Does Brushing After Sweets Help Prevent Cavities?

Surprisingly, the answer to that is no! To have a cavity one requires a tooth, some of the right kind of bacteria concentrated in an area where they can create and harbor acid on the tooth, sugar that the bacteria will eat and convert to acid, and some time for the acids to dissolve calcium out of the tooth enamel to make a hole.

So you see, if sometime during the day you cleaned all the bacteria off your teeth so they are not there to create any acid, then the sugar has no affect on the teeth. Also note: If bacteria have been successfully cleaned off the teeth, then it will take 24 hours for those bacteria to multiply and aggregate adequately to create and concentrate acid in a sheltered place on the tooth. In other words, your teeth are safe for 24 hours.

So THE TRICK here is to know how to effectively clean your teeth once each day to make them safe. Check our web site regarding disclosing solution as a tool to teach yourself effective tooth cleaning, and as a tool to monitor yourself periodically to verify you are still keeping your teeth safe.

Now here is an interesting taboo. DO NOT brush your teeth immediately after drinking any beverages (other than water or milk). Check in with us next week to learn why brushing your teeth immediately after drinking nearly all prepared beverages can do serious harm to your teeth.

In the mean time teach yourself to be a superb once a day effective tooth cleaner. And it makes absolutely no difference when during the day you do this cleaning.

Photo credit: Wikipedia Commons

Potato Chips for Dessert?

My curiosity couldn't resist and I bought the package of Cappuccino Potato Chips. What are we doing with coffee flavored potato chips? So when I got home, I discovered the cappuccino was more about the cinnamon and sugar than it was the coffee. They have taken that sugary cappuccino powder drink mix and used it to "season" the chips.

Sugar is being added to everything, it is true. As a dentist I clearly see the ravages it takes on teeth. My medical colleagues see it in the melange of diabetes, obesity, cardiac disease, liver damage that results. My friends in the insurance industry point out to me the necessity of increasing life insurance premiums because this new generation of youth is going to live a shorter life span than us and will therefore be paying into the system few years. Alas. When will you take charge of your eating habits?

So back to potato chips. We all know that a good southern barbeque sauce has sugar in it, so sugar in potato chip ingredients is not a new thing. But this is the first time a potato chip tasted sweet enough to qualify for dessert. Please read labels and be aware how much sugar is being added to your diet and be aware of the multitude of long term debilitating illnesses it is responsible for in our culture. It is not just about teeth.

Photo: Free image from Pixabay

Contagious Cavities?

Most people recognize that cavity problems seem to run in families. Most people also shrug and say "I have soft teeth, it runs in the family," as if they cannot do anything about it. That is wrong. Research has never demonstrated soft teeth. Research has definitely demonstrated the bacteria that cause cavities are contagious and we usually get ours from our caretakers when we are infants and first growing teeth.

If a family has aggressive cavity causing bacteria, they are typically traded to the infant at those cuddly slobbery spoon sharing times. But, please do not stop being cuddling nurturing parents. There is another way! The contagious disease is dose dependent. Research has shown that cleaning up mom and dad's oral health before baby is born, or at least before infant teeth show up, is an excellent way to reduce bacterial count and improve outcomes for baby. By the way, this includes improving odds for full-term pregnancy.
A good way to start would be a dental checkup. However, by "cleaning up oral health" I don't mean necessarily getting those expensive cavities filled, though that obviously helps too. Immediate and inexpensive, or even free things people can do are:

1. Become a truly effective tooth brusher. 

Use disclosing tools (tablets, solutions, or kitchen food color) to show you the bacteria. Then teach yourself how to thoroughly clean your teeth. Check yourself every couple weeks until you are confident you have figured it out. Most people find they can thoroughly clean their teeth in about half the time they used to.

Beverage Tragedy for Infants

Not many people until recently recognized the tragedy of introducing juice to infants. Dentists have known for a couple of decades that juice is a primary factor in the growing problem of cavities in young children, particularly infants. Recently, however, the medical community has also recognized that juice is a primary factor in a number of childhood disease issues that have grown in the last couple decades. There are several serious issues that result from introducing infants to juice rather than water during the time of weaning from milk.

