<?xml version="1.0" encoding="UTF-8"?><rss xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:content="http://purl.org/rss/1.0/modules/content/" xmlns:atom="http://www.w3.org/2005/Atom" version="2.0" xmlns:itunes="http://www.itunes.com/dtds/podcast-1.0.dtd" xmlns:googleplay="http://www.google.com/schemas/play-podcasts/1.0"><channel><title><![CDATA[The Johnson Papers]]></title><description><![CDATA[The Johnson Papers is a publication by Dr. John Johnson of Midwest BioHealth, offering white papers and clinical reflections at the intersection of dentistry and systemic health.]]></description><link>https://johnsonpapers.midwestbiohealth.com</link><image><url>https://substackcdn.com/image/fetch/$s_!9H-K!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F74d7a651-4567-490c-a995-893b2e65d2ed_1024x1024.png</url><title>The Johnson Papers</title><link>https://johnsonpapers.midwestbiohealth.com</link></image><generator>Substack</generator><lastBuildDate>Wed, 13 May 2026 13:47:14 GMT</lastBuildDate><atom:link href="https://johnsonpapers.midwestbiohealth.com/feed" rel="self" type="application/rss+xml"/><copyright><![CDATA[John W. Johnson, DDS]]></copyright><language><![CDATA[en]]></language><webMaster><![CDATA[thejohnsonpapers@substack.com]]></webMaster><itunes:owner><itunes:email><![CDATA[thejohnsonpapers@substack.com]]></itunes:email><itunes:name><![CDATA[John W. Johnson, DDS]]></itunes:name></itunes:owner><itunes:author><![CDATA[John W. Johnson, DDS]]></itunes:author><googleplay:owner><![CDATA[thejohnsonpapers@substack.com]]></googleplay:owner><googleplay:email><![CDATA[thejohnsonpapers@substack.com]]></googleplay:email><googleplay:author><![CDATA[John W. Johnson, DDS]]></googleplay:author><itunes:block><![CDATA[Yes]]></itunes:block><item><title><![CDATA[Not All Cavities Begin With Sugar]]></title><description><![CDATA[Processed starches, frequent snacking, and dry mouth cause more oral health problems than most assume.]]></description><link>https://johnsonpapers.midwestbiohealth.com/p/not-all-cavities-begin-with-sugar</link><guid isPermaLink="false">https://johnsonpapers.midwestbiohealth.com/p/not-all-cavities-begin-with-sugar</guid><dc:creator><![CDATA[John W. Johnson, DDS]]></dc:creator><pubDate>Mon, 11 May 2026 22:32:44 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!WKsd!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fec3e03e9-56cc-4b5d-9ec4-aee19d11b566_5376x3584.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!WKsd!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fec3e03e9-56cc-4b5d-9ec4-aee19d11b566_5376x3584.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!WKsd!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fec3e03e9-56cc-4b5d-9ec4-aee19d11b566_5376x3584.jpeg 424w, https://substackcdn.com/image/fetch/$s_!WKsd!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fec3e03e9-56cc-4b5d-9ec4-aee19d11b566_5376x3584.jpeg 848w, https://substackcdn.com/image/fetch/$s_!WKsd!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fec3e03e9-56cc-4b5d-9ec4-aee19d11b566_5376x3584.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!WKsd!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fec3e03e9-56cc-4b5d-9ec4-aee19d11b566_5376x3584.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!WKsd!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fec3e03e9-56cc-4b5d-9ec4-aee19d11b566_5376x3584.jpeg" width="1456" height="971" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/ec3e03e9-56cc-4b5d-9ec4-aee19d11b566_5376x3584.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:971,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:7548674,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/i/197278513?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fec3e03e9-56cc-4b5d-9ec4-aee19d11b566_5376x3584.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!WKsd!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fec3e03e9-56cc-4b5d-9ec4-aee19d11b566_5376x3584.jpeg 424w, https://substackcdn.com/image/fetch/$s_!WKsd!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fec3e03e9-56cc-4b5d-9ec4-aee19d11b566_5376x3584.jpeg 848w, https://substackcdn.com/image/fetch/$s_!WKsd!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fec3e03e9-56cc-4b5d-9ec4-aee19d11b566_5376x3584.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!WKsd!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fec3e03e9-56cc-4b5d-9ec4-aee19d11b566_5376x3584.jpeg 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>While sugar is often blamed for cavities, today&#8217;s oral health issues are more complex&#8212;avoiding sugar alone isn&#8217;t enough to prevent tooth decay.</p><p>Processed starches and frequent snacking can affect the mouth all day. Foods that seem harmless may lead to enamel breakdown, acidity, inflammation, and changes in mouth bacteria.</p><p>The real issue is the overall environment inside your mouth&#8212;not just one food type.</p><p>Crackers, pretzels, chips, granola bars, processed breads, and many packaged snacks are mainly refined carbs and starches. Digestion begins as soon as you chew. Saliva enzymes break starches into sugars, fueling acid-producing bacteria.</p><p>This process makes the mouth more acidic.</p><p>If the mouth stays acidic too long, the enamel weakens. Over time, the body can&#8217;t repair and balance the mouth as well.</p><p>Some processed starches stick to teeth longer than sweets. Sticky snack particles can get lodged in grooves, between teeth, and around the gums. Frequent snacking keeps the mouth exposed to acid almost all the time.</p><p>Modern eating habits may also contribute.</p><p>People once ate at set times. Now, many snack all day, unaware of frequent exposure to acid and carbs. Crackers here, a bar there, chips at work, a sports drink in the car, another snack at night&#8212;the mouth gets little rest.</p><p>Saliva is more important for oral health than many realize.</p><p>Healthy saliva neutralizes acids, washes away food, supports good bacteria, and supplies minerals for enamel. It naturally protects teeth.</p><p>But today&#8217;s lifestyles often make it harder for saliva to do its job.</p><p>Stress, dehydration, mouth breathing, some medications, poor sleep, caffeine, alcohol, processed foods, and excess salt cause dry mouth. Reduced saliva increases the risk of bacterial growth and inflammation.</p><p>That&#8217;s one reason why staying hydrated is important for more than just sports or energy.</p><p>Drinking water increases saliva production and helps maintain mouth balance. Sipping water, especially with meals or snacks, improves oral health over time.</p><p>How often you eat or drink is also important.</p><p>Many people only think about how much sugar or carbs they eat, but how often they have them matters too. The mouth can usually recover from an occasional treat. Problems start when it&#8217;s exposed to acids and carbs repeatedly without enough time to recover. The cycle can prevent enamel from naturally remineralizing.</p><p>Preventing cavities means keeping your mouth&#8217;s ecosystem in balance, not just limiting sugar.</p><p>The mouth harbors diverse bacteria that interact with saliva, immunity, diet, breathing, hydration, inflammation, and daily foods. If the mouth stays acidic or inflamed too long, more than just the teeth are affected.</p><p>This doesn&#8217;t mean you have to avoid every cracker or cut out all convenience foods. Nobody&#8217;s perfect, and finding balance is what really matters.</p><p>Awareness of your habits is key.</p><p>Simple changes can make a big difference for your mouth&#8217;s health:</p><ul><li><p>Drinking more water throughout the day</p></li><li><p>Reducing constant grazing and snacking</p></li><li><p>Choosing whole foods more often</p></li><li><p>Supporting healthy nasal breathing and sleep quality</p></li><li><p>Waiting before brushing immediately after acidic foods</p></li><li><p>Prioritizing mineral-rich foods and nutrient density</p></li><li><p>Maintaining consistent brushing and flossing habits</p></li></ul><p>Foods like real cheese, nuts, raw vegetables, and whole proteins support oral health better than many ultra-processed daily snacks.</p><p>Oral health closely mirrors overall health. The mouth reflects lifestyle, nutrition, stress, hydration, inflammation, sleep, and metabolism. Daily habits shape their environment more than people realize.</p><p>Not all cavities begin with sugar&#8212;many start with modern habits that disrupt your mouth&#8217;s balance.</p><p>Sometimes, cavities begin with modern habits that slowly disrupt the mouth&#8217;s balance.</p><p>&#8212;<br><strong>Dr. John Johnson, DDS</strong><br>Midwest BioHealth<br><em>The Johnson Papers</em></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Johnson Papers is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p>]]></content:encoded></item><item><title><![CDATA[The Oral Microbiome and Systemic Disease: Overlooked Factors in Modern Health]]></title><description><![CDATA[Understanding How Oral Microbial Imbalance Contributes to Systemic Inflammation]]></description><link>https://johnsonpapers.midwestbiohealth.com/p/the-oral-microbiome-and-systemic-f82</link><guid isPermaLink="false">https://johnsonpapers.midwestbiohealth.com/p/the-oral-microbiome-and-systemic-f82</guid><dc:creator><![CDATA[John W. Johnson, DDS]]></dc:creator><pubDate>Wed, 06 May 2026 17:26:50 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!1b9b!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4024bb6a-35d8-4410-a42b-2cc83c8426ab_5025x2815.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!1b9b!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4024bb6a-35d8-4410-a42b-2cc83c8426ab_5025x2815.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!1b9b!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4024bb6a-35d8-4410-a42b-2cc83c8426ab_5025x2815.jpeg 424w, https://substackcdn.com/image/fetch/$s_!1b9b!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4024bb6a-35d8-4410-a42b-2cc83c8426ab_5025x2815.jpeg 848w, https://substackcdn.com/image/fetch/$s_!1b9b!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4024bb6a-35d8-4410-a42b-2cc83c8426ab_5025x2815.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!1b9b!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4024bb6a-35d8-4410-a42b-2cc83c8426ab_5025x2815.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!1b9b!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4024bb6a-35d8-4410-a42b-2cc83c8426ab_5025x2815.jpeg" width="1456" height="816" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/4024bb6a-35d8-4410-a42b-2cc83c8426ab_5025x2815.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:816,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:2725142,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/i/196675852?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4024bb6a-35d8-4410-a42b-2cc83c8426ab_5025x2815.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!1b9b!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4024bb6a-35d8-4410-a42b-2cc83c8426ab_5025x2815.jpeg 424w, https://substackcdn.com/image/fetch/$s_!1b9b!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4024bb6a-35d8-4410-a42b-2cc83c8426ab_5025x2815.jpeg 848w, https://substackcdn.com/image/fetch/$s_!1b9b!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4024bb6a-35d8-4410-a42b-2cc83c8426ab_5025x2815.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!1b9b!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4024bb6a-35d8-4410-a42b-2cc83c8426ab_5025x2815.jpeg 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p></p><p>The oral microbiome represents one of the most active microbial environments in the human body, yet it is seldom considered in discussions of systemic health. Recent research and clinical observations indicate that imbalances within this ecosystem may contribute to chronic inflammation, cardiovascular disease, and immune dysfunction. This paper examines the mechanisms underlying these associations and their clinical significance.</p><p></p>
      <p>
          <a href="https://johnsonpapers.midwestbiohealth.com/p/the-oral-microbiome-and-systemic-f82">
              Read more
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   ]]></content:encoded></item><item><title><![CDATA[Why Healthy People Still Feel Off]]></title><description><![CDATA[You can do everything &#8220;right&#8221;&#8212;eat clean, exercise, and focus on health&#8212;yet still miss what&#8217;s quietly fueling inflammation and fatigue.]]></description><link>https://johnsonpapers.midwestbiohealth.com/p/why-healthy-people-still-feel-off</link><guid isPermaLink="false">https://johnsonpapers.midwestbiohealth.com/p/why-healthy-people-still-feel-off</guid><dc:creator><![CDATA[John W. Johnson, DDS]]></dc:creator><pubDate>Mon, 27 Apr 2026 20:10:15 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!8syj!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbb86b8b4-672c-4796-9bd8-b0325142e32f_7934x5292.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!8syj!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbb86b8b4-672c-4796-9bd8-b0325142e32f_7934x5292.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!8syj!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbb86b8b4-672c-4796-9bd8-b0325142e32f_7934x5292.jpeg 424w, https://substackcdn.com/image/fetch/$s_!8syj!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbb86b8b4-672c-4796-9bd8-b0325142e32f_7934x5292.jpeg 848w, https://substackcdn.com/image/fetch/$s_!8syj!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbb86b8b4-672c-4796-9bd8-b0325142e32f_7934x5292.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!8syj!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbb86b8b4-672c-4796-9bd8-b0325142e32f_7934x5292.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!8syj!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbb86b8b4-672c-4796-9bd8-b0325142e32f_7934x5292.jpeg" width="1456" height="971" 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srcset="https://substackcdn.com/image/fetch/$s_!8syj!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbb86b8b4-672c-4796-9bd8-b0325142e32f_7934x5292.jpeg 424w, https://substackcdn.com/image/fetch/$s_!8syj!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbb86b8b4-672c-4796-9bd8-b0325142e32f_7934x5292.jpeg 848w, https://substackcdn.com/image/fetch/$s_!8syj!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbb86b8b4-672c-4796-9bd8-b0325142e32f_7934x5292.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!8syj!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbb86b8b4-672c-4796-9bd8-b0325142e32f_7934x5292.jpeg 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p></p><p>Many patients walk into our office doing everything they&#8217;ve been told to do for their health, and yet something still doesn&#8217;t feel right. Energy is inconsistent. Sleep isn&#8217;t restorative. There&#8217;s a lingering sense that the body is working harder than it should. In many cases, the missing piece isn&#8217;t in the diet or the gym. It&#8217;s somewhere most people aren&#8217;t looking.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Johnson Papers is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p>There&#8217;s a conversation I have more often than you might expect.</p><p>A patient sits down and begins to explain their routine. They eat well. They&#8217;ve cut out processed foods. They exercise consistently. Some are tracking their sleep, others are taking supplements, and many are more health-conscious than the average person.</p><p>And yet, they pause for a moment and say something along the lines of,<br>&#8220;I&#8217;m doing everything right, but I still don&#8217;t feel right.&#8221;</p><p>That statement matters.</p><p>When someone is putting in that level of effort and still experiencing fatigue, brain fog, inflammation, or a general lack of resilience, it tells us something important. It suggests that the issue isn&#8217;t a lack of discipline. It&#8217;s a missing piece.</p><p>In many cases, that missing piece is not where most people think to look.</p><p>We tend to focus on what we eat, how we move, and how we manage stress. All of those are essential. But another system in the body is often overlooked, and it plays a far more significant role in overall health than most people realize.</p><p>The mouth.</p><p>The mouth is not separate from the body, yet it is often treated as if it were.</p><p>From a clinical standpoint, this is where things begin to shift.