A-Z dental care Articles

  • Tooth Decay: 12 Tips That Help

    While we have all heard our dentists lecture us about the importance of proper oral healthcare, many of us often don’t think much more about the subject. Even fewer of us actually consider our oral health to be integral to the health of our entire body. The truth is: our oral health affects our digestive health and the immune function throughout our bodies. Our mouth is the entrance to our entire digestive tract, and that’s where over 70% of our immune system lives. From this, we can easily see why these tips for our oral health are essential to our overall wellbeing. Not to mention how having an attractive smile can boost your mental health and wellbeing and give you a sense of confidence.

    How Can I Boost My Oral Health?

    1. Mouth

    Each of our mouths is like a miniature living ecosystem. Our gums, tongue, mouth walls and cheeks are all living tissue, and believe it or not – so are your teeth! Although we are all raised thinking of our teeth like inanimate bone, they are actually complex living tissue. Keeping the mouth environment healthy and balanced is the most important thing that you can do for your oral health.

    2. Teeth

    Each tooth contains several complex and dynamic layers. The enamel forms the outer layer above the gum line. Hydroxyapatite crystals make up enamel, much like bones. Cementum forms the outer root layer below the gum line. Mineralized collagen tissue makes up cementum. The pulp forms the innermost tooth layer. Blood vessels, living cells, and nerves make up the pulp. Between the hard shell layers and the inner pulp lies the dentin, which is a dense network of mineralized tubules that allow for nutrient transport from the pulp to the enamel. These are the tubules that can transmit temperature and chemical changes in the mouth to the nerves in the pulp when they are exposed in areas where the enamel is worn too thin, resulting in tooth sensitivity.

    3. Thinning Enamel

    The enamel layer turns over throughout the day and exchanges minerals with our saliva, depending on the surrounding pH. In acidic saliva, the enamel loses minerals and weakens, while basic saliva can allow the repair of the enamel. When the enamel becomes thinned, it can allow for transmission of temperature and chemicals through the dentin to the nerves of the pulp, causing sensitive teeth. As the enamel continues to erode away, it allows for erosion of the dentin, which then requires dental repair like a filling. Once the enamel is worn away, it can no longer be repaired. Fillings are meant to replace the protective layer over the dentin to prevent erosion into the inner tooth. If the erosion continues into the pulp layer, it can result in an abscess or infection that can require a root canal. In a root canal, the dentist will drill out the pulp, killing the tooth and filling it with inanimate amalgam material.

    4. Gums

    The roots of our teeth are set into our jawbones and held in place by strong connective fibrous ligaments. These are all surrounded by soft tissue, which helps to protect the bones and hold the teeth in place. All of this tissue is referred to as our gums. This is the tissue that allows our immune system to protect and defend our teeth. Much like our other body tissues, our gums require certain nutrients to stay healthy.

    Between the gums and the teeth, there are small gaps where food and bacteria can lodge and cause irritation, which is why frequent flossing is so important to help keep these areas clear.

    Bacteria growth irritates the gums and causes them to pull away from the teeth. This process enlarges pockets and creates receding gums. This damage can lead to gingivitis and periodontitis. Researchers have linked these conditions to:

    • Premature Births
    • IBS
    • Cardiovascular Issues

    The gums are quite thin, and any breaks can allow for penetration of bacteria and chemicals directly into the bloodstream. Thus, it is essential to maintain gum health to help protect the body against toxicity and infection.

    5. Saliva

    Although we often take our spit for granted, it plays a huge role in our health! Saliva contains the first enzymes of digestion, allowing us to cleave certain starch bonds and break them down into simple sugars. It also contains antibodies that help to protect us against infections that enter through the mouth. The pH of our saliva has a huge effect on our health as well. Our saliva contains minerals that can help to repair our enamel. When our saliva is acidic, it actually draws minerals out of our enamel, which weakens the structure of our teeth. When our saliva is neutral (pH 7), it can help to reverse this process and repair damaged enamel. Yes, you heard that correctly: changing your pH can help to protect your teeth, and even reverse early cavities! Staying well hydrated during the day and avoiding mouth breathing (see our Snoring article) at night can help to maintain sufficient saliva in the mouth to help protect the teeth.

