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July 29, 2025
Ep -
90

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

In this eye-opening episode of SHE MD, hosts Mary Alice Haney and Dr. Thaïs Aliabadi welcome Dr. Miles Madison, a leading periodontist and TikTok sensation. Dr. Madison delves into the intricacies of periodontal health, explaining the differences between dentists and periodontists. He discusses the importance of maintaining a healthy oral microbiome and its effects on systemic health. The conversation encompasses a broad range of topics, including gum disease, pregnancy-related oral health concerns, and the potential connection between oral bacteria and cognitive decline. From debunking toothpaste myths to explaining the impact of hormones on oral health, this episode is packed with practical advice for listeners of all ages.

About the Guest

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Dr. Miles Madison, DDS is a board-certified periodontist and founder of the Beverly Hills Periodontal Institute. A graduate of the UCLA School of Dentistry and the University of California, San Francisco (UCSF) in Periodontology, Dr. Madison specializes in advanced periodontal therapy, dental implants, and microbiome-based personalized care.

He serves as faculty at the gIDE Dental Institute, where he teaches dentists and dental surgeons both nationally and internationally. Known for his precision, innovation, and patient-centered approach, Dr. Madison is a trusted educator and clinician who bridges cutting-edge science with clinical excellence.

Beyond his surgical practice, Dr. Madison is a respected voice in dental education and digital dentistry, contributing to research translation, product evaluation, and the advancement of personalized treatment protocols. His educational content on social media helps inform and inspire both colleagues and the public, always with a focus on ethical, evidence-based care.

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Dr. Miles Madison’s 5 Key Takeaways:

  1. Optimize Your Oral Microbiome: Support a healthy oral microbiome by using probiotic toothpaste and avoiding harsh antibacterial mouthwashes that kill beneficial bacteria.
  2. Prevent Gum Disease with Proactive Care: Prevent gum disease proactively with biannual dental cleanings, daily flossing, and antimicrobial mouthwash if recommended.
  3. Adjust Oral Care During Pregnancy: During pregnancy, boost calcium intake and get extra dental cleanings to combat pregnancy-related gingivitis.
  4. Combat Dry Mouth to Reduce Cavity Risk: Fight dry mouth and cavity risk by chewing xylitol gum, staying hydrated, and using a humidifier if needed.
  5. Protect Brain Health Through Oral Hygiene: Maintain a strict brushing and flossing routine to reduce inflammation linked to dementia risk.  

In This Episode: 

(00:00) Introduction

(05:36) Best toothpaste depends on your dental issues

(10:36) Oral microbiome testing and targeted treatments

(24:26) Bad breath: causes and effective treatments

(29:24) Gum Recession: how it’s different from gum disease

(34:20) Gum disease: a silent but serious condition

(37:08) Electric toothbrush vs manual toothbrush: which is best?

(40:44) What’s the best toothpaste to use?