Even though we assume that vegetarians are well aware of what goes into their body (and are well versed in keeping proper nutritional habits up), it’s easy for vegetarians to become malnourished – especially young vegetarians under the age of 18. Common vegetarian deficiencies include calcium, iron, zinc, vitamin D, riboflavin, vitamin B12 or complete proteins. The good news is that by eating the proper combination of fruits, nuts, vegetables, grains and legumes, these deficiencies can be avoided. If you have youngsters on vegetarian diets, be sure to instill the importance of a balanced diet, and the seriousness of vitamin deficiencies, which can cause illness and other systemic problems, including dental maladies.

“An adult on a vegetarian diet for a prolonged period can be at increased risk for periodontal (gum) disease from a lack of vitamin D and calcium,” says Dr. Leibsohn of the Academy of General Dentistry (AGD). For this reason, it is very important that any adult (or parent of any child) considering “the green gateway” should first consult with their dietitian or dental professional. The specific diet you or your loved ones may be undertaking could have key deficiencies which could lead to serious health problems down the road. For example, a vitamin D deficiency can actually make your teeth and gums more susceptible to decay and periodontal disease. Vitamin D is produced in the body with sun exposure, so deficiencies are rare, but deficiencies can develop in those who do not consume milk or fish. Adding vegetable margarine or soy milk may help, though a better idea is to supplement the vegetarian diet with a weekly salmon steak, tuna salad and/or low fat cheese, milk or yogurt to supply a healthy foundation for your body and smile.

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)!

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.

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!

This year, National Women’s Health Week began on Mother’s Day – and what better a day to begin than on the day honoring mothers? Our country has a rich history of leading women who have made America a better place: Susan B. Anthony (who organized women’s suffrage), Clara Barton (who organized the American Red Cross), and Rosa Parks, who in 1955 stood up for equal rights for all. Had these women not taken care of their oral health, where would we be today? Of course, speculation about the oral hygiene habits of these women is somewhat silly, but this important week reminds all women of how important our health is, and how diminished as a society we would be without healthy women to lead and nurture.

It is important for all women to realize the importance of oral health not only for the well being of our teeth and gums, but for our whole body’s overall wellness. Of course, brushing and flossing twice daily and after meals is of utmost importance, as well as regular twice yearly checkups with your dentist and oral hygienist. There are certain oral health conditions women should be aware of however, separate from men. John Lukacs, an anthropologist at the University of Oregon recently uncovered both modern and prehistoric dental records which have revealed women have more dental health issues than men, which has been attributed to hormonal changes women experience when estrogen is produced (especially during puberty and pregnancy). As mentioned in a previous blog posting of mine, during pregnancy, not only does the body increase blood circulation to accommodate certain changes, but dilation of the blood vessels make the body more vulnerable to bacterial invasion, including the gum and and bone support of your teeth. Cravings and constant nibbling also promotes an acidic oral environment, leading to tooth erosion and the further harvesting of bacterial growth (which breaks down your tooth structure).

Gum swelling, bleeding and pain have also been reported during periods of menstruation. During these times, it is important to keep up with your normal oral hygiene routine! Massaging the gums with your fingertips can provide temporary pain relief, believe it or not. If you have any questions about your oral health, make a quick call to your dental professional and schedule a checkup or consultation appointment – he or she will be more than happy to provide you with the answers you need. Women have played an extremely important role in America’s history. Take care of your mouth, so that we can continue to take care of the nation!

I recently came across a person who had this to say about her dental experience: “I haven’t been to a dentist since 1992. Perhaps what I really need is a few years on a psychiatrist’s couch to reconcile my childhood and once again return to the dentist’s chair; otherwise, just knock me out, do what needs to be done, and wake me up when it’s all over.” This negative experience as a child is quite common of many patients I see, and of many adults who don’t go to the dentist, because of traumatizing childhood experiences.

If you are looking for a new dentist, ask for referrals from friends and family first. Is this dentist well experienced? Is this dentist known for pain-free treatment? Is this dentist well established in your community? Is this dentist interested in continuing education? These are questions that will help you establish a solid footing for beginning your match making! Even if you have a low budget, you can still find quality dental professionals who can take care of your smile in a manner befitting even the most unnerved patients. It is important to keep in mind that whether you believe your teeth are in good condition or not, a hygienist can clean deep-seated tartar and other mineral buildup on your teeth that you cannot clean with simply a brush and floss! Also, dental screenings are necessary to make sure no new problems have arisen in your mouth and that your teeth and gum are in good shape, even screening for oral cancer. Catching problems early on is always the least painful procedure – physically and financially!

Once the exciting jouney of pregnancy begins, your doctor will start you on prenatal vitamins. Essentially, these supplements help curb any vitamin or mineral deficiencies you may have as to properly foster the development of your fetus. Folic acid, calcium and iron are among the most important contents of these vitamins, and they are important in building your child’s first set of teeth! Although an infant’s teeth don’t start emerging until the age of approximately 5-6 months, proper development of those teeth are necessary from womb development so that when the teeth do emerge, they are strong and healthy!

Once your child’s primary teeth have begun to emerge, it is important to take good care of them. Clean new baby teeth with a damp wash cloth to wipe them free of food after feeding, and have the child drink some water to further wash down the mouth. Not only do primary teeth help a child eat and speak, but they hold space in the jaws for permanent teeth to develop.

