Dr. Audrey Kershaw returns to chat with Dr. Linda Bluestein and demystify wisdom tooth extraction, appliances for TMJ disorder, and everyday oral health habits for people with EDS/HSD. We cover when third molars should be removed (and when they shouldn’t), why local anesthetic can fail in some patients, how to approach dental procedures when CCI (craniocervical instability) is a concern, and what truly drives gum disease vs “EDS-specific” issues. We also address periodontal EDS (a rare subtype), toothpaste choices (fluoride vs hydroxyapatite vs chelators), and the surprisingly powerful habit of “spit, don’t rinse.” Stay to the end for practical Hypermobility Hacks you can implement tonight.

Takeaways

Is wisdom teeth surgery happening too often… or dangerously too late?
What if the biggest risk during oral surgery isn’t the tooth—but how your neck is positioned?
Why do some people with EDS feel every cut and drill—even after “getting numb”?
Could one cheap hack—“spit, don’t rinse”—protect your teeth better than $30 toothpaste?
Are sharks hiding the secret to stronger enamel in your bathroom cabinet?

Find the episode transcript here.

References:

2012 Paper- The effects of NICE guidelines on the management of third molar teeth: https://pubmed.ncbi.nlm.nih.gov/22955790/

2020 RCS Guidelines on Third Molars: https://www.rcseng.ac.uk/-/media/files/rcs/fds/guidelines/3rd-molar-guidelines--april-2021-v2.pdf

AAOMS Guidelines on Third Molar Management: https://aaoms.org/wp-content/uploads/2024/03/management_third_molar_white_paper.pdf

Bendy Bodies Podcast on Preparing for Surgery with Linda Bluestein, MD: https://www.bendybodiespodcast.com/58-preparing-for-surgery-with-linda-bluestein-md/

GIRFT RCS TMD Document: https://remedy.bnssg.icb.nhs.uk/media/omvphznu/tmd-patient-support-document-march-2024-1.pdf

Dr. Mike Harrison’s Talk on EDS Support UK: https://www.ehlers-danlos.org/information/webinar-with-dr-mike-harrison-on-why-dental-issues-occur-with-connective-tissue-disorder/

EDS and Dental Issues Talk by Ines and Ulrike: https://www.youtube.com/watch?v=Lsf0YEeps5c&t=65s

EDS Society on Periodontal EDS: https://www.ehlers-danlos.com/peds/

Austrian Conversation on pEDS (PubMed): https://pubmed.ncbi.nlm.nih.gov/28836281/

Genetics Home Reference on Ehlers-Danlos Syndrome: https://ghr.nlm.nih.gov/condition/ehlers-danlos-syndrome#statistics

Perioperative Care in Patients with Ehlers Danlos Syndromes (SCIRP): https://www.scirp.org/journal/paperinformation?paperid=97524

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