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Would you learn about the oral biofilm if your health depended on it? Well it just might. On the Biofilm Factor, Dr. Ryan Nolan discusses the importance of diet, biofilm management and the oral systemic link with fellow dental professionals. Join us and learn how the state of your oral cavity can impact your overall health.

For more on The Biofilm Factor, follow on Instagram @biofilmfactor and @ryannolandmd or find me on Facebook at The Biofilm Factor Podcast.

Jun 5, 2018


We can improve dentistry through cultivating better connections with our patients. As a discipline, we have a long way to go. In this episode of The Biofilm Factor, Dr. Ryan Nolan talks with Dr. Naif Sinada, a graduate from Midwestern University and a practicing prosthodontist. They review Dr. Sinada’s individualized approach to his high risk patients, especially those that have or have had cancer. They also talk about important but commonly neglected topics within dentistry such as customized treatment planning, specialty training and guided surgery. However, looking past the current lack of research and outdated techniques, dentistry can change people’s lives. For more on The Biofilm Factor, follow on Instagram @biofilmfactor and @ryannolandmd or find us on Facebook at The Biofilm Factor Podcast.  

Host: Dr. Ryan Nolan

Guest: Dr. Naif Sinada

Bio of Dr. Naif Sinada

Dr. Naif Sinada graduated from Midwestern University and is a practicing prosthodontist in Texas. He completed a General Practice Residency, published multiple papers and was featured in the Dental Time magazine. His work as a clinician reflects his commitment to improving oral care for his patients and his desire to deliver the best treatment and treatment options available. He can be reached on Instagram, Twitter, LinkedIn or Facebook @drsinada.

Show Notes

  • What made you want to be a prosthodontist? [0:50]
  • Dr. Sinada works alongside anaplastologists to successfully use prosthetics. [4:10]
  • Dr. Sinada describes one of his hardest cases and how it shaped the way he approaches treatment planning. [5:13]
  • Dr. Sinada shares his current experience working with patients that have or have had cancer. [7:08]
  • “If you connect with the patient, you can reach a different level of dentistry.” -Dr. Sinada [7:54]
  • How does Dr. Sinada approach high risk patients as a prosthodontist? [8:40]
  • The strategy of the “10% rule” in treatment approach. [11:40]
  • Dr. Sinada talks about @prosthproblems, an instagram account, that shows the procedures and techniques that sometimes go wrong. [15:00]
  • How does being in an immunocompromised situation affect your flora, microbiome and body?  [15:27]
  • Patients undergoing chemotherapy experience the greatest change to their microbiome. [19:56]
  • The way we treat chemotherapy patients is going to change in the next couple of years. [20:55]
  • Dr. Nolan shares his experience when his grandfather had colon cancer. [22:53]
  • What does Dr. Sinada suggest to his patients to reduce symptoms such as dry mouth? [23:53]
  • It’s all about education and actually talking with the patient. [25:10]
  • The industrial revolution brought soft food and sugar into our diet. [27:00]
  • Dr. Sinada and Dr. Nolan share their opinions about the influence of the modern diet. [27:55]
  • The possibility that vegetarians break their temporaries more often than people who incorporate meat into their diets. [31:07]
  • What is the role of socioeconomics in relation to oral systemic disease? [32:44]
  • Can Type 2 Diabetes influence potential risk factors and how should this influence be addressed? [36:26]
  • Dentistry lacks research compared to other disciplines. [38:50]
  • Dental professionals need to pay attention to the individual and less to increasingly irrelevant overgeneralizations. [40:30]
  • Looking at the use of different materials within dentistry such as zirconia, ceramic and e.max.  [45:42]
  • Understanding All-on-4 cases and talking about the materials that Dr. Sinada is the most comfortable using on his patients. [51:20]
  • Clear Choice may have a negative stigma but it has brought new understanding to the work of prosthodontists. [53:55]
  • As a general dentist, how do you apply the ideas of “the bone sets the tone”, “the tissue is the issue” and “the space makes the case” to implant dentistry? [57:12]
  • “We should foster a culture of wanting to make each other better.” -Dr. Sinada  [59:40]
  • The benefit of using Instagram to uplift and unite members of the dental community. [1:01:34]
  • Who inspires Dr. Sinada to be a better clinician? [1:02:17]
  • Dr. Sinada’s experience with guided surgery and his thoughts on its value. [1:04:30]
  • Dr. Nolan’s experience with guided surgery and why he thinks it’s a great approach. [1:08:02]
  • How will dentistry change over the course of the next couple years? [1:12:50]
  • Understanding the situation of an individual patient will help you to understand the proper treatment plan.   [1:17:37]
  • “Just because you removed the teeth doesn’t mean the biofilm is gone.” -Dr. Nolan [1:21:20]
  • The success or lack of success of topical antibiotic use for potentially problematic implants. [1:25:43]
  • What do dentists overlook in complicated cases that should be passed off to specialty dentists? [1:30:20]
  • Overcoming the alpha mentality within dentistry. [1:32:07]
  • Dr. Sinada tells the story about one of his patients with a pharyngeal obturator. [1:34:07]
  • Ways to promote successful prosthetics such as reducing plaque or changing diet. [1:36:40]
  • Referring back to the episode with Dr. Stein and the potential pneumonia risk because of biofilm buildup.  [1:40:06]
  • Dr. Sinada shares his research on the biofilm and its effect on ceramics such as e.max. [1:44:18]
  • How does patient compliance play into chlorhexidine use, antibacterial agents or dentifrice products? [1:49:50]
  • Has oral dentifrice products reached perfection or is there still a lot of necessary improvements? [1:53:15]
  • Dr. Nolan and Dr. Sinada talk about the lack of research and development within dentistry. [1:54:20]
  • Closing thoughts and information about Dr. Sinada. [1:55:35]