Teeth and Quality of Life

It doesn't take rocket science or super intelligence to figure out that teeth are important to quality of life. Eating some delicious bar-b-cue or a sumptuous crisp mixed green salad requires some stable teeth.  When residents of elder care facilities are polled to rate the value of having back something they have lost since their younger years, having their teeth back invariably is at the top of the list.

Are you aware that 28% of those over 50 years old have no teeth?  Of those who still have teeth, The average number left is 19; that is 11 less than when they were in high school!  Imagine eating with 11 gaps for missing teeth.

Yet Americans continue to make life style choices that put their health at risk. Diabetes rates are skyrocketing in our youth. Diabetes, which was primarily associated with the elderly, accounts for 18% of the tooth loss problem in those over 50. Why is it that people continue to eat simple carbohydrates (sugars) even when they know it is bad for them?

Smoking, can you hear me?

One more reason. We already know that smoking is a primary causative agent in inflammatory disease in the mouth, including periodontal disease, oral cancer and tooth loss. Secondary smoke exposure for young children, what your kids get when you smoke, has now been correlated with hearing loss.

By the way, tooth loss is also correlated with hearing loss. Our teeth are an integral part of our hearing. Take good care of them and they will help your hearing for a lifetime!

If you smoke, don't.  You are handicapping your children.  

How often should you go to the dentist?

Most dentists are reluctant to stray from recommending a six-month checkup schedule. There is good reason for this, for example: In pediatrics I have witnessed in a child an undetectable cavity progress to a cavity large enough to nearly expose the nerve of the tooth in just six months. Had they elected to return on a one-year checkup schedule the child would have had an abscess and an emergency before the check up was accomplished. Pre-cancerous lesions can show up at a six-month checkup and be treated appropriately. If the check up interval is 12 months, that lesion can be frank cancer with a very different treatment outlook.

The dentist looks at a large number of factors for a patient when determining his approach for care. This includes: history of cavities. Risk level of new cavities. Diet patterns that will affect teeth and other mouth tissues. Existing diseases like diabetes, hypertension and obesity. Current medications which will affect oral conditions. Existing history of typical changes that occur at current check up intervals. Habits and lifestyle patterns like smoking, Drinking, coffee, etc.

Soda and Aggressive Behavior

Soda – not just about bad teeth.

Five-year-olds who drank at least four servings of soda daily had double the risk of aggressive behaviors compared with children who did not drink any soda, according to a study on the website of the Journal of Pediatrics. Researchers noted that regular soda intake also was associated with social withdrawal and attention problems.

Now think about the energy drinks with their high levels of caffeine! In addition to the sugar.

Photo credit: Wikipedia Commons

Dental Health affects School Performance and Self-esteem

A recent nationwide study published in Pediatrics demonstrated a significant correlation
with reductions in school performance and psychosocial well-being. Children with dental problems were more likely to have problems at school and to miss school, and were less likely to do all required homework. Dental problems were associated with shyness, unhappiness, feeling of worthlessness, and reduced friendliness. The effects of dental problems on unhappiness and feeling of worthlessness were largest for adolescents between 15 and 17 years.

Conclusion
Preventing and treating dental problems and improving dental health may benefit child academic achievement and cognitive and psychosocial development.

A reminder to start early.  The first tooth deserves a dental home.  If you are going to prevent tooth decay, you have to start before the decay starts.

Winning With Smiles Children's Dentistry

Don't Toss Toothbrush after Strep Throat

It is commonly recommended that you toss out your toothbrush if you have strep throat and are being treated with antibiotics. The idea was that you don't want to re-infect yourself with the strep after your antibiotics are finished. It turns out the strep is pretty fragile outside the body and dies quickly as the toothbrush dries.

This brings me to what I routinely recommend.  Have as many, or more, toothbrushes as the number of times you brush your teeth daily. Shake out the water after rinsing them and give them a full 24 hours to dry. Rotate through a sequence of your brushes. There are lots of bacteria in your mouth and they thrive in moisture. Allowing your toothbrush to dry will kill most of them.  Though there are not a lot of studies on this subject, it was nice to see this study presented at the Pediatric Academic Society's annual meeting regarding a very important pathological bacteria that dies quickly on a dry toothbrush.