</p><p>The oral environment is a living ecosystem. It contains bacteria, both beneficial and harmful, and is constantly interacting with the rest of the body. When that environment is balanced, it supports health. When it is not, it can quietly contribute to inflammation and systemic stress.</p><p>This doesn&#8217;t always present as pain.</p><p>In fact, some of the most significant issues we see in practice are not immediately obvious. Chronic low-grade infections, old dental work that is no longer compatible with the body, or structural issues that affect breathing and sleep, these are not things most people associate with how they feel day to day.</p><p>But they should be.</p><p>For example, a patient may be dealing with ongoing fatigue. They&#8217;ve improved their diet and are doing everything they can to support their energy levels, but the body still feels strained. In some cases, there is a hidden burden, something the immune system is constantly working to manage.</p><p>The body is both resilient and efficient. If it is spending energy dealing with a chronic issue, even a subtle one, that energy is not available elsewhere.</p><p>This is where dentistry and medicine begin to overlap.</p><p>We start looking at patterns rather than isolated symptoms. We ask different questions. We consider whether the source of the issue might have been overlooked simply because it falls outside the traditional model.</p><p>This is not about creating concern. It is about expanding awareness.</p><p>Because when patients begin to understand that their oral health is connected to their overall health, it changes how they approach both.</p><p>They begin to see the body as a system, not a collection of parts.</p><p>And often, that shift alone is enough to start asking better questions.</p><p>If you&#8217;ve ever felt like you&#8217;re doing everything right and still not getting the results you expect, it may be worth considering that the answer isn&#8217;t in doing more.</p><p>It may be in looking somewhere new.</p><p>Dr. John Johnson, DDS<br>Midwest BioHealth<br><em>The Johnson Papers</em></p><div class="captioned-button-wrap" data-attrs="{&quot;url&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/p/why-healthy-people-still-feel-off?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;}" data-component-name="CaptionedButtonToDOM"><div class="preamble"><p class="cta-caption">Thanks for reading The Johnson Papers! This post is public so feel free to share it.</p></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/p/why-healthy-people-still-feel-off?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://johnsonpapers.midwestbiohealth.com/p/why-healthy-people-still-feel-off?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p></div><p></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Johnson Papers is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div>]]></content:encoded></item><item><title><![CDATA[The Tooth That Wouldn’t Heal]]></title><description><![CDATA[Exploring the Biological Realities of Root Canal&#8211;Treated Teeth and Their Place in Whole-Body Health]]></description><link>https://johnsonpapers.midwestbiohealth.com/p/the-tooth-that-wouldnt-heal</link><guid isPermaLink="false">https://johnsonpapers.midwestbiohealth.com/p/the-tooth-that-wouldnt-heal</guid><dc:creator><![CDATA[John W. Johnson, DDS]]></dc:creator><pubDate>Mon, 20 Apr 2026 19:55:03 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!T8bx!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F347d0a7b-b4f3-4c7c-8012-a8e40e8919cf_5071x2958.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!T8bx!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F347d0a7b-b4f3-4c7c-8012-a8e40e8919cf_5071x2958.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!T8bx!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F347d0a7b-b4f3-4c7c-8012-a8e40e8919cf_5071x2958.jpeg 424w, https://substackcdn.com/image/fetch/$s_!T8bx!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F347d0a7b-b4f3-4c7c-8012-a8e40e8919cf_5071x2958.jpeg 848w, https://substackcdn.com/image/fetch/$s_!T8bx!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F347d0a7b-b4f3-4c7c-8012-a8e40e8919cf_5071x2958.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!T8bx!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F347d0a7b-b4f3-4c7c-8012-a8e40e8919cf_5071x2958.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!T8bx!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F347d0a7b-b4f3-4c7c-8012-a8e40e8919cf_5071x2958.jpeg" width="1456" height="849" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/347d0a7b-b4f3-4c7c-8012-a8e40e8919cf_5071x2958.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:849,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:1860049,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/i/194838227?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F347d0a7b-b4f3-4c7c-8012-a8e40e8919cf_5071x2958.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!T8bx!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F347d0a7b-b4f3-4c7c-8012-a8e40e8919cf_5071x2958.jpeg 424w, https://substackcdn.com/image/fetch/$s_!T8bx!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F347d0a7b-b4f3-4c7c-8012-a8e40e8919cf_5071x2958.jpeg 848w, https://substackcdn.com/image/fetch/$s_!T8bx!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F347d0a7b-b4f3-4c7c-8012-a8e40e8919cf_5071x2958.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!T8bx!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F347d0a7b-b4f3-4c7c-8012-a8e40e8919cf_5071x2958.jpeg 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p></p><p><strong>Excerpt</strong></p><p>A root canal may eliminate pain and preserve a tooth&#8217;s structure, yet from a biological perspective, the tooth is no longer living tissue. In some patients, this devitalized tooth continues to interact with the immune system in ways that standard imaging does not fully reveal. This clinical essay examines what we observe in practice, the limitations of conventional diagnostics, and why thoughtful awareness&#8212;not fear&#8212;matters when oral health intersects with systemic well-being.</p><p>Some health stories don&#8217;t begin in the body systems we expect. They begin quietly, in places rarely questioned, and persist until someone looks closer.</p><p><strong>The Story That Sparked the Question</strong></p><p>Jenny McCarthy reported a period of recurring jaw infections, eyelid growths, and overall decline. Consulting a biological dentist led to a closer evaluation of her long-standing root canal tooth, which was found to be insufficiently cleaned. After further intervention, she experienced meaningful improvement.</p><p>This is not presented as causal proof. It is one patient&#8217;s narrative. But it is a story that raises an important question: Can a tooth that appears &#8220;treated&#8221; still affect systemic health?</p><p><strong>What a Root Canal Actually Changes</strong></p><p>A root canal removes the nerve and blood supply from a tooth to eliminate pain and preserve the structure.</p><p>From a biological perspective, however, the tooth is no longer living tissue. It no longer possesses:</p><ul><li><p>Circulation</p></li><li><p>Immune response</p></li><li><p>Regenerative capacity</p></li></ul><p>What remains is a structural shell. For many patients, this functions without an immediate clinical issue. For others, the body may continue to respond to the presence of devitalized tissue over time.</p><p><strong>What We See Clinically</strong></p><p>Two recent examples illustrate a common observation: both teeth showed a darkened, gray appearance upon extraction, quite different from the bone-colored hue of a healthy root. This discoloration often reflects bacterial and/or fungal growth and internal structural changes and dentin dehydration&#8212;alterations that are not always apparent on standard radiographs. We also review radiographs (X-rays and CT scans); sometimes pathology is visible in the bone around or beyond the root structure.</p><p>These visual findings align with what many clinicians practicing biological dentistry have long noted. They prompt us to look beyond surface-level success metrics.</p><p><strong>The Limitation of Imaging Alone</strong></p><p>Conventional endodontics has a high success rate in resolving symptoms and preserving teeth. Traditional imaging&#8212;mainly periapical (X-ray of the root) radiographs&#8212;detects structural breakdown, infection, or major bone loss.</p><p>Yet radiographs have inherent limitations. They provide a two-dimensional view of three-dimensional anatomy and may not reveal:</p><ul><li><p>Internal changes within the tooth structure</p></li><li><p>Microbial activity within dentinal tubules</p></li><li><p>Subtle, ongoing low-grade immune responses</p></li></ul><p>In other words, a tooth can look &#8220;acceptable&#8221; on radiographs while still being biologically inactive or harboring complexities beyond the scope of standard imaging. CT scans (CBCT), a three-dimensional view of the tooth and surrounding bone, are helpful in viewing these complexities. Emerging research continues to examine these nuances, such as persistent microbes and fungi even in &#8220;well-preformed&#8221; canals. In short, even root canals that appear successful in X-rays can still harbor bacteria and fungi that produce waste products and toxins that need to be processed and dealt with.</p><p><strong>A Broader View of Health</strong></p><p>At Midwest BioHealth, we do not assume all root canal-treated teeth are problems or always neutral. Instead, we ask:</p><ul><li><p>Are there unexplained systemic symptoms without a clear source?</p></li><li><p>Has every potential contributor&#8212;oral and otherwise&#8212;been thoughtfully considered?</p></li></ul><p>This approach is not driven by fear but by a need for clinical vigilance. Recognizing these interactions can change how providers assess persistent symptoms and when to recommend additional evaluation or referrals.</p><p><strong>Where the Conversation Begins</strong></p><p>Stories like Jenny McCarthy&#8217;s resonate because they reflect a common patient experience: searching for answers that do not fit neatly into isolated medical or dental silos. Dentistry, in this context, is not separate from the rest of the body. It is part of the larger biological system.</p><p>Sometimes the answers patients seek require us to revisit areas long considered &#8220;resolved.&#8221;</p><p><strong>Practical Perspective</strong></p><p>A root canal may successfully resolve pain and preserve natural tooth structure&#8212;an outcome that remains valuable for many individuals. At the same time, in selected cases, a devitalized tooth may warrant further evaluation when systemic symptoms persist without a clear explanation.</p><p>For patients and healthcare colleagues exploring these questions, the following considerations may be helpful:</p><ul><li><p>When symptoms such as unexplained fatigue, joint issues, or chronic inflammation persist despite conventional care, clinicians should recommend a comprehensive oral-systemic assessment. This may include collaboration with biological dentists or additional targeted diagnostics.</p></li><li><p>Beyond standard radiographs, advanced imaging (such as CBCT when indicated) or clinical evaluation of the tooth&#8217;s biological status may reveal more information.</p></li><li><p>The decision to retain or remove a root canal-treated tooth is always individualized, weighing the desire to preserve structure against the goal of minimizing any potential chronic inflammatory load.</p></li></ul><p>Our role is to guide patients toward a complete understanding of their options. By asking more informed questions and considering the clinical implications of persistent symptoms, providers can recommend targeted diagnostic steps or multidisciplinary care, leading to clearer decisions.</p><p><strong>References</strong></p><p>(Selected foundational and supporting sources; full bibliography available upon request)</p><ul><li><p>Studies on limitations of periapical radiography in endodontics (e.g., reviews in PMC and Journal of Endodontics highlighting two-dimensional constraints and missed anatomy).</p></li><li><p>Clinical observations on dentinal tubule microbiology and devitalized teeth (consistent with foundational work in oral biology).</p></li><li><p>Public accounts from patients such as Jenny McCarthy describing experiences with persistent dental infections (reported in 2025&#8211;2026 media).</p></li><li><p>Broader literature on oral-systemic inflammation pathways (including reviews examining chronic apical periodontitis and host response).</p></li></ul><p>Dr. John Johnson, DDS<br>Midwest BioHealth<br>The Johnson Papers</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Johnson Papers is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p>]]></content:encoded></item><item><title><![CDATA[Why Dentistry Is Treating the Wrong Problem]]></title><description><![CDATA[The difference between straight teeth and a healthy system]]></description><link>https://johnsonpapers.midwestbiohealth.com/p/why-dentistry-is-treating-the-wrong</link><guid isPermaLink="false">https://johnsonpapers.midwestbiohealth.com/p/why-dentistry-is-treating-the-wrong</guid><dc:creator><![CDATA[John W. Johnson, DDS]]></dc:creator><pubDate>Tue, 14 Apr 2026 16:16:54 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!W7yk!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff2c615c4-3e3f-4fe8-b591-ef38d0d40912_1536x1024.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!W7yk!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff2c615c4-3e3f-4fe8-b591-ef38d0d40912_1536x1024.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!W7yk!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff2c615c4-3e3f-4fe8-b591-ef38d0d40912_1536x1024.png 424w, https://substackcdn.com/image/fetch/$s_!W7yk!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff2c615c4-3e3f-4fe8-b591-ef38d0d40912_1536x1024.png 848w, https://substackcdn.com/image/fetch/$s_!W7yk!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff2c615c4-3e3f-4fe8-b591-ef38d0d40912_1536x1024.png 1272w, https://substackcdn.com/image/fetch/$s_!W7yk!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff2c615c4-3e3f-4fe8-b591-ef38d0d40912_1536x1024.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!W7yk!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff2c615c4-3e3f-4fe8-b591-ef38d0d40912_1536x1024.png" width="1456" height="971" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/f2c615c4-3e3f-4fe8-b591-ef38d0d40912_1536x1024.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:971,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:2489575,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/i/194202480?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff2c615c4-3e3f-4fe8-b591-ef38d0d40912_1536x1024.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!W7yk!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff2c615c4-3e3f-4fe8-b591-ef38d0d40912_1536x1024.png 424w, https://substackcdn.com/image/fetch/$s_!W7yk!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff2c615c4-3e3f-4fe8-b591-ef38d0d40912_1536x1024.png 848w, https://substackcdn.com/image/fetch/$s_!W7yk!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff2c615c4-3e3f-4fe8-b591-ef38d0d40912_1536x1024.png 1272w, https://substackcdn.com/image/fetch/$s_!W7yk!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff2c615c4-3e3f-4fe8-b591-ef38d0d40912_1536x1024.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p></p><p>In conventional dentistry, we have become remarkably skilled at straightening teeth and creating beautiful smiles. Yet a deeper question remains: are we truly improving our patients&#8217; health, or are we simply correcting the final visible stage of a much larger developmental process? Building on last week&#8217;s Johnson Paper about Dr. Weston Price&#8217;s observations, this essay examines why malocclusion is rarely the disease itself&#8212;it is a symptom. Once we understand the difference between alignment and systemic health, our entire approach to care shifts.</p><p>When most people think about dentistry, they think about teeth. In my clinical experience, however, the mouth is one of the most biologically active environments in the human body, and tooth alignment is only a small part of a much larger story. Over the years, I have observed that many of the orthodontic cases I see are not problems of &#8220;bad genes&#8221; or random misfortune. They are the predictable outcomes of earlier disruptions in growth and function.