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THE MESSAGE Periodontal disease is linked to other disease The relationship between periodontal disease – a chronic bacterial infection of the teeth, gums and supporting bones – and other illnesses, has long been studied. “The Universities of Toronto and Western Ontario have uncovered links with cardiovascular disease, diabetes, low birth weight and pre-term delivery in pregnant women,” says Dr. Lynn Tomkins, President of the Ontario Dental Association. While we don’t fully understand how one influences the other, “the by-products of this serious and insidious inflammation are circulated through the bloodstream, causing other problems,” she says. A recent study at New York University has found a correlational link between periodontal disease and Alzheimer’s; those with periodontal inflammation were at increased risk of lower cognitive function. “There is some thought that the inflammation in the mouth can somehow cause inflammation in the brain,” Veisman says.
THE LESSON Only your dentist can diagnose periodontal disease; although it may appear similar, it is far more serious than gingivitis (mild inflammation of the gums), Tomkins says. For patients with diabetes or heart conditions, Veisman advises visits every three to four months. “And of course, you have to be vigilant in keeping the mouth extremely clean,” she says.
THE MESSAGE Stress affects the mouth Most people are unaware of their teeth grinding (also known as bruxism) until their sleeping partner reports hearing that characteristic sound at night. While stress – and grinding – may come and go, it can have a lasting effect on teeth: wear patterns over the biting surfaces, chipping and cracks in the enamel are signs only your dentist will see. Grinders may notice an unexplained sore jaw or earache. The solution: to stop the grinding, which can only be achieved with a night guard. “It cushions jaw joints and protects the enamel from further breakdown,” Veisman says. Just be sure it’s customized by your dentist, Tomkins warns – a poor fit may cause teeth to shift.
THE LESSON If your dentist suspects grinding, your jaw is sore or your spouse just can’t take it anymore, consider a night guard. It’s also important to address your stress, by including exercise, relaxation and meditation.
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THE MESSAGE Acid tests the teeth The protective enamel coating on our teeth is formed between birth and age 16. “After that, it’s subject to the insults we deliver – stress, grinding and acidic food and drinks,” Tomkins says. Acid erosion is starting to show up in younger patients, says Veisman. She wonders if new diets, bad habits or acidic drinks like juice, pop and coffee are to blame. “When I think about those sugary coffee drinks, it’s like a double whammy,” she says. “You’re getting plaque-inducing sugar from the flavoured syrup and acid from the coffee.” Acid wear causes sensitivity in the short-term and may put teeth at risk for greater damage.
THE LESSON While it’s impossible to completely avoid acidic food and drinks, there are a few tricks to minimize its damaging effects: avoid brushing teeth for at least 20 minutes after acidic offenders like coffee and citrus fruit. “Otherwise you’re accelerating the damage by rubbing the acid directly into the teeth,” Tomkins says. Instead, rinse the mouth with water. “In Italy, they always serve espresso with a glass of water – they must know something,” Veisman says.
THE MESSAGE Good food makes good teeth From childhood on, we’re warned about the foods that can cause dreaded cavities, but isn’t it nice to know about the foods that keep our teeth healthy and strong? These include milk, cheese and yogourt, for the calcium to maintain the bones that form the structure of the mouth. “Probiotics in yogourt can also help to keep a balance of good bacteria in the mouth,” says Veisman. Omega 3 healthy fats in flaxseeds, walnuts, sardines and salmon have proven anti-inflammatory benefits and can help keep bacteria in check too. Crunchy fruit and veggies like apples and carrots are naturally cleansing, plus the action of chewing them increases saliva production, which helps to flush away bacteria – and as a bonus, they’re high in antioxidant Vitamin C. And last but not least: red wine. Italian researchers have found that certain antioxidants in grape skins can actually prevent bacteria from sticking to teeth. “This isn’t an excuse to use red wine as mouthwash,” Veisman says. “It’s fine in moderation but keep in mind that it’s also very staining.”
THE LESSON A healthy, moderate diet is key to keeping the whole body healthy, mouth included. Don’t forget that drinking plenty of water and chewing sugarless gum can also help keep teeth clean and breath fresh. H&L |