Dentistry Uncensored with Howard Farran
Dentistry Uncensored with Howard Farran
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1118 The Myths, Legends and Realities of OTC Products with Judy Bendit RDH, BS : Dentistry Uncensored with Howard Farran

1118 The Myths, Legends and Realities of OTC Products with Judy Bendit RDH, BS : Dentistry Uncensored with Howard Farran

12/20/2018 9:48:54 AM   |   Comments: 1   |   Views: 229

Judy Bendit was born and raised in a dental office with over 45 years of experience in dentistry. 

She is a speaker, author, and clinician.

She is faculty at Temple University School of Dentistry, Alumni board member at The University of Pennsylvania Dental School, President of the University of Pennsylvania Dental Hygiene Alumni and advisory board member at Palm Beach State College.

She is a member of the CAMBRA coalition, American Academy of Cariology, & American Academy of Pediatrics- Section on Oral Health.  Longstanding member of ADHA and Distinguished Academy member of the Pennsylvania Dental Hygiene Association. Listed in Dentistry Today as a top speaker for over 10 years.

She is also a volunteer clinician home and abroad.

VIDEO - DUwHF #1118 - Judy Bendit RHD, BS

AUDIO - DUwHF #1118 - Judy Bendit RHD, BS

Howard: It is just a huge honor for me today to be podcast interviewing Judy Bennett RDH, BS. She started speaking 20 years ago on all things instruments. Came from a background working for a Hue Freedy for ten years after doing lectures and workshops for a few years she decided to expand her repertoire. While doing mission work in South and Central America she started hearing about silver diamine fluoride she came back to the States and couldn't find anything about it then one day someone told her that it just got an FDA approval. Well that's all she needed she got a bottle and fell in love with it. She started writing and talking about it to whoever would listen she also became passionate about all the over the counters in dentistry. Hard to keep up with them but she tries that's what leads her to the towny course she's speaking at the next town meeting in Scottsdale Arizona. She'll be speaking Thursday March 21st from 2:30 to 3:30 her course title is The Myths and Legends and realities of over-the-counter products so she's buying all sorts of stuff over the internet sometimes they have something to prove to us they don't want to spend hundreds of dollars to whiten their teeth, they'd rather try charcoal for example and that's all she needs to understand is there's no research anywhere in the world on charcoal and oil pulling but when a patient has something to prove they might brush longer or better or something they might see a positive effect. Oil pulling requires twenty minutes according to everything on the internet what she has evidence for only takes 30 seconds. She likes to recommend CPC, chlorhexidine gluconate , Zioletal, liquorice, chlorine dioxide, tea extracts and something new called Christine is out you call it

Judy: No Chitosan here's a new Chitosan out there

Howard: Well you know it's a it's an interesting world when people start talking about you know how facebook's changed the world and social media everything. I mean you know social media has been going on my whole life I'm 56 when I was a little kid and you in spent the night with your buddy from school on a big wheat farm where you couldn't even see the next house after supper and everything was done it was dark what did the old man do he walked out into the barn and got on his ham radio and was talking to other wheat farmers in Iowa and Canada and then when we got in their car they had the CB radio and there was a CB radio so the ham

Judy: My name was sugar wafer on the CB radio

Howard: Sugar wafer oh that's amazing and you're a hygienist and it's sugar wafer. My dad was the golden ghost that was what he his CB handle was so when myspace came out and Friendster message boards and all that stuff it's the same stuff just different names on it but I'm it is really been on interesting times because as everybody spends more and more time on social media you have all these people that are around Instagram that get a commission of everything they sell so they're on there making videos about this electric toothbrush quip versus Buster versus sonic hair versus all this stuff oil pulling charcoal and and it really is interesting how I've always believed that people just want to believe what they want to believe they hate inconvenient facts. So it's nothing new when they don't hear something from a dentist they don't like everybody wants school prayer as long as it's their prayer you know they don't want anybody else's prayer. So it is these over-the-counter products a lot of them are just hilarious like who would spend twenty minutes doing oil pulling when you could brush and floss your teeth in two minutes. So what's what are you most passionate about today why are you and what do you speak it on a Townie meeting tell us about your journey there.

Judy: Well so the course I'm doing is just part of a big course so it's called The Myths Legends and Realities of Over-the-Counter Products and basically what you said is correct and unfortunately our patients will get stuff off the internet they'll get it from Dr. OZ they'll get it from somewhere there are you know thousands of sites if you were to google something and I think that hygienists and dentists need to know where to go to get the information that they're looking for. So the patient comes in to your office and they say oh I've got this product such-and-such if you don't know what it is that's a problem. So I kind of go through a quick overview of how to get the right information we can't just Google you know for instance Google Scholar is a better option where we connect the real evidence we can look at Cochrane review we can look at all these great sites to find out if something's correct or not and I just want the dental professional to have a better sense of what's out there what's good what's not and figure out what they want to use there it's not like we can just use one toothpaste for everybody in one toothbrush for everybody in one mouthwash. So I want everybody to know all the different options so even though I'm only doing part of the class I want to give them a flavor of all the different things that are out there you know just as an example there's a toothpaste they sell down the street from me called cake frosting and it's better than brushing your teeth with real frosting, well whose brushing their teeth with frosting but yet they sell cases a year. You know people think it's funny they think it's a joke and then I go on the internet and start looking at it people are using it they love it well there's no fluoride in it there's nothing of any value. So my goal is to kind of give them an overview at this course of some of the good the bad and the ugly as I call it and really understand what we need to do what we need to look at because they're finding it on Facebook they're finding it everywhere they look and and there's a lot of challenges with it.

Howard: Let's start with the biggest guy, you brought up Dr. OZ not me.  What do you think about him in general whenever he talks anything dental I mean I'm not an expert in all he's talking about but when he's talking dental when you hear Dr. OZ I'm at dental do you think he's right on or right off?

Judy: He is a cardiothoracic surgeon if he focused on what he does best I think we'd all be in good shape but he pretends to know everything about everything and he got us all in trouble a couple years ago when he started giving everybody a hard time about the thyroid collar. Lately he has a thing on his website and he's talked he's actually telling people to rinse their mouth with lemon juice from a real lemon but don't do it for more than 30 to 60 seconds or it'll road your teeth. What in what planet do we as dental professionals one our patients to be rinsing with lemon juice. Okay he just he doesn't know what he's talking about when it comes to dental and I just get nervous every time he brings it up and then the problem is he brings it up our patients see it and then they come into our office and start asking us questions about it. So I try to talk about some of those challenges and make sure that everybody understands where it's coming from. So here's another example this one didn't come from Dr. OZ but on Facebook as an example there was a big thing that every dental hygienist was passing around it said don't use a toothpaste with a little black strip on the end that's black that it's all poison. Well I called Colgate I called crest I called on my friends I said what's this black strip on the bottom they all started laughing at me they said that's the line that we they line up on the conveyor belt to fill it with with toothpaste it has absolutely nothing to do with what the chemicals are that are in the toothpaste what the composition is. So lots of wrong information is getting out there and I'm just trying to give people give the clinician the information the tools they need to make the right decisions for their patients I think those questions when they come up.

