First of all, what the heck is vitamin P? First discovered around 1936, the term is hardly used anymore – except maybe euphemistically for Prozac (fluoxetine) – which you definitely don’t need, unless you like playing Russian roulette with your health. Prozac is widely regarded as one of the most dangerous drugs on the market. More about that some other time, perhaps.
But, real Vitamin P is better known today as a plant classification called flavonoids or bioflavonoids.
[Because of my interest in natural health, I subscribe to a number of health-related newsletters. One of them (and I recommend this newsletter to anyone interested in sensible health and nutrition) recently reminded me of a subject I have already written about on a number of occasions. Namely, the importance of controlling inflammation, actions one can take to do so, and the nutrients that can assist with this problem. The newsletter I’m referencing here is called Health Alert, by Dr. Bruce West. Much of what follows in this posting comes from that source. If you are interested in subscribing, their number is 831-372-2103. I receive no financial benefit by recommending them. It’s just good information.]
Nevertheless, here’s why real vitamin P is important to your health, and yes, even more specifically – to your dental health:
The cells that line your blood vessels are truly amazing in terms of all the functions they provide. Their end-result have a great deal to do with how you heal. But they can’t do their job without the adequate nutrition that they need. And the prime nutrient required by these cells is vitamin P. Originally, vitamin P was named for an extract of paprika. Today, we know it better as bioflavonoids.
But if you are deficient in vitamin P, you are likely suffering from sub-clinical scurvy.
At one time, scurvy was considered deadly. Today, it is looked upon as an old disease that has been pretty much eradicated. But the less deadly version – sub-clinical scurvy – can be found in much of the American population. It’s even possible you may have it.
And while you probably won’t die quickly from scurvy as people did centuries ago, your odds of dying from damage to your blood vessels and the resulting strokes and/or heart attacks are significantly increased. If you notice your toothbrush looks a little pink when you brush, or if you have outright bleeding gums, or possibly blood stains on your skin as a result of leaking blood (Schamberg disease), or you have been diagnosed with coronary artery disease, blood clots, plaque, stroke, heart attack, deep vein thrombosis, peripheral artery disease, and most other circulatory problems – you are suffering from sub-clinical scurvy and you need vitamin P.
Vitamin P feeds the lining cells of your blood vessels – called endothelial cells – and can restore your health after they have been suffering from a vitamin P deficiency. That makes vitamin P a natural anti-stroke, anti-clot, and anti-heart attack nutrient. It will help regenerate your endothelial cells to heal your blood vessels properly. It will even help to keep your blood flowing better (by making them less stick and sludgy) without the many side effects of poisonous blood thinners.
As a dentist, I know that vitamin P is also helpful in your fight against gum disease and tooth loss. More teeth are lost (worldwide) due to periodontal disease (bone loss around the teeth) than to any other factor. Vitamin P deficiency has a lot to do with this. But it doesn’t end there. Because of its direct effects on collagen, vitamin P can also help you with ulcerative colitis, frostbite, arthritis, varicose veins, hemorrhoids, and more. It is even protective against radiation damage.
But, by far, its main benefit is to the linings of your blood vessels. And when it comes to your gums that’s crucial.
All kinds of products claim to be able to heal your blood vessels. Frankly, most of them don’t work. If you truly want to heal your blood vessels, then the most effective source of vitamin P, by far, is the juice of deep green buckwheat leaves harvested at the time of their peak nutritional content. Possibly, the most powerful bioflavonoid in buckwheat juice is called rutin. Now, most of us aren’t going to start an organic garden to grow buckwheat — that we then harvest at the optimal time — and then make juice from the leaves. And, fortunately, we don’t have to.
One company – Standard Process – does that all for us. They make the supplement Cyruta-Plus in a tablet that contains all the life force, nutrients, and bioflavonoids of the juice itself. If you have gum problems, or any of the other problems listed above, 2-4 tablets of Cyruta-Plus 3x daily, would be a good place to start. Give it one to two months to help repair the damage already caused by what has probably been a long-term deficiency.
If you are not easily convinced and need additional proof (other than observing the results for yourself), you can ask your doctor to have your CRP (C-reactive protein) level checked. Most people with blood vessel inflammation will have an elevated CRP in their blood. If this is you, this is an inflammation marker, and your chance of having a heart attack or stroke becomes significantly higher.
