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Spirit Dental Blog

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Fluoridated drinking water and fluoride in over-the-counter and prescription toothpastes are widely credited with the large reduction in dental cavities seen since these products were made available beginning in the early 1950s.

Fluoride is the 13th most common element in Earth's crust, and it is naturally present in high concentrations throughout the United States and elsewhere. Fluoride bonds with the enamel of our teeth which hardens them against the acids produced by bacteria in our mouths that can cause tooth decay.

Studies have confirmed the most effective source of fluoride to be water fluoridation.
Its use in toothpaste and its addition to city water supplies across the United States sparked a controversy 60 years ago, and the dispute continues to this day. In the United Kingdom, and in other European Union countries, fluoride is used to a much lesser extent due to fierce public opposition.


Links between smoking and gum disease

Posted by: John

Tagged in: Gum Disease

There has always been a significant link between smoking and gum disease. According to a new study at Ohio State University, smoking causes the body to turn against its own helpful bacteria, leaving smokers more vulnerable to gum disease, and tooth decay. Smokers suffer from a much higher rate of oral disease than the non smoking population. Research shows that cigarette smoke wipes out good bacteria in the mouth making the tissue much more susceptible to attack from bad bacteria. The mouth is an interesting environment full of both good and bad bacteria. The mouth develops what is called a bio-film which plays host to these bacteria. If the good bacteria keep getting wiped the bad tends to thrive and that is where oral health problems begin. In a recent study researchers at Ohio State University took oral sample of bio-film from 15 smokers and 15 non smokers after a series of annual cleanings. The researchers found that with non smokers disease associated bacteria was largely absent. In contrast the smokers in the group started colonizing harmful pathogens within the first 24 hours. It took much longer for smokers to form a stable microbial community. When it did become established it was much more pathogen rich than the bio-film in the mouth of non smokers. Researchers found that smokers also tend to have more cases of red and swollen gums (gingivitis) because the body is mounting defense against the increased risk of infection. Left untreated this can lead to the irreversible form of bone loss called periodontitis. Researchers are advising dentists that they need to treat the oral health needs of smokers much more aggressively. It starts with making the patient aware of the need to promote a healthy bio-film in the mouth after cleanings. It should also evolve into more dentists becoming involved in recommending smoking cessation programs. This hasn’t been the role of the dentist in the past but more and more of them are beginning to take an active role.

According to a report released last week by the Senate Subcommittee on Primary Health and Aging more than 130 million Americans do not have dental insurance and in many cases are unable to pay for the out of pocket cost of paying for a dental check-up. The subcommittee is aware that peoples’ lives are being disrupted by chronic toothaches and gum problems but are unable to find affordable dental care for themselves and their families. The goal of the subcommittee is to come up with a plan to do better and help the dental community do a better job of serving low income families.

Some interesting facts illustrating the national dental crisis:

  • One quarter of all adults in the United States ages 65 and older have lost all their teeth.
  • More than 47 million people live in places where it is difficult to access dental care.
  • In 2009, there were more than 830,000 visits to emergency rooms across the country for preventable dental conditions, a shocking 16 percent increase since 2006.
  •  Inadequate or non-existent dental health maintenance has a profound impact on overall health, including an increased risk for diabetes, heart disease and poor birth outcomes.
  •  Many Americans are forced to live with extreme pain because of dental disease.
  • Dental diseases have prevented millions of Americans from getting a job.
  • Medicare doesn’t cover any dental care whatsoever.
  • Thousands of retiree’s are losing their dental insurance at retirement.
  •  One third of all Americans do not have dental coverage.
  • Only 45 percent of Americans age two and older saw a dental provider in the past 12 months.

Truth About Teeth

Posted by: John

Tagged in: Tooth Decay

This is a common scenario in Kansas for those who don’t have dental insurance. Let’s say one of your teeth starts to crumble and you have to go to a dentist. The cost to have a root canal and a crown can run as high $2000. The dentist is going to want his money at the time of service. What will you do if you don’t have the money?

The simplest solution is to perform an extraction to solve the problem. It costs around $200 and the patient while losing the tooth does begin to feel much better because the infection is out of the body. Another alternative would be to visit a local university that has a school of dentistry.

