The Skinny Confidential Him & Her Podcast - Dr. Sam Saleh - How Oral Health Impacts Your Overall Health & Aesthetic Dentistry Advice
Episode Date: June 26, 2024#718: Today we're sitting down with Dr. Sam Saleh. Dr. Sam Saleh is a world-renowned facial aesthetic dentist sought after for his signature treatment techniques, including minimal preparation restora...tions, attracting patients globally, including high-profile individuals and celebrities. He joins us to discuss all things oral health, aesthetic dentistry, and how to have a healthy oral microbiome. To connect with Dr. Sam Saleh click HERE To connect with Lauryn Bosstick click HERE To connect with Michael Bosstick click HERE Read More on The Skinny Confidential HERE To Watch the Show click HERE For Detailed Show Notes visit TSCPODCAST.COM To Call the Him & Her Hotline call: 1-833-SKINNYS (754-6697) This episode is brought to you by The Skinny Confidential Head to the HIM & HER Show ShopMy page HERE to find all of Michael and Lauryn’s favorite products mentioned on their latest episodes. This episode is brought to you by ServPro SERVPRO can make any size disaster look like it never happened. Visit SERVPRO.com or call 1-800-SERVPRO today. This episode is brought to you by CORT Furniture Build your own furniture rental package today at cort.com/podcast This episode is brought to you by LMNT LMNT is a tasty electrolyte drink that has everything you need and nothing you don't. It contains a science-backed electrolyte ratio: 1000mg sodium, 200mg potassium, and 60mg magnesium. Get a free sample pack with any purchase at drinkLMNT.com/SKINNY This episode is brought to you by Equip Foods Go to equipfoods.com/skinny or use code SKINNY at checkout to receive 20% off your order. This episode is brought to you by Sunday Lawn Care Sunday is available at Target, Walmart, and Lowe’s stores nationwide. Use code SKINNY20 for 20% off your custom lawn plan on getsunday.com This episode is brought to you by The Farmer's Dog It's never been easier to invest in your dog's health with fresh food. Get 50% off your first box & free shipping by going to thefarmersdog.com/skinny Produced by Dear Media
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The following podcast is a Dear Media production.
She's a lifestyle blogger extraordinaire. Fantastic.
And he's a serial entrepreneur. A very smart cookie.
And now Lauren Everts and Michael Bostic are bringing you along for the ride.
Get ready for some major realness. Welcome to The Skinny Confidential, him and her. Well, your mouth is such an important part in your body, right?
That's how you eat, right?
You know, you breathe through your mouth.
So it's such an important portal.
So keeping your mouth healthy is not just health of, you know, it's not just oral health
care that we're talking about here.
It's general well-being, you know, reducing bacteria levels. There are stress hormones that can come into your mouth and reducing those stress
hormones by having very good oral hygiene can actually help you with sleep. So it has a lot
of systemic effects. There are conditions of the heart that can be affected by having high levels
of bacteria in your blood levels. So you've really, you know, you've kind of got to look at the mouth as a very important place
from where your general health starts.
And it's just, it's crucial.
Today, we're talking all things mouth.
Teeth, tongue, flossing, veneers, aesthetics, what looks youthful in the mouth,
how everything plays a role on your face according to
your mouth, oral hygiene, the best way to brush your teeth, mouth breathing, nose breathing,
and everything. And we're covering it with my world-renowned facial aesthetic dentist.
Okay. So Michael had gone to him forever. I actually was recommended to this dentist by Dorit
of Real Housewives of Beverly Hills. And Michael loved him so much. He thought he was amazing and
incredible and just so talented when it came to aesthetics and teeth and teeth cleaning and just
all things. And so I started going to Dr. Sam. I fell in love with him not only as one of the best dentists
in the world, but also as a person. He has so many incredible tips that a lot of people just
don't know, things that I was blown away about. Dr. Sam Saleh is a pioneer in conservative dentistry
practicing in both London, UK, and Beverly Hills. And let me tell you, he is like the secret to celebrity dentist.
There are so many people that go to him. He's very humble about it. And you're not going to
see it all over his Instagram, but he is a secret in the celebrity and influencer world.
And he just knows what he's doing when it comes to facial aesthetic, whether it's veneers,
or for me, I did a mouth guard with him to make
sure I was protecting my teeth from grinding or whitening your teeth. He does amazing whitening,
like the best you've ever seen or teaching you how to floss or brush. He just knows his shit
when it comes to dentistry and aesthetics. And I think that if anyone is out there who
is listening, who's thinking about
anything aesthetic, whether it's whitening or a mouth guard or veneers, you guys should message
him on Instagram because he does the best smile makeovers. Whether you have real teeth, fake teeth,
chipped teeth, whatever it is, he is going to make sure that your teeth look at the absolute best. You should also know that he
has a formulated pulling rinse oil that I use. I've used it forever. So does Michael. And we get
into that. And I asked him a bunch of questions about oil pulling and the do's and don'ts. I think
you're going to like this episode because everyone who's listening has a mouth and you should know
everything to know about the mouth because your mouth is like a resume. You walk into a room, you smile, you talk with it. It's really important
to your day-to-day, obviously. I am someone who had horrible, horrific, multiple-hour surgery
years ago. And so my mouth has always been like a tender spot for me and he's worked
really well with me to make sure I'm comfortable going to the
dentist. And I go to him every three months to get a teeth cleaning. On that note, let me introduce
you to the most exceptional dentist I think in the world, Dr. Sam Saleh. This is the Skinny
Confidential, him and her. We have Dr. Sam, a facial aesthetic dentist from Beverly Hills in London in studio today.
I am so excited because you are our personal dentist too. So I feel like this episode has
a lot of personality to it because we know you so well.
Maybe the best looking dentist I've ever seen, huh?
He is. Go Google him, guys. Don't get excited. He's married. Dr. Sam,
welcome to the show. Thank you so much. It's so wonderful to see you both outside of my dental
chair. Yes, our sparkly team. I'm not going to lie. I do feel, listen, I love your dental chair.
