The American Dental Association (ADA) has given its golden seal to brand name fluoridated toothpastes for their cavity fighting features. It’s no surprise really – topical use of fluoride has been proven to be effective at inhibiting tooth demineralization, promoting remineralization and inhibiting the growth of bacteria associated with tooth decay. Fluoride is marketed in the US as a bone fortifier and is administered at the dentist’s office for nearly all pre-adolescent teeth cleanings. Finally, the idea of fluoridated water may seem like a great thing to add to your new child’s water, because it fortifies teeth – but beware! What isn’t so well known is that the potential toxicity of fluoride is dangerous, and if swallowed in concentrated form or ingested over a longer period of time, it may have potentially damaging side effects.
In 1977, The Institute of Medicine (IOM) specified adequate intakes of fluoride of 0.01 mg/day for infants through 6 months, 0.05 mg/kg/day for children beyond 6 months of age, and 3 – 4 mg/day for adults, to prevent dental caries. Upper limits (UL) of 0.10 mg/kg/day in children less than 8 years old and 10 mg/day for those older than 8 are recommended for prevention of dental fluorosis. Similar levels have been endorsed by the American Dental Association (ADA, 1994) and the American Dietetic Association (ADA, 2000). What does this all mean? Fluoride has an affinity for calcified tissues. The trace amount of daily intake of fluoride is beneficial, but too much of it can result in patchy or mottled looking teeth, known as dental fluorosis (or brittle bones, known as skeletal fluorosis). Studies are needed for health researchers to investigate the relationship between intake levels and human health. 75% of our daily fluoride intake is from water or beverages, like tea and juices.
The fluoride content of a water supply is often described by the term ‘parts per million’ (ppm). 1 ppm = 0.1 milligrams of fluoride per 100 milliliters of water. About 1 ppm seems to be the optimal level of fluoride for a drinkable water supply; a litre of such water would provide 1 milligrams of fluoride. At 2 ppm, mottling of tooth enamel may occur. The actual condition of ‘fluorosis’ or excessive deposition of fluoride in bones is only present after prolonged consumption of 20 to 80 milligrams of fluoride per day.
Repeated exposure to fluorine in naturally-occurring forms (such as in fruits and other produce) is one thing, but overexposing your child to fluoridated baby formula (identifiable by needing to add water to the formula) could put your child’s appearance – and bodily health – at risk. The key take-home message for parents is to avoid added fluoridated liquids or even foods of any kind. No level of fluoride is perfectly safe, and ideally, we wouldn’t need to use it at all – however, fluoride’s teeth strengthening properties, when used in proper doses, can be a beneficial additive.
If your child does develop dark-spotted or mottled teeth after getting his or her primary teeth, pay close attention to their diet! Nutrition should be strictly monitored for fluoride ingestion (including toothpaste!) – if so, he or she should have perfectly clear, spotless permanent teeth erupting around age 5. Experts also agree that it is a good idea to test the water from your home water lines, to see if it is overly fluoridated. Simple take-home tests are available from your local water or health bureau, or can often give past and current fluoride level readings. Do your research to protect your child’s and your health.
It might surprise you to learn that over 20 million individual teeth are extracted from American mouths every year – the devastating news is that many of these extractions could have been avoided. Once teeth “pass the point of no return,” costly implants or other techniques must be used to restore a person’s smile or chewing function properly – and if said person is unable to afford proper treatment, their missing teeth may cause subsequent dental problems or humiliation and devastating blows to his or her self-esteem, even harming job security, depending on what career path said person has taken.
The sad fact of the matter is that less than 10% of people suffering from tooth pain or other signs of future tooth loss ever see a dentist (or dental professional); because nearly all tooth loss is preventable, this is simply unacceptable! Dental phobia, the fear of being judged by a dentist or financial troubles are often contributing factors in why most people suffering from tooth pain never see a dentist, but the consequence of delaying (or avoiding all together) a dental check-up often results in edentulism (missing one or more teeth). Worst of all, oral health problems are systematic (meaning they can affect other systems or parts of the body), and problems grow with time, making the need to see your dentist that much more urgent if you are suffering from tooth pain.
Of course, tooth loss in rare incidences could be due to injury or genetic problems, mainly caused by poor oral hygiene, bad oral habits leading to tooth and gum disease and eventually tooth loss. For starters, brushing and flossing twice daily and after meals is essential! When food particles are left behind embedded between tooth crevices, bacteria begins a destructive process which eats away at your teeth and gum. Secondly, eating sugary, carbohydrate-laden foods and drinking sugary beverages [frequently] without prompt proper care can erode the enamel on your teeth, making you more prone to tooth loss and gum disease. Without timely dental care, these habits will lead to an untreatable situation and inevitable tooth loss. To prevent all that unpleasantness (and the costly consequences of tooth loss), the best solution is prevention. Prevention means having a terrific home care program, proper diet and habit and getting your regular dental cleanings and check ups every year. When the problem is small (or in a earlier stage of deterioration), problems are much easier to correct and restore. To the end the effort is all worthy, and having a healthy mouth is truly the foundation of good physical health (you can eat and digest healthy, high fibrous food) and mental health (self esteem and being able to smile with confidence)!