Howard: What percent of Americans you just consider batshit crazy

Judy: Oh I have no idea

Howard: What would you guess I mean you think it's 80/20 and 80% are normal 20 percent are crazy do you think it's reversed?

Judy: I'm not getting into a political conversation

Howard: No no no not politics you're just just batshit crazy

Judy: I think our whole country's become so crazy

Howard: I mean I got patients that are like chain-smoking alcoholics and the looks of their skin something else is wrong and when you tell them they need deep cleaning and they need to get this tooth out, they got infection they start telling me they're gonna take a bunch of b6 and b12. I had a guy yesterday I saw what his problem was he says well yes before I do anything my mom's always telling me I need to go buy a fish oil and if I just take six fish oil a day for like six weeks it's gonna clean out and it's like I mean it's like are you from a different planet. I mean it's just I mean it just seems a water fluoridation I worked on the campaign to fluoridate water here in 89 then it expired 20 years and we had to do it again and one in four people in Arizona literally believed it was a communist plot. One guy told me that the Fluoride is a byproduct of the aluminum miners and it's so toxic there's nowhere on earth they can poor so they bribed the government officials to pour oil in the water. I'm like dude this country has detonated 1,800 nuclear bombs don't you think they could go were they detonated a whole bunch of nuclear bombs and pour the fluoride there. I mean I mean what what part of the of their mind so I was I've been convinced after what to water fluoridation they said one in four Americans are incapable of any type of scientific thought or reasoning.

Judy: It may be even higher that was I've I've been involved this is my third time with fluoride and you know it's scary the things that you know now they're saying autism they're saying I don't put this old woman 82 a woman got up in front of the committee down here in Florida and in one of the towns in Wellington and she said I'm afraid to take a shower now cuz it's gonna get in my pores and I looked at her I said hun need a lot more you know crazy stuff that's getting in your pores rather than fluoride to be worried about but you know up in Allentown Pennsylvania we had one of our voting members of the committee refused to vote for it because she said she refused to cook her husband's pasta in fluoridated water and she refused to iron his shirts in fluoridated water and I couldn't make you and I have seen so many of these crazy people that we're not making this stuff up but I agree with you but I would say more than one in four right now then what I'm

Howard: What I'm most proud of what I'm most proud of was when I was on the Arizona citizens retinal health and we did this campaign I got a death threat we're actually two policemen came to my house they want to know how I want to handle it because they she sent me a death threat she sent me a letter and she's gonna kill me they went out to her place she was like 85 years old they said she could barely answer the door and they're like well you know how you know she she technically said she's gonna kill you and it was because that she puts water on her orange trees and the fluoride in the water would kill her orange trees and but they well do you think but I I just I just laughed I mean it's just it's just crazy. I mean she wants to kill a dentist for fluoridating water because her orange juice anyway. So

Judy: It's scary and their are a lot of crazy people and I think it depends on where you are in the country I mean you know just some of the other crazy stuff in Virginia West Virginia I'm sorry they use Mountain Dew as an antidepressant they put it in baby's bottles. I mean you know as I travel around the country I see so many crazy things and and so you know it's fun for me to be able to share some of the stories I hear in one part of the country with another and I really you know I've spent my entire born and raised in a dental office my dad's a dentist mom's a hygienist I lived in dentistry my entire life. So for me you know I have so many amazing stories so I don't just make up this stuff I don't just talk about stuff people tell me. You know being in clinical hygiene for the last 40 years I've seen and heard so much stuff that I'm able to really share from the podium my experiences

Howard: So if your dad's a dentist and mums I genis when you were born you only had three offices you had to be a dentist a hygienist or a disappointment and

Judy: I think I was still disappointment because they wanted me become a dentist but the good news was I dated a guy years ago and he took over my dad's office so he had somebody to leave it to and that was fine I moved on to bigger and better things.

Howard: So you you dump your boyfriend off on your dad and then you moved out well you know I think you live in the craziest state because in Arizona whenever we do anything stupid they always say that we're the Florida of the West.

Judy: Yeah

Howard: They never they never call Florida the Arizona of the East, so you must be you in a slightly crazier state that than Arizona but some of the stuff that the hygienist pick on I don't really have a problem with. Like I remember there was a big controversy over the blue speckles in the toothpaste and they they wanted them gone because some of the hi guys are finding their guns but raising four boys you know if if was buying you an electric toothbrush I mean you take care of your teeth as opposed to manual or versa there was a Waterpik or if it was blue sparkle. I mean some of this stuff we do that's kind of voodoo just for had reasons motivation that to get him involved in taking their teeth that's why I like tooth whitening so much. I graduated right when tooth whitening start a member it was that company out of Arkansas called Omni it was Omni International out of the Arkansas selling this Omni white and all these people were you know the first thing the dentist wanted is five-year studies on it I'm like well you're not gonna get a five-year study on something that was invented an hour ago but what I like the most about whitening is whenever they would bleach their teeth they just got into their teeth. So then they would start brushing flossing coming to the dentist getting their cavities like it's kind of like you either haven't been bowling one time in ten years or you own your own bowling ball and you're in a league it's the same thing with the boat you know they either haven't been to the lake in five years or they have a boat a jetski. So will the humans they're kind of into it or not and for me a dentist's has to be an armchair psychologist to try to motivate these people to get in their teeth, so if they're if they're if it takes oil pulling or sparkles in the toothpaste or electric toothbrush versus manual I don't want to get into research I just want to know what's gonna make Marry brush your damn teeth.

Judy: What's gonna motivate them and so part of that is what I say about them if they have ownership if even though we don't have clinical trials that show that we're pulling in charcoal does anything that's effective. I mean we have to make sure they're using a product that's safe but the problem is is that there is no evidence yet some people will come in and they look better and the reason they look better is strictly because of what you just said they think it's they like it there's a novelty effect to it so if they have something to prove to themselves or to you they're gonna take more time they're gonna brush longer they might floss they're doing something different there they're conscientiously thinking about their teeth and that's half the battle for you and I, getting them excited getting them to do something but my goal is to say okay now you're willing to rinse for twenty minutes well you know why can't you do something for thirty seconds that I know has proof that will work for you and that's kind of where we're trying to get hygienists and dentists to start thinking about oK we've got all these great new products what what do we want to use let's look at the research let's see if they're good and then once we know that we can go from there but going back to the blue dots that you were talking about it was it's really that was an aesthetic thing there is no glue those little microbe pieces are no longer than any toothpaste on the market but a clinician may still see them because those little pieces are still in chewing gum and lipstick. So if a patient comes in and they still have those little blue dots they might still be you know they might think that it's from a toothpaste when in fact it's not it's from something else.