I feel like I'm going to a spaceship every time I go into your office, but I do like,
maybe I like this setting a little more. Yeah. Well, you guys are in the position of power now.
Now I know what my patients feel like. You don't have intimidating sitting in front of this
microphone. You don't have a pick in my mouth. Right. It's like one of those things that holds
my mouth wide open. I feel I wish I brought one of my syringes with me actually, because then I
feel like I have a bit more ammo right now. You guys have way too much power. I feel like I'm,
yeah, this is, this is intense. I actually found you as a dentist because I was watching Real Housewives and I saw Dorit
come to your office.
Yeah.
And I was like, her teeth are so beautiful.
Like, who does her teeth?
Who cleans her teeth?
All the things.
And I sought you out.
And then I made Michael.
I was like, get on into the dentist.
You know, that happens a lot.
We get a lot of husbands and wives.
And, you know, there's always the guinea pig.
So somebody will come first and they try it out.
And then the other one gets, you know, really jealous.
And they're like, okay, when can I get in?
I need to get in yesterday.
Yep.
So we do have a lot of that.
A lot of apprehension.
I think a lot of people have had traumatic experience with dentists.
And a lot of people have had traumatic experience with dentists and it's a lot of people get nervous
and scared. But I, what I found when I came into your practice was like, it's a very calm environment.
Your people, the team, the team you work with is so great. It's always so comfortable. Like I am,
every time I'm in LA now I'm booking clean. I never did that before. You know, I was like,
now I actually look forward to going and getting it clean but i just it's it's the team you've built in the atmosphere which was my first experience
realizing that oh like a dentist's office doesn't need to be like a cold sterile environment it
could be light and bright and comfortable yeah yeah i mean when i first opened gosh like over
20 years ago so everyone would always say like you're a dentist really because they're the
stereotypical dentist is someone that you
wouldn't really hang out with don't have that much in common with and you are fearful of right
so like dentistry is just like again like kind of like sitting in this chair right now but
but that but that's what it was and I loved the art of dentistry right out of dental school and
you know I definitely have a very strong creative.
Obviously, I wear a doctor hat as well.
So I understand what goes, you know, in terms of what has to be done from a medical standpoint
and from everything that I was trained for.
But what they don't train you for in dental school is how to deal with that anxiety, how
to, you know, how to come into an industry and potentially shake it up because
every dentist, you know, would, would think that, okay, well, that's how my dentist was.
So then I'm going to set up the office the same way. And dentists as a, as a whole love dentists,
but as a whole are kind of like a little bit fearful of change, right? So, you know,
you have dentists who've been doing the same thing in the same way for 30 years and, you know, they wouldn't dream of doing it any other way because that's how
they were taught in dental school. But when I started, I was like, no, this is not going to
work for me because I love the job, but I don't love the setting. I don't love, you know, everyone
coming in and being like, oh my God, I don't want to see you and all that kind of stuff. So that's
where I started implementing those changes of, you know, why does it have to feel so grim when you walk in? Why
can't it have, why can't it have a beautiful aesthetic? Why can't you get the same feel as
you do when you walk into, you know, a Chanel store or, you know, why, why can't you get those
smells and those, and those, and those feelings? And why can't people be kind to you and nice to
you? And, you know, why can't somebody offer you a coffee before your appointment? You know,
you offer me sparkling water. Your team offers me sparkling water when I come in.
Right. With a straw.
With a straw.
You're so right. Because I imagine on the other side, that's probably not a great feeling to
work in a profession where people dread seeing you.
It's terrible, right? It's all that negative energy and they're bringing negative energy.
And then we become like sponges and then that's why you end up hating yourself
and killing yourself and all the rest of it.
So right off the bat, that was definitely part of my MO.
That was definitely part of the agenda
to change the mindset.
And when you do that, it just,
it's because the thing that people don't understand
is that the relationship that you have
or the sensation that you have around your mouth
is incredibly intimate, right?
I've had ladies who have come to me who've literally done every procedure that there
is to do in their body, in and around their face, but they say to me that, you know, but
when it comes to my teeth, I'm petrified.
I, you know, I, I, you know, the thought of it puts, you know, sends, you know, shivers
down my spine.
And so when, if you have
somebody who's coming to you with that kind of mindset, it's really hard if you're going to be,
you know, super sterile with them. And if you're not able to like break through and be the human
behind the white coat and the human behind what it is that they need from a dental perspective,
then, you know, it's, I think it's impossible to have the right kind of doctor-patient relationship.
One thing I appreciate about you is, and you and I feel like are very synergistic in this,
is you do have an eye for aesthetics and it shows even from your office to the way you deal with your patients.
When you look at someone's teeth, what aesthetic marks are you looking for as someone who is so into aesthetics?
Well, I always take a step back. So I think one of the crucial things to do when you're looking
at teeth is actually you've got to look at the face. So you can't really pull the two apart.
And I think that's where a lot of errors come in with aesthetic dentistry, because you can make
the most gorgeous teeth, right? Any laboratory can make you the most
beautiful teeth. They can make you the most straight teeth. They can make the color and
all the rest of it. But what you have to understand is that those teeth have to go
into a face and that face is what's framing those teeth. So if you don't pay attention to
where the lip line is, if you don't look at the horizontal plane of how the
pupils line up, right? And if you don't work within the parameters of that person's face,
those perfect teeth will only be a distraction in that face because they don't belong there.
So what a lot of, you know, I think one of the issues, and this is probably why veneers and the
word veneers was kind of like a gross word.
You know, people will say, oh, why are you getting veneers?
You're going to look so fake.
It's because you had something that was made on a benchtop that wasn't necessarily thought out for the face that it was going into.
So those are the aspects that I'm looking at.
So before I look at anyone's face, before I look at anyone's teeth, I'm looking at their face.
I'm looking at their skin tone.
I'm looking, you know, what are we working with here?
Are we working with a younger person?
Are we working with an older person?
What kind of skin tone do we have?
Do we have, you know, somebody who's super vibrant, you know?
Because these all play a huge role into what you have to design in order to make that beautiful smile work for that particular individual.
