Dr. Melanie Silvestrini

The Oral Longevity Index

How old is your mouth acting?

Thirty-five questions across four pillars. An oral age, a reading of each pillar, and a plan in order. Free, and yours to compare with yourself in a year.

Start the Index, or read what it measures first.


What this measures

Your mouth is not a separate department.

Gum inflammation, mineral loss, clenching, and night breathing each track with a system in the rest of the body. The framework I call oral longevity treats the mouth as one of the primary determinants of how fast, and how well, you age, and reads it the way a longevity physician reads blood work: as a set of signals, measured and followed over time.

Half the questions are functional: how the bite, the jaw, and the airway are working. Half are biological: what the gums, the saliva, and the bloodstream are doing. The Index reads both, and your oral age is where they meet.

01InflammationImmune and metabolicBleeding, the look of the gums, sugar frequency, nicotine, cleanings. Gum tissue is the most visible inflammatory surface in the body.
02StructureMineral and acid balanceFillings, crowns, missing teeth, wear, sensitivity, reflux. Enamel and bone are mineral tissue, and the rate they are lost is the question.
03FunctionNervous system and stressClenching, morning jaw, stress load, sleep hours, the night guard. Grinding is a motor output of a nervous system under load.
04AirwaySleep and oxygenSnoring, daytime sleepiness, dry mouth, the scalloped tongue, alcohol timing. The mouth often shows airway strain first.

About youInflammationStructureFunctionAirwayThe frame

How old are you?

Your oral age is read against this.

Thirty-five questions, about five minutes. Nothing stored, nothing sent.


The standard

A reading, never a diagnosis.

Every line in the Index is graded, and the grade decides the verb. An association is written as an association. Anything the evidence does not support is left out of the plan. The number is for comparing you with yourself, and the full version of the answer is an exam.

What is oral longevity?