Photo Credit: wikipedia commons

Fluoride -- Count the Ways

Something new!  The American Chemical Society recently published the results of a study showing that fluoride in the environment, like in your saliva because you drink fluoridated water, reduces the stickiness of streptococcus mutans.  Strep mutans is one of the major cavity causing bacteria in our mouths. It's stickiness allows it to stick to teeth and allow other cavity causing bugs to stick to it.  This conglomeration of bacteria, a bio-film, creates and concentrates the acids that dissolve holes in our teeth, cavities. This stickiness reduction becomes one more way fluoride resists cavity formation.

Other ways include reducing the bacteria's ability to create the acids that dissolve teeth. Also as a salt (sodium-fluoride or calcium-fluoride) in solution in your saliva, the fluoride will exchange with the hydroxide in the tooth enamel crystal (hydroxyapatite to fluorapatite) making it about 100x more difficult to dissolve with acid.

Fluoride is ubiquitous in nature, 2 parts per million in sea water and naturally occurring in fresh water in widely varying levels. At 1 part per million in drinking water it is an excellent preventer of cavities. If you live in a non-fluoridated area, the simplest way to maximize your fluoride benefit, without risking too much fluoride is to simply 'spit your toothpaste after brushing and don't rinse afterward.' The lingering bit on your teeth will have a longer time to interact with the enamel of your teeth as well as the germs themselves.

Photo Credit: wikipedia commons

Arsenic in Apple Juice: What is the risk?

Apple Juice Safe ... but ...

Arsenic in Apple Juice

Today, the U.S. Food and Drug Administration proposed a new "action level" for inorganic arsenic in apple juice of 10 parts per billion, the same level set by the Environmental Protection Agency for drinking water. The FDA tested hundreds of samples of apple juice for arsenic and found the overall level of arsenic is low. Because a small proportion of samples had higher levels of arsenic, the FDA is proposing the new action level. The FDA is not recommending any change in juice consumption and has emphasized that the data show it is safe for children and adults to drink apple juice.

The AAP is reminding parents that it is not necessary to offer children any juice to have a well-balanced, healthy diet. For years, the AAP has recommended limited intake of all sweet beverages, including juice, to reduce the risk of poor nutrition, obesity and childhood cavities. If parents want to include juice in their children’s diet, juice should be limited to 4 to 6 ounces a day for children ages 1 to 6 years, and 8 to 12 ounces a day for children age 7 and older. Children should be encouraged to eat whole fruits to meet their recommended daily fruit intake. 

Photo credit: FDA.gov

Deteriorating Oral Health Over Generations

Think about this. During the 50s, 60s, 70s, and 80s dentistry witnessed a steady decrease in cavities and improvement in oral health. It is not surprising then that studies done by the CDC every 10 years have shown improved oral health each decade since then for all segments of the population in all specialty areas of dentistry ....... except:

EXCEPT children age 1 to 5. Cavities in children have increased by 30% every 10 years for 30 years now. It started in the 80s. Cavities in children are worse than ever, with 60% of 1st graders already having cavities. Since oral health patterns are established by age 3, it is not hard to realize today's young population will have immense oral health problems in their retirement years including loss of teeth (like my grandfather's generation) and eating lots of over-prepared soft foods (baby food). Hmmmmm. Baby food for retirement....

Help your children have a healthy, disease free and comfortable mouth by establishing good oral health early. Good oral health is immensely less expensive and more comfortable than cavities and gum disease. The first tooth deserves a dental home. Learn from your dentist what it takes and the easy way to create excellent oral health for your children.

P.S.  Are you aware that today's generation of young people will live significantly shorter lives than us due to increasing chronic disease brought on by current lifestyle choices? Those elderly years will also be much less comfortable than ours due to the chronic diseases they will be dealing with!

How Valuable - Your Teeth?

A sad statistic that 25% of those over 60 have no teeth. Those who still have teeth have an average of 19 teeth; fewer than when they were a toddler. This leads to a significant decrease in eating fruits, vegetables and other nutritious fiber foods. It also leads to increased consumption of high carbohydrate and high fat soft foods. It is not surprising to discover there is a clear independent correlation between tooth loss and chronic heart disease, hypertension, stroke, cancer and other systemic diseases.

