Are Sports Drinks as Harmful to Kids’ Teeth as Soda?

While kids play sports in the summer heat, they will be tempted to gulp down large sugary sports and energy drinks to stay cool. Swigging too many of these beverages, however, can harm a child’s teeth. Delta Dental advises parents to monitor and limit the number of these beverages their children are consuming to help prevent cavities.

Young athletes do need to replace fluids, carbohydrates, protein and electrolytes after hard exercise. But the high sugar and highly acidic content of sports drinks can increase a child’s susceptibility to tooth decay and enamel erosion if too much is consumed.

Like soda, energy and sports drinks contain high levels of acidity and high concentrations of sugar. A study from the Harvard School of Public Health found that 12 ounces of a leading brand of cola and a leading brand of energy drink each contained 42 grams of sugar, while a leading sports drink contained 21 grams of sugar.1 According to a University of Iowa study, a leading sports drink had the greatest erosion potential on both enamel and roots of teeth when compared to leading brands of energy drinks, soda and apple juice.2

Sugar itself doesn’t rot teeth, but rather, the acid that is produced when sugar mixes with certain bacteria in the mouth. Decay forms around the parts of the tooth where the plaque accumulates. The high acid from the drinks themselves can also have an erosive effect on the whole surface of the tooth. Sugary, acidic drinks are particularly damaging when they are sipped frequently throughout the day because they spend a prolonged amount of time washed over the teeth.

Instead of buying the 32 or 64 ounce bottles of sports drink, limit kids to a single 12 to16 ounce bottle. Encourage kids to consume as much water as they do sports drink. Drinking water will help them stay hydrated during outdoor activities and make sure any residual sports drink doesn’t linger on their teeth. Another option is to dilute the sports drink with water to lower the concentration of acidity and sugar. If your kids find water boring, consider adding slices of orange, lemon or cucumber to make it more appealing. Interestingly enough, recent studies suggest that low-fat chocolate milk may be as good as a sports drink at promoting recovery between workouts.3

1 Harvard School of Public Health. How Sweet Is It? Accessed June 2012.http://www.hsph.harvard.edu/nutritionsource/healthy-drinks/how-sweet-is-it/index.html

2 University of Iowa College of Dentistry. Acidic Beverages Increase the Risk of In Vitro Tooth Erosion. Accessed June 2012. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2516950/

3 Spaccarotella KJ, Andzel WD.  Building a beverage for recovery from endurance activity: a review. J Strength Cond Res. 2011 Nov;25(11):3198-204.

Ozone in Dentistry

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One simmering controversy in dentistry has to do with ozone, but nothing to do with the layer that surrounds our planet. Rather, it’s a new and controversial alternative form of dental treatment. Some dentists are convinced that delivering ozone gas, a powerful naturally-occurring oxidant, into a decaying tooth can halt or even reverse the process altogether.

Dental caries, otherwise known as cavities, are bacterial infections that erode and destroy tooth structure due to the acid that is produced every time food is consumed. Ozone is toxic to certain bacteria, so the theory goes that injecting ozone into a carious lesion might reduce the number of cariogenic bacteria.

Ozone (O3) is formed from oxygen (O2) splitting into two oxygen molecules (O1) under various conditions, including an electrical discharge like a lightning strike. Then these single molecules collide with O2 oxygen to form ozone. If you have ever noticed a different scent in the air after a lightning storm, it is likely that you are smelling the higher concentration of ozone. In fact, the word ozone is derived from the Greek word “ozein,” which means “to smell.”

Ozone can exist in gas, liquid or solid form, and has long been used in industrial and medical applications. The extra oxygen molecule on ozone is loosely bound, excited and readily available to jump off, attach to, and oxidize other molecules. This oxidation process can destroy a variety of microorganisms. Ozone-based sterilizers are often used for some instrument and equipment sterilizing applications in hospitals. Ozone is also used by some municipal water systems to kill bacteria in the water.

