seem very effective by comparison. A lot of these remineralisation products come in tiny tubes and are very expensive. Try Biomin: The fluoride free version. It's cheaper than most other remineralisation products and the tube is also bigger than most comparable products. 🙂
that's great and all but layman probably won't be doing all these 5 steps, you'll be lucky to see them vrush teeth for longer than 20 seconds do you think there's an easier way?
Didn't hear anything about magnesium. I've got in my notes that Vitamin D absorption/use requires Magnesium. Additionally, Vitamin D uses up Magnesium.
Water flossing is much more effective than normal flossing. Pulsed water flossing is much more effective than unpulsed water flossing. I don't know which pulsed water flosser is the most effective as the number of pulsed water flossers seems to have suddenly exploded. However, typically the more pulses/minute the better. N.B. Mains water flossers are much more effective than battery operated flossers as they operate at higher pressures and have a larger water reservoir. Water flossing takes much less time than normal flossing and hurts less. It also gets into places that floss can't get into. 🙂
Mouth breathing is also bad on the teeth. If youre a mouth breather then train yourself to breathe through your nose and consider mouth taping at night.
Right! I practice mewing before bed time and I soemtimes wake up and find my mouth closed but my teeth separated as if my thong wasn’t sucked on the roof of my mouth I’d hve a wide open mouth haha. Mewing is easy and free
Just to be contrary, I've been using the Dr. Ellie Phillips complete mouth care system for the past year or so, which recommends against flossing or hygienists treatments in favour of using a specific set of mouthwash, toothpaste and toothbrush products. I'd say my teeth and gums have never been better - for context I'm over 60. Which is not to say the method presented in this video is wrong, just that perhaps there's more than one way to achieve good dental hygiene. Both methods agree xylitol is a good thing though.
Same here! I’m at 10 months now and I have no more plaque and white teeth :)) - I used to floss and do all what he said and didn’t work. Dentist will be quick to drill in yo ur mouth even if the cavity is young and not even in the dentyne yet. The dr Ellie’s protocol makes sure the new cavity doesn’t go that far so you don’t need drilling and fillings. It’s all about money with the dentists. I’ve refused fillings and after 7 months on the dr Ellie’s protocol my cavities where gone! They didn’t have anything to say. They know what their doing is wtong
I started on it but then realized that the Listerine alcohol mouthwash she recommends is not recommended for a number of reasons but may be linked to oral cancer per the scientific literature. I still use her xylitol mints but have gone back to a regular routine and have noticed no difference
@@michaelcline7458 I'm not too concerned about that - I know what you mean, e.g. this article: pmc.ncbi.nlm.nih.gov/articles/PMC6982979/, however with Dr. Ellie's system the Listerine is followed by an alcohol-free mouthwash which I imagine would flush it out. In any case, I gather it's *drinking* alcohol that is the real risk!
I make my own NATTO and how noticed that the tartar in me teeth has been reduced significantly, since I started eating it. I think it is because of the vitamin K2 in NATTO
nice, have fun seein your gum decay faster than usual if you floss, water floss and brush. ever heard of gum decay induced by mechanical cleaning ? insane amount of people have that because of those reasons
You missed tongue scraping to remove massive amounts of bacteria from the oral cavity. For hard tartar a s/s tooth pick for use at home is also a great option if you dont enjoy flossing. A low sugar diet is also important.
Tongue scrapping all the time might not be a good idea. You don't what to remove the good bacteria in your mouth. You want to remove the bad bacteria from crevasses around the teeth.
@@Fomites stainless steel pick, a sharp bent tipped device for removing plaque between teeth, most dentists uses these prior to ultrasonic tools to remove stuck plague.
Hello, Dr. Brad. Thank you for your videos. Could you please tell me, do you think it is dangerous to use tretinoin/adapalene in the area around the eyes? Could it damage the meibomian glands and cause dry eyes?
The #1 remedy for dental plaque is high dose vitamin K2 MK-4 supplementation, it dissolves existing dental calculus and prevents new one from forming. I used to get my teeth cleaned every three months and always had new tartar. After I started taking K2 MK-4, it never came back.