    6. Cavities and Bacteria

    Bacteria that can colonize the human body enjoy warm, moist environments. This makes your mouth an ideal place to be! Given the right environment, these bacteria can create a biofilm that coats the teeth and makes them resistant to removal. When given sugar, bacteria quickly use it for growth and create acidic waste products. This waste can create an acidic environment around your tooth that results in enamel loss. As the bacteria die off and reproduce, they create tartar along the teeth, which can become mineralized by saliva and create calculus. This calculus prevents the saliva from properly performing its protective function. Removing food debris, cleaning the teeth of tartar before it is mineralized, and changing the diet can quickly reduce the ability of bacteria to grow in your mouth.

    7. Mercury Amalgams

    If you have silver coloured fillings in your mouth, chances are that they contain mercury. Sadly, many dentists are still using mercury amalgams as a cheap filling alternative. In Sweden, these were outlawed in 2008, but North America hasn’t caught up yet. Research has shown that these fillings off-gas mercury as we chew, particularly when chewing gum. Whether the amount released is detrimental is a point of contention in the dental community. No matter what, mercury is a known toxin that can disrupt nervous function and eventually cause brain damage. Exposures accumulate in our bodies over time, making the effects cumulative. Because of this, many holistic dentists will offer safe mercury amalgam removal and replacement with benign white dental amalgams. If you choose to do this, be sure to research the process they are using to make sure that you will not be exposed to more mercury with the removal than by just leaving them in your mouth.

    8. Maintaining pH

    One of the most important factors influencing oral health is the pH of our mouth environment. Saliva pH is directly influenced by acid-base balance in the body. Eating a diet rich in fruits and vegetables, and avoiding excess animal products, is the fastest way to change your body’s chemistry. Rinsing the mouth with salt water can also help to quickly return the pH to more balanced levels.

    9. Flossing

    I put this paragraph before brushing because most of us are much better at being disciplined with brushing than we are with flossing. I can’t count the number of sheepish admissions I’ve made over the years at my dentist’s office, followed by a week or two of guilt flossing that eventually fades out. After researching more about this, my habits changed; Flossing is as important, if not more important, than brushing. Getting those areas between your teeth and into the pockets in the gums helps to prevent the accumulation of food debris and bacteria that cause gum disease and increase your risk for health concerns. Getting into the habit of flossing after every meal, or even just daily, can significantly reduce your risk of gum disease and help to protect your overall health. Don’t worry if your gums bleed the first few times; this is actually a sign that your gums are irritated and you need to floss more often. After 2-3 days, the bleeding will stop.

    10. Brushing Your Teeth

    Most people learn early how important regular tooth brushing is. Brushing removes food debris and reduces excess mouth bacteria. Many commercial toothpastes contain chemicals that may affect health. Brushing after meals can help protect oral health. Wait before brushing after sugary or acidic meals. Saliva needs time to clear sugars and balance pH levels. This process helps enamel remineralize before brushing. Be sure to use a soft toothbrush and gently brush each tooth in a sweeping motion starting at the gums and brushing away (downwards on the upper teeth and upwards on the lower teeth).

    11. Tongue Cleaning and Mouthwash

    One of the major reservoirs of bacteria and food debris is our tongue. Being sure to clean the tongue properly either with your toothbrush or with a tongue scraper can significantly reduce the buildup of bacteria in your mouth. It is also a great way to keep your breath fresh and reduce halitosis. Using alcohol based mouth washes can actually damage the gums and contribute to recession. Instead, try rinsing with saltwater to neutralize pH and help kill bacteria. Goldenseal, sage and thyme can be made into teas and used as an antibacterial mouthwash.

    12. Diet and Lifestyle

    It won’t come as a shock to any of you that your diet affects the health of your entire body, and this includes your oral health. Eating processed foods high in refined sugars makes for quick and efficient food for the bacteria in your mouth. It also does not provide your body with sufficient nutrients to maintain the health of your mouth and teeth. Sugar-laden and acidic foods can contribute to enamel loss, as can chewable vitamin C tablets. Eating a diet rich in fruits and vegetables can provide these nutrients and help to keep the body alkaline, which in turn keeps the saliva at a healthy pH. Raw crunchy foods like apples and carrots can naturally clean the teeth as you chew. Drinking plenty of water helps the body to produce sufficient saliva to coat and protect the teeth. Stress and hormonal imbalances both contribute to poor oral health as well. Living a healthy lifestyle and taking care of your entire body is a great way to improve your oral health. Having a radiant smile will go very well with your glowing skin and healthy hair and nails, among other wonderful side effects!