The sad reality for me is that the biological foundation for oral health establishes itself by age 3, before most people even consider taking their children to the dentist. One of our bylines in our practice is "The first tooth deserves a dental home." We recommend the first dental visit for a child as soon as the first tooth appears. The primary focus of that visit is a consultation with parents about how to create a healthy mouth free of cavities and gum disease. Creating good oral health is easier, takes less time and is immensely less expensive than fixing the ravages of cavities and gum disease.
And, obviously, from the statistics above it is easy to see it leads to vastly improved quality of life. Even if we ignore the countless uncomfortable and expensive visits to the dentist for treatment of oral disease and just think of over age 60. Are you planning on 20 to 30 years of "baby food" in those glorious retirement years?

Doing the right things for your children early will make huge differences for their long term health and enjoyment of life. The first tooth deserves a dental home.

Ask Your Children's Dentist

When you take your children to the dentist, are you getting what you want? These days the parents are usually thrilled there is sooo much entertainment and distraction for the children to make their dentist visit pleasant. Most parents do not have those pleasant memories. All that is great. I want also to ask you what is your true objective for bringing your child to the dentist? Is that being accomplished too?

In my office for instance: My number one objective is teaching each child how to have a lifetime of cavity free, healthy, beautiful smiles. That starts by teaching the parents how to simply, quickly and effectively prevent cavities before they get started. How to stop them if they have started. How to transition from baby teeth with cavities to adult teeth without cavities (difficult, not impossible). To do this, does your dentist:

1) Start with the parent child team as soon as the child has her/his first tooth? By age 3 the bacterial environment (for high or low risk for cavities) around the teeth has established itself for a lifetime. What parents do those 3 years will influence that environment and the dental health of their children for a lifetime.
2) Teach the parents effective and quick (20 seconds) ways to clean their children's teeth? I find I must include parents with me at chair side for all visits to successfully demonstrate this. What to do and how to coach the team changes as the child grows?
3) Teach how to evaluate your own effectiveness at home so you can verify you are getting the job done well without waiting for that 6 month check-up?
4) Teach how to evaluate how well your child is cleaning her/his mouth so you know when you can allow them to "do the job" and you know how to evaluate periodically to assure they are actually getting the job done?
5) Communicate well with your child so when she/he isn't listening to you, she/he may actually be listening to the dental team?
6) Include educating the parents early and the children later about the outside influences that will damage oral health and how to handle them in the family?

Dentistry for children has certainly become more entertaining than it used to be. That doesn't change the FACT that children's cavity experience is worse than it has ever been and is getting worse by 30% every 10 years for the last 30 years. Start your child on a healthy path early.

Oral Health begins before birth. Oral disease establishes before age 3. For the elderly who have lost their teeth, there is NOTHING in their "I Wish List" that rates higher than having their teeth back. Set the right standard with the first tooth.

The Dentist's New Car! [Teens & Flossing]

The reality is that a vast majority of the cavities I fill, like 90%, started between the patient's teeth.

I talk with my patients a lot about their particular cavity patterns so they can develop efficient ways of stopping those patterns with the least time and effort.

Young teenagers in my office are often thinking about driving, getting their license, what car they are driving, and what care they would like one day to be driving.  So I point out to them that most dentists appreciate nice cars and drive the one they like.  And the patients who don't floss get to make the car payments for the dentist's car.

So I offer the patient some options regarding this.  If they would like to stop getting cavities they can pay me to come to their house every day and floss their teeth for them.  If they do that, I can use the money to buy a really nice car to drive to their house each day. J The second option is to continue only brushing their teeth and I will have the honor of doing their fillings for them and I will enjoy the new car again.  Or ...

The patient could decide to do the daily flossing.  Then they will save the money and one day they will be driving their new car. J

Oh so often, what we have in life revolves around the simple decisions we make each day!

Smoking Reduces Healthy Bacteria & Increases Dental Diseases

Here's yet another reason not to smoke...

We all have large amounts of bacteria in our saliva, most of them good and helpful.  They help to begin the digestion of our food.  Some are helpful in warding off infection by viruses and other bacteria.  Others are not so desirable, like the ones that produce cavities and gum disease.

Studies demonstrate that smokers have fewer of the helpful bacteria, allowing the damaging bacteria to grow in larger numbers.  This increases the disease potential in the mouths of smokers.