Howard: I'm glad you saw because I'm gonna go check my lipstick right after this show so you've mentioned to several things in your intro let's start with CPC okay what would it what is CPC and is it is a difference in PCP?

Judy: Yeah Cetylpyridinium chloride is a mouthwash that's been out for a long long time it started off as scoped and then they realized that scope was not a therapeutic thing it was more of just a breath freshener. So now Colgate and Crest both have a product and they have a higher much higher to eight point zero seven percent four point zero seven five is one and basically there's lots and lots of evidence that shows that it actually helps to break down the plaque helps with strep mutans lactobacillus really does a good job from a caries and an inflammatory both both you know both issues that we have to deal with. So depending on a patient...

Howard: So it's Cetylpyridinium chloride is a cationic Neri ammonium compound used in sometimes some mouthwashes toothpastes lozenger throat sprays breast sprays and nasal sprays is an antiseptic that kills bacteria and microorganisms and what brands are this is this found in

Judy: So the two mouthwashes that we have evidence to show that the effectiveness are the Colgate.

Howard: and the crest and what's the brand name of that mouthwash Colgate and crest white

Judy: Ones Pro shield and ones pro health I hope you're not gonna ask me all these names.

Howard: No well it's okay that's why God made Google that's what my mom my mom goes to Mass every single day and if you ever asked her a question she says well that's why God made Google. So on you said that's different so it's in Colgate and Crest and you like that one you like that one better than

Judy: both of them are great okay

Howard: You like that better than say Listerine?

Judy: So Listerine is an essential oil some people do well with Listerine some people don't know the problem with Listerine is it's got 21 to 26 percent alcohol in the ones that have alcohol. Some people react unfavorably to that they might get some sloughing in their mouth they might it might just not be tolerable for them so what Listerine did is they made an alcohol-free product the problem with the alcohol-free is they don't know if the substantivity is as effective once you take the alcohol out the solubility of it changes. So they have their only claim with an alcohol-free product is that it helps with bad breath so it doesn't say can't say 99% effective with gingivitis, carries all the things that they can say as a mouthwash with alcohol. So the therapeutic one has alcohol and a lot of people especially if you have zero stoma a lot of people can't tolerate it. So this another option is these subtle premium chloride options that makes sense.

Howard: Yeah so they do not sell alcohol in Arizona between 2:00 a.m. and 6:00 a.m. so it's just four hours. So my pharmacist friends tell me that 24-hour Walgreens when there's no longer alcohol being sold in the state of Arizona from two to four people come in there they go to the Listerine they down the whole bottle and then put it back. So between 2:00 a.m. and 4:00 and 6:00 a.m. they have to keep an eye on the Listerine section because as you say it's 27% alcohol

Judy: but and it won't get you drunk they're just gonna get sick

Howard: That's interesting, so how is the alcohol different explain that

Judy: I can't go through, I wouldn't be able to give you all of the technical information but it's a medical grade alcohol it has a different formulation its metabolize different in your body it's not gonna get you drunk from what I've been told by everybody I've asked.

Howard: well so that's me this podcast is now turned into an Irish public service announcements do not drink Listerine between the hours of 2:00 a.m. and 6:00 a.m.

Judy: It'll get you sick it's not gonna get you drunk

Howard: So what do you what do you think about some people who say that mouthwashes are actually far more effective you just used the mouthwash liquid in the water flosser and use instead of using water in your floss or you're using actual the mouthwash.

Judy: oh I'm a big fan a big fan of the Waterpik flossers I love it they have a brand new one called the the sonic fusion. It's a new Waterpik and sonic toothbrush all in one and I I love putting medicament sand there I think they can really help the problem is Listerine you have to be careful afterwards you have to make sure you rinse it and flush it through otherwise the essential oils will clog it so you got to be careful with that but in it instead of brushing no it's in addition to brushing because you still need to physically remove it you can't you know the water piks gonna get into a lot of you know subgingival spinel lavage it's gonna help us but it's not going to remove everything we need to do both.

Howard: There was an article out there was a youtube video out the other day and I posted on Dentaltown it was sonic toothbrush Olympics Sonicare vs. burst versus quit and I'd sit it out on my tweeter and I thought it was funny how the people who didn't get good reviews on this toothbrush we're emailing me that I should take this down because the guy that made the video is a what do you call it a product champion or and in that gets a commission what is that called a Instagram what does it call when you're a product champion and you get a feedback on the lid and then my reply to that person I was well are you a volunteer for Quip. I mean so you know you get paid a salary so your information is good this guy is an Instagram YouTube channel guy so he's bad I mean why is money from a salary good and money from an influencer bad but I thought that the point I'm trying to make is that don't attack people's motives attack what they're saying. Anyway he had a youtube video comparing what he thought the difference in sonic air burst and quipped was do you have any preferences and electric toothbrushes do you think they're all the same do you think some are better than others.

Judy: I'll be honest I think everybody needs to try them for themselves and I think that's why the companies give us a special discount to buy them at a professional price. What I like you might hate some people I mean I remember when the first sonic toothbrush came out I felt like my whole brain was being shaken by it and now it's a great product I like the oral-b Braun as well and it went out they don't call it the Braun anymore but there Oral B you know toothbrushes the the genius but everybody's different everybody's needs are different you know I've had friends who said oh I bought you their electric was the Qlip or the burst and they said it looked great but it didn't remove the plaque you know other thought leaders in the industry that I talked to and but it's really personal opinion you know and I honestly think what might work well for me might not work for you and vice-versa. So that's why I try them all.

Howard: Yeah and then you even have hygienists that a lot of researches that don't even believe in toothpaste they believe in dry brushing they say you know if you brush for three minutes with soft bristles that's what it removes the plaque they don't even care about the toothpaste the other there there's a lot of dry brushes I know what do you think of dry brushing?

Judy: Well I want you to wet the toothbrush first because if it's dry and there's stuff caked on it it's hard the bristles when you first put it in could actually irritate the tissue so I want you to soften the bristles and the only way you can do that is by wetting it so I think we need to do that to start with if you want to then blot it dry that's fine the reason I have some people dry brushing is that we now know that chlorhexidine can't be used within 30 minutes of using a fluoride toothpaste because once positively-charged one's negatively charged when you put a positive a negative they you know they don't they counteract each other. So if you wanted somebody to get the benefits of chlorhexidine you couldn't do it right after brushing. So there's some people that will say just dry brush and then you can use them you know the mouthwash my new take what I've been telling everybody is the one thing I want us to think about is that and I actually I'd really not a big fan of dry brushing because I think we need the fluoride now that I think of it but if you're getting it in another vehicle that's okay but that what I'm telling everybody is if you're putting fluoride on your toothbrush do not rinse out you need to just spit it out and go to bed, because we know that we're diluting it once we rinse with water so I don't want you to rinse afterwards. If you're gonna use a another mouthwash a stronger something else then you can actually not you know use a dry brush but it's silly to just use bright dry brushing.

