Teeth

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Healthy teeth 🦷 are important and require constant maintenance. Once enamel, the outer protective layer, is lost, it cannot protect your teeth anymore. It only has limited capability to remineralize. Cavities or sensitivity to heat/cold are the consequence.

Make sure that you train your children as early as possible in good oral hygiene and explain to them to avoid sweets and sugars as much as possible. They will thank you later in life.

Good oral hygiene

  • Brush your teeth at least twice a day, in the morning and in the evening. Prefer to do it after your first meal and last meal but leave 20-30 min time after your meal to allow your saliva to neutralize acids and remineralize the teeth. Otherwise, you are brushing off your enamel.

  • Add a tongue cleaner to your brushing routine. It helps to clean bacteria off of your tongue. Results in fresh breath and let’s be honest, nobody wants to see a funky white-coated tongue.

  • Floss your teeth at least once per day.

  • Get a professional teeth cleaning from your dental hygienist at least once per year to get tartar (hardened saliva / mineral deposits / bacteria) removed. Keep in mind though that this type of cleaning will slightly damage your enamel (due to scraping etc.).

Dental treatments

  • Cavity progression can be halted. It will not disappear but harden and turn brown. It may not be necessary to drill out and fill the tooth if halted cavities are superficial.

  • Dentists follow the bell curve: you have a few good, a few bad and a lot of average ones. If a dentist finds too many things that do not align with your own perception (i.e. "I brush my teeth, they look good, do I really have 10 cavities and need 4 crowns?"), then by all means get a second opinion. Make sure to avoid the bad dentists at all costs. Take control of your own health.

  • Keep in mind that a dentist’s work is destructive. A treatment may be helpful in keeping a damaged tooth in service. But the key is to prevent treatments.

  • Be mindful about dentists and their work: it is destructive, they have to look into horrible tooth ruins all day and it all takes a toll on their mental health, causing high suicide rates. So thank them for a job well done.

  • Fluoride treatment is questionable. It may help alleviate acute tooth sensitivity. On the other hand, you are consuming a poisonous substance (e.g. by swallowing small amounts). Avoid it for children, be wary as an adult.

  • When you get a filling or a crown, your bite may change or become slightly off. Best case and quite easy to notice, you will be in pain and need to go back to the dentist and get it ground down a bit. Worst case, you will be fine and everything will look perfect until a few weeks or months later you develop some weird neck pain and blame it on too long sitting or your posture. The body will always try to keep your eyes level. Even a slight and unnoticable imbalance in your bite may trigger different jaw forces and muscle movements which can lead to musculoskeletal pain. Keep this in mind if it happens some time after such a dental treatment.

  • If the dentist tells you to take pain killers after a long traumatic session, take them. Do not try to be the strong guy that endures the pain. Pain killers in the right dosage will reduce inflammation which is very important to prevent further damage to your treated tooth. It may tip the scales between a tooth that recovers and a tooth that dies after treatment.

Prolong the health of your teeth

  • Avoid teeth whitening. Teeth have a natural off-white to yellowish color and tea or coffee consumption or just getting older will make this worse. Whitening the teeth makes them sensitive and can weaken the enamel.

  • Do not get treatment just for beautification. Unless you have an objectively horrific mouth (people repeatedly make pitiful or scared faces when you open your mouth), an urge for beauty treatments points rather to a mental problem. Accept yourself. Don’t grind down healthy teeth for nice looking white crowns or veneers.

  • Avoid using harsh substances in your mouth. A mouthwash that gives you 10 minutes of mouth burn is not good for you.

  • Buy a big bag of xylitol. After each meal, take one teaspoon of xylitol, dissolve it in your mouth and rinse your mouth with it for 15 minutes. Spit it out afterwards. Try to do this 3-5 times a day. Amount and exposure are important. Studies have shown that xylitol is starving out cavity causing bacteria in your mouth. It also helps with enamel remineralization and stopping the progression of cavities.

  • Reduce eating sugary, starchy and acidic foods to a minimum. Do not drink sodas (acid and sugar - a destructive combination). If you consume those, be quick. Do not sip on a soda or coffee all day long, drink it in one go and give your teeth time to remineralize.

  • Use toothpaste which supports remineralization.

  • Needless to say, don’t use your teeth to open bottles, stay out of fist fights, contact sports or anything that can harm your teeth. In your adulthood, prefer softer foods, especially if you already have fillings, in-/onlays, crowns etc. as those may break off easily when hard things hit them at the wrong angle with the wrong force.

  • If you grind your teeth at night (bruxism), get a mouth guard.

Toothpaste

Our current recommendation is BioMin Toothpaste.

BioMin forms a bioactive glass around the teeth which helps remineralize and also fights off acids. There is a fluoride (BioMin F) and non-fluoride option (BioMin C).

BioMin F produces fluorapatite which is 10 times more resistant to acid attack than hydroxyapatite which is formed by BioMin C.

It is unclear whether one is always better than the other.

A few points to consider:

  • Hydroxyapatite is the main mineral component of tooth enamel. One could argue that BioMin C may be more useful for remineralization of teeth if you follow healthy eating recommendations (don’t sip and snack continuously).

  • If you drink a lot of soda, eat sugars, snack a lot, have anorexia etc., then BioMin F would be better due to a better resistance to acid attacks.

  • Maybe use BioMin F in the morning and BioMin C at night.

  • The fluoride option offers better protection but fluoride being problematic as it is, you will need to decide which one you prefer.

Note that some "filler" ingredients may not be ideal for people with sensitivities/allergies. In such cases, Squigle Tooth Builder might be an alternative. However, it won’t have the strong remineralization effect as BioMin.

Toothbrushes

Like with cars, your choices are automatic or manual.

Electric toothbrushes are convenient but may be harsh and abrasive. People managed to brush their enamel off with a combination of too long brushing, too much pressure, too hard brushes and wrong brushing patterns.

Therefore, we recommend manual brushing with a soft brush.

In the evening, the Nimbus Extra Soft toothbrush will help clean along the gum line. Extra long fine bristles are ideal to get food particles out between teeth and from gum pockets. They also provide a good massage to your gums.

In the morning, the Curaprox CS 5460 Ultra-Soft Toothbrush will freshen up your mouth with dense bristles and great deep cleaning power.