Makes total sense. I think it's genius. One thing that a dentist once told me, I think when I was
like, I want to say like 12, is they told me that a marker of youth is when you can see upper teeth
when someone's talking. What are things that you think mark youth, beauty, and vibrance,
or does it depend on what kind of face you have too?
It does.
It depends.
I mean, I'm definitely a big fan of the front two teeth
being a bit more prominent than the teeth on the side.
I think that's always instantly a more youthful look.
It is obviously something that's more in tune
with a woman's face than a man's face.
So if you start creating that like longer
and then an exaggerated shorter lateral, which is the side teeth on men that can slightly feminize the face.
So you kind of, again, it's gender plays a role in it as well. And, you know, and then you go
into shapes. And so, you know, an oval shape or a slightly more bell shape is more attractive,
more youthful on a woman. Once the, you know, once the aging process affects the teeth,
you can sometimes turn a bell shape
into it turns ultimately into a bit of a rectangle a bit of a square and that can again be a bit more
of an aging effect on a woman's face but then when we're looking at shapes on men typically you know
you want a little bit more of a squarer profile to the tooth and the teeth will just in general
read a bit more masculine a bit bit more attractive. There are so
many factors that go into looking to see how you can make something more youthful. Translucency
is another big factor when you're looking at the aging process and that youthful thing that we're
looking at. So people, when they age, the teeth start getting a little more on the see-through
side, a little bit more translucent. So the teeth start reading a bit more on the gray side. And those gray tones, if you have a bit of an older skin tone, will further age you. So,
you know, changing the translucency of your teeth, that can be another factor which adds youth to the
face. Also, this is so weird, but if someone has like gray or yellow teeth, I feel like it brings
out the gray and yellows of the eye. It can do. It can do. Yeah, it can do. And then, you know,
we are such judgmental people. We judge people, right? We see someone and you see somebody who's
got yellow stained teeth and you're, you know, in your mind, you're thinking this, you know,
they don't shower. They're probably dirty. They probably smell, right? Whereas if you see somebody
who's got a clean mouth, you know, their teeth are clean, aligned, straight, you're more likely
to think that that's a clean person, more trustworthy person. And it might not be true, right? But
the fact of the matter is, is that's just how we read people when we see, you know, when we meet
somebody for the first time. When people come see you, what is the most common thing that people are
not doing that they could be doing better to take care of their mouths? Flossing. Nobody flosses
well enough, in my opinion. Hey, you know what? Your team taught me.
I think you'd be impressed.
I'm like,
I think I'm like a nine flosser now.
Okay, but you know what's annoying,
Dr. Sam,
is he's leaving his fucking floss
around the house.
No, no, no.
That's disgusting.
Throw it away, please.
Throw it away.
Dr. Sam said that's disgusting.
Don't be a nine flosser
and leave it around the house.
It's like a used condom.
Please.
I will admit I have left those around at times.
Not with me.
No, but okay.
Go on with flossing.
Well, it's because flossing requires quite a lot of manual dexterity, right?
So a lot of people think that as long as you jam it in between the surfaces of the teeth,
then you've done a good job.
But that's not always enough, right? Because the tooth, a natural teeth, even veneers that are
done well, there's a slight curvature to each of the teeth when they meet each other. So when you're
flossing, what you need to kind of think of your flossing technique to be is imagine you're kind
of doing a Swiffer of the floors, right? You don't want to just like in and out, right?
You want to really clean that surface.
So that's why you want to make sure that the floss is actually contacting
those side surfaces of the tooth.
It's not just an in and out, you know, click, click, click in order to do it effectively.
And you like Coco Floss because...
I love Coco Floss for a number of reasons.
First of all, a lot of the big name brand
flosses contain PFAs. So we know today that it's a man-made product and it will never dissolve.
It will never break down. So when you have that in your product that you're using inside of your
mouth every single day, that's going to be a little alarming, you know, and you should be a bit more cautious in terms of, you know, having any of those kinds of materials
because you're doing it every single day. So you're introducing a product to your mouth
that's never going to break down. And that, in my opinion, is not a good idea.
So with Cocoa Floss, you don't have any of the PFAs. What I also like about Cocoa Floss is that
it has this slightly spongy quality. So when it comes into contact with the saliva, it's swelling slightly. So if I go back to my analogy of the Swiffer of how you want to
clean those in between surfaces. So if it expands slightly, it gives you a bit more surface area
to contact the tooths and that's how you're cleaning those in between surfaces better.
Yeah. And I think like what I've learned from you guys is the importance of not only cleaning the tooth, but the keeping the gum health.
Exactly. So by removing the debris that collects on the in-between surfaces of the teeth,
then you're just in general reducing the bacteria flora inside of your mouth,
which can lead to the gum issues, which can lead to bad breath, which can lead to cavities. So it's
a very important surface within the mouth to be cautious
of. You know what I'm passionate about? Tell me. Tongue scraping. Oh, I love that. Do not have
cauliflower tongue. If I went on a date, I don't care how hot you are, how big your bank account
is, how big your dick is. If you have cauliflower tongue, I'm out. Can you talk about people should
be doing it the first thing they wake up? Well, I actually recommend doing it last thing you do
before you go to bed. Oh.
Especially if you're married or you have a partner in your bed.
You want to go to bed with a clean tongue.
And it's super easy.
Yeah, Michael.
And it's super easy. But I go to bed with a clean tongue.
It's super easy to do.
Now, two main things that you need to think about when you're using a tongue scraper.
We don't like plastic tongue scrapers.
Again, plastics have products in them that you don't want to introduce to your body every
single day.
And think of your tongue as a super absorbent surface inside of your body, right?
Think about all the drops and all the herbal remedies and all that that they ask you to
put on your tongue.
Why do they do that?
It's because the tongue absorbs into the bloodstream really quickly.
So you don't want to be rubbing plastics
on your tongue once a day and doing it several times. So stainless steel is the way to go.
