Everyday Culprits of Tooth Decay

My mom always told me that sugar would rot my teeth. But after a recent scolding by my dentist for brushing too hard (how else am I supposed to get all the sugar off?), I was inspired to look a little deeper into what’s really harmful to my teeth—and I learned that there’s a lot more than sugar to watch out for. From foods that encourage tooth decay to habits that wear away gums, there’s more to maintaining our smile than a simple brush and floss.

Crackers, Breadsticks, and Chips
Just what we needed—another reason to feel bread aisle-guilt. But unlike low-carb diets, there’s some real science behind this.

Not all digestion happens in the stomach—turns out, a lot of it actually goes down in between our teeth as we’re chewing. It starts with plaque, a sticky, whitish substance that blankets our teeth. When the snack of choice is a bag of chips, or something equally starchy—a cookie, cracker, cereal, even a banana—the bacteria that lives on our teeth starts breaking that plaque down, a process that creates very strong acids. (Foods broken down like this are often referred to as fermentable carbs.) The acids, in turn, can cause demineralization, or the dissolving of tooth enamel. Our mouths keep on producing acid as long as the fermentable carb is in contact with our teeth.

Dentists used to think that this was only a problem for the most sugary of foods, hence the fear tactics my mom used on me with those post-dessert brushing sessions. But advances in nutrition and dental science have shown that all types of sugar and starch, in liquid and solid form, lead to this kind of decay.

“Some studies have even shown the acid-producing potential of these types of foods is equal to what the mouth produces in response to obviously sugary solutions, like a cookie or hot chocolate,” says Karen Hastey, a former dental hygienist and oral surgery assistant. Photo courtesy of slice (cc)

Lemonade, Pineapples, and Oranges
Acidic foods and drinks also initiate a harmful chemical process in the mouth—one that softens tooth enamel and also leads to decay. When it comes to acid, there are the obvious culprits, like lemons (and, hence, lemonade), oranges, pineapples, pickles, and even yogurt, which has a low pH value.

“The acids in these fruits break down in your mouth, which causes the sting or raw spots you might get from eating too much pineapple in one sitting,” says Hastey.

This doesn’t mean we need to laboriously monitor the pH level of our snack choices, but, as a rule, if something tastes a little tart, avoid sucking excessively on it (especially near the front of your mouth) and pop in a piece of sugar free gum afterward to help pull the remaining acid off teeth. Photo courtesy of maesejose (cc)

Ice Cubes
Yes, it’s just water, but munching on ice cubes can also do a fair amount of damage. Subjecting our molars to those hard cubes is an easy way to develop small fractures in our enamel, cause gum injuries, and even break teeth. (Though it would have to be a really big cube to actually break a tooth.) The tiny fractures, however, are much more common and dangerous when built up over a long period of time—weakening our teeth and making them more susceptible to serious breaks, bacteria, and cavities. So when we’re looking for distraction or stress relief by chewing on the ice at the bottom of a cup, we should consider a piece of sugarless gum or some celery sticks instead. Photo courtesy of Kyle May (cc)

45 readers liked this story.
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01.14.2009
Larry Knipfing
Nice piece! Informative but also humorous! My own experience at the dentist: Each time I go there for a cleaning, I'm chided by the young, idealistic dental assistant for not doing a thorough job. I'm always told that I don't brush properly. Then, she tattles on me to the dentist. BUT he just shrugs, and says OH. Why? Because he's a business man, and the worse my teeth are, the more business he has!
09.03.2008
Salina
Fabulous! I got in trouble for hard brushing too! Who'd a thought?! :) Now to see if those "enamel-strenghtening" toothpastes will help preserve what's left...
09.03.2008
Dori Settles
Great article! Thank you for doing the research and highlighting the facts in an easy to understand manner.
09.02.2008
Bree James
As a mom whose child was in the habit of having several packets of white, refined sugar as a snack, this article caught my eye. Of course, happily tearing off the end of such a packet and tossing it back as if it were an clam on the half-shell, turns out not to be the worst thing she might have done. As a woman of a certain age who, with equal abandon, just tossed back close to a pint of Cherry Garcia frozen yogurt, this article caught my eye for additional reasons. After reading it, I thought I'd better hurry and brush my teeth, but then I remembered there's chocolate in that Ben & Jerry's delight, so the fat in that will pull all the bad stuff off my teeth, right? I love it when that happens. Great article, great quotes from Ms. Gwerder, and I happen to know the author is delightful to share a table with, and approves of both breathing and drinking water.
08.30.2008
jbelkin belkin
Wow, what a fun person to live with! I can imagine how much fun eating is with this person, you probably get a lecture on the impact you're having on the environment by drinking water or breathing air ... this person needs to chill out and relax a bit. Life is not that harsh.
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