May 29, 2024 • 41 mins
In episode 18, Gandhi talks with dentist, Dr. Milman about how your mouth can kill you, the things he can smell, and if the rumors about some things are true. In this week's Burn Book entry, an old issue resurfaces to cause chaos.
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Episode Transcript
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Speaker 1 (00:05):
Hey, it's Andrew.
Speaker 2 (00:07):
Hey Andrew, and you're listening to Susimi side.
Speaker 3 (00:11):
Wow, this is a different one.
Speaker 4 (00:14):
What is going on?
Speaker 3 (00:15):
What I was trying to say is wow, that was
a different take on the beginning of the show.
Speaker 1 (00:18):
Yeah, So who do you have on this week?
Speaker 3 (00:20):
I have my dentist, doctor Millman, who it sounds like
a weird thing talking to your dentist. It's not, because
one we're talking about mind is a line and why
it sounds so sussy. But two, there are probably a
one hundred different ways that your teeth can kill you
if you don't take care of them, and I want
to talk about some of those.
Speaker 2 (00:39):
I have to say, I really wish I got to
speak to the dentist because sometimes when like the removing
plaque videos from teeth, when it's like caked on, I
will say it's disgusting, But like a pimple video, I'm like, you.
Speaker 1 (00:50):
Can't live look the actual hell Tartar, it's Tartar.
Speaker 3 (00:54):
Sorry, whatever, take care of your teeth people, it's important.
So we're going to talk to him about some stuff today.
Speaker 5 (00:58):
He's great.
Speaker 3 (00:59):
So he listened to our podcast with Nicole and Jemmy,
and he was so excited that she talked about the
plaque on the guy's brain from cavities.
Speaker 5 (01:07):
And how it actually ended up killing him.
Speaker 1 (01:09):
Wow.
Speaker 3 (01:09):
So he was like, that's amazing, and he was telling
me all these different things and I, oh, you know what,
it'd be interesting to.
Speaker 5 (01:13):
Bring him in.
Speaker 3 (01:13):
He's also kind of shy, and I'm definitely gonna ask
him the question about if dentists can tell if somebody's been.
Speaker 5 (01:20):
Sucking a little dick. Oh lord, yeah, I'll say it nicely,
but I gotta find out. So let's get to it. Yeah,
I have a lot of questions for you. Okay, good,
I know you do, and that's why I'm excited. All right.
Speaker 3 (01:36):
So I am here with my dentist, doctor Alexander Milman. Hello,
doctor Milman. So we need to cook really close to
that microphone. I know it's probably uncomfortable. You can move
it if you want to. Fun fact, they keep that
mic really low because Danielle is so loud that I'm.
Speaker 5 (01:53):
Not even kidding you. They told us, our engineers told
us the other day. Hilarious.
Speaker 3 (01:57):
All right, So we are with my dentist, who's one
of my my absolute favorite dentist that I've ever had.
I think actually you are my favorite dentists that I've
ever had. Yeah, Doctor Alexander Millman from Lotus Smiles in
Jersey City. Oh, hello, thanks for coming. By the way,
are you nervous?
Speaker 4 (02:13):
Oh yes, I am actually not big on public speaking.
Speaker 3 (02:16):
Oh really interesting, but you have such a nice teeth
and you can smile and look great and do it Okay,
So not big on public speaking. That's great because I'll
just ask you a bunch of questions because I have
a ton. First of all, I found you by accident.
Good luck, I guess I could say a long time ago,
maybe like twenty eighteen or twenty nineteen, because my boyfriend
was having really really bad pain and it turned out
(02:37):
that he needed an emergency root canal. And finding on
a Saturday someone to do an emergency root canal, we
were not having.
Speaker 5 (02:45):
A lot of luck.
Speaker 3 (02:45):
And then I saw, oh, load of smiles, maybe they
can do this, and you did. And one of the
promises that you made was everything was going to be
pain free, which I didn't believe, to be honest, because
it's dentistry.
Speaker 5 (02:55):
You know, everything hurts. That's at least how I thought
it was.
Speaker 3 (02:58):
And then it was pain free, and you treated him
so well by the way, you made him really comfortable,
and that was awesome. So I was like, Okay, there's
gonna be my dentist now, and that's.
Speaker 5 (03:06):
Where we are.
Speaker 4 (03:06):
Yes. Well, So basically, dentistry has been my passion since
I can remember myself, and my dad is a dentist.
And when I remember myself, he was taking me to
the office quite often, and I would see people come
into his office all scared, all in fear, all in tears.
(03:27):
They walk out and be so happy and joyful, and
I'm like, wow, So this is what dentistry can do
for people. So I pursued my passion. Right after college,
I went to dental school and I got a degree,
and I came out and I started doing dentistry. And
what I noticed is that people's perception of dentistry is
(03:50):
far from what I see. People are scared, they hate
the dentists, they're afraid of dentists. Yeah, really, we are
there to help him my mission in life, and actually,
if you ask my stuff, they know our mission in
the office is to change people's opinion about dentistry, because
dentistry really doesn't have to be this horrible place. Dentists
(04:12):
are there to help people live a better life. The
problem I notice is that people's perception of dentistry, if
you think about it, comes from their experience. So they're
afraid of dentists. They go into a dental office and
they see a glass window, and somebody opens the door
and gives them a paper and says, go sit down,
and they spile it and write their name down, and
(04:33):
they sit there and they wait and they wait. Then
they go to the room. They get into the room,
they sit there and they wait and they wait, and
then somebody comes in does the X rays and so on.
In our office, we basically change the whole approach. You've
been to our office, you know when you walk in.
First of all, it's open space.
Speaker 5 (04:52):
In it's welcoming, and your stuff is nice.
Speaker 4 (04:55):
My staff has been trained to be.
Speaker 5 (04:57):
Nice when you hire them.
Speaker 4 (04:59):
They were, but you know it, Actually we took a
few courses that actually help my stuff became more friendly,
you know, And I learned quite a few techniques how
to do even injection painlessly. So there really should be
no pain.
Speaker 3 (05:13):
Okay, so you said there should be no pain, but
obviously with a lot of dentistry there is pain and
I've been to other dentists and it did hurt, So
what is the difference the.
Speaker 4 (05:22):
Numbing procedure itself. Nobody likes shots right now, so we're
injecting an aesthetic into an area where the tissues are
tightly adhered. So when we inject an aesthetic that's supposed
to numb up the area, we want to get it
in and out as fast as possible, just to eliminate
that unpleasanty. But if you think about it, if you
(05:43):
just do a couple of drops, so my injections take
much longer. When you inject just a couple of drops,
that area gets a little numb, then you can inject
a little more. And I have a left hand rule,
so if you feel pain, you raise it up. And then,
of course there's another more technical issue with the medibular block.
It's challenging to find that nerve that gets into the mandible,
(06:03):
so the mandible is different than the maxila.
Speaker 3 (06:05):
But do they not make everybody learn that? That seems
like that would be very important to learn all about
that mandibular block so that everybody can have pain free dentists.
Speaker 4 (06:15):
Techniques that come and with experience, it's not always easy
to get to that spot. So you have to come
in at a certain angle, move it at a certain angle.
So I actually trained my my associates that work with
me how to do that.
Speaker 3 (06:32):
All right, So speaking of dentistry and dental work, the
reason I had you in here is because you were
actually listening to my podcast and you heard Nicole and Jemmy,
who's a pathology assistant. She was talking about how there
was a football player and after they did the autopsy
when he died, they realized that he had lesions on
his brain from cavities.
Speaker 5 (06:52):
Because your mouth can kill you. And that is really
what I want to talk about because there are so
many ways.
Speaker 3 (06:57):
One of the things that blows my mind, and I
think why people might not associate it to so closely
is it dental insurance and health insurance are for some
reason different things. I don't understand why, since it has
a direct impact on the rest of your health, right,
But what is the number one thing that you will
tell people? This is what you have to look out
for when it comes to your mouth.
Speaker 4 (07:18):
So I think there's a lot of misconceptions and misunderstandings.
People know that you should go to a dentist, but
I don't think they really realize the importance. I have
a lot of patients who say, you know, I brush
my teeth every day, what's the point for me to
go that often I brush? So there's areas where bacteria
can reach and the brush cannot reach. And when bacteria
(07:40):
settles in certain areas, let's say between the gum and
the tooth, or it settles inside of the tooth, you
can't feel any pain. So people try to prolong that
unpleasant experience as long as possible, and they allow this
bacteria to fluster until it gets to such an extent
where it can find a pathway through the and start
(08:01):
settling inside of the bone.
Speaker 5 (08:03):
So it just burrows its way into your bones.
Speaker 4 (08:06):
It can get into the canal, the dreaded road canal. Yeah,
And once it gets into the canal, it can gets
through the canal and then starts accumulating in the surrounding tissues.
And if you depending on how bad you're afraid of dentists,
if you're really afraid, then you take a lot of
pain medication. After a while the pain subsides, but infection
now without you feeling, it can go into the tooth
(08:28):
and through the canal. Start accumulating in the surrounding tissues.
Speaker 5 (08:32):
How often do you actually see that? Quite often every day?
Speaker 3 (08:37):
Okay, So before you got here, I started looking up
dental stories.
Speaker 5 (08:41):
Okay, all kinds.
Speaker 3 (08:42):
Of stuff that I am now like, is that even possible?
Is it true? Because it can't believe everything I read
on the internet. Is it true that if you have
like a seed somewhere buried in your gums or in
your teeth, it can actually start to grow a plant?
Speaker 4 (08:56):
That is absolutely not true.
Speaker 5 (08:58):
It's not true. I read about a tomato plans.
Speaker 3 (09:00):
This person said that they had a tomato sea that
had been embedded in the person's mouth and a tomato
plant started growing.
Speaker 5 (09:05):
As a what this is crazy?
Speaker 4 (09:07):
Other than bacteria, there's nothing that can grow nothing.
Speaker 3 (09:11):
I wrote another thing about maggots, fungus. Fungus can grow it, Okay,
fungus can grow to mess with.
Speaker 4 (09:16):
The bacterial flora. You know, people who take a lot
of antibiotics for like organ transplants. Then if bacteria is
not there, if fungus start growing, so you need bacteria.
You just need to keep it under control.
Speaker 5 (09:28):
Okay.
Speaker 4 (09:29):
And a lot of people who don't have insurance, they
think they can't afford the dentists, And what they do
is they don't realize bacteria doesn't know whether you have
insurance or not. It's just gonna grow. So when they
come to me, it's already at the point where there's
a lot of destruction and it takes a lot of
costs to repair it. Patients who come regularly, we can
(09:50):
maintain that bacterial environment in the mouth at the point
where even if they're pretty disposed to developing cavities, we
can catch it early before they get to the nerve
and through the in the earth start going into the brain.
Speaker 3 (10:03):
I feel like that is terrifying in a good way
because people need to know, hey, go to the dentist
regularly so that this stuff doesn't happen. Which what is
regularly three months?
Speaker 5 (10:11):
Six months? How often do you want people in there?
Speaker 4 (10:13):
Normally it's every six months. If people already have periodontal disease,
that means the peridental pocket is already bigger. Now we
have to get in there more frequently, so then it's
three months. So it depends on every individuals separately.
Speaker 3 (10:26):
Okay, is it true that bugs little maggots? If something
lays an egg in your mouth, they can hatch in there.
Speaker 5 (10:32):
No, it's not. I saw that one too.