Proponents argue that dentists can use ozone to start a process that removes bacterial waste products, halts dental cavities and begins a process of repair through accelerated remineralization of damaged teeth. According to them, bacteria, viruses and fungi lack antioxidant enzymes in their cell membranes, so those harmful antibodies are destroyed when ozone ruptures their cell membrane. Healthy cells, on the other hand, are unaffected by therapeutic levels of ozone because they have antioxidant enzymes in their cell membranes.1 Those in the dental community in favor of ozone therapy say dentists are utilizing it for periodontal therapy, root canal treatment, tooth sensitivity, canker sores, cold sores and bone infections, among other things.1

It’s an interesting idea and a pretty straightforward concept. Any treatment that not only saves or protects a tooth from decay but avoid the use of needles and anesthetic would be a welcome addition to a dentist’s treatment options. Unfortunately, despite some promising evidence of effectiveness against decay-causing bacteria in laboratory studies, the current evidence base for ozone therapy in dentistry is insufficient to conclude that it is an effective or cost-effective addition to the management and treatment of caries. At this time, the U.S. Food and Drug Administration (FDA), which assesses new drugs and medical devices for safety and efficacy and regulates their use and marketing in the U.S., has not cleared any ozone-generating devices for use in dentistry.

Ultimately, not enough is known as this time and some high quality clinical trials research is necessary. Biased research and inconsistent outcome measures have made researchers unable to confidently conclude that the application of ozone gas to the surface of decayed teeth halts or reverses the decay process. Therefore, at this time, ozone therapy for treatment the prevention and control of tooth decay is not considered a viable alternative to current treatment methods in the world of evidence-based dentistry.2

1 American College of Integrated Medicine and Dentistry. http://www.ozonefordentistry.com/DentalO.html Accessed July 10.

2 National Center for Biotechnology Information. Ozone Therapy for the Treatment of Dental Caries. http://www.ncbi.nlm.nih.gov/pubmed/15266519 Accessed July 10.

3 Rickard GD, Richardson RJ, Johnson TM, McColl DC, Hooper L . Ozone therapy for the treatment of dental caries.  Cochrane review.   2008 http://summaries.cochrane.org/CD004153/ozone-therapy-for-the-treatment-of-dental-caries#sthash.qfFibqsE.dpuf

Image courtesy of webelements.com

Don’t Pass on Your Dentophobia

Parents who are afraid to visit the dentist may pass the same fear on to their children, possibly keeping them from getting routine dental check-ups that are important to promote healthy teeth and a lifetime of good oral health habits.

That’s one of the key findings from a survey of children’s oral health1 conducted on behalf of Delta Dental, the nation’s leading dental benefits provider. On average, the survey found that nearly 30 percent of children are afraid to visit the dentist. But when their parents also fear the dentist, that number jumped to almost 40 percent. Conversely, just 24 percent of children whose parents are unafraid of the dentist were still fearful of dental visits themselves.

The top reason parents say their children are afraid to visit the dentist is due to painful or sensitive teeth (17 percent). Other explanations include the noise and smell (11 percent), drills and dental equipment (10 percent), and shots and needles (9 percent).

During National Mental Health Month, Delta Dental offers parents and caregivers three simple tips to help children feel more comfortable in the dentist’s chair:

  • Start young: It’s recommended that children visit the dentist within six months of getting their first tooth – and no later than their first birthday. Starting at a young age allows children and parents to establish trust with a dentist and begin a routine of regular dental visits.
  • Keep it simple and positive: If children ask questions before a visit to the dentist, avoid using words that could make them scared, such as drill, shot or filling, or counseling them that it won’t hurt, since they often aren’t aware it could hurt in the first place. Instead, explain that the dentist is simply going to check their smile and count their teeth. Try not to discuss any negative experience that you might have had so your child can form their own opinion through personal experience.
  • Call ahead: Tell the dentist ahead of time that your child may be anxious about the visit. Most pediatric dental offices will have toys or music that children can focus on instead of the appointment itself, helping them relax and making a trip to the dentist a fun and enjoyable experience.

Parents need to help children understand why visiting the dentist is so important and help make their visits as comfortable as possible. Kids who have negative experiences at the dentist may be less inclined to make regular visits as teenagers and grown adults.

1 Morpace Inc. conducted the 2013 Delta Dental Children’s Oral Health Survey. Interviews were conducted nationally via the Internet with 926 primary caregivers of children from birth to age 11. For results based on the total sample of national adults, the margin of error is ±3.2 percentage points at a 95 percent confidence level.