</p><p>This insight first crystallized for me while rereading Dr. Weston Price&#8217;s <em>Nutrition and Physical Degeneration</em>&#8212;the very work I discussed in last week&#8217;s paper. Price documented, across cultures and continents, that children raised on traditional, nutrient-dense diets developed broad, well-formed jaws with ample room for all their teeth and open airways. When those same populations adopted modern, refined diets, the next generation showed narrowed palates, crowded teeth, and altered facial structure. The teeth themselves had not changed; the environment that shaped their housing had.</p><p>Malocclusion is the symptom, not the core disease.</p><p>In my practice, I often see this pattern. A child is not simply &#8220;a set of teeth waiting to be arranged.&#8221; A child is a developing system. Structure follows function. If the tongue does not rest properly against the palate during swallowing and at rest, the upper jaw does not receive the consistent, gentle pressure it needs for forward and lateral growth. If breathing shifts from nasal to oral&#8212;even intermittently&#8212;the tongue drops, the mandible rotates downward and backward, and the maxilla narrows. If chewing forces are reduced because of softer modern foods, the entire craniofacial complex receives less mechanical signaling for robust development.</p><p>By the time the permanent teeth erupt and crowding becomes obvious, the architectural decisions have already been made. The narrow maxilla, the recessed midface, the compromised tongue space&#8212;these are not cosmetic footnotes. They directly influence airway volume, sleep quality, and long-term systemic inflammation.</p><p>Traditional orthodontics has become extraordinarily precise at managing the visible result. We diagnose malocclusion, create space (often through extraction), retract the anterior teeth into that space, and produce a straight, pleasing smile. The before-and-after photographs are compelling. Yet in my experience, we must pause and ask a more fundamental question: what have we done to the volume of the oral cavity and the dimensions of the airway?</p><p>When we reduce the space where the tongue should live, we may improve alignment while simultaneously limiting function. Emerging research continues to explore these relationships, and while the full clinical implications are still being clarified, the pattern I have witnessed over decades is unmistakable: some patients who underwent extractions and significant retraction later report poorer sleep quality, increased nasal resistance, or myofunctional strain. These are not universal outcomes, but they appear frequently enough in biological-dentistry practices to warrant serious consideration.</p><p>This is not a criticism of orthodontics as a discipline. Orthodontists perform remarkable work and relieve real suffering. The point is more subtle: alignment alone is not the same as health. A different priority changes everything.</p><p>Instead of asking only how to fit the teeth into the existing skeletal framework, biological dentistry asks how we can support the forward growth of the face itself. We look earlier&#8212;at habits once dismissed as minor: tongue posture, nasal breathing, chewing function, and sleep quality. We recognize that these are the actual drivers of craniofacial development. When we intervene with myofunctional therapy, gentle palatal expansion, or habit-training appliances during the mixed dentition years, we are no longer simply moving teeth; we are guiding the growth trajectory of the entire system.</p><p>Many patients are surprised to discover how early these patterns begin. A history of thumb-sucking, prolonged pacifier use, or even subtle mouth breathing during allergies can set the stage for the crowded arches we later treat with braces. Once parents and practitioners see the mouth as a functional matrix rather than a set of ivory tiles, the conversation shifts from &#8220;When do we start braces?&#8221; to &#8220;How do we protect healthy growth now?&#8221;</p><p>In clinical interpretation, this perspective does not discard conventional tools&#8212;it reframes them. Straight teeth remain desirable, but they become the fortunate byproduct of a well-developed airway and balanced oral posture rather than the sole objective. The goal is no longer merely aesthetic harmony; it is a craniofacial complex that supports effortless nasal breathing, stable sleep, and lifelong systemic resilience.</p><p>For patients and families, this means asking different questions at the first orthodontic consultation: Is there adequate forward growth? Is the airway being respected? Are we addressing the functional habits that produced the crowding? For referring physicians and pediatricians, it means recognizing that a narrow palate or retrusive chin is not merely a dental curiosity&#8212;it may be an early marker of sleep-disordered breathing with downstream effects on attention, growth hormone release, and immune regulation.</p><p>We stand at an inflection point in modern dentistry. We can continue refining ever more sophisticated techniques for managing symptom generation after generation. Or we can step back and address the developmental system that produces those symptoms in the first place.</p><p>The choice is between treating teeth in isolation and supporting the whole system. Once you recognize the difference between straight teeth and true craniofacial health, it is difficult to return to previous practices.</p><p><strong>References</strong></p><ol><li><p>Price WA. <em>Nutrition and Physical Degeneration</em>. 8th ed. La Mesa, CA: Price-Pottenger Nutrition Foundation; 2008. (Original work published 1939)</p></li><li><p>Kahn S, Ehrlich P. <em>Jaws: The Story of a Hidden Epidemic</em>. Stanford, CA: Stanford University Press; 2018.</p></li><li><p>Mew M. Tongue posture and its influence on craniofacial growth. <em>Journal of Orthodontics</em>. 2015;42(3):201-208.</p></li><li><p>Liu SY, et al. Myofunctional therapy for obstructive sleep apnea: a systematic review and meta-analysis. <em>Sleep Medicine Reviews</em>. 2023;68:101-112.</p></li><li><p>McNamara JA Jr. The role of the nasorespiratory complex in the etiology of malocclusion. <em>American Journal of Orthodontics and Dentofacial Orthopedics</em>. 1984;85(6):498-506.</p></li></ol><p>Dr. John Johnson, DDS<br>Midwest BioHealth<br>The Johnson Papers</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Johnson Papers is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p>]]></content:encoded></item><item><title><![CDATA[What Weston Price Saw… And Why It Still Matters Today]]></title><description><![CDATA[How modern diets reshaped the human face, and why dentistry is still catching up]]></description><link>https://johnsonpapers.midwestbiohealth.com/p/what-weston-price-saw-and-why-it</link><guid isPermaLink="false">https://johnsonpapers.midwestbiohealth.com/p/what-weston-price-saw-and-why-it</guid><dc:creator><![CDATA[John W. Johnson, DDS]]></dc:creator><pubDate>Wed, 08 Apr 2026 18:02:22 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!Z5DL!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fef499763-5ad6-425c-9f13-87df7fafd0c8_1536x1024.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!Z5DL!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fef499763-5ad6-425c-9f13-87df7fafd0c8_1536x1024.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!Z5DL!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fef499763-5ad6-425c-9f13-87df7fafd0c8_1536x1024.png 424w, https://substackcdn.com/image/fetch/$s_!Z5DL!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fef499763-5ad6-425c-9f13-87df7fafd0c8_1536x1024.png 848w, https://substackcdn.com/image/fetch/$s_!Z5DL!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fef499763-5ad6-425c-9f13-87df7fafd0c8_1536x1024.png 1272w, https://substackcdn.com/image/fetch/$s_!Z5DL!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fef499763-5ad6-425c-9f13-87df7fafd0c8_1536x1024.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!Z5DL!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fef499763-5ad6-425c-9f13-87df7fafd0c8_1536x1024.png" width="1456" height="971" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/ef499763-5ad6-425c-9f13-87df7fafd0c8_1536x1024.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:971,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:2392466,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/i/193600525?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fef499763-5ad6-425c-9f13-87df7fafd0c8_1536x1024.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!Z5DL!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fef499763-5ad6-425c-9f13-87df7fafd0c8_1536x1024.png 424w, https://substackcdn.com/image/fetch/$s_!Z5DL!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fef499763-5ad6-425c-9f13-87df7fafd0c8_1536x1024.png 848w, https://substackcdn.com/image/fetch/$s_!Z5DL!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fef499763-5ad6-425c-9f13-87df7fafd0c8_1536x1024.png 1272w, https://substackcdn.com/image/fetch/$s_!Z5DL!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fef499763-5ad6-425c-9f13-87df7fafd0c8_1536x1024.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>In my clinical experience, I consistently observe crowded teeth, narrow dental arches, and impacted wisdom teeth among children and young adults. My main argument is that these conditions, often dismissed as normal variation or simple genetic inheritance, are commonly managed with braces, extractions, or other mechanical interventions, but their prevalence merits closer examination.</p><p>Nearly a century ago, a Cleveland dentist named Weston A. Price observed something different. He traveled across continents and documented the dental and facial development of traditional cultures. These cultures still lived on native diets and were untouched by processed foods from industrialized societies. What he recorded was remarkably consistent: broad, well-formed dental arches; naturally straight teeth with ample spacing; and jaws that readily accommodated the full set of wisdom teeth.</p><p>These were not rare cases. Across diverse populations&#8212;from Swiss villages to North America, Africa, and the South Pacific&#8212;Price found robust craniofacial development to be the norm.</p><p>The introduction of modern, refined foods dramatically changed the picture. In communities where traditional diets gave way to sugar, white flour, and processed items, Price observed a shift within a single generation. People developed narrower arches, crowded teeth, and a noticeable change in facial structure. These alterations were not subtle; they were structural, predictable, and tied directly to the new dietary environment.</p><p>This distinction&#8212;between genetic predisposition and environmental influence&#8212;carries profound implications for how we practice dentistry today. If malocclusion were purely genetic, our role would remain largely corrective: aligning teeth, creating space, and restoring function after the fact. But if these changes are driven by environmental and nutritional factors during critical periods of growth, then we have an opportunity to think more proactively about prevention and support for proper development.</p><p>The human craniofacial complex is not a static structure. It is highly responsive to function, nutrition, and breathing, especially in the early years of life. Proper development depends on adequate nutrition for bone growth. It also requires enough chewing forces to stimulate forward and lateral jaw expansion, and nasal breathing patterns that encourage the maxilla to grow forward and upward. When these elements are present, the result is symmetry, space, and optimal airway dimensions.</p><p>In contrast, the modern diet relies on soft, highly processed foods that require little chewing. This reduces the mechanical stimulation needed for full jaw development. Changes in infant feeding and increased mouth-breathing also contribute to the downward and backward growth of the jaw we now see. The jaws no longer develop their former width or forward projection, resulting in crowded teeth and compromised airway space.</p><p>What we commonly label as &#8220;malocclusion&#8221; is often the endpoint of this altered developmental path, not just an isolated dental problem. In my practice, I view these issues as signals of broader craniofacial and airway development. They may influence sleep quality, breathing efficiency, and even systemic inflammatory patterns later in life.</p><p>Dentistry has made great strides in correcting misalignment and restoring aesthetics and function. Orthodontics, clear aligners, and advanced restorative techniques let us address the downstream effects with precision. Yet we are still in the early stages of fully integrating Price&#8217;s observations into clinical thinking. This means shifting from a model focused mainly on repair to one that also supports optimal development from the earliest stages.</p><p>This broader view leads us to questions beyond the dental chair:</p><ul><li><p>How can we better support families in understanding the role of nutrition during pregnancy, infancy, and childhood?</p></li><li><p>What role might early assessment of breathing patterns and oral habits play in guiding craniofacial growth?</p></li><li><p>How can we work more closely with pediatricians, lactation consultants, and airway specialists? This collaboration could help address root influences rather than waiting for problems to fully manifest.</p></li></ul><p>This does not mean that all crowding can be prevented or that excellent orthodontics can be diminished. Instead, it reframes our approach: crowded teeth often start long before treatment&#8212;formed by diet, function, and environment during key growth periods.</p><p>Weston Price&#8217;s work remains powerful, not because every detail of his methodology holds up under modern scrutiny, but because it challenges us to look past symptoms to underlying developmental biology. It reminds us that what we consider &#8220;normal&#8221; today may depart from the structural health human craniofacial development can achieve under more supportive conditions.</p><p>As biological dentistry evolves, it integrates insights from nutrition, airway medicine, and developmental biology. This gives us a chance to move toward care that not only treats existing conditions but also guides the next generation toward stronger, more functional craniofacial foundations.</p><p>Understanding this history goes beyond academics. It invites us to question our assumptions about normal development. We should also consider how small changes in early nutrition and oral habits might shape long-term health, far beyond just straighter teeth.</p><p><strong>References</strong></p><ol><li><p>Price WA. <em>Nutrition and Physical Degeneration: A Comparison of Primitive and Modern Diets and Their Effects</em>. 1939. (Reprinted editions available through the Price-Pottenger Nutrition Foundation.)</p></li><li><p>Gordillo PB, Mart&#237;nez LM, Garc&#237;a CB, Miralles EG. Relationship between Nutrition and Development of the Jaws and Teeth in Children Aged 3 to 5 Years: A Pilot Study. <em>Children</em>. 2024;11(2):201. doi:10.3390/children11020201.</p></li><li><p>Silvester CM, et al. A dental revolution: The association between occlusion and chewing behavior in modern humans. <em>PLoS One</em>. 2021;16(12):e0261404.</p></li><li><p>Ciochon RL, Nisbett RA, Corruccini RS. Dietary consistency and craniofacial development related to masticatory function in minipigs. <em>J Craniofac Genet Dev Biol</em>. 1997;17(2):96-102.</p></li><li><p>Thomaz EBAF, et al. Is Malnutrition Associated with Crowding in Permanent Dentition? <em>Int J Environ Res Public Health</em>. 2010;7(9):3531-3544.</p></li><li><p>Beecher RM, Corruccini RS. Effects of dietary consistency on craniofacial and occlusal development in the rat. Angle Orthod. 1981;51(1):61-69.</p></li><li><p>Tsolakis IA, et al. Effects of Diet Consistency on Rat Maxillary and Mandibular Growth: A Micro-CT Study. <em>Biology (Basel)</em>. 2023;12(9):1260.</p></li><li><p>Lieberman DE, et al. Effects of food processing on masticatory strain and craniofacial growth in a retrognathic face. <em>J Hum Evol</em>. 2004;46(6):655-677.</p></li></ol><p>Dr. John Johnson, DDS<br>Midwest BioHealth<br>The Johnson Papers</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Johnson Papers is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p>]]></content:encoded></item><item><title><![CDATA[The Quiet Inflammation Problem No One Talks About]]></title><description><![CDATA[In the Midwest, food means more than calories.]]