 Okay, thank you very much for taking the time to come and listen to me this morning. So evolutionary medicine, application of modern evolutionary theory. So I'm going to touch on that today, I'm going to touch on modern evolutionary theory, and I'm going to present things from my perspective. Okay, so if we have disease, we can break that down to acute and chronic diseases. And if I was to walk out onto a London High Street and get run over by a 37 red double-decker bus, I would want acute medicine on my side. I think it's important that we don't forget the great advances that's been done in modern medicine. That as much as we may have critique on certain areas, acute medicine is brilliant. You know, I would want to be picked up, I would want to do nothing, I want anaesthetics, antibiotics, I want the understanding of bacterium, thyroid theory, the hygiene theory, and modern medicine is brilliant. There are injuries that 100 years ago I would have had a 95% chance of dying from. I would now have a 95% chance of surviving. And that is testament to the application of modern technology and theory into medicine. However, if I have a chronic condition, we could argue that modern medicine should at least be asking around for possible new ideas. And we could then apply that to teeth. People, sort of at the turn of the 1900s, people were starting to get crooked teeth. And people wanted to have straight teeth. So where there's a need, usually there comes an answer. Now, will you be interested what methods there were available, or what methods people were having to make teeth straight? Cos that was the desired outcome. And this is a tale of two charismatic individuals. Well, there were probably more charismatic individuals. These just two are a representation. They're probably the most extreme two characters. We have Edward Angle on the left from the States, and we have Rolf Frankel from East Germany on the right-hand side. And they both had very different approaches. So Edward Angle had what he referred to as the E-arch, and the E-arch has now turned into fixed braces, or braces. I mean, it's generic now. They're just braces, that's what people mean. Whereas Frankel had these shields. So we know the teeth sit in the balance between the lip and the tongue, or the tongue and the cheek. We know the tooth, the bone, and the gum sit in this balance. And Frankel would try and disturb this balance with these shields. So he's trying to get closer to the cause of the problem. However, what method do you think won? Well, we know what method one, fixed braces. That's what is meant by braces. If you say I'm wearing braces, no one stops and thinks, are you wearing a Frankel appliance? I try to find someone practising Frankel appliances in East Germany, and I really struggled. That's just the win. Well, who wants to work with difficult, unco-operative children when the appliance is potentially, well, often is uncomfortable? That's how it changes people by being uncomfortable? Well, people wanted what they wanted, which was straight teeth, and a mechanical method to make the teeth straight has one. Whereas the one that clearly is trying to affect the symptoms of the problem hasn't one, and of course we're paying the price with retention. So if you have your teeth straightened, you need to have them straightened forever. And when you look at most forms of retainers, they are in effect an orthodontic appliance, so it is effectively orthodontics forever. Cos you're not trying to cause, sorry, you're not trying to treat the cause of the problem. Now, orthodontics started in the turn of the 1900s to make teeth straight, and it's been hoped that they would fill the science in later. So we've had this approach to backfilling the science to fit the treatment, which is also always dangerous. There is no understanding of the etiology, the cause of the problem. And of course there's no real understanding of the epidemiology or the pathology. Treatment, there's possibly too many treatments, and there's no real cure, cos as I said, permanent retention. That's not a cure, that's orthodontics forever. And I feel, is my opinion, that the orthodontic community, I mean, I'm not trying to knock the treatment too much, I'm knocking the philosophy. I'm saying the philosophy is a philosophical house of cards that's been built up to look impressive, to sound scientific, to fulfil their objective of being scientifically based. But it sounds good, it looks good, till you ask difficult questions. And normal responses don't let anyone ask any difficult questions. Now, it's very important to understand what normal is. Cos if you don't know what normal is, you will struggle to understand a disease. And that is normal. If your teeth don't bite together like that, now this is a slightly warm dentition, a slightly extreme level of wearing. But this is far closer to normal than any of you here. And notice the huge space behind the wisdom teeth. You know, one if not two centimetres of spare space behind the wisdom teeth. Then you've got a gap at the front, and, well, I won't go into canine guidance, but if you wanted to cut something that you were eating, you did this. You incised it with your incisors. That's what they're for. You're never going to have a jaw that's too far forward or too far back. If every time you eat anything, you have to incise it with your incisors. And you're having to do that for a significant portion of every day as they did, which is why they wore their teeth out. Now, I'm trying to make you understand the changes in facial form that occur. So this face is going to drop down to the classic adenoidal face type. It's been with us for years, the adenoidal face type. Most of you will be halfway through that pattern. So if you watch this, as a face drops down, it drops down from a more ancestral perspective through to where most of you are, and going beyond to being quite downswag. But we know people are different. We know we have the class 1s, the class 2s, the class 3s, the different types of crookedness. Of course, these are layered on top. Because if your face, as you've got weak soft food from the modern diet, we're hanging our mouths open because we've changed our posture from incidents of nasal obstruction, our tongues come off the roof of the mouth, our lip seal has been broken, so we're now like this. Faces are dropping down. As the face becomes longer, it becomes narrower and shallower, reducing cross-sectional area. And as that happens, you eventually have to respond. I think the face can drop about 10mm, and you know, you're perfectly healthy. Humanity, humans are well built, we're well designed. But beyond that, then you have to change. The first thing you're going to do is hold your head forward, forward head posture, because that opens up your airway. The second thing you do is you have to find a new place to place your tongue so that you can eat, you can talk, you can do everything else you need to do with your mouth. And there are only so many comfortable places that you can place your tongue. Do I trust these? I haven't done slides many times before. Sorry, I haven't done movies yet. Here we go. So this is the class one where you just put your tongue between your teeth, generally. Class two, the pattern is like this. And class three, you put your tongue in the mandrel and hold it forwards. The different patterns give the different types of face. And that's just the most generic base patterns. There's a lot of subtleties with the swallowing and the function as well. But in generic, that's why from one type of facial form we get these, you know, big spread of patterns and that's patterns from patterns of behaviour. But you can see we've had this major change in structure. And this is just from pre-industrial. This isn't going all the way back. And you can see, particularly in the transverse, look how narrow people are and how many people get nasal obstructions now. But are you surprised you're getting nasal obstructions? This is a sea change in structure. And you can see how it's got it's got it's longer and it's dropped back. So as I said, it's down swinging. And of course a face that's not the right shape doesn't work properly. And here is a distribution of different symptoms. So notice we've got the highlighted sleep apnea, jaw joint and scoliosis. It's just some sort of the range of problems we have. Clearly I'm an orthodontist so I come from malo-clusion direction. But I couldn't say there's a hard primary evidence on all of this. That's not where you start with a new science. You start trying to prove or disprove something and I would like to discuss this with any orthodontic professor on the planet, anyone. That's my problem. No one has ever engaged with me, ever, in any form of meaningful engagement. The only real response I can have to my arguments is people running away. And that is usually the limit of the response I get. So we're breaking this down. We're talking about sleep apnea. What I don't have here is the distortion on the facial form because people aren't thinking about that when they're making these slides because they're thinking faces grow normally. But clearly what we've got here is a face that's already halfway down that downswing as described by cranio-facial dystrophy but clearly the tongue is on the back of the throat because you lack space. The whole face has been truncated with the tongue falling in the airway. Now, there's a concept going forward from Stephen Sheldon in Chicago. Kevin knows him well, saying that there is no such thing as ADHD. There's these kids who can't sleep properly. You know, if you've had kids and if you've got a group of them and they've not slept well, well, what's the difference between them and kids with ADHD? They're the same. And what are we giving to kids with ADHD? We're giving them to grandparents to wake them up because clearly they are tired. And of course my father was dealing with people with sleep apnea in the 80s. So it's great that it's got a lot of attention now that it needs, but we have been thinking a while having already understood sleep apnea. So we talk about Eustachian tube. The idea here is your tongue is supposed to be on the palate. Your tongue is on the palate, not to properly operate. But if the tongue can't go on the palate and the muscles at the back of your throat aren't very well set up because your facial form has changed, then you don't open the Eustachian tube when you swine. Then this is an interesting case I found because clearly they've taken out very molar tooth in this area here and they've taken out the wisdom tooth here so that's eight teeth down in the mouth if they've done it at the top or the bottom. And he's still crowding up, or she. So what's going on? What are you going to do now? Take out more teeth to straighten things up? I'm surprised people actually speak as well as they do but I've helped a lot of young kids speak better because they've had more space. And of course we could go on to jaw-chart pain, I won't dwell on the subject today. And of course appearance. So this is your classic adnoidal face and this has been with us for centuries. I could argue that this is the village idiot because the adnoidal face is the person whose tongue is falling in their airway, they're going to get sleep apnea, they're affected. And that is the classical image of the village idiot. Now on the right hand side I've got the top cases someone I've treated and you see how we've got the whole face to grow up and forwards. I've not just moved the bottom jaw forward, I've moved the top jaw forwards as well. That's not easy. It's also not cost effective. The bottom cases I think Stanley Lew from Stanford and a fantastic result. Doing the same thing as I would like with surgery to correct sleep apnea. But of course having a major impact on facial form. I'm talking about tribal uniformity we'll come back to that later. Of course then we talk about body posture. We're aware that we've gone from looking at the horizon for predators and prey to looking at televisions, desktops, laptops and now tablets. That's not helping. But I'd also say one of the underlying reasons of a forward head posture is that you have to hold your head forward to breathe, to open your airway. Many of you, if you try to do a Mackenzie Chin Tuck and stand up straight with perfect head posture, you're crushing your airway. You can't breathe properly. So as much as the angel on one side is saying you know the theory, you want to stand up straight, yada, yada, yada. You've got the devil on the other side that says breathe. Now I don't know if I can keep my attention on much during the day but you're going to end up flipping back to a forward head posture and this is for all the movement people we had here today of this weekend. I'd really love your intake of, you know, several of you, you've got forward head postures. Hello, wake up. What are you doing about that? Now obstructive sleep apnoeo, we know it's increasing. So I qualified from dentistry in 93. When I qualified in 93, sleep apnoeo wasn't in the syllabus. I talked to a ENT surgeon, autolaryngology, I think you call it, recently and he said he felt in his opinion that 20% of the people in westernised societies were going to die a decade early. That's 20%. Now we know it's going up and of course people are saying it's going up with obesity and of course at age everything goes up when you get older unfortunately. But I would argue that there's a lot of good research that suggests maybe it's not just obesity that makes you have sleep apnoeo that if you get sleep apnoeo you may get obese. You certainly crave all of the foods that would likely make you obese after that bad night sleep. That's well researched, well understood. Also I was talking to a surgeon from Australia, Paul Kosjardnig, I think great surgeon, great book, I'd recommend. Six ways to design a face. He was pointing out the number of times he does that surgery like Stanley Liu I showed you. He moves the maxilla forwards, he moves the pallet forwards and these guys come back afterwards and he says how are you going? He goes I can run. What do you mean? He says I'm a sportsman all of a sudden. I always thought I was a poor sportsman. But now hey I'm kicking it and I love it. So by moving the pallet forwards by opening up the airway suddenly these people could run they could exercise. That interested me clearly. So what I'm saying is a destructive technology. In destructive technology causes change people don't like change. Here's just a list of the people who I will upset. And you know I'm going to upset them. And of course they're going to turn around to me and say what evidence have you got? Well I don't have a huge amount of primary evidence. I knew ideas don't start with lots of primary evidence. They start with a concept. You know I watched a program the other day on when evolution actually proved because when Darwin put it forward there wasn't a lot of proof. It was amazing how within the next 10 years the proof arrived. You don't start with the proof. You start with the hypothesis. And that's how science progresses. But there are certain breaks on challenge. We've got medical inertia. It was a famous medical inertia isn't it? You know we were bloodletting for possibly too far too long. Clearly when there's money involved medicine and money. Status. People have got qualifications. And you did two, three years hard graph to get this qualification. Or if you're a professor. You're a professor of what after I turn up and mess it all up for you. You know it's not what people want to hear. And of course there are repercussions. Repercussions on what's gone on in the past. Well these are two cases that were treated with orthodontics. My father went on national television in 1998 saying he felt orthodontics could damage faces. He was his reputation wasn't the same afterwards should we say. I'd say he probably has the lowest reputation of anyone in medicine point blank in the UK. You know don't go again. Don't make suggestions. But if we can change facial growth then you can either change the positive or negatively. That goes to reason. And sometimes you may do it negatively. And I'm not saying this happens a lot. But this has never been fully discussed. With all parties involved. You know the AAA meeting the white paper didn't invite all the parties. In Britain no one ever talked to my father about what he meant as they made research to try and prove he was wrong. But we could potentially make the statement. Sometimes does an elective procedure like orthodontics compound or even cause sleep apnea. Therefore reducing intelligence life expectancy and your facial form. Because if an elective procedure ever does that it needs investigating in a free fair and full manner. And I know it's controversial just saying that. You know people will be upset that I even bought that subject up. Now your face is your ID is that image that looks back at you from any mirror in the world. And what I'm saying is that if your face didn't grow well you may be looking ugly that is your fault and that may well have significant health implications. Whoa this is difficult this is what has held this science back you know. And of course this is prevailing trend isn't that. What do you think the woke movement will do to me you know. I'm saying don't be happy with the way you are. Get off your ass and change. And I notice when I'm trying to motivate people coming up with ways of motivating people or when I'm trying to do marketing. That's when you realise how far I cross that line but I cross the Rubicon of disagreement with this. Now so who makes money a dietician or a lipo surgeon because one drives a Ferrari the other drives a bicycle and of course it all comes down to that famous thing money. Prevention doesn't make money and that could easily be supplied to the whole of this movement. It's where this movement comes down you know. There's a pill for every L and hey don't pills make money. Whereas exercises don't. Now we have changed that because people now pay to go down the gym. They pay for their medicine. They sweat and they pay for it in physical terms as well as wallet terms. You know and we've got this movement that people are trying to eat healthily. So it is possible to change society to change people but it's not easy. You need some stimulus to make them do it. But of course facial appearance and orthodontics are big. You know 50 to 70% of people in the UK and America are having orthodontics and it seems to be that if more people would afford it more people would be having it done. And of course as I said the only people interested in the message I'm saying are people with faces. But if you do have a face you seem to be very very interested in what I'm saying. But of course this 50 to 70% that's been going up remarkably. We've got all these adult orthodontics. You know I don't go into a dental surgery where people aren't advertising Invisalign or SocialSmit6 or these other methods. It's as if everyone's jumping on the bandwagon. And okay. Now so the only people interested I gave this lecture now infamous in the UK and it started this craze of mewing that's going. So I wasn't expecting this. It was God given really. I had been working to get something to go viral so I had had that objective. Anyway someone sent me this statistics recently and what you'll notice in the statistic there's one on the top left hand there so just on TikTok I don't do TikTok by the way I haven't got any videos on TikTok of the hashtag hashtag mewing it's been seen 1.1 billion times. That is insane. And of course I could say the same thing for my main that's up at 25 million but otherwise and of course it's all around the world I'm surprised on the countries that seem to be coming up at top at times. But there was this yeah craze going on but mewing works. His boy he's healthier his tongue is held further away from his airway. You see she her tongue is further from her airway just looking at that one aspect how close your tongue is to your airway the distance from your chin back to the throat and you can see she's healthier and this girl as well this boy and that boy but also they're better looking aren't they? So this thing the health in this looks you know this is this it's just you know now read that joke now I've selected that I've chosen that slide well because it's very easy we come and we talk about all these medical things and how important medicine is and people are saying oh well Mike you're just making pretty faces you know you shouldn't be here in this medical area you should be out there in that aesthetics you should be down there with those plastic surgeons because you're just making pretty faces and this is what's held this subject back because this is relationship between how well you've grown and how healthy you are if I say that in any respect to any other part of the body it's obvious but if I said that to the face people can have a sense of humour loss and you know these things are related you know are we attracted are we inherently we genetically engineered to be attracted to healthier people or less healthy people what do we think in Darwin's philosophy of mate selection remember his dad granddad came up with evolution he came up with mate selection so it's just a pretty face isn't it well when you go back in time everyone had pretty faces so this is the himba and you know this is basically what Weiss was saying but you'll notice their teeth aren't warmed down like that original face I showed you so they are way different there's no just because they're dressed up to look tribal don't be drawn in that they're living a natural lifestyle they've got knives there's changed their you know I would say 50% from them from their natural lifestyle of hunter gathered to us just having a knife made a major change in how you're going to eat your food so they don't have that wear pattern and it seems they're all through life the kids, the aunts, everyone and that's how we all should be well again they're half way I wonder if we would actually find someone from a true hunter gatherer I think they might be beyond our envelope of what we would think would be tip top but you see all good facial form all of them health and beauty this thing goes together doesn't it but of course the empire strikes back so in November I've got a court case where they're going to try and take my license away and it's been brutal it's been dominated the last five years of my life and I'm going in to court without an expert because there aren't any experts that really believe in what I'm saying and that's a tough one to pull off it's not going to be a level playing field because I'm trying to put forward I don't have direct evidence and without direct evidence you're slightly screwed to be honest and if you don't have an expert and you're going to challenge their expert it's not a good position to be in and of course everyone in the courtroom are going to believe that the way their face grew the fact that they don't have wisdom teeth is normal and realise if you don't have your wisdom teeth in your mouth you're away from normal you're an affected person and everyone there will already believe where that is that's normal they're biased now I know what cards to remove from that house of cards but you can't do that in the courtroom I've focused on the etiology the cause but I do think this is a travesty of science this is not how surprise it's supposed to be I challenged my profession to a debate on the cause over and over again I've never got that and it's been sent to shit because my insurance company has stopped me saying anything and that's what normally happens and you either slip below the horizon and however I've moved from being suppressed to being persecuted and in being persecuted well that's newsworthy as you'll see this is newsworthy we've got a camera crew here today and they're making a documentary on us and we are making headway but in a way I need your help in a way I could help you you know modern medicine you know the barriers to changing modern medicine it's all well established there's already this pushback happening there isn't that in dentistry particularly not in the UK now when are we going to reach 30% of people dying 10 years early from sleep apnea in its consequences it'll be soon and what we really need is a revolution many of you here will be affected by the problems I'm saying you know forward head posture snoring sleep apnea you had orthodontics struggle with breathing through your noses you know what I want is debate scientific engagement I just want the scientific process I've been asking for no more again and again I've done the letter writing campaign I've put enough stuff out there saying all I want is debate and again any professor on the planet any time I'm ready for meaningful engagement ok thank you very much Mike Mike I'm going to talk to you anyway I'll shout then wait till when you're close it works oh I'm that close yesterday we ran out of time you know James schoolfully kept us on time but the last slide I was going to show how do we fix it there's a number of peer reviewed orthodontic journals that call malocclusion or what you have identified as craniofacial dystrophy as being a developmental variant or situation but not a disease malocclusion is not a disease by your orthodontic peers could you please speak to that because it's causing a lot of problems the moment we're in a situation where we're all affected I showed you the face dropping down and back we're all at the halfway well some more than others we're a range around that halfway point and when you're in that halfway point where everyone's affected you can't see the wood for the trees when you're in that place where you think having wisdom teeth wisdom teeth are a genetic abnormality we don't need anymore at that point you can't see the wood for the trees you don't know what's happening because everyone's affected and we're in a situation where because everyone's affected you imagine that crooked teeth is a variation around the norm what we're seeing at the moment that's the comment from the orthodontics that malocclusion is a variation around the norm but if you had him but people living in your village on your town you wouldn't think it was a variation around the norm because you would see people who were developed so much better malocclusion is a symptom of another disease so malocclusion is a symptom of craniofacial dystrophy is a symptom of not having enough space for the teeth there are so many barriers is one of many barriers the biggest barrier is people wanting to believe that the way their face has grown is genetic that's you, that's your personality that's your identity you did a really convincing you have a convincing argument that there's this major problem and I'm biased because I already I'm on board with that and understand that the general scientific community doesn't agree but you also hinted at a possible solution with the muing like that that can help is that what you would prescribe because you didn't really go into what the actual solution would be clearly there's a limit to what I can put out on a lecture I should highlight this slide on the top left the slide on the left is prevent crooked teeth campaign so please take some time could everyone go google prevent crooked teeth sign up to that campaign because the answer has to be prevention you know prevention, what I'm saying basically could be boiled down to stand up straight and shut your mouth there's not a new idea the pathology could be summed up as shut your mouth or the wind will change and your face will set like that that's not a new idea if you want to prevent kids take kids I don't want to be drawn under about four years old from about four years old you could be chewing gum, lip taping and just telling kids sit up straight shut your mouth eat with your mouth shut this has a huge and powerful benefit to helping teeth straighten line up as I said teeth sitting is balanced between the lips and the tongue get the lips working correctly but what I do work wise I showed you this case here it's a lovely result, I've changed that kids life the life he's going to go on and have is going to be just completely different he'd have got worse if I hadn't intervened yet it is not very profitable, I'm just getting it to the point of being profitable now but to teach other people how to do this it's really hard work you need to be really dedicated and focused to get those scientific changes it is we need to work on it we need to work on that science but that's what science developed by working on them the other thing I'm curious about you listed some problems that go along with the tooth problem the hearing is one example I'm wondering if there's a connection with the epidemic of myopia because of the fact that the face is narrowing myopia parallels this perfectly in fact I'd go so far as to say that at this level of change you're getting at someone you're probably actually influencing that part of the skull that interests me but either ways it parallels a modern disease of modern society because we're changing our environment thank you so I was one of the many kids who had orthodontics from first grade to college, ultimately I had the frankle, I had braces multiple times I had permanent teeth pulled and now I'm working with a dentist that seems very much aligned with your philosophy to correct all of that that was done as a kid and my question for you one of the things that through this process of correcting a lot of this, realigning my jaw I'll be doing the upper palate expansion one of the things she mentioned too as a possibility is tongue tie release and I hear that a lot in kind of the more holistic dentistry world I'm wondering what your thoughts are on that I mean there's the old argument do tongue ties not become released so you get a residual tongue tie because you haven't been using that muscle properly or is it because the muscle is tied, I mean it's a chicken and egg really and I think I'm a cautious when it comes to tongue ties I slightly sit on the fence my father remembers the time when he was younger where everyone was rash cutting tongue ties so I didn't ever meet my grandfather but so apparently did my grandfather so this is the third point when tongue ties are being invoked I'm a little bit more cautious I see too much post-operative scarring because people don't then stretch their tongue and use it properly so I think in extreme cases yes I think we risk treating because it's flavor of the month and it makes certainly really exercise before and afterwards because if you really do that then it's great it works if you don't waste of time but what I would like of the ancestral health symposium what I want to do is I want to take evidence that doesn't yet exist I would like anyone who can to write me an article from their perspective on craniofasial dystrophy because if I could take through 10, 20 articles like that written from other people from other professions that can validate what I'm saying craniofasial dystrophy then I start putting together some type of science some thing to help me and help me help you because this is an ancestral subject we can get this one across the line and help the whole movement thank you very much