Going Green with Delta Dental

DD_Logo_pms360_RGB_3inWhen you think of green and Delta Dental, you might think of the green that has long been a featured part of the logo. But on Earth Day, it’s worth pointing out that Delta Dental companies have taken steps to ensure their business initiatives are green as well.

Delta Dental companies are moving their network provider offices from paper claims to electronic submissions, which helps save paper and reimburses their dentists faster. They also encourage their subscribers to go paperless by signing up for electronic dental benefits statements. A few even provide incentives – such as guaranteeing patient eligibility – for the subscribers who choose to perish paper.

Member companies use blog posts and pins on social media sites like Pinterest to share ideas with their environmentally-conscious consumers about reusing old toothbrushes for garden stakes or as cleaning tools, or turning empty tubes of toothpaste into a pencil holder.

Of course, corporations ought to practice what they preach. One Delta Dental company saved almost $60,000 by eliminating disposable paper cups and retrofitting light fixtures at its headquarters as part of its “green program initiative.”1

Like a lot of corporations in the 21st century, Delta Dental is always searching for ways to improve business efficiency and sustainability. We feel that corporate social responsibility these days must include going green.

1  Environmental & Energy Management News. Delta Dental Racks Up Savings with Varied Environmental Efforts. http://www.environmentalleader.com/2009/11/12/delta-dental-racks-up-savings-with-varied-environmental-efforts/

Sip Sparingly for Your Oral Health

Binge drinking may be frequently celebrated in pop culture and joked about on social media, but during Alcohol Awareness Month, Delta Dental warns consumers that alcohol abuse can be extremely harmful to oral health.

April is also Oral Cancer Awareness Month, and heavy alcohol consumption is one of the major risk factors for oral cancer. It is estimated that in 2013 there will be more than 36,000 new cases of oral and oropharyngeal cancer diagnosed in the United States, and about 17 people will die from this disease every day.1 In addition, certain popular adult beverages – such as Long Island Ice Teas, piña coladas and energy drink-and-vodka concoctions – contain large amounts of sugar, which causes tooth decay, while others (like red wine) can stain teeth. The Centers for Disease Control and Prevention (CDC) has found that other short-term risks of binge drinking include car crashes, violence (including child abuse), risk of HIV and other sexually transmitted diseases, and unintended pregnancy. Long-term risks include liver disease, cancer, stroke, heart disease, and other chronic diseases.

According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), binge drinking means drinking to the point that one’s blood alcohol concentration (BAC) levels reach 0.08g/dL.2 For women, this usually occurs after about four drinks in two hours, and for men, after about five. By the CDC’s definition (four or more adult beverages in one sitting), more than one in eight women binge drink and twice as many men binge drink as women do.3

Not surprisingly, the age group with the most binge drinkers is 18-34 adults. However, this cultural problem extends beyond college kids and twentysomethings. According to the CDC, nearly a quarter of all adults in the U.S. (more than 38 million) binge drink about four times per month. Drinking to excess causes 80,000 deaths in the U.S. annually.3

Drinking, like most other things, is best done in moderation for both your oral and overall health. For example, drinking the occasional glass of red wine (which contain heart-healthy antioxidants like resveratrol) may be beneficial for lowering LDL cholesterol and helping prevent clogging of arteries.4

1 American Cancer Society. Oral Cavity and Oropharngeal Cancer.  Accessed March 2013. http://www.cancer.org/cancer/oralcavityandoropharyngealcancer/detailedguide/oral-cavity-and-oropharyngeal-cancer-key-statistics

2 National Institute on Alcohol Abuse and Alcoholism (NIH). Moderate & Binge Drinking. http://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/moderate-binge-drinking. Accessed March 2013.

3 Centers for Disease Control and Prevention. Binge Drinking. http://www.cdc.gov/vitalsigns/bingedrinking/. Accessed March 2013.

4 Wu JM, Hsieh TC.  Resveratrol: a cardioprotective substance. Ann N Y Acad Sci. 2011 Jan;1215:16-21. 

Don’t Bottle Up the Oral Health Benefits of Fluoridated Water

Nearly 60 percent  of caregivers say they are more likely to give children bottled water than tap water, potentially depriving kids of fluoride that is critical to good oral health. In addition, according to the 2013 Delta Dental Children’s Oral Health Survey,1 more than twice as many caregivers say bottled water is better for children’s oral health than tap water – an opinion at odds with evidence-based dentistry and more than six decades of public health experience.