As previously mentioned, it is extremely important to prevent baby bottle syndrome – rotten baby teeth which occurs when the baby falls sleep with a bottle of milk or juice in his or her mouth. Fermentable liquids can pool around a child’s teeth, leading to acidity and bacteria buildup in the mouth which can rot baby teeth quickly. These teeth are too soft to resist erosion and tooth decay. Once the decay process stars, it can soon progress to the pulp tissues and your poor baby would suffer from toothaches and infections – it might even affect the tooth buds of permanent teeth. So, once your child’s teeth emerge into the mouth, do not let your baby fall asleep with a bottle in its mouth (unless it is only water)!

Finally, it is great idea to start good oral hygiene and diet habits early!  Never ever give your baby soda or soft drinks! The sugar and acid content in these drinks will erode your child’s teeth and start bad habits that can be difficult to break. Also try to avoid sugary carbohydrates and candies! Once there are several baby teeth present, wiping teeth with a damp cloth should be replaced with actual brushing with a soft-bristled brush. By the time your child is potty trained, it’s about time to start learning about brushing their teeth.  Allowing your child to brush their own teeth holding a child friendly toothbrush (while you direct the handle) is a great way to start good oral hygiene habits! It will be parent’s responsibility to assist in brushing of the teeth until they enter elementary school, which is when they should have the maturity and manual dexterity to handle it themselves. If you rely on a nanny or caretaker, make sure to instill this information to them.

Regarding further information on dental home care, please refer to our other postings or submit your questions, I will address your specific issue or ask your dental professional!

Recent studies have linked acid reflux and dental erosion.

Acid reflux disease, defined as chronic symptoms or mucosal damage produced by the abnormal reflux in the esophagus, is nothing short of painful and distracting. When occurring in children, the symptoms can be even more painful and difficult to handle. Just nine days ago, the Pediatric Academic Society released findings of a study conducted by the University of California San Francisco stating children who have severe acid reflux have a much higher risk – up to six times the risk – of dental erosion and gum disease than those without acid reflux disease (or GERD). This is a unique finding and although it should be researched more before being considered fact, if your child suffers from acid reflux, be sure to keep an eye on his or her dental health!

Dental decay, erosion and sensitivity are a result of an overly acidic oral environment, and can often be quite painful and difficult for young children to handle, just like acid reflux. Regular hygiene (like brushing and flossing twice daily and after meals) is important as are regular checkups with your dental professional twice yearly, but what other things can you do to neutralize your child’s acid reflux, and in turn prevent dental and gum erosion? Besides healthy diet that consist of fresh vegetable and fruits, avoid greasy fried food , stay off sugary carbonated beverage,one physician who was a part of the aforementioned study has recommended children with acid reflux disease (even at early stages) should be started on a dental hygiene regiment, to be overlooked by a dental professional regularly, just as medical checkups are. Good dental home care program includes  fluoride treatment might be suggested.

Dental erosion can be uncomfortable and potentially hazardous to your child’s oral health, which is why prevention, early detection and adequate protection are always the best keys to health. By taking the right steps early in your child’s life (especially if your child suffers from acid reflux), you can assure your child has a better chance to live his or her life with a happy, healthy smile!

Watch out for counterfeit brushes!

In February, grocery stores and pharmacies across Ottawa were surprised to find their suppliers had been conned into buying massive shipments of fake Colgate toothbrushes, and they were supplied to the stores to be bought by general public . The brushes that were affected include the Colgate Massager, Colgate Navigator, Oral B Classic 40, Oral B Contura and Colgate 360. These toothbrushes were not made by Colgate! Canadian health officials have released the following statement: “If an imitation is suspected, consumers should stop using them immediately, as the quality, safety and effectiveness of counterfeit products cannot be assured.”

It is true that most of the burden to check for false brushes is on the back of the retailer, but it is still important to be vigilant about your toothbrush – only buy from reputable dealers (like big chain grocery stores) and if your brush looks suspicious – jagged packaging, poorly printed logos or something similar, take it back to the store from whence it came. A counterfeit toothbrush is not made to the same quality control standards as true brand-name brushes: counterfeit brushes (which usually originate in China) have been known to have bristles which fall out quickly, leading to throat irritation and, in a more extreme case, a possible choking hazard for young mouths. A toothbrush’s quality can be measured by specific features such as a well designed handle and thorough rows of columns of properly spaced tufts of end-rounded bristles.

Genuine Colgate toothbrushes will have instructions and labeling printed in English and French only, and should say “Distr. by/par: Colgate-Palmolive Canada Inc” on the packaging. In addition, the Colgate logo should be embossed into the toothbrush handle itself, just under the brush head. These counterfeit brushes have not been detected in the United States as of yet, but due to the globalization of most large corporate supply chains (including those of Proctor & Gamble, the parent company of Colgate), these brushes could easily find their way into American grocery stores and convenience shops. Be vigilant about your toothbrush purchases to ensure you are using a high quality brush – you can only clean your mouth properly with the proper tools, and a genuine toothbrush is an important one!

The economy has driven some people to extreme measures regarding dental work, even inducing people to use superglue to fix broken teeth instead of visiting the dentist. Not only is this practice ineffective in properly restoring damaged teeth, the chemical compounds found in adhesives like superglue – which are not designed or manufactured for use or placement within the body – can be dangerous and cause adverse health problems depending on the type of glue. The mouth is a core functioner within the human body, and many problems that originate in the mouth are systemic and eventually affect other aspects of your health. The same is true when it comes to abusing or not properly caring for your mouth.

Applying toxic substances like superglue to the inside of the mouth could have long-lasting systemic side effects far graver than the price of visiting your dental professional and receiving the proper dental care your mouth needs. Of course, prevention is always the best medicine for dental problems, but if they do arise, be sure to at least make a call to your dental professional and speak with someone. The problem could be more serious than you think, and fixing something early on is a healthier, less expensive treatment path than waiting until it is a bigger problem!