Speaker 3 (10:34):
So what is some of the craziest stuff that you
have seen, because you have to see all kinds of
stuff working in everybody's mouth all the time.
Speaker 4 (10:41):
Yeah, I mean, so sometimes you can have so much
calculus that there is no bone, but it's just the
gunk that's actually holding the teeth in place.
Speaker 5 (10:50):
Calculus is like built up plaque, like the heart.
Speaker 4 (10:52):
So basically, this bacteria that's in our mouth, no matter
how well your brush is going to a little bit
a little build up, build up, and it forms plaque,
which is soft, and then that plaque uses minerals in
salivary and becomes hard like stone, like barnacles, and then
if you have enough of them, they destroyed the bone.
So the bone starts peeling away from all this infection.
(11:15):
So we're basically dealing with an oral oral cavity which
is full of bacteria. And in order for that bacteria
not to infect the gums, you have to keep it
under control. If you don't, it builds up and it
causes inflammation that causes the bone to peel away from
the inflammation and not cheat become loose. And that's how
most people, not most people, but people who lose their
(11:37):
teeth to prere dental disease lose it because that bacterial
environment that wasn't under control causes so much inflammation that
with time bone peeled away. So now that the bone
is gone, that cheat become loose and the only thing
that's actually holding them in the mouth is the gun
that started it all to begin with.
Speaker 3 (11:56):
Oh, okay, so they're held together by plaque. Then remove
the plak and all the teeth fall out, like what
happens there.
Speaker 4 (12:02):
So that's that's that's One of the other scary stories
that patients tell me is that they don't go to
the dentists. Once they went and they teeth fell out afterwards,
that's what happens.
Speaker 5 (12:11):
Okay.
Speaker 3 (12:12):
I mean, well, as a dentist, if you're removing all
of that plaque, do you warn them, hey, your teeth
might fall out?
Speaker 4 (12:17):
Well, if you see that on an extra before you start,
you tell them that your teeth will fall out, and
you plan for partial denture or something before you start
that treatment.
Speaker 5 (12:26):
Okay.
Speaker 3 (12:26):
So as far as foods go, which foods are rotting
our teeth the most I've guessed it, So it's always sugar.
Speaker 4 (12:32):
Right, refined carbs, yes.
Speaker 5 (12:34):
Refined carbs like bread, yeah.
Speaker 4 (12:36):
Bread, candy that sticks to your teeth and it sits
on your teeth and lit like skittles, skittle things that
are actually good for your teeth. A dark chocolate, but
it has to be darker than seventy seventy five percent.
Okay that actually bacteria doesn't like that.
Speaker 5 (12:52):
Okay, oh, bacteria doesn't like dark chocolate.
Speaker 4 (12:54):
It prevents it from attaching to the tooth.
Speaker 5 (12:56):
Knew, you knew.
Speaker 4 (12:58):
Cheeses not bad but actually good. Few teeth and xylotal.
So basically the way things work is every time you eat,
even if you don't need carbs, bacteria will find food
for itself. So what happens if you you know how
we were told not to chew gum. That was back
from the days when the gum was bazuko gum like
(13:20):
they had a lot of sugar, a lot of bad
right now, if you get a xyleotal gum. So after
you eat anything, the environment in the mouth drops. It
becomes more acidic because bacteria starts breaking down sugars to
make energy for itself, releases acidity as a byproduct. Acidity
causes weakening of en ammel. It weakens the bunch. So
(13:43):
then now bacteria can get into the tooth and start
growing rapidly. So by chewing a xylotal gum or a
sugar free gum, you actually simulates a liber production which
is seven point four in acidity, and that kind of
balances out faster. So let's say after you eat big
teeth become more susceptible to cavities, you chew gum just
(14:03):
for a few minutes to stimulate seld productions actually helpful.
So xilotol is good to keep your teeth longer. Obviously,
if you're gonna chow every day, you're gonna develop temperamily
devil joint disorder.
Speaker 5 (14:13):
But if you eat what, you're gonna develop what tmj oh.
Speaker 4 (14:17):
And then if you just chew few minutes just you know,
to remove extra debris, it's actually a good thing.
Speaker 5 (14:23):
Xilotol gumto is.
Speaker 4 (14:24):
Specific specific sugar oh that prevents bacteria from binding.
Speaker 5 (14:28):
So like which gum has that in it? You know?
I got to look at okay, I was, I wasn't.
Speaker 3 (14:33):
Sure if you choo oh tried it maybe okay, if
you chew it yourself, or if you had a good recommendation.
Speaker 5 (14:38):
What about soda?
Speaker 4 (14:40):
So yeah, so I don't drink soda myself. I don't
recommend it. There's so much sugar.
Speaker 5 (14:45):
In seems like poison.
Speaker 4 (14:46):
It's poisoned. Yeah, you know, I don't want to judge people,
but I don't know a.
Speaker 3 (14:49):
Lot of people will say things like that, like I
don't want to judge. I don't think it's a judgment
as much as hey, just be careful because this is
not good for you and I as a dentist, and
what you know, this is how you can save your teeth.
That's Nate, Nate. Do you have any questions for dentists? Okay, Nate,
this is my dentist, Doctor Millman. By the way, how
(15:12):
am I doing here?
Speaker 4 (15:13):
Beautiful?
Speaker 1 (15:14):
Could I benefit from some invisil line? I have an overbite?
I push?
Speaker 5 (15:18):
Oh yeah, you were asking me about my vizil line
the other day.
Speaker 4 (15:21):
Actually, we have in this line special where you can
come in on June ninth and I scan and I
can see on a screen. So I have a special
scan that I do really shows me how your teeth
come together, and it shows me high spots, and it
shows me how it looks right and right.
Speaker 1 (15:40):
There is there, like I do I push my teach.
Speaker 4 (15:44):
How I literally not that? Damn?
Speaker 1 (15:49):
I know, what do you think? Doc?
Speaker 4 (15:51):
Beautiful? Yeah?
Speaker 1 (15:53):
Anyway, so I got to ask you about my mom.
Speaker 5 (15:55):
Sorry, I'm like, please, no, I love this.
Speaker 1 (15:57):
She's having two rude canals done, she said, did she
just have bad dentistry? When she like? How many times
are you fixing other people's bad work?
Speaker 4 (16:05):
So it depends on when was the last time she
saw a dentist.
Speaker 1 (16:08):
Well, she sees one all the time, but I guess
she hear her dentist when she was younger was really bad.
Speaker 4 (16:13):
Yeah, So if she had a previous large restoration, that
makes it more susceptible to developing rutkena later on.
Speaker 1 (16:20):
So you have to it has to be at what
point do I say, Mom, just pull them all and
do dentures?
Speaker 4 (16:27):
Never? Never my belief, and I promise that to all
of my patients that if you stick with me, you'll
have your teeth when you're a hundred years old. Really,
with modern technology, you really shouldn't lose your teeth. I
mean only due to accident maybe.
Speaker 1 (16:42):
Yeah.
Speaker 4 (16:42):
So the cause of tooth loss is purdental disease, which
can be controlled with every six months checkup and cavity.
If it gets to the nerve and then it destroys
the tooth, then it becomes complicated. But if you catch
cavity early and fix it, there's really no reason, especially
in modern times, that people should be without teeth, but
no matter how old they are.
Speaker 1 (17:03):
So how's the work in my man? Okay? Where are
you located? Because I think, okay done, I've got a
new dentist.
Speaker 3 (17:16):
I told you right doship from my apartment, so you
can come and stay, get some some dental work done,
and head out.
Speaker 1 (17:22):
Fantastic, All right, I'll give you a big odd next
time you thing you used to suck out the spit with?
Speaker 4 (17:27):
Yes, what is that called section?
Speaker 1 (17:32):
I have overactive salivary glance, so that things always.
Speaker 4 (17:35):
A good thing. That's one of the reasons I was
just explaining to Gandhi that you keep your teeth healthy
if you have a healthy salibarty flow. Yes, because saliva
is a it's a it's a buffer seven point four
pH which balances your mouth and prevents you from getting cavity.
Here's my exactly right.
Speaker 3 (17:54):
He's got great teeth, those a lot. He's a true Definitely, Thanks.
Speaker 1 (18:01):
Doc, I'll be there in two weeks.
Speaker 4 (18:02):
Get yes, free.
Speaker 5 (18:05):
Thanks, that was great.
Speaker 4 (18:06):
Nine, I'll be there.
Speaker 3 (18:08):
I'm glad your teeth are doing well. Nate, case you later.
So I feel like I'm yeah, oh yeah, that's Nate.
Speaker 5 (18:15):
That's straight.
Speaker 4 (18:15):
Nate.
Speaker 5 (18:16):
He is fun.
Speaker 3 (18:17):
He's so I got Himizzline and Diamond as soon as
she took her like five seconds, as soon as she
saw me to start making fun of the way that
I was speaking.
Speaker 5 (18:26):
But Diamond, my dentist said he can't hear it on
the air.
Speaker 4 (18:30):
That's right. In fact, I was looking for it. Then
they couldn't hear it.
Speaker 5 (18:34):
Very good I hear.
Speaker 3 (18:35):
But okay, So I feel like I'm producing more saliva
with these and with these, so that's a good thing,
you say.
Speaker 4 (18:41):
So basically, the way we're designed, if we put anything
in the mouth, we're thinking we're going to eat it.
So you start producing saliva right away.
Speaker 3 (18:48):
I think, so my mouth is saying I'm gonna eat.
Speaker 4 (18:52):
That's a good reaction. Okay, it's not bad. It's a
good thing.
Speaker 3 (18:55):
Actually, do people really successfully wear these for twenty two
hours a day?
Speaker 4 (19:00):
Yes, And I can see that at your check up, you.
Speaker 3 (19:02):
Can you'll be able to tell if I've done it. Yes,
I've mostly done it for the most part. I think
there was a day on vacation where I forgot that
I need to bring a toothbrush with me.
Speaker 4 (19:10):
Well that I wouldn't know, but I will know because
in this line worked great. But a lot to do
with patient participations. So if you're not wearing them, I'm
going to tell that the teeth are not tracking, and
the next aligner is already designed considering that the previous
alignment did its job so little by little starts going
(19:32):
off track, and then when you try to force it in,
that's when people tell you, oh, in this lines hurt. Well,
they hurt because you didn't wear them regularly, but people
don't like to admit that. Oh I just did.
Speaker 3 (19:44):
Admit it the one day. But I've been doing a
really good job with it because I want them to work.
Speaker 5 (20:00):
I told you this.
Speaker 3 (20:01):
So I never had braces or anything like that when
I was little, because it was all about my bite.
And my bite was apparently okay, but my teeth on
the bottom started moving because I had those extra wisdom teeth,
and the ones on the top started moving too, and
they used to be totally straight, and now they're a
little crooked. And I didn't notice until these stupid cameras
were on me all the time, and now I see
(20:23):
them in videos and I think, oh, and.
Speaker 4 (20:25):
Here's nothing me by the way. Okay, So whether you
have wisdom teeth or not, your teeth will shift, will they? Yes?
So I had my wisdom teeth that removed long time ago.
I was in my twenties, and then my teeth just
started to shift even though I have no wisdom teeth.
Speaker 5 (20:38):
Why is that what happens?
Speaker 4 (20:40):
So basically, your body goes through changes. You're not going
to look like this when you're sixty or eighty, you know, shrink.
So everything in your in your body changes and as
the boundary models, teeth like to shift around, so you
try to keep them in place. You got to wear
a retainer every night.
