Monday, November 21, 2011

Oral Health - It is Not Just About Cavities

Oral Health.  It is not just about cavities.  Here are two significant briefs from the literature highlighting that oral health has wide reaching implications for your total health.   
Risk for Two Birth Defects Affected by Overall Quality of Pregnant Woman's Diet.  Medical News Today – October 4. The overall quality of a pregnant woman's diet is linked with risk for 2 types of serious birth defects, according to a new study in the Archives of Pediatrics & Adolescent Medicine. In the study, women who ate better before and during pregnancy gave birth to fewer infants with malformations of the brain and spinal cord, or orofacial clefts, such as cleft lip and cleft palate. “Our study showed for the first time that the overall quality of the diet, and not just a single nutrient, matters in terms of reducing the risk of birth defects," say researchers. The study is also the first to connect diet quality with reduced risk for cleft lip or cleft palate.  

Oral Health of Diabetes Patients Closely Linked to Heart Disease and Cancer Risk.  Medical News Today – October 3.  A new report in the British Dental Journal reveals that many individuals who suffer with diabetes are not aware that their oral health is closely connected to their risk of developing complications. According to the authors, inflammation from gums that are swollen can increase the severity of diabetes, increase deaths from oral cancer, and make cardiovascular disease worse. In addition, diabetes that is longstanding and poorly controlled seems to speed up the development of gum disease. However, a survey of 229 adults visiting a diabetes clinic discovered that the majority were unaware of any connection between dental health and their condition. Only 13% of participants were aware that swollen or tender gums could be affected by the disease, and only 12% knew there might be a connection between the disease and loose teeth.

Good oral health habits as well as good eating habits are just the beginning of living healthy productive lives.  What you put in your mouth and how you care for your teeth will have a definite impact on the quality of your life forever.  It is not just about cavities.

ScottThompson, DDS
Meadow Vista, CA 95722

Thursday, November 3, 2011

Sugar Blues: It's Not Just About Cavities



A book I read in the 1970s entitled “Sugar Blues” made a clear connection of sugar with disease (high blood pressure, cardiovascular disease and heart attack, and diabetes) as well as demonstrating the addictive quality of sugar.  Since then I have been dismayed by the huge attention given to fat in the diet.  Though excess fat in the diet is not good, it is not nearly the bad culprit it has been made out to be.  Meanwhile, a far bigger player in the chronic disease patterns in our culture has gotten very little attention; namely sugar, and specifically fructose (which is half the sugar molecule in your table sugar).  You have all seen fructose advertised a great deal in recent years, but have you noticed?  There is very little mention of fructose in food advertising lately.

I recently had the distinct pleasure of hearing a seminar discussion conducted by 3 leading pediatricians who are all metabolic specialists in teaching hospitals in the USA.  They discussed metabolic syndrome (high blood pressure, cardiovascular disease, diabetes and dislipidemia), and its cause (fatty liver degeneration and liver failure) which in children is caused primarily by excess fructose intake.  In adults it is also caused by sugar, but is more commonly thought of as caused by alcoholism.  It turns out the liver is the only tissue in the body that can break down (digest) a fructose molecule (there seems to be no system in the body that has a use fructose).  The liver has a limit how much fructose it can metabolize in a day.  When it gets too much fructose, it’s attempts to metabolize the fructose results in half digested “byproducts” which are toxic, which the body needs to deal with and which ultimately get stored as “excess fat,” not healthy fat.

The average American surpassed eating the liver’s daily maximum amount of sugar in about 1977.  The rise in excess weight gain and increase in the presence of metabolic syndrome started about the same time.  As a matter of fact, the average sugar consumption in this country in the 1960s (30 grams) has increased to an average today of 200 grams.  The liver’s capacity maxes out at about 50 grams of fructose.  Today, metabolic syndrome does not affect just elderly adults.  It affects everybody eating excess sugar, including our children. There are documented cases of liver transplants for fatty liver degeneration in obese teenagers.
And about addiction.  The biochemistry research documents that sugar delights the pleasure centers of the brain exactly the same as alcohol, addictive drugs, nicotine and other substances.  I won’t belabor that; just know sugar is just as addictive as those other substances.  Notice how your craving increases during these sugar laden holidays?

Please, Please.  Don’t start your children, toddlers and infants on sweet beverages (liquid candy), sweet pastries, candies and sweet cookie/cracker snacks.  It is not just about the cavities.

Scott Thompson, DDS
Meadow Vista, California

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Welcome to Winning With Smiles - Pediatric Dentistry. We are dedicated to cavity free, healthy beautiful smiles. We look forward to the opportunity to share with you what we know about creating optimal oral health for growing children. We understand oral health is closely tied to general health and like to work closely with the family physician. Oral health is also closely tied to family life and lifestyle. That is why we like to have the family involved with dental appointments. What we teach our patients works best if understood and supported by the family and will benefit the family as well. We enjoy working with parent and siblings present. We have been learning from families since 1974. With the family present, open questions lead to family learning. We are dedicated to your oral health.