Hi 〰️💙〰️ Thank you for alerting this, I came to understand awhile ago, it is linked to heart issues, and if heart issues leads to all errors. 〰️💙〰️ 🕊️〰️✨
Never flossed in my 40+ years of life, 0 cavities and perfect, white teeth (according to my dentists). I brush for about 45 seconds (no patience) and visit the dentist once every 5 years. Go figure.
You're lucky, you must have naturally strong enamel and no bacterial infection. I was born with very weak genetics for teeth, as a child had almost non existent enamel and my whole family suffers from heavy strep mutans load. (Caries bacteria) I don't eat sweets or drink soda. Go figure.
They take off layers of plaque that you can't get off from brushing, if you don't see a dentist for cleaning, this will build up and it's really bad. Also when they clean, they x-ray, helping prevent further issues.I think it's pretty obvious that the dentist doing maintenance for our teeth is beneficial every 6 months helps a lot (because we can't even clean it the way they can).
@@Fomites There's actually a Cochrane review about this. I'm from germany and their german website says that there seems to be no reason for people with healthy gums to get professional teeth cleanings. I was just wondering if dr stanfield had any more insight.
@@Raherin I mean sure, but that's not evidence. At least in germany there is some discussion how much professional dental cleaning actually does for you. The german website of the Cochrane review actually says there seems to be no evidence it does a lot if you have healthy gums. I was just wondering if Dr Stanfield had any thougths on this, since I am not really qualified to speak about this.
Wax floss is stupid. It just slides over the plaque. The only thing wax floss does it remove big chunks of food. Dr Tung's floss is the best. Study shows it remove more plaque. It's not waxed, is not slippery, has more friction and still gets between teeth easily. It's what Brian Johnson uses. I switched to it. It's great floss.
look your eyes are always red and I think theres some issue with your health prob some of the vitamins you take also I took the L-threanin magnesium and it caused me serious problems so I dont know if its doing it to you too but posibly
Study after study has shown that people who have poor oral health (such as gum disease or tooth loss) have higher rates of cardiovascular problems.
💊MicroVitamin (multivitamin & mineral that I take): drstanfield.com/products/microvitamin
For extra insights + a free health checklist, sign up here 👉 drstanfield.com/pages/sign-up
you are wrong, much better xylitol than fluor. make a new video
6:30 You wanted to link a video in the pinned comment regarding fluoride in drinking water.
Which floos do you recommend?
Personally, I water floss and then brush using a Sonicare brush with a model that has 62000 brush strokes per minute. I use nano hyroxyapitite in a toothpaste that uses nanoXIM from Fluidnova which is SCCS-approved for consumer safety. After meals I'll rinse with water and use xylitol mints or gum to control plaque causing bacteria. Preferably I use gum so that I can chew and produce saliva which from my understanding would help calcify teeth. I use a toothpaste that has ingredients that are meant to support a healthy microbiome rather than indiscriminate antibacterials. I also use a tongue scraper. I combined this with eating a diet that has no added sugar. All working well.
Do you have any time and mental space remaining for other aspects of your life with this routine?
@@Fomites Flossing, brushing, rinsing with water, and chewing Xylitol gum...what so complicated about this?
Excellent!
All sounds great except for the toothpaste. You're using ingredients that are proven to be safe, ok... but no mention on whether they're proven to be *effective* at protecting teeth and promoting remineralization. This is where fluoride reigns supreme.
Nanoparticles do not sound like a good thing.
Dentist here. Brad is spot on with all of his recommendations, however I would disagree with the toothpaste recommendation. I recommend Arm and Hammer to my patients, as it is very non-abrasive and helps to reduce acidity - a major cause of decay and erosion.
Forgot to add that Spry is a great brand of gum/mints containing 100% xylitol that can be used after meals.
What about a xylitol toothpaste?
Presumably though, the baking soda in Arm and Hammer will only have an acute acid-neutralizing effect. Even if you brush multiple times a day, It’s not going to offer any acid-lowering benefit for the few hours between each brushing.
