After her own personal health struggles with an autoimmune disease, Dr. Engram shifted her practice philosophy to focus on whole-body health, and the prevention and safer treatment of oral disease. As a general dentist focused on holistic and biological dentistry, Dr. Engram is a member of AAOSH (the American Academy for Oral Systemic Health), HDA (Holistic Dental Association), IAOMT (International Academy of Oral Medicine and Toxicology), and the IABDM (International Academy for Biological Dentistry and Medicine). She is SMART certified in safe amalgam removal through the IAOMT and is currently working on additional accreditation through this organization. She is a certified Integrative Health Coach through the Institute of Integrative Nutrition. Locally, Dr. Engram is a supporting member of the Dallas Holistic Chamber.