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?
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: Comprehensive-guideline-Management-of-painful-Temporomandibular-disorder-in-adults-March-2024.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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Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them.
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Chapters:
00:00 Introduction to Periodontal EDS
00:29 Welcome to the Bendy Bodies Podcast
00:58 Introducing Dr. Audrey Kershaw
02:28 Wisdom Teeth Extraction Insights
03:02 Guidelines and Practices in Wisdom Teeth Removal
07:54 Recognizing Connective Tissue Disorders
11:22 Challenges with Local Anesthetic
18:36 Oral Appliances and TMD
20:51 Must-Do Habits for Oral Health
22:33 Gum Health and General Health Connection
24:33 Sugar Intake and Oral Health
29:53 Bleeding Gums and Proper Brushing
32:44 Hypermobile EDS and Gum Disease
35:36 Exploring Toothpaste Options
35:59 Understanding Fluoride and Hydroxyapatite
39:07 The Role of Chelating Agents in Toothpaste
40:28 Abrasiveness and Whitening Toothpaste
43:57 Proper Toothbrushing Techniques
46:13 Dancing Teeth in EDS Patients
51:42 Periodontal EDS: Key Signs and Symptoms
58:25 Hypermobility Hacks and Final Thoughts