First, and perhaps most obvious is that the repeated exposure of sugary acidic beverages such as all fruit juices and other sweet beverages creates an incredibly rich cavity causing environment in the mouth. Children develop cavities at an extremely high rate when juice is part of their infant diet. Often the cavities are so severe and the child so young we have to take the children to the hospital and restore the teeth under general anesthesia.

Bad Teeth...Bad Grades!

A recent study at USC and published in the Journal of Public Health verifies that children with poor oral health have, on average, lower grades. They also miss more days of school due to tooth aches and dental appointments. It also pointed out that parents of these students miss more days of work due to the need to care for their children's dental appointments.

One of the tragedies here is to know this is so simple to prevent, though without adequate information, parents find it difficult to accomplish. An early start (age 1) with good instruction will demonstrate to parents how simple it is to give children an excellent start to a lifetime of good oral health.  Cavity free, healthy, beautiful smiles.

2 Minutes 2 Times

Brush your child's teeth for 2 minutes, 2 times a day!

As I have told you in previous blogs, doing fillings and crowns on teeth does not improve oral health or dental health. Effective prevention of dental disease requires a little simple education of the patient and the desire to have healthy, cavity free beautiful smiles. With that in mind the California Dental Association and American Academy of Pediatric Dentists and 12 other organizations have started a nationwide educational program designed to help patients improve their own oral health and prevent cavities.


2min2x.org is the website it will originate from and where you can find all the information needed to create oral health for you and your children. It includes great videos to educate, entertain and motivate your children to want and achieve good oral health.  Check it out!

Winning With Smiles - Pediatric Dentistry
Meadow Vista, California 95722

Will My Child Suffer Cavities Like I Have?

The standard (and trite) answer is, of course, it depends on how you care for them.  This leads most people to think of how often they brush, what toothpaste they use, do they use a mouth rinse and perhaps whether they are an excessive candy eater.  Few people think more broadly of what they eat or feed their kids, especially beverages.  We speak extensively in our office about beverages, both for adults and especially for children.

Let me cite one piece of literature (among many showing this problem).  Dr. Philip Marsh was interested in what happens to the oral biofilm of bacteria developing for children sipping juice or other sweet beverages.  Children today are commonly weaned from breast milk or formula to "healthy" juices, typically diluted a bit.  This then evolves into juice or other sweet beverages for the toddler in a handy and available sippy/tippy cup.

Using known data on saliva flow and chemistry, food flow, and the various micro environments in and around teeth, he designed a research study to monitor tooth biofilm.  Dr. Marsh then introduced juice periodically to mimic a child sipping some juice from a sippy cup or bottle and introduced plaque bacteria (similar to how children get these bacteria in slobbery kisses and feedings with parents).  With sampling over time he measured the bacterial balance in the biofilm developing on tooth surfaces.

Tooth biofilm in a healthy mouth typically contains about 1-2 % of the cavity causing bacteria.  While mimicking a child's juice sipping pattern Dr Marsh measured the shift in cavity causing bacteria from 1-2 % to over 50%.  At that level, those bacteria control the biofilm, supporting the acid loving bacteria and destroying the "healthy" bacteria in the biofilm.  Most distressing is that once this biofilm balance has established on the child's developing teeth, about age 2 ½ to 3 years old, it is extremely difficult to change.  It will likely be a high cavity inducing biofilm the rest of the child's life.

Ouch! … $ $ $ $ too!

Please don’t introduce juice and other sweet beverages to your child until they are at least 4 years old.  Even then, limit it to meals.

Dr. Scott Thompson - Pediatric Dentistry

Babies Don't Come with Cavities.

We don't inherit “soft teeth” from our parents and babies don’t come with cavities.

