An anterior open bite is a dental malocclusion where the upper and lower front teeth fail to meet when the mouth is closed, resulting in a noticeable gap. This condition can impact chewing, speech, and self-esteem, making it a concern for both children and adults. Among its primary causes, anterior interdental tongue thrust stands out as a leading contributor. By exploring the causes, effects, and treatments of anterior open bites, individuals can gain a deeper understanding of this condition and seek effective solutions for a healthier, more confident smile.
Read MoreTraining dental assistants in the office is an unavoidable, universally common practice that offers both opportunities and challenges for dental practices, assistants, and patients. While formal dental assistant schools provide foundational knowledge, the real-world experience gained through in-office training is often essential for developing skilled professionals. This post explores the pros and cons of on-the-job dental assistant training, considering factors such as hands-on learning, patient comfort, supervision needs, and the ongoing coaching required to create exceptional assistants. By examining these aspects, I aim to provide a comprehensive look at how in-office training shapes the dental assistant profession and impacts the patient experience.
Read MoreImagine peering into the past to uncover the diseases that once plagued humanity. This is the promise of paleoproteomics, a fascinating science that studies ancient proteins to reveal the microbes that shaped our history. Led by experts like Didier Raoult, researchers are using dental pulp—tough tissue inside teeth packed with blood and immune clues—to dig up evidence of long-ago infections. Two standout studies show how it works: one found the plague bacterium Yersinia pestis in 18th-century victims, and another spotted signs of an old coronavirus in people from the 16th century. These discoveries prove that paleoproteomics can go beyond the limits of DNA research, giving us a clearer picture of the germs that haunted our ancestors.
Read MoreThe practice of adding fluoride to public drinking water has long been hailed as a triumph of public health, credited with reducing tooth decay in communities worldwide. Yet, this one-size-fits-all approach raises serious ethical questions that deserve scrutiny. While fluoride may benefit children’s developing teeth, its universal application to entire populations—regardless of age, health status, or individual needs—violates fundamental medical principles. By assuming everyone requires the same treatment, water fluoridation bypasses the doctor-patient relationship, ignores proper dosing, and risks harm to those who gain no benefit. This post explores why mass fluoridation is a flawed approach, using the analogy of adding aspirin to water to highlight its absurdity, and argues for a return to individualized care through physician-prescribed fluoride when necessary.
Read MoreMercury, the gleaming liquid metal once hailed as a miracle cure, has woven a complex thread through the tapestry of medical history. Known as "quicksilver" for its fluidity and allure, it earned infamy as the root of the term "quack," tied to dubious practitioners peddling mercury-laden salves. From ancient elixirs to syphilis treatments and modern dental fillings, mercury’s role in healing has been both celebrated and condemned. Its shimmering promise masked a toxic legacy, one that modern science continues to unravel as we grapple with its health risks and environmental toll. This exploration delves into mercury’s medicinal past, its dental legacy, and the evolving push for safer practices in a world increasingly wary of its dangers.
Read MoreWhen it comes to extracting impacted mandibular third molars, the risk of causing damage to the inferior alveolar nerve (IAN) is a significant concern for both dentists and patients. Traditional methods of complete tooth extraction have been associated with temporary or permanent neurological disturbances. However, an alternative procedure known as coronectomy has emerged as a promising technique to mitigate these risks. Coronectomy involves the removal of only the crown of the tooth, leaving the roots in place to avoid direct or indirect injury to the IAN. Incidentally, leaving root remnants after a tooth has been pulled was once considered taboo. This systematic review, based on ten studies, aims to elucidate the clinical effectiveness of coronectomy, particularly focusing on outcomes like nerve injury, post-operative complications, and the need for subsequent surgeries. By providing a comprehensive analysis of the existing literature, I explore how coronectomy can serve as a safer approach for managing third molars in close proximity to critical anatomical structures.
Read MoreIn the maze of modern dietary advice, one truth seems to be emerging with increasing clarity: our bodies thrive on nutrition that mirrors what our ancestors consumed. This isn't about nostalgia; it's about health. The industrial food revolution has brought us convenient, cheap, and highly processed foods, but at what cost? This post delves into why a diet rich in whole foods and animal-based fats, while avoiding processed carbohydrates and vegetable oils, could be the key to reclaiming our health. We'll explore the nutritional superiority of whole foods, the detrimental effects of processed carbs, the industrial horrors of vegetable oil production, and the often overlooked benefits of fats from animal sources. Join me as we explore a path back to natural, sustainable eating that aligns with our biological needs.
Read MoreAs a dental health advocate, I've seen firsthand how our modern diet has shifted dramatically from the diets of our hunter-gatherer ancestors, leading to widespread dental issues. Because of this well-established connection, which is not taught in dental schools, I always educate my new patients and colleagues about it. I get a more receptive audience from my patients, not my colleagues, whose livelihood depends on their ignorance. In this post, we'll explore how our oral health has deteriorated since the adoption of agriculture and what we can do about it. Here's a look at six critical areas where our dietary changes have had significant impacts.
Read MoreImagine a world where losing teeth no longer means being condemned to rely on dentures or implants for the rest of your life. That world may be closer than we think, thanks to groundbreaking research from Japan. Having seen the personal impact of tooth loss in my own family, the news of a new drug that can regrow teeth feels like science fiction becoming a reality.
