The Wholesome Fertility Podcast podcast

EP 282 Can the Bacteria in Your Mouth Cause Fertility Challenges?

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Dr. Katie Lee is a dentist, speaker, author, and coach who lives in Aurora, Colorado. Dr. Lee graduated from University of Illinois at Chicago in 2010 and was an owner-partner in over 80 DSO supported dental practices throughout the US and served as Clinical Partner overseeing 5 states. Currently, she consults for health technology companies and provides implant education for general dentists. Dr. Lee has two passions in her profession: dentistry itself and making other dentists successful. Her passion about the oral systemic health link comes from personal experience. Dr. Lee was involved in an ATV accident as a teenager, which left her without many teeth and rendered her jaw immobile. Dr. Lee experienced how oral health affects systemic health and the benefits of dental implants. Her first-hand journey in recovering from the effects of dental trauma led her to specialize her career on the mouth-body connection® and dental implants. Dr. Lee searches for proven technologies that improve clinical outcomes and the patient experience and loves to educate her peers on those technologies. Dr. Lee authored a book entitled Saved By the Mouth to educate patients and clinicians on the importance of oral health. Dr. Lee has won many accolades, including Top 40 under 40 Dentists in America, and International Woman of the Year in Dentistry. She has been featured on local Fox and NBC news stations discussing the importance of oral health.     https://www.instagram.com/katieleedds/   https://www.facebook.com/katieleedds   For more information about Michelle, visit www.michelleoravitz.com   The Wholesome FertilityFacebook group is where you can find free resources and support:   https://www.facebook.com/groups/2149554308396504/   Instagram: @thewholesomelotusfertility   Facebook: https://www.facebook.com/thewholesomelotus/           Transcript:   Michelle Michelle: [00:00:00] Welcome to the podcast, Dr. Lee. Katie: Thanks. I'm really excited to be here. Michelle: I'm so excited to have you on actually, this is a first, I have never spoken to a dentist on this podcast, but it is such an important topic because there's such a correlation between inflammation in the mouth and also unexplained infertility. And I'm very excited to get started before we get started. I would love for you to give us a little bit of a background on yourself, how you got into the work that you do. Katie: Sure. Absolutely. Thanks for having me on. I feel honored that I'm, I'm the first. Hopefully, I don't mess it up for the rest of us dentists out there. My journey into dentistry was. Of tragedy. So when I was in high school, about 14 years old, I was involved in a ATV four wheeler accident where I crashed into a telephone pole headfirst without a helmet on, broke every bone in my face from my eyebrows down and naturally, or I [00:01:00] guess as expected, lost a ton of teeth and my jaws were wired shut immediately, even though I had lots of teeth that were displaced and broken. Katie: And, they were wired shut for two months. I'm I couldn't eat and so I was on a liquid diet and My family didn't really know anything about nutrition. So I was Having pudding jello ice cream, you know with Hershey's syrup box mashed potatoes You know all the things that you should not eat to be healthy or maintain your teeth And so I just started developing a ton of dental infection And, , that combined with not being able to eat nutritious foods, you know, my body really started shutting down. Katie: , I lost a ton of weight, my liver enzymes spiked, my kidneys started shutting down. And so I learned from a very early age just how much your oral health affects. Not only your mental and emotional health, but your, your physical health as well. And, you know, it was nine surgeries in four years, , that it [00:02:00] took to reconstruct my face and my jaw. Katie: And then once that was done and only then was I able to my teeth and, and finally replace the missing teeth and fix my smile. So that really. Got me interested in what I do. And then once I got into dentistry, you know, I started going down this journey of oral systemic health. And from a personal experience, I had a lot of fertility issues. Katie: I went through about six years in fertility treatment. And so just really started diving into, you know, how can. How does the mouth affect this and what can I do as a dentist to help other people? Michelle: Yeah, I mean it's definitely something that I think a lot of people do not I don't want to really correlate, but let's, let's actually really break this down because like , how can your teeth impact your body?  