Protect Your Teeth Part 2

Q: Wait a minute, I thought sugar is bad for my teeth? Why did you talk about pH and acidity?
A: Sugar is still bad for your teeth, but not just because it is sugar. Sugar is bad for your teeth because you are feeding the harmful bacteria (Streptococcus mutans or S. mutans for short) that live in all those little grooves and fissures on your teeth. To show how thankful they are, the harmful bacteria use the sugar to make … acid!
Lesson: So it’s much simpler to get to the root of the problem and just recommend eating less sugar.

Q: What other foods make my mouth more acidic?
A: Carbonated drinks (soda, diet soda); energy drinks; fruits and fruit juices (lemons have pH of 2!); coffee (careful how much sugar you add to these!); alcoholic drinks; starches (potato chips).
Don’t panic! I am human too and enjoy my share of these foods, but the lesson is this: indulge less often.

A View on Money

Probably biting off more than I can chew with this post, but I think it is worth mentioning.

Money should not be a barrier to dental care.

This is true for dental emergencies (i.e. pain, infection, bleeding) and even more true when those emergencies become life-threatening.

Your health and quality of life are more important to me than making a profit, but remember I have to be able to keep the doors to my office open. Because when it comes down to it, I want to keep serving as many people as I possibly can.

Protect Your Teeth Part 1

When it comes down to it, the main thing you want to try to control is the pH in your mouth. You may or may not remember much from chemistry class, but acidic substances have a pH less than 7 and basic (or alkaline) substances have a pH greater than 7. Water has a pH very close to 7, or neutral.

Two things to remember:
1. Acid weakens or de-mineralizes enamel.
2. Takes almost an hour for your mouth to return to normal pH.

Therefore, it would be better for your teeth if you drink three cans of soda in a short amount of time instead of sipping on one can over several hours. Frequency is more important than quantity.

Be Honest

Please do not lie, leave out, or otherwise provide misinformation to anyone in the health field. We are genuinely trying to help you as best as we can and we can only do that if we have a complete history from you.

It is not a morality issue either.

For example, what you tell us can change our diagnosis and therefore your treatment. In other words, depending on how you answer my questions, it may be the difference between a typical filling or a root canal+core build up+crown. And for people with financial concerns (that’s all of us, right?), the choice may actually be between a filling and an extraction.

Misinformation also means that I will not be as [mentally] prepared for medical surprises, if they were to happen. Why would you want to possibly risk injury, infection, or possibly your life just for a dental procedure? You and I both know dentistry is important, but not more important than your safety.

Importance of Hygiene

Almost nothing in dentistry is better than what Mother Nature gave you (depends on what Mother Nature gave you, of course).

Why do I say that? Because there are always seams where dental fillings and prosthetics meet natural tooth structure (“margins”) and can microscopically harbor plaque and bacteria. These margins do not exist on natural teeth in a vast majority of mouths. Thus, you need to be even more attentive with your oral hygiene at home once you have any dental work done or have to wear any kind of dental appliance. Read: Almost nothing a dentist does prevents new cavities from starting. Or for realists: Almost everything a dentist does actually promotes decay.

Your teeth are with you 24/7, so how you clean and maintain your teeth at home is one of the biggest factors in how long dental treatment lasts. But for the sake of keeping things real you should also know this: All dental work will fail eventually.

Take home: If you are not going to spend the time you need to keep your mouth clean and free of disease, then there is no reason for me to do any work. It would be a waste of our time, energy, and money.