Cavities are caused by a bacterial disease called “caries.”  We catch this disease from our close family and friends.  Like any other contagious disease, how we take care of ourselves determines how our body will handle the disease.  How the family takes care of oral health will affect the cavity rate of the infant and toddler.  Correct family oral care will limit the contagion of the disease.  Correct oral care for the infant and toddler will limit the survival of the bacteria that cause cavities.  Diet and beverage patterns for infants and toddlers will either limit or support the cavity causing bacteria.  The disease, “caries,” establishes its lifetime pattern while the baby teeth are emerging from age 6 months to 30 months old.

Establishing a dental home with a dental office that offers well baby exams will give you the information you need to create a lifetime of dental health for your baby.  Other advantages of establishing an early dental home with your family dentist or pediatric dentist are:

1)      Money savings.  Children who visit the dentist before their fast birthday have an average 40 % lower dental cost during their first 5 years.  These savings will continue through life.

2)      Enamel defects, if addressed early, can be remedied with simple techniques to prevent tooth deterioration.

3)      Early dental cavities can be healed rather than filled if detected early enough and addressed at home with proper information and prevention.  Infants don't come with cavities.  Creating a no cavity environment for your baby can lead to a no cavity environment for a lifetime.

The first tooth deserves a dental home.

Next Blog: 1% or 50%?

Setting Your Child’s Cavity Risk Early

Few people realize that cavities are the result of a contagious disease. As infants, when we are teething those precious little baby teeth, we are also being exposed to the kinds of bacteria that cause cavities. These bacteria typically come from our closest caretakers, like moms, dads, nannies and siblings. Typically via slobbery kisses, shared spoons, and other close encounters. It is inevitable so don’t panic about it. However, there are numerous ways to insure this contagion will not destroy your child’s teeth.

First, reduce the amount of bad bacteria being transferred to the child. Parents with clean healthy mouths and no recent cavities will have fewer of the cavity causing bacteria in their saliva. Learn how to truly clean your teeth when brushing and flossing. Also, if you are a gum chewer or mint popper, find Xylitol gum and mints on the internet and health food stores. There are numerous studies showing dramatic reduction of the cavity causing bacteria in the mouths of those who put Xylitol (a natural sweetener) in their mouths several times daily.

Secondly, don’t feed those bacteria and promote their growth. These bacteria thrive on sugars and simple carbohydrates (cooked starch). It has been shown that frequent (frequency is the issue here!) exposure to simple carbohydrates promotes the preferred growth of the cavity causing bacteria (mutans streptococcus, sobrinus streptococcus, etc.). If we promote these bacteria early, they establish in high numbers and will continue to be in high numbers in the saliva and on teeth for a lifetime. Juice is an especially common mistake in sippy cups and bottles. Let’s not do that to our children. When your children are ready to give up milk and formula in the bottle, move to water. Do not, I repeat, do not start them on juice or any other sweetened beverage when they move away from milk, unless your pediatrician has specifically written a prescription for your child to have juice because of some metabolic reason. Ask your pediatrician and they will confirm this. The American Academy of Pediatrics does not support the use of juice as a snack or hydration beverage until age 4. Even at age 4 there is a word of caution and recommendation for continued use of water.

Thirdly, clean your child’s teeth effectively each day. It has been shown that the more the plaque (a biofilm of over 600 different bacteria) builds on the teeth, the more it promotes the acid loving bacteria that cause cavities. By simply disrupting this biofilm each day and forcing it to rebuild will prevent it from maturing to the level that it harbors and promotes the growth of the acid loving bacteria that make cavities. As the plaque matures and stagnates, it supports acid loving bacteria which begin to flourish and dominate the plaque. As acid loving bacteria numbers grow, they begin to control the plaque growth and with a higher balance in the saliva, they cause a more rapid maturing of the plaque into a destructive acid loving plaque which dissolves holes in the calcium rich enamel of your teeth. Once established, this balance can be extremely hard to change and may remain for a lifetime. Don’t let it start.

Give your kids a healthy start. Help them become water drinkers as a habit and you will create a lifetime of better health for them. Clean the gum line and between teeth daily to promote a healthier bacterial balance in your mouth’s dental biofilm. If you like gum or mints, discover Xylitol.