Oct 5, 2026 · 1 hr 9 min · 14 segments
Thinking beyond sugar by James Goolnik BDS MSc | PHC Conference 2019 https://www.youtube.com/watch?v=qaw1Zn2G0E8&t=355s Here is the current…
James GoolnikGuest
Graham PhillipsHost
People seem to think it's normal when they brush their teeth and spit out in the sink and there's blood in the sink and, and that is not normal, and we have a zero tolerance to bleeding gums.

If there is blood on your brush or in the sink, there's an issue, and then we need to find out what's going on.

'Cause as soon as you eat and you talk and everything else, the, the, the microbiome will regenerate, and you'll get plaque accumulating, so it's impossible to have a sterile mouth, and we don't want a sterile mouth.

We need those bugs to break down nutrients and break down enzymes and foods for us.

So the biggest thing is looking for inflammation, seeing is it generalized inflammation everywhere? And then are we worried about some other thing going on with them? Are their immune system is compromised? Is there something else going on in their body, or is it specific to an area they're missing, like their wisdom teeth? And can we help them go through the, the cleaning technique, and what is best for them? There's no one particular brush that works for everybody.

Sometimes it's an electric brush, sometimes it's a manual brush, sometimes it's a, um, it's a combination of battery-powered ones.

It's just finding something that will motivate them to do the, the difference.

The ne- next thing we're looking actually for is tooth decay and seeing what is going on.

Other people, it's actually having too much fruit, and especially dried fruit is an issue.

People seem to think it's normal when they brush their teeth and spit out in the sink and there's blood in the sink and, and that is not normal, and we have a zero tolerance to bleeding gums.

If there is blood on your brush or in the sink, there's an issue, and then we need to find out what's going on.

'Cause as soon as you eat and you talk and everything else, the, the, the microbiome will regenerate, and you'll get plaque accumulating, so it's impossible to have a sterile mouth, and we don't want a sterile mouth.

We need those bugs to break down nutrients and break down enzymes and foods for us.

So the biggest thing is looking for inflammation, seeing is it generalized inflammation everywhere? And then are we worried about some other thing going on with them? Are their immune system is compromised? Is there something else going on in their body, or is it specific to an area they're missing, like their wisdom teeth? And can we help them go through the, the cleaning technique, and what is best for them? There's no one particular brush that works for everybody.

Sometimes it's an electric brush, sometimes it's a manual brush, sometimes it's a, um, it's a combination of battery-powered ones.

It's just finding something that will motivate them to do the, the difference.

The ne- next thing we're looking actually for is tooth decay and seeing what is going on.

Other people, it's actually having too much fruit, and especially dried fruit is an issue.
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