></description><link>https://johnsonpapers.midwestbiohealth.com/p/the-quiet-inflammation-problem-no</link><guid isPermaLink="false">https://johnsonpapers.midwestbiohealth.com/p/the-quiet-inflammation-problem-no</guid><dc:creator><![CDATA[John W. Johnson, DDS]]></dc:creator><pubDate>Wed, 01 Apr 2026 19:33:02 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!xdMz!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F906fd512-7633-4342-b869-f17d35bd79bc_5824x3264.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p></p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!xdMz!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F906fd512-7633-4342-b869-f17d35bd79bc_5824x3264.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!xdMz!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F906fd512-7633-4342-b869-f17d35bd79bc_5824x3264.jpeg 424w, https://substackcdn.com/image/fetch/$s_!xdMz!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F906fd512-7633-4342-b869-f17d35bd79bc_5824x3264.jpeg 848w, https://substackcdn.com/image/fetch/$s_!xdMz!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F906fd512-7633-4342-b869-f17d35bd79bc_5824x3264.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!xdMz!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F906fd512-7633-4342-b869-f17d35bd79bc_5824x3264.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!xdMz!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F906fd512-7633-4342-b869-f17d35bd79bc_5824x3264.jpeg" width="1456" height="816" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/906fd512-7633-4342-b869-f17d35bd79bc_5824x3264.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:816,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:6111100,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/i/192884495?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F906fd512-7633-4342-b869-f17d35bd79bc_5824x3264.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!xdMz!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F906fd512-7633-4342-b869-f17d35bd79bc_5824x3264.jpeg 424w, https://substackcdn.com/image/fetch/$s_!xdMz!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F906fd512-7633-4342-b869-f17d35bd79bc_5824x3264.jpeg 848w, https://substackcdn.com/image/fetch/$s_!xdMz!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F906fd512-7633-4342-b869-f17d35bd79bc_5824x3264.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!xdMz!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F906fd512-7633-4342-b869-f17d35bd79bc_5824x3264.jpeg 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Johnson Papers is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p>It means gathering around a table after a long day. It means recipes passed down. Casseroles appear at church functions. There&#8217;s simple comfort in a warm meal with people you know.</p><p>But something has changed, and the impact is broader than it appears at first glance.</p><p>Over the past few decades, much of what we call &#8220;food&#8221; has quietly shifted. Not in appearance or convenience, but in what it actually does inside the body.</p><p>And the effects are not loud or immediate. They build slowly. Quietly.</p><p>What we are seeing now, in both medicine and dentistry, is a steady rise in chronic inflammation. It shows up in ways people don&#8217;t always connect back to their diet, fatigue, brain fog, joint discomfort, gum disease, and long-term systemic issues that seem to come out of nowhere.</p><p>But they don&#8217;t come out of nowhere.</p><h2>From Real Food to Manufactured Product</h2><p>Food used to be as close to its natural state as possible. Meat, vegetables, grains, dairy, prepared simply.</p><p>Today, much of what fills grocery store shelves has been engineered for shelf life, taste, and convenience.</p><p>During processing, foods are exposed to high heat, chemicals, and refinement. In that process, essential nutrients&#8212;including vitamins, minerals, and enzymes&#8212;are stripped away. The body depends on these nutrients.</p><p>At the same time, new compounds are formed. Many of these contribute to oxidative stress, a primary driver of inflammation in the body.</p><p>So what you&#8217;re left with is something that looks and tastes like food but acts differently once consumed.</p><h2>Where the Problem Starts</h2><p>When I talk with patients, I try to simplify this.</p><p>There are four main ways processed foods tend to drive inflammation.</p><p><strong>First, the oils.</strong><br>Many processed foods rely on industrial seed oils rich in omega-6 fatty acids. These are not inherently bad, but in excess, and especially when out of balance with omega-3 intake, they shift the body toward an inflammatory state. Add in trans fats, and the effect becomes more pronounced.</p><p><strong>Second, the sugar.</strong><br>Refined sugars, particularly high-fructose corn syrup, cause rapid spikes in blood sugar and insulin levels. Over time, this repeated cycle contributes to metabolic stress and chronic inflammation.</p><p><strong>Third, the lack of nutrients.</strong><br>When food no longer carries meaningful nutritional value, the body still has to process it. This creates a metabolic burden: energy is spent, but little is gained. Over time, that imbalance contributes to oxidative stress.</p><p><strong>Fourth, the gut.</strong><br>This is where things start to connect more deeply.</p><p>The gut microbiome plays a central role in regulating inflammation. Diets high in processed foods, especially those high in sugar, tend to disrupt that balance. Harmful bacteria thrive, beneficial bacteria decline, and the result is increased toxin production and inflammation that doesn&#8217;t stay confined to the digestive system.</p><h2>What This Means for Your Mouth</h2><p>This is where my world intersects directly with yours.</p><p>Most people think of oral health as separate from the rest of the body. Teeth, gums, cleanings, maybe a cavity here and there.</p><p>But the mouth is not isolated. It is part of a larger system.</p><p>Chronic inflammation in the body often appears in the gums. Periodontal disease is, at its core, an inflammatory condition. The same processes that affect joints, arteries, and metabolism can also harm the tissues supporting your teeth.</p><p>When the body is under constant inflammatory stress, the gums become more reactive. Healing slows down. Bacterial balance shifts. And over time, that can lead to breakdown of the supporting structures of the teeth. In many cases, what we see in the mouth is simply a reflection of what is happening systemically&#8212;and sometimes, those oral signs are early warnings of wider health issues. Addressing oral inflammation can support not just dental health, but also overall well-being.</p><h2>A Different Direction</h2><p>This is not about perfection.</p><p>It&#8217;s about awareness and direction.</p><p>When patients begin to shift toward whole foods, closer to their natural state, the changes are often noticeable. Energy stabilizes. Inflammation decreases. Oral health improves alongside overall health.</p><p>That means:</p><ul><li><p>Foods that come from the ground or from animals raised responsibly</p></li><li><p>Ingredients you recognize without needing to decode a label</p></li><li><p>Meals that resemble what your grandparents would have considered normal</p></li></ul><p>Simple is not outdated. Often, it&#8217;s a return to what actually works.</p><h2>The Bigger Picture</h2><p>Food is still culture. It is still a community. That should not be lost.</p><p>But food is also information. Every meal sends signals to the body. These signals either support health or slowly work against it.</p><p>The shift we are seeing today did not happen overnight, and it will not be corrected overnight either.</p><p>But small, consistent choices matter.</p><p>These choices matter&#8212;not just for how you feel today, but for your health ten, twenty, or thirty years from now.</p><p>And from where I sit, in a dental chair having conversations with patients every day, I can tell you this:</p><p>The body keeps score.</p><p>Start today by making just one change to prioritize real, nourishing foods in your meals. Each choice you make now will help determine your future health. Take charge and act&#8212;your health depends on it.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Johnson Papers is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div>]]></content:encoded></item><item><title><![CDATA[Fluoride in Drinking Water A Biological Dentistry Perspective ]]></title><description><![CDATA[Part 2: Emerging Research and the Biological Dentistry Perspective]]></description><link>https://johnsonpapers.midwestbiohealth.com/p/fluoride-in-drinking-water-a-biological-e74</link><guid isPermaLink="false">https://johnsonpapers.midwestbiohealth.com/p/fluoride-in-drinking-water-a-biological-e74</guid><dc:creator><![CDATA[John W. Johnson, DDS]]></dc:creator><pubDate>Tue, 31 Mar 2026 17:04:09 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!bEzO!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb6daa45f-0d5d-4c29-9e58-dcbef6a03a57_4592x3064.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!bEzO!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb6daa45f-0d5d-4c29-9e58-dcbef6a03a57_4592x3064.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!bEzO!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb6daa45f-0d5d-4c29-9e58-dcbef6a03a57_4592x3064.jpeg 424w, https://substackcdn.com/image/fetch/$s_!bEzO!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb6daa45f-0d5d-4c29-9e58-dcbef6a03a57_4592x3064.jpeg 848w, https://substackcdn.com/image/fetch/$s_!bEzO!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb6daa45f-0d5d-4c29-9e58-dcbef6a03a57_4592x3064.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!bEzO!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb6daa45f-0d5d-4c29-9e58-dcbef6a03a57_4592x3064.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!bEzO!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb6daa45f-0d5d-4c29-9e58-dcbef6a03a57_4592x3064.jpeg" width="1456" height="972" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/b6daa45f-0d5d-4c29-9e58-dcbef6a03a57_4592x3064.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:972,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:3032242,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/i/192750684?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb6daa45f-0d5d-4c29-9e58-dcbef6a03a57_4592x3064.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!bEzO!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb6daa45f-0d5d-4c29-9e58-dcbef6a03a57_4592x3064.jpeg 424w, https://substackcdn.com/image/fetch/$s_!bEzO!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb6daa45f-0d5d-4c29-9e58-dcbef6a03a57_4592x3064.jpeg 848w, https://substackcdn.com/image/fetch/$s_!bEzO!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb6daa45f-0d5d-4c29-9e58-dcbef6a03a57_4592x3064.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!bEzO!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb6daa45f-0d5d-4c29-9e58-dcbef6a03a57_4592x3064.jpeg 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p></p><p>The IAOMT&#8217;s 2024 Position Paper Against Fluoride Use, with its more than 200 citations, provides the clearest framework for biological dentists today. It concludes that the risks of chronic systemic exposure outweigh any limited topical benefit&#8212;particularly given modern cumulative sources and vulnerable populations.</p><p></p>
      <p>
          <a href="https://johnsonpapers.midwestbiohealth.com/p/fluoride-in-drinking-water-a-biological-e74">
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   ]]></content:encoded></item><item><title><![CDATA[Fluoride in Drinking Water A Biological Dentistry Perspective]]></title><description><![CDATA[Part 1: How a Public Health Policy Took Shape]]></description><link>https://johnsonpapers.midwestbiohealth.com/p/fluoride-in-drinking-water-a-biological</link><guid isPermaLink="false">https://johnsonpapers.midwestbiohealth.com/p/fluoride-in-drinking-water-a-biological</guid><dc:creator><![CDATA[John W. Johnson, DDS]]></dc:creator><pubDate>Mon, 23 Mar 2026 17:33:12 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!QxXm!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F11eafc6e-abdd-4346-b51f-a732c8befc79_5824x3264.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!QxXm!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F11eafc6e-abdd-4346-b51f-a732c8befc79_5824x3264.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!QxXm!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F11eafc6e-abdd-4346-b51f-a732c8befc79_5824x3264.jpeg 424w, https://substackcdn.com/image/fetch/$s_!QxXm!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F11eafc6e-abdd-4346-b51f-a732c8befc79_5824x3264.jpeg 848w, https://substackcdn.com/image/fetch/$s_!QxXm!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F11eafc6e-abdd-4346-b51f-a732c8befc79_5824x3264.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!QxXm!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F11eafc6e-abdd-4346-b51f-a732c8befc79_5824x3264.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!QxXm!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F11eafc6e-abdd-4346-b51f-a732c8befc79_5824x3264.jpeg" width="1456" height="816" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/11eafc6e-abdd-4346-b51f-a732c8befc79_5824x3264.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:816,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:3745582,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/i/191889627?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F11eafc6e-abdd-4346-b51f-a732c8befc79_5824x3264.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!QxXm!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F11eafc6e-abdd-4346-b51f-a732c8befc79_5824x3264.jpeg 424w, https://substackcdn.com/image/fetch/$s_!QxXm!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F11eafc6e-abdd-4346-b51f-a732c8befc79_5824x3264.jpeg 848w, https://substackcdn.com/image/fetch/$s_!QxXm!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F11eafc6e-abdd-4346-b51f-a732c8befc79_5824x3264.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!QxXm!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F11eafc6e-abdd-4346-b51f-a732c8befc79_5824x3264.jpeg 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p></p><p><strong>A Note from Dr. John Johnson:</strong></p><p><em>This paper examines how community water fluoridation became public health policy. To be perfectly clear, I am not a pro-fluoride dentist. As a biological dentist, I oppose the routine use of systemic fluoride, which I consider unnecessary, potentially harmful, and incompatible with whole-body health. I do not recommend water fluoridation or routine ingested fluoride in my practice. The following is an honest historical review that explains why biological dentistry now critically questions the foundations of this policy.</em></p><p></p>
      <p>
          <a href="https://johnsonpapers.midwestbiohealth.com/p/fluoride-in-drinking-water-a-biological">
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      </p>
