The relationship of the teeth to overall health and efficacy was valued in a general long before vitamins or focal infections had been heard of. Toothaches were as inevitable as colds, and servant buyers and horse dealers scrutinized the teeth of the prospective purchases before purchasing. However, just in recent times has attention been given to the preservation and care of their teeth.
Early studies of this cause and prevention of dental caries suggested there may be a single causative factor but farther results reveal that the challenge is a complicated one, with diet, heredity, internal secretions, mechanical aspects, and oral hygiene of greatest significance.
Diet and Dental Caries
There’s now general agreement that diet probably is the most important single element in the maintenance of sound, healthy teeth, and that a decent diet is most essential through the period of most rapid expansion. McCullum and Simmonds conclude in an experimental study that rats that are stored to a deficient diet during part of the developing period have inferior teeth and early decay, although a decent diet is provided later. In the days before viosterol had been developed and earlier cod-liver oil had been widely used, McCullum also reported that at the age of entering school 9 percent of children who were breastfed for at least 6 weeks had dental caries, 22 percent of children who had been fed cow’s milk or on milk combinations, and 27 per cent who had been fed oatmeal water and other prepared meals. This would demonstrate that the foundation of dental health is put very early in life, but it now appears that the period is also of great importance in this regard. As a result, the emphasis is currently being placed upon a proper diet during pregnancy.
Significant though diet admittedly is, there does not seem to be some single dietary factor which is responsible for dental caries. Calcium and phosphorus, the two minerals found in bones and teeth, and vitamin D, which regulates the utilization of those minerals from the body, are clearly crucial. Of these, calcium and Vitamin D have been first thought to be of greatest significance: but the recent work appears to indicate that phosphorus is of as good if not greater importance than calcium. Milk, certain vegetables, and fish foods are rich sources of calcium and phosphorus. Vitamin D is quite likely to be deficient in organic foods throughout winter months but is easily administered in the kind of cod-liver oil, vitamin D milk, or viosterol.
Kids have long been denied candy due to the belief that glucose is related to dental decay, and specific studies completed in institutions for orphans in which the diet is rigorously controlled suggest the incidence of dental caries is directly associated with the amount of carbohydrate in the diet. Cereals from which the hull of this grain has been removed seem to have a negative influence upon the development of the teeth, and many researchers think that oatmeal contributes directly to the creation of caries.
Divergent opinions concerning the terms of diet to dental health leave one rather perplexed. Seemingly, no one dietary factor accounts for resistance to caries, but different elements are essential for the correct growth and continuing soundness of the teeth. For practical purposes, a well-rounded diet, comprising liberal amounts of orange, orange juice, fresh fruits, vegetables, and for children cod-liver oil or some other kind of vitamin D, may be depended on to provide the nutritional requirements of the teeth.
It is frequently said that”a clean tooth .” Whether or not this is true depends upon the definition of cleanliness. If cleanliness implies freedom from bacteria, the statement probably is correct. However, with germs constantly present in the mouth and in the food we eat, it’s not possible to get the teeth bacteriologically clean.
The mechanism of decay is through the activity of acids produced by bacterial decomposition of meals, first on the tooth and then on the softer dentine of the tooth. The activity of the acid upon the tooth arrangement can begin in any crevice, irregularity, or fracture in the tooth. The quantity of decomposition and acid formation is best when there are gross accumulations of food materials. In fact, it’s between the teeth, where it is difficult to prevent accumulations of food that decay most often starts. Therefore, although cleanliness of the teeth is alluring the only factor in the prevention of dental decay, or even the most important one it is not without significance.
Some clarification of this aspect of the issue was given by current studies of the bacteria within the mouth. If a particular germ known as Lactobacillus acidophilus occurs in quantity caries grow with great rapidity. This is because these bacteria act upon carbs, especially sugars, on and around the teeth to form acids which dissolve the enamel and the dentine. These studies also have shown that when men have too many lactobacilli in their mouths, the number of caries can be reduced by the elimination of sugars and other easily fermentable carbohydrates in the diet.
It currently seems that certain compounds applied to the teeth may neutralize the acids formed by the action of bacteria upon carbs and therefore reduce caries. A number of these chemicals are now being included in so-called”ammoniated” toothpaste.
Fluorine and Dental Caries
Throughout the past, many year’s analyses have taken a different turn. It had been determined that the only chemical distinction between carious and non-carious teeth is the fact that carious teeth contain less fluorine, a compound component that’s present in minute quantities in the teeth and bones. This was accompanied by an investigation, of their fluorine content of the drinking water in areas where dental caries is infrequent and regions in which they are prevalent. Here again, a gap in fluorine content was found. From these studies, it has been reasoned that the existence of approximately 1 part of fluorine per 1,000,000 parts of drinking water causes a decreased prevalence of caries. Incidentally, fluorine inside this amount causes some mottling of the teeth.
Proceeding on the basis of this information, many investigators have experimented with the use of fluorine into the surface of the teeth of children. In this study, Knutson and Armstrong reported that the use of 2 percent sodium fluoride solution to the teeth led to 40 percent fewer caries within a span of a year in 289 children than grown in 326 untreated controls. No therapeutic effect was noted on teeth in which caries existed. This usage of fluorine for the prevention of dental caries is a promising line of investigation but it’s still at the experimental stage.
Other exceedingly important studies are the ones where sodium fluoride in minute quantities is being added to the water supplies of several cities that have low fluoride content. If this should prove successful in preventing caries, then it’ll be a fantastic forward step in the control of this most prevalent of human ailments. https://www.porthawkesburydental.com/site/home