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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.

How Do You Prevent Heart Disease? (vitamin D might not help, but there’s plenty you can do)

We all have one ... let's keep it beating.

We all have one … let’s keep it beating.

Recently one of my favorite bloggers, Ferrett Steinmetz, had some chest pain, and as a precautionary measure went to the ER to get checked out. His initial tests came back normal, but the chest pain continued, and his blood work showed abnormal results. Ferrett had experienced a heart attack, and was immediately scheduled for surgery.

It got me thinking about heart disease.

Heart disease is incredibly common. It’s the leading cause of death in the United States.

So what can we do to prevent it?

How To Get a Good Night’s Sleep (7 suggestions, and a map)

The real sleep experts.

The real sleep experts.

Hello readers! Sorry for the lengthy absence — I went on vacation for awhile, and have been nose-to-the-grindstone on various projects since I returned.

The vacation was a blast — five families went in on a mansion rental in Truckee and we all played around in the snow. Five families under one roof leads to some interesting conversations — both frivolous and serious. One topic that came up a few times was sleep. Not everyone was getting some. Why is it that so many adults sleep poorly? In our case maybe it was the copious amounts of booze being consumed, but even teetotalers sometimes sleep poorly.

Chronic sleep deprivation is one of the worst states of consciousness. Insomniacs are wide awake at night, groggy and irritable during the day, and miserable most of the time.

Insomnia can be triggered by any of the following:

All Your Guts Are Belong To Us (What's Your Enterotype?)

Your intestines circa 1900.

A recent study published in Nature and noted in the New York Times has discovered the intestinal ecosystems of human beings fall into distinct types.  While we all host many different varieties of bacteria, our guts are apparently dominated by one particular type, or family, of microbes, while other varieties are less abundant.

For example, what the study calls Enterotype 1 consists primarily of Bacteroides, while Enterotype 2 hosts high levels of bacteria from the genus Prevotella.

Different bacteria “do” different things in the intestines.  For example, the Type 2 bacteria synthesize enzymes that produce vitamin B1 (thiamine).  Type 1 synthesizes enzymes that produce vitamin B7 (biotin).  I would speculate that other vitamins that are synthesized in the gut, such as vitamin K2, are also produced at differing rates by different enterotypes.

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