I think the common tooth pick is very valuable to remove food particles and stimulate and toughen the gumline!
sonic tooth brushes for me were a GAME CHANGER. i can brush with a tooth brush and still scrape off plaque with my finger name. sonic is BEST. and its not expensive anymore
I have heard that You should wait at least 30 minutes after eating before brushing your teeth. This gives your saliva time to wash away acids and remineralize your tooth enamel.
Why wait?
Brushing too soon after eating can remove the enamel from your teeth.
Acids from food and drinks can soften tooth enamel.
Saliva contains minerals like calcium, phosphate, and fluoride that help remineralize tooth enamel.
While I wait, I chew xylitol gum sometimes I wonder if a water pic would be OK to use as well.
I do the same. But if pressed for time, and every time I brush, I put the toothpaste in my mouth first and work it around to let the fluoride start to work before I brush.
@@DeanguilberryI have heard from recent studies (sorry, I don't have a link) that leaving toothpaste in your mouth and not rinsing is now recommended (to allow fluoride to be delivered to enamel). Or perhaps more accurately, spit out but don't rinse.
You're right about the enamel. Based on a dentist's advice, I use a homemade pH-rebalancing mouthwash if my brushing is any time near after eating. 1 cup water, 1 tsp baking soda, spearmint drops and 2 tsp of xylitol. After a few years, I doubled everything except the baking soda, just to use it as a general mouthwash, too. I rarely brush after eating anyway.
Be sure to drink plenty of water during the day so that your body can create that valuable saliva.
I personally floss using floss picks at night, brush twice daily, and my most important part is that I chew Zellie's Dental Gum. I've heard that since it's just pure xylitol gum, it suppress the growth of some types of streptococcus bacteria, including Streptococcus mutans and Streptococcus pneumoniae. All in all, I haven't had any cavities at all, my mouth produces more saliva which I heard is a good thing, and it's seamless as a routine
I find it cheaper to buy Xylitol crystals and take about a teaspoonful. The saliva will dissolve it and I swish it around in my mouth for 4 to 5 minutes before spitting out. I do that several times a day. The problem with xylitol in gums, I find, is that it gets swallowed too soon as you chew. However, I read a study "Erythritol Is More Effective Than Xylitol and Sorbitol in Managing Oral Health Endpoints" that shows it works even better than xylitol so I've been using that instead.
I have an Oclean X Ultra S sonic toothbrush which literally "blasts"small particles from between my teeth. It even removes the "paper thin shell from beer nuts which lodges between your teeth and gums! Its been for better than flossing with tape or a waterpik. I use Biomin F (a calcium silicofluorophosphate) or BioRepair (contains Zinc hydroxyapatite) for remineralisation and a normal WhiteGlo daily(which has bromelain to help break down the plaque). I spit out the excess (not rinsing for 30 mins) to allow the remineralistion to take place. I use a Xylitol mouthwash (generic) and late at night ( after not eating for at least 2 hours) use Oral 7 mouthwash which contains enzymes to breakdown sugars and bind iron (lactoferrin) to minimise unnatural bacteria to proliferate. My teeth which were bad are now in excellent condition. Literally no plaque after 12 months.
Thanks.
Can you please comment on hydroxyapatite in toothpaste instead of fluoride? Is it as effective in remineralizing teeth and maintaining dental health? Also has tongue scraping been demonstrated to be effective in improving oral health? Thanks
"Based on the results, it can be concluded that all three dentifrices had the ability to reduce the progress of demineralization, while simultaneously enhancing remineralization process on artificial carious lesions. However, within the limitations of this in vitro study, it was seen that nanohydroxyapatite dentifrice produced better effects compared to fluoride- and NovaMin-containing dentifrices, and hence could be considered for use as a potential dentifrice in remineralization of early carious lesions."
pmc.ncbi.nlm.nih.gov/articles/PMC6749857/
yeah, I use David's toothpaste at the moment which is flouride-free and has the hydroxyapatite.
Fluoride will only harm your overall health.