Speaker 3 (20:56):
So once I go through, Yeah, Diamond, when you threw
your retainer away and I melted it?
Speaker 5 (21:02):
She melted it? Wait? How did you melt it?
Speaker 6 (21:04):
This is very embarrassing. But I thought that I had
to sterilize it because I hadn't used it in a while,
and I put it into a cup of boiling hot
water and it melted right in front of me.
Speaker 4 (21:14):
And like, oh, don't feel bad. College is usually where
retainers get lost and think this is the place. This
is like a Bermuda triangle for the retainers. It's like
I see day in and day outpatients can mean I
had entertainers I had, I had in visil lines. I
mean I had braces before when I was a kid,
I had. Everything was great. Then I went to college
(21:34):
and that's how every story starts. And then I lost
my retainer and now I'm back and now I'm doing
in visil liance.
Speaker 5 (21:40):
And you didn't want to tell your parents because you
thought they were.
Speaker 6 (21:41):
Not terrified, because they had already said, like, make sure
that you hold on to these retainers because they're expensive
or something like.
Speaker 4 (21:48):
That, so terristic. So when you pay for your own
invision line, you will wear you will wear retaining.
Speaker 5 (21:53):
Yeah, I'm probably gonna to do it again.
Speaker 6 (21:55):
Now, don't know where to go?
Speaker 3 (21:56):
You know, yes, Jersey City, load of smiles. This is like,
this is gonna be like a forty five minute long
infomercial for how much I love.
Speaker 5 (22:02):
My dentist, which is true.
Speaker 3 (22:03):
I've talked about you plenty of times, like on the air,
off the air, because when I find a medical professional
that I like, I feel like I should share it
with the world because it's a very close relationship that
you have with somebody, whether you want to or not,
and you want to be comfortable with them, and you've
done a really good job of making me comfortable to thanks.
Speaker 4 (22:19):
Yes. So, like I said, that goes back to my
ideology that I want to change people's opinion about dentistry.
So it's not like a mystery what did the dentist
find there? You come in, we put in a chair,
we scan your teeth, you see it on the screen,
and we have a discussion. So it's a it's a
different dentistry than it used to be. And that's why
you start feeling comfortable because you can see what's going on.
(22:41):
You know what's going on, you're involved. It doesn't have
to be a bad experience. It's actually you know, we're
always looking at our patient's comfort. Like I said, the
left hand rule. As soon as they're they need to
raise it up. Everything must stop that.
Speaker 3 (22:54):
And you actually put my tooth gems on my teeth. Yes,
the first time I got them done, I got done
three times. With you, they've actually stuck and they have
not come off. I didn't swallow them, which I'm pretty
sure I swallowed all the other.
Speaker 5 (23:06):
Ones, because do you have them, then I do. Yeah,
I have them with the with the on that.
Speaker 3 (23:11):
When I did the first time in California some tattoo shop,
I'm pretty sure it was just like Elmer's glue or
something that they stuck on there.
Speaker 5 (23:17):
Because those were off quickly.
Speaker 3 (23:19):
The second time, I went to a drag queen in Brooklyn,
not really sure what I was thinking of that either.
And then the third time I came in to you
and you were like, where did you get these done?
And I told you you said, you know, I actually
I think, Masha, I think your wife told me that
you guys did them there.
Speaker 4 (23:32):
So I was like, you know what, she has one
for many many years.
Speaker 3 (23:35):
Yeah, she said hers had stayed on for a long time.
It might have stayed on at this point for four years.
Speaker 5 (23:40):
I think they're.
Speaker 3 (23:40):
Still there, still going strong. So yeah, you do all
kinds of stuff over there, and we love it you.
Speaking of technology, is it true that you can microchip
people by putting a chip into their tooth?
Speaker 4 (23:51):
I guess depending on the size, it's possible to put
it into the crown. If you really shave down the tooth,
there's still enough room in there if the micro but
I don't know how big it is. So theoretically I
would see that be a possibility, but I don't know
if anything.
Speaker 5 (24:05):
But you've never done it. Okay, so you will not
get chipped at moment inside of.
Speaker 4 (24:10):
The tooth to place a little chip in there.
Speaker 3 (24:13):
Okay, so we've got one. Yes, that's actually true from
all the nonsense that I've read, and.
Speaker 4 (24:17):
Then I think said possible.
Speaker 3 (24:19):
Possible, Okay, it is possible that someone could do if
you say it's possible. In my head, it's happened like
a hundred times. So this is the one that's been burning,
I think on everyone's the burning question on everyone's mind.
Is it true that your dentist can tell if you've
been involved in naughty activity before you come?
Speaker 5 (24:38):
It is true. I knew it. Okay, Yes, I have.
Speaker 3 (24:43):
A dental a friend who's a dentist who said, yeah, totally.
There's what is a blood vessel at the top of
your mouth.
Speaker 4 (24:48):
Yes, and it bursts, that's one. It doesn't burst, but
it's like a bruising effect. Basically, the force trauma can
cause rupturing of the vessels.
Speaker 5 (24:57):
This sounds so dramatic. Force trauma and bruising. People are
having a good time, you know.
Speaker 4 (25:03):
Yeah, trauma, right, the force, you're right, okay, So, and
that causes rupture of the blood vessels, but it doesn't
cause the rupture of the outer lining, so it's inside.
So that's why it looks dark.
Speaker 5 (25:20):
Interesting, That is what bruising is. Are there other things
that can cause that?
Speaker 4 (25:24):
None other than well it looks different if it can
be caused by thermal by hot like pizzas tuck to
the but it looks different. So that's I don't know
what object. You know, it's trauma, okay in a certain way.
And then there's also due to the friction of the
lower portion of the tongue against the cheese, that can
(25:48):
cause hyperpleasia. So you can see a line, white line
and a tongue like really hypercritosis is called hyper keratosis.
Speaker 5 (25:58):
Is a white line on the tongue.
Speaker 4 (26:00):
Yeah, due to friction against the cheek.
Speaker 3 (26:02):
So you guys ever have a little chuckle after you leave,
like I know what was going on over there? No,
you just you just keep it to yourself. What a
good dentist. I feel like I would be like, Diamond,
listen to this.
Speaker 5 (26:12):
How long does that last?
Speaker 4 (26:14):
It goes away within the week.
Speaker 5 (26:16):
A week?
Speaker 3 (26:16):
Okay, So now everybody listening, give yourself a week before
you go to the dentist if you're doing something naughty
frictional hypercritosis, because it can happen. We were talking about
that before you came in, and Diamond was like, I
need to know if this.
Speaker 5 (26:28):
Is actually true. I said, I think it is.
Speaker 3 (26:30):
We're going to find out. So a lot of good
information here. If you had to tell somebody, hey, do
this one thing. It's very important for your mouth. What
is that thing? Is it flossing? Is it brushing?
Speaker 5 (26:41):
Is it?
Speaker 4 (26:42):
So? Basically a daily routine that I have is I
start by flushing my teeth every morning. Then I brush them.
Speaker 5 (26:51):
Oh you fluss first, yes, okay.
Speaker 4 (26:53):
So if there's any debris lift in between teeth, you
can then dislodge it and then the brush removes it.
Speaker 5 (26:58):
Okay.
Speaker 4 (26:59):
I do the unscraping, so that cannot be done with
a brush because that's just going to make a gig.
You have to have like a solid object to scrape.
And then once in a while I use arens.
Speaker 5 (27:12):
Once in a while, so not every time you brush.
Speaker 4 (27:15):
Day, okay, and then no matter how well you brush,
I do see my hygienist. I see him every four months, Okay.
I like that. Yeah, and that's all. That's how you're
going to keep your teeth as long as you're alive.
Speaker 5 (27:28):
So it's pretty easy. Just keep up with the dentist
and you'll probably be okay.
Speaker 4 (27:32):
Yes, that's basically.
Speaker 3 (27:34):
My dentist caught that I had high blood pressure and
I had no idea because I was going to get
my wisdom teeth taken out. So you're taking my blood
pressure and he said, oh, your blood pressure is pretty high.
And it turned out that it was from my birth
control because I was healthy and there was really nothing
else going on. So then because my dentists found that,
I was able to get on a counterpill for that.
(27:56):
Now I just was it's much better for me to
just not take it because that birth control was well.
But my dentist caught that. So you guys see a
lot and do a lot.
Speaker 4 (28:03):
Yeah, we do check blood pressure as a standard of
care before we do any injection. And obviously in the
first visit and the first visit, it's not definitive if
you once had a blood pressure because you walked to
the chair or something. But if you repeatedly see that
it's high blood pressure, you want to bring it up
to the patient's attention.
Speaker 3 (28:20):
Have you ever had to call nine one one because
you saw something inside someone's mouth and you're like, oh,
I can't take care of this.
Speaker 4 (28:25):
No, luckily, Okay, so you've had pretty good Have anybody
carried out our office yet? Oh?
Speaker 5 (28:33):
Good?
Speaker 3 (28:34):
Well, speaking of your office, and I will leave it here.
Something so cool happened that love. I feel like it
was just fate. You came to my art show and
Ima Masha both came and one of the things that
we did was we had a raffle and a lovely guy,
Nama heir. He said, hey, I would like to purchase
one piece of art on this wall, and raffle it
(28:55):
off to somebody. So our boy Scary came and he
picked the biggest piece on the wall.
Speaker 5 (28:59):
Which I love Scary for that. And here about it.
Speaker 3 (29:02):
We pulled the ticket and you guys won, And when
I saw it was you, I was so excited.
Speaker 5 (29:07):
I'm like, yeah, oh my god, my dad just won.
And now you guys have that at the office.
Speaker 4 (29:11):
It's hanging on a wall in our office, and next
time you come in, we'll take a picture. I would
want to and had a frame that's hanging.
Speaker 5 (29:18):
Oh yeah, you said a picture and it looked really
really good.
Speaker 3 (29:20):
Well, thank you. Guys have been wonderful. I really appreciate
all the work that you do. Hopefully we're going to
get some more people to come and visit you in
Jersey City, but not too many because I still need
to get in there to.
Speaker 4 (29:30):
Have a facility to handle as many patients as come in.
Speaker 5 (29:33):
Okay, yeah you do. It's grown at how much has
it grown since you started?
Speaker 4 (29:37):
Well, I moved there from a four chair operatory also
in Jersey City. I was working on Grand Street for
about eighteen years before we moved, and then we moved
from four chairs to six chairs, and now we have
nine chairs, and we have four doctors, and we have
twenty staff. And one of our biggest papev is that
(29:59):
nobody waits. We have no waiting in the waiting room.
I love that nobody gets hurt. If patient's uncomfortable, they
should raise their left hand. We're not going to proceed
if you feel any pain at all. And just to
make a fun experience and make patients like coming to
a dentist, which is how it should be, because the
dentist is there to help people live a better healthier life.
(30:20):
That's what we're there for.
Speaker 5 (30:21):
Your teeth are very important to your health or an.
Speaker 4 (30:24):
Often times you don't know you have an issue and
by the time you find out, it's already super expensive.