You might be tempted to try one of the advertised “super-potent, artery scrubbing” anti-oxidants which are advertised, like reservatrol or ascorbic acid. Go ahead and try it. Then have your doctor order a new CRP blood test. After that treatment fails, try Cyruta-Plus (9 – 12 daily for 30 days) and get one more blood test. See what happens. Chances are you will be both shocked, and happy.
Not only will you have helped your gums and teeth, but you will have lowered your risk of heart attack and stroke, you will have helped your joints by improving arthritis, your gut will enjoy better digestion, your skin will thank you, as will your legs. Plus, the potential for living longer is not a bad result either.
Common sense. Does it seem to you that this has become a rare commodity nowadays? Possibly, then, it is really uncommon sense that we should be talking about.
The latest example of an affront to logic – at least for me – lies in the latest media challenge to oral health. This morning various news agencies including The New York Times, suggested that maybe flossing is really overrated. Apparently, “officials” have never researched the effectiveness of regular flossing.
Now, millions of people are likely to jump on this as a justification for not flossing. But, in reality, the new media sensation is probably not going to change very much at the end of the day. Why? Because I can confidently tell you – based on more than 25-years of personal experience – most people don’t floss anyway. About all this latest “research” will promote is the possibility that some people will feel just a little less guilty about what others with any sense (common or uncommon) already understand is a pretty good idea.
But, it makes for good press. Doesn’t it?
Just for the sake of argument, let’s assume that flossing doesn’t remove plaque. Heck. Some people fail to remove plaque with a toothbrush. That doesn’t mean either fails to benefit the patient, if done properly. I can think of several reasons why flossing helps, though:
Passing floss between the teeth sweeps out the contact point between them – meaning the points where they touch. That’s a source of about 30% of all tooth decay. Your toothbrush typically doesn’t reach those areas, unless you have gaps between your teeth. Floss does reach those areas.
Flossing stimulates blood flow in the gums. One of the body’s first-line mechanisms of defense is to increase blood flow to an affected area. You are effectively helping your body do this in a controlled manner by flossing.
A number of the bacteria under your gums are anaerobic bacteria. That means they don’t grow in room air. So what is a person introducing into the gum pocket when they pull back their gums by flossing? Could it be . . . air? Is it possible that the oxygen in the air could kill some of those bacteria as well?
Think about it.
If we can set aside this newly created question of doubt for just a moment, I would propose that you ask yourself the following question:
“Have I ever flossed consistently?”
By this, I mean every day, and it would have to have included doing so for at least two weeks.
This question is particularly directed to someone if they ever had a gum problem like gingivitis or periodontal disease. Sure, one needs to get rid of tartar and control bacteria as well, but for patients that make the effort to floss (and with only a few qualifications that I can think of), it is almost a sure bet that their gums got better as a result of the daily exercise. First of all, the gums probably bled less afterward. Not in the beginning – to be sure – but after about two weeks of flossing every day, we typically see positive change. Breath improves too. An overall sense of well-being is not out of the question either.
When it comes to flossing sporadically, I agree. It doesn’t help much. It’s kind of like exercising once or twice a month. And let’s face it, that’s where most of the population lives when it comes to flossing — once in a blue moon. Is regular exercise effective, though? What does your common sense tell you?
Why would I hold on to this idea in the face of “new evidence”? Well, I have seen flossing help too many times to just call it a coincidence. Hard core scientists might say “Oh, well, that’s just anecdotal evidence. It doesn’t stand up to real scientific scrutiny.” OK. Then survey practicing dentists. Let’s see if I’m the only one with that observation and experience. I doubt it.
I’m not saying flossing is the only thing you need to do to have healthy gums. It isn’t. Diet and good nutrition are paramount. A healthy immune system doesn’t hurt either. But for Pete’s sake, flossing is cheap, really not all that hard to do once you have practiced it for a while, and it can end up saving you a lot of money in the long run. With health care costs being what they are, I can’t think of too many actions a person can take that bear as much fruit and keep money in their pockets.
But, if the media has just succeeded in making you feel better about not flossing, then OK. Bully for them. (Heaven knows, they do a top notch job spending most of their time getting people to feel less than great.)
And, I suppose there are other ways to handle tooth loss – which, by the way, happens a lot more from gum disease than tooth decay.
I have little doubt that some patients who visit a dentist and are told they have decay, but don’t experience any symptoms, are convinced that someone is trying to pull the wool over their eyes. There are probably several reasons for this. Possibly, they had been to some unscrupulous person in the past who suggested they had a problem, when they really didn’t.