Katie: From a high level? Start there? Yeah. So, , there's a couple different ways that the teeth and gums are really affected to the rest of the body. And, the first way that I About is bacteria. So our body [00:03:00] has types of microbiomes and the first real microbiome that we get or we're introduced to is the one in our mouth and we get that, you know, we used to always think that babies were sterile. Katie: We know that they are introduced to some bacteria when in utero first microbiome that we get introduced to is through the mom's vaginal canal. And then Through breast milk and from family members when we're kissing, , and, you know, eating and drinking after them, we get this whole microbiome and the microbiome in our mouth is super important because it's what establishes and feeds our gut microbiome. Katie: And so we know that when we develop dysbiosis in the mouth, what actually happens is that bacteria then go through our gum tissue, or we swallow 80 trillion bacteria a day. And so the bacteria that are in our mouth. We'll go to other places in our body that they're not supposed to be and start to cause damage. Katie: So that's one way that the mouth affects it. And then the other way is through inflammation. So again, when we have these foreign invaders in our mouth, what we know [00:04:00] is that our body elicits an immune response. And that immune response, unfortunately, doesn't stay localized to our mouth. It will break down our gum tissue, making our gum tissue permeable, again, allowing what's in the mouth to get to the rest of the body. Katie: But it also triggers an inflammatory response in other parts of the body, too. And this becomes really important in fertility, because that's when people can start to develop things like endometriosis, pelvic inflammatory disease, and things like Michelle: yeah. And also, as you're talking about this, I'm thinking about all these like alcohol rinses, you know, mouthwashes. So that's huge because people are like, oh, I want to get rid of my mouth bacteria because I want to really clean mouth. So like, But that messes up the good bacteria. So talk about that. I mean, you know more about this than I do Katie: Yeah, no, I mean, that is such a good point. I'm so glad that you brought that up, because The way I was trained, even 10, you know, back in, I graduated in 2010, you know, we were [00:05:00]taught the, the more it burns, the better it's cleaning, right? Like you want something in there that's burning. You want something that's 99 kills 99. Katie: 9 percent of all bacteria. But what we know is that's actually really bad. And to your point, , those types of products are not selective. So they're killing everything that's there. The good and the bad, when really we want to control the bad, support the good. and kind of let the body do its own thing. Katie: The other thing that's damaging about alcohol mouthwashes is that it dries out your tissues. And we know that when you have dry mouth or dry tissues, the bad bacteria love to go to those surfaces and take up shop. And it really supports them colonizing and growing their little, , microbial communities. Katie: So we want to have saliva. Saliva protects our teeth and gums from bad bacteria. So an alcohol containing product is not good for our health. Michelle: Now what does a person do if they were a c section Katie: Yeah. So, you know, there's lots of things that people can do throughout their life to [00:06:00]support their microbiome, you know, C section babies. We know that unfortunately they, they don't get exposed to the. you know, good vaginal bacteria during birth, but there's lots of things that they can do to support their microbiome. Katie: So I'm a, you know, people always talk about taking probiotics and probiotics are great. And what probiotics do is they're actually going to put bacteria into the body. , so it'll, it'll help replenish the bacteria that is missing from the gut. What people also don't understand is that they need to feed the good bacteria that they already have. Katie: So you cannot forget to take. Prebiotics, eat prebiotic food, take prebiotic, supplements. That way you can feed and help nourish the bacteria that's already there. Michelle: Yeah, Katie: We're introduced to so many bacteria every single minute of the day. You know, I, I wouldn't be as concerned once you get into adulthood about having a c section or being a c section baby because by that time you've been exposed to really everything that you need in your life. Katie: At that point it's just about nourishing and keeping it in balance. Michelle: Yeah. For sure.[00:07:00] It's interesting cause I was actually at, , microbiome labs. So are you familiar with them? So they actually have an enzyme like mouth. It's like a mint freshener, but it's like an enzyme one. And there was a guy who was talking about oral health. It was a presenter and he was talking about that and I thought that was really interesting and he also talked about Mouth breathers people who go to sleep and yeah So let's talk about that because that's really important and it's a big thing now people actually tape their mouth Katie: I know, it's just that you don't. Yeah, thank goodness for Instagram, you know, because you'll see someone on Instagram taping their mouth and all of a sudden everyone wants to tape their mouth, so this is really important because You know, there's a really good book out there for people to read called Breath by James Nestor I don't know if you've heard of it. Katie: A patient actually recommended it to me And it basically talks about that over time because of our high processed diet We've gone from eating You know, super fibrous, tough [00:08:00] foods to eating high processed carbohydrates and softer foods. And because of that, the structures of our skull and jaws have actually, , shortened or shrink. Katie: And because we have smaller jaws, it's why we no longer can. Make room for our wisdom teeth. So most people actually have to extract their wisdom teeth now. And what we know is that the smaller our jaws are, the less room in our mouth for our tongue and our airways actually start to shrink. So what happens is when we go to bed at night. Katie: our tongue falls to the