In the current recession, unemployment rates are at all time highs! It’s a scary prospect to be faced with possible job loss, but especially in professions where appearance is key (like business), your teeth can make or break a first impression. Just as you wear a suit to appear professional, tidy and attractive, having a great set of teeth will accent the professional, attractive winning smile on your face. The people businessmen encounter every day (colleagues, clients and the like) are constantly evaluating the people they work with. Your job just may get that extra boost of security with a clean, healthy and brilliant smile.
A healthy smile could secure your job!
According to a study recently completed by the Academy of General Dentistry (AGD), men are less likely to visit the dentist than their female counterparts. Nearly 45 percent of respondents felt that men don’t see a need to go to the dentist, and about 30 percent of those polled reported that men may not visit the dentist because they are afraid or embarrassed to go. This disturbing trend of not visiting the dentist could not only have devastating effects on one’s teeth and oral health, but on their professional well-being and livelihood!
“In my practice, more men are coming in and requesting bleaching, veneers and bonding,” says AGD spokesperson J. Nick Russo, Sr., DDS, FAGD. “Many have noticed the positive effects from a colleague’s improved smile and realize that a great smile has a lot of value in the business world.” A poorly cared-for smile not only looks bad, but portrays an image of uncleanliness and sloth. “Can a person who doesn’t take care of his teeth, of himself, take care of my portfolio?” This is a question that may be asked in the minds of the people you work with and the people you work for!
As the job market becomes more and more competitive, employers are constantly looking at ways to differentiate potential candidates for positions, and a healthy smile is a great way to make a great first impression. Existing employees are also facing tough competition with young grads who have been raised in households emphasizing the importance of oral health more so than past generations – so what are you waiting for? A healthy and beautiful smile will improve your overall health, your image and your self confidence – it could even improve your job security!
It is almost summer time, and typical family vacations are being planned in many families! Whether you are planning on taking a family road trip or are trekking across the globe, remember to get a dental checkup before your trip – dental care abroad isn’t always convenient, and can in fact be risky business.
Especially when traveling to remote destinations or developing regions of the world, it can be difficult to find adequate or specialized dental care depending on what needs you may have, or what dental emergencies may arise during your trip. In the most extreme places, dental treatment can be both painful and dangerous, depending on the tools and medicines available to the dentists on staff – dental qualification standards are also frequently much lower abroad than those in the western world.
Many Americans wishing to avoid expensive dental care by voyaging outside the borders of the United States travel to Mexico or Eastern Europe every year, and while this may be a way to save money, it is important to be aware that all American dentists hold a Doctor of Dental Surgery (DDS) degree from an accredited dental school, and hold practicing licenses which are issued only after rigorous examination periods which must be renewed every year. These strict practicing guidelines do not always exist abroad. Guidelines for strict sanitation and hygiene in dental offices are regulated by the Center for Disease Control (CDC), another safety precaution which developing nations often are lacking.
If you choose to go abroad to a remote or developing location to seek dental treatment, be sure to check with that country’s health ministry to inquire about health and safety standards for practicing dentists. Call local health offices and get a feel of what you can expect. If possible, research and find a specific doctor you will visit, and check up on his or her qualifications and practicing history. Once you arrive, your eyes will be your best tool to determine the state of his or her practice! Make sure hands are being washed, instruments are coming from sterilized packaging, and “get a feel” of the place. If you are suspicious, do not proceed!
The Organization for Safety and Asepsis Procedures (OSAP) has published a Traveler’s Guide to Safe Dental Care, which should be read by any and all persons traveling abroad to receive dental treatment – www.osap.org. Finally, dental referrals may be available from the consolate of the country you are a citizen of! Be sure to call the embassy once arriving in your destination country and get all available information. Make sure to be healthy, be prepared, and have a fun and safe trip.
Have you ever thought “when I grow into my golden years, I’ll never smile – my teeth will have fallen out!” It should be common knowledge that teeth do not fall out naturally as part of the aging process, quite the contrary! Teeth are lost in seniors primarily due to poor oral hygiene, resulting in tooth and gum disease. If seniors properly take care of their teeth and maintain regular check ups with their dentist, their teeth will be healthy and strong throughout their entire lives!
