Oskar Moore: Hello everyone. This episode two of Business of Longevity with Miguel Stanley, the biological dentist. Part one was so good that we had to carry on the conversation, and that's where we're heading now into part two. Hope you enjoy. Moving a little bit on, Miguel, I have to ask. Cristiano, Ronaldo, Madonna. They've trusted you their health at the White Clinic. When individuals at that level choose to put their faith in you, it reflects a certain standard, no doubt. how does it actually feel like working with patients in that way and meeting them and having to do your surgery on ⁓ as would do on someone that that just came in the door? Does it change something? No, not all. And I think it has to do with your personal education. your personal foundational beliefs. You know, when you go to church or whatever place of worship you go to, we are all the same under one God. And I'm not bringing this to a religious conversation, but I was brought up to believe that we are all equal, right? So human beings are human beings. And power and status and money and influence don't change what I charge people. So I have a price list which is the same for the pharmacist down the road or to the ⁓ ultra high net worth individual. What they do in life is their business. It's not mine. And we have a culture in the White Clinic of just treating everybody the same. So everybody's a VIP at the White Clinic. We don't have different processes for the ultra, ultra famous ⁓ people. If anything, we're very quiet about it. We choose to hide it. ⁓ mostly because ultra high net worth or ultra famous people, if anything, they wanna be treated normal, they wanna be treat they want to be treated and they they don't they don't want you making mistakes based on the fact that you're s perceiving them different. So if, you know, the most famous person on the world does a blood test and changes their name, it's not gonna change the outcome if the person doing the test knew their name or didn't. And so we have to be honest about this conversation. You know, money is money, blood is blood, bone is bone, tooth is a tooth, people are people. And I'm very proud of my team and myself that we we it's in our DNA just to treat people kindly with respect. And ⁓ we don't ask for autographs, we don't ask for anything, ⁓ and we just do our job and we keep on doing it. And those are two that Became public because they made it public, but we kept it quiet for a very, very long time. Yeah, and I I I'm sure you have a lot a lot of those kind of characters and s and so do we, those kind of characters, and it's not that exciting anymore. It's just we want to help people. So I co totally get that. And I think they they at the end of the day they appreciate it, you know, just keep it really simple. ⁓ you know, I would argue w the real blessing here is that they come to Portugal. I'm not in, you know, like you're in Copenhagen, man. I'm not, you know, it's not in New York or Beverly Hills or something like that. So it's it's that's pretty cool. Portugal's fun, you know, you've been here. Yeah. Lisbon's a nice place. Yeah, but I it's I we just keep on working, you know, everybody, every day, same levels of respect. And I I hope I hope it's always that way. So ⁓ if we zoom out a little bit, now we started talking about these everyday patients and how you look at in the same way, whether they're ultra high net. worth ⁓ if they're just the pharmacist down the street. But where does dentistry miss the bigger health picture overall? So for example, I have a lot of my peers at the moment who have their wisdom teeth pulled out. ⁓ feel mine coming up, and I know that this is an argument and and I and based on your reaction I'm interested to hear. But what ⁓ the long term implications of doing something like this? All right. I'm still trying to figure out how to answer the question because I get it asked a lot. So I'm gonna try new sayings today. I'm always learning how to explain things better. Do you remember the what's his name? His name was ⁓ Liver King. yeah, Liver King. So the liver king, this guy was all jacked, you know, he and he would say that he was natty, and that meant natural. Testosterone, no growth hormone, no steroids. And everybody was like, you know, Joe Rogan everyone's like, this is unbelievable. It's impossible. This guy's taking steroids, okay? Because it would be almost impossible for a guy in his near fs to be as jacked as this. I mean, and he was saying that it was all natural food and that, you know, blah, blah, blah, blah, blah. Now, turned out the guy wasn't addie and he was injecting himself with the hormones, and that was the end of his career. Why am I talking about that? Because you have natty mouth and not natty mouth. does that mean for your generation? An all-natural mouth has never been touched by a dentist, albeit maybe a few heat hygienes, maybe a bleaching, but ⁓ needed alteration. ⁓ orthodontics, ⁓ fillings, no implants, no extractions. Right? Healthy gums, healthy teeth, everything just the epigenetics of that person allowed the mouth to be perfect. Perfect airway, perfect that, Oscar, is the benchmark. you don't have that, then you have ⁓ form of pathology. It might be biological, it might be mechanical, or it might be aesthetics, which isn't a pathology, but it could be an emotional pathology, right? So I'm smiling here with my crooked teeth. But you know what? Perfect