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Despite the extraordinary claims made for charcoal toothpaste, most dentists think that the accuracy of these claims is a very gray area. So, what is the theory behind using activated charcoal in your toothpaste?

Charcoal is in its natural form is a very porous substance. When mixed with oxidizing gases or chemicals at very high heat, the inner structure of charcoal becomes even more porous. This enables the “activated” charcoal to absorb chemicals. And activated charcoal, in fact, IS used as a treatment for certain poisons. Fans of charcoal toothpaste maintain that this same porosity enables the toothpaste to collect toxins, bacteria, and debris from the surface of your teeth, leading to a healthier mouth, fresher breath, and a whiter smile.

Sounds great! Should I buy some?

Maybe not quite yet.

• Claims that charcoal toothpastes whiten teeth more than other over the counter whiteners are difficult to prove. But even using the best charcoal product, you are getting a superficial cleaning. Because charcoal toothpaste removes stains only from the surface of the enamel, it is no match for a professional whitening.
• It’s abrasive. Harsh pastes and brushing could potentially cause thinner enamel. Thinning enamel reveals more of the darker dentin underneath, which can actually make your smile appear yellow. Abrasive pastes can be irritating for those with sensitive or compromised gum tