The Bespoke Dentist

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The Bespoke Dentist

I have a clear vision to offer high end dentistry, using a holistic approach. Amalgam Removal.

26/08/2026

The way we think about the mouth has to change. It was never separate from the body.

THE METHOD
Four databases, PubMed, EMBASE, Cochrane CENTRAL and Web of Science, January 2000 to February 2026. 4,218 records found, 3,116 screened, 318 read in full, 68 met every criterion. Fifteen were randomised controlled trials.

"95% CI" is a confidence interval, the range the true answer very probably sits inside. For a ratio, if it does not cross 1, it is unlikely to be chance.

FINDING ONE
People with diabetes were around three times more likely to have periodontitis, advanced gum disease. Odds ratio 2.81, 95% CI 2.19 to 3.60. Well clear of 1. It held after adjusting for age, s*x, smoking, socioeconomic position and obesity. And it is dose-dependent: the higher the HbA1c, your average blood sugar over three months, the deeper the gum pockets and the more bone is lost.

FINDING TWO
It runs the other way too. People with advanced gum disease were 1.33 times more likely to see their blood sugar rise. 95% CI 1.18 to 1.51.

WHY
TNF-alpha, an inflammatory mediator released by inflamed gums, interferes with the insulin receptor. Insulin knocks, but the cell will not open the door.

FINDING THREE
Across fifteen randomised trials, treating the gums lowered blood sugar. HbA1c fell by 0.36%, 95% CI 0.48 to 0.27.

THE HONEST PART
Statistically significant. Real. But under the 0.5% that guidelines treat as clinically significant, so more research is needed. Except in those who need it most: in poorly controlled diabetes with severe gum disease the fall was 0.52%, against 0.18% in the well controlled.

WHAT THAT BUYS YOU
On UKPDS modelling, 0.36% corresponds to roughly 5% fewer heart attacks and 13% fewer microvascular complications.

These are associations, not proof of cause. But the direction is consistent across 68 studies and two decades.

Which is why we have to take this seriously. The mouth and the body are, in fact, linked.

If you have diabetes, ask your dentist to check your gums properly. If you have gum disease, ask your GP about your blood sugar.

Approved by the IAOMT. Publication to follow.

18/08/2026

My Systematic Scientific Review has officially been approved by the Science Committee at the International Academy of Oral Medicine & Toxicology (IAOMT).
This in-depth study focuses on the critical, bi-directional relationship between Periodontal (Gum) Disease and Diabetes. The conclusion is profound: the health of your mouth and your blood sugar stability cannot be separated.
A proactive, biological approach is not just about teeth—it’s a fundamental part of systemic health management. We are dedicated to providing the definitive standard of care, grounded in the latest research.
Keep an eye on this space. An even larger milestone—representing years of research and clinical standard setting—is being announced at the IAOMT Annual Conference very soon! 🏛️🇬🇧🇺🇸
📍 The Bespoke Dentist, Harley Street, London

17/08/2026

Featured in the Daily Mail discussing an unexpected side effect of orthodontic treatment: beating the snack habit.

When popping to the kitchen means removing trays and cleaning your teeth afterwards, mindless grazing drops off quickly. It isn't magic—just practical daily friction.

Full article linked in bio.

Did you experience the "aligner routine" shift during your smile journey?

14/08/2026

I am absolutely delighted to announce that my book is officially being published! 📖✨
‘Heal Your Mouth, Heal Your Body: The surprising link between you mouth and your health’ is officially launching this January with Hammersmith Health Books.
For years, I’ve been passionate about changing how we look at dental health. The mouth does not exist in isolation—it is the gateway to your entire body. Bridging the gap between oral wellness and whole-body systemic health is a movement I’ve dedicated my career to, and putting it all into this book is a true milestone.
Pre-orders are now live on Amazon and Waterstones!
🔗 Tap the link in my bio (Linktree) to pre-order your copy today.
Thank you all so much for your continued support on this journey!

07/08/2026

Your mouth is a garden.
I've used this line with patients for years, because it changes how people think about the daily habits. Brushing and flossing stop being chores and become weeding. Saliva stops being an afterthought and becomes the irrigation the whole garden depends on. And your good bacteria, the residents that protect you, become plants worth cultivating rather than something to be scrubbed away.
A garden doesn't need heroics. It needs a little attention, most days.
And because your mouth is connected to the rest of your body, tending it is one of the simplest things you can do for your overall health.
W**d. Water. Cultivate.
Save this one for the bathroom mirror, and share it with someone whose garden needs a bit of love. 🌱

02/08/2026

9You're just busy.
Most people wait for the perfect moment to get healthy. It never comes. Life doesn't work like that. Health isn't something you switch on when everything else quietens down — it's what you build in the noise, one small choice at a time.
Floss tonight. Sleep better this week. Do one thing different today. Not next month. Not when you've sorted everything else.
Every day you choose health is a day you're choosing to actually be present for your life. That's the difference.
Health is the capacity to show up. Sunday thoughts on the small choices that compound.

31/07/2026

Many of my patients are on one now. Nobody talks about what it does to their mouth.
I'm on one myself. And carrying excess weight is not a risk-free position to be in, so this isn't a post about whether you should take it. Everything in medicine is a balance of risk.
It's a post about your mouth.
Dry mouth is a commonly reported side effect of these medications. Not everyone gets it. I haven't. But when saliva drops, a lot of quiet things stop happening.
Saliva is your mouth's rinse cycle. It clears food debris, it buffers acid, it keeps the bacterial population honest. Take it away and debris sits where it shouldn't, the sulphur-producing bacteria get an easier ride, and breath changes.
That's the bit patients notice. And it's rarely a hygiene failure. It's usually a saliva problem.
Our job as dentists isn't to judge anyone for being on this. It's to reduce the vulnerability while you are.
Sip water through the day, not just at meals.
Tell your dentist you're on it, most people don't think to.
If you're on a GLP-1 and your mouth feels different, it isn't in your head. And it's fixable.

24/07/2026

Nobody has ever walked into my surgery and shocked me.
Not the person who hadn't been in eleven years. Not the one who cried before I'd picked anything up. Not the one who apologised, twice, for not flossing.
I've been doing this over twenty years and I can tell you that almost nobody is lazy. People are tired, or frightened, or busy, or were never really shown how. Shame has never once improved anyone's oral health. Not in over twenty years.
Whatever's happened up to now stays where it is. We just start from today.
If you've been putting it off, this is your sign. 🤍

16/07/2026

You're not lazy.
That's the bit I want people to hear, because I've watched too many patients apologise for being tired. They blame their willpower, their age, their diet. Almost nobody thinks to blame their airway.
Most people with obstructive sleep apnoea have no idea they have it. Your breathing can stop and start dozens of times an hour, and you'll have no memory of it at all. You just wake up flat. Every day. And you assume that's simply who you are now.
It isn't always.
The research is clear enough to take seriously: sleep apnoea is associated with high blood pressure, heart disease and Type 2 diabetes. This isn't only about noise at night, or a partner's sleep. It's about what's happening to the rest of your body while you're not breathing properly.
And here's what surprises people. For a lot of patients, the answer isn't a mask or a machine. It's a device, worn only at night, fitted by someone who understands the whole airway rather than just the sound coming out of it.
If any of this sounds like you, come and have a proper look. That's what the assessment is for.
Signature Oral Health Assessment £169.
Harley Street, London. Accepting new patients.

Address

28 Harley Place, Harley Street
London
W1G8LZ

Website

http://www.thebespokedentist.co.uk/

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