On march 20, was the World Mondgezondheidsdag. According to dentist Richard Kohsiek we would be much more often required to remain still in our mouth: “oral health reflects overall health.”
What is actually a good oral health?
“In the mouth you will have good and bad bacteria. As long as there is balance, there is little to worry about. It is wrong if the bad bacteria get the upper hand.”
“Dental plaque, the white film that sometimes on your teeth, it is formed by bacteria and food debris. By calcification develops into tartar in places your toothbrush can’t.”
Why is that bad for oral health?
“Because tartar under the gums can start to grow. There may be inflammation and bone destruction of the teeth ensure. Because the gums a little bit of the teeth off, to create space through which harmful mondbacteriën into the bloodstream can end up.”
Why you not just your teeth but also your tongue should brush
Is that dangerous?
“That can indeed be dangerous. A harmful bacterium can, for example, attach to a heart valve and cause inflammation. Research has shown that periodontitis, severe gum disease, the risk of heart problems by more than half increase. And vice versa: that the treatment of periodontitis has a positive effect on the condition of the cardiovascular system.”
“Serious gum disease increases the risk of heart problems by more than half”
Richard Kohsiek, dentist and member of the KNMT
What connections are there?
“A different relationship between periodontitis and diabetes. Periodontitis is two to three times more common in people with diabetes. Probably because the resistance against infections worsens due to the not well-set blood sugar levels. Also may cause inflammation in the body, such as in the mouth, the sugar levels since.”
“In addition, there is evidence for a relationship between poor oral health and rheumatoid arthritis, and poor oral health and dementia and depression. There is currently research to be done.”
There is also a connection between gum disease and premature birth. How about that?
“Pregnant women are more at risk of gingivitis. Probably due to the increased hormone levels. And that gives a higher risk of premature births and children with low birth weight. If you are pregnant, is brushing so important. Go with a gingivitis directly to the dentist.”
How can we keep the mouth healthy?
“By at least two times a day brushing and daily stokeren. And by not too much, but also not too often to eat. Every time we change something in our mouth, to celebrate the mondbacteriën party. Our food is also food for bacteria. In the digestion of sugars and starch to separate them acids. That increases the acidity in the mouth. This creates holes.”
“Every time we change something in our mouth, to celebrate the mondbacteriën party”
Richard Kohsiek, dentist and member of the KNMT
“The mouth restores the balance itself because our saliva, the acids neutralize. But that takes time. Eat and drink after a meal two to two and a half hours of nothing. If you do biscuits want to eat, take three at a time instead of three biscuits throughout the day. Then the mouth but one time such a zuuraanval process. Also smoking is bad for oral health.”
How about that?
“Smokers are more susceptible to gum disease than non-smokers. That is because the narrowing of the blood vessels to ensure that their gums are less vascularized. As a result, the defense against bacteria in the dental plaque.”
“Often, smokers do not notice that their gums are inflamed because your gums less likely to bleed. Also that comes through the narrowed blood vessels. Smoking promotes not only gum disease, it also suppresses the signals.”
The mouth as a compass
- An unhealthy mouth can be a compass of what is wrong in the rest of the body, allows also professor of Oral Medicine, Fred Rozema, affiliated to the Academic Centre for Dentistry Amsterdam (ACTA) and the Amsterdam UNIVERSITY medical centre. “Certain underlying diseases can you get in the mouth. Blisters in the mouth, for example, can indicate the side effects of medicines. A dry mouth can be a signal of diabetes. It is important that dentists the patient with this type of evidence refers to the doctor.”
What toothbrush should we use?
“An electric. That keeps the pressure on the teeth is always the same. In addition, there is often a timer. To all the plaque removal is two minutes of brushing is necessary. The average american gets less than half.”
“Toothpaste we use, not to plaque to remove, but to remove fluoride in the mouth. That protects the enamel. So always opt a toothpaste with fluoride. Rinse your mouth after brushing. Just the toothpaste spit is sufficient. Certainly before you go to bed. The fluoride can in all quiet the whole night to do his work.”
Richard Kohsiek is a board member at the Royal Dutch Society for the promotion of Dentistry (KNMT). In that capacity, he is concerned with the quality of oral health care in the broad sense, the relationship between a healthy mouth and the overall health of people, especially children and the elderly.