imperfection, Oscar. As long as they're healthy, I don't care and the bite is good and the airway is good and the gums are good, I don't care about aesthetics. And I'm an I'm the keynote speaker at the American Academy of Cosmetic Dentistry in two months' time in the USA. Right? I love beautiful smiles. I know how to bake them. But if it's healthy, functional, and everything's working order, I don't care if color, tone, shade, that's pure aesthetics. That's something Emotional and elective. That's the same conversation as cosmetic plastic surgery. Totally unnecessary, but can save people, change people's lives emotionally. All right. So that's about, you know, identity and something else. We won't talk about that now. Now, so the all-natural, that's one thing. Anytime you need to extract a tooth, do a filling, do a crown, do orthodontics, you're now altering your skeleton, right? Because the teeth are part of your skeleton and then, you know, all of that. depending on the materials used, the techniques applied, the healing phase, the quality of the interventions, your immune system the day you had that surgery, right? A bunch of your nutrients, your all of that, the outcome of these interventions could be fantastic or not so fantastic. And it has nothing to do just with the doctor. So if you're pulling out ⁓ young adult's tooth, let's say a wisdom tooth, all four. And that guy or girl, on the day you have their wisdom tooth extraction, let's say they're vaping. Stupid. Vitamin D is at four. And you've seen this and I've seen this. It should be over thirty by just in case of reference, right? But it's at four because this person's indoors all the time playing, I know, video games. So there's All that person is eating for the last four years is McDonald's. There's nutritional depletion. The immune system shit. They've got Epstein virus. I don't know. There's a bunch of immune conditions in that person's body that means they shouldn't undergo complex tooth extraction, which in effect, Oscar, is orthopedic surgery. Your wisdoms are pulled out of your skull and you're getting them out of your bone, right? Moreover, you've got the saliva with the pathogens and the birthens. Mouth isn't in good order. This could create a knockoff effect down the line that could create deep immune issues for that patient, right? Not just to mention short-term acute infections called dry socket. It's bone necrosis in your skull, right? And we give it a nice name called dry socket, but that's something you shouldn't have in your head. So that rite of passage of taking out your wisdom teeth because whatever. I'm not saying you shouldn't do it. I'm just saying you should really make sure your immune system, hence testing prior to surger to surgery, is critical. And how many dentists on earth today test prior to surgery? None. I mean, if it's it's not even it's not even point one percent. it for over a decade, Oscar. All right. And it's ⁓ for an orthopaedic surgeon to go into surgery without some testing. So if you go to the hospital environment, every single orthopedic surgeon runs some tests prior to surgery. Chest x-ray, electrocardiogram, a bunch of, you know, biomarkers. Why? Because we're going to do surgery. But a dentist can pull four big teeth out of your skull with an x-ray. This is a very complicated question and it's just I think we made a mistake as a profession, as a whole. We didn't think about immunology when we started creating these protocols, but that needs to change. So that's the first thing. And the second thing is a lot of patients that have had ⁓ my generation, Gen X and baby boomers, they have now legacy dentistry. What does that mean? They have treatments that were done over 15, 20 years ago. What is the state of those treatments? Are the materials used the best now for 2026? Are they biocompatible with your ⁓ genetics, with your immune system? I mean, a lot of people are hypersensitive to alloys, to nickel, to cadmium, to vanadium, to specific types of metals. Some people are sensitive to BPAs. You know, everyone's talking about gluten intolerance and That didn't exist 20 years ago. Now half the planet's gluten intolerant. You don't have gluten in dentistry, but you have some products that we were using 20, 30, 40 years ago that we now are understanding shouldn't be in the human body, such as mercury. And so these metals and materials that were used in legacy dentistry might be affecting your immune system. And unfortunately, general medicine, so the hospital and healthcare ecosystem isn't looking at it this way. And most dentists are not looking at it that way because they have a mechanistic mindset. They're looking at the mechanics of the teeth, the aesthetics of the teeth. Is it not hurting you? Fine. Is there no bleeding? Fine. Then it's okay. And they're just using X-ray. They're not using 3D C B C Ts. They're not doing saliva testing. They're not understanding more about the patient's immune system. And I think that all has to change. And we've been doing it for a very long time successfully, Oscar, thanks also to your diagnostic capacities. getting more answers to how upgrading your dentistry can deeply impact your immune system. Coming full circle to your statement about wisdom tooth. If you're gonna take them out, make sure your immune system is ready for it. Do it at the right time. Make sure your vitamin D levels are good, that you're supplementing with magnesium, with