About Total Mouth Fitness
Total Mouth Fitness is a general dental practice in San Antonio operating on a biological model, with clinicians recorded with the International Academy of Biological Dentistry and Medicine. The practice states a mercury-safe standard across the office and works from the position that oral health and whole-body health are connected, selecting materials for biocompatibility and treating with minimally invasive technique. Its TMF framework assesses four pillars — healing (oral inflammation, infection, nutrition, and the biocompatibility of existing dental materials including metal and mercury), breathing (airway, nasal breathing, sleep quality and facial development), alignment (how teeth, jaws, muscles and bite function together), and lifestyle. Recorded work includes safe mercury removal, biological extractions, root canal alternatives, ozone and biological healing therapies, ceramic implants, and airway and sleep dentistry.
Photos from the practice’s website. Something wrong, or is this your practice? Email hello@biomimeticclinics.com.
Credentialed Clinician
Paul G. Wilke, DDS, CIABDM
CertifiedIABDM recordverified 8 September 2026
Procedures
Practice Details
- Address: 14310 Northbrook Dr #150
- Telephone: 210-495-5588
- Website: http://www.totalmouthfitness.com/
- City: San Antonio, TX (all Texas practices)
Common Questions
What does a first visit at this practice involve?
Depending on the appointment type, the first visit may include a comprehensive examination with digital X-rays, 3D CBCT imaging where indicated, a periodontal evaluation, oral cancer screening, airway assessment, bite analysis, and review of medical history and health goals. The practice states it explains its findings and builds a personalized treatment plan. A cleaning is not automatic — the evaluation determines which type of cleaning is appropriate first.
How is amalgam removal handled here?
The office describes strict mercury removal protocols, termed mercury safe, based on Hal Huggins Applied Healing techniques, applied to protect both patient and staff during the procedure. Removing all amalgams in one appointment is possible, but the practice often recommends treating one side of the mouth at a time so chewing function continues during healing. Sequencing is set from overall health, the number of fillings, and treatment goals.
What materials replace mercury fillings, and what implants are placed?
Amalgams are typically replaced with durable biocompatible tooth-colored composite or ceramic restorations, chosen against the size and condition of the tooth and balancing function, longevity and esthetics. For tooth replacement the office exclusively places metal-free ceramic implants made from zirconia, which the practice describes as offering strength and biocompatibility without metal. Chairside CEREC milling produces metal-free crowns, inlays, onlays and veneers, often in a single visit.
Does the practice assess airway and sleep?
Yes. Breathing is one of the four pillars in the practice's TMF framework, covering airway health, nasal breathing, sleep quality and facial development. Listed services include airway dentistry, the TMF G.R.O.W. program, pediatric airway development, myofunctional therapy, and adult airway and sleep care. CBCT imaging is used to measure airways as a screen for obstructive sleep disorders alongside its other diagnostic uses.
What diagnostic and treatment technology does the office use?
The office uses digital radiography to reduce radiation dose and an I-CAT CBCT cone beam scanner for three-dimensional views of the skull and jaws, used to identify periapical abscesses not visible on traditional radiographs, locate ischemic bone disease in extraction sites, and plan implants. Air-abrasion micro-preparation conserves sound tooth structure during cavity preparation. Laser systems are used for periodontal therapy and for restorative and soft-tissue procedures.
Does the practice take dental insurance?
The office is an out-of-network provider with all dental insurance plans and states it submits claims as a courtesy so patients can pursue any available out-of-network reimbursement under their own benefits. It states its focus is comprehensive care rather than treatment limited by coverage. Financing options are offered to qualified patients; the office accepts personal checks, major credit cards, HSA and FSA cards, and third-party financing, and does not accept cash.