Thanks for commenting. When I reviewed the research, I couldn't find any particularly good head to head trials of hydroxyapatite vs fluoride in humans. There's lab research, but I couldn't find any real-world research in the form of randomized, double-blind, trials. Tongue scraping is a good idea, and I should have mentioned that in the video
@@DrBradStanfield Here is a double blind RCT study looking at hydroxyapatite:
pmc.ncbi.nlm.nih.gov/articles/PMC10393266/
Gread video, Brad ❤
Ive been using Xylitol gum; it has made a huge difference in my gums
How?
This is fantastic, thanks Brad, so practical
I’ve been wondering recently whether my dental floss could be toxic and out of the blue here comes Dr Stanfield to the rescue. This is the best health channel on RUclips by a mile.
Xylitol gums have helped me considerably.
In what measurable way?
Chew hubba bubba bubble gum instead
Im 66 and can honestly say that nothing I have ever tried (did all that in the list) comes close to simply rinsing your teeth with natural birch xylitol after gently brushing and rinsing your teeth before going to bed, birch xylitol does miraculous things when it comes to oral hygiene, it heals any cavities re-mineralizes your teeth all and I mean all your plaque will just disappear Seriously it works wonders, just simply 1l2 teaspoon xylitol granules in your mouth saliva will dissolve it slosh it around your teeth and gums for 5 min and spit it out and go to bed, this is lethal to the nasty cavity causing streptococcus mutans bacteria, do your research and have a great 2025🎉
Why spit it?
@tubo1812 xylitol can be used as sugar replacement and considered safe for humans but some studies linked xylitol to heart attacks and strokes when ingested in large amount (lethal for dogs) the idea is to coat your mouth and this stuff works wonders for mouth hygiene
There are at least 3 different types of electronic toothbrushes:
1) Rotating
2) Ultrasonic: In the kHz range
3) Megasonic: In the MHz range
There are only a handfull of toothbrushes (~3) that operation in the MHz range.
The toothbrushes that operate in the MHz range are even better than those operating in the kHz range e.g. MegaSonex and Smilex.
Battery life on the toothbrushes operating in the MHz range is excellent with close to 30 days between charges.
MHz toothbrushes are usually more expensive... but they're worth it.
There doesn't seem to be a major difference between various brands operating at MHz and they seem to use interchangeable toothbrush heads.
The replacement heads are a bit pricey (~$50 for 2) but they last 6~12 months.
🙂
Its mindblowing how ppl live with bad teeth and dont seem to grasp the gravity of its impact on their health
Hydroxyapatite does the same job as fluoride i toothpaste, with-ought the toxicity.
Its the natural material enamel is made of, you can use it in high concentrations to improve remineralization while brushing, while fluoride is limited because its toxicity to bones.
in theory Hydroxyapatite is more effective because it contains already all the minerals, while fluoride needs calcium and phosphate ions from the saliva to remineralize.
Xylitol gum is a great addition to the list, it limits the growth of bacteria that cause cavities in the mouth.
it is more effective in gum than in toothpaste because it got more contact time in the mouth. (I use it both in gum and toothpaste).
From my experience, I'd put Xylitol at the top of the list. Then I'd talk about Oral-biom health. Then reduction of acid exposure in the mouth, and then remineralizing teeth (a continuous process). Then there is the process hw gums attach to the teeth, and floss may not be the best approach for that. Not all bacteria contribute to plaque and tartar, or contribute to acids in the mouth.
Brad ought to explain RFK's comments on fluoride a bit better:
RFK is referring to fluoride in water... and specifically makes the distinction between water and toothpaste.
It's not clear exactly what Brad's point about RFK is i.e. Brad seems to be making the same point about fluoride in toothpaste as RFK.
🙂
What about mouth wash? Should you leave the paste for a while or wash it out right after you're done? Is it beneficial to add something to the water you're using in the flosser like soap, baking soda, fluoride, etc.?
Believe there’s plenty of research that stannous fluoride has additional anti-bacterial, anti-gingivitis effects that sodium fluoride does not. Would it not makes sense therefore to specifically recommend making sure to choose a stannous fluoride-contains toothpaste? (“Your” top-pick toothpaste only has sodium monofluorophosphate in it.)
I use carbon active tooth paste without any fluoride, with normal brush, once a day. Works just great.