back of our mouth and our airway collapses and we essentially start choking on our tongue. And so we start to breathe through our mouth. And the problem with this is our nose is, is such a, an incredible organ. It's designed with. millions and trillions and billions of of cilia in there to filter out the pollutants in the air. Katie: But when we're not breathing through our nose, we're taking in all of that dirty air through our mouth and it goes straight into our oral [00:09:00] cavity. We're introducing new, , microbes into our oral cavity that disrupts our microbiome. We're drying out our tissues. And again, we talked about dry mouth leads to increased bacteria formation, increased plaque formation, but then all that dirty air is also getting into our lung system, , which is not good and will trigger an inflammatory response. Katie: And so people don't realize that mouth breathing. causes or exacerbates allergies, , it also causes oral dysbiosis in the microbiome and therefore gut dysbiosis. And so one of the things that people need to do is to retrain themselves, how to breathe through their nose. So really great way to do that is by mouth taping. Katie: And a lot of patients will say, well, doc, I, you know, I can't breathe through my nose even during the day. And I'll say, well, you've got to retrain yourself how to use that part of your body that you haven't been using forever. So I encourage them to start taping during the day, you know, maybe just do 15 minutes at a time and slowly the nose will start to open up and work again.[00:10:00] Katie: Now, if someone has something more severe, like sleep apnea, they absolutely need to get a sleep test, , to get that diagnosis and then get treatment because. Sleep apnea is where you're actually choking at night. You're not breathing. You're waking up more than five times per hour because your oxygen is desaturating more than, more than 10%. Katie: And so those people need supplemental treatment such as a CPAP or an oral appliance or something like that. But sleep apnea is horrible for your brain. It kills brain cells. It's really hard on your heart and it's fatal if it's left untreated. It's just a matter of when. So I'm really glad that you brought that up. Michelle: that's actually really scary I do know that there's a correlation with weight gain And sleep apnea. So like, it's interesting because it's the whole thing. Like if you're taking care of your body and you're healthy, that impacts all the other things in your life, like your sleep. Katie: Definitely. Sleep apnea, what happens is when you, you know, when you're asleep and you stop breathing, what [00:11:00] happens is your body sends this rush of adrenaline to your brain stem to wake you up enough to take a breath. When you're doing that, you're stressing your body out, so cortisol is released. Katie: Cortisol causes systemic inflammation if it's released at high levels over time. , we also know that it, , lowers our insulin Michelle: Right. And then we gain weight because of that. Katie: yes, making us crave carbohydrates, making us gain weight. And so a lot of people have probably noticed that, and I, I notice this all the time. If I don't get a good night's sleep, I, all I want the next day is carbs, right? Katie: Carbs, Michelle: It's the quickest energy. Katie: I want. So it is crucial. Michelle: Yeah, for sure. I mean, cause that's what it is when you're tired, you want quick energy and the body knows instinctively that you'll get it with carbs. Katie: Absolutely. Michelle: course, that's not a very good source of energy. It's not, , an efficient one. Katie: Yeah, you run out of it very quickly. Michelle: And then other questions that I have is over brushing. Michelle: So some people think, okay, after everything that I eat, I'm going to brush my [00:12:00]teeth. What are your thoughts on that? Katie: Yeah, so there's a balance there, right? And what people want to try and avoid is brushing immediately after eating and drinking. Because we know that after you eat and drink, the pH in the mouth is going to go down. So what happens is we put something in our mouth, the mouth is the beginning of our digestive system. Katie: And so our body releases an enzyme in the mouth called amylase. And this amylase is an enzyme that starts to break down the carbohydrates in our mouth. So in order to do that, the pH has to drop. The pH also drops just because most of the stuff we put in our mouth is acidic anyway. And so you combine acidic food and drink with an acidic pH from, from the amylase secretion, and you're setting yourself up for a disaster of erosion and cavities. Katie: And so if you're going to eat or drink something, I always recommend to wait at least 30 minutes, before you brush. But people absolutely need to brush minimum twice a day. I mean that's like non negotiable I always recommend morning and night [00:13:00] if they can get one more in there during the day. That's great But if they can at least do two minutes morning and night, I think people are going to be pretty satisfied with Michelle: yeah, for sure. Now my other question is mercury fillings. Katie: yes Michelle: Yeah, let's talk about that because for a while, oh, it was like no big deal and now they're finding that it is. So it's kind of like brushed off a lot of times. I remember going to the dentist and asking for the white filler and, and he was kind of giving me pushback on that. Michelle: Yeah. Katie: And there's, unfortunately, you know, a lot of dentists