I prefer stainless steel over copper. I know there's a lot of copper ones out there as well,
but I like stainless steel. And there's a great one that Boca makes actually with the plastic
handles on either side. So it's really simple to do. You just stand in front of your mirror,
you stick your tongue out, and then you place the tongue scraper as far back as you can
tolerate, right? Some people have a gag reflex. And so, you know, you tell them do tongue scraping
and they're like, oh no, I have a gag reflex. Well, some of the tongue is better than none of
the tongue, right? So you start as far back on the tongue as you're comfortable, and then you
gently press down onto the tongue and then scrape forward.
And you want to do that maybe two or three times.
Once you see that residue, that brown stuff that comes onto your tongue scraper, trust
me, you're never going to go back.
You're never going to go back.
It's true.
You're never going to go back.
And then your gag reflex will miraculously go away as well.
Don't worry, Laura's gag reflex went away a long time ago.
My gag reflex is so good.
Michael's so blessed.
I get that tongue scraper down my throat.
No, but you're so right.
Once you start doing it
and you see what comes off,
you never want it there again.
Yeah, you just,
you want a clean tongue.
I have a friend
that I went on vacation with
and he stuck his tongue out
in a photo
and my entire audience
was like,
ew, tell him to scrape his tongue
and like reamed him
and was like,
this is not skinny
confidential behavior. They like ruined him for his tongue. And like reamed him and was like, this is not skinny confidential behavior.
They like ruined him for cauliflower tongue.
He does not travel without that tongue scraper.
Let me tell you.
I'm glad for him.
So out of those things,
like we're kind of going down a wellness path here
with the floss and the scraping.
Like what are some of the long-term effects
you see of people not doing that,
that you have to go in later and correct?
Yeah, it's, you know,
well, your mouth is such an important part in your body, right? That's how you eat,
right? You breathe through your mouth. So it's such an important portal. So keeping your mouth healthy is not just oral healthcare that we're talking about here. It's general wellbeing,
reducing bacteria levels. There are stress hormones that can come into your mouth and reducing those stress
hormones by having very good oral hygiene can actually help you with sleep. So it has a lot
of systemic effects. There are conditions of the heart that can be affected by having high levels
of bacteria in your blood levels. So you've really, you know, you've kind of got to look at the mouth
as a very important place
from where your general health starts.
And I feel that people who do have good oral hygiene
and look after their mouths,
it's kind of a precedent of how they're living their lives
and how they're treating other parts of their body.
So it's a great start and it's just, it's crucial.
Yeah, I don't think, I mean, people are starting to talk about it more and obviously you're on the
podcast, but I don't think people realize, I mean, they do, they got to know inherently how important
this vessel is for us. I mean, I've been thinking about blood pressure.
Yeah. Yeah. It, you know, there's nitrates that, you know, if you, for example,
there are some mouthwashes, you know, again, this is going to bring me on to my next thing, but that will affect the, you know, if they're killing too many
of the bacterias, because there are some bacterias in your mouth that you actually need, and
it can change the flora.
So flora is basically the amount of, you know, good and bad bacteria that you have inside
of your mouth.
So if you disrupt that, then you can actually, you know, there's studies that have been shown
that it can affect your blood pressure and it can have, you know, cardiovascular effects, negative cardiovascular
effects. So it's definitely something that you're right. It has been undermined. People have kind
of put it to the back, but they're like, oh my God, it's just my teeth. Or, you know, I have
patients even until now that say that, you know, they only brush once a day. So oral hygiene, I think, is absolutely
crucial in today's mindset where we're so concerned about wellness. You cannot have
a conversation about wellness and not include oral hygiene. Let's take a quick break to talk
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I think that a lot of people who are listening probably use that nostalgic mouthwash because
they're addicted to the nostalgia. They want the bun, right? They think the more it buns.
My dad used to use brown Listerine
and I associate that smell with my childhood.
But people don't understand what you're saying
about the flora and the mouth.
And you're a fan, I know, of organic oil pulling.
You actually have your own rinse.
I use the cinnamon.
It's so good.
Michael likes the peppermint.
What are the benefits of oil pulling?
Well, oil pulling's been around for thousands of years. So, you know, some people think that,
oh, it's a fad. Oh, I've heard about it or whatever, but it's actually been around for a
very, very long time. And in my book, if something's been around for a very long time,
there's got to be truth to it, right? Because things that are a fad or things that don't work,
they just, they're not a fad anymore.
And then 100 years later, nobody's doing it, but people are still doing oil pulling.
And the basic chemistry behind it is that you have molecules in the oil that will physically bind to those bad bacterias and viruses that you can contain within your mouth.
So they actually bind to them.
And that's why oil pulling has to be done over a
period of time. So as you guys already know, I've told you this a thousand times, doing it in the
shower is the best place to do it, five to 10 minutes swish. So you've got the oil all engaging
into these things that you don't want inside of your mouth, and then you spit it out. So it draws
it out of your mouth. Whereas that mouthwash that burns or that mouthwash that you swish around, there are
plenty of bacteria that you have.
And what we call them is they're hydrophobic, right?
So they don't like water.
So they go under the gum line.
So they're not necessarily in a place where that mouthwash will attract them.
So yes, that mouthwash after you've rinsed out, you may feel like you have a bit better
breath.
That sting that you get psychologically tells you, oh, now I have a clean mouth. But you'll be surprised
how much of the bacteria that you don't want inside of your mouth is still in your mouth
following using those mouthwashes. So that's where I see, you know, the big difference.
And aren't they finding that some of these mouthwashes actually have some ingredients
that are not so great for us? Is that? Yes. Yeah. So obviously a lot of them have preservatives in them and all kinds of different artificial
things.
And those burns are caused by chemicals that are not always good for us.
Again, it's running more of a psychosomatic of that feeling that, oh, it's burning.
So it must be doing a good job inside of my mouth.
And does the oil pulling with the coconut oil, is that good for the good and bad
bacteria? Yes. So it maintains the flora. So it's removing what we don't want inside of the mouth,
but it's not taking away the bacteria and the organisms that we actually need inside of our
mouth for digestion purposes and just keeping up that flora to be in a healthy state.
Why do people's breath smell?