What if you wanna reduce plastic use?
When you use a toothbrush and particularly vibrating head toothbrushes it is very important that you use a very soft pressure because otw it won't clean well. This is particularly the case if you use lighter (cheaper) vibrating toothbrushes in the 10-20 USD price range.
As a person who just had a Dental flap operation on two parts of his gums and waiting for another one in few days, I would strongly recommend you to use an interface brush after each meal. You don't even realize how much food stuck btw your teeth until you start using interface brushes. I wish I started using them before developing gum disease. Regular flossing also necessary but not enough because each time you pass floss tape btw your teeth you are actually pushing food leftovers towards the gums. Interface brushes clean very bottom of teeth and gum in between. Flosssing still necessary for narrow areas and for cleaning sides of the teeth. Water flossing doesn't do sh.t in my experience, just not pressured enough. I also got the exact sonicare electric brush on the video which doesn't feel very good especially if you have ongoing sensitvity on your teeth. Instead I would go for ones that rotate.
What’s an interface brush?
I think it's called interdental brush not interface brush. My mistake. It's a tiny flexible brush. Has different sizes for different teeth spacing. Like a flexible toothpick with hairs.
In light of the cascading studies about microplastics, I'm thinking a case could be made against vigorously rubbing nylon all over your gums. Perhaps a bamboo or other non-plastic alternatives is the healthier option?
Dude...i love your content, but when i just looked up consumer reports on dental floss the only ones that had no pfas or known harmful ingredients were silk flosses, namely nudge, radius, and earth loves it too. The reach mint waxed said known for both categories. Can you provide a link to the consumer report you found that said it was free of toxic ingredients?
My dentist also told me drinking a lot of water can help. Not for hydration but just the act of drinking a liquid often, water being the best of course.
It's good to rinse your mouth with water after a meal.
@@Meccarox That is true. And no contraction to the effect of frequent drinking.
What are your feelings about the new wave of thought from some dental schools of thought about lowering nitric oxide levels by killing oral bacteria? Thanks!
What if you use a toothpaste that has NO FLUORIDE, but contains hydroxy appetite with xylitol?
Can you rinse your mouth with fluoridated water to get the benefit of the fluoride with the hydroxy appetite?
I learned a lot, thank you!
Thanks Brad - excellent practical information. Though I still skip fluoride toothpastes - you didn't mention all the additives commonly found in mainstream toothpaste. Keep up the great work!
The very modern dentist recomend ultrasound toothbrush instead (I have not bought one yet , seems as an interesting project ….. )Yes so important to care for dental /gum health . Apparently there is a rather high correlation between gum disease and development of dementia . Some persons are allergic to fluoride . Fluoride blocks the uptake of iodine , make sure to rinse well mouth and the teeth after using the fluoride toothpaste .
Great video! Thank you
I like the UV sanitizing vibrating toothbrush.
I have to dissent on your approval of waxed and Teflon-coated floss, especially the latter. It is so slippery it's hard to get a grip on it plus I suspect that it's so slippery that just glides over the plaque. I think some friction is needed to remove plaque.
I used the oralucent toothbrush. It glows red and blue for purple light effect phototherapy. I think it is worth the investment. It is also 6-speed sonic. I cannot tell if the phototherapy is effective, but it looks cool and feels good psychologically
So its just to make you feel better.
In my own experience, i used to gather a lot of plaque and had to get my teeth cleaned by a dentish every 6 months. I was a smoker and after quitting, i shifted to nicotine gum which i used for almost 2 years. Ive not seen even a bit of plaque since. I quit nocotine gum but still chewing sugarfree gum
Have you had a look at the science of blue and red light with or without whitening?
I heard that fluoride stops the production of nitric oxide.
Hello Dr. Brad. I understand that fluoride is somewhat intolerant for some people. Why is fluoride important in oral health? Thank you
He explained it in the video. And Google is your friend.
One study shows mouth bacteria replenish gut biohome. So when the mouth becomes sterile, gut suffers. Balance is required in life. Cheers.
Yes this is why most people don't need to use any alcohol based mouthwash.