So one of the main reasons, well, there's few reasons
why patients don't like to go to a dentists. One
is pains. We already talked about that. Second, you just
mentioned a little bit about the people with insurance or
without insurance. So a lot of my patients they make
(30:45):
a mistake of thinking that if they lose their insurance,
they shouldn't go to a dentists. So, like I said earlier,
bacteria doesn't know whether you have insurance or not. So
bacteria is going to take this cavity that could be
handled with two hundred dollars and it's going to proceed
into the nerve. And as bacteria gets into the nerve
through the canal, it starts infecting the surrounding bone. So
(31:08):
to prevent all that, a filling will suffice. If you
don't go regularly because you think you have no insurance
and you can't afford two hundred dollars. Now it gets
to the root canal, which is over one thousand. Then
you need a Postcore, and then you need a Crown.
So now it's three thousand dollars. So now when patients
don't have insurance, they hold off, they wait for about
five to ten years. Finally they get this insurance. They
(31:31):
come in and now there's not one filling, not two fillings,
and now you have root canal here, Postcore Crown, root
cannout here, Postcore Crown. So with your insurance, you end
up paying thousands of dollars for something that could have
been prevented with a two hundred dollars filling without insurance.
So I always tell my patients if you know somebody
who have no insurance, it doesn't mean they shouldn't go.
(31:51):
In fact, that's the reason to go. So you can
take this two hundred dollars investment and prevent three thousand
dollars worth of work. I multiply that by twenty eight
teeth that becomes expensive. So now the dentistry is expensive
because people haven't been going regularly. But when they do go,
they have an unpleasant experience which causes them not to go.
(32:13):
So it's kind of becomes this vicious cycles. By making
people feel comfortable in our office, we're encouraging them to
come in. So you could absolutely have all your teeth
when you're a hundred years old. Absolutely good to know.
Speaker 5 (32:29):
That is my plan. I would like to have all
of my teeth when I'm a hundred. I would also
like to be a hundred. So we have a.
Speaker 4 (32:36):
Grandma made it to a hundred. I wasn't a dentist
when she was younger, so she didn't have all of
her teeth, but she did have all of her teeth
since I became a dentist when I was left, I
managed to keep it for her.
Speaker 3 (32:47):
Oh okay, okay, last question, I keep saying, last question
asking you one more thing. What are your thoughts on
people leaving the country to go get veneers? Do you
think veneers are a better option than just braces and
in visiline?
Speaker 4 (32:58):
I think that's all so each case dependent. So in
some cases we are able to take your natural teeth,
put it in a perfect place, do a little whitening,
and it looks way better than vine years. So in
my particular opinion, ven years, I wouldn't go with that
as my number one option. I would take natural teeth
(33:19):
and see what we can do with that, and oftentimes
with in viziline and widening, we can make it look really,
really pleasant. If patients need vine years, meaning if they
already had some work done that or their teeth naturally dark,
then maybe ven years are better option. So with ven years,
(33:39):
you're not covering the entire tooth, so there is a
possibility that veneer can dislodge. It doesn't happen often, so
you obviously want to be close to your dentist. You know,
it's everybody's choice. I'm not competing with anybody. I'm there
to help whoever wants to be helped. We do with
do veneyears too, but that's not my first choice.
Speaker 5 (33:58):
Gotcha.
Speaker 3 (34:00):
So if you want to leave anybody with a piece
of advice about their mouth, yes, what is what is
your advice to or less rush.
Speaker 4 (34:05):
Your teeth, Floss your teeth, see your dentists, and you
will have your teeth as long as your life.
Speaker 5 (34:10):
What is the number one cause of bad breath?
Speaker 4 (34:12):
Bacteria? We're dealing with the bacteria. Okay, think about it
this way. So if if you if you take any
any food anything, and you put it in a warm,
moist environment, it starts to gkay. And that's why when
you go to near garbage, there's a certain smell to it, right,
it's they So where can bacteria hide? First of all,
(34:34):
sometimes it hides behind the last molar. If the wisdom
teeth came in on the side, there is like a
trap for the food. So if the food is strapped
in one spot, is going to sit there and it's
going to omit a smell. Second area where this can
happen if the tooth is let's say, have broken or
has a big hole in it, like a cavity, and
bacteria sits in there and foods particle gets stuck in there. Bacteria,
(34:56):
you know, breaks it down for its own energy, and
it's on food and creates smell cavities. The other area
where bacteria can gather is between There's like a trench
that goes around each tooth. It's called periodental pocket. It's
the space between the gum and the tooth, and that's
where most of bacteria is sitting. And if it's sitting
(35:16):
there and patients don't go to dentists regularly, this bacteria
gathers and it grows more of itself, and there's some
order that's coming out of periodental pocket peridental space. So
sometimes I actually walk in a plane and people are
sleeping like this with their mouth open, and I walk
by the row and I walk and oh that's perio,
(35:37):
and I walk, Oh that's perio. It has a certain
smell to it, and perio means that those pockets in
those patients are bigger than normal. So normally it's two
to three millimeters, if the pockets are seven eight millimeters,
Now you have this huge trench that goes around each
tooth that contains this sewer basically material that smells. So
(36:01):
when you walk by, you're like, oh, I can smell that.
Oh that's period. That means their pocket is much bigger
than every healthy people. Also, our tongue has popillis these
little bumps, and when plaq gets accumulated around those, that
creates bad bread.
Speaker 5 (36:17):
Black accumulated on your tongue.
Speaker 4 (36:19):
Well, if you take a tongue scrape and you scrape,
you will see so much black on it that causes
bad breath. So in order of what brings more bad bread,
so it's pear of disease, tongue scraping, and then if
there's a cavity that that can trap foods. So those
are your bad bread You.
Speaker 3 (36:36):
Ever tell people like hey, I smell a little little periodon't.
Speaker 4 (36:40):
I tell him? I show them on the screen.
Speaker 5 (36:42):
That's what I know. But like people, your patients, if
you like when you get on a plane and you
see that, you're like, hey man.
Speaker 2 (36:47):
It's probably of course, but also I would want it,
Like if somebody noticed something like that on me, I
would I would want to know it.
Speaker 5 (36:54):
So, okay, good to know.
Speaker 3 (36:56):
But did you were you happy when people were wearing
masks that you didn't have to walk around and smell?
Speaker 5 (37:00):
That had to be a good time. Yeah, just a
short short amount of time. Cool. All right, Well, thank you,
I appreciate it. This has been fun.
Speaker 3 (37:07):
And I'll see you in like two weeks, I think,
because I have to get a little test for.
Speaker 5 (37:12):
My invisil line. Right, yeah, we're going to check up
on it. Oh you want to talk about do you
have any you.
Speaker 4 (37:19):
Okay, yeah, So we have this invision line day where
we're going to have uh, it's gonna be on a Sunday,
so usually we're closed on Sunday, So this Sunday we're
going to open June June ninth, and we're going to
have adors and drinks and on that day so.
Speaker 5 (37:35):
Get food in people's teeth and then look at them. No no, no, no,
you guys do have two brushes there.
Speaker 4 (37:40):
So on that Sunday we're going to have no hygien
no no, just scanning. So basically anybody who either wondered
about in visi line or just want to get a
free scan. So basically there's people who never seen their mouth,
so we're going to scan it, show it on the screen,
and then we're taking five hundred dollars off. People will
(38:00):
start the invision line. We're doing this. If they sign
up that day, they get to spin a wheel of prizes.
We're giving prizes. We're doing widening for life, So if
they sign up, they have to wear retainers I mentioned
earlier in order to keep your teeth. So every six months,
if they come for a cleaning every six months to
our office, we give them a professional strength widening jail
(38:22):
to use with the retainer and we're also including four retainers.
So it's going to be a great day Okay, June ninth,
stop by, check it out.
Speaker 3 (38:30):
That's exciting. Tell them that you heard it here so
you know, all right, Well, thank you doctor Moment. It
was nice to have you in here. I appreciate your time,
and thank you Masha. Appreciate your time too.
Speaker 5 (38:39):
Again.
Speaker 3 (38:39):
You can find them out lotus miles in Jersey City
and we love him so thank.
Speaker 5 (38:43):
You, lots of ways.
Speaker 3 (38:55):
And it's a fact they can tell if you're sucking
a dick.
Speaker 2 (38:59):
I'm happy you got the answer to your question.
Speaker 3 (39:01):
I like that he was really not about saying trauma
to the mouth, but also was about saying trauma is
the mouth.
Speaker 2 (39:10):
I also think it's funny that your guest last week
is like Drake Bell. The week before, like the week
before that, you're talking mammoths, and this week it's like, hey,
we're speaking to a dentist.
Speaker 5 (39:19):
This is my favorite stuff.
Speaker 2 (39:20):
It really is like, I feel like you're getting the
mission statement of what your podcast was supposed to be,
which is just like, this is just what's in my brain.
Speaker 5 (39:26):
Right, It's about whatever the fuck we want.
Speaker 1 (39:28):
I love that for you.
Speaker 3 (39:29):
Guess what I found out? What bad news I thought
I was on Shadow Band. In fact, I am still
Shadow band. And you know how I found out most
embarrassing shit ever. At the Gracies, I'm meeting all these
incredible women.
Speaker 5 (39:40):
They're like, hey, can I fall on you on Instagram?
Speaker 3 (39:42):
I was like, yeah, for sure at Baby Hot Sauce
and all of them are like, oh, but it says
beware of child sex abuse. Metta, I am coming for
you because now you have humiliated me and you have
stomped on my livelihood and I am not having it.
Speaker 5 (39:55):
Not having it.
Speaker 2 (39:56):
Are they in your Burm book?
Speaker 3 (39:57):
Yeah, Metta, that's my Burm Book entry. It's like, like,
how do you explain to me? It was kind of
funny at first, hah, Okay, this is a little weird,
but now you're meeting like Foolish or Rashad or Christen
Wig or Carol Burnett, Garcel Bouvier.
Speaker 5 (40:12):
Yes, she was there.
Speaker 3 (40:13):
I took video of the Housewives for you and diamonds that.
But yeah, Metta, you're really fucking with my livelihood here.
Speaker 1 (40:20):
Not cool, and you're burned. I can't do the fire
sound of the I'm trying.
Speaker 2 (40:29):
Yeah, I think it's I feel like burn Book could
maybe also be renamed to I Spit on your Grave
because when you do that, it always makes me laugh.
Speaker 3 (40:37):
You can't see what I'm doing, but sometimes I walk
by Andrew and I just look at him and go,
that's it.
Speaker 5 (40:43):
And he knows that I'm spitting at him.
Speaker 2 (40:45):
So we spit on your grave.
Speaker 5 (40:49):
And you actually have that sound effect. Now I do.
Speaker 1 (40:53):
I can't spit.
Speaker 5 (40:56):
That's how I feel about you. Meta.
Speaker 3 (40:57):
Yeah, all right, I think we should probably get out here.
We can skip ask me anything today, We'll do it
another time.
Speaker 5 (41:02):
Yeah, because I feel like we asked. The dentis a
whole lot of questions.
Speaker 4 (41:05):
Hell yeah, so.
Speaker 3 (41:05):
We have so much stuff coming up. Where can they
find you on Instagram, Andrews, Since you're the only findable.
Speaker 2 (41:09):
Person at Andrew Pug and I'm not shadow band, so
go and follow me at.
Speaker 3 (41:14):
Baby Hot Sauce. I am shadow band, so you can
search my full name. Good luck spelling it me.
Speaker 5 (41:19):
E d H A space g A N d H I.
Speaker 3 (41:23):
And yeah, if you have any asked me, any things
or any suggestions for us in general, hit us up.
Speaker 5 (41:28):
Yeah, do it, slide into the dms.
Speaker 1 (41:29):
Slide into those dms.
