Dental Health

Microorganisms on the tongue could help diagnose heart failure, according to research presented

Normal tongues are pale red with a pale white coating. Heart failure patients have a redder tongue with a yellow coating and the appearance changes as the disease becomes more advanced, the tongue coating differ between heart failure patients and healthy people, according to the research presented by author Dr. Tianhui Yuan, No.1 Hospital of Guangzhou University of Chinese Medicine.

This study investigated the composition of the tongue microbiome in participants with and without chronic heart failure. The study enrolled 42 patients in the hospital with chronic heart failure and 28 healthy controls.

The researchers found that heart failure patients shared the same types of microorganisms in their tongue coating. Healthy people also shared the same microbes. There was no overlap in bacterial content between the two groups.

Five categories of bacteria distinguished heart failure patients from healthy people, with decreases in levels of Eubacterium and Solobacterium, bacteria found in normal mouths.

The author suggested that more research is needed, but our results suggest that tongue microbes, which are easy to obtain, could assist with wide-scale screening, diagnosis, and long-term monitoring of heart failure. The underlying mechanisms connecting microorganisms in the tongue coating with heart function deserve further study.

It is interesting to note that tongue color, configuration and texture have been the hallmark diagnosis in Chinese Medicine, dating back thousands of years.

Perhaps the confluence of Western and Chinese Medicine in this regard portends more interesting developments in the future.

Dental Health

Bite Guards Used to Treat Tourette Syndrome

Tourette syndrome is a neurological disorder characterized by vocal and motor tics, which can contribute to anxiety, depression, and low self-esteem. Researchers in Japan have developed a removable dental appliance (bite guard) that can reduce these tics in both children and adults with Tourette syndrome. The ability to ameliorate tics could positively impact the everyday lives of individuals with Tourette syndrome.

While there is no cure for Tourette syndrome, there are several available options to treat severe tics. These include behavioral (e.g. psychotherapy and cognitive behavioral therapy), pharmacological (e.g. medications that block dopamine in the brain), and more intrusive surgical interventions (e.g. deep brain stimulation, whereby motor areas of the brain receive electrical stimulation). However, the efficacy of these treatments can vary, and patients still frequently suffer from physical, mental, and social disabilities.

As an alternative treatment option, researchers at Osaka University have developed a custom-made oral splint. These are typically used for unconscious teeth clenching and grinding, and for temporomandibular disorders such as misalignment of the teeth or jaw. The oral splint is applied to the molars to increase the occlusal vertical dimension, which essentially means that the alignment of the nose, lips, and chin is altered. The study was recently published in Movement Disorders.

“Biting down on the device immediately improved both motor and vocal tics in 10 of the 14 children and 6 of the 8 adults that participated in the study,” says Jumpei Murakami, joint first author of the study. “What’s more, these effects were long-lasting. Long-term improvements in motor tics after more than 100 days were especially evident in patients who were younger when their tics first started.”

While it isn’t yet clear how the oral splint exerts these effects, the action of biting down could serve as a sensory trick. Sensory tricks are voluntary maneuvers that usually involve touching parts of the face and head and can alleviate involuntary movements. Sensory tricks have been well documented to temporarily improve dystonia, which is a movement disorder that is, like Tourette syndrome, characterized by uncontrollable tics.

“Considering previous findings on sensory tricks in patients with cervical dystonia, it seems possible that the oral splint modulates proprioceptive, or ‘touch’ signals,” explains Yoshihisa Tachibana, co-first author of the study. “These ‘touch’ signals might be modified by the muscles involved in jaw-closing before being relayed to the brain.”

Unlike Las Vegas, nothing happens in the mouth just stays in the mouth. Whatever happens to the mouth invariably spreads to the rest of the body, for good or bad. In this case, it’s potentially very good news, indeed. Dentists may be able to help patients with Tourette’s disorder.

Dental Health

Vitamins and Minerals for Dental Health

Certain vitamins and minerals are especially beneficial to your dental health. These nutritional building blocks may be essential for keeping your teeth and gums healthy while benefiting your entire body.

Calcium

Throughout the body, this mineral helps build bones and provide structural support. In your mouth, calcium helps harden your enamel and strengthen your jawbone. Milk, cheese, yogurt, broccoli and salmon are some known sources of calcium.

Vitamin D

Vitamin D helps the body absorb calcium while boosting bone mineral density, so it’s crucial to get an adequate amount of vitamin D to get the most out of your calcium intake. Your body naturally makes vitamin D when it’s exposed to sunlight, but the vitamin can also be found in fatty fish, canned tuna and portobello mushrooms. You can also look for foods and drinks that have been fortified with vitamin D, such as milk, orange juice and cereal.

Potassium

Like vitamin D, potassium improves bone mineral density. It also works with magnesium to prevent blood from becoming too acidic, which can leach calcium from your bones and teeth. Bananas are well known sources of potassium, but they’re not alone. Other fruits and vegetables with high levels of the mineral include lima beans, tomatoes, Swiss chard, potatoes, sweet potatoes, avocados and prunes.

Phosphorus

Phosphorus supports calcium in building strong bones and teeth. Phosphorus is found in a wide range of foods. Rich sources of the mineral include seafood, such as scallops, sardines, cod, shrimp, tuna and salmon. If you’re looking to get your phosphorus from plant-based foods, consider soybeans, lentils and pumpkin seeds. You can also find phosphorus in beef, pork and cheese.

Vitamin K

Think of this vitamin as a shield – it helps block substances that break down bone. It also helps your body produce osteocalcin, a protein that supports bone strength. A vitamin K deficiency can slow down your body’s healing process and make you more likely to bleed. Leafy greens, such as kale, collards and spinach, can help increase vitamin K in your diet. Other great sources include parsley, broccoli and Brussel sprouts.

Vitamin C

Vitamin C strengthens your gums and the soft tissue in your mouth. It can protect against gingivitis, the early stage of gum disease, and can prevent your teeth from loosening. You probably already know that citrus fruits are rich in vitamin C, but you can also find it in potatoes and leafy greens.

Vitamin A

This vitamin helps keep the gums healthy. It prevents dry mouth and helps your mouth heal quickly. Vitamin A is found in fish, egg yolks and liver as well as leafy green vegetables like spinach, kale and collard greens, or in orange-colored fruits and oranges, apricots, cantaloupe, pumpkin, carrots and sweet potatoes. These fruits and veggies contain high levels of beta-carotene, which your body converts into vitamin A. Please check with your physician and dentist as to whether any foods or supplements containing these vitamins and minerals are appropriate for you. Also ask for advice as to quantity, duration, frequency and dosage.

(Portions of the above information were excerpted from a Delta Dental publication.)