Regular consumption of fermented foods can deal with that as well. Washing mouth with alcohol is bad no matter what. I personally use fluoride containing alcohol-free mouthwash enhanced with 5 percent xylitol and concentrated chlorohexidine ( studies have shown a combo is more potent in preventing cavities than each one of these ingredients alone) to achieve a final concentration of 0.05 percent ( same as sold in pharmacy). I compliment this with a generous amount of fermented foods daily and it solves any issues with microbiome. As you can see there are multiple paths to achieve the same result.
Well done Dr. Thanks for the advise.
I might add, poor dental hygiene is also bad for the. Brain.
Also, in my opinion, Floride is dandy topically, for your teeth, but I would never knowingly drink it.
is xylitol bad for heart health? some studies are showing that..
Not xylitol but erythritol
Correct ...but I think they used 'silly' high quantities..
Yes,it kills your gut bacteria causing inflammation.
I get bloating from xylitol, but I am fine when I use it as a mouthwash. I will spit it out and ingest only small quantities. I think xylitol is really effective and should not be skipped .
Everything is if you have too much. The real question is how high a safe dose can be. You probably shouldn't be eating it like most eat regular sugar but a few grams isn't so bad.
Dr. Stanfield, is there a supply issue with MicroVitamin? I normally get it through subscription on Amazon for convenience, but they haven't had it in stock for nearly a month.
I'm American. A visit to the dentist every year would bankrupt me.
I'm an American, too. I pay $600/yr for dental insurance that covers 4x2 free cleaning per year, plus insurance for everything else (such as emergencies and the $1K I got off for each of my kids' braces).
A lot of dentists are scammers.
Thanks for the great video doctor. I do everything that you recommend in a little bit more.
Russian several times a day also seems to help they say.
Just start seeing a periodontistt a couple years ago and my gums were in pretty good shape but I've got a lot of problematic teeth.
I highly recommend looking into nano hydroxyapatite toothpaste such as Apagard Premio. It's even better than fluoride and zero concerns about toxicity with those.
Fluoride is good for the teeth, but how about the damage it causes to our brain and other internal organs? A good video could give alternative recommendations to Fluoride for those who choose not to use fluoride.
Great videos thank you!
Please can you do some more research or videos on before pregnancy/ during pregnancy & after pregnancy/ breastfeeding & babies women would love more support on growing their babies x
And what about oil pulling?
I recommend recreational flossing. I try to do 20 minutes + a day while watching RUclips! I have gums healthier than a newborn (can't get them to bleed etc.) . Also I invented a finger sweep to clear my tonsillar crypts. Haven't had morning breath in 10 years.
What about the relationship between nitric oxide production and fluoride?
It seems like fluoride toothpaste hurts NO production
Calcium apatite (small particles) toothpaste doesn't work as well as calcium phosphate (powder) toothpaste.
Tooth sensitivity disappears almost immediately using a calcium phosphate toothpaste.
Calcium apatite toothpaste doesn't seem very effective by comparison.
A lot of these remineralisation products come in tiny tubes and are very expensive.
Try Biomin: The fluoride free version. It's cheaper than most other remineralisation products and the tube is also bigger than most comparable products.
🙂
What about intradental brushes? Key part of my oral health routine. Any data on it? I think it would worth a mention. Great content 🙏🏼😉
You forgot vitamin K2, which is key to reducing plaque build up.
9:49 it was mentioned.
Vitamin C as well
What doctorate did he receive?
Who?
What about NOVAMIN toothpaste really made difference for me.
that's great and all but layman probably won't be doing all these 5 steps, you'll be lucky to see them vrush teeth for longer than 20 seconds
do you think there's an easier way?
Isn't the proportion of your multivitamin's D3 shown as 50 mcg to K 90 mcg a bit off? Would you explain? Thank you.
Didn't hear anything about magnesium. I've got in my notes that Vitamin D absorption/use requires Magnesium. Additionally, Vitamin D uses up Magnesium.
Water flossing is much more effective than normal flossing.
Pulsed water flossing is much more effective than unpulsed water flossing.
I don't know which pulsed water flosser is the most effective as the number of pulsed water flossers seems to have suddenly exploded.