What does that come from and how can they fix it?
Okay, so halitosis is the polite way of saying you have bad breath, right?
Oof, if so, that's it.
I would rather you say I have bad breath than I have halitosis.
For some reason, that sounds worse.
Oh, really? Fair enough.
Well, this probably sounds like more like a disease, right?
Yeah.
So a number of reasons.
Within the mouth, obviously, oral hygiene does play a
huge role. And that's why I said tongue scraping before you go to bed at night is such a good idea
because part of halitosis can be from food that's basically left on the tongue. And if you put your
food in the rubbish, right, and you come back and you smell the rubbish, it smells, right?
So it's kind of a similar process. So by removing the debris that's sitting on your tongue, you are reducing the number of those bacterias and that food debris that essentially could rot inside of
your mouth and create that bad smell. So tongue scraping, flossing. Flossing is a huge part that
can lead to halitosis. Again, if you have spaces or if you have pockets within your teeth which
could collect food, which the food again goes down its degradation process, which can create, you know, those, those, those bad smells. That's another factor
that you have to take into consideration. Brushing your teeth, obviously that's huge.
And it's important to remove, you know, any debris that you have on any, any three of the surfaces.
You'll be surprised how many people don't really know how to brush their teeth. So, you know,
anyone who comes and has consults and veneers with me, I literally have to sit down and go through all
these steps and all these protocols because your tooth has three surfaces. You're not just brushing
the teeth that you can see in the mirror. You've got to brush the surface that you're chewing on,
those are top surfaces. And there's also the whole inside surface of every tooth as well.
So all three surfaces have to be cleaned well.
Dehydration plays a huge role in halitosis. So, you know, if you're not drinking enough water,
that's a huge factor. This guy back here has never met a glass of water he likes.
And then of course, the kind of foods that you eat, you know, you've got to be careful with the type of foods that you eat. He eats Panda Express orange chicken every day for lunch.
Well, I'm sure he flosses and brushes afterwards.
I'm sure he doesn't.
He doesn't have halitosis.
You need to give him that.
Well, I don't.
No, Michael is a psycho.
No, do you know why?
Because Dr. Sand taught me about the three surfaces and the flossing.
Yeah, you taught us how to brush our teeth.
It sounds strange.
That sounds strange. Yeah, I know. And, you know, for a long time, you taught us how to brush our teeth. It sounds strange. That sounds strange.
Yeah, I know.
And, you know, for a long, you know, when I first started, I just thought, well, everyone knows how to do that.
No, they don't teach you.
I don't need to teach them that.
And then we would do veneers and then they would come back and things were just not where I wanted them to be.
So I was like, you know, fuck it.
I'm just going to teach people how to brush their teeth right when they sit in my chair.
I don't care if they're older than me.
I don't care if they're going to get, you know, if I'm being rude or if I'm being patronizing,
but I'm going to do it because if you don't tell someone, then, you know, you just, you
can't assume.
The best tip I think it was you or Dr. Lee in your office gave me was you can't be brushing
your teeth and doing something else.
No.
So I will be brushing my teeth and like cleaning up the bathroom.
Michael's floss is everywhere. I'm cleaning up the bathroom. Michael's floss
is everywhere. I'm cleaning up that. That takes a long time. But I mean, like, I'm just like doing
other things. And I think when you told me that I stopped habit stacking, brushing my teeth.
But you also, there's the toothbrush that you gave us and I use it now as like a little bit
of form of meditation because it's a two minute brush and you get the green. What's the brush we
use? It's like an oral. It's the oral BIO. Yeah. I love that. I love that toothbrush. And the two main reasons that I love
that toothbrush is small round head, right? Small, small circular head, your teeth are small and
circular, right? When you think about it. So you get much better engagement of the brush to the
tooth surface. Some of the other, you know, big brands, big brands, I'm not sure whether I should be speaking
for you. Okay, fair enough. But we used to be a big fan of the Philips Sonicare. Love Philips
Sonicare. It's a great company, but I don't like the size of the head because it's really hard to
get to the back surfaces of the teeth. You end up having to come over and back and then position in
and people have a hard time doing that. But when you have a small circular head, it's very easy to pivot and get those back surfaces.
And the other thing that I love about this toothbrush
is that it has that pressure indicating light on it.
Yeah, it's the best.
So the big problem that we have with patients
is they either brush too hard
and it's usually the guys who do that.
So they're brushing aggressively, they're like,
okay, let me get these stains out and just go full force.
And when you do that, you cause gum recession.
So gum recession is not good, it causes sensitivity. And when you do that, you cause gum recession. So gum recession is not
good. It causes sensitivity. And when we're talking about the aesthetics, the youthfulness,
recession makes you look older because now, you know, have you heard that, you know,
English people say it a lot, long in the tooth. I say long in the tooth every second, but I mean
like long in the tooth, like they talk too much. Oh, really? Yeah. But you use it the wrong way.
It means old. Oh, fair enough. enough. No, no, it's not.
It's funny when there's a debate on this show.
It's called long in the tooth.
I'm in a trademark.
Go ahead.
But doesn't long in the tooth
mean that a horse,
it's because a horse is aging?
Is that what it is?
And then they think.
Well, no, because as you age
the gums, you know,
and if you're not good
with your brushing,
you get the recession, right?
So now you've got the tooth is,
you know, it's longer.
I swear that this term
comes from horses aging. I rebranded it to be like that person is've got the tooth is you know i swear that this term comes from horses
aging i rebranded it to be like that person is long we can we can come up with you're using the
right way she uses it as people talk too much but you're saying it indicates age which is the
correct it does it make it make yeah i don't think it's talking thank god we settled that
two years of rebrand go ahead so the god makes. Yeah. So that's why I like this toothbrush because it has the pressure indicating light on it. So
what I was coming back to is we get a lot of patients that either brush too hard or in some
areas they're not brushing hard enough. So they're getting the accumulation. So this toothbrush has
this light on it, on the neck of the tooth. When you're brushing at the right pressure,
the light will go green. When you're brushing too aggressively, so when you're being too hard, it's going to go
red. So the red is an alert. Hey, relax, right? Don't press too hard. And then there's another
light is when you're being too gentle. So that really enables people who use this toothbrush
to regulate the pressure that they're applying to the three surfaces of the teeth. So it's literally foolproof. And that's what I love about it.