Many dental schools offer reduced-cost services to patients in need. Don’t expect them to foot all the costs for restorative dental work but they can help reduce costs significantly. Even before you start to experience the pain of a toothache the health of your teeth could be giving you problems that impact your overall health.


A chemical mix imitating the minerals found in saliva, but at higher concentrations, can be added to toothpaste to plug tiny pores that lead to nerves. The exposed pores lead to nerves, causing pain and sensitive teeth.

Now, a new ingredient in toothpaste, developed by dentists, called Novamin, can dramatically reduce teeth sensitivity. Teeth become sensitive when gum tissue recedes, exposing a tooth's roots. Roots contain small holes or tubules that lead to nerves. Novamin plugs up the holes cutting off contact with nerves and eliminating pain.

It is made from a compound from elements naturally critical for bone and tooth mineralization: calcium, phosphorus, silica and sodium. In their common forms, these elements have very limited value in tooth healthy. But in their rare ionic form, they can make teeth stronger and help eliminate tooth senstivity.


A lot of patients are worried about having dental x-rays taken on an annual basis. They are fearful that since they have had medical x-rays taken recently, the additional dental x-rays will cause some sort of a medical problem. First, a complete series of 16-20 dental x-rays emits as much radiation as does one hour in the sun. Most dental offices now offer digital x-rays which produce 1/10 the radiation that the old style x-rays produced. Also, if x-rays are not taken, only about 50% of the tooth structure can be examined for problems. Without the help of x-rays, you are asking your dentist to work with one hand behind his/her back. And without x-rays you will probably have to contend with bigger dental problems when they can be seen by eye.


Most people don’t think of their mouth as a source of disease. So what if I have bleeding of the gums or I offend because of bad breadth? Both of these conditions are indicators of a disease process and they should be checked by your dentist. In fact, if your dentist or dental hygienist isn’t checking your gums at each of your dental visits;  it’s time to look for a new dentist. The fact is that our mouths contain so many different forms of bacteria that it is literally a launching pad for disease in general. These bacteria will cause bad breadth, sore gums, bleeding when brushing and eventually the loss of teeth.  It is a proven fact that gum disease can provoke heart disease, stroke, diabetes and may worsen osteoporsis. Gum disease is esentially a silent killer. Do not ignore it because more than your teeth may go away because of this disease.


A common question you hear at most dental office's is – “What causes bad breath?”

Many times the complaint is not from the offender but from a long suffering spouse or family member. There are many causes of bad breath (which we call “halitosis”) – some serious and some not. And while many people have decided to just hold their nose and live with it, the good news is diagnosing and treating bad breath is something that can easily be done.

Here is a list, in no particular order, of the reasons people may be slowly backing up during conversations:


Each year, more than 85,000 emergency-room visits are due to gum and periodontal problems, a new study finds. These visits cost more than $33 million a year.

Harvard researchers did the study. They used information from 24 states. It covered visits to hospital emergency rooms in 2006. In that year, 85,036 people visited an ER because of gingivitis, periodontal disease or receding gums. The average cost of this type of ER visit was $456. About 1 in 5 visitors was a child. Two-thirds of visitors had some form of insurance and a family income below $47,000 a year.

Just over half of the visits were for gingivitis. This is the mildest form of gum disease. Another 45% were for the more serious form, periodontal disease. In all, 1,167 people were admitted to the hospital. The average cost of a hospital stay was $15,248.


23.6 million people in America have diabetes and over 5 million of them don't even realize that they are diabetic. Another 57 million Americans are in a pre-diabetic state which is even a greater national health concern.

Research has shown a connection between periodontal disease and diabetes. People with diabetes are more likely to develop periodontal disease. Periodontal disease may even be associated with the development of Type 2 diabetes. Periodontal disease also makes it more difficult for diabetics to control their blood sugars which can lead to more serious problems when it comes to managing the disease.

The connection between diabetes and oral health is just one example of the relationship between oral health and overall wellness. It also underscores the important role that dental care providers can take in early detection of serious systemic diseases.