However, typically the more pulses/minute the better.
N.B. Mains water flossers are much more effective than battery operated flossers as they operate at higher pressures and have a larger water reservoir.
Water flossing takes much less time than normal flossing and hurts less. It also gets into places that floss can't get into.
🙂
Xylitol chewing gum seems rare in USA. Have only found it in Aldi so far
I find it everywhere -here - food stores, drug stores (pharmacies), even convenience stores at gas stations.
Amazon
Its everywhere
Try a health food / supplements store..
Xylitol might cause heart attacks
At 1:32, I think you mean to say "caries" rather than "calories" right?
😅 Yes he does...
What about Alcohol-free mouthwashes?
Dr. Ellie's Complete Mouth Care System Kit is similar. She uses the same toothpaste and other stuff
Messy, the water flosser but it stimulates the gums and is extremely health promoting.
Mouth breathing is also bad on the teeth. If youre a mouth breather then train yourself to breathe through your nose and consider mouth taping at night.
Right! I practice mewing before bed time and I soemtimes wake up and find my mouth closed but my teeth separated as if my thong wasn’t sucked on the roof of my mouth I’d hve a wide open mouth haha. Mewing is easy and free
Just to be contrary, I've been using the Dr. Ellie Phillips complete mouth care system for the past year or so, which recommends against flossing or hygienists treatments in favour of using a specific set of mouthwash, toothpaste and toothbrush products. I'd say my teeth and gums have never been better - for context I'm over 60. Which is not to say the method presented in this video is wrong, just that perhaps there's more than one way to achieve good dental hygiene. Both methods agree xylitol is a good thing though.
I used her routine as well but had negative results so stopped.
Same here! I’m at 10 months now and I have no more plaque and white teeth :)) - I used to floss and do all what he said and didn’t work. Dentist will be quick to drill in yo ur mouth even if the cavity is young and not even in the dentyne yet. The dr Ellie’s protocol makes sure the new cavity doesn’t go that far so you don’t need drilling and fillings. It’s all about money with the dentists. I’ve refused fillings and after 7 months on the dr Ellie’s protocol my cavities where gone! They didn’t have anything to say. They know what their doing is wtong
I started on it but then realized that the Listerine alcohol mouthwash she recommends is not recommended for a number of reasons but may be linked to oral cancer per the scientific literature. I still use her xylitol mints but have gone back to a regular routine and have noticed no difference
@@michaelcline7458 I'm not too concerned about that - I know what you mean, e.g. this article: pmc.ncbi.nlm.nih.gov/articles/PMC6982979/, however with Dr. Ellie's system the Listerine is followed by an alcohol-free mouthwash which I imagine would flush it out. In any case, I gather it's *drinking* alcohol that is the real risk!
@@kayumochi It would be interesting to hear what went wrong for you?
thanks doc
I heard vaping helps gum line, but vaping has other risks.
0:40 thanks to that image I’m not having dinner.
I make my own NATTO and how noticed that the tartar in me teeth has been reduced significantly, since I started eating it. I think it is because of the vitamin K2 in NATTO
nice, have fun seein your gum decay faster than usual if you floss, water floss and brush. ever heard of gum decay induced by mechanical cleaning ? insane amount of people have that because of those reasons
You missed tongue scraping to remove massive amounts of bacteria from the oral cavity. For hard tartar a s/s tooth pick for use at home is also a great option if you dont enjoy flossing. A low sugar diet is also important.
What's a "s/s" tooth pick?
Tongue scrapping all the time might not be a good idea. You don't what to remove the good bacteria in your mouth. You want to remove the bad bacteria from crevasses around the teeth.
@@Fomites stainless steel pick, a sharp bent tipped device for removing plaque between teeth, most dentists uses these prior to ultrasonic tools to remove stuck plague.
Kindly review Dr. Ellie Phillips dental routine and mouthwash protocols.
Xylitol makes me feel unwell. Had to stop.
😞
I go get dental cleanings every 4 months and floss after every meal, but I don't brush nearly enough.
Laifen is the best electric toothbrush available
is there an issue with getting dental Xrays twice a year and cancer concern?