It’s no surprise that senior oral health is a top priority and concern for dental professionals across the United States – senior citizens are the fastest growing demographic due to the baby boomer generation, and will soon make up the largest age group in the country! For such a big group, it would seem common sense that dentists are seeing increasing numbers of senior patients, but this is sadly not true. “Seniors often take long absences from seeing the dentist,” says AGD spokesperson Nick Russo, DDS. “Sometimes they stop caring as much because they’re not out in the public very much, and they think oral hygiene doesn’t matter.” I have even had patients in their 80s and 90s who have even received orthodontic treatment (braces)! A person is never too young.
The truth of the matter, however, is that oral health matters just as much for seniors as it does for middle aged people and even young adults! Deteriorating oral health in old age is a choice, not a factual occurrence – and can be prevented rather easily. A person’s smile is the gateway to their heart, and whether that person is 15 or 115, that smile defines who you are. Keep it beautiful! The most important step for seniors (or their children or caretakers) to remember is that oral health is not a luxury – declining oral health is not purely aesthetic, and systemic problems can arise due to declining oral health. For example, genetic links between gum disease and heart disease have been proven to exist. Be sure to schedule biannual (twice yearly) dental checkups and cleanings. Not only are these appointments important for cleaning the teeth and gums beyond what a person can do at home, these appointments are essential in identifying poor habits, developing oral health problems and even cancer screenings.
After a biannual checkup plan has been cemented, it is key to remember to brush and floss, for two minutes, after every meal. If brushing and flossing is not occurring after meals, food particles turn into bacteria which destroy enamel and gum tissue. Also, stay away from sodas (diet or otherwise!), candy and other sugar-laden foods and drinks. Water or tea would be a much healthier substitute. Extend your beauty and your life by taking your oral health seriously. Your teeth and gums will take care of you, if you take care of them!
Meth mouth refers to the state of a meth user’s mouth, the psychostimulant and sympathomimetic drug considered by many to be the most addictive and dangerous drug in existence, worse than crack-cocaine. Although most users of the drug are not concerned about their oral health, it is important for parents and caregivers to understand how meth can harm the oral cavity, and pass the information along to their children and young adults.
The mouth of a meth user.
The relatively inexpensive cost to produce meth and its highly addictive nature make the drug highly popular with young people of all demographics, income levels and races. Methamphetamine enters the brain and triggers a cascading release of dopamine, serotonin and norepinephrine inducing intense euphoria, with high risks for addiction. The drug causes damage to the central nervous system often causing jitters, nausea, increased risk for heart attack and heart disease, as well as widespread tooth decay.
Many meth users complain about stained or blackening of the teeth in early stages of addiction, with teeth often becoming rotted after periods of neglect, leading to necessary extraction (if the addict has access to dental care). The widespread tooth decay caused by meth is mainly attributed to the highly acidic content of the drug – ingredients like bleach, cough syrup and chlorine are common additives to home-made meth. The very-long-lasting effects of the drug can often leave users unaware of the state of their oral health. Because meth causes users to crave salty, sweet and carbohydrate-rich foods, the bacterial factor of meth mouth is only further hazardous.
The statistics of meth use in America leave the drug’s risk to all children undeniable: over 5% of Americans age 12 and older have used the drug (12.3 million Americans in 2003 according to the 2003 National Survey on Drug Use and Health), and of those users the majority have had severe oral health problems. “Say no to drugs” – talk to your kids about the dangers and consequences of drug abuses. If you feel there is need for professional to get involved, get the appropriate help you need to make sure your loved ones stay healthy and enjoy a high quality of life.
Has the global credit crunch put its vice grip on your life? Whether you are hurting in these tough financial times or not, stress is a factor many people have a hard time escaping, and with stress comes habits which can be potentially damaging to your oral health. Cleaning your teeth twice daily with floss and your tooth brush is no doubt important, especially after meals, but what else can you do to keep your mouth clean and healthy in a stressful climate?
Lower stress levels will benefit your oral health!
The global economic crisis has no doubt taken its toll on Americans and global citizens alike, whether that toll is financial stress, family burdens or career changes. Alcohol consumption and cigarette smoking are among the most common de-stressers in popular American culture, and although these practices may temporarily relieve some of your mental tension, they can create serious problems in your mouth. I have previously discussed the dangers of alcohol in the mouth (and its tendency to increase one’s likelihood of developing oral cancer) as well as the respiratory , cardiovascular and general connective tissue problems associated with smoking cigarettes, but stress often leads to a combination of bad habits and bad oral hygiene.
