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Nutrition and teeth

December 22nd, 2011

Dental Health and Nutrition for Children

Diane Hanan, DDS, LLC

Choosing nutritious food is important for a strong body, a sound mind, and healthy teeth and gums. It is important to educate your children early about healthy food choices and proper dental hygiene. Parents should play a role as educators in this area and keep their pantries and refrigerators stocked with good food to make it easy for their children to make healthy choices. In some cases, this may mean changing your own habits; both in the kitchen and in the bathroom. Children look for their parents as roll models and will follow their parents’ habits.

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It is normal for bacteria to be present in our mouths. When we eat, the bacteria break down the saliva and food particles and forms a thin coating on the teeth called plaque. This plaque is loaded with bacteria which will adhere to the teeth and to the margin of the gums. The bacteria secrete acids which will cause redness, swelling and tenderness of the gums. If the plaque is not removed daily, the acids will eat away the bone which houses the teeth, cause tooth decay and result in permanent spotting of the enamel. The best way to reduce plaque is by brushing, flossing, and rinsing regularly.

I advise the children in my practice to brush in the morning after breakfast, when they come home from school after their snack, and before bedtime after their last snack. Flossing should be done at least once a day when there is more time and it is less hectic. In my house this is usually in the evening when there is more time and we are not rushing to get out the door. Rinsing with water throughout the day is beneficial. It is nearly impossible to get a child to rinse in the middle of the day at school, however, you can teach them to swish after a snack at school with their drinking water and then swallow. It is a great way to loosen and eliminate the debris that bacteria thrive on.

Certain foods provide a better environment for the bacteria to thrive, so healthy food choices are also important in plaque control. Bacteria love carbohydrates! Simple carbohydrates are easier for the bacteria to break down and thus should be limited. Simple carbohydrates such as sugar and high-fructose corn syrup are in many processed and refined foods we feed to our families. Not only do these foods create more plaque, they create wider swings in blood sugar levels, do not sustain energy levels, cause food cravings, and eventually lead to weight gain and illness.

In contrast, complex carbohydrates are high-fiber foods which are more difficult for oral bacteria to break into plaque, sustain sugar levels in the blood, aid in digestion and satisfy

cravings and reduce overeating.

Common simple carbohydrates are found in candy, soda, chips, crackers, cereals, baked goods and pasta made with white flour (cakes, cookies, bagels, pancakes, waffles, white rice, etc.). Complex carbohydrates are found in fruits, vegetables, beans, brown rice, grains, muesli, and dairy products.

The rule of thumb I use in my house is to buy as little prepared and processed foods as possible. You should buy “ingredients” and make meals at home. Since it is impossible to avoid packaged and prepared foods entirely, always look at labels of packaged foods and buys those made with whole wheat flour, grains and other complex carbohydrates and low sugar content. Avoid preservatives, artificial colors and sweeteners and do not give your children soda or sweetened beverages. Not only is this loaded with sugar and artificial sweeteners and colors, the carbonation robs the body on necessary calcium. There should be no soda in your pantry! If this means you have to stop drinking it, then do so. Your body will thank you! Juice has some nutritional content. I recommend nectars and fresh pressed juices with 100% juice content. Read the labels carefully as many juices are only 10% juice and loaded with fructose. However, juices should be limited to a small glass once a day. Water and milk should be given at all other times.

TOOTHBRUSHES

December 22nd, 2011

Looking for dental products in the pharmacy or online can be a daunting task. The choices are overwhelming. Here are some simple guidelines to go by and some of my favorite products.

The American Dental Association evaluates tooth brushes and dental products for safety so look for the ADA’s seal of Acceptance on all products. Many patients ask me, which is better, a powered toothbrush or a manual toothbrush. The answer is which ever one gets you to brush effectively for two minutes at least two times a day and will be the right size for your mouth. The size of the head is important and you may need to experiment to see which shape and size works best for your mouth.

Oral B Advantage is a great brush because it has a groove in the center and a “power tip” at the end. This makes it a great brush for most patients and wonderful for patients wearing braces. The groove fits over the brackets and the power tip shape at the end is useful at removing plaque from between the brackets. This brush also comes in a “sensitive” bristle which is softer than “soft”. This is good for people with recession or those who tend to brush too aggressively. Butler Technique toothbrush is similar to the Advantage in its bristle and handle design.

Butler has a wonderful assortment of brushes for youths. Their toddler brush, Parent’s Brush, is wonderful because it has a long handle to help parents reach all of their toddler’s dental surfaces and it has a small cushioned head and soft bristles for optimum comfort. Their Crayola Timer Light Toothbrush has a 60 second LED light which flashes and motivates longer brushing periods. It has a narrow, soft, tapered head which is good for 4-11 year olds. It is appealing aesthetically to children and has a suction cup at the end so that it stands on the counter and can dry out easily. Butler also has a series of proxabrushes which are great for kids with braces. Their Traveler Interdental Brush is one of my favorites as well as their Softpicks.

Electric Toothbrushes

There are so many on the market but here are a few of my favorites.

Oral B SmartSeries 4000 is an expensive professional level brush. I like the gentle rotation of the head which has triple action technology. This simply means that it rotates, oscillates and pulses. More surface area is being reached in the same amount of time as other brushes therefore it is cleaning more effectively. It has other bells and whistles such as a built-in 2 minute timer and a pressure sensor. This is great since so many people over work their electric toothbrushes and push too hard, which ultimately causes abrasion to the roots of the teeth. The Triumph is the older model and also quite good.

Sonicare FlexCare is also a professional level brush. This is a great brush and is gentler than previous Sonicare models, however, with all electric brushes, it is important to guide the brush. Do not push too hard and do not use a scrubbing motion. You can cause root abrasion. The head on this brush is quite comfortable in the mouth with its back and forth vibration. If you need a compact head, it is available. This is ideal for people with wisdom teeth or small mouths. This model also has a built-in two minute timer.

There are also some great inexpensive electric/battery operated brush options. The Oral-B Vitality, moves in only one direction, oscillating, and therefore is not as powerful as the Smartseries, however, it can be more effective and motivating than a manual toothbrush and at a fraction of the cost of the Smartseries. It is rechargeable; however, the battery does wear out. The Arm and Hammer Spinbrush Pro Clean is an inexpensive brush which has dual action, spinning and side-to-side movements. It runs on two AA batteries and is quite affordable.

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August 12th, 2011

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