Howard: Yeah and what I tell me Arizona's you know that that water bottle you take the bed with to spit you're chewing way you're in bed you could just spit the toothpaste and your spit you're chew in. So on what I thought was a very bad rap of that chlorhexidine gluconate is the on patients, when this came out I mean hell it came out well 30 years ago. I remember back in the 80s they come out they say it's staining my teeth and I would set him up in the chair and I get him to hold him and I give him a toothpick that they get off their their own table and I look I'm just wiping this off you're saying it's staining your teeth and I can just it's staining the plaque and that's why you're on it you're on it because you can't remove your plaque and now you're telling me I said you know the only way I can really stain your tooth is the heating up in an oven about 350 degrees for at least 10 minutes I and so I thought the staining on paradox was a positive thing because it was like giving the kids a little red chewable tablets to disclose their plaque.

Judy: Yeah

Howard: So do you like do you like chlorhexidine gluconate or not really?

Judy: I do for a lot of different patients for less I actually did my own little experiment one year probably eight years ago my son was having his third molars extracted and the oral surgeon I went in for the consult and I said what do you think of chlorhexidine afterwards and he said oh it's a bunch of BS you don't need it he's a big boy he can brush his teeth and I said yeah but you know after you've had four extract instructions your mouth hurts you not as apt to brush he said that's BS you don't need it. So I went home I ordered a bottle of it came you know to the day of the extractions I went home with my son I said just Steven I said I don't want you to brush your teeth for the next week I said I'm gonna give you this bottle and twice a day I want you to rinse with this chlorhexidine and we went back a week later and both he and his assistant looked in the mouth and said oh my gosh what you know what did you do this is amazing and then he looks at me and he said oh you're the hygienist you probably brushed his teeth every day, my son looked at him and said no we haven't brushed my teeth in a week. I mean it was just amazing how much it helped but you know after about a week you start to see staining so we stopped it at that point he was comfortable at that point that he could brush. So I always say after extractions after grafts there's so many different applications for a week I think it's just the best thing we've got up going out there and we now have a regular and we have an alcohol free product so I like both of them.

Howard: So speaking of brushing for a week a new specialty that's kind of coming along in dentistry is geriatric dentistry and a lot of the research that they post shows that the average American gets one root surface cavity per month that they're putting a nursing home so once grandma's been there years he's got 12 I've actually gone to nursing homes in Arizona and follow the nurses around and you know it's like some poor girls in charge of you know this whole aisle I'm in this hallway and there's maybe six or eight rooms on each side and she's gotta brush your teeth and give their medicines and bathe them and feed them and I mean so the tooth brushing is literally two swipes across the front incisors spit a Dixie cup it's just not happening and the root surface decay is one cavity per month on the average. Do you do you think any of these Swit I mean because what I'm looking at is okay they're not gonna go in there and breast properly for 2 or 3 minutes it's just not gonna happen. So do you think grandma and by the way only 5% of Americans end up in a nursing home and I'm lucky I'm a man because it's almost all women are you go to a nursing home you'll find one man named lucky and everyone else is a woman.

Judy: That's because we kill you all too earlier

Howard: So if some homies listen to this and their grandma's in a nursing home what would you recommend someone a lot of them in the nursing oh they have brain issues they got dementia they got Alzheimers they got rheumatism they can't hold a tooth, it's just man it's a perfect storm of oral disease. What would you recommend any of this stuff for them?

Judy: So interestingly enough it just as a aside there's somebody named Angie Stone I don't know if you've ever talked to Angie but she has a book called dying of dirty Teeth and she actually has a business where she's getting hygienists all over the country to start their own business it's kind of like a franchise to actually go into the nursing homes and just going into brush teeth. Just you're not making a diagnosis so as a hygienist we can do that and the families are hiring them to do this. It's called a high life or something calm look up Angie Stone you'll you'll see or if you're looking on your iPad but so she's got this amazing business idea to get us out there and doing something to help all these people but that being on the side you know when you asked me about products I you had once told me some of these new toothbrushes I think you've ever seen them once called the triple brush and ones called the 30 second smile they have bristles on three sides and then top and bottom. So in 30 seconds they can get around the entire mouth. So there are some products out there that people have said to me that will help because it's easier for the caregiver to get in and brush their teeth. This new silver diamine fluoride if we can get that in there because that's something you can do in the office in the nursing home, if we can stop the decay when it's still incipient lesions and before it breaks off the entire crown we're gonna be saving grandma a whole bunch of aggravation and pain and things like that. So there's there's lots of different options there's mouth washes we may be able to get, in some states there's now some CE courses that hygienists can do as an independent study where they can go in on a regular basis and train the ads you know go in and help them answer questions get them the information they need to help the aging population the problem is they there's a lot of turnover and that support staff. So we got now to get the families involved we have to get them to take ownership and this idea Angie has of hiring somebody to come in every day or a couple times a week can help them to to eliminate some of that staggering decay that you're talking about.

Howard: Yeah we had Angie stone on the show she was episode what episode was she uh what number is she oh my gosh she was number 99 Angie stone we're on 1100 and like 20 or something she was a number 99, yeah that was a I was like yeah

Judy: That was a long time ago

Howard: Yeah when I was in the nursing home one of the things I thought was just insane is for some reason you know occupations are very sex related like miners are like ninety-nine percent men why do you women not want to be a miner. You know when you're when you're a businessman it's no what it should it could it just is what it is for some reason women don't want to be miners and in the nursing homes all those LPNs and RNs and they're all girls and they're all little and not what I thought was weird is was one of the girls I'll never forget she says yeah we have to have the fire department come here every couple of days because some big old person will fall in the shower and we can't get her back to her feet and get her in the bed and I thought well why don't you make sure on every shift there's a nurse whose 6 feet tall and weighs 225 pounds. I mean I would think the fire department would just say look you gotta start hiring nurses that can lift some big fat man back to his bed but it was just crazy but but what I was my review the nursing home is that they have so much every they have so much to do they're just never gonna do two three minutes of proper brushing but I really liked that silver diamond fluoride and for nursing home decay I think that's gonna be a big deal. It's the most controversial topic in pediatric dentists I mean on Dentaltown under the pediatric dentist reports we have so many board-certified pediatric dentists I mean there's just too gruesome they love it or hate it why do you love it and you did a great article I just I just forwarded it today on Twitter, it was a very popular of course let me pull it up there we go...what is it oh yeah here it is a CE silver diamine fluoride another arrow in the quiver to defeat decay by Judy Bendit and Paty gonia and I don't want to hurt your feelings or make you cry or anything but my god that was controversial, there are pediatric dentists who just swear make this go away and when Gordon Christian said that yeah but anyway what what are your thoughts on it?