vitamin C, with zinc, that your immune system is solid. Do not smoke. Do it with a surgeon that knows what they're doing, that's using lasers and PRF and That does make sure that they sew everything up possibly correctly. They're doing their diagnosis with 3D cone beam, not rushing things, they're doing things properly. It makes all the difference. And again, it's a hell of a lot more expensive than going to a dentist. It just pulls it out. But what is the knockoff effect down the line at an immune load if you're doing it that way? Best not do it than not do it well. That's my statement. What an incredible way to put it. Miguel, you I think you've done exactly what you wanted, which was to phrase it in a way that people understand it. And to add on to that, people should be taking their their vitamin D, their C vitamins, their zinc anyway, because they need to be looking after the immune system all the time. So a person who's been thinking about their health for a longer period of time might be able to withstand a surgery like that in a much better capacity than a person who is a smoker, overweight, know, poor heart, all of these things. And and again, just shows the importance of looking after yourself because ⁓ inevitable that something's going to happen to you and your body needs to withstand that. You know, and I and I think that there's two opportunities for our industry. You're a businessman as well. One insurance companies Need to understand the opportunity of supporting this of saying, ⁓ wisdom tooth extraction, great. Run these tests and let's, because if a dentist says, I want to, you know, they don't even know they can prescribe it, but I don't know, it might not be supported by your insurance. It should be, because it's it's it's A, it's healthcare. So getting insurance companies involved in this. way of thinking and just also education doctors if they understand, hang on, I can be more than just a tooth extractor. I can be an oral physician. And I can think like a physician and I can run some blood tests. I could maybe help my patient and maybe even make more money like that, but really get much better results, which is better for my reputation, better for my business, better for my CV, better for everything, even if you don't own the business. A doctor that has better overall outcome wins. Period. No matter where you are on that ecosystem. And we're humans, we're designed to want to be better. All right. So if any dentist is listening to this, just go to the literature, read a little bit, and you'll understand how much this makes sense. And I love the consideration about insurance companies. I mean, now we've been talking a little bit about it, but th we provide testing for sort of lab testing, functional medicine testing to practitioners all over the world. And when we started, it was very difficult to get any doctors involved in this. It was only holistic thinking people who really wanted to take it in. And those really, let's say those doctors that like to provoke the way it was done before. And the thing that's changed over time is we're getting more and more medical doctors, we're getting more and more classically educated doctors to pick up on the importance of testing outside of of hospital and outside of what you as you refer to, sick care, and think more about health care. And the next stage is to get these insurance companies to wake up and understand that there is actually over a lifetime, there's so much more money to be saved if the individual is healthy and they understand the underlying biochemistry of an individual. You know, just and the numbers might be a bit rusty, but ⁓ last time I looked at a paper on this, which was a few years ago, the average post ⁓ post op infection rate for wisdom tooth extraction was about twelve percent. So let's go to the USA and just imagine how many wisdom teeth are extracted per year in America. So the population's what? The 250 million or 300, 400 million, it's a big number. In the 300 and something, I think. Let's let's argue. Everybody has four wisdom teeth. Let's slash it down. We could argue that there's a million kids having their wisdom teeth out a year. All right? Maybe. Let's cut in half. 500,000. All right. I I I think it's more, right? If even if it's a hundred thousand, if it's a hundred thousand kids with a twelve percent, right? That's twelve thousand kids. 12,000 people. And that's, I'm being incredibly so I I would argue that it's more, you know, much bigger number, are getting bone infections in their skull as a result of poor healing. Now, let's just say that every surgeon's amazing, and this is because of their immune systems. How could testing and pre treatment supplementation, something that's been your business plan for a long time? test, hey, take these natural supplements to help your immune system be better. It's just like, how could anyone think that that's not genius, right? and moreover, tailor-made just for your needs, right? So it's like so many people go to the pharmacy and they're like, ⁓ what of you know, it's overwhelming the offering right now. So without testing, you shouldn't know what to take. How how how do you know what to take if you don't have testing? And so getting back on point. I think it's ⁓ it's almost you know, those those twelve percent down the line, they're not productive adults. They have you know, there's a huge cohort of illnesses, almost