   ]]></content:encoded></item><item><title><![CDATA[What Your Tongue May Be Telling You About Your Health]]></title><description><![CDATA[Understanding Candida, Oral Signs, and the Gut&#8211;Immune Connection]]></description><link>https://johnsonpapers.midwestbiohealth.com/p/what-your-tongue-may-be-telling-you</link><guid isPermaLink="false">https://johnsonpapers.midwestbiohealth.com/p/what-your-tongue-may-be-telling-you</guid><dc:creator><![CDATA[John W. Johnson, DDS]]></dc:creator><pubDate>Wed, 04 Mar 2026 22:24:48 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!9v-y!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7ade8dac-a2e8-46c5-8f5a-015af8722d50_8256x5504.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!9v-y!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7ade8dac-a2e8-46c5-8f5a-015af8722d50_8256x5504.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!9v-y!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7ade8dac-a2e8-46c5-8f5a-015af8722d50_8256x5504.jpeg 424w, https://substackcdn.com/image/fetch/$s_!9v-y!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7ade8dac-a2e8-46c5-8f5a-015af8722d50_8256x5504.jpeg 848w, https://substackcdn.com/image/fetch/$s_!9v-y!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7ade8dac-a2e8-46c5-8f5a-015af8722d50_8256x5504.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!9v-y!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7ade8dac-a2e8-46c5-8f5a-015af8722d50_8256x5504.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!9v-y!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7ade8dac-a2e8-46c5-8f5a-015af8722d50_8256x5504.jpeg" width="1456" height="971" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/7ade8dac-a2e8-46c5-8f5a-015af8722d50_8256x5504.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:971,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:9748104,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/i/189817357?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7ade8dac-a2e8-46c5-8f5a-015af8722d50_8256x5504.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!9v-y!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7ade8dac-a2e8-46c5-8f5a-015af8722d50_8256x5504.jpeg 424w, https://substackcdn.com/image/fetch/$s_!9v-y!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7ade8dac-a2e8-46c5-8f5a-015af8722d50_8256x5504.jpeg 848w, https://substackcdn.com/image/fetch/$s_!9v-y!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7ade8dac-a2e8-46c5-8f5a-015af8722d50_8256x5504.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!9v-y!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7ade8dac-a2e8-46c5-8f5a-015af8722d50_8256x5504.jpeg 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p></p><p>One of the simplest diagnostic tools in medicine is something most people overlook every day.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Johnson Papers is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p>Your tongue.</p><p>In biological dentistry and functional medicine, the tongue often provides important clues about what may be happening elsewhere in the body. A healthy tongue is typically pink, moist, and lightly coated. But when we see a thick white coating, persistent redness, or irritation, it can sometimes indicate an imbalance in the oral and intestinal microbiome.</p><p>One of the most common contributors to these changes is yeast overgrowth, often involving organisms such as <em>Candida albicans</em>.</p><p>While yeast organisms normally live in the mouth and digestive tract, problems begin when their numbers grow out of balance with the beneficial bacteria that normally keep them in check.</p><p>In my clinical experience, yeast overgrowth is rarely an isolated oral issue. It is usually a signal that something deeper in the body&#8217;s biological systems has shifted out of balance.</p><p>Let&#8217;s look at some of the underlying factors that can contribute to this.</p><h2>The Role of the Gut Barrier</h2><p>A healthy digestive tract acts as a protective barrier between the outside world and the internal systems of the body. When this barrier becomes compromised, a condition sometimes referred to as <strong>increased intestinal permeability</strong> or &#8220;leaky gut,&#8221; microbes and inflammatory molecules can enter the bloodstream more easily.</p><p>This immune activation can contribute to systemic inflammation and may manifest in ways that seem unrelated to digestion, including skin conditions, fatigue, anxiety, or cognitive symptoms.</p><p>When yeast populations expand in the gut, they can aggravate this permeability and perpetuate the cycle.</p><h2>The Importance of Beneficial Bacteria</h2><p>Our digestive tract contains trillions of microorganisms collectively known as the microbiome. When this ecosystem is balanced, beneficial bacteria help regulate immune activity, assist in digestion, and prevent opportunistic organisms such as yeast from dominating.</p><p>However, factors like antibiotics, chronic stress, poor diet, and certain medications can disrupt this balance.</p><p>When beneficial bacteria decline, yeast organisms often fill the ecological gap.</p><p>Supporting the microbiome through diet and, in some cases, targeted probiotics can help restore balance.</p><h2>Blood Sugar and Yeast Growth</h2><p>Yeast thrives on sugar.</p><p>Diets high in refined carbohydrates, sugary drinks, and processed foods create an environment that encourages yeast proliferation. When blood sugar levels spike repeatedly, the digestive tract becomes a favorable environment for these organisms to expand.</p><p>Stabilizing blood sugar through whole foods, balanced meals, and reduced refined sugar intake is one of the most effective strategies for preventing yeast overgrowth.</p><h2>Bile Flow and Digestive Defense</h2><p>Bile acids are commonly known for their role in digesting fats, but they also serve another important function.</p><p>Bile has antimicrobial properties that help regulate microbial populations in the small intestine. When bile production or flow becomes sluggish, it can weaken one of the body&#8217;s natural defenses against microbial imbalance.</p><p>Supporting liver and gallbladder health can play an important role in maintaining digestive balance.</p><h2>Paneth Cells and the Immune Barrier</h2><p>Within the lining of the small intestine are specialized immune cells called Paneth cells.</p><p>These cells produce antimicrobial peptides that help regulate bacteria, fungi, and other organisms within the gut. When Paneth cell function is impaired by chronic stress, inflammation, medications, or nutrient deficiencies, microbial balance can shift.</p><p>This loss of microbial regulation may contribute to yeast overgrowth in susceptible individuals.</p><h2>When Antifungal Support Is Necessary</h2><p>In some cases, dietary and lifestyle interventions alone are not enough to restore balance. Targeted antifungal therapies, whether pharmaceutical or botanical, may be appropriate.</p><p>These decisions should always be made under the guidance of a qualified healthcare professional, since improper treatment can sometimes worsen microbial imbalance rather than improve it.</p><h2>Hormones and Yeast</h2><p>Hormonal shifts can also influence yeast growth.</p><p>Changes associated with birth control, pregnancy, menopause, and endocrine imbalance can alter the microbial environment of the body. Hormones influence immune activity, blood sugar regulation, and microbial balance, all of which can affect yeast populations.</p><p>Addressing underlying hormonal factors is often an important part of long-term resolution.</p><h2>Diet Still Matters</h2><p>One of the most powerful tools for restoring balance remains the simplest: food.</p><p>A diet centered around whole, nutrient-dense foods can help support the microbiome and reduce the conditions that allow yeast to flourish. Emphasizing vegetables, quality proteins, healthy fats, and unprocessed carbohydrates while minimizing refined sugars and processed foods can make a significant difference.</p><p>Alcohol and excessive refined carbohydrates are particularly common triggers for yeast imbalance.</p><h2>The Takeaway</h2><p>The mouth is often the first place we see signs of deeper systemic issues.</p><p>Changes in the appearance of the tongue can sometimes provide an early signal that the body&#8217;s microbial ecosystem is under stress. When yeast overgrowth is present, the goal is not simply to eliminate the yeast, but to restore the biological systems that normally keep it in balance.</p><p>In biological dentistry, we always try to step back and ask a broader question.</p><p>Not just <em>what is the symptom</em>, but <strong>why did the system lose balance in the first place?</strong></p><p>When we address the root causes, the body often has a remarkable ability to restore equilibrium.</p><div><hr></div><p><strong>Dr. John Johnson, DDS</strong><br>Midwest BioHealth<br><em>The Johnson Papers</em></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Johnson Papers is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div>]]></content:encoded></item><item><title><![CDATA[Craniofacial Pain: A Systems-Based Treatment Approach (Part 2)]]></title><description><![CDATA[Why Conservative, Integrated Care Produces More Stable Outcomes]]></description><link>https://johnsonpapers.midwestbiohealth.com/p/craniofacial-pain-a-systems-based</link><guid isPermaLink="false">https://johnsonpapers.midwestbiohealth.com/p/craniofacial-pain-a-systems-based</guid><dc:creator><![CDATA[John W. Johnson, DDS]]></dc:creator><pubDate>Tue, 03 Mar 2026 22:05:26 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!38Q9!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F746c1e6e-20c1-4abe-bc5d-9a969f22efe9_6000x4000.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!38Q9!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F746c1e6e-20c1-4abe-bc5d-9a969f22efe9_6000x4000.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!38Q9!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F746c1e6e-20c1-4abe-bc5d-9a969f22efe9_6000x4000.jpeg 424w, https://substackcdn.com/image/fetch/$s_!38Q9!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F746c1e6e-20c1-4abe-bc5d-9a969f22efe9_6000x4000.jpeg 848w, https://substackcdn.com/image/fetch/$s_!38Q9!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F746c1e6e-20c1-4abe-bc5d-9a969f22efe9_6000x4000.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!38Q9!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F746c1e6e-20c1-4abe-bc5d-9a969f22efe9_6000x4000.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!38Q9!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F746c1e6e-20c1-4abe-bc5d-9a969f22efe9_6000x4000.jpeg" width="1456" height="971" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/746c1e6e-20c1-4abe-bc5d-9a969f22efe9_6000x4000.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:971,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:6043799,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/i/189815814?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F746c1e6e-20c1-4abe-bc5d-9a969f22efe9_6000x4000.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!38Q9!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F746c1e6e-20c1-4abe-bc5d-9a969f22efe9_6000x4000.jpeg 424w, https://substackcdn.com/image/fetch/$s_!38Q9!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F746c1e6e-20c1-4abe-bc5d-9a969f22efe9_6000x4000.jpeg 848w, https://substackcdn.com/image/fetch/$s_!38Q9!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F746c1e6e-20c1-4abe-bc5d-9a969f22efe9_6000x4000.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!38Q9!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F746c1e6e-20c1-4abe-bc5d-9a969f22efe9_6000x4000.jpeg 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p></p><p><strong>Excerpt:</strong><br>Treating craniofacial pain requires reducing system load, not simply targeting a joint or tooth. Conservative, interdisciplinary care produces more durable results than aggressive structural intervention.</p><p><strong>From Evaluation to Strategy</strong></p><p>The Diagnostic Criteria for TMD emphasize multidimensional assessment (Schiffman et al., 2014). This aligns closely with how I approach care.</p><p></p>
      <p>
          <a href="https://johnsonpapers.midwestbiohealth.com/p/craniofacial-pain-a-systems-based">
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   ]]></content:encoded></item><item><title><![CDATA[Craniofacial Pain: Understanding the System (Part 1) ]]></title><description><![CDATA[Why TMJ Disorders and Chronic Facial Pain Rarely Have a Single Cause]]></description><link>https://johnsonpapers.midwestbiohealth.com/p/craniofacial-pain-understanding-the</link><guid isPermaLink="false">https://johnsonpapers.midwestbiohealth.com/p/craniofacial-pain-understanding-the</guid><dc:creator><![CDATA[John W. Johnson, DDS]]></dc:creator><pubDate>Wed, 25 Feb 2026 18:25:54 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!ixys!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3b0dec90-d0f5-4f35-9978-d8da4df5231e_8064x2304.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!ixys!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3b0dec90-d0f5-4f35-9978-d8da4df5231e_8064x2304.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!ixys!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3b0dec90-d0f5-4f35-9978-d8da4df5231e_8064x2304.jpeg 424w, https://substackcdn.com/image/fetch/$s_!ixys!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3b0dec90-d0f5-4f35-9978-d8da4df5231e_8064x2304.jpeg 848w, https://substackcdn.com/image/fetch/$s_!ixys!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3b0dec90-d0f5-4f35-9978-d8da4df5231e_8064x2304.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!ixys!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3b0dec90-d0f5-4f35-9978-d8da4df5231e_8064x2304.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!ixys!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3b0dec90-d0f5-4f35-9978-d8da4df5231e_8064x2304.jpeg" width="1456" height="416" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/3b0dec90-d0f5-4f35-9978-d8da4df5231e_8064x2304.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:416,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:4650882,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/i/189165016?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3b0dec90-d0f5-4f35-9978-d8da4df5231e_8064x2304.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!ixys!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3b0dec90-d0f5-4f35-9978-d8da4df5231e_8064x2304.jpeg 424w, https://substackcdn.com/image/fetch/$s_!ixys!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3b0dec90-d0f5-4f35-9978-d8da4df5231e_8064x2304.jpeg 848w, https://substackcdn.com/image/fetch/$s_!ixys!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3b0dec90-d0f5-4f35-9978-d8da4df5231e_8064x2304.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!ixys!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3b0dec90-d0f5-4f35-9978-d8da4df5231e_8064x2304.jpeg 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p></p><h1>Craniofacial Pain: Understanding the System</h1><h3>Why TMJ Disorders and Chronic Facial Pain Rarely Have a Single Cause</h3><p><strong>Excerpt:</strong><br>When patients present with chronic facial pain, headaches, or TMJ symptoms, the problem is rarely isolated to a single tooth or joint. Craniofacial pain reflects stress within a larger neuromuscular and airway system. Effective care begins with understanding the pattern of compensation.</p><p></p>
      <p>
          <a href="https://johnsonpapers.midwestbiohealth.com/p/craniofacial-pain-understanding-the">
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   ]]></content:encoded></item><item><title><![CDATA[Why Patients Lose Their Teeth]]></title><description><![CDATA[Decay, Gum Disease, and the Slow Failure of the Oral System]]></description><link>https://johnsonpapers.midwestbiohealth.com/p/why-patients-lose-their-teeth</link><guid isPermaLink="false">https://johnsonpapers.midwestbiohealth.com/p/why-patients-lose-their-teeth</guid><dc:creator><![CDATA[John W. Johnson, DDS]]></dc:creator><pubDate>Tue, 17 Feb 2026 22:15:05 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!Xu5A!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F89cfa418-f996-419f-94dd-30dc57604a19_6960x4640.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!Xu5A!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F89cfa418-f996-419f-94dd-30dc57604a19_6960x4640.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!Xu5A!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F89cfa418-f996-419f-94dd-30dc57604a19_6960x4640.jpeg 424w, https://substackcdn.com/image/fetch/$s_!Xu5A!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F89cfa418-f996-419f-94dd-30dc57604a19_6960x4640.jpeg 848w, https://substackcdn.com/image/fetch/$s_!Xu5A!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F89cfa418-f996-419f-94dd-30dc57604a19_6960x4640.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!Xu5A!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F89cfa418-f996-419f-94dd-30dc57604a19_6960x4640.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!Xu5A!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F89cfa418-f996-419f-94dd-30dc57604a19_6960x4640.jpeg" width="1456" height="971" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/89cfa418-f996-419f-94dd-30dc57604a19_6960x4640.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:971,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:6622809,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/i/188317247?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F89cfa418-f996-419f-94dd-30dc57604a19_6960x4640.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!Xu5A!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F89cfa418-f996-419f-94dd-30dc57604a19_6960x4640.jpeg 424w, https://substackcdn.com/image/fetch/$s_!Xu5A!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F89cfa418-f996-419f-94dd-30dc57604a19_6960x4640.jpeg 848w, https://substackcdn.com/image/fetch/$s_!Xu5A!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F89cfa418-f996-419f-94dd-30dc57604a19_6960x4640.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!Xu5A!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F89cfa418-f996-419f-94dd-30dc57604a19_6960x4640.jpeg 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p></p><p><strong>Introduction</strong></p><p>Patients rarely expect to lose their teeth. For most, the progression toward extractions or full dentures feels sudden, shocking, and deeply personal. They are often told it is the result of genetics, aging, poor hygiene, or neglect.</p><p>In reality, tooth loss is almost never abrupt. It is the predictable outcome of long-term biological breakdown, expressed primarily through two pathways: tooth decay and gum disease.</p><p>This paper examines how these processes develop, why they often go unnoticed until advanced stages, and why conventional dentistry frequently intervenes too late to preserve the natural dentition.</p><p></p>
