ScienceDaily (2011-08-23) — Researchers in the UK have discovered a pain-free way of tackling dental decay that reverses the damage of acid attack and rebuilds teeth as new. The pioneering treatment promises to transform the approach to filling teeth forever. 
Following is a reprinted article that outlines a real, but ultimately preventable, tragedy. As you will see from the attached video, some people scarcely believe that a tooth infection can produce such severe consequences.
by Laird Harrison, Freelance Writer for Medscape
September 9, 2011 — An unemployed man died last week because he couldn’t afford treatment for his infected third molar, according to news reports.
Citing physicians and family remembers, Cincinnati’s WLWT television station said the infection killed 24-year-old Kyle Willis when it spread from his tooth to his brain.
Dentists advised Willis, the nephew of funk bass player Bootsy Collins, to have the tooth extracted 2 weeks earlier, but Willis had no insurance and decided to wait, according to the report.
“He should have gone to the dentist to take care of the toothache, and it wouldn’t have escalated to this. It’s a lesson learned by all,” said Willis’ aunt, Patti Collins.
Suffering from headaches and swelling, Willis later visited an emergency department, where he got prescriptions for antibiotics and analgesics.
He could only afford 1 of the prescriptions and chose the pain medicine. Willis felt better, but swelling in his brain killed him.
Willis’ fate recalls the widely publicized 2007 death of 12-year-old Maryland boy Deamonte Driver, whose tooth infection also spread to his brain. Driver’s mother had trouble finding a dentist who would treat him for what she could pay. Physicians estimated that they had spent $250,000 trying to save him from an infection that could have been prevented by a simple extraction.
The Patient Protection and Affordable Care Act of 2010 expanded dental care subsidies for children of indigent families but has no provisions to pay for adult dental care. Many states have never offered adult dental benefits for Medicaid patients, and others have eliminated these benefits in recent years as revenues have shrunk in the recession.
Although Ohio does offer such benefits, Willis’ family had recently lost its benefits, according to ABC News.
In April, the Kaiser Family Foundation reported that 33% of people surveyed skipped dental care or dental checkups because they could not afford them.
Dentists who operate free clinics for the underserved say they are often overwhelmed by the demand.
Willis leaves behind a 6-year-old daughter. Family members are organizing funds for Willis’ funeral expenses and for his daughter’s college education. Donations may be made to: Kyle Willis Memorial Fund, 604 Ohio Pike, Cincinnati, Ohio 45245-2141.
I’m in the smile business. I can take an ugly smile and, in most cases, make it a very attractive one. Sometimes it’s something simple. At other times it’s not. Often, it depends upon how much I have to change to get there, as well as what people, themselves, are willing to do toward an end.
But the smiles I really care about the most are those that start on the inside.
Sure, I treat diseases. I also repair things that are broken down, replace things that are missing, prevent things that shouldn’t happen from happening, and more. It’s all part of the job. But at the end of the day, the thing I value the most are the smiles.
In today’s day and age, it seems that people are so focused upon the problems around them; they find it harder and harder to find the smile within them. After all, the media works hard to put our attention on earthquakes, hurricanes, flooding, unemployment, inflation, recession, terrorist attacks, famine, wars – and that’s just before breakfast. Who the heck wants to smile after that?
It’s really enough to make someone want to give up, to lose hope, or maybe even feel sorry for themselves. I sometimes think that’s actually the point: to beat us down. If we are all depressed, maybe they can sell us happiness in the form of something material thing, or package it in a pill. Maybe Madonna was right when she sang “Material World” after all.
So what can we do about it?
Start with a smile.
If it doesn’t feel natural, go ahead and force yourself. It actually takes courage to smile in the face of adversity, but that resolve is one thing no one can take away from you. It is also the gift you can give to another that costs you nothing – yet it will be cherished long after you have given it.
A smile is powerful because it emanates from you and when given genuinely, is truly valued.
Over the years I have accomplished many things both within my immediate profession and outside of it. People have paid me good money to help them with their problems but, when the time comes to hang up my dental handpiece, I know that it won’t be the dollars that mattered most or that I am even likely to remember. It will be the six year-old who came back and gave me a hug after I finished her filling, or drew me a picture. It will be the young man who made a special trip back to my office one evening, just to take me aside and say “Thank you. You don’t know how much fixing my smile has helped my self-esteem.” It will be the young lady who gasped, and finally took her hand away from her mouth (after always covering it up), when I showed her her new smile. Okay, she cried, but she was really happy. That made me happy too. And so I smiled. In fact, when I think about those moments I still smile.
Smiling and kindness are the two “secret” weapons we have to battle the insanity surrounding us. I say, let’s use them as weapons of mass destruction. If destruction is to be the order of the day, then let’s destroy the pessimism, the fear, the cynicism, and the hatred. Think of it as a form of biological warfare. Wouldn’t it be great if smiling and kindness went viral?
If you are starting to think, “Oh, that sounds great, but it’s a little naïve,” then maybe the “Dark Side” is winning. I don’t think happiness is at all sentimental or corny. It is the pay we get for living.
People search for happiness their entire lives. Yet, someone much wiser than I once stated that all the happiness you will ever find lies within you. So why not start with a smile?
I hope you enjoy the following video. May it make you smile. 🙂 If it does, why not send it to a few friends?
