SHE MD

Dr. Madison’s Mouth Manual: How to Fix Bad Breath, Heal Gums & Choose the Right Toothpaste

Jul 29, 2025
Dr. Miles Madison, a leading periodontist and TikTok sensation, shares insights into periodontal health and debunks common dental myths. He discusses the connection between dry mouth and cognitive health, especially regarding dementia risks. The podcast covers the significance of oral microbiome health and explains optimal brushing techniques. Madison emphasizes the impact of hormonal changes on oral hygiene, particularly for women, and offers practical advice on choosing the right toothpaste and mouthwash for better oral care.
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ADVICE

Choose Gentle Fluoride Toothpaste

  • Use a low-abrasive fluoride toothpaste for daily brushing to prevent cavities and enamel erosion.
  • Avoid whitening or charcoal toothpastes daily because they can strip enamel over time.
ADVICE

Brush After Coffee—Wait If Needed

  • Brush in the morning before coffee, or wait ~30 minutes after coffee to avoid brushing softened enamel.
  • Brushing immediately after acidic drinks can accelerate enamel loss over time.
INSIGHT

Oral Microbiome Is Mostly Beneficial

  • The mouth hosts ~700 bacterial species but only about 20 are disease-causing.
  • Keeping a balanced oral microbiome protects against cavities, gum disease, and systemic effects.
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