Judy: I'm on the same side as Jeanette McLean and we're all really very positive we love it we don't understand the negative to it if I don't have to if a dentist doesn't have to put a child under general anesthesia to take care of their mouth if we can make a that first experience a positive experience we've done that's half the battle if we can stop the decay until they get a little bit more mature until they get more comfortable in the office. I mean it doesn't have to stay that way when people say you know oh it turns all the teeth black it doesn't it only turns black where there's decay and we can restore that we can put a glass ionomer over that we had do something now instead of the old art which was a traumatic restorative treatment we now have smart silver material a traumatic restorative treatment so we can put a conventional glass ionomer on it and we can do something effective.

Howard: Jeanette mcclain she's been on the show a couple of times I'm a big fan of hers I think she's just a rock star, hell she's the only person dentistry I know who was covered in the New York Times I mean how a rock star can you get. I don't care who your dental Idol is on earth I mean GV black and pure free shard weren't ever in the New York Times why do you think it's so controversial?

Judy: because a people are uncomfortable with something they didn't learn about you know think about when you were in dental school on the late 70s late 70s early 80s you know they they didn't talk about it it was something it's it it's something different it's you know they're afraid. You know and that's the crazy thing if you look at there was a study done at NYU that was looking at people's attitudes parents attitudes and they're not upset with it we're worried we have this expectation or anticipation but there's so many people who can't afford all kinds of crazy dentistry there's so many people who don't have access to care. So their's so many pockets of people of young kids of geriatric patients I mean when I go to South America now I do it on every one of these kids. Why not stop that decay process I might not have the ability to do anything more but at least I can stop it. So to me there's no negative to it whatsoever you know yeah I might get a spot on their lip or their tongue or their gingiva but it's gonna go away in a couple days I'm gonna turn the decay black I'm gonna it's gonna harden that tooth it's not gonna be able to continue to decay. So to me there's it's a win-win I can paint it on a second time if I need to I can then restore it we see some gingival conditions getting better we see the bacteria disappearing. I mean something negative about it it takes a couple seconds but people can't charge the same thing they charge for restoration.

Howard: There you go ding ding ding ding ding I wonder where you're getting around to it you're you're talking Socrates Plato Aristotle and then you finally got to money's the answer what's the question and then the other thing that's so funny is people happen I mean why you I mean the difference between the Soviet Union and the United States was just simply the economic system one was for a profit one was all for one one for all and the no-nobody debates the economic merits of free enterprise versus socialism and yet when people are incentivized to believe something they'll believe it and when something is against their economic incentive they won't believe it. One of the funniest things I think about is when they talk about how chrome still crowns are better dude you do with the failure rate of a pulpotomy and a chromasilk crown is. I mean they search out that silver diving fluoride might not be perfect dude you're you're pulpotomy chrome sell crown, and then the other thing I don't like about the media point of is them whenever some kid has a big problem in a pediatric dentist from the sedation or whatever and the kid McLean the one thing she doesn't like it she doesn't like taking these small kids in and putting them down because if you put if you put 10,000 kids down you know somebody could be in serious danger but the media never addresses the media never addresses, Judy why did your two-year-old need eight root canals. It's always the dentist and the anesthesiologist a bad guy and they never ever done the same things that pulpotomy crown you know if some kid comes in and needs two or three pulpotomy crowns I can guarantee you the moms kissing this kid with five open cavities the dads kissing this kid with bombed-out decay. It's a herd disease what I see in my practice for thirty-one years is the whole family is clean and the kids are clean or the whole family has multiple cavities gum disease perio. Hell this two-year-old kid is babysitting Meyer stay at home grandma and she's got upper denture full mouth gum disease I'm not a cleaning for four or five years it's just a perfect storm and that's the one thing I think the next level of hygiene has to go is you know quit looking in this three-year-old kids mouths and saying Oh Junior has four cavities and start looking at where did you find Junior what was he out in the middle of a cornfield, no he's living in a house and if this little kid has four cavities I don't have to look at anyone's mouth to know that everybody in that house has cavities are sharing utensils and cups and it's trying to get that mom to say look, I need to see the whole herd I can't treat little Johnny if I can't treat everyone sharing a spoon drink out of a cup kissing them. I mean he'll you go to Walmart ease the kid will be sitting in a cart and a mom will kiss it 15 times you know right right they're pretty so it's a herd disease

Judy: Well so people don't realize that carries are contagious, so when I tell my you know I go to 24 28 year old I was out for lunch there's dinner a couple weeks ago with one of them and had told him and all his friends that it's contagious now the sudden they're like oh my god I'm never kissing another woman but if that wasn't my intention, my intention is you know people don't get that and maybe that's what we need the message we have to start telling people is that you know we're not born with streptococcus mutans we get them because mom takes the pacifier that fell on the floor sucks on it licks it and then puts it back in the kids mouth. So their's so many little things that we do and like you said grandma caretaker whoever fill in the blank has decay and we wonder where these kids get it you know. I was out for dinner a couple weeks ago and I watched this man he flossed his teeth and then he gave the floss to his wife and she proceeded at the table to floss her teeth with the same floss and I went ballistic. I mean it's like are you kidding me,people don't get it.

Howard: I had this conversation a week ago a week out they share the same toothbrush and they said well if we kiss and we sleep together what there is a make I said because when you kiss you're not taking bristles and and ramming and jamming these bacteria fungi viruses deep into your gums causing blood I mean there's inside. So yeah you have two kids 24 28?

Judy: I do

Howard: both boys?

Judy: Yes

Howard: Yeah I got four boys 23 25 27 28 so I'm probably twice as damaged as you, you've only had two boys damaging you for 24 28. I've had four, are you in therapy right now recovering from raising two boys?

Judy: Im okay when we moved to Florida we weren't going to tell them our forwarding address but they found us.