Read MoreDr. Weston A. Price's research on the human diet has stood the test of time, offering insight into the role that traditional diets play in overall health. Price correctly identified the detrimental effects of "displacing foods of modern commerce," such as refined sugar, white flour, and processed oils, on dental health and physical development. He also highlighted the importance of fat-soluble vitamins, such as A, D, and what he termed "Activator X" (now known as vitamin K2), found abundantly in animal-based foods. However, modern research adds another layer to Price's conclusions: the importance of chewing harder, unprocessed foods to develop a healthy jaw and straight teeth. This blog explores how these two factors—diet and chewing—work together to ensure optimal health.
Read MoreThe integration of artificial intelligence (AI) into medical and dental diagnostics has shown immense potential for improving patient care by enhancing the speed and accuracy of identifying health issues. In my dental practice, AI aids in analyzing radiographs to detect subtle conditions like early-stage decay, and I find it particularly valuable for spotting abnormalities that might otherwise go unnoticed. However, AI is not without its limitations. As much as it has helped refine diagnostic processes, it also produces false positives that require human expertise to discern. This post delves into the role of AI in medical diagnostics, highlighting its benefits and limitations, while emphasizing the critical importance of human judgment to avoid potential pitfalls.
Read MoreOn average, people spend about 60 to 90 minutes each day eating, which translates to approximately 15 to 30 minutes with food in their mouths. While this might seem like a small portion of the day, the impact of the food we consume on our oral health can be significant. But what happens once we swallow our food? The consequences extend far beyond the mouth, affecting our entire body in ways that are often devastating. I will explore the profound effects of diet on both oral and overall health and highlight the importance of a whole-food diet devoid of processed carbohydrates and vegetable oils.
Read MoreA recent legal victory in the battle over fluoridation of public water supplies has brought attention to a long-debated public health issue. In a case initiated by Food & Water Watch and other advocacy groups, a federal court ruled that the U.S. Environmental Protection Agency (EPA) must revisit its stance on the addition of fluoride to drinking water. Historically seen as a safe and effective measure to combat dental decay, the fluoridation of water has now raised concerns about its potential long-term effects on human health. Recent studies indicate that fluoride, particularly in high concentrations, could be harmful, especially to children and vulnerable populations. This blog post explores the court ruling, the health risks associated with fluoride, and what this development means for future public health policies.
Read MoreAs a dentist, I encounter a variety of oral health issues, some of which can be quite alarming to patients. One such condition is "hairy tongue," a benign but often distressing condition that can affect the appearance and texture of the tongue. Despite its dramatic appearance, hairy tongue is usually harmless and can be effectively managed with proper oral hygiene and care. In this post, we will explore what hairy tongue is, its causes, symptoms, treatment options, and prevention strategies.
Read MoreWhen it comes to dental cavities, most of us instinctively point fingers at sugar. We've all heard the warnings about candy, soda, and sweets being the main culprits behind those pesky cavities. But what if I told you that sugar isn't the only player in this game? Enter salivary amylase, a digestive enzyme found in our saliva, plays a significant role in the development of dental caries, particularly through its interaction with starches like those found in bread, pasta, crackers, etc.
Read MoreThis post will discuss six dental care basics that your dentist may not be aware of but you should know about. I want to start by saying that if it was just about brushing twice daily, flossing, having two cleanings per year, and adding fluoride, why do so many patients suffer from cavities, gum disease, crooked teeth, no room for wisdom teeth, breathing problems, obesity, high blood pressure, and GERD? This post will explain it all.
Read MoreIn today’s post, I will discuss how the mouth plays a significant role in the production of nitric oxide (NO) through a process called the enterosalivary cycle of nitrate. This process involves friendly nitrate-reducing bacteria in the oral cavity, predominantly on the tongue, which reduce dietary nitrate (NO3) from vegetables, meat, and drinking water to nitrite (NO2). The nitrite is then further reduced to NO, which helps regulate systemic blood pressure. This pathway highlights how important oral health is to cardiovascular health. But can mouthwash damage this process?
Read MoreMost people alive today would probably agree that organic, pesticide-free, whole wheat, grain-based diets, low in animal-based foods, richer in plant proteins from lentils and beans, and consisting mainly of vegetables are ideal diets. The ancient Egyptians ate this way. To repeat, it was organic, pesticide-free, and whole-grain. Ask the folks who made the food pyramid (My Plate) and the Eat Lancet Diet, and they will love it. Does it sound amazing to you? Well, not to me. My Plate has adult men eating around ten slices of bread per day, or the equivalent of 47 teaspoons of table sugar! I wrote about how the Eat Lancet Diet causes malnutrition on January 1, which is a similar diet to My Plate. If you are interested in their recommendations—the Lancet's diet causes protein deficiency, among other things. Let’s see how the ancient Egyptians who ate the same way fared.
Read MoreBrushing twice and flossing once daily is a smart idea if your diet contains processed carbohydrates. Toothpaste always comes along for the ride on our brushes. Did you ever stop and wonder how necessary it is? I have. I say no. I will explain my rationale in this post.
Read MoreCannabis smoking has become much more common (and acceptable) in recent years. Recreational marijuana is legal in twenty states, and medical marijuana is legal in thirty-six. According to the CDC, 18 percent of Americans used marijuana in 2019. 1 It is estimated that about 90 % of users smoke it. 2 Smoking may negatively affect the mouth, teeth, and gums. Negative effects include periodontitis (gum disease), caries (tooth decay), xerostomia (dry mouth), a decreased salivary pH (increased acidity), and an increase in the density of Candida albicans (yeast infection, thrush). 3 This post will only discuss dental problems associated with the legal smoking of marijuana by adults; I will not touch upon other routes of ingestion of marijuana or its effects on any other part of the body other than the mouth.
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