out there that still believe that way. , and, you know, I hope your audience doesn't crucify me with this because I don't believe this. But their, their mindset is, and it is true, mercury fillings are stronger than the white composite fillings. Katie: Also, they're less technique sensitive when putting them in so if you're putting in a white composite filling little dental nerd out here You have to have everything completely Isolated [00:14:00]otherwise the white filling won't bond to the tooth and the filling will fail really quickly and the patient will get decay right underneath that Filling when you're packing in the mercury fillings. Katie: I mean, you're literally just Katie: It's called an amalgam, so it's an amalgamation of all this material. And so it doesn't matter if there's saliva. It doesn't matter if there's blood. , because it's not bonding to the two structures. So the dentists don't have to be as careful and think about it. I mean you're working in the mouth where there's tons of saliva and bleeding and things like that. Katie: So they're much Less technique sensitive to put in and they are stronger. , now the downside is they're filled with all kinds of things that are terrible for you. And we know, you know, think if you think about a mercury thermometer, right? There's a very small amount of mercury in that thermometer. But if a thermometer breaks in school, they shut the entire school down and call in a hazmat team to come clean it up, or a biohazardment team to come clean it up. Katie: Yet we're plugging this stuff into people's teeth. And the hard [00:15:00] thing about teeth, or the thing that people need to understand is that teeth are organs. And they have a blood supply, and they have a nerve supply, and to put that, that type of material, especially mercury, near blood supply that's connected to the rest of the body, or nerves that are connected to the rest of the body, in my opinion, is dangerous, you know, if we just use a little bit of common sense. Katie: And so I don't like mercury fillings. And now we're left with a bunch of patients that have them in their head Now, what do we do to remove them because you can't just go in and start Drilling them out and creating all this mercury vapor, right? Because it's not good for the dentist or the patient Michelle: So there's a biological dentists that specifically specialize in removing them. What are your thoughts on that? Katie: I I think it's really important to Go to someone that understands how to remove them correctly correctly. I would not consider myself You know the gold standard biologic dentist, you know, and the fact that I do all zirconia [00:16:00] implants and things like that But I definitely believe in safe amalgam removal because it's actually more dangerous for the provider who's removing the, the mercury filling and the assistant who's suctioning everything out than it is for the patient because we're creating all this vapor that's coming out of the mouth. Katie: Sure, it's coming into your body, but we're the ones that it's getting on our skin. You know, it's settling up next to our thyroid. So a lot of dentists have thyroid issues, myself included. This happened to me early on in my career when I started learning about this, they have fertility issues. , and so it's really important that dentists understand how to remove them safely. Katie: So I, I definitely, if I was having mercury fillings removed, I would make sure my dentist knew how to do it appropriately. Michelle: Yeah. Oh my god. You're giving such good information I really appreciate it because I think these are all questions that people have and you're giving a very well rounded very balanced Information Katie: I always say, you know, there's amalgam dentists, right? Like the traditional You know, every day dentist , and then there's the biologic dentist that do everything on the opposite end of the spectrum. Katie: I would say I'm [00:17:00] over halfway to the biologic dentist, but not all the way quite there. Michelle: Well, I guess it's kind of like traditional medicine. Katie: Yes. Traditional medicine. Yes, Michelle: It's, it's a little bit more of a holistic way to look at Katie: Yes. Yeah, Michelle: , and of course, even with what I do, even though I specialize in alternative medicine, I'm very much in the world of Western medicine because a lot of my patients need sometimes like conventional medical care  Michelle: so it's nice to have a balance of both. Katie: Yeah. I still, you know, I joke all the time. I still believe in science, right? , I still do testing. I still do modalities. There's a time and place for everything. I just think we need to be a little bit smarter about how we approach, you know, healthcare and dentistry and, , not use bad materials that we know are horrible for us. Michelle: 100%. What I'm finding actually is a lot of people in my world are very much now into studies and science. So there is a bridge that's coming together. And I see a lot of, REs that I have developed great relationships with are [00:18:00] very open to what I do to help their patients. So I'm starting to see this shift of everybody coming together, which I love. Katie: That makes me happy because, you know, I did infertility treatment for six years and I saw some of the best specialists in the country. Not one asked them about my oral health. And there's so much research out there about how oral health affects infertility and you know Thank goodness. My oral health was fine. Katie: Of course. I checked it before, you know, I went and did all this stuff But you know, it was just kind of shocking to me how siloed and hyper focused they practiced, you know, and just looking at the reproductive system and nothing else Michelle: Oh, yeah. And even in Spain, they'll check even the vaginal microbiome, which I find so interesting because there's a correlation between that being off and then fail transfers. So they do that like automatically and it increases their success rates and they'll give them like vaginal, Probiotics Katie: I love that Michelle: And, and that's like a thing here. It's not so as we [00:19:00] learn, I mean, and then of course, when I read it starts with egg, that's what really got me into the whole teeth thing and then seeing the science with that. And now, like, even for my intake form, I always have a section that talks about like, have you ever had dental work done because it's important, but you know, you learn, it's not something that I knew like automatically, but as I got more into it. Michelle: I learned. Another thing that I wanted to ask you, what are your thoughts about fluoride? Because I know this is a very hot topic. Katie: Hot topic right, you know, I think I think it's a, another conversation like mercury, right? I think for a very long time, we had this major issue of, we call it caries in the dental field, which is just cavities. And so we had, you know, dental decay is like the number one disease in the world. And we had all these. Katie: You know, kids and people that had rampant decay and instead of looking at diet and microbiome, which is what we should have done, we said, okay, well, let's create some sort of chemical or product [00:20:00] that we can do to treat right. We're treating the symptom, not the original form of what's causing it. And so they created this. Katie: But what we now know is that when you. swallow it and you ingest it systemically, it's not good for you. It's a, it's a neurotoxin. And there's so many, I think there's so many other ways that we can combat dental decay where we can get around using fluoride. Now, if I have a patient that comes in that's refusing to do any of these other things that I'm talking about, and they're a teenager, and they have rampant decay everywhere and I know they're not going to make any lifestyle, nutritional, or oral habit modifications. Katie: May I put some fluoride on their teeth? Sure, but it's going to be something that's isolated that they're not going to ingest and swallow. My preference is to not use that because I know that even if I put a little bit in their mouth, it's still going to get in their system. But not treating someone with rampant decay and having Having them lose teeth because of it, or worse, develop an abscess, which we [00:21:00] know abscesses are horrible for our overall health. Katie: To me, that's doing more harm than painting a little bit of fluoride on teeth. But I actually recommend to use products like Nanohydroxyapatite is awesome. It was developed for NASA a long, long time ago to help astronauts, , you know, to prevent them from, from getting decay. So if it's good enough for NASA, it's good enough for me, right? Katie: So I love Nanohydroxyapatite. I love M. I. paste. , I also love arginine. Arginine is something that a lot of people don't know a ton about, but there's a ton of research out there showing that toothpaste that are high in arginine, like Tom's for example, , prevent tooth decay and also help treat tooth sensitivity. Katie: So I think we have Michelle: I love Katie: so many great things out there that we could use in addition to, you know, making sure that we're balancing and nurturing our microbiome. Not eating Jolly Rancher is incredible. Michelle: Yeah, exactly. My kids have been fluoride free. They don't get fluoride. They've been using fluoride free toothpaste. [00:22:00] They have never had cavity. Katie: Amazing. Yeah, and they, and they should never need it, right? Our, Michelle: They floss too. Katie: Yeah, I mean, so there you go, right? And, but what people don't understand, and I would have patients come into my practice, and they would say like, well, I want fluoride free. And I'd say, okay, tell me about your diet. And it was breads and pastas and carbs and sugar and five cokes a day. Katie: And they don't brush or floss their teeth. And they think oil pulling is going to solve everything. You know, and I'm like that, we can't do that, right? We need to, we need to intervene here. But if, someone takes a holistic approach to their oral health care, they should never need fluoride. And we know that our cavity causing bacteria really peaks and starts to decline in mid thirties. Katie: And so if parents are healthy, Their kids are going to be healthy because you're number one modeling healthy lifestyle But number two you're transferring all of your microbiome to your kids And so another thing that people don't realize is that if a parent's mouth is Full of [00:23:00] cavities and gum disease the kids mouth is going to be full of it because you're sharing the same bacteria So good for you for you being healthy and then keeping your kids healthy, too. Michelle: Thank you. I love how balanced this conversation is. It's amazing information. , I just love this because it's so important and it's, it's information that a lot of people just don't have access to, and it's not even like, sometimes it's not even knowing

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