Smile
Smile though your heart is aching
Smile even though it’s breaking
When there are clouds in the sky, you’ll get by
If you smile through your fear and sorrow
Smile and maybe tomorrow
You’ll see the sun come shining through for you
Light up your face with gladness
Hide every trace of sadness
Although a tear may be ever so near
That’s the time you must keep on trying
Smile, what’s the use of crying?
You’ll find that life is still worthwhile
If you just smile
That’s the time you must keep on trying
Smile, what’s the use of crying?
You’ll find that life is still worthwhile
If you just smile
(Performed by Nat King Cole)
In almost any field there are basics, the fundamental facts or principles from which other truths can be derived.
Without an understanding of these basics we lack the building blocks for greater knowledge or competence. For example, before we can write we learn our ABCs. Geometry first requires an understanding of arithmetic, and so on.
Lacking these basics, we can become lost in a sea of information, lacking the correct drops of water that hold the answers to our questions or allow us to be effective.
Know the basics of automotive care and you are likely to have a car that runs well and needs few repairs. Understand the basics of grammar and you can communicate.
What, then, are the basics of dental care?
While there are several key concepts which I cover in some of my earlier articles, there is one often overlooked principle I want to briefly cover herein.
Let’s first assume you are already in good dental health or, perhaps you weren’t, but now you got things under control. You are starting off with a “clean slate.” So, what do you do now?
The simple answer is taking a look at what got you there.
You spent months and maybe hundreds, even thousands, of dollars to handle dental problems that may not even have been causing you pain. Things feel good and you have gotten the clean bill of dental health from your doctor. What now? Continue to do what fixed the problem.
If that was a successful part of the formula, don’t make the mistake I see so many people commit. There is probably many a dentist who will vouch for the fact that patients come in to them and say: “Yeah, I had a bunch of dental work done somewhere about fifteen years ago and it is starting to come apart.” When asked about the time of their last dental visit: “Oh, it was around then. Since my teeth were fine, it didn’t see the point of going in for a dental visit.”
Didn’t see – that’s a key point. There are many conditions that the patient neither sees nor feels. More importantly, dental health has a direct relationship to overall health. So the fact that one doesn’t feel gum disease, bone loss, dental cavities or oral cancer – especially in the early stages is a poor excuse not to see your dentist. Regular checkups are fundamental to defending yourself against serious problems. Caught early, your treatment can be approached conservatively, saving you time in the dental chair, the potential discomfort of extensive work and, of course, money.
Why is it that patients who visit the dentist regularly seem to need less dental work? I’d like to think it also has to do with their increased care and effort – but that effort includes keeping up with regular visits. These checkups can prevent small problems from turning into big ones and help to keep your existing work in good shape. Don’t be a penny wise and a pound foolish. See your dentist at least twice a year.
Another cavity?!
Consider this article a public service announcement. I really dislike seeing patients lose teeth that could have been saved.
My philosophy is simple: if a patient has a dental problem, I address it—but just as importantly, I give them the tools and knowledge to prevent future issues. Ideally, most visits after that are just for routine maintenance.
Unfortunately, I often meet new patients with teeth so badly decayed there’s little chance of saving them. Just as frequently, I see people who finally schedule a checkup—often after years away from dental care—shocked to learn they have cavities. Many assume they lost a filling, when in fact, a chunk of enamel has broken off.
So why the surprise?
Most people believe cavities are supposed to hurt.
Sometimes they do. But in the early stages, they’re usually painless.
By the time a tooth actually hurts, the cavity has likely reached a serious stage. Often, I’m deciding whether to attempt a root canal—or whether extraction is the only option. A basic understanding of dental anatomy helps explain why.
Scroll down to the illustration below.
The outer layer of your tooth—enamel—is the hardest substance in your body. It’s made to last a lifetime and helps you chew your food efficiently.
But here’s the key: it doesn’t have nerves.
Enamel is more than 95% mineral. The rest is water and organic material. Because it lacks nerves, it doesn’t feel anything. That’s useful—you wouldn’t want pain every time you bit into food. But it also means decay can silently destroy it without causing any warning signs.
Even when decay reaches the underlying layer—dentin—you may still feel nothing. Only when it approaches the soft center—the pulp, where nerves and blood vessels live—do you usually feel pain. By then, the damage is often extensive.
To make matters worse, decay doesn’t spread in a straight line. Take a look at the black triangles in the diagram. A cavity often starts at a small point on the outside and fans out wide inside the enamel. The tooth might look intact—until the undermined enamel collapses due to internal damage.
Cavities also tend to form between teeth—places you can’t see. Even I need x-rays to catch them in those areas.
So what does all this mean?
Cavities don’t always show up with pain. Dentists rely on visual checks, dental probes, x-rays, and sometimes laser detection to find them. Even then, spotting decay under old fillings can be tricky.
Don’t wait for pain to tell you something’s wrong. If it hurts, the problem is already advanced—and the treatment will likely be more complex, more costly, and less predictable.
If someone you care about hasn’t seen a dentist in a while, ask them to read this article. You might help them avoid discomfort, costly procedures, and even tooth loss.
And for those thinking, “If it gets bad, I’ll just pull it,”—well, sometimes that’s necessary. But that’s a conversation for another day.
🦷 Learn more: How Cavities Form – American Dental Association
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