Speaker 5 (41:31):
Yeah, okay, see by Andrew.
Speaker 2 (41:33):
Okay, bye, everybody,
Hey, it's Andrew.
Speaker 2 (00:07):
Hey Andrew, and you're listening to Susimi side.
Speaker 3 (00:11):
Wow, this is a different one.
Speaker 4 (00:14):
What is going on?
Speaker 3 (00:15):
What I was trying to say is wow, that was
a different take on the beginning of the show.
Speaker 1 (00:18):
Yeah, So who do you have on this week?
Speaker 3 (00:20):
I have my dentist, doctor Millman, who it sounds like
a weird thing talking to your dentist. It's not, because
one we're talking about mind is a line and why
it sounds so sussy. But two, there are probably a
one hundred different ways that your teeth can kill you
if you don't take care of them, and I want
to talk about some of those.
Speaker 2 (00:39):
I have to say, I really wish I got to
speak to the dentist because sometimes when like the removing
plaque videos from teeth, when it's like caked on, I
will say it's disgusting, But like a pimple video, I'm like, you.
Speaker 1 (00:50):
Can't live look the actual hell Tartar, it's Tartar.
Speaker 3 (00:54):
Sorry, whatever, take care of your teeth people, it's important.
So we're going to talk to him about some stuff today.
Speaker 5 (00:58):
He's great.
Speaker 3 (00:59):
So he listened to our podcast with Nicole and Jemmy,
and he was so excited that she talked about the
plaque on the guy's brain from cavities.
Speaker 5 (01:07):
And how it actually ended up killing him.
Speaker 1 (01:09):
Wow.
Speaker 3 (01:09):
So he was like, that's amazing, and he was telling
me all these different things and I, oh, you know what,
it'd be interesting to.
Speaker 5 (01:13):
Bring him in.
Speaker 3 (01:13):
He's also kind of shy, and I'm definitely gonna ask
him the question about if dentists can tell if somebody's been.
Speaker 5 (01:20):
Sucking a little dick. Oh lord, yeah, I'll say it nicely,
but I gotta find out. So let's get to it. Yeah,
I have a lot of questions for you. Okay, good,
I know you do, and that's why I'm excited. All right.
Speaker 3 (01:36):
So I am here with my dentist, doctor Alexander Milman. Hello,
doctor Milman. So we need to cook really close to
that microphone. I know it's probably uncomfortable. You can move
it if you want to. Fun fact, they keep that
mic really low because Danielle is so loud that I'm.
Speaker 5 (01:53):
Not even kidding you. They told us, our engineers told
us the other day. Hilarious.
Speaker 3 (01:57):
All right, So we are with my dentist, who's one
of my my absolute favorite dentist that I've ever had.
I think actually you are my favorite dentists that I've
ever had. Yeah, Doctor Alexander Millman from Lotus Smiles in
Jersey City. Oh, hello, thanks for coming. By the way,
are you nervous?
Speaker 4 (02:13):
Oh yes, I am actually not big on public speaking.
Speaker 3 (02:16):
Oh really interesting, but you have such a nice teeth
and you can smile and look great and do it Okay,
So not big on public speaking. That's great because I'll
just ask you a bunch of questions because I have
a ton. First of all, I found you by accident.
Good luck, I guess I could say a long time ago,
maybe like twenty eighteen or twenty nineteen, because my boyfriend
was having really really bad pain and it turned out
(02:37):
that he needed an emergency root canal. And finding on
a Saturday someone to do an emergency root canal, we
were not having.
Speaker 5 (02:45):
A lot of luck.
Speaker 3 (02:45):
And then I saw, oh, load of smiles, maybe they
can do this, and you did. And one of the
promises that you made was everything was going to be
pain free, which I didn't believe, to be honest, because
it's dentistry.
Speaker 5 (02:55):
You know, everything hurts. That's at least how I thought
it was.
Speaker 3 (02:58):
And then it was pain free, and you treated him
so well by the way, you made him really comfortable,
and that was awesome. So I was like, Okay, there's
gonna be my dentist now, and that's.
Speaker 5 (03:06):
Where we are.
Speaker 4 (03:06):
Yes. Well, So basically, dentistry has been my passion since
I can remember myself, and my dad is a dentist.
And when I remember myself, he was taking me to
the office quite often, and I would see people come
into his office all scared, all in fear, all in tears.
(03:27):
They walk out and be so happy and joyful, and
I'm like, wow, So this is what dentistry can do
for people. So I pursued my passion. Right after college,
I went to dental school and I got a degree,
and I came out and I started doing dentistry. And
what I noticed is that people's perception of dentistry is
(03:50):
far from what I see. People are scared, they hate
the dentists, they're afraid of dentists. Yeah, really, we are
there to help him my mission in life, and actually,
if you ask my stuff, they know our mission in
the office is to change people's opinion about dentistry, because
dentistry really doesn't have to be this horrible place. Dentists
(04:12):
are there to help people live a better life. The
problem I notice is that people's perception of dentistry, if
you think about it, comes from their experience. So they're
afraid of dentists. They go into a dental office and
they see a glass window, and somebody opens the door
and gives them a paper and says, go sit down,
and they spile it and write their name down, and
(04:33):
they sit there and they wait and they wait. Then
they go to the room. They get into the room,
they sit there and they wait and they wait, and
then somebody comes in does the X rays and so on.
In our office, we basically change the whole approach. You've
been to our office, you know when you walk in.
First of all, it's open space.
Speaker 5 (04:52):
In it's welcoming, and your stuff is nice.
Speaker 4 (04:55):
My staff has been trained to be.
Speaker 5 (04:57):
Nice when you hire them.
Speaker 4 (04:59):
They were, but you know it, Actually we took a
few courses that actually help my stuff became more friendly,
you know, And I learned quite a few techniques how
to do even injection painlessly. So there really should be
no pain.
Speaker 3 (05:13):
Okay, so you said there should be no pain, but
obviously with a lot of dentistry there is pain and
I've been to other dentists and it did hurt, So
what is the difference the.
Speaker 4 (05:22):
Numbing procedure itself. Nobody likes shots right now, so we're
injecting an aesthetic into an area where the tissues are
tightly adhered. So when we inject an aesthetic that's supposed
to numb up the area, we want to get it
in and out as fast as possible, just to eliminate
that unpleasanty. But if you think about it, if you
(05:43):
just do a couple of drops, so my injections take
much longer. When you inject just a couple of drops,
that area gets a little numb, then you can inject
a little more. And I have a left hand rule,
so if you feel pain, you raise it up. And then,
of course there's another more technical issue with the medibular block.
It's challenging to find that nerve that gets into the mandible,
(06:03):
so the mandible is different than the maxila.
Speaker 3 (06:05):
But do they not make everybody learn that? That seems
like that would be very important to learn all about
that mandibular block so that everybody can have pain free dentists.
Speaker 4 (06:15):
Techniques that come and with experience, it's not always easy
to get to that spot. So you have to come
in at a certain angle, move it at a certain angle.
So I actually trained my my associates that work with
me how to do that.
Speaker 3 (06:32):
All right, So speaking of dentistry and dental work, the
reason I had you in here is because you were
actually listening to my podcast and you heard Nicole and Jemmy,
who's a pathology assistant. She was talking about how there
was a football player and after they did the autopsy
when he died, they realized that he had lesions on
his brain from cavities.
Speaker 5 (06:52):
Because your mouth can kill you. And that is really
what I want to talk about because there are so
many ways.
Speaker 3 (06:57):
One of the things that blows my mind, and I
think why people might not associate it to so closely
is it dental insurance and health insurance are for some
reason different things. I don't understand why, since it has
a direct impact on the rest of your health, right,
But what is the number one thing that you will
tell people? This is what you have to look out
for when it comes to your mouth.
Speaker 4 (07:18):
So I think there's a lot of misconceptions and misunderstandings.
People know that you should go to a dentist, but
I don't think they really realize the importance. I have
a lot of patients who say, you know, I brush
my teeth every day, what's the point for me to
go that often I brush? So there's areas where bacteria
can reach and the brush cannot reach. And when bacteria
(07:40):
settles in certain areas, let's say between the gum and
the tooth, or it settles inside of the tooth, you
can't feel any pain. So people try to prolong that
unpleasant experience as long as possible, and they allow this
bacteria to fluster until it gets to such an extent
where it can find a pathway through the and start
(08:01):
settling inside of the bone.
Speaker 5 (08:03):
So it just burrows its way into your bones.
Speaker 4 (08:06):
It can get into the canal, the dreaded road canal. Yeah,
And once it gets into the canal, it can gets
through the canal and then starts accumulating in the surrounding tissues.
And if you depending on how bad you're afraid of dentists,
if you're really afraid, then you take a lot of
pain medication. After a while the pain subsides, but infection
now without you feeling, it can go into the tooth
(08:28):
and through the canal. Start accumulating in the surrounding tissues.
Speaker 5 (08:32):
How often do you actually see that? Quite often every day?
Speaker 3 (08:37):
Okay, So before you got here, I started looking up
dental stories.
Speaker 5 (08:41):
Okay, all kinds.
Speaker 3 (08:42):
Of stuff that I am now like, is that even possible?
Is it true? Because it can't believe everything I read
on the internet. Is it true that if you have
like a seed somewhere buried in your gums or in
your teeth, it can actually start to grow a plant?
Speaker 4 (08:56):
That is absolutely not true.
Speaker 5 (08:58):
It's not true. I read about a tomato plans.
Speaker 3 (09:00):
This person said that they had a tomato sea that
had been embedded in the person's mouth and a tomato
plant started growing.
Speaker 5 (09:05):
As a what this is crazy?
Speaker 4 (09:07):
Other than bacteria, there's nothing that can grow nothing.
Speaker 3 (09:11):
I wrote another thing about maggots, fungus. Fungus can grow it, Okay,
fungus can grow to mess with.
Speaker 4 (09:16):
The bacterial flora. You know, people who take a lot
of antibiotics for like organ transplants. Then if bacteria is
not there, if fungus start growing, so you need bacteria.
You just need to keep it under control.
Speaker 5 (09:28):
Okay.
Speaker 4 (09:29):
And a lot of people who don't have insurance, they
think they can't afford the dentists, And what they do
is they don't realize bacteria doesn't know whether you have
insurance or not. It's just gonna grow. So when they
come to me, it's already at the point where there's
a lot of destruction and it takes a lot of
costs to repair it. Patients who come regularly, we can
(09:50):
maintain that bacterial environment in the mouth at the point
where even if they're pretty disposed to developing cavities, we
can catch it early before they get to the nerve
and through the in the earth start going into the brain.
Speaker 3 (10:03):
I feel like that is terrifying in a good way
because people need to know, hey, go to the dentist
regularly so that this stuff doesn't happen. Which what is
regularly three months?
Speaker 5 (10:11):
Six months? How often do you want people in there?
Speaker 4 (10:13):
Normally it's every six months. If people already have periodontal disease,
that means the peridental pocket is already bigger. Now we
have to get in there more frequently, so then it's
three months. So it depends on every individuals separately.
Speaker 3 (10:26):
Okay, is it true that bugs little maggots? If something
lays an egg in your mouth, they can hatch in there.
Speaker 5 (10:32):
No, it's not. I saw that one too.
Speaker 3 (10:34):
So what is some of the craziest stuff that you
have seen, because you have to see all kinds of
stuff working in everybody's mouth all the time.
