It is common for a patient to ask what kind of toothpaste they should use. The concept of toothpaste and mouth washes is pretty old – almost as old as the Egyptian toothbrush. In fact, the earliest known toothpaste was created by the Egyptians. It was said to contain rock salt, mint, dried iris flowers and 20 grains of pepper, all crushed and mixed together to form a powder. It wasn’t until the 18th Century that the next recorded version of toothpaste showed up. That recipe was interesting as well.

The 19th Century saw a lot of toothpaste innovations, although many of them would be repulsive compared to what we are used to today. Charcoal,… (Read More)

For decades, the American Heart Association (AHA) recommended that patients with certain heart conditions take antibiotics shortly before dental treatment. For those with these certain heart conditions, this was done with the belief that antibiotics would prevent infective endocarditis (IE), previously referred to as bacterial endocarditis. IE is an infection of the heart’s inner lining or valves, which results when bacteria enter the bloodstream and travel to the heart. Bacteria are normally found in various sites of the body including on the skin and in the mouth.

In 2007, the AHA’s revised guidelines were published in its scientific journal, Circulation, and there was good news: the AHA recommended that most of these patients no longer… (Read More)

It is not uncommon for me to get a strange look when I ask a patient about snoring. After an explanation about some of the reasons I include this on my medical history form, the patient will often say, “Well, I don’t snore but my spouse does. In fact, we sleep in separate bedrooms.”

Asking a patient about snoring is really asking, “Have you been told you snore?” Snoring can be a huge nuisance to the bed partner and is actually very detrimental to both people. For those without a bed partner, snoring can be assessed with apps such as Snore Lab, which measures snoring levels throughout the night.

Snoring is a sign of a… (Read More)

Dentists play a key role in screening patients for many disorders relative to nutrition and in providing appropriate referrals into the health care system. Although the importance of integrating diet and nutrition guidance into dental care has been advocated for decades by educators, it continues to be ignored except by a handful of prevention-oriented practitioners.

Many of the world’s most significant health problems are linked to poor dietary practices, including over-nutrition and under-nutrition. Nutrition plays a fundamental role in health, and dental professionals have the opportunity to be a critical link between discovery and wellness.

There is a great deal of evidence linking oral infections, including periodontal disease, nutrition and immunological response. We have clear… (Read More)