twenty-two non-communicable diseases are directly correlated to oral infection. Low grade chronic, subclinical. It you won't show any symptoms over your lifespan. We now know that it's correlated to two diabetes, cardiovascular, Alzheimer's, pancreatic cancer. ⁓ ruboid arthritis, fibromyalgia, chronic fatigue syndrome. We've got all these modern ailments that are directly correlated to oral infection, and yet we're still doing dentistry without any data. The X-ray alone suffices. How is this possible? Why are we not testing more? Why are we not looking more into our patient's immune system? And how we can think more integratively. And that's a great opportunity for dentists, dentist practitioners, the DSO, world that you started your the podcast with to insurance companies. I'm not here to make any money from this. I just hoping people can wake up and just start doing it. Awesome. So I have created a little case study for you here because I think although we're talking a lot about business here, we're coming into the fundamental passion and the understanding that that you have and and it's clear to say it's To hear your passion about helping people. So in this case, a parent brings in a five-year-old child to you, and if you could give them a simple playbook for the next 15 to 20 years, what would you tell them really matters for the oral health health as that child grows into a teenager and adult? If it's a five-year-old child, so let's break it down into home care and clinical care. All right. So first and foremost, let's get a foundational data set. What does that mean? At that age, if everything's okay, you can take digital x-rays. So there's something called a panoramic x-ray at five, just before the adult dentition comes out. So you can take a digital panoramic x-ray. You can get an overview of what dentition is is going to be coming out in the next, let's say, eight or nine or ten years. Why would that be important? Because some children suffer from agnesia, which is missing teeth. And the earlier you get in with therapies at that age, the better. Sleep apnea and sleep disordered breathing. The sooner you attack it, the better, and you can attack it as young as two. So is the tongue tied? Is there a limitation to tongue mobility? Are the sinuses clogged? Is nasal breathing good? And does this child need a sleep-disordered breathing device to help it naturally throughout the night? Expand the arch and expand the mouth thanks to the natural movements of the tongue when swallowing at night. So that's the first one. Does your child have sleep disordered breathing? Yes or not? And if not, then there's these devices at night that can help expand the arch. And I'm involved in a company called BBte that's doing this BPA free devices. My children use them. BBytes.com, B-B-I-T-E dot com. Link it. Little cub, little club there. And it really helps children. And I I do it really to help the kids. That's the first one. The second one is I'm I'm a big fan of a molecule or a substance or ⁓ what you call it, a mineral. It's called hydroxyapathy. And so hydroxyapathite ⁓ ⁓ modern formulation for toothpaste which doesn't contain fluoride. So for the young moms, you don't need fluoride in your toothpaste if you are living in a healthy environment. If you don't have access to healthy food, if you don't have access to good water, so if you are probably not listening to this podcast, right, then obviously, you know, traditional toothpaste are great. So I'm not saying fluoride's bad at all. I'm just saying there are better things. Why? Because children shouldn't be s swallowing fluoride toothpaste. And there are great formulations on the market now. ⁓ I'm personally using one from a company called BioRepair in Italy. They have a a patented formulation for hydroxyapatite, which is it creates a super protective layer on the enamel. it's very powerful. It's been on the market for about 20 years. So it's not something new. It's very studied and super safe for kids. I jokingly call it toothpaste you can swallow. And they have new formulations that ⁓ will have ⁓ What do you call ⁓ microbiomas? And I have that will have lactobacillus and do you call it? Healthy bacteria in it, the the for the probiotic. Thank you, probiotics in the toothpaste. So if you're five, start using hydroxyapethide probiotic enriched toothpaste for your kids. Brush if your ⁓ parents should brush their kids' teeth until they are 100% proficient in brushing their teeth. So don't just delegate that to your kids. Trust I brush my kids' teeth. So that's a that's a home care. Don't worry so And they're in their twenties. I have a six and a eight year old. And we're brushing. Fair enough. So sleep disordered breathing, some symptoms are bedwetting, waking up grumpy, ADHD. Do you know that? That a lot of kids that are suffering from ADHD or have tonsils, their tonsils are always inflamed. So you go to the certain doctors, you'll get your tonsils pulled out, you get put on Ritalin. And what you have is sleep disorder breathing. And with simple sleep device, you can reverse the symptoms almost overnight. There's a lot of studies to this, it's quite amazing. So a well-exp trained dentist knows how to do that. So those are basic requirements. ⁓ and then if the child is born with crooked teeth, get in there early modern aligners, so invisible aligners, clear aligners, can actually be applied for children. And they can help expand