I can see how that might create skepticism. I mean, it’s conceivable that sort of thing could happen.
But even if that were the case, I sincerely don’t believe it represents the behavior of a majority of dentists. Most of the dentists I know genuinely care about what they do and the people they treat. So maybe these skeptics are just people who don’t trust anyone. I don’t know.
The reality, though, is that these patients will eventually be in for a big surprise when the you-know-what hits the fan. Or – and let’s keep this a family column — when the decay hits the nerve.
But that could take a while.
And I believe that could be where some of the problem lies. A patient tries to use this to their advantage — they want to buy some time. After all, it’s not really being a “problem” for them in that they don’t perceive anything as being different. When the problem eventually does occur, I usually hear: “I never thought it would happen to me.”
A doctor detecting treatable decay usually recommends that the patient handle it at their earliest opportunity.
Why? Well, the patient can catch the problem when it is small, when it is less likely to cause post-operative discomfort, and when it will generally cost them a lot less.
But, first, let’s back up a little and explain why it’s possible to have a cavity – several in fact – and have absolutely no symptoms.
Most decay starts on the outer surface of the tooth called the enamel. It’s roughly 97% mineral in consistency and does not contain nerves. That means it has no feeling. Practically zero. Your dentist could DRILL on that part of the tooth and most of the time you won’t feel it.
Notice that in the earlier paragraph I mentioned “treatable” decay. Well, when would decay not be treatable right away? I can’t speak for other dentists, but I typically won’t treat decay when it is confined to the enamel. Why? It has the potential to re-mineralize. In other words, it has the capacity to fix itself – that is, if you don’t continue to do the things that led to the cavity in the first place. Usually, this is related to your diet, but it can be affected by hormones, or even medications.
Why not mention home care first? Isn’t that important too? Of course it is. It just may not be the most important factor.
Another time a dentist might not treat a cavity could relate to the age of the patient. For a much older patient, there are times when the pain or infection are not likely to come up before the patient passes. Of course, your dentist doesn’t have a crystal ball on that point. (Well, probably not.) But, it wouldn’t make sense to recommend treatment in the majority of those cases.
And this takes us back to the nature of a cavity. They often take a long time to get bigger. (But not always…. Again, no crystal ball here.) The reason has to do with the hardness of the enamel itself. Enamel, for you trivia lovers, is the hardest substance in your body. It’s harder than bone, and that property, along with the lack of sensation, can be problematic.
Here’s why: a cavity is often quite small on the outside of the tooth. It’s actually difficult for decay to work its way through that hard enamel. Most of the time it burrows a narrow channel down to the dentin (only a couple of millimeters away) and then it really starts to spread. Because dentin is softer than enamel, it’s just easier for it to spread more quickly there. By the way, this additional, and deeper, decay – very often still doesn’t hurt – as long as it is far enough away from the nerve.
Meanwhile, your enamel is, for the most part, continuing to hold its form. That stuff is hard. But things are generally hollowing out on the inside of the tooth now — out of sight and out of mind — as the decay continues to spread. Painlessly.
Eventually, your tooth can become very much like an eggshell.
Then one fine day you bite on something, and the hard enamel that was still doing its job holding the form of the tooth caves into the hole below. It just got too thin.
Now, at this point, does the skeptic understand that he got a cavity? Sure. Some of them finally get it. But for others –no! It’s more like: “Hey that blowhard dentist was obviously wrong because he talked about me having cavities years ago, and look – I did fine until now. In fact, I probably just lost a filling! Jeez, this hole just came out of nowhere. It’s probably the fault of some earlier dentist.” (Um, Mr. Skeptic never got the filling though. Remember?)
“Hey doc, how much is this going to cost me? $2,400?!!! (For a root canal, buildup and crown.) Are you insane? Just pull it.”
Now you are going to be missing a tooth, and may lose even more teeth as a result. Yet, when the doc first mentioned it, that cavity was only going to cost $150. How can it suddenly become sixteen times more expensive?!
“Rip-off artist. Seems you can’t trust anyone. . . .”
The idea that losing teeth is an inevitable part of aging is a common misconception. While it’s true that tooth loss occurs more frequently among older adults, it’s not a foregone conclusion. With proper oral care and preventive measures, you can keep your natural teeth healthy and strong well into your later years.
Why Tooth Loss Occurs
Tooth loss can be caused by various factors, including:
Gum disease: This is the leading cause of tooth loss in adults. Gum disease is an infection that affects the soft tissues around the teeth, eventually destroying the bone that supports them.