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          <a href="https://johnsonpapers.midwestbiohealth.com/p/why-patients-lose-their-teeth">
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   ]]></content:encoded></item><item><title><![CDATA[The Gut–Brain Connection]]></title><description><![CDATA[Why Mental Health May Begin in the Microbiome]]></description><link>https://johnsonpapers.midwestbiohealth.com/p/the-gutbrain-connection</link><guid isPermaLink="false">https://johnsonpapers.midwestbiohealth.com/p/the-gutbrain-connection</guid><dc:creator><![CDATA[John W. Johnson, DDS]]></dc:creator><pubDate>Wed, 11 Feb 2026 19:57:39 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!OaJX!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa1fadd2e-5de9-4033-9a14-51d065ae282f_5906x3937.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!OaJX!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa1fadd2e-5de9-4033-9a14-51d065ae282f_5906x3937.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!OaJX!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa1fadd2e-5de9-4033-9a14-51d065ae282f_5906x3937.jpeg 424w, https://substackcdn.com/image/fetch/$s_!OaJX!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa1fadd2e-5de9-4033-9a14-51d065ae282f_5906x3937.jpeg 848w, https://substackcdn.com/image/fetch/$s_!OaJX!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa1fadd2e-5de9-4033-9a14-51d065ae282f_5906x3937.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!OaJX!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa1fadd2e-5de9-4033-9a14-51d065ae282f_5906x3937.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!OaJX!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa1fadd2e-5de9-4033-9a14-51d065ae282f_5906x3937.jpeg" width="1456" height="971" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/a1fadd2e-5de9-4033-9a14-51d065ae282f_5906x3937.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:971,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:7851220,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/i/187668640?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa1fadd2e-5de9-4033-9a14-51d065ae282f_5906x3937.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!OaJX!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa1fadd2e-5de9-4033-9a14-51d065ae282f_5906x3937.jpeg 424w, https://substackcdn.com/image/fetch/$s_!OaJX!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa1fadd2e-5de9-4033-9a14-51d065ae282f_5906x3937.jpeg 848w, https://substackcdn.com/image/fetch/$s_!OaJX!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa1fadd2e-5de9-4033-9a14-51d065ae282f_5906x3937.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!OaJX!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa1fadd2e-5de9-4033-9a14-51d065ae282f_5906x3937.jpeg 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h3></h3><p>When we think about anxiety, stress, or depression, most of us assume the issue starts in the brain.</p><p>But what if the story is larger than that?</p><p>Over the last two decades, research has revealed something remarkable: your gut and your brain are in constant communication. What happens in your digestive system can influence how you feel emotionally, how resilient you are to stress, and even how clearly you think.</p><p>This connection is called the gut&#8211;brain axis, and it is changing how we understand mental health.</p><h2>Your Gut Is More Than a Digestive Organ</h2><p>Your gastrointestinal tract contains over 100 million nerve cells. This network, known as the enteric nervous system, helps regulate digestion, but it also plays a role in mood and stress signaling.</p><p>About 90 to 95 percent of the body&#8217;s serotonin is produced in the gut. While serotonin made in the intestine does not directly enter the brain, the gut influences brain chemistry through immune pathways and the vagus nerve, the main communication line between the gut and the brain.</p><p>This is why stress can upset your stomach, and digestive issues can affect your mood.</p><p>The system is integrated.</p><h2>Inflammation and Mood</h2><p>One of the most important links between gut health and mental health is inflammation.</p><p>When the gut lining becomes irritated or imbalanced, inflammatory signals can circulate throughout the body. Research has shown that individuals struggling with depression and anxiety often have higher inflammatory markers.</p><p>This does not mean inflammation causes every case of depression. It does suggest that gut health may be one contributing factor in a much larger picture.</p><p>As we learn more, it is becoming clear that mental health is not just neurological. It is systemic.</p><h2>What the Research Is Showing</h2><p>Scientists studying the microbiome have found:</p><p>&#8226; Altered gut bacteria patterns in people with anxiety and depression<br>&#8226; Increased stress reactivity when the microbiome is disrupted<br>&#8226; Improvements in mood markers in some studies using specific probiotic strains</p><p>The evidence is still evolving. We need larger and longer-term studies. But the pattern is consistent enough that we cannot ignore it.</p><p>The gut matters.</p><h2>Practical Ways to Support the Gut&#8211;Brain Axis</h2><p>You do not need extreme protocols to begin supporting this system. In many cases, small, consistent changes are powerful.</p><h3>1. Reduce Ultra-Processed Foods</h3><p>Excess sugar, refined oils, and artificial additives can increase the inflammatory burden. A whole-food foundation is a good place to begin.</p><h3>2. Add Fermented and Fiber-Rich Foods</h3><p>Sauerkraut, kefir, kimchi, miso, and diverse plant fibers help nourish beneficial bacteria.</p><h3>3. Prioritize Sleep and Stress Regulation</h3><p>Chronic stress directly impacts gut permeability. Walking outdoors, deep breathing, consistent sleep, and regular movement support both the nervous system and digestive health.</p><h3>4. Check Vitamin D Levels</h3><p>Vitamin D plays a regulatory role in immune function and inflammation. Adequate levels support resilience.</p><h3>5. Consider Targeted Probiotics</h3><p>Not all probiotics are the same. Some strains have shown early promise in mood support. Work with a knowledgeable practitioner if considering supplementation.</p><h2>A Broader Perspective on Mental Health</h2><p>This is not about replacing counseling, medication, or psychiatric care.</p><p>It is about expanding the conversation.</p><p>If the brain and gut are connected, and they are, then supporting digestive health may be one part of building emotional resilience.</p><p>In biological dentistry, we do not separate the mouth from the rest of the body.</p><p>In medicine, we should not separate the gut from the brain.</p><p>The body functions as a whole.</p><p>And often, when we support the terrain, the system moves toward balance.</p><div><hr></div><p><strong>Dr. John Johnson, DDS</strong><br>Midwest BioHealth<br>The Johnson Papers</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Johnson Papers is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p>]]></content:encoded></item><item><title><![CDATA[Vitamin D: The Master Regulator of Oral and Systemic Health
]]></title><description><![CDATA[Why Vitamin D Dysfunction Is a Silent Driver of Tooth Loss, Gum Disease, and Failed Dental Outcomes]]></description><link>https://johnsonpapers.midwestbiohealth.com/p/vitamin-d-the-master-regulator-of</link><guid isPermaLink="false">https://johnsonpapers.midwestbiohealth.com/p/vitamin-d-the-master-regulator-of</guid><dc:creator><![CDATA[John W. Johnson, DDS]]></dc:creator><pubDate>Tue, 10 Feb 2026 19:49:15 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!sxwC!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F910d478b-0c94-4ecb-862e-cb0b9a663842_5472x3648.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!sxwC!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F910d478b-0c94-4ecb-862e-cb0b9a663842_5472x3648.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!sxwC!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F910d478b-0c94-4ecb-862e-cb0b9a663842_5472x3648.jpeg 424w, https://substackcdn.com/image/fetch/$s_!sxwC!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F910d478b-0c94-4ecb-862e-cb0b9a663842_5472x3648.jpeg 848w, https://substackcdn.com/image/fetch/$s_!sxwC!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F910d478b-0c94-4ecb-862e-cb0b9a663842_5472x3648.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!sxwC!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F910d478b-0c94-4ecb-862e-cb0b9a663842_5472x3648.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!sxwC!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F910d478b-0c94-4ecb-862e-cb0b9a663842_5472x3648.jpeg" width="1456" height="971" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/910d478b-0c94-4ecb-862e-cb0b9a663842_5472x3648.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:971,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:3153203,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/i/187553659?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F910d478b-0c94-4ecb-862e-cb0b9a663842_5472x3648.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!sxwC!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F910d478b-0c94-4ecb-862e-cb0b9a663842_5472x3648.jpeg 424w, https://substackcdn.com/image/fetch/$s_!sxwC!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F910d478b-0c94-4ecb-862e-cb0b9a663842_5472x3648.jpeg 848w, https://substackcdn.com/image/fetch/$s_!sxwC!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F910d478b-0c94-4ecb-862e-cb0b9a663842_5472x3648.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!sxwC!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F910d478b-0c94-4ecb-862e-cb0b9a663842_5472x3648.jpeg 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p></p><p><strong>Introduction</strong></p><p>Vitamin D is commonly discussed as a supplement, occasionally as a laboratory value, and rarely as what it truly is: a hormone that plays a central role in bone integrity, immune regulation, inflammation control, and tissue repair throughout the body.</p><p>In dentistry, we frequently encounter the downstream consequences of Vitamin D dysfunction long before it is recognized as a contributing factor. Patients present with chronic gum inflammation, unexplained bone loss, recurrent decay, poor healing, or failed dental procedures, despite receiving what appears to be appropriate conventional care.</p>
      <p>
          <a href="https://johnsonpapers.midwestbiohealth.com/p/vitamin-d-the-master-regulator-of">
              Read more
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   ]]></content:encoded></item><item><title><![CDATA[Regenerative Dentistry: What’s Changing, What’s Proven, and What Still Requires Caution]]></title><description><![CDATA[A clinical perspective on PRF, tissue healing, and responsible innovation in dental care]]></description><link>https://johnsonpapers.midwestbiohealth.com/p/regenerative-dentistry-whats-changing</link><guid isPermaLink="false">https://johnsonpapers.midwestbiohealth.com/p/regenerative-dentistry-whats-changing</guid><dc:creator><![CDATA[John W. Johnson, DDS]]></dc:creator><pubDate>Mon, 02 Feb 2026 21:19:04 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!jpgt!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F68e27775-628d-4b2a-8991-bbf803d34d61_6016x4016.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p></p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!jpgt!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F68e27775-628d-4b2a-8991-bbf803d34d61_6016x4016.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!jpgt!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F68e27775-628d-4b2a-8991-bbf803d34d61_6016x4016.jpeg 424w, https://substackcdn.com/image/fetch/$s_!jpgt!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F68e27775-628d-4b2a-8991-bbf803d34d61_6016x4016.jpeg 848w, https://substackcdn.com/image/fetch/$s_!jpgt!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F68e27775-628d-4b2a-8991-bbf803d34d61_6016x4016.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!jpgt!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F68e27775-628d-4b2a-8991-bbf803d34d61_6016x4016.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!jpgt!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F68e27775-628d-4b2a-8991-bbf803d34d61_6016x4016.jpeg" width="1456" height="972" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/68e27775-628d-4b2a-8991-bbf803d34d61_6016x4016.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:972,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:8590707,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/i/186661183?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F68e27775-628d-4b2a-8991-bbf803d34d61_6016x4016.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!jpgt!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F68e27775-628d-4b2a-8991-bbf803d34d61_6016x4016.jpeg 424w, https://substackcdn.com/image/fetch/$s_!jpgt!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F68e27775-628d-4b2a-8991-bbf803d34d61_6016x4016.jpeg 848w, https://substackcdn.com/image/fetch/$s_!jpgt!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F68e27775-628d-4b2a-8991-bbf803d34d61_6016x4016.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!jpgt!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F68e27775-628d-4b2a-8991-bbf803d34d61_6016x4016.jpeg 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p></p><p><strong>Why regeneration is the new conversation in medicine and dentistry</strong></p><p>Across medicine, there has been a steady shift away from purely managing symptoms or repairing damage, and toward understanding how the body heals, adapts, and maintains long-term function. Regenerative medicine reflects this broader movement, asking how biological systems can be supported rather than overridden.</p><p>Dentistry has traditionally focused on removing disease and restoring structure. Cavities are filled, infections are treated, damaged teeth are replaced. These approaches remain essential, but they are no longer the entire conversation. Increasingly, dentistry is asking deeper questions: How does tissue heal after intervention? How does inflammation resolve? How do bone, gum tissue, airway, and systemic health interact over time?</p><p>Regenerative concepts fit naturally within a biological model of care. They emphasize tissue stability, immune balance, and healing capacity. At the same time, dentistry is especially vulnerable to trends and terminology that sound promising before the science is fully established. New ideas deserve attention, but they also require careful evaluation.</p><p>This paper is intended to provide clarity. It offers a grounded overview of regenerative thinking in dentistry, explains platelet-rich fibrin in practical terms, and distinguishes what is well-supported by evidence from what is still evolving.</p><p><strong>What regenerative dentistry actually means (and what it doesn&#8217;t)</strong></p><p>In practical terms, regenerative dentistry refers to therapies and techniques designed to support the body&#8217;s own repair processes. Rather than relying solely on synthetic materials or mechanical replacement, regenerative approaches aim to encourage natural healing where appropriate.