Howard: but you know it's funny when you told they were contagious that your boys thought there any kissed someone and they know that the kissing someone they were gonna think about that differently I do think the planet is on a shift I mean through the last 2000 years the planet is focused on diseases transmitted below the belt STDs and they've always been talking about syphilis gonorrhea and all that kind of stuff like that and I think they're just awakening to the fact that maybe you can transmit at the other end of the mouth. I mean it still hasn't even taken off a dentist I mean you go into any dental office in Phoenix go stop at any it and pull up any chart and here's grandma she's been on a three-month recall for ten years and they've never seen grandpa, it's like well what if you were treating her every three months for chlamydia for ten years would you eventually say hey grandma are you sleeping with some guy with chlamydia. I mean how can you treat the woman and not the man how can you think this - it's normal for a two-year-old kid to have eight cavities and you just want to end you and your scheduling are you referring to a pediatric dentist. I mean that it's like ya go set them to a pediatric dentist let him get 8 pulpotomy chromosome crowns, they'll only last two years why because the same people in the house are kissing them, licking him, sharing utensils, blowing on his food, you have to get them plus it's good business I mean you would double your recall if you got every three-month pareo patient to start bringing in everyone they're swapping spit with and every time a girl starts showing the baby bubble that's when she's most motivated to get her a whole herd in there and the only dentist let's say around the world that I've seen that truly get this or where they make the best cars in the world Germany the dentist's in Austria and Germany and Liechtenstein are the only offices I've ever been in where they routinely culture saliva when a woman shows up and she's pregnant. It's like a fire department five-alarm they want everybody in the family and they want their saliva they wanted culture they're trying to stop the transfusion the transmission of all this disease into the next offspring herd.

Judy: Yep

Howard: Americans got so far to go on this in fact Ivoclar, I was talking to the then CEO Bob Ganley I say well why don't you sell this Ivoclar culturing deal in America they said no one's ever asked for it.

Judy: Well Ivoclar had the they had a saliva check that you could do for lack of bacillus and strep mutants that you had bought an incubator and you the thing and cultured it but they've just discontinued that from this market. So they did have it for a number of years because I've used it.

Howard: and when dentists don't think it's drill film bill I remember open up your history book after World War two all the countries in World War two were completely annihilated except the United States the war did not take place here. So everywhere they had made a car a tank Jeep anything they were leveled in fact Germany didn't declare the reconstruction, the end of World War two was 45 the reconstruction wasn't over until 80. It's a 35 years to rebuild that rubble that's why America's economic expansion blew up so much of that and after where was I going with that where's my going as that train of thought oh well America America was so lucrative that it was the Longshoremen's Club no ship container got in or out of this country without going through the Longshoremen's Union and and they had so much money that it was their union up in Washington, Oregon and California that started the first dental insurance company in 1958 and that eventually turned into Delta Dental now there's like 39 different Delta Dental's but they covered x-rays at a hundred percent. Well before 1958 almost no Dennis had an x-ray machine and as soon as Delta start covering it it was like a domino effect every dental office across it was one of the fastest rapidly integrated and the x-ray machine had been out for decades no interest but when insurance covered in a hundred percent all the dentists got an x-ray machine. So incentives matter so if you come out with silver diamond fluoride and the insurance company will give you a small amount but if you do a pulpotomy and chrome steel crown they'll give you several times bigger amount what are all the dentists gonna believe

Judy: Of course

Howard: and when you say oh Howard you're just being a cynical bastard you just being a bad boy nope this is how humans have been react team since they discovered economics I mean go back to Adam Smith the Scot so you know instead of matter insurance companies when there was no insurance pay for x-ray dentists didn't need x-ray, now they pay for x-ray every dentist hasan extra machine these x-rays. So on this silver diamond fluoride incentives are gonna matter aren't they

Judy: I think so no I mean and once they start reimbursing them back and I think that that just changed this year with the code it's now instead of per application it's for two. So I think that their's definitely going we're going to see more acceptance from the financial end of it so I think that's gonna be a little bit better.

Howard: and when five percent of Americans you're in a nursing home one out of every twenty five percent of you listening to this will end up in a nursing home you won't be a man, men stay at home they die the wife takes care of them then they the wife dies five years later they don't know why the man dies five years earlier we assume it's because we want to, but the bottom line is you know it'd be really good money and it'd be really good public service that maybe a dentist you know once a week after work just gets a silver diamond fluoride and knocks out all the nursing homes in their 5-mile radius and go under

Judy: I challenge them and I develop a relationship with the local nursing home and offer that kind of a service I think it would be great go in a half a day a week there's got to be a way we can make this happen.

Howard: Are hygienists allowed in Arizona to go in there and apply the silver diamond employed or are they in Florida.

Judy: I'm in Florida we're allowed yeah we're allowed to do it with a dentist prescription so if the dentist were to say you know it patient a B and C needs that we can go in and do it. I think it depends on the state and the supervision and things like that some have direct and some are indirect so every States different there's some that are definitely doing alaska's doing it, Maine they've been doing it for a couple years it's been great.

Howard: and it's sad it prevented everything because when it's a little old lady and now she's lost her ability to talk or communicate and she's in pain and everybody in the nursing home says she won't eat well I mean she's got dimension she knows she can I mean it's just so sad and you know it's just time it's the four thousand pound elephant in the room no one wants to talk about they all want to talk about all these other issues it's like dude these are the greatest generation and they're in these nursing homes and they're getting a route service cavity every month or in there they get another one and so let's let's continue on your line and next is a xylitol, licorice go with xylitol then we'll do licorice

Judy: Xylitol well as eyelets all basically is just you know we know that there's a lot of great products out there we know that Spray is got a lot of great stuff there's there's just some cool stuff out there that we know can help as an antimicrobial. So you know it's it's just worth everybody looking into some of the sprays gums candies whatever we know that we can alter the pH you know if somebody is snacking all day long and they're taking the pH down to two and three with some of their sodas and some of the things they snack on. I mean just look even in your office look at what your employees are drinking and eating all day long if they take a big cup of coffee and they take a sip every half hour or an hour you know they're keeping the pH down to two or three if we can pop in a piece the xylitol candy or gum we can bring that pH back to seven and neutralize it again. So there's lots of different options there is some mouthwash options toothpastes, guws, candies, there's a plethora of things and their's lots of companies that do it you know Spry is in my mind the number one company their's Epic their's Zelly their's just a whole bunch of them. Their's my one of my other favorites is these two old grandmas from the Northwest like Portland OR Seattle that called ice chips. I don't know if you ever saw them on the shark tank they've got amazing products out there. Nice 100% xylitol candies so so there's lots of different options and the geriatrics I mean a lot of people can benefit from them so I just like to talk about them.

Howard: Just one more Irish public service announcement as Jameson whiskey is a antimicrobial I mean can we if we just swish with that for a minute before we swallow is that count as oral health.

Judy: People ask me that all the time, I don't have any clinical trials to prove it.

Howard: Well I'm sure I'm sure we can get a lot of Irish dentist to volunteer for these clinical trials if you set up the study I'll get all my homies to show up. So what about licorice?

Judy: So licorice is sold in the form of a product called LoLoz and I don't know if you've seen it they call it Cavibloc the company's name for it but it's

Howard: Cavibloc?