Speaker 4 (10:41):
Yeah, I mean, so sometimes you can have so much
calculus that there is no bone, but it's just the
gunk that's actually holding the teeth in place.
Speaker 5 (10:50):
Calculus is like built up plaque, like the heart.
Speaker 4 (10:52):
So basically, this bacteria that's in our mouth, no matter
how well your brush is going to a little bit
a little build up, build up, and it forms plaque,
which is soft, and then that plaque uses minerals in
salivary and becomes hard like stone, like barnacles, and then
if you have enough of them, they destroyed the bone.
So the bone starts peeling away from all this infection.
(11:15):
So we're basically dealing with an oral oral cavity which
is full of bacteria. And in order for that bacteria
not to infect the gums, you have to keep it
under control. If you don't, it builds up and it
causes inflammation that causes the bone to peel away from
the inflammation and not cheat become loose. And that's how
most people, not most people, but people who lose their
(11:37):
teeth to prere dental disease lose it because that bacterial
environment that wasn't under control causes so much inflammation that
with time bone peeled away. So now that the bone
is gone, that cheat become loose and the only thing
that's actually holding them in the mouth is the gun
that started it all to begin with.
Speaker 3 (11:56):
Oh, okay, so they're held together by plaque. Then remove
the plak and all the teeth fall out, like what
happens there.
Speaker 4 (12:02):
So that's that's that's One of the other scary stories
that patients tell me is that they don't go to
the dentists. Once they went and they teeth fell out afterwards,
that's what happens.
Speaker 5 (12:11):
Okay.
Speaker 3 (12:12):
I mean, well, as a dentist, if you're removing all
of that plaque, do you warn them, hey, your teeth
might fall out?
Speaker 4 (12:17):
Well, if you see that on an extra before you start,
you tell them that your teeth will fall out, and
you plan for partial denture or something before you start
that treatment.
Speaker 5 (12:26):
Okay.
Speaker 3 (12:26):
So as far as foods go, which foods are rotting
our teeth the most I've guessed it, So it's always sugar.
Speaker 4 (12:32):
Right, refined carbs, yes.
Speaker 5 (12:34):
Refined carbs like bread, yeah.
Speaker 4 (12:36):
Bread, candy that sticks to your teeth and it sits
on your teeth and lit like skittles, skittle things that
are actually good for your teeth. A dark chocolate, but
it has to be darker than seventy seventy five percent.
Okay that actually bacteria doesn't like that.
Speaker 5 (12:52):
Okay, oh, bacteria doesn't like dark chocolate.
Speaker 4 (12:54):
It prevents it from attaching to the tooth.
Speaker 5 (12:56):
Knew, you knew.
Speaker 4 (12:58):
Cheeses not bad but actually good. Few teeth and xylotal.
So basically the way things work is every time you eat,
even if you don't need carbs, bacteria will find food
for itself. So what happens if you you know how
we were told not to chew gum. That was back
from the days when the gum was bazuko gum like
(13:20):
they had a lot of sugar, a lot of bad
right now, if you get a xyleotal gum. So after
you eat anything, the environment in the mouth drops. It
becomes more acidic because bacteria starts breaking down sugars to
make energy for itself, releases acidity as a byproduct. Acidity
causes weakening of en ammel. It weakens the bunch. So
(13:43):
then now bacteria can get into the tooth and start
growing rapidly. So by chewing a xylotal gum or a
sugar free gum, you actually simulates a liber production which
is seven point four in acidity, and that kind of
balances out faster. So let's say after you eat big
teeth become more susceptible to cavities, you chew gum just
(14:03):
for a few minutes to stimulate seld productions actually helpful.
So xilotol is good to keep your teeth longer. Obviously,
if you're gonna chow every day, you're gonna develop temperamily
devil joint disorder.
Speaker 5 (14:13):
But if you eat what, you're gonna develop what tmj oh.
Speaker 4 (14:17):
And then if you just chew few minutes just you know,
to remove extra debris, it's actually a good thing.
Speaker 5 (14:23):
Xilotol gumto is.
Speaker 4 (14:24):
Specific specific sugar oh that prevents bacteria from binding.
Speaker 5 (14:28):
So like which gum has that in it? You know?
I got to look at okay, I was, I wasn't.
Speaker 3 (14:33):
Sure if you choo oh tried it maybe okay, if
you chew it yourself, or if you had a good recommendation.
Speaker 5 (14:38):
What about soda?
Speaker 4 (14:40):
So yeah, so I don't drink soda myself. I don't
recommend it. There's so much sugar.
Speaker 5 (14:45):
In seems like poison.
Speaker 4 (14:46):
It's poisoned. Yeah, you know, I don't want to judge people,
but I don't know a.
Speaker 3 (14:49):
Lot of people will say things like that, like I
don't want to judge. I don't think it's a judgment
as much as hey, just be careful because this is
not good for you and I as a dentist, and
what you know, this is how you can save your teeth.
That's Nate, Nate. Do you have any questions for dentists? Okay, Nate,
this is my dentist, Doctor Millman. By the way, how
(15:12):
am I doing here?
Speaker 4 (15:13):
Beautiful?
Speaker 1 (15:14):
Could I benefit from some invisil line? I have an overbite?
I push?
Speaker 5 (15:18):
Oh yeah, you were asking me about my vizil line
the other day.
Speaker 4 (15:21):
Actually, we have in this line special where you can
come in on June ninth and I scan and I
can see on a screen. So I have a special
scan that I do really shows me how your teeth
come together, and it shows me high spots, and it
shows me how it looks right and right.
Speaker 1 (15:40):
There is there, like I do I push my teach.
Speaker 4 (15:44):
How I literally not that? Damn?
Speaker 1 (15:49):
I know, what do you think? Doc?
Speaker 4 (15:51):
Beautiful? Yeah?
Speaker 1 (15:53):
Anyway, so I got to ask you about my mom.
Speaker 5 (15:55):
Sorry, I'm like, please, no, I love this.
Speaker 1 (15:57):
She's having two rude canals done, she said, did she
just have bad dentistry? When she like? How many times
are you fixing other people's bad work?
Speaker 4 (16:05):
So it depends on when was the last time she
saw a dentist.
Speaker 1 (16:08):
Well, she sees one all the time, but I guess
she hear her dentist when she was younger was really bad.
Speaker 4 (16:13):
Yeah, So if she had a previous large restoration, that
makes it more susceptible to developing rutkena later on.
Speaker 1 (16:20):
So you have to it has to be at what
point do I say, Mom, just pull them all and
do dentures?
Speaker 4 (16:27):
Never? Never my belief, and I promise that to all
of my patients that if you stick with me, you'll
have your teeth when you're a hundred years old. Really,
with modern technology, you really shouldn't lose your teeth. I
mean only due to accident maybe.
Speaker 1 (16:42):
Yeah.
Speaker 4 (16:42):
So the cause of tooth loss is purdental disease, which
can be controlled with every six months checkup and cavity.
If it gets to the nerve and then it destroys
the tooth, then it becomes complicated. But if you catch
cavity early and fix it, there's really no reason, especially
in modern times, that people should be without teeth, but
no matter how old they are.
Speaker 1 (17:03):
So how's the work in my man? Okay? Where are
you located? Because I think, okay done, I've got a
new dentist.
Speaker 3 (17:16):
I told you right doship from my apartment, so you
can come and stay, get some some dental work done,
and head out.
Speaker 1 (17:22):
Fantastic, All right, I'll give you a big odd next
time you thing you used to suck out the spit with?
Speaker 4 (17:27):
Yes, what is that called section?
Speaker 1 (17:32):
I have overactive salivary glance, so that things always.
Speaker 4 (17:35):
A good thing. That's one of the reasons I was
just explaining to Gandhi that you keep your teeth healthy
if you have a healthy salibarty flow. Yes, because saliva
is a it's a it's a buffer seven point four
pH which balances your mouth and prevents you from getting cavity.
Here's my exactly right.
Speaker 3 (17:54):
He's got great teeth, those a lot. He's a true Definitely, Thanks.
Speaker 1 (18:01):
Doc, I'll be there in two weeks.
Speaker 4 (18:02):
Get yes, free.
Speaker 5 (18:05):
Thanks, that was great.
Speaker 4 (18:06):
Nine, I'll be there.
Speaker 3 (18:08):
I'm glad your teeth are doing well. Nate, case you later.
So I feel like I'm yeah, oh yeah, that's Nate.
Speaker 5 (18:15):
That's straight.
Speaker 4 (18:15):
Nate.
Speaker 5 (18:16):
He is fun.
Speaker 3 (18:17):
He's so I got Himizzline and Diamond as soon as
she took her like five seconds, as soon as she
saw me to start making fun of the way that
I was speaking.
Speaker 5 (18:26):
But Diamond, my dentist said he can't hear it on
the air.
Speaker 4 (18:30):
That's right. In fact, I was looking for it. Then
they couldn't hear it.
Speaker 5 (18:34):
Very good I hear.
Speaker 3 (18:35):
But okay, So I feel like I'm producing more saliva
with these and with these, so that's a good thing,
you say.
Speaker 4 (18:41):
So basically, the way we're designed, if we put anything
in the mouth, we're thinking we're going to eat it.
So you start producing saliva right away.
Speaker 3 (18:48):
I think, so my mouth is saying I'm gonna eat.
Speaker 4 (18:52):
That's a good reaction. Okay, it's not bad. It's a
good thing.
Speaker 3 (18:55):
Actually, do people really successfully wear these for twenty two
hours a day?
Speaker 4 (19:00):
Yes, And I can see that at your check up, you.
Speaker 3 (19:02):
Can you'll be able to tell if I've done it. Yes,
I've mostly done it for the most part. I think
there was a day on vacation where I forgot that
I need to bring a toothbrush with me.
Speaker 4 (19:10):
Well that I wouldn't know, but I will know because
in this line worked great. But a lot to do
with patient participations. So if you're not wearing them, I'm
going to tell that the teeth are not tracking, and
the next aligner is already designed considering that the previous
alignment did its job so little by little starts going
(19:32):
off track, and then when you try to force it in,
that's when people tell you, oh, in this lines hurt. Well,
they hurt because you didn't wear them regularly, but people
don't like to admit that. Oh I just did.
Speaker 3 (19:44):
Admit it the one day. But I've been doing a
really good job with it because I want them to work.
Speaker 5 (20:00):
I told you this.
Speaker 3 (20:01):
So I never had braces or anything like that when
I was little, because it was all about my bite.
And my bite was apparently okay, but my teeth on
the bottom started moving because I had those extra wisdom teeth,
and the ones on the top started moving too, and
they used to be totally straight, and now they're a
little crooked. And I didn't notice until these stupid cameras
were on me all the time, and now I see
(20:23):
them in videos and I think, oh, and.
Speaker 4 (20:25):
Here's nothing me by the way. Okay, So whether you
have wisdom teeth or not, your teeth will shift, will they? Yes?
So I had my wisdom teeth that removed long time ago.
I was in my twenties, and then my teeth just
started to shift even though I have no wisdom teeth.
Speaker 5 (20:38):
Why is that what happens?
Speaker 4 (20:40):
So basically, your body goes through changes. You're not going
to look like this when you're sixty or eighty, you know, shrink.
So everything in your in your body changes and as
the boundary models, teeth like to shift around, so you
try to keep them in place. You got to wear
a retainer every night.
Speaker 3 (20:56):
So once I go through, Yeah, Diamond, when you threw
your retainer away and I melted it?