Also remember, second hand smoke is just as bad as primary smoking.  Don’t smoke indoors where other non-smokers (like your children) will be forced to breath the second hand smoke.

Cigarettes by Anna Langova

How Long should you brush your teeth?

How Long Should You Brush?


Brush until they are clean. Most people try to brush for 2 minutes twice a day. Time is not the answer.

People who have taught themselves to be effective tooth brushers can get the job done in one minute. If you are brushing the way you have always brushed since a child, some places get clean and some don’t.

More times per day and more minutes per brushing just gets the clean spots cleaner and the not clean spots are still not clean!

Teach yourself to be an effective brusher (see "disclosing bacteria) and get the job done in one minute per day!

 Be sure to ask us to evaluate your effectiveness when you are in the office. Call us at 1-530-878-2357 or visit our web page. www.winningwithsmiles.com


Scott Thompson, DDS

Sports Drinks and Energy Drinks: Not for Kids

The American Academy of Pediatrics, Committee on Nutrition and Council on Sports Medicine and Fitness published their “Clinical Report – Sports Drinks and Energy Drinks for Children and Adolescents: Are They Appropriate?” 

In today’s blog I am going to merely quote summary statements from that report.  The full text is available free on line and I encourage you to use the reference at the end to access, print and read the full text.  The details and references are stunning.

“Sports drinks and energy drinks are significantly different products, and the terms should not be used interchangeably.”

“Rigorous review and analysis of the literature reveal that caffeine and other stimulant substances contained in energy drinks have no place in the diet of children and adolescents. Furthermore, frequent or excessive intake of caloric sports drinks can substantially increase the risk for overweight or obesity in children and adolescents.”

“With children and adolescents, careful consideration is necessary when selecting a beverage to hydrate before, during, or after exercise and outside of physical activity to prevent excessive sugar and caloric intake that may encourage dental erosion, overweight, and obesity.”

“Children and adolescents should be taught to drink water routinely as an initial beverage of choice as long as daily dietary caloric and other nutrient (e.g., calcium, vitamins) needs are being met. Water is also generally the appropriate first choice for hydration before, during, and after most exercise regimens. Children should have free access to water, particularly during school hours.”

“Sports and energy drinks are not indicated for use during meals or snacks as a replacement for low-fat milk or water.”

“The actual caffeine content for many energy drinks is not easily identified on product packaging or via the Internet. The total amount of caffeine contained in some cans or bottles of energy drinks can exceed 500 mg (equivalent to 14 cans of common caffeinated soft drinks) and is clearly high enough to result in caffeine toxicity. …

Additional concerns regarding the use of caffeine in children include its effects on the developing neurologic and cardiovascular systems and the risk of physical dependence and addiction.  Because of the potentially harmful adverse effects and developmental effects of caffeine, dietary intake should be discouraged for all children.”

“For most children and adolescents, daily electrolyte requirements are met sufficiently by a healthy balanced diet; therefore, sports drinks offer little to no advantage over plain water. During or after participation in short training or competition sessions, athletes generally do not need supplemental electrolyte replacement.”

“Low-fat milk is a good option for use as a post-exercise protein-recovery drink.”

“In general, the use of amino acids in energy drinks in place of traditional dietary sources is not supported by the scientific literature and, therefore, is discouraged for children and adolescents.”

“Given the current epidemic of childhood overweight and obesity, we recommend the elimination of calorie containing beverages from a well-balanced diet, with the exception of low-fat or fat-free milk, because it contains calcium and vitamin D, which are particularly important for young people.”

Want to learn more, check out this link to read the full report:http://pediatrics.aappublications.org/content/early/2011/05/25/peds.2011-0965

Call us to find out more: 530-878-2358

Sugar: The Bitter Truth

Sugar: The Bitter Truth

How much .. Where is it?

I am a dentist, and I keep telling my patients, their families and my friends. "Sugar, it is not just about the cavities." Cavities are just the beginning of the damage to your body. Of far greater importance is the damage it causes to your metabolic systems in your body.

It is toxic. Recently, Dr Gupta aired an expose on "60 minutes." Your web search engine will find it, so look at it. Far more convincing will be to go to u-tube and watch the 90 minute lecture given by Dr Robert Lustig from University of California San Francisco entitled "Sugar: the Bitter Truth." All calories are not the same! Excess sugar is more harmful to you than excess fat! Look at these videos and see for yourself.