The best way to avoid declining oral health, of course, is to limit or substitute activities which can damage your health, like smoking and drinking. However, if you find this to be too difficult to overcome (especially in a recession when no job is 100% secure), at least stay vigilant with your daily oral hygiene routine. Brush and floss after every meal, and after drinking or smoking. The idea of brushing your teeth after having a drink may not be appetizing at first, but the acidity from the alcohol will erode your precious teeth away! Keeping up on your oral hygiene routine could also help de-stress your financial life as well: taking care of your mouth can lead to reduced cavity occurrences, less sensitivity, and fewer overall dental problems which will save you money in the long run.
Finally, besides having a healthier diet and an optimistic outlook, regular exercise will help keep yourself in good shape! Keep up your teeth cleanings and check-ups – these are crucial. If you are overdue on a dental cleaning, schedule a visit now! Visiting your dental professional is key in identifying problem areas in your hygiene routine, possible cavities or severe night grinding (which causes excessive wear of your teeth (or other issues)) are usually undetectable without professional consultation. Early detection and preventive measures will prevent costly repair work down the line!
“Brushing for a healthy heart ” is a true statement – the link between gum disease (or the bacteria associate with the gum disease) and the body’s cardiovascular system is tight. Prophylactic measurements (like antibiotics before dental visits, for people who have a valve replacement) have been a practice in our society for quite some time, but German scientists presented a study last Monday (May 25, 2009) at the European Society of Human Genetics in Vienna, Austria confirming a link between gum disease and heart disease – simultaneously confirming the importance of maintaining your oral health, not just for your mouth’s well being but for your vital organs as well!
The association between periodontitis and coronary heart disease is not a new concept, but a genetic link between the two is a new concept which provides startling information for dental professionals and patients regarding the gravity of gum disease, as well as its potentially devastating systemic effects throughout the body. Specifically, the researchers were noted as finding “that the two diseases share a genetic variant on chromosome 9. The genetic variation associated with the clinical pictures of both diseases was identical.” The link between the two diseases postulated the following conclusion: “we think that periodontitis should be taken very seriously by dentists and diagnosed and treated as early as possible,” Dr. Schaefer said, noting that periodontitis and heart disease share risk factors such as smoking and obesity.
Although this information doesn’t change how we should treat oral hygiene or periodontitis, it does serve as a wake-up call for everyone regarding how important our oral hygiene routines should be. It is vital to brush your teeth after every meal (and after that midnight snack)! Late-night and mid-day nibbling can cause the most harm to one’s oral environment, from a lack of desire or motivation to clean both the surface and crevices of the teeth. Bacteria thrive in dirty surroundings! Drinking sugary liquids like soda not only provides zero nutritional value, it also creates unhealthy habits which wreak havoc on the oral environment – stick to water or tea if you can. Remember, once the deterioration of dental structures starts, damage may be very difficult or impossible to reverse or restore completely! Prevention is the best measurement, and it is within your reach. Ask your dental professional about prevention – it is easy to work on, both for a cleaner oral environment and for a stronger bacterial host resistance. A healthy mouth may lead to a healthy heart, and such health is priceless.
Hookah smoking is a popular activity for the young and old alike, and has even been gaining popularity in metropolitan city centers: hookah lounges are very popular among residents and college students. The Mediterranean past time of smoking fruit-flavored tobacco (known as shisha) out of a water bong is safer for the lungs than traditional cigarette smoke (as the smoke is filtered through water and ice chambers), but does this smoke harm the oral health as normal cigarette smoke does?
Hookah smoke is damaging to your teeth.
Unfortunately, there is no good news for Hookah smokers. Although the benefits to a water hookah’s filtration have been debated, hookah smoke contains the same toxins as cigarettes which can cause increased blood pressure and risk for heart attack, as well as impaired liver function. In addition to these detractors, hookah smoke is no healthier for your mouth than common cigarettes. Researchers from the Karolinska Institute in Stockholm studied 262 adults in Saudi Arabia (where hookah smoking is extremely common and culturally condoned) to test this hypothesis – the group was made up of both exclusively cigarette smokers and exclusively hookah smokers, as well as smokers who partook in both forms of smoking.
After an extended period of observation, 20% of the group was found to have signs of gum disease – 30% of hookah smokers and 24% of cigarette smokers were affected by these symptoms. While other factors like age and diet were taken into account, the study concluded that regular hookah smokers are five times more likely than non-smokers to develop gum disease, whereas cigarette smokers were 4 times more likely to develop gum disease. This information might actually suggest that hookah smoke is more dangerous than cigarettes to your oral health! The bottom line is that any form of smoke – whether it is from a cigarette or a water pipe – is harmful to your body and your mouth. Gum disease is only the beginning of long-term systemic problems that occur with smokers, and can lead to tooth deterioration, tooth loss and eventually oral cancer (which is usually detected late, quickly becoming deadly). Curbing your smoking habits and substituting them with healthier living patterns will help you in the long run.
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fighting features. It’s no surprise really – topical use of fluoride 