Speaker 5 (21:02):
She melted it? Wait? How did you melt it?
Speaker 6 (21:04):
This is very embarrassing. But I thought that I had
to sterilize it because I hadn't used it in a while,
and I put it into a cup of boiling hot
water and it melted right in front of me.
Speaker 4 (21:14):
And like, oh, don't feel bad. College is usually where
retainers get lost and think this is the place. This
is like a Bermuda triangle for the retainers. It's like
I see day in and day outpatients can mean I
had entertainers I had, I had in visil lines. I
mean I had braces before when I was a kid,
I had. Everything was great. Then I went to college
(21:34):
and that's how every story starts. And then I lost
my retainer and now I'm back and now I'm doing
in visil liance.
Speaker 5 (21:40):
And you didn't want to tell your parents because you
thought they were.
Speaker 6 (21:41):
Not terrified, because they had already said, like, make sure
that you hold on to these retainers because they're expensive
or something like.
Speaker 4 (21:48):
That, so terristic. So when you pay for your own
invision line, you will wear you will wear retaining.
Speaker 5 (21:53):
Yeah, I'm probably gonna to do it again.
Speaker 6 (21:55):
Now, don't know where to go?
Speaker 3 (21:56):
You know, yes, Jersey City, load of smiles. This is like,
this is gonna be like a forty five minute long
infomercial for how much I love.
Speaker 5 (22:02):
My dentist, which is true.
Speaker 3 (22:03):
I've talked about you plenty of times, like on the air,
off the air, because when I find a medical professional
that I like, I feel like I should share it
with the world because it's a very close relationship that
you have with somebody, whether you want to or not,
and you want to be comfortable with them, and you've
done a really good job of making me comfortable to thanks.
Speaker 4 (22:19):
Yes. So, like I said, that goes back to my
ideology that I want to change people's opinion about dentistry.
So it's not like a mystery what did the dentist
find there? You come in, we put in a chair,
we scan your teeth, you see it on the screen,
and we have a discussion. So it's a it's a
different dentistry than it used to be. And that's why
you start feeling comfortable because you can see what's going on.
(22:41):
You know what's going on, you're involved. It doesn't have
to be a bad experience. It's actually you know, we're
always looking at our patient's comfort. Like I said, the
left hand rule. As soon as they're they need to
raise it up. Everything must stop that.
Speaker 3 (22:54):
And you actually put my tooth gems on my teeth. Yes,
the first time I got them done, I got done
three times. With you, they've actually stuck and they have
not come off. I didn't swallow them, which I'm pretty
sure I swallowed all the other.
Speaker 5 (23:06):
Ones, because do you have them, then I do. Yeah,
I have them with the with the on that.
Speaker 3 (23:11):
When I did the first time in California some tattoo shop,
I'm pretty sure it was just like Elmer's glue or
something that they stuck on there.
Speaker 5 (23:17):
Because those were off quickly.
Speaker 3 (23:19):
The second time, I went to a drag queen in Brooklyn,
not really sure what I was thinking of that either.
And then the third time I came in to you
and you were like, where did you get these done?
And I told you you said, you know, I actually
I think, Masha, I think your wife told me that
you guys did them there.
Speaker 4 (23:32):
So I was like, you know what, she has one
for many many years.
Speaker 3 (23:35):
Yeah, she said hers had stayed on for a long time.
It might have stayed on at this point for four years.
Speaker 5 (23:40):
I think they're.
Speaker 3 (23:40):
Still there, still going strong. So yeah, you do all
kinds of stuff over there, and we love it you.
Speaking of technology, is it true that you can microchip
people by putting a chip into their tooth?
Speaker 4 (23:51):
I guess depending on the size, it's possible to put
it into the crown. If you really shave down the tooth,
there's still enough room in there if the micro but
I don't know how big it is. So theoretically I
would see that be a possibility, but I don't know
if anything.
Speaker 5 (24:05):
But you've never done it. Okay, so you will not
get chipped at moment inside of.
Speaker 4 (24:10):
The tooth to place a little chip in there.
Speaker 3 (24:13):
Okay, so we've got one. Yes, that's actually true from
all the nonsense that I've read, and.
Speaker 4 (24:17):
Then I think said possible.
Speaker 3 (24:19):
Possible, Okay, it is possible that someone could do if
you say it's possible. In my head, it's happened like
a hundred times. So this is the one that's been burning,
I think on everyone's the burning question on everyone's mind.
Is it true that your dentist can tell if you've
been involved in naughty activity before you come?
Speaker 5 (24:38):
It is true. I knew it. Okay, Yes, I have.
Speaker 3 (24:43):
A dental a friend who's a dentist who said, yeah, totally.
There's what is a blood vessel at the top of
your mouth.
Speaker 4 (24:48):
Yes, and it bursts, that's one. It doesn't burst, but
it's like a bruising effect. Basically, the force trauma can
cause rupturing of the vessels.
Speaker 5 (24:57):
This sounds so dramatic. Force trauma and bruising. People are
having a good time, you know.
Speaker 4 (25:03):
Yeah, trauma, right, the force, you're right, okay, So, and
that causes rupture of the blood vessels, but it doesn't
cause the rupture of the outer lining, so it's inside.
So that's why it looks dark.
Speaker 5 (25:20):
Interesting, That is what bruising is. Are there other things
that can cause that?
Speaker 4 (25:24):
None other than well it looks different if it can
be caused by thermal by hot like pizzas tuck to
the but it looks different. So that's I don't know
what object. You know, it's trauma, okay in a certain way.
And then there's also due to the friction of the
lower portion of the tongue against the cheese, that can
(25:48):
cause hyperpleasia. So you can see a line, white line
and a tongue like really hypercritosis is called hyper keratosis.
Speaker 5 (25:58):
Is a white line on the tongue.
Speaker 4 (26:00):
Yeah, due to friction against the cheek.
Speaker 3 (26:02):
So you guys ever have a little chuckle after you leave,
like I know what was going on over there? No,
you just you just keep it to yourself. What a
good dentist. I feel like I would be like, Diamond,
listen to this.
Speaker 5 (26:12):
How long does that last?
Speaker 4 (26:14):
It goes away within the week.
Speaker 5 (26:16):
A week?
Speaker 3 (26:16):
Okay, So now everybody listening, give yourself a week before
you go to the dentist if you're doing something naughty
frictional hypercritosis, because it can happen. We were talking about
that before you came in, and Diamond was like, I
need to know if this.
Speaker 5 (26:28):
Is actually true. I said, I think it is.
Speaker 3 (26:30):
We're going to find out. So a lot of good
information here. If you had to tell somebody, hey, do
this one thing. It's very important for your mouth. What
is that thing? Is it flossing? Is it brushing?
Speaker 5 (26:41):
Is it?
Speaker 4 (26:42):
So? Basically a daily routine that I have is I
start by flushing my teeth every morning. Then I brush them.
Speaker 5 (26:51):
Oh you fluss first, yes, okay.
Speaker 4 (26:53):
So if there's any debris lift in between teeth, you
can then dislodge it and then the brush removes it.
Speaker 5 (26:58):
Okay.
Speaker 4 (26:59):
I do the unscraping, so that cannot be done with
a brush because that's just going to make a gig.
You have to have like a solid object to scrape.
And then once in a while I use arens.
Speaker 5 (27:12):
Once in a while, so not every time you brush.
Speaker 4 (27:15):
Day, okay, and then no matter how well you brush,
I do see my hygienist. I see him every four months, Okay.
I like that. Yeah, and that's all. That's how you're
going to keep your teeth as long as you're alive.
Speaker 5 (27:28):
So it's pretty easy. Just keep up with the dentist
and you'll probably be okay.
Speaker 4 (27:32):
Yes, that's basically.
Speaker 3 (27:34):
My dentist caught that I had high blood pressure and
I had no idea because I was going to get
my wisdom teeth taken out. So you're taking my blood
pressure and he said, oh, your blood pressure is pretty high.
And it turned out that it was from my birth
control because I was healthy and there was really nothing
else going on. So then because my dentists found that,
I was able to get on a counterpill for that.
(27:56):
Now I just was it's much better for me to
just not take it because that birth control was well.
But my dentist caught that. So you guys see a
lot and do a lot.
Speaker 4 (28:03):
Yeah, we do check blood pressure as a standard of
care before we do any injection. And obviously in the
first visit and the first visit, it's not definitive if
you once had a blood pressure because you walked to
the chair or something. But if you repeatedly see that
it's high blood pressure, you want to bring it up
to the patient's attention.
Speaker 3 (28:20):
Have you ever had to call nine one one because
you saw something inside someone's mouth and you're like, oh,
I can't take care of this.
Speaker 4 (28:25):
No, luckily, Okay, so you've had pretty good Have anybody
carried out our office yet? Oh?
Speaker 5 (28:33):
Good?
Speaker 3 (28:34):
Well, speaking of your office, and I will leave it here.
Something so cool happened that love. I feel like it
was just fate. You came to my art show and
Ima Masha both came and one of the things that
we did was we had a raffle and a lovely guy,
Nama heir. He said, hey, I would like to purchase
one piece of art on this wall, and raffle it
(28:55):
off to somebody. So our boy Scary came and he
picked the biggest piece on the wall.
Speaker 5 (28:59):
Which I love Scary for that. And here about it.
Speaker 3 (29:02):
We pulled the ticket and you guys won, And when
I saw it was you, I was so excited.
Speaker 5 (29:07):
I'm like, yeah, oh my god, my dad just won.
And now you guys have that at the office.
Speaker 4 (29:11):
It's hanging on a wall in our office, and next
time you come in, we'll take a picture. I would
want to and had a frame that's hanging.
Speaker 5 (29:18):
Oh yeah, you said a picture and it looked really
really good.
Speaker 3 (29:20):
Well, thank you. Guys have been wonderful. I really appreciate
all the work that you do. Hopefully we're going to
get some more people to come and visit you in
Jersey City, but not too many because I still need
to get in there to.
Speaker 4 (29:30):
Have a facility to handle as many patients as come in.
Speaker 5 (29:33):
Okay, yeah you do. It's grown at how much has
it grown since you started?
Speaker 4 (29:37):
Well, I moved there from a four chair operatory also
in Jersey City. I was working on Grand Street for
about eighteen years before we moved, and then we moved
from four chairs to six chairs, and now we have
nine chairs, and we have four doctors, and we have
twenty staff. And one of our biggest papev is that
(29:59):
nobody waits. We have no waiting in the waiting room.
I love that nobody gets hurt. If patient's uncomfortable, they
should raise their left hand. We're not going to proceed
if you feel any pain at all. And just to
make a fun experience and make patients like coming to
a dentist, which is how it should be, because the
dentist is there to help people live a better healthier life.
(30:20):
That's what we're there for.
Speaker 5 (30:21):
Your teeth are very important to your health or an.
Speaker 4 (30:24):
Often times you don't know you have an issue and
by the time you find out, it's already super expensive.
So one of the main reasons, well, there's few reasons
why patients don't like to go to a dentists. One
is pains. We already talked about that. Second, you just
mentioned a little bit about the people with insurance or
without insurance. So a lot of my patients they make
(30:45):
a mistake of thinking that if they lose their insurance,
they shouldn't go to a dentists. So, like I said earlier,
bacteria doesn't know whether you have insurance or not. So
bacteria is going to take this cavity that could be
handled with two hundred dollars and it's going to proceed
into the nerve. And as bacteria gets into the nerve
through the canal, it starts infecting the surrounding bone. So
(31:08):
to prevent all that, a filling will suffice. If you
don't go regularly because you think you have no insurance
and you can't afford two hundred dollars. Now it gets
to the root canal, which is over one thousand. Then
you need a Postcore, and then you need a Crown.