  • Toothpaste: Natural vs Commercial

    As kids, many of us have learned the importance of brushing regularly can be to your oral health. It removes food debris and helps to kill excess bacteria in the mouth. This also helps to maintain the overall health of our entire body. Unfortunately, many commercial toothpastes are full of chemicals that can actually harm us, but fortunately, there are natural toothpaste options available. 

    The Importance of Brushing

    Brushing after each meal can help to protect your health. But, it's best to wait some time after sugary or acidic meals to allow the saliva to clear away excess sugar and neutralize the pH as much as possible before brushing, to be sure that the enamel can remineralize and not be lost with brushing. 

    Be sure to use a soft toothbrush and gently brush each tooth in a sweeping motion, starting at the gums and brushing away (downwards on the upper teeth and upwards on the lower teeth).

    Cavities and Bacteria

    Bacteria that colonize the human body enjoy warm and moist environments. This makes your mouth an ideal place for them to be! Given the right environment, these bacteria can form a biofilm that coats the teeth and erodes the enamel. When given sugar, bacteria quickly use it for growth and create acidic waste products. This waste creates an acidic environment around your tooth, resulting in enamel loss.  As the bacteria die off and reproduce, they create tartar along the teeth, which can become mineralized by saliva and create plaque. Tartar and plaque prevent the saliva from performing its protective function.  Removing food debris, cleaning the teeth of tartar before it is mineralized, and changing the diet can quickly change the ability of bacteria to grow in your mouth. Once plaque forms, your dentist may have to remove it with sharp scraping instruments.

    Fresh Breath

    Believe it or not, bad breath is a sign from your body that something isn’t quite right. It can be a sign of poor dental hygiene, but can also be caused by toxicity, infections, constipation, organ diseases and stress. 

    Maintaining good oral health is the first step towards fresh breath, because it removes old food particles and reduces the presence of stinky bacteria. Gargling with salt water and rinsing the mouth with diluted food-grade essential oils can also have a significant impact on bad breath. If none of these interventions help, be sure to visit your healthcare practitioner to see what else might be going on, and to rule out more serious health conditions.

    Sensitive Teeth

    Many toothpaste products advertise their ability to reduce sensitivity. Interestingly, sensitive teeth are actually caused by a thinning of the enamel that exposes the tubules in our inner dentin. This allows temperature and chemical changes from the mouth cavity to be transmitted directly to the nerves in the pulp of our tooth. Sensitivity toothpastes contain an anesthetic that enters the dentin tubules and blocks the nerve; this actually only masks the true problem. The only way to permanently cure sensitivity is to repair the enamel coating and reseal the dentin once more.

    Natural Tooth Whitening

    People pay hundreds of dollars to whiten teeth with harsh chemicals like bleach and peroxide. This can actually damage the gums and create future erosion and damaged teeth.  Believe it or not, your teeth are actually reflecting your inner health. Yellowing of the teeth is a sign that your inner health is not ideal. The enamel layer on our teeth is clear like glass, so the colour of our teeth comes from the dentin layer.  Maintaining healthy dentin comes from a balanced diet and proper oral care.

    Natural vs Commercial Toothpaste

    Chemicals Found in Commercial Toothpastes

    Commercial toothpastes often contain chemicals that should not be put into our bodies. The gums are quite thin, and it doesn’t take a large break in integrity or a cut to allow for the passage of bacteria and chemicals directly into the bloodstream. Even without cuts, the skin in the mouth allows for very quick absorption, particularly under the tongue.  Some medications, like nitroglycerin, will be given sublingually (under the tongue) for this exact reason. Because of this, it is essential to be cautious about what chemicals you use in your mouth. Many toothpaste containers will actually state that their contents should not be swallowed and should be spit out after use. If you wouldn’t eat it, you may want to reconsider brushing your teeth with it. In fact, if small children accidentally eat fluoridated toothpaste, it can be fatally toxic; toothpaste ingestion in children is an emergency, and you should contact your local poison control centre immediately.