No.
Siwaq or Siwaq powder are also great. I prefer using the powder: just add a pinch with toothpaste
Dr Ellie Phillips is the mouth health Guru. Have a look at her videos.
Hello, Dr. Brad. Thank you for your videos. Could you please tell me, do you think it is dangerous to use tretinoin/adapalene in the area around the eyes? Could it damage the meibomian glands and cause dry eyes?
Levy's book on asymptomatic gum disease is well worth reading. It quantifies the problem of gum disease and its role in heart disease.
🙂
Reachment wax floss?
The #1 remedy for dental plaque is high dose vitamin K2 MK-4 supplementation, it dissolves existing dental calculus and prevents new one from forming. I used to get my teeth cleaned every three months and always had new tartar. After I started taking K2 MK-4, it never came back.
how much do you take ?
This is completely false
Oh wow. I didn't know. I've been slacking on my Vitamin D3/K2. I'll be sure to check if my supplement has the Mk-4 K2 in it. Thanks for this.
@@noJobProgrammer I take 1000mcg or so every other day. (Edit: typo)
@@DrBradStanfield You are welcome. I tried MK-7 in the past but I noticed some adverse effects which went away after I switched to MK-4.
Today i just learned that there are some people who floss after brushing their teeth
Hi 〰️💙〰️ Thank you for alerting this, I came to understand awhile ago, it is linked to heart issues, and if heart issues leads to all errors. 〰️💙〰️ 🕊️〰️✨
No discussion of hydroxyapatite?
Never flossed in my 40+ years of life, 0 cavities and perfect, white teeth (according to my dentists). I brush for about 45 seconds (no patience) and visit the dentist once every 5 years. Go figure.
You're lucky, you must have naturally strong enamel and no bacterial infection. I was born with very weak genetics for teeth, as a child had almost non existent enamel and my whole family suffers from heavy strep mutans load. (Caries bacteria) I don't eat sweets or drink soda. Go figure.
yeah I cut out smoking some years back and now recently eating while laying down and acidy food down significantly
Stannous Fluoride for mouth wash and tooth paste and hydrogen peroxide for mouth wash
Could be good advice.
I thought oil pulling and xylitol gum were going to be on the list
Ellie Phillips doesn’t believe in flossing, it pushes bacteria up into gums 🤷♀️ only correct mouthwashes
Food particles stuck between teeth can only be removed by flossing.
Do you want food particles rotting between your teeth😱?
Is there really evidence that dental cleaning from the dentist actually improves long term oral health? I've heard conflicting information
They take off layers of plaque that you can't get off from brushing, if you don't see a dentist for cleaning, this will build up and it's really bad. Also when they clean, they x-ray, helping prevent further issues.I think it's pretty obvious that the dentist doing maintenance for our teeth is beneficial every 6 months helps a lot (because we can't even clean it the way they can).
Where did you hear this? RFK Jr?
@@Fomites There's actually a Cochrane review about this. I'm from germany and their german website says that there seems to be no reason for people with healthy gums to get professional teeth cleanings. I was just wondering if dr stanfield had any more insight.
@@Raherin I mean sure, but that's not evidence. At least in germany there is some discussion how much professional dental cleaning actually does for you. The german website of the Cochrane review actually says there seems to be no evidence it does a lot if you have healthy gums. I was just wondering if Dr Stanfield had any thougths on this, since I am not really qualified to speak about this.
Wax floss is stupid. It just slides over the plaque. The only thing wax floss does it remove big chunks of food. Dr Tung's floss is the best. Study shows it remove more plaque. It's not waxed, is not slippery, has more friction and still gets between teeth easily. It's what Brian Johnson uses. I switched to it. It's great floss.
look your eyes are always red and I think theres some issue with your health prob some of the vitamins you take also I took the L-threanin magnesium and it caused me serious problems so I dont know if its doing it to you too but posibly
oral-B glide pro-health dental floss?? The company site says it is waxed. But the web has posts saying glide has PFAS.
get silk floss
It's PFAS. Terrible for plaque removal but good for food removal
No carbs, no problem.