So now it's three thousand dollars. So now when patients
don't have insurance, they hold off, they wait for about
five to ten years. Finally they get this insurance. They
(31:31):
come in and now there's not one filling, not two fillings,
and now you have root canal here, Postcore Crown, root
cannout here, Postcore Crown. So with your insurance, you end
up paying thousands of dollars for something that could have
been prevented with a two hundred dollars filling without insurance.
So I always tell my patients if you know somebody
who have no insurance, it doesn't mean they shouldn't go.
(31:51):
In fact, that's the reason to go. So you can
take this two hundred dollars investment and prevent three thousand
dollars worth of work. I multiply that by twenty eight
teeth that becomes expensive. So now the dentistry is expensive
because people haven't been going regularly. But when they do go,
they have an unpleasant experience which causes them not to go.
(32:13):
So it's kind of becomes this vicious cycles. By making
people feel comfortable in our office, we're encouraging them to
come in. So you could absolutely have all your teeth
when you're a hundred years old. Absolutely good to know.
Speaker 5 (32:29):
That is my plan. I would like to have all
of my teeth when I'm a hundred. I would also
like to be a hundred. So we have a.
Speaker 4 (32:36):
Grandma made it to a hundred. I wasn't a dentist
when she was younger, so she didn't have all of
her teeth, but she did have all of her teeth
since I became a dentist when I was left, I
managed to keep it for her.
Speaker 3 (32:47):
Oh okay, okay, last question, I keep saying, last question
asking you one more thing. What are your thoughts on
people leaving the country to go get veneers? Do you
think veneers are a better option than just braces and
in visiline?
Speaker 4 (32:58):
I think that's all so each case dependent. So in
some cases we are able to take your natural teeth,
put it in a perfect place, do a little whitening,
and it looks way better than vine years. So in
my particular opinion, ven years, I wouldn't go with that
as my number one option. I would take natural teeth
(33:19):
and see what we can do with that, and oftentimes
with in viziline and widening, we can make it look really,
really pleasant. If patients need vine years, meaning if they
already had some work done that or their teeth naturally dark,
then maybe ven years are better option. So with ven years,
(33:39):
you're not covering the entire tooth, so there is a
possibility that veneer can dislodge. It doesn't happen often, so
you obviously want to be close to your dentist. You know,
it's everybody's choice. I'm not competing with anybody. I'm there
to help whoever wants to be helped. We do with
do veneyears too, but that's not my first choice.
Speaker 5 (33:58):
Gotcha.
Speaker 3 (34:00):
So if you want to leave anybody with a piece
of advice about their mouth, yes, what is what is
your advice to or less rush.
Speaker 4 (34:05):
Your teeth, Floss your teeth, see your dentists, and you
will have your teeth as long as your life.
Speaker 5 (34:10):
What is the number one cause of bad breath?
Speaker 4 (34:12):
Bacteria? We're dealing with the bacteria. Okay, think about it
this way. So if if you if you take any
any food anything, and you put it in a warm,
moist environment, it starts to gkay. And that's why when
you go to near garbage, there's a certain smell to it, right,
it's they So where can bacteria hide? First of all,
(34:34):
sometimes it hides behind the last molar. If the wisdom
teeth came in on the side, there is like a
trap for the food. So if the food is strapped
in one spot, is going to sit there and it's
going to omit a smell. Second area where this can
happen if the tooth is let's say, have broken or
has a big hole in it, like a cavity, and
bacteria sits in there and foods particle gets stuck in there. Bacteria,
(34:56):
you know, breaks it down for its own energy, and
it's on food and creates smell cavities. The other area
where bacteria can gather is between There's like a trench
that goes around each tooth. It's called periodental pocket. It's
the space between the gum and the tooth, and that's
where most of bacteria is sitting. And if it's sitting
(35:16):
there and patients don't go to dentists regularly, this bacteria
gathers and it grows more of itself, and there's some
order that's coming out of periodental pocket peridental space. So
sometimes I actually walk in a plane and people are
sleeping like this with their mouth open, and I walk
by the row and I walk and oh that's perio,
(35:37):
and I walk, Oh that's perio. It has a certain
smell to it, and perio means that those pockets in
those patients are bigger than normal. So normally it's two
to three millimeters, if the pockets are seven eight millimeters,
Now you have this huge trench that goes around each
tooth that contains this sewer basically material that smells. So
(36:01):
when you walk by, you're like, oh, I can smell that.
Oh that's period. That means their pocket is much bigger
than every healthy people. Also, our tongue has popillis these
little bumps, and when plaq gets accumulated around those, that
creates bad bread.
Speaker 5 (36:17):
Black accumulated on your tongue.
Speaker 4 (36:19):
Well, if you take a tongue scrape and you scrape,
you will see so much black on it that causes
bad breath. So in order of what brings more bad bread,
so it's pear of disease, tongue scraping, and then if
there's a cavity that that can trap foods. So those
are your bad bread You.
Speaker 3 (36:36):
Ever tell people like hey, I smell a little little periodon't.
Speaker 4 (36:40):
I tell him? I show them on the screen.
Speaker 5 (36:42):
That's what I know. But like people, your patients, if
you like when you get on a plane and you
see that, you're like, hey man.
Speaker 2 (36:47):
It's probably of course, but also I would want it,
Like if somebody noticed something like that on me, I
would I would want to know it.
Speaker 5 (36:54):
So, okay, good to know.
Speaker 3 (36:56):
But did you were you happy when people were wearing
masks that you didn't have to walk around and smell?
Speaker 5 (37:00):
That had to be a good time. Yeah, just a
short short amount of time. Cool. All right, Well, thank you,
I appreciate it. This has been fun.
Speaker 3 (37:07):
And I'll see you in like two weeks, I think,
because I have to get a little test for.
Speaker 5 (37:12):
My invisil line. Right, yeah, we're going to check up
on it. Oh you want to talk about do you
have any you.
Speaker 4 (37:19):
Okay, yeah, So we have this invision line day where
we're going to have uh, it's gonna be on a Sunday,
so usually we're closed on Sunday, So this Sunday we're
going to open June June ninth, and we're going to
have adors and drinks and on that day so.
Speaker 5 (37:35):
Get food in people's teeth and then look at them. No no, no, no,
you guys do have two brushes there.
Speaker 4 (37:40):
So on that Sunday we're going to have no hygien
no no, just scanning. So basically anybody who either wondered
about in visi line or just want to get a
free scan. So basically there's people who never seen their mouth,
so we're going to scan it, show it on the screen,
and then we're taking five hundred dollars off. People will
(38:00):
start the invision line. We're doing this. If they sign
up that day, they get to spin a wheel of prizes.
We're giving prizes. We're doing widening for life, So if
they sign up, they have to wear retainers I mentioned
earlier in order to keep your teeth. So every six months,
if they come for a cleaning every six months to
our office, we give them a professional strength widening jail
(38:22):
to use with the retainer and we're also including four retainers.
So it's going to be a great day Okay, June ninth,
stop by, check it out.
Speaker 3 (38:30):
That's exciting. Tell them that you heard it here so
you know, all right, Well, thank you doctor Moment. It
was nice to have you in here. I appreciate your time,
and thank you Masha. Appreciate your time too.
Speaker 5 (38:39):
Again.
Speaker 3 (38:39):
You can find them out lotus miles in Jersey City
and we love him so thank.
Speaker 5 (38:43):
You, lots of ways.
Speaker 3 (38:55):
And it's a fact they can tell if you're sucking
a dick.
Speaker 2 (38:59):
I'm happy you got the answer to your question.
Speaker 3 (39:01):
I like that he was really not about saying trauma
to the mouth, but also was about saying trauma is
the mouth.
Speaker 2 (39:10):
I also think it's funny that your guest last week
is like Drake Bell. The week before, like the week
before that, you're talking mammoths, and this week it's like, hey,
we're speaking to a dentist.
Speaker 5 (39:19):
This is my favorite stuff.
Speaker 2 (39:20):
It really is like, I feel like you're getting the
mission statement of what your podcast was supposed to be,
which is just like, this is just what's in my brain.
Speaker 5 (39:26):
Right, It's about whatever the fuck we want.
Speaker 1 (39:28):
I love that for you.
Speaker 3 (39:29):
Guess what I found out? What bad news I thought
I was on Shadow Band. In fact, I am still
Shadow band. And you know how I found out most
embarrassing shit ever. At the Gracies, I'm meeting all these
incredible women.
Speaker 5 (39:40):
They're like, hey, can I fall on you on Instagram?
Speaker 3 (39:42):
I was like, yeah, for sure at Baby Hot Sauce
and all of them are like, oh, but it says
beware of child sex abuse. Metta, I am coming for
you because now you have humiliated me and you have
stomped on my livelihood and I am not having it.
Speaker 5 (39:55):
Not having it.
Speaker 2 (39:56):
Are they in your Burm book?
Speaker 3 (39:57):
Yeah, Metta, that's my Burm Book entry. It's like, like,
how do you explain to me? It was kind of
funny at first, hah, Okay, this is a little weird,
but now you're meeting like Foolish or Rashad or Christen
Wig or Carol Burnett, Garcel Bouvier.
Speaker 5 (40:12):
Yes, she was there.
Speaker 3 (40:13):
I took video of the Housewives for you and diamonds that.
But yeah, Metta, you're really fucking with my livelihood here.
Speaker 1 (40:20):
Not cool, and you're burned. I can't do the fire
sound of the I'm trying.
Speaker 2 (40:29):
Yeah, I think it's I feel like burn Book could
maybe also be renamed to I Spit on your Grave
because when you do that, it always makes me laugh.
Speaker 3 (40:37):
You can't see what I'm doing, but sometimes I walk
by Andrew and I just look at him and go,
that's it.
Speaker 5 (40:43):
And he knows that I'm spitting at him.
Speaker 2 (40:45):
So we spit on your grave.
Speaker 5 (40:49):
And you actually have that sound effect. Now I do.
Speaker 1 (40:53):
I can't spit.
Speaker 5 (40:56):
That's how I feel about you. Meta.
Speaker 3 (40:57):
Yeah, all right, I think we should probably get out here.
We can skip ask me anything today, We'll do it
another time.
Speaker 5 (41:02):
Yeah, because I feel like we asked. The dentis a
whole lot of questions.
Speaker 4 (41:05):
Hell yeah, so.
Speaker 3 (41:05):
We have so much stuff coming up. Where can they
find you on Instagram, Andrews, Since you're the only findable.
Speaker 2 (41:09):
Person at Andrew Pug and I'm not shadow band, so
go and follow me at.
Speaker 3 (41:14):
Baby Hot Sauce. I am shadow band, so you can
search my full name. Good luck spelling it me.
Speaker 5 (41:19):
E d H A space g A N d H I.
Speaker 3 (41:23):
And yeah, if you have any asked me, any things
or any suggestions for us in general, hit us up.
Speaker 5 (41:28):
Yeah, do it, slide into the dms.
Speaker 1 (41:29):
Slide into those dms.
Speaker 5 (41:31):
Yeah, okay, see by Andrew.
Speaker 2 (41:33):
Okay, bye, everybody,
Host
Medha Gandhi
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