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Tuesday, November, 24, 2009
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Our Dental Alarm Bell

David Mendosa
David Mendosa
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Medical Journalist Living with Diabetes and Author of Fitness and Photography for Fun, www.mendosa.com/fitnessblog

After earning a B.A. with honors from the University of California,...

David Mendosa

Sunday, July 12, 2009
View All of David Mendosa's Posts
  Dental disease is a wake-up call that your diet is harming your body, concludes Dr. Philippe P. Hujoel. He reviewed the two hypotheses about whether or not dental disease is a warning that we are headed toward chronic system illness. After examining all the evidence, he concludes that it is. ...
  1. and what about Mercury???
    BoulderDiabetic
    Monday, July 13, 2009 at 12:04 AM

    David, 

     

    I attended a talk yesterday by a naturopathic doctor who reminded me/us of the potential problems and possible links to serious disease related to the mercury in the amalgam fillings we all have in our mouthes. I wonder if your sources for this article have any comments about mercury and diabetes? 

    Reply
    re: and what about Mercury???
    David Mendosa
    Monday, July 13, 2009 at 08:21 AM

    Dear Barry,

     

    This has been a long-standing controversy with many dentists coming down on either side of the question. Now, however, with better material mercury isn't used as often as before. Consquently, the mercury fillings that we have in our mouths are the ones that have been there for years, and after years of use they begin to break down. That's why my dentist removed the last mercury filling in my mouth last year.

     

    Best regards,

     

    David

    Reply
    re: and what about Mercury???
    Dr. Frank Varon
    Monday, July 13, 2009 at 11:50 PM

    Anyone saying that mercury leaks from dental amalgam is ignoring the decades of NIH research into the topic.  It has been used as a scare tactic for patients to accept dental care options that is unwarranted.  Several dentists have lost there license to practice because they had been telling patients this ruse.  Would you want someone to tell you that you would cure your diabetes by subscribing to there treatment without any scientific evidence proving that point?

    Reply
  2. Nice to see dentists considering this issue
    Steve Parker, M.D.
    Friday, July 31, 2009 at 07:57 PM

    I read Dr. Hujoel's article a few days ago.  He is very persuasive.  I recently completed a comprehensive review of Ancel Keys lipid-heart hypothesis, and found it lacking in good supportive evidence some 45 years after he proposed it.

     

    Interestingly, the competing carbohydrate theory also was proposed in the 1960s and '70s.

     

    Thanks for the personal tidbits from Dr. Hujoel.  I'll refer my blog readers to you when I write about Hujoel's article in about a week. 

     

    -Steve

    -www.diabeticmediterraneandiet.com

    Reply
    re: Nice to see dentists considering this issue
    David Mendosa
    Friday, July 31, 2009 at 08:45 PM

    Dear Dr. Parker,

     

    Thank you. And keep up the good work.

     

    BTW, where do you practice?

     

    Best regards,

     

    David

    Reply
    re: re: Nice to see dentists considering this issue
    Steve Parker, M.D.
    Saturday, August 01, 2009 at 01:01 AM

    I'm a hospitalist in the Phoenix Metropolitan Area for the last eight years.  Had an internal medicine office in Pensacola, FL, before that, but Medicare didn't pay me enough to keep it running.

    Reply
    re: re: re: Nice to see dentists considering this issue
    David Mendosa
    Saturday, August 01, 2009 at 08:11 AM

    Dear Dr. Parker,

     

    Thanks for getting back to me. I had been hoping that I could refer patients to an M.D. who really understood nutrition!

     

    Best regards,

     

    David

    Reply
  3. Dental care
    Dental Care Advocate
    Monday, August 24, 2009 at 08:28 PM

    Note: I am neither a dentist or associated with any dental/medical profession nor am I associated financially with any of the product mentioned herein. My comment below is based my personal expirence and as such, to be read for informational purposes only. Please see your dentist should you have any questions or concerns prior to implementing any changes to your home dental hygiene.

    Hi David,
     
    Hope all is well. I see you're keeping up the hiking and photography; both admirable pursuits!
     
    Although I am not diabetic(yet), I do have signs of pre-diabetes (at age 55) and I am at high risk due to diabetes being on both sides of my family going back 2 generations that I know of. That is why I follow your website/newsletter and hope to put off what may be the inevitable for me. Please note that I have also reduced my intake of flour and sugar based food items and increased my intake of lower glycemic food items as well.
     
    Because of the success I've had in improving my dental care and improving my overall oral hygiene over the past 4 years(and reducing my dental expenses), I wanted to share my experiences with you and your readers with the hope that maybe others might benefit from them as well.
     
    In the past, I did brush twice a day and flossed regularly, as recommended by just about everyone connected with dentistry. I also purchased electric tooth brushes (the non-rotating models), oral irrigators and used them regularly along with various mouth washes that had advertised "fights gingivitis" among other things.

    Unfortunately, none of this kept plaque from building up on my teeth, to the point that the person doing my teeth cleaning asked me if I used floss at all. I was then scheduled for deep cleaning due to redness and irritation caused by plaque under my gums.