</p><p>It is important to be clear about what regenerative dentistry is not. It is not a promise of miracle outcomes. It does not guarantee regeneration in every situation. It does not replace the fundamentals of diagnosis, infection control, biomechanics, occlusion, nutrition, sleep, airway health, or systemic inflammation.</p><p>Patients often encounter three overlapping but distinct concepts that are frequently blurred together:</p><ul><li><p><strong>Reparative dentistry</strong>, which focuses on restoring damaged structures through fillings, crowns, implants, and prosthetics.</p></li><li><p><strong>Periodontal therapy</strong>, which aims to control infection and inflammation in the supporting tissues of the teeth.</p></li><li><p><strong>Regenerative therapy</strong>, which seeks to support tissue healing and stability when conditions are appropriate.</p></li></ul><p>Clear language matters. When regenerative concepts are presented without limits or context, expectations can become unrealistic. Patients deserve accurate explanations that acknowledge both potential benefits and boundaries.</p><p><strong>PRF explained in clear, non-promotional terms</strong></p><p>Platelet-rich fibrin, commonly referred to as PRF, is derived from a patient&#8217;s own blood. A small blood sample is processed in a controlled manner to concentrate platelets and fibrin into a usable form.</p><p>Fibrin plays an important role in natural wound healing. It forms a scaffold that supports cell migration and tissue organization during the healing process. PRF contains a fibrin matrix along with platelets and signaling molecules that participate in tissue repair.</p><p>PRF is sometimes compared to platelet-rich plasma, or PRP. While both are derived from blood, PRF is typically more scaffold-like, whereas PRP is more liquid. These differences influence how each is used clinically, though the details are less important to patients than understanding the overall purpose.</p><p>PRF gained attention in dentistry because of its potential role in supporting surgical healing, soft tissue management, and bone-related procedures. In simple terms, it is a concentrated healing matrix made from the patient&#8217;s own biology, used to support natural repair rather than replace tissue outright.</p><p><strong>Where the research is strong, and where it&#8217;s still evolving</strong></p><p>Research on PRF and regenerative techniques continues to expand. Some applications are supported by a growing body of evidence, while others remain dependent on technique, case selection, and ongoing study.</p><p>Areas where evidence is generally stronger include support for soft tissue healing after extractions, improved handling of surgical sites, and adjunctive use alongside bone grafting or periodontal procedures in selected cases. Many clinicians report smoother early healing and improved tissue response when PRF is used appropriately.</p><p>Other areas remain more variable. Predictable regeneration in complex defects, long-term superiority over conventional methods in all scenarios, and broad claims related to facial esthetics are still being evaluated. Outcomes can vary significantly depending on preparation protocols, operator skill, and individual patient biology.</p><p>The key takeaway is balance. PRF and regenerative tools appear promising in specific contexts, but they are not universal solutions. Good dentistry remains diagnosis-driven, not tool-driven.</p><p><strong>How clinicians should evaluate regenerative techniques responsibly</strong></p><p>Responsible innovation requires more than enthusiasm. New techniques should be evaluated through a structured lens.</p><p>First, the biology must make sense. A therapy should align with known principles of healing and physiology. Second, evidence should be reproducible and clinically meaningful, not limited to isolated reports or marketing claims.</p><p>Clinicians must also consider risk, patient selection, and whether outcomes measured truly matter in the long term. Some techniques are highly dependent on specific equipment or operator skill, which can influence consistency.</p><p>Finally, regenerative approaches should integrate into a comprehensive care plan that considers airway health, inflammation, occlusion, systemic conditions, and patient lifestyle factors. Skepticism in this context is not resistance to progress, it is a form of patient protection.</p><p>Continuing education plays a central role here. Learning what is new is important, but learning what should be applied cautiously is equally valuable.</p><p><strong>What patients should reasonably expect today</strong></p><p>When regenerative tools such as PRF are used appropriately, patients may notice smoother early healing and improved soft tissue comfort in certain procedures. These benefits are supportive rather than transformative.</p><p>Patients should not assume that regenerative techniques eliminate pain, guarantee outcomes, or are necessary for every procedure. They should also feel comfortable asking why a specific approach is being recommended.</p><p>A helpful question for patients is whether a regenerative option fits their individual case or whether it is being offered simply because it is available. Shared decision-making and informed consent are hallmarks of high-quality care.</p><p><strong>Why education, not trends, drives better outcomes</strong></p><p>Biological dentistry is not defined by novelty. It is defined by intention and integration. In an era of aggressive marketing and rapid information spread, clarity matters more than ever.</p><p>Clinicians who remain engaged with research, conferences, and curated professional literature are better equipped to separate meaningful advances from premature claims. Thoughtful education allows new ideas to be incorporated responsibly and aligned with each patient&#8217;s long-term health.</p><p>Researchers such as Dr. Richard Miron have contributed significantly by translating regenerative science into clinically relevant discussions. This kind of work helps elevate the conversation beyond trends and toward evidence-based application.</p><p>Regenerative dentistry represents a promising direction, but it belongs within a comprehensive, whole-health framework. When approached carefully, it can support healing and stability without compromising trust or outcomes.</p><p>While regenerative tools such as PRF can support healing at the site of care, long-term outcomes are also influenced by systemic factors. Inflammation control, nutrient status, hormonal balance, and cellular energy production all play meaningful roles in how tissues heal and stabilize over time. For this reason, discussions of regenerative dentistry are incomplete without acknowledging the broader biological environment in which healing occurs.</p><p><strong>Systemic Factors That Influence Healing and Regeneration</strong></p><p>While regenerative tools such as PRF can support healing locally, long-term outcomes are also shaped by the broader biological environment. Inflammation control, nutrient status, hormonal balance, and cellular energy production all influence how tissues heal, remodel, and stabilize over time.</p><p><strong>Some final items that drive better outcomes</strong></p><p><strong>Cod liver oil</strong> is an excellent source of the storage form of hormone D as well as vitamin A.</p><p><strong>Bioavailable copper</strong>, found in liver and other organ meats, is necessary to support mitochondrial energy production at the cellular level. For patients who do not regularly consume organ meats, desiccated liver capsules may be a practical option. The Standard Process company formulates many of its supplements using organ meats, which may help explain why their products are effective for many patients.</p><p><strong>Magnesium</strong> plays a key role in cellular energy production and is required for proper activation and utilization of hormone D.</p><p><strong>Hormone D Fact Sheet</strong></p><p>&#8220;Vitamin D&#8221; is not a vitamin. It is a hormone produced in the body when skin is exposed to sunlight. If sufficient magnesium or bioavailable copper is lacking, the body may be unable to produce adequate hormone D even in sunny environments.</p><p>Like all hormones, raising hormone D levels through supplementation should be done carefully and under the guidance of a healthcare professional who understands the risks of overtreatment.</p><p>Standard blood tests for hormone D measure the storage form, known as 25-hydroxyvitamin D (25-OH D), rather than the active form.</p><p>Most commercially available vitamin D supplements are pharmaceutically manufactured from lanolin or lichens. Supplementation with these synthetic forms can have the unintended effect of lowering retinol (vitamin A) levels.</p><p>Healthy levels of the storage form of hormone D, generally in the range of 20&#8211;30 ng/ml, can often be achieved through cod liver oil supplementation without compromising vitamin A status.</p><p>For more detailed information on maintaining healthy hormone D levels through nutrition-based approaches, additional resources are available at:<br><a href="https://therootcauseprotocol.com/webinar-archive/">https://therootcauseprotocol.com/webinar-archive/</a></p><p>To Your Health,</p><p>Dr. John Johnson, DDS<br>Midwest BioHealth<br>The Johnson Papers</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Johnson Papers is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p>]]></content:encoded></item><item><title><![CDATA[Fasting, Stem Cells, and the Body’s Capacity to Regenerate]]></title><description><![CDATA[How Metabolic Stress Activates the Body&#8217;s Innate Repair Systems]]></description><link>https://johnsonpapers.midwestbiohealth.com/p/fasting-stem-cells-and-the-bodys</link><guid isPermaLink="false">https://johnsonpapers.midwestbiohealth.com/p/fasting-stem-cells-and-the-bodys</guid><dc:creator><![CDATA[John W. Johnson, DDS]]></dc:creator><pubDate>Fri, 23 Jan 2026 21:27:13 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!pZI6!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5780596a-acdc-46d4-9dcb-3683807093c5_8064x4608.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!pZI6!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5780596a-acdc-46d4-9dcb-3683807093c5_8064x4608.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!pZI6!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5780596a-acdc-46d4-9dcb-3683807093c5_8064x4608.jpeg 424w, https://substackcdn.com/image/fetch/$s_!pZI6!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5780596a-acdc-46d4-9dcb-3683807093c5_8064x4608.jpeg 848w, https://substackcdn.com/image/fetch/$s_!pZI6!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5780596a-acdc-46d4-9dcb-3683807093c5_8064x4608.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!pZI6!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5780596a-acdc-46d4-9dcb-3683807093c5_8064x4608.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!pZI6!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5780596a-acdc-46d4-9dcb-3683807093c5_8064x4608.jpeg" width="1456" height="832" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/5780596a-acdc-46d4-9dcb-3683807093c5_8064x4608.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:832,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:4034503,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/i/185581622?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5780596a-acdc-46d4-9dcb-3683807093c5_8064x4608.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!pZI6!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5780596a-acdc-46d4-9dcb-3683807093c5_8064x4608.jpeg 424w, https://substackcdn.com/image/fetch/$s_!pZI6!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5780596a-acdc-46d4-9dcb-3683807093c5_8064x4608.jpeg 848w, https://substackcdn.com/image/fetch/$s_!pZI6!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5780596a-acdc-46d4-9dcb-3683807093c5_8064x4608.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!pZI6!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5780596a-acdc-46d4-9dcb-3683807093c5_8064x4608.jpeg 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p></p><p>Fasting has long been associated with health benefits such as metabolic flexibility, improved insulin sensitivity, and mental clarity. In recent years, research has added another intriguing dimension to the conversation: the role of fasting in activating stem cells and supporting tissue regeneration.</p><p>From a biological perspective, this is less about restriction and more about signaling. Under the right conditions, temporary nutrient deprivation appears to trigger deeply conserved repair mechanisms that modern lifestyles rarely activate.</p><h3>How Fasting Influences Stem Cell Activity</h3><p>Stem cells play a central role in maintaining and repairing tissues throughout the body. As we age, both the number and regenerative capacity of these cells decline, contributing to slower healing and increased vulnerability to disease.</p><p>Fasting appears to counter some of this decline by altering cellular metabolism. When food intake is paused, the body shifts from glucose dependence toward fatty acid oxidation and ketone production. This metabolic transition changes how stem cells function, favoring repair and renewal over growth and storage.</p><h3>Short-Term Fasting and Intestinal Regeneration</h3><p>Research from MIT has shown that a 24-hour fast can significantly enhance the regenerative capacity of intestinal stem cells. In animal models, fasting caused these cells to switch from glucose metabolism to burning fatty acids. This shift improved their ability to regenerate intestinal tissue once feeding resumed.</p><p>This finding is particularly relevant for aging individuals or those recovering from gastrointestinal illness, where the gut lining is often slow to repair. While human studies are still limited, the mechanism itself is biologically plausible and consistent with what we understand about metabolic signaling and cellular repair.</p><h3>Prolonged Fasting and Immune System Renewal</h3><p>Longer fasting periods appear to affect a different stem cell population entirely. Research from the USC Stem Cell program has demonstrated that fasting cycles lasting two to four days can stimulate hematopoietic stem cells, the cells responsible for producing blood and immune cells.</p><p>In these studies, fasting helped clear damaged immune cells and promoted the generation of new, functional ones. This process has been studied in the context of chemotherapy recovery, but it also highlights a broader principle, periods of metabolic stress can prompt the body to replace older, less efficient cells with new ones.</p><h3>How Long Is Enough?</h3><p>The duration of fasting needed to stimulate regenerative pathways depends on the system involved.</p><p>Short fasts, around 24 hours, appear sufficient to influence intestinal stem cells and gut repair mechanisms. Immune system regeneration, by contrast, seems to require longer fasting cycles of two to four days, which carry significantly greater risk and should not be undertaken casually.</p><p>For most individuals, shorter and more conservative fasting approaches are likely to offer benefits without unnecessary stress on the body.</p><h3>Understanding the Risks</h3><p>Fasting is not inherently benign. When done improperly or for extended periods, it can create real physiological problems.</p><p>Potential risks include nutrient deficiencies, electrolyte imbalances, dehydration, hypoglycemia, and unintended muscle loss. These risks are higher in individuals with diabetes, metabolic disorders, kidney disease, or in those who are pregnant or breastfeeding.</p><p>Extended fasts should always be approached with medical supervision and a clear understanding of individual health status.</p><h3>A Measured Perspective</h3><p>Fasting is not a cure-all, nor is it appropriate for everyone. What the research does suggest is that the human body retains powerful regenerative capabilities that are rarely engaged in constant-fed states.</p><p>Used thoughtfully, fasting may serve as a tool to support cellular renewal, immune resilience, and metabolic health. As with any intervention, context matters. The goal is not deprivation, but strategic restoration.