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Tag: dental health

Improving Gum Health — Commit to a System

About a year ago my OralB 3D electric toothbrush died. I went to the store intending to get a new electric toothbrush several times, but each time I was put off by both price and the sheer number of options available. I decided to just use a regular toothbrush for awhile and see how it went.

Well, it didn’t go well. After six months or so using a regular soft bristle toothbrush (twice a day, with reasonably good brushing technique), I got bad marks from the dental hygienist. My tooth enamel was hard and I didn’t have any cavities (previous adjustments to my home care routine were still working in this regard), but she accused me of not flossing (even though I’d been flossing daily), and noted that my gums had bled slightly during cleaning. I had some deeper pockets around some of my molars that indicated gingivitis and a risk of periodontitis. Also, the cleaning process itself was uncomfortable, which indicated some sensitivity and inflammation. I was surprised by this — I hadn’t noticed any gum bleeding when I was flossing, my gums looked healthy (at least the parts I could easily see in the mirror), and I hadn’t had any pain or discomfort. But I believed my dentist and I found the news to be alarming.

I know that sub-par gum health is bad thing. Gum inflammation and gum disease are associated with heart disease, and some studies indicate that gum disease may actually cause heart disease. I’ve probably mentioned this a dozen times on this blog.

So I knew I needed to make a change. The day after that dental visit, I bought a Sonicare toothbrush and a Waterpik, and instituted the following program:

1. Brush with Sonicare first thing in the morning, before eating or drinking anything. Mouth pH is neutral at this point so enamel is not disturbed by brushing. Also any plaque accumulated over night is not injected into bloodstream by eating.

2. Floss and use Waterpik after breakfast. Also clean tongue with copper tongue cleaner.

3. Quick brush with regular soft bristle toothbrush 20+ minutes after lunch.

4. Before bed: floss, thoroughly brush with Sonicare, and rinse with mouthwash (fluoride and/or antiseptic). Several times a week gently clean between teeth and along gum line with Stim-U-Dent plaque remover (basically a big blunt toothpick).

I found the new routine easy to stick to. It took a couple extra minutes each day, but I rationalized this easily in terms of the prospects of improved longevity. Time spent caring for your teeth and gums is similar to time spent walking; it adds at least that much time to your lifespan. Dental hygiene time is free time!

After only a week I noticed that when I cleaned my teeth with the Stim-U-Dent (toothpick) I was hardly getting any plaque. The Sonicare product seemed to be doing an excellent job of keep my teeth clean, especially along the gum line.

Last week, somewhat reluctantly, I showed up for my dental cleaning and exam. My mood improved when my hygienist noted that my gums looked great, the pockets had reduced in size (my gums had tightened up), and there was no bleeding during cleaning. There was hardly any accumulated plaque on my teeth. Also, the cleaning process itself was not uncomfortable, and at times even oddly pleasant. Four months of the new system had worked.

Commit to a System

The experience strengthened my conviction that creating and implementing systems is a key aspect of maintaining good health. Sometimes to get the same result (healthy teeth and gums) it’s necessary to step up the system. What worked before may no longer be sufficient. Unfortunately, that’s just part of aging. The good news is that a few extra minutes of the right kind of daily maintenance can restore your health to a level as good as or even superior to what you experienced in your carefree youth (and if you’re young, you can prevent health problems and save a ton of money on health and dental care by implementing good systems early in life).

Ten years ago I was asthmatic, had a 32 inch waist, was prone to severe mood swings. Today, at age 45, I breathe easily (vitamin D, fish oil, paleo-ish diet), have a 29 inch waist (lower carbs, better sleep), and feel happy and motivated on most days (exercise, turmeric, life purpose). Poor health can be reversed, and many symptoms attributed to “aging” may in fact be simply due to substandard maintenance routines.

Commit to a system that works for you, and get healthy. Don’t accept poor health. If you need help getting pointed in the right direction, or have a story to share, feel free to comment below.

Follow-up to "Watch and Wait" Approach to Two Small Cavities

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What happens when you ignore your dentist’s advice?

Back in April I wrote about my decision to take a “watch and wait” approach with two small cavities that my dentist recommended getting filled. My plan was to follow a home treatment plan including dental hygiene, nutrition, and supplements. This is a follow-up post to fill you in on the results.

Compliance

I did a decent but imperfect job in terms of complying with my own home treatment plan. I intended to do a fluoride rinse three times a week, but I slacked off over time, probably averaging only once a week. In most other areas I did well, including taking supplements on a regular basis (vitamin D, vitamin K2, magnesium), and eating foods rich in calcium and vitamin A. I modified my diet to include more vegetables and somewhat less protein (I still eat meat, but my diet would probably be better described as “low-grain Mediterranean” rather than “paleo”). I continued to not drink soda, which as far as I can tell is the most destructive and dangerous habit in terms of dental health (I could link to pictures of “soda teeth” but I will spare you the gore). I continued to brush at least twice a day and floss at least once a day. I chewed xylitol gum on most days.

Results

On my most recent visit to the dentist, my dentist observed that one area where the enamel had been soft had hardened up, and she no longer recommended drilling and filling that tooth. The other small cavity, though apparently not worse, had not improved. Otherwise, my teeth and gums were in great shape.

At this point I will take her recommendation and get the one cavity filled.

Takeaway

I’ll continue with my home treatment plan, as it seems to be doing some good in terms of dental health. I’m glad I took the watch and wait approach, as it seems to have saved me some money, done no harm, and saved a tooth from being drilled.

Advice

If your dentist says you have a cavity, ask for details. How big is it? Is there any chance that the enamel could harden up over time with good dental hygiene, home fluoride rinse treatment, and excellent nutrition? Within private healthcare systems, it’s not in your dentist’s financial interest to recommend delaying treatment, so they may not present this as an option. Dentists may also be reluctant to recommend delaying treatment of observable cavities because of their training, and/or the expectations of their patients.

Remember that the final decision is yours (as well as the ultimate responsibility for your dental health).

Why I Am Taking a "Watch and Wait" Approach re: Two Small Cavities

In the kisser!

In the kisser!

Recently I went to my new dentist in Oakland. While going to the dentist is rarely much fun, everyone at this office is friendly and professional, and you get good dental advice with very little guilt-tripping. They are also amenable to my treatment preferences, such as getting X-rays every two years instead of every year.

My dentist pointed out two small cavities while I was there. She showed me the cavities with a small mirror, and also had me listen to the sound of metal pick touching my teeth. “Clanking” is good, indicating the enamel is hard. When the instruments sticks and doesn’t clank around, that can indicate the enamel is soft.

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