And then it gives you a smiley face with stars if you did it right.
I have a white one and a black one that I got from you guys. And I use my white one in the
morning and the black one at night because I don't want the same bacteria. This is my theory.
Well, it's going in the same mouth if you think about it.
It's my theory. But I think that's great. same mouth, if you think about it. It's my theory.
But I think, you know, that's great.
I'm sure that's a nice aesthetic on your bathroom, but it's not necessary.
Okay.
It's not necessary.
And again, you definitely want to put the cap over the top because there have been studies
that show that, you know, when you flush the toilet, there can be things that can get onto
your toothbrush.
I learned to shut the lid.
So, yeah.
Do not go to the bathroom in my bathroom.
That bathroom is not for you to use.
Go use your bathroom in your man cave.
Let's talk about aesthetics here.
The plot is enough.
And veneers for a second.
When you see, you helped me with my front teeth
because I knocked my teeth out when I was seven.
And then I got a job and it was massive.
You completely fixed it. And now I'm smiling like a king over here.
Johnny Bravo.
When you see patients come that either you're correcting or want veneers, what do you see
patients either asking other dentists maybe the wrong things or doing the wrong things? What are
you correcting? What are you hoping to see, not see? Let's talk about veneers for a little bit,
because we see a lot
of obvious ones that are maybe not so great. And then we see like mine, I think like the front,
you could barely even tell, which is your work, but what are, what are patients doing wrong?
Maybe when it comes to speaking to their dentist about veneers.
Right. So there's two issues that we typically get to coming to the office. One is functionality.
And, you know, the lady that we just saw earlier, she mentioned that to you, right? Didn't she say, she was like, oh my God, I need to come
and see you because my veneers keep falling off, right? Veneers should not be popping off. So a
veneer that pops off regularly, just during normal functioning, that's an issue. So you shouldn't be
living with your veneers popping off from time to
time. Now, I don't want to set false expectations. If you get punched in the face, if you go skiing
and you fall, if you have trauma, the veneer can break, your tooth can break, you can have fractures.
But the fact that they fall off, that's a functional issue, which leads back to how are they designed? So the preparation of the natural tooth structure is a crucial part of it.
Sometimes, you know, you may have some dentists that reduce too much natural tooth structures,
and now you don't have enough actual tooth to hold on to. And if that's the case, again,
the remedy has to be sorted out before you put your new veneer over the top. Then the actual
placement of the veneer. Placement of veneers is something that's incredibly technique sensitive. So you have to have an area which is
completely dry. You have to have your systems down in terms of the products that you're using
and how you're applying the product to the natural tooth structure and following all the
protocols really rigorously. Because if you don't do that, again, you can have these things fail. So it is a failure of the restoration. So we have functionality. Functionality can be them
falling off. Another functionality issue can be bite, right? So our teeth, a lot of times I have
to remind patients when they come and see me just because they want to prettify their teeth is your
teeth are not just for looking at. You use your teeth. You have to chew with them. You have to
eat with them. You have to speak with them. The teeth play a huge
role in enunciation, specifically of words like S and 66. If you make something a little bit too
thick on the inside, you're going to have a hard time enunciating your S's. So the teeth have to
be functional. So those are the parameters that we get people coming to see us in terms of revision work.
And then, of course, aesthetics.
So aesthetics, there is, I would say, a global trend for a little bit more of a natural aesthetic.
When I started doing veneers over 20 years ago, specifically my US patients, the demand was I want them all to look, they should all be on the same plane.
So they like teeth, which were all level.
They didn't like teeth that were up and down.
They didn't like anatomy.
So they didn't want to see much anatomy in the tooth structure.
And then they wanted them, you know, toilet bowl whites.
So that was not that I gave them this, but I'm just telling you, that's basically.
I know you want this, but I'm not going to let you have it.
But that was kind of, I would say, what was typically requested. But today I feel that there is a change and people are seeing the beauty behind a natural aesthetic.
They see, they understand how natural can actually look more attractive and natural can actually enhance the face as opposed to potentially creating a distraction within the face.
You don't want someone to just be staring at your teeth when they're talking to you.
No, but you know, when I...
Or the teeth to speak before you do.
Yes.
Right?
Because sometimes you'll...
That's long in the tooth.
Yeah, you'll see someone.
That's not long in the tooth.
He's not going to let it go.
That's obnoxious teeth.
No, you know, like, so when I was seven, I wish I had a cooler story,
but I fell off a ramp rollerblading of all things.
I just really wish it was much cooler.
And for years I did, what is it called?
Bonding?
Yeah.
Or cap things.
And I finally just got so fed up with it because they kept coming off or popping off.
They would fall off, I remember.
Yeah, when we were kids.
And so I just, but when I came to you, I was like, I don't need giant chicklets announcing,
like I don't need my teeth to walk into the room before me.
Right.
You know what I mean?
Right.
Which celebrity are people bringing to you all the time?
You know, we talk a lot about Margot Robbie's smile.
Yeah.
I think she has a really gorgeous smile.
She does.
And so, you know, I've broken this down on my social media a few times.
What makes her smile attractive?
Because it is a natural smile.
She's very, she's naturally beautiful, right?
So she's got a very, very attractive face.
And those teeth belong in her
mouth really well. So she has that classic lineup of teeth, which I admire in a woman where the
front two teeth are more dominant. And when you look at where the front two teeth line up, so
the wall of the front two teeth where they meet each other, that's what we call the midline,
right? So that line, that vertical line, how your front two teeth where they meet each other, that's what we call the midline. So that line, that vertical
line, how your front two teeth meet up, they are very well centered within her face. So that sets
you up for symmetry. So if you put an imaginary line at the cross point of where the pupils are
in her face and draw a line down the center of her face, then her front two teeth will literally
be sitting on that line, which gives you a really nice symmetrical outcome. So the symmetry there is beautiful. And then when you go to the teeth on
the side, they are slightly shorter, right? So those are the laterals. And that gives that kind
of bunny smile, that sexy, that youthful, attractive smile. And then when you go to her canines,
they have a bit of a point to them. So again, the trend back in the day was, I don't want canines,
I want them to be flat. I want everything to be on the same line. But again, I don't think that's attractive.