Judy: Cavibloc is the thing but look up LoLoz

Howard: One word or two words?

Judy: One word, anyway it has a licorice derivative product so coming up for you

Howard: I've found low lows on Twitter

Judy: Its LOLOZ So it's an anti carries products so it's somebody a child or an adult who has very high risk one option we now have is that we can ask them to suck on a lollipop or a candy one week then three weeks off then one week on three weeks off and there are lots of studies and they're doing them in geriatric homes as well with patients and seeing a drastic reduction in you know lot to lactobacillus and streptococcus mutans from the use of these candies. So it's something new.

Howard: Wow and yeah I'm on their site now I this is all news to me this is so cool I love my own show I'm the only one who's listened to every episode of Dentistry Uncensored. I really have I've learned so much. I mean that's just amazing it's so cool to get smart people like you to come on herd of Loloz, order your box today and what did you say the active ingredient was?

Judy: They call it Cavibloc it's just their proprietary....

Howard: Here's what it says your teeth are home to ten thousand million bacteria per square inch Loloz fights on problems of the source a team of microbiologists at the UCLA School of Dentistry try to find a natural easy way to promote dental health and avoid tooth decay. For over seven years a team research hundreds of Chinese medicines until they found the solution in a special form of licorice root extract. The scientists discovered this natural extract helped to dramatically inhibit the growth of three types of bacteria streptococcus mutans and Sabrina's and lactobacillus these are the very types of bacteria that contribute to dental health problems. I gotta tell you something I had grow like Christian on this show she's a rth like yourself and a PhD in microbiology she says that when she's studying cavities at four millimeters deep into the cavity there is no more streptococcus mutans of any sort as they as that cavity gets deeper and deeper and deeper the whole and she also says that they are discovering a new species of bacteria in the human mouth every quarter. So about one see every year they discover four more bacteria. So she said all those concepts that I learned as a little kid thirty years ago that this bacteria goes in and eats this whole to go that's all just child's play, she goes they it's gonna be a long time but that's interesting Loloz.

Judy: If we can change the bacterial load in the mouth we can potentially change what's happening for some of these high risk patients so it's really you know there's just a bunch of new products on the market which I try to talk about so another one the next one on my list I don't know if you saw using tea. So there's another set of products that's...

Howard: Are you saying tea or chi?

Judy: Tea okay tea extract, so look up mightea flow and see if you get a gum and a candy and a spray.

Howard: I did

Judy: and they're they're out of the Medical College of Georgia I think is there where they're coming from so we have lots and lots of new options out there

Howard: So do you know the odds of people behind any of these last two companies

Judy: I've met them all I've talked to them all they've looked at all their research I have a couple other than you

Howard: and you believe it do you think they're they're good people solid ideas or not

Judy: these things that I'm telling you about are solid ideas very much so

Howard: Well then you should turn me on to him tell him to come on this show talk to I mean great marketing I mean it's the price is right tell them to come on the show. I'm trying to find Mightea Flow's website I see it on Amazon I see it on...

Judy: So if you go to my website which is

Howard: I did okay you do is

Judy: If you go to the second and the third tab says product links and if you click on that link it will tell you about every product I talked about. Some of them are a very instrument related ergonomics there's a lot of emerging technology as I talked about that's where you'll see all the you know silver diamine and and lots of other products for you know sensitivity and things like that and then if you go scroll all the way down. I mean oh wait that may even be up on the top I was just gonna look for the Mightea flow just so I might have it under gums and candies but if you go there tooth paste options infection control, handpieces, prophy angles. I mean everything's here so if I look

Howard: Wow that is one unbelievably complete list

Judy: I have been working for years to perfect this list again

Howard: Are you on Twitter?

Judy: I begged my kids to help me to get better at it I need help with it but I'm I need to do more but at the bottom...

Howard: Are you on Instagram?

Judy: I have an account for both I just don't know how to use them well enough so I need help.

Howard: Here's the deal they're totally different communities, LinkedIn is everyone in dentistry who works for a dental supply company I mean it's all your 3M and all the dental company all those people are on LinkedIn. Twitter is all the old baby boomers like me. Instagram is all the millennial dentists and all the dentists who are 35 and under on Instagram and so on yeah this is

Judy: Do me a favor go to and that will take you to the home Mightea Flow website with all of their products.

Howard: I had seen that I just didn't think that was I thought that was a an e-commerce site or something.

Judy: You know they have all their research on here they have you can get to their research as a whole tab there with all of their studies they're a real company.

Howard: Wow and they followed me on Twitter and I don't follow them on Twitter how rude of me to not even know they exist. Camellix alongside a longtime supporter of the lydia project up that colors a cancer event hosted by the Augusta University ok Mightea Flow dry mouth relief flank let me clean prove my natural okay I'm gonna retweet that and thank you by the way I got 25,000 people follow me on Twitter and I want you to know it's a thanks so much. What they do is they fall you know they're listening this why they commute to work so they can't drive and you're they're driving so they can't do any that's why we put a transcript to every one of these podcasts on Dentaltown and Hygienetown because a lot of dentists and I just say they can read our podcasts in 30 minutes and a lot of people listen to the podcast at one and a half to two X speed. In fact I was having dinner the other day with some dentist and it was some seven dental students from A.T. Still Mesa and this girl just starts cracking everybody's like teasing her and I'm like well what they go do your Howard impress nation because she listens to me at 2x and she was just killer she was doing me at 2x and it sounded so hilarious but these Millennials are they're so fun. Okay so you already talked about chlorine chlorine dioxide.

Judy: Chlorine dioxide is basically, CloSYS is the product

Howard: CloSYS, well that used to be back in the day that was Omar Read and Perry Radcliffe and they called it retardent do you remember that?

Judy: Yeah I do but then the Kies technique is kind of on the same idea you're right. I mean you know it's all it was all baking soda and all those types of thing but

Howard: but those guys those guys all ran in the same circle the kies the founder of the kies sent me was the microscope Perry Radcliffe. I mean if he was still alive he'd probably like 90 years old and I Omar Read he just came on the show but yeah and I think it's coming back because there are some dentist's reintroducing the microscope weather getting the patient to spit on the deal and then they shown him all these crazy bacteria and spirochetes and jumping around and the chlorine dioxide the rumor has it this is what Perry Radcliffe told me at dinner after we had both had way too many drinks. He said that he was sitting by a swimming pool out here in Phoenix I think he was in Scottsdale or Paradise Valley and he was looking at that swing pony's like why can you see clear water all the way to the bottom of the deep end the only two ingredients I put in there is chlorine an acid and when you lower the pH by one the chlorine killing efficiency doubles. So their closest was just chlorine and acid they said it just kills everything. Now do you like do you like CloSYS or chlorine dioxide which is basically chlorine

Judy: So theirs two types, activated and there's inactive you know some different formulations different companies have I like the CloSYS product alot I have a need for that with some patients there are some people who are allergic or sensitive to mint peppermint or just don't like it. When you get the CloSYS bottle there the the flavoring agent is separate you can choose to put it in or not. It's a nice clean set of ingredients you know it's not too abrasive so for people who react to a lot of the other ones some people get sloughing from some other stuff it's just a nice thing. My dad actually was in rural cancer survivor and this helped him through a couple months when he was really struggling with some of the other products on the market. So there's definitely a need for it they've just introduced their silver version which has fluoride so there's there's definitely a segment of population who love it and need it and so there are a lot of offices that recommend it.