    Fluoride

    This chemical is used to help strengthen tooth enamel by creating stronger mineral bonds. Topical use of fluoride has been clinically shown to reduce the risk of cavities. Unfortunately, high levels of fluoride intake can cause fluorosis, which damages teeth and bones. Excess fluoride use has also been associated with bone cancer and reduced IQ in children. Further research is required to be sure of causality in these associations.

    Sodium Lauryl Sulphate

    One of the main foaming agents in toothpaste is sodium lauryl sulphate (SLS). It creates the familiar lather of toothpaste, but it isn’t actually useful for removing plaque. Actually, this chemical is a known carcinogen that easily penetrates the skin and gums. In fact, it actually increases skin permeability (around 100x) to other chemicals in the toothpaste. It has also been found to last in the body for up to 5 days after use. Sodium lauryl sulphate has been gaining visibility in popular culture for its negative effects, and some manufacturers are removing it from their products. You can check the ingredient list on your toothpaste to see if it still contains SLS.

    Triclosan

    This chemical is commonly added to personal hygiene products for its antibacterial and antifungal properties. In 2012, Health Canada declared that:

    “Triclosan is not harmful to human health, but in significant amounts can cause harm to the environment.”

    Because of this, many manufacturers are removing this chemical from their formulas. Be sure to check your toothpaste to see if yours is protecting the environment. 

    Other Chemicals in Toothpaste

    The list of chemicals in commercial toothpastes is long, but here are some of the more common ones that may be detrimental. Glycerin coats the teeth and prevents the saliva from properly reaching the teeth, protecting them from bacteria. Propylene glycol is an ingredient commonly known as antifreeze. Ingestion should be avoided. Some toothpastes will also contain formaldehyde, the same chemical used to preserve cadavers for your high school biology labs.

    Natural Toothpaste Options

    Obviously, reviewing these contents can be frightening to say the least. Unfortunately, in today’s chemical-ridden culture, it is important to stay informed and read the labels on your personal hygiene products. There are a number of natural toothpaste products that can provide all of the benefits to oral hygiene without the risks to your health.

    Flavoured With Essential Oils

    One of the most common ingredients for natural toothpastes and tooth serums is food-grade essential oils. These oils can be directly antimicrobial and also have stimulating and healing effects on the gums and the enamel.  Some popular ones are:

    • Cinnamon
    • Clove
    • Oregano 
    • Peppermint
    • Tea Tree
    • Thyme

    Herbs and Extracts

    Often, herbs and extracts will also be used, such as neem for its antibacterial effects and mastic gum for its ability to remove plaque and stimulate local white blood cells. Natural tooth care will often also contain salt in some form to help balance the pH and as an additional antimicrobial influence.

    Xylitol

    Many natural tooth care products (pastes and gums) will include xylitol in their ingredient list.  Interestingly, xylitol is a natural sugar alcohol found in the fibre of a variety of fruits and vegetables. It cannot be properly metabolized by bacteria in the mouth, and also blocks the binding of other sugars to the same surface (except fructose). This allows xylitol to starve out bacteria in the mouth and thus protects the gums and enamel. Xylitol is, however, toxic to pets, so keep products containing this ingredient away from their reach.

    Calcium Carbonate and RDA

    This abrasive can be beneficial to help remove tartar and bacteria, but depending on its source, it can also be excessively abrasive and actually damage tooth enamel. Calcium carbonate can often be found in both commercial chemical and natural toothpaste options. Be sure to use a brand that you trust, or check your toothpaste’s RDA (Relative Dentin Abrasive) value to be sure that you are not damaging your teeth.  Numbers less than 100 are regarded as safe, and less than 70 is preferred. If it is not listed, you may contact the manufacturer for more information.

    Switching to Natural Toothpaste

    Moving away from fluoridated and chemical toothpaste can be very strange at first. Many have grown up with foaming toothpaste that fills our mouths with a strong minty flavour. Often, natural toothpaste will have very little foaming action and can taste of essential oils that will be different from our “norm”. But most report that switching over is only strange for the first few days, after which you won’t really care about the difference anymore. When you combine these natural products with a healing gum serum and other natural oral health support, you will quickly adapt to your newfound routine. The benefit to your overall health will continue for the rest of your life.

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