I don't think that's youthful. So she has a bit of a point to a canine, which is sexy.
And then after there, the premolars, which are the teeth after the canines, which were not done,
by the way, back in the day, veneers where you get six, that was the typical number of veneers
that you would do. And that leads to the horsey smile, if you want to know. Yeah, that's when
you could use it. The front six. Yeah. So, I mean, sometimes we do six
until now if you've got great architecture in the backs, but it can also be a huge giveaway when you
do six and then you don't do the two premolars on either side. Because as soon as you turn your head
or if you do your big cheesy grin or a really big smile, you can see where the veneers finish and
the natural tooth structure starts. And then it's a giveaway. It's like, oh yeah, you've got veneers.
She does have a beautiful smile and that line makes total sense.
Yeah.
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I would love to talk about children and their palate.
I am noticing, you're the perfect person to ask because of your aesthetics. I'm noticing
that, call me crazy, the lack of us chewing hard foods as kids is leading to underdeveloped
jaws and mouths. Have you found that and how can we combat that in our children?
That's an interesting question. I mean, I want to preface that I'm not a pediatrician. I don't do pediatrics. So it's definitely not
an area of expertise for me. I would say that that could certainly play a role in it. I think
a bigger adjunct to that developmental issue is mouth breathing. And the reason I say that
is that some of my kids, I've noticed that they started mouth
breathing and I'm seeing changes in development in terms of how the lower third of the face
can form as a result of that.
So I think that's a crucial part within the development of the palate because that's an
area that needs to develop over in that period of time.
With respect to the experience that I've had with children,
one of the things that happens a lot as part of orthodontic treatment is extraction of premolars,
especially when I was a child. So that was the routine thing to do. Parents would bring their
children, their children's teeth were crooked, right? So what crooked teeth means is that
there's just not enough room. So
they need more room in order to straighten these teeth out. So then they would routinely extract
the premolars, right? So four premolars typically are extracted. And then now when I see those
children as adults, they have the narrow smile because they have one less tooth in the arch form.
Is that your wisdom teeth?
No, no, no, no, no.
This is before the molars.
So you don't want to get those extractors.
I do not like the practice of extracting premolars.
I would tell parents who listen to this podcast to be cautious when you do that
because, yes, it'll give you the space with which you can straighten the teeth out.
But then as an adult, we present with different
aesthetic problems, which is typically that narrower smile. I'm reading this book called
Beauty is in the Bones. And in this book, the woman recommends widening the palate as a child
so the child can breathe better through their nose. Have you heard of this?
I've heard of things that circulate around there. Again,
I want to preface that it's definitely not my area of expertise and I wouldn't want to pass
judgment on something like that because I don't have the education that would be able to give me
that viewpoint. But I'm sure these things are all heavily related to one another.
Are you a fan of mouth taping? I am a big fan of mouth taping.
You are? Yes. So you're even as an adult? For many reasons, actually, even outside of the development
of the palate, because when you are breathing through the mouth, you're also, again, it's the
bacterias inside of your mouth. You're changing the bacteria flora slightly because you're
introducing a lot more air and oxygen into the mouth than you would if your mouth was closed.
So yes, I think if you're
a mouth breather, it is a good idea to use mouth tape. I got you some skinny confidential mouth
tape. And Monica, we need to get skinny confidential mouth tape in your office because it's aesthetically
pleasing. It is aesthetically pleasing. It's beautiful. But Michael, do you wear one?
Do you know, I think that I do wear them at times, but I also think I'm a
nose breather. Okay. That's good. Cause I was going to say, what happens when you have a beard
or when you have facial hair? It does. My mouth tape is very strong, very strong. I designed it
to be the strongest, but it is, I think more for women. Okay. I have noticed, and this call me
crazy since I started mouth taping that the muscle in my jaw has become
stronger, which has given me, I don't know if I'm just such an aesthetic person. It's given me more
strength in my jaw and my tongue posture has changed, which has kind of changed my face.
Oh, it's huge. Those things make a huge difference.
I never thought about it until I got older and just when we started talking about
it a lot more with people. But now that I've seen it, now I can't unsee it.
Yeah. No, it's huge. I mean, one of the things you were talking about, you know,
anti-aging and how teeth can play a role in that. When we age, one of the things that happens is
our back molar teeth get shorter, right? Because we're grinding our teeth, we're stressed, you
know, and the whole aging process makes this back supporting area shorter. When this gets shorter, right? Because we're grinding our teeth, we're stressed, and the whole aging process
makes this back supporting area shorter. When this gets shorter, the lower third of the face
becomes collapsed because this is what's holding your jaw from closing all the way down. So if
you've ever seen somebody who has dentures, right? When they take their dentures out,
the whole face like kind of disintegrates. So now you know the value of your teeth because it's the teeth which is supporting
the lips and it's also holding the jaw in the position that it is. So one of the things that
we do often on cases where we're doing anti-aging dentistry is we increase that vertical dimension.
So by making your molar teeth slightly taller, right? Now you're not able to
shut down quite so hard. And if you have a collapsed lower third of your face, that actually
makes the angle of the jaw stronger because now your chin is not so far forward. It's a little
bit further back because you can't shut down so much. If you guys are listening to this, you can
tell that there is so much detail that goes into making a smile useful. It's not just
putting veneers in there. Oh, no. If someone is listening from a different country, a different
state, maybe they don't have the funds to come to you. You're the best of the best. What would you
tell them to look for in a dentist who's performing veneers? Well, I would tell you this. First of all,
I'm a big fan of prevention,
right? So a lot of what I'm telling you can actually be prevented. So the collapse of the vertical lower third of the face, if you commit to wearing a night guard in your 20s, and that's a
big ask because when we're 20, we're reckless, right? We don't care about those kinds of things.