Sugar is addictive. Yes, just like cocaine, sugar stimulates the area of the brain that tells you "I like this." It drives you to seek more. As you eat more, it develops tolerance (just like it does for cocaine) so as satisfaction decreases it drives you to consume more to achieve the same level of satisfaction. Just like cocaine and methamphetamine! The result? You eat more and more sugar, gain more and more weight, suffer more and more heart disease and diabetes, and more recent research is indicating higher cancer rates!

And sugar destroys. You all know it is a key factor in the destruction of teeth. MORE IMPORTANT it destroys livers. Specifically fructose (half of your normal table sugar and corn syrup) metabolism in the liver not only creates by products that cause harm in organ systems in your body, it also causes fatty liver degeneration. When your liver fails your whole body will fail.

So where is the sugar in your diet? I was in high school, college and dental school through the 1960s. The average American ate 30 grams of sugar each day. The average American today is eating 200 grams of sugar! How could that be? It has been a slow insidious process over a couple generations. When I was in college, a cup of coffee, teaspoon of sugar and a donut would have netted a total of 150 calories. In today's culture, 2 generations later, a small coffee mocha and a scone at Starbucks will net you 650 calories. In the 1960s a great dessert at a restaurant was homemade apple pie, 420 calories of decadence, ha ha. Today a single slice of raspberry cheesecake at the Cheesecake Factory will net you 1530 calories. In the 1950s & 1960s I had a soda or other sweet beverage about twice a month.It was 7 or 8 ounces with about 20 grams of sugar. Today, take the lowest calorie beverage sold in the stores, Vitamin Water, in what is considered a small to medium bottle, 20oz, and it has 33 grams of sugar in the one bottle. That is more sugar than the average American ate in an entire day in the 1960s! The average person is drinking 2 or 3 beverages a day!! My bowl of breakfast cereal in the 1950s had one teaspoon of sugar sprinkled on it (my mother allowed that). There were no presweetened cereals. Today the cereals marketed for kids have 3 times that in a bowl. Your Catsup has 22% sugar in it (to appeal to that pleasure center in the brain). Sugars are added to most processed foods at a level that does not necessarily taste sweet like a desert, but is enough to enhance the flavor and stimulate that addiction receptor in the brain. It makes you want more.

This is not going to be easy. If you are going to improve your health, it will take some attention to eating more real food. Vegetables, Fruits, Meat, Grains, & Dairy. Packages, boxes and bags contain processed food with additives, not real food.

Did you know the life insurance companies (the experts on predicting life span) predict for the first time in known history that today's young generation will live a shorter life span than their parents. That doesn't bother me. Living as an older person with the debilitating, life limiting and painful chronic diseases of heart disease, diabetes, obesity and cancer would REALLY bother me.

Want to learn more, click HERE for Winning With Smiles.com

Scott Thompson, DDS

Pediatric Dentistry

Meadow Vista, California

Photo Credit: Wikipedia Commons

Hidden Bacteria in your Mouth!

Disclosing Bacteria

The bacteria that “hide” on our teeth and dissolve holes in them (cavities) are the same color as our teeth.  Like the grasshopper hiding in the grass from the bird is green and hard to find.  To find them we have in the office “disclosing solution” which colors the bacteria red and makes them easy to see.

If you can see the bacteria, it is easy to teach yourself  how to be an effective tooth brusher. 

If you “know your enemy” you will find getting teeth clean takes less time than most people normally use for brushing.

AT HOME you can use the vegetable food coloring you have in your kitchen cabinet.  The same stuff you use to color Easter Eggs and make blue cake with green frosting (yikes!). 

After you have done a normal brushing, just put 2 drops on your tongue and lick it all over your teeth.  Rinse real well with some water and then look.  The bacteria will be colored.  You will see the places your “normal brushing” is good and the places you are missing.

 Now teach yourself how to get all those places clean.  Someone who knows how to get her/his teeth clean will be able to do an excellent brushing in one minute.  WOW!

The benefits of excellent brushing are:
1) Whiter teeth!
2) No more bleeding gums!
3) Stop cavities.
4) What a smile!!

Scott Thompson, DDS
530-878-2357

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.
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To learn more, contact WinningWithSmiles.com or call 530-878-2357