Tooth decay: This is caused by bacteria that build up on the teeth and form plaque. Plaque produces acids that can erode the enamel, the hard outer covering of the teeth. If left untreated, tooth decay can lead to cavities and eventually tooth loss.
Trauma: Injuries to the mouth or teeth can also cause tooth loss.
Other health conditions: Certain medical conditions, such as osteoporosis and diabetes, can increase the risk of tooth loss.
Preventive Measures
The good news is that you can take steps to prevent tooth loss and maintain healthy teeth for a lifetime. Here are some key strategies:
Practice good oral hygiene: This includes brushing your teeth twice a day for two minutes each time, flossing daily, and using a mouthwash.
Visit your dentist regularly: For professional cleanings and checkups.
Eat a healthy diet: Limit sugary foods and drinks, which can contribute to tooth decay.
Quit smoking: Smoking increases the risk of gum disease and other oral health problems.
In addition to these general recommendations, there are some specific things you can do to protect your teeth as you age:
Use a toothbrush with soft bristles: Hard bristles can damage your gums and enamel.
Consider using an electric toothbrush: Electric toothbrushes can be more effective at removing plaque and bacteria than manual toothbrushes.
Get regular fluoride treatments: Fluoride can help strengthen your teeth and prevent decay.
Myths about Tooth Loss and Aging
There are several common myths about tooth loss and aging. Here are a few of the most prevalent:
Myth: Losing teeth is a natural part of aging.
Fact: While tooth loss is more common among older adults, it’s not inevitable. With proper oral care, you can keep your teeth healthy for a lifetime.
Myth: You don’t need to see the dentist as often as you get older.
Fact: It’s important to continue seeing your dentist regularly for checkups and cleanings, even as you get older. Regular dental care can help detect and prevent problems early on.
Myth: There’s nothing you can do to prevent tooth loss.
Fact: There are many things you can do to prevent tooth loss, including practicing good oral hygiene, eating a healthy diet, and quitting smoking.
Losing teeth doesn’t have to be a part of aging. With proper care and preventive measures, you can enjoy a healthy smile for a lifetime. Talk to your dentist about ways to keep your teeth healthy and strong as you age.
Millions of people worldwide wear full dentures. While we often associate this aging, wearing full dentures is not just limited to older adults. Illness, accidents — sometimes even pregnancy — can contribute to tooth loss and, in a number of cases, this affects younger individuals as well.
Young or old, the psychological consequences of losing teeth can be severe.
Several studies have suggested that a smile is very often thefirst thing people notice about another person. So, losing one’s teeth can be devastating in a variety of ways.
Toothlessness may affect digestion. This, in turn, can influence nutrition and health. There can be issues with self-esteem, intimacy, and a host of other areas most people wouldn’t normally take the time to consider.
This is stressful enough. But having to now replace the teeth can also become stressful for some.
Many people worry about whether they will be able to eat with their dentures. Will people notice that they are wearing them? Will they sound funny when they speak? Will it hurt to eat with the dentures? Will they be able to chew their food? How will the dentures affect the ability to taste food? Will the dentures slip when they talk? What can they afford?
Dentures
These are natural concerns, but for the first-time wearer, they add up to a lot of unknowns.
The truth is that no two situations are alike. But almost all denture challenges have solutions.
Another thing to consider is that there are many ways to go about addressing total tooth loss. The solutions depend upon a person’s preferences, financial options, and — frankly — anatomy.
If a person were building a house and they decided to hire an architect, the architect would undoubtedly first gather a lot of information about the project. For example: Where is he going to be building? What does the client want: a log cabin or a mansion? What does the foundation look like? What is the client’s budget?
In some ways, restoring a person’s smile is not too dissimilar.
For the person without teeth, they may be surprised to learn that there are multiple ways to go about replacing the teeth. The length of time will vary with each approach, as well as the cost.
To help clarify the options and give some sense of the costs, I put together a free report that helps discusses different levels of care, from simple to more complex. Included is a sense of the pros and cons of each approach, and a general price range at today’s rates. Of course, this can vary widely from area to area and doctor to doctor.
OK. So let’s say it has been decided: you are a candidate for an implant.
Now what?
You may have heard that getting an implant can take a long time. By contrast, you can have a bridge to replace your missing tooth in about two weeks or less. Isn’t that better?
Not so fast. It all depends.