    My dentist pointed out that eating carbs provide the perfect environment for the development of all my dental problems and that fight plaque is an ongoing process since the bacteria causing the plaque are always present in the mouth. He went on to say that the best we can do is interrupt the process as often as possible to prevent the associated problems. I also heard a guest on the Oprah show state that brushing within 20 minutes of eating is one of the best ways to interrupt the formation of plaque.
     
    After this cleaning session, (which really bothered me, by the way), I was determined to do everything in my power to improve my oral hygiene and never have someone ask me "Don't you floss?"
     
    To make a long story short, the process that I use to keep my teeth free of visible plaque, eliminate bad breath and that returned my gums to a baby pink color is as follows:
     
    1. Gum Proxabrush for use between the teeth. .
    2. Oral B "Braun" high speed rotating tooth brush (along with Crest Pro-Health toothpaste) . http://www.oralb.com/en-UK/products/default.aspx#f=0_0-1_0_0&overlay=&s=&rd=
    3. WaterPik electric flosser http://www.nydentalstore.com/waterpik-flw310-flosser.html
    4. Regular floss.
    5. Metal dental pick (question mark shaped end) use gentley.
    6. Oral B again with a bit of toothpaste (about 30secs) to brush tongue, polish teeth and clean up anything left over from the other steps. The Oral B that I purchased came with a polishing head.
    7. Mouthwash (Crest Pro-health)
    8. Dental mirror examination to verify all is well.
     
    Notes:
    1. IMO, the Oral B does more work in two minutes than anyone can do manually and in my experience, does a better job than the vertical motion tooth brushes. I suggest that one also be kept at work as well so your readers can brush/floss after lunch.
     
    2. The WaterPik in NOT an oral irrigator. It uses thin, flexible tips and vibrates. It is advertised to be used between the teeth. I found that the tips are so thin that it can easily go under the gum line.

    Thus, I discovered my secret weapon to fight  gum disease and red, puffy gums. It does take practice to use the WaterPik in the way I use it. I insert it under the gum line near the edge of a tooth and then push it into the gum and drag it slowly out and kind a turn the handle so the tip follows the gum line all the way around the tooth to the other side where I push it in again. It took me awhile to get this down. It's also a bit awkward to use on the back teeth but, with practice, it's doable.
     
    When I first used it, many specs of white plaque were dislodged. My gums bled terribly and were ultrasensative.  If I waited to brush before going to bed, I would definitely be awake after using the WaterPik. I persevered for many months and began to seem improvement. The redness and puffiness began to disappear along with the sensitivity and bleeding. After about a year, my gums were pink and not puffy although it still took another 6 months for the sensitivity to get to a level 2(10 being worst). I would say it took nearly two years for my gum to really tighten up and look "normal." I can now use the WaterPik with little sensitivity and usually no bleeding. I will get bleeding if I fall asleep w/o brushing my teeth even for one night. That shows you how insidious plaque is!
     
    3. I used the dental pick for areas behind my front teeth that are not well aligned and create areas where plaque can build up very easily.
     
    4. When I started this process, I fully realized that my gums weren't pink because it was easy to compare them to my grandson's perfect pink ones.
     
    5. If I complete the above process at the minimum once a day, it works for me. My rule is: Make every effort to not go to bed w/o going through the process. In my experience, going to bed without brushing one's teeth is setting oneself for dental hell. Sometimes I'll wake up in the middle of the night just to brush my teeth if I've fallen asleep early.
     
    So, I do the process before going to bed and I sometimes brush/floss once during the day and sometime twice just to make sure I don't gross people out with food stuck in my teeth. If I brush during the day, a light brushing (one minute) is all it takes to spruce things up. I'll use the Proxabrushes sometimes as well.

    6. I still use regular floss because it gets different angles between the teeth and I am pleasantly surprised on a regular basis by the little bits of food it finds here and there.
     
    7. The Proxabrushes are necessary if you have receded gums and space between the teeth. Don't force the brush in. Should be a gentle process.
     
    Last time I was in the dentist's office, the attendant told me I did NOT need deep cleaning (saved $$) and commented that my home dental care was "perfect." She was kind of wondering what had changed. I haven't had a cavity or any dental work needed in years. I also take pride in having gums the same color as my (now) two grandsons. My wife also tells me that I never have bad breath. Yeah!
     
     

    Reply
    re: Dental care
    David Mendosa
    Monday, August 24, 2009 at 09:39 PM

    What great advice! Thanks for sharing it with all of us.

     

    Best regards,

     

    David

    Reply
  4. Dr. Hujoel's review
    itfitz
    Monday, August 31, 2009 at 08:36 PM

    David:

     

    Dr. Hujoel's online review is not free at the link which you included.

     

     

    itfitz

    Reply
    re: Dr. Hujoel's review
    David Mendosa
    Monday, August 31, 2009 at 09:42 PM

    Thank you. It was free, but isn't now. I appreciate your pointing this out and I just updated the text.

     

    Best regards,

     

    David

    Reply
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