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

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.

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

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!

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.