Let’s look at a couple of scenario
s. If you are replacing only one tooth and have two adjacent teeth here is what you should consider:
In order to place a bridge, you have to shave down those teeth so that they will support the bridge. This limits their longevity and may open the door to the need for additional work, such as root canal therapy in the future.
You should also understand that bridges don’t last forever. The national average, according to university studies and insurance company estimates, is only five to fifteen years. If, you are in your twenties, a bridge can turn out to be much more costly over your lifetime.
Let’s see how this plays out:
For the sake of argument, consider that a person has lost their first molar. The 2013 national average price for crowns (the individual units that make up a bridge) was about $1160. Since our hypothetical bridge has three units, that adds up to $3,480. If existing fillings need to be replaced due to decay, it could cost another $500. And if a root canal is needed because the filling is now closer to the nerve, this can cost as much as another $1,100 for a molar. Suddenly, the total bill can exceed $5,000 using our example.
In five to fifteen years the bridge may need replacement. Let’s be generous and say it lasts fifteen. Between the ages of 25 and 85, that’s four replacements – nearly an additional $14,000 – if nothing else is needed.
In the long run, replacing one tooth using a bridge can cost nearly $20,000 over your lifetime. And that’s assuming it is still in a condition that permits a new bridge.
What if instead we replace the tooth with an implant? At today’s rates, a traditional root form implant runs between $1,800 and $2,000 in my area. An abutment (that’s the part which ties the implant and the implant crown together) will range in price from an average of $850 to $1,200. Prices for implant crowns vary widely – though many dentists charge the same fee as they do for regular crowns. In this example, we’ll use the fee given above, so $1,160.
If we take the higher estimates here, we’re up to $4,360. That’s only $880 more than our bridge in the earlier example’s “best case” scenario.
The difference? That implant (barring situations like an accident causing physical injury to the implant) has a good chance of lasting a lifetime. That’s a lot less than $20,000 over time if you go the bridge route.
I have had patients react in various ways to this analysis. Some tell me “I really don’t want to wait three to nine months, while wearing a temporary partial, for the implants to be ready.” Others have said, “Well, if I’m going to have to replace a bridge down the road, or even end up with an implant later anyway – I might as well just do it now.”
Both arguments have their merits. But at least now you have some information that can help you make an informed choice.
We hope we will never lose a single tooth. Unfortunately, it happens sometimes. We can lose a tooth for many reasons. I won’t delve into them in this article. The purpose here is to help you to decide between a bridge and an implant, in the event that you have to make that choice.
Just so we are clear: No two situations are completely alike. I have neither seen nor evaluated your case and am simply discussing general principles. You should always consult a comp
etent and licensed professional to assess your specific circumstance before making a decision that will affect both your health and finances. Nevertheless, here you are. Either a tooth has been compromised and is lost already, or it is about to be extracted. If the idea of dental implants has crossed your mind, your dentist first has to determine whether you are a good candidate for the implants. The criteria can be broken down into three broad categories:
Do you have any medical issues that may prevent successful placement of an implant?
Do you have sufficient bone?
Will your existing bite allow it?
So let’s get into it:
1. Medical Issues. Health conditions that could prevent an implant being placed may include, but are not limited to:
Diabetes
Recent heart attack or stroke
Immunosuppression
Drug abuse
Active treatment of malignancy
Intravenous bisphosphonate use
You should disclose anything you think could be a matter of concern with your dentist. The success rate with dental implants is very high, but careful case selection is the key to success.
2. Sufficient Bone. Again, this needs to be determined by the implant surgeon. Your bone needs to be high enough and wide enough to accommodate the implant. If it isn’t, you may still qualify for a dental implant, but will likely require an additional procedure called bone grafting. Your dentist or implant specialist will determine your specific needs.
3. Your Bite. What does the bite have to do with anything? There was a tooth there to begin with, right? Both implants – and natural teeth – survive longer when your teeth and jaw are in harmony. If your bite has collapsed – meaning the upper jaw and lower jaws are now too close to each other – there may not be enough room to place an implant without orthodontic (braces), or surgical, intervention.
Starting to sound a bit complicated? Don’t worry, in most cases, the dentist can tell you pretty quickly if he feels implants will work for you. Sometimes, he needs additional screening tools to make the final call but, if he does, he’ll let you know that too.
Dr. Richard Walicki is a dentist practicing general and cosmetic dentistry. While we hope you find the information contained herein interesting and useful, this blog is for informational purposes and is not intended to diagnose any oral disease. Dental conditions should be evaluated by your dental health professional or a qualified specialist.
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