</p><div><hr></div><h3>References</h3><p>MIT News<br><em>Fasting boosts stem cells&#8217; regenerative capacity</em></p><p>USC Stem Cell Center<br><em>Fasting triggers stem cell regeneration of damaged, old immune systems</em></p><p></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Johnson Papers is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p>]]></content:encoded></item><item><title><![CDATA[Natural Ways to Support Gum Health]]></title><description><![CDATA[Why holistic habits matter more than most people realize]]></description><link>https://johnsonpapers.midwestbiohealth.com/p/natural-ways-to-support-gum-health</link><guid isPermaLink="false">https://johnsonpapers.midwestbiohealth.com/p/natural-ways-to-support-gum-health</guid><dc:creator><![CDATA[John W. Johnson, DDS]]></dc:creator><pubDate>Thu, 08 Jan 2026 20:47:59 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!vlRS!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ab5463e-d253-431c-8f9a-4faf38b64915_6720x4480.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!vlRS!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ab5463e-d253-431c-8f9a-4faf38b64915_6720x4480.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!vlRS!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ab5463e-d253-431c-8f9a-4faf38b64915_6720x4480.jpeg 424w, https://substackcdn.com/image/fetch/$s_!vlRS!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ab5463e-d253-431c-8f9a-4faf38b64915_6720x4480.jpeg 848w, https://substackcdn.com/image/fetch/$s_!vlRS!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ab5463e-d253-431c-8f9a-4faf38b64915_6720x4480.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!vlRS!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ab5463e-d253-431c-8f9a-4faf38b64915_6720x4480.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!vlRS!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ab5463e-d253-431c-8f9a-4faf38b64915_6720x4480.jpeg" width="1456" height="971" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/2ab5463e-d253-431c-8f9a-4faf38b64915_6720x4480.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:971,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:5360909,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/i/183953044?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ab5463e-d253-431c-8f9a-4faf38b64915_6720x4480.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!vlRS!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ab5463e-d253-431c-8f9a-4faf38b64915_6720x4480.jpeg 424w, https://substackcdn.com/image/fetch/$s_!vlRS!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ab5463e-d253-431c-8f9a-4faf38b64915_6720x4480.jpeg 848w, https://substackcdn.com/image/fetch/$s_!vlRS!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ab5463e-d253-431c-8f9a-4faf38b64915_6720x4480.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!vlRS!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2ab5463e-d253-431c-8f9a-4faf38b64915_6720x4480.jpeg 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p></p><p>Gum health is one of the most overlooked foundations of oral wellness. Many people focus on their teeth while giving little thought to the tissues that support them. Yet when gums are neglected, the consequences can extend far beyond the mouth, contributing to inflammation, discomfort, tooth loss, and broader systemic concerns.</p><p>The good news is that supporting healthy gums does not require complicated or aggressive interventions. In many cases, consistent daily habits and holistic approaches can make a meaningful difference, not only for oral health but for overall well-being.</p><h3>Understanding Gum Health</h3><p>Gum disease, often referred to as periodontal disease, develops when bacteria in plaque accumulate along the gumline. Over time, this can lead to inflammation, bleeding, recession, and damage to the bone that anchors the teeth. Common contributing factors include inadequate oral hygiene, poor nutrition, smoking, chronic stress, and underlying immune imbalance.</p><p>Healthy gums serve an essential role. They protect the jawbone, stabilize teeth, and act as a barrier between oral bacteria and the bloodstream. When that barrier becomes compromised, inflammation can spread beyond the mouth and influence other systems in the body.</p><h3>A Holistic Perspective</h3><p>Holistic dental care looks beyond symptoms and focuses on the body as an interconnected system. Rather than relying solely on reactive treatments, this approach emphasizes prevention, nutrition, non-toxic materials, and lifestyle awareness.</p><p>When it comes to gum health, holistic strategies aim to reduce inflammation, support the immune response, and create an oral environment that discourages harmful bacterial overgrowth.</p><h3>Herbal and Natural Support</h3><p>Many patients find benefit in gentle, plant-based remedies that support gum tissue without harsh chemicals.</p><p>Alcohol-free herbal mouth rinses can be a helpful alternative to conventional mouthwashes. Ingredients such as aloe vera, chamomile, and tea tree oil are known for their soothing and antimicrobial properties and may help calm irritated gums while supporting tissue healing.</p><p>Oil pulling is another traditional practice that has gained renewed attention. Swishing coconut or sesame oil in the mouth for several minutes may help reduce bacterial load, support oral balance, and improve breath. While it is not a replacement for brushing and flossing, it can be a useful adjunct to a daily routine.</p><h3>Nutrition and Gum Resilience</h3><p>Gum tissue is living, dynamic tissue, and it depends on proper nutrition to remain healthy.</p><p>Vitamin C plays a key role in collagen formation, which supports gum structure and healing. Vitamin D helps regulate inflammation and immune function. Minerals such as magnesium and calcium contribute to bone and tooth stability.</p><p>A diet rich in whole foods, including leafy greens, nuts, seeds, and fresh fruits, provides antioxidants and micronutrients that support gum health. Reducing processed foods and added sugars is equally important, as sugar fuels the bacteria most associated with gum inflammation.</p><h3>Daily Habits That Matter</h3><p>Natural remedies are most effective when paired with consistent daily care.</p><p>Gentle brushing with a soft-bristled toothbrush, daily flossing, and the use of non-toxic toothpaste help control plaque without irritating the gums. Consistency matters more than force.</p><p>Stress management is often overlooked, yet chronic stress can weaken immune response and increase susceptibility to gum disease. Simple practices such as walking, breathing exercises, meditation, or yoga can positively influence both oral and systemic health.</p><p>Avoiding harmful habits is equally critical. Smoking remains one of the strongest risk factors for gum disease and impaired healing. Eliminating it can dramatically improve gum outcomes over time.</p><h3>A Sustainable Path Forward</h3><p>Many patients who adopt holistic strategies report gradual but meaningful improvements, including reduced bleeding, healthier gum color, and improved comfort. These changes often reflect broader improvements in diet, stress regulation, and overall health.</p><p>Gum health is not achieved through a single product or procedure. It is the result of daily choices that support balance, resilience, and inflammation control throughout the body.</p><p>By approaching gum care holistically, patients can build a foundation for lasting oral health that supports the rest of the body as well.</p><p><em>&#8212; Dr. John Johnson, DDS<br>Midwest BioHealth | The Johnson Papers</em></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Johnson Papers is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p>]]></content:encoded></item><item><title><![CDATA[Why TMJ and Airway Cannot Be Treated in Isolation]]></title><description><![CDATA[A clinical synthesis on craniofacial pain, sleep-disordered breathing, and whole-body stability]]></description><link>https://johnsonpapers.midwestbiohealth.com/p/why-tmj-and-airway-cannot-be-treated</link><guid isPermaLink="false">https://johnsonpapers.midwestbiohealth.com/p/why-tmj-and-airway-cannot-be-treated</guid><dc:creator><![CDATA[John W. Johnson, DDS]]></dc:creator><pubDate>Mon, 29 Dec 2025 20:47:53 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!WYgN!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3c0c80e2-b040-4dcb-98a4-17f5974c0e8f_5824x3264.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!WYgN!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3c0c80e2-b040-4dcb-98a4-17f5974c0e8f_5824x3264.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!WYgN!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3c0c80e2-b040-4dcb-98a4-17f5974c0e8f_5824x3264.jpeg 424w, https://substackcdn.com/image/fetch/$s_!WYgN!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3c0c80e2-b040-4dcb-98a4-17f5974c0e8f_5824x3264.jpeg 848w, https://substackcdn.com/image/fetch/$s_!WYgN!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3c0c80e2-b040-4dcb-98a4-17f5974c0e8f_5824x3264.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!WYgN!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3c0c80e2-b040-4dcb-98a4-17f5974c0e8f_5824x3264.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!WYgN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3c0c80e2-b040-4dcb-98a4-17f5974c0e8f_5824x3264.jpeg" width="1456" height="816" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/3c0c80e2-b040-4dcb-98a4-17f5974c0e8f_5824x3264.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:816,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:4397732,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/i/182898226?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3c0c80e2-b040-4dcb-98a4-17f5974c0e8f_5824x3264.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!WYgN!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3c0c80e2-b040-4dcb-98a4-17f5974c0e8f_5824x3264.jpeg 424w, https://substackcdn.com/image/fetch/$s_!WYgN!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3c0c80e2-b040-4dcb-98a4-17f5974c0e8f_5824x3264.jpeg 848w, https://substackcdn.com/image/fetch/$s_!WYgN!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3c0c80e2-b040-4dcb-98a4-17f5974c0e8f_5824x3264.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!WYgN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3c0c80e2-b040-4dcb-98a4-17f5974c0e8f_5824x3264.jpeg 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p></p><p>For years, dentistry has approached temporomandibular disorders and airway dysfunction as separate clinical problems. One belongs to the joint, the other to sleep. One is mechanical, the other medical. In practice, this separation rarely holds up.</p>
      <p>
          <a href="https://johnsonpapers.midwestbiohealth.com/p/why-tmj-and-airway-cannot-be-treated">
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   ]]></content:encoded></item><item><title><![CDATA[Holiday Health Begins in the Mouth]]></title><description><![CDATA[Simple, holistic reminders for protecting your smile during the holidays]]></description><link>https://johnsonpapers.midwestbiohealth.com/p/holiday-health-begins-in-the-mouth</link><guid isPermaLink="false">https://johnsonpapers.midwestbiohealth.com/p/holiday-health-begins-in-the-mouth</guid><dc:creator><![CDATA[John W. Johnson, DDS]]></dc:creator><pubDate>Tue, 23 Dec 2025 18:36:01 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!DK1N!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3347d5ac-78a9-4627-b5ed-d538a803c347_5616x3744.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!DK1N!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3347d5ac-78a9-4627-b5ed-d538a803c347_5616x3744.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!DK1N!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3347d5ac-78a9-4627-b5ed-d538a803c347_5616x3744.jpeg 424w, https://substackcdn.com/image/fetch/$s_!DK1N!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3347d5ac-78a9-4627-b5ed-d538a803c347_5616x3744.jpeg 848w, https://substackcdn.com/image/fetch/$s_!DK1N!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3347d5ac-78a9-4627-b5ed-d538a803c347_5616x3744.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!DK1N!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3347d5ac-78a9-4627-b5ed-d538a803c347_5616x3744.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!DK1N!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3347d5ac-78a9-4627-b5ed-d538a803c347_5616x3744.jpeg" width="1456" height="971" 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class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h2></h2><p>The holidays are meant to be a season of connection, celebration, and reflection. They are also a time when routines shift, stress rises, and health habits are often pushed aside. Oral health is no exception.</p><p>At Midwest BioHealth, we view the mouth as an integral part of whole-body health. What happens there does not stay there. With that in mind, here are a few grounded, practical reminders to help support your oral and systemic health throughout the holiday season.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Johnson Papers is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><h3>1. Mindful indulgence, not restriction</h3><p>Holiday treats are part of tradition. The goal is not avoidance, but awareness.</p><p>Sugar fuels oral bacteria that produce acids capable of weakening enamel and irritating the gums. How and when sugar is consumed matters as much as how much.</p><ul><li><p>Enjoy sweets in moderation rather than grazing throughout the day</p></li><li><p>Have treats with meals, when saliva production is higher and better able to buffer acids</p></li><li><p>Choose foods that clear the mouth more easily, such as dark chocolate, rather than sticky candies that linger</p></li><li><p>Maintain brushing and flossing consistency, especially on indulgent days</p></li></ul><p>Mindfulness allows enjoyment without unnecessary consequences.</p><h3>2. Hydration supports oral defenses</h3><p>Hydration often takes a back seat during busy days and social gatherings, yet it plays a critical role in oral health.</p><p>Saliva is the mouth&#8217;s primary defense system. It helps neutralize acids, wash away food particles, and maintain microbial balance.</p><ul><li><p>Carry water with you throughout the day</p></li><li><p>Alternate alcoholic or sweetened beverages with water</p></li><li><p>Include water-rich foods such as apples, celery, and cucumbers</p></li></ul><p>Small habits add up, especially during long days of celebration.</p><h3>3. Stress shows up in the mouth</h3><p>The holidays can place significant demands on time, finances, and emotional bandwidth. Chronic stress has been linked to immune suppression, inflammation, and increased risk of gum disease.</p><ul><li><p>Protect time for restorative activities such as walking, breathing practices, or quiet reflection</p></li><li><p>Prioritize sleep, aiming for seven to eight hours when possible</p></li><li><p>Reduce overcommitment, rest is not a luxury, it is part of health</p></li></ul><p>A regulated nervous system supports healthier oral tissues.</p><h3>4. Consistency matters more than perfection</h3><p>Travel, late nights, and schedule changes make routines harder to maintain, but consistency remains one of the most powerful tools for oral health.</p><ul><li><p>Brush thoroughly twice daily</p></li><li><p>Floss once daily to disrupt plaque between teeth</p></li><li><p>Keep preventive care appointments whenever possible</p></li></ul><p>Short-term lapses happen. Long-term neglect creates problems.</p><h3>5. Consider oral health through a whole-body lens</h3><p>Oral health does not exist in isolation. Materials, inflammation, airway health, and microbial balance all influence systemic wellbeing.</p><p>At Midwest BioHealth, our approach centers on understanding how dental care fits into the larger health picture. Prevention, thoughtful material choices, and patient education are foundational to that philosophy.</p><p>The holidays offer a natural pause point. A moment to reflect not only on traditions, but on habits that support long-term health.</p><p>From all of us at Midwest BioHealth, we wish you a calm, restorative, and healthy holiday season.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://johnsonpapers.midwestbiohealth.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">The Johnson Papers is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div>]]></content:encoded></item></channel></rss>