Howard: Now is it too personal to ask how do you think your dad got oral cancer?

Judy: My own personal opinion he what he's not he was he had no risk factors he wasn't a smoker he wasn't a drinker but they found stage four squamous cell at the base of his tongue at age 62 and I swear it was from all the things he inhaled in a dental office, in a hospital for years. You know back in the day when we used all the the acrylics that we used and you know they were just so men things that we did he also work with ether a lot when he was in the hospital with patients and you know back in the early 60s and I just think there was something to it you know think about all the gasoline people used to inhale and something had to happen but they thought it was a sinus infection and it was Stage four squamous.

Howard: Did he survive it?

Judy: He's still surviving he's had he's just finished his fourth cancer they're all primaries nothing's connected he's had lung cancer prostate cancer none of them are connected but you know he's a survivor.

Howard: How old is he?

Judy: He is now at 80 he just turned 83 this week

Howard: Oh he's amazing the average male in the United States only this be 74

Judy: Yeah

Howard: So you said he's 80 what

Judy: He just turned 83 and he's he's funny he's he he can't contracts these cancers but he fights them and he survives and he's doing great

Howard: That is amazing yeah

Judy: Yeah I mean he's my guinea pig so every product I've ever talked about for dry mouth...

Howard: Does that mean he's Italian?

Judy: No but I have a couple patients like my dad who are really the extreme and they try all these products for me and like he tried the Mightea, the gum but he loved it he swears by that and they try him is just a bunch of other products that...

Howard: Talking about old age one mistake I made that I want to tell you because podcasters I mean that they're all they're all young with and don't shoot me an email tell me who you are put a comment in the YouTube the YouTube is really taking off were at 9000 subscribers on the YouTube channel it said on dentaltown magazine give me in the comments tell me how old you or whatever but when I got out of school I you know I was in Phoenix here with a lot of retirees and a lot of times these 85 90 year old men who come in and and they would need like all this stuff and I would just try to patch them because you knew they weren't gonna live very long yeah ten years later they're still alive and I'm telling you that when when you're just a thirty year old baby and a 90 year old comes in you just think well I'm just gonna smooth it out or you know they're obviously obviously I don't need to do anything permanent and it was a huge mistake, because when they're just so old you know that you just got to get them through you know the holidays and they're still in your office five years later ten years later.

Judy: I still have patients who are 103, 104 I mean yeah a regular visit so you know

Howard: Yeah and I yeah it's a huge I read a lot of on medical errors because you know like it's one of the top three causes of death it's like cancer, heart disease and then medical office you know. I think medical office mistakes are like 300,000 but then but they say that the biggest errors are when your doctor is different sacks, age, culture, religion. Like like if you were Navajo Indian a Navajo Indian doctor knows all the nuances of their culture when I'm a 55 year old man I would want to be going to a thirty year old woman but you can guarantee that when you're a 56 year old man if you went to a 56 year old physician he's concerned about the same stuff as your he's probably really on top of prostate but probably not very good on ovarian cancer and all these things like that so doctors and it's really tough III went a ninety-year-old doctor I mean when a 90 year old patient goes to a thirty-year-old Millenial they're just looking at a deadman. They're like did you are you lost on the way to the funeral do you need me to call you an uber to the mortuary man how may I help you, and that 90 year old you know he's playing bridge with people that are 103. So it's I so when you start getting too far away from the demographic at your patient you got to be careful but that was a big bias for me not treating old old old people for really aggressively because if your dental treatments on your last five years you gotta ask yourself why you're even doing it and just cuz that guy's 93 years old doesn't mean he's not gonna live five years.

Judy: Right and need his teeth.

Howard: and so this tea extract so tell me more about these tea extracts

Judy: You think everybody just needs to read there go on read their research I mean I just seemed very favorable response from my some patients from my dad I mean it just whatever it is it's working and it's a it's a green tea extract and it

Howard: Do you have a name brand on it?

Judy: Its that Camellix is the brand be the products are called Mightea Flow. That's what you were looking up before and they sell direct I think I think they saw an Amazon I don't think they sell through the dealers yet but it's it's absolutely worth looking at.

Howard: I want to ask you another one that's the Millennials are they there what do you bamboo toothbrushes they they know a plastics I guess they're finding plastics and all the turtles and in the ocean and a big rage....

Judy: They've eliminated plastic straws in Florida

Howard: It's already gone into effect

Judy: In Florida

Howard: Seriously

Judy: You can request a paper one but you can't get a plastic straw

Howard: So how's that going over

Judy: It doesn't taste as good people are accepting it just like in some states you can't get a plastic bag you have to bring your own shopping bags to the grocery store. I mean every every states different every stores different. I don't have a problem with the bamboo handles but to me the brush is the most important part of it and there's all kinds of new bristle configurations that to me are what we're buying. I mean you know there are some I don't know if you've seen the cure profs toothbrush instead of like twelve hundred bristles it has fifty four hundred bristles Colgate has something called a slim soft. I mean there's an amazing you know Butler has this wonderful bristle brush and they're just super thin and we actually know that we can get down sub gingerly now like 1.5 millimeters. So to me it's not about the handle it's really about what the brush can do for me. So I want everybody to dispense the brush that they want their patients use not to let them go out and buy all these other products.

Howard: So I can summarize I can't believe man we went way we went way over basically I can summarize everything Judy said in one minute and just say you swish with Jameson whiskey for 30 seconds every morning and swallow once in the morning and once should you do it at lunch - or just morning and night?

Judy: Whenever you want

Howard:but hey and thank you so much for accepting our invitation to speak at the Townie meeting in Scottsdale Arizona March 21st and Tempe my god thank you so much. Her lecture is gonna be The myths legends and realities of over-the-counter products from Judy. Judy thank you so much for all that you do for dentistry, thank you so much for writing one of those popular courses on hygiene town Dentaltown with silver diamond fluoride thank you for coming out to Phoenix I just love you to death and I'm so sorry to hear that you had to raise two boys to the ages of 24 and 28 now I know you might feel my pain thanks so much for coming on the show.

Judy: Thanks have a great one.



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