Fluoride actually helps to repair (remineralize) tooth surfaces that are damaged by the acid produced by certain bacteria in the mouth, which prevents cavities from continuing to form.2 Since U.S. cities began adding fluoride to water supplies more than 65 years ago, tooth decay has decreased dramatically.3 This result led the Centers for Disease Control and Prevention (CDC) to name water fluoridation “one of the 10 great public health achievements of the 20th century.”4

Unfortunately, only 17 percent of parents believe that tap water is better for their children’s oral health than bottled water.1 Some bottled waters do contain fluoride but usually not in the optimal amount.5  Fluoride in the water provides decay-preventive benefits for the teeth of both children and adults, which makes it the most cost-effective way for communities to improve overall oral health.

The key to fluoride’s protective benefit is by having a little fluoride on your teeth throughout the day. Brushing teeth with a fluoride toothpaste at least twice a day, drinking fluoridated water and limiting frequent between-meal snacking on sugary or starchy foods will help keep most children and adults tooth decay-free.

If children don’t drink fluoridated water, Delta Dental offers these ways to get more fluoride into their diet:

  • Fluoridated toothpastes, mouth rinses and/or professionally-applied gels or varnishes. These products can help strengthen teeth by hardening the outer enamel surface. With toothpaste and rinses children tend to swallow much of what they put in their mouth. So fluoride toothpaste use should start about age 2 and fluoride rinses probably not until about ages 6 or 7.
  • Dietary fluoride supplements, such as tablets, drops or lozenges, which are typically available only by prescription and are intended for children typically older than 6 months living in areas without fluoridated water in their community.
  • Bottled water that states on the label that it contains the right amount of fluoride.

As with other vitamins and minerals, it’s important to get enough, but not too much. When young children whose teeth are still developing under their gums (up to about age 9) get too much fluoride, their teeth may erupt with faint white lines or patches called dental fluorosis. The CDC has reported an increase in dental fluorosis over the past couple of decades. Inappropriate swallowing of toothpaste and children living in fluoridated areas that also receive fluoride supplements are believed to play a major role in this increase.

For advice on the proper amount of fluoride specifically recommended for your child, consult with your dentist. The recommendation will depend on your child’s age, how much fluoride naturally occurs in your local water and your child’s risk for tooth decay.

How Does Your Smile Score?

In the past, almost everyone developed tooth decay, and as people aged, tooth loss from decay and gum disease was routine. Today, thanks to scientific advances and preventive therapies like community water fluoridation, fluoride toothpaste and dental sealants, there has been dramatic and continuing improvement in the oral health of Americans. Many people still suffer from oral disease problems, however, and risk for oral disease varies among all people.

The good news is that if you know your specific risk factors for tooth decay, gum disease and oral cancer, you can take simple preventive action to avoid these problems. That’s why Delta Dental, the nation’s largest dental benefits company, is helping people assess their risk for diseases and take steps to prevent or treat them.

Through a partnership with a leading risk and disease analytic software designer, PreViser Corp., Delta Dental has launched myDentalScore, a risk assessment tool that provides leading edge technology to evaluate your oral health. By taking just a few minutes to answer some simple questions online, you will receive an easy to understand oral health scores report that estimates your risk of tooth decay, gum disease and oral cancer. Once you have your score in hand, you can use myDentalScore to get valuable oral health advice and print out your report to bring to your next dental examination.

myDentalScore

Click on the above photo to visit mydentalscore.com/deltadental and access our quick, user-friendly survey. The survey asks a series of questions about your personal habits, past history of dental disease and treatment, and current symptoms of oral disease to assess your risk level for tooth decay, gum disease and oral cancer. After taking the risk assessment survey, you’ll receive a risk score for each problem area. You can bring this report to your dentist to verify your risk levels and, if needed, develop strategies to lower your risk for oral disease and improve your oral health. No personal health information (PHI) is ever revealed, and the survey can be taken anonymously. You can also visit oralhealth.deltadental.com for more oral health information. Find out your smile scores today, and take steps to protect it for a lifetime!