We're just too busy trying to shag. I did. I did. I did. Well, wonderful. If you tell them their teeth are
going to collapse, their face is going to fall. But that's what I mean. I mean, I think the beauty
of what we're doing now, you know, with podcasts and, you know, just the general education that's
out there that maybe wasn't, you know, as common back in the day. So prevention is best. So if you
get into wearing a night guard early, if you do all the oral hygiene things that we spoke about,
then you're less likely to need to come and see somebody like me or wherever somebody else might
be. But if you are in the need and let's say you don't want to come out to London or you don't want
to come out to LA, although a lot of people do come and see me. Yeah, he's got people flying
it all over. They do travel. But if you don't, then I would say a number of things that you want
to look at. First of all, don't be scared to ask questions, right? So I have people who will come into my chair and they'll literally ask me questions
for 45 minutes. And I like it when they do that because this tells me that I have a serious
patient who's done their homework. They know what's going on. They know what's up and they're
able to vet me in the correct way that they should. And I'm able to answer their questions and I'm able
to show them what it is that they're asking of me. And therefore you've set the tone and therefore
you're going to be able to, you'll know whether you're going to meet the expectation or not.
I think where people go wrong is that they sit in the chair and they're like, I want veneers.
And the doctor goes, okay, fine, I'll give you veneers. No, you want to go in there. You want
to be, well, how long have you been doing this?
Can you show me cases that you've done that are similar to mine?
Can I see your laboratory?
You know, speak to the staff members.
Can I speak to previous patients?
So these are all things that, you know, I think it's important in terms of vesting your
doctor and making sure that you're going to the right person that's, you know, right for
you on two levels, right?
Because there's two levels in this. There's the level of expertise. So you can have
a really qualified doctor who knows exactly what he's doing, is excellent at his craft.
But if that doctor is not working with an excellent lab, right? So the lab is who will
actually make the porcelain veneer, then his work becomes worthless because what's going to go
inside of your mouth is not going to be at the quality and the standard that it needs to be.
So those are two very important factors that go into play when you're talking about high
end aesthetics for the mouth, not only high end, but functional aesthetics, the veneers
that don't pop off, they don't look artificial, you can chew normal foods and not have to
worry about them cracking and breaking and
things like that.
So in my setup, the lab is in-house, which means that all my ceramists are in the same
office as me.
So therefore, it becomes seamless because what I tell someone, I'm watching that happen
and I'm under the supervision of creating what it is that
I'm telling them. So I think that that plays a huge role in this level of aesthetics too.
Yeah. And what you did, you educated me so much and I came with injuries and problems and also
probably from a perspective of, I never advocate for myself. I had these issues and then I just
let someone do whatever they said they were going to do. I think a lot of us just, when it comes to
the field of dentistry, where're just like, dentist knows best.
We don't know what to do, whatever they say goes.
Like, obviously you had to fix a lot of issues for me,
you know, from whatever happened to me.
But I just didn't know.
I just accept, I just kind of went somewhere like,
who can help fix my shit that I fucked up when I was a kid.
Right. And to that point, you know, I ramble a lot in consultation.
So I think probably in town, I'm, you know, I ramble a lot in consultation. So I think probably in town,
I'm, you know, my consultations are the longest, but I always tell my patients, I'm like, knowledge
is power. So let me tell you everything so that you can make the best decision for yourself.
Michael, Doja Cat, The Weeknd, Dorit, PK, The Royals, celebrities. You have a lot of celebrities.
I like how you put me at the top of that list.
Yeah, no, but a lot of, one thing about you is a lot of the celebrities
that you work with
prefer to be anonymous
and you're so respectful of that.
I think that's incredible.
Can we do,
I didn't even ask you this,
but can we do a giveaway
for a consultation
and a teeth cleaning with you?
Yeah, for sure.
I think that'll be fun.
Okay, so all you guys have to do
is follow,
what is your Instagram?
It's my name.
So it's Dr. Sam Saleh.
Follow him on Instagram. Tell us your favorite takeaway of this episode on my latest post.
And one of you will win a consultation and a teeth cleaning with Michael and my dentist.
I go for teeth cleanings every three months. I'm militant about it. Your office is the best.
You've taught me how to brush my teeth how to floss i'm so grateful if people
want to shop your organic oil pulling rinse get the cinnamon trust me where can they find that
how can they shop your products so there's a link on the website okay and then it's also linked
through the instagram page okay and then if someone wants to book veneers with you or a treatment or a
teeth cleaning or anything, where can they find
you? Can they DM you? Yeah, you can DM, but it's better to go through the online form that we have.
It'll take in all your information. It'll specify where you'd like to have your consultation. And
then one of our team members will reach out and make all the arrangements. One of my things that
I pride myself on, as we know after this conversation and yourself is aesthetic. So if you guys are looking for anything aesthetic when it comes to dentistry, this is your guy.
And functional though.
And functional. And I'm a psycho about vetting. I mean, I look, I'm a practitioner of just like
looking who is the best of the best. And I am putting my stamp on Dr. Sam. I have to look at
Michael's teeth every day.
So you actually aren't,
you didn't do that for Michael.
You did it for my eyes.
Listen, I had problems.
Thank you to your entire office,
to Monica, Dr. Lee,
everyone at the office.
You've been so amazing.
You guys go see Dr. Sam
and just give your practice a shout out
and the URL one more time.
Go floss your teeth.
Yeah, go floss your teeth.
What's the practice if they want to Google you?
Dr. Sam Sala.
Easy.
All right.
Thank you, Dr. Sam.
Thank you.
Thank you for coming in.
If you guys want to go ask Dr. Sam any questions, just head over to his Instagram at Dr. Sam
Sala.
He will be in the DMs with his team, making sure they can answer all of your questions
and definitely check out that oil pulling rinse.
The cinnamon is the best.
I'm really into it.
And the peppermint's good too.
It just makes your breath smell minty fresh.
And don't forget to tongue scrape.