the archway and get those teeth in the right position as early as six, seven, eight years old. All right. So get in there early. And then that's how you'll save money down the line. And I would say that's the and and as the child, like once a year, get a scan with an intra-ural scanner so you can map the evolution of the child's teeth over time. And now, with thanks to new softwares, you can overlap these STL files and you can see the evolution. And here's something that I actually did the other day. I had a sixteen-year-old patient, beautiful kid. She's been my patient for many, many years. I lives in Italy. She had a car crash, or an I think it was a car crash, and broke her three front teeth, completely shattered, had to go to the hospital, reconstructed plastic surgery, but she was most worried about her smile. Guess what, Oscar? I had the scan of her mouth a month before. So we used 3D printing and I printed her teeth exactly the same. As they were. So getting that digital data actually helps as well if there's ever an accident. It's like an image bank of your own teeth. Super cool. Fantastic. What a story. one one last thing. ⁓ last thing. After the age of 18, every should get a full FOV, full field of view, C B C T of their head, which is a cone beam, computerized tomography, D X ray of their head. Why? Because Traditional small film x-ray or the small ones alone don't allow a well-trained physician or dentist to actually see if you have impacted teeth, sinus issues, or any other you could have cysts or tumors or things in your jaw that you're not aware of. Early detection can save lives. So I would argue anywhere between eighteen and twenty it's never too late to get one, but if your dentist is if you've never had one, go get one. at least once get it done. They're very low radiation, less radiation than a flight from Lisbon to London. Stats on that are safe. They're super safe. Get at least one of those in your lifetime. ⁓ And I think that's also where we have to start moving towards rounding off this conversation. And I'm going to miss out on one very fun conversation, but I think that's a reason to have an episode more in future. Which is going to be about how you scale and have more clinics, because I was quite intrigued about that. But we'll have to get into that on another another Oscar. I've looked forward to it. So if you were to fast forward five, ten years from now, how do you want people in the dentistry world to be thinking longevity and healthcare? Now you've got to be as precise as possible, Miguel. Okay. Oral health is systemic health. Systemic health is oral health. Learn from doctors, and doctors need to learn from dentists, and there needs to be more interdisciplinarity here. We cannot silo dentistry anymore. And if you're in the longevity space, supreme oral health is missing in most of the or understanding what it is is missing in the longevity narrative. That has to change. And it all comes down to data. The more data you have, the more knowledge you have. So I've got some quick closing questions here, and it probably leads nicely into your answer before, because what's your number one recommendation for somebody building a business in the longevity space today? Find good partners to work with. You can't do it alone. The more data you can stack into an hour, the better. What can you Time is critical to the longevity conversation? Anyone in the longevity space that isn't Brian Johnson. has no time. You have to stack what you can test, what you can communicate, and what you can execute in small amounts of windows that gives you the greatest output for your patients. the one health habit that you never miss no matter how busy things get. Turn my phone off. Hmm. When? Yeah, I I I seven thirty, second I get home, that goes off. I think I need to do that as well because it's just on fire all the time. Let me be clear. No notification, no ringing, silence. My phone is on, but it's on that special setting where it doesn't ring, ⁓ no calls come through. Do you understand? So like I've got like three people that calls can come through. So I can be, I can scroll, I can, you know, watch a YouTube, whatever, but the business access of information is dumb. And it only turns back on at ⁓ seven AM the next morning. You have to have me time. Interesting. Interesting. I think my girlfriend will enjoy that one. If it wasn't for life, I wouldn't have done it. She basic Yeah. She Yeah. there's some of us that sit in that boat. Finally, where can people find you, the White Clinic, and Missing Link? Where's the best one to follow you? ⁓ If you just visit MiguelSanley.com, it will have links to everything. And ⁓ my clinics in Lisbon, Portugal, you can find us on online. It's pretty easy. Amazing. Miguel, thank you so much for joining us on the business of longevity, and I'm very excited to bring you on on a later date. Thank you, Oscar. Honestly, you're curious, you're highly intelligent, you're very kind, you know your stuff, you're the real deal, and I appreciate your time and the invitation. Thank you, sir. Appreciate those words. Thank you. That was the business of longevity. I'm Oscar. Thank you for being part of shaping a healthier future through businesses and brands that truly make a difference. this episode gave you a new perspective on what it takes to build a longevity company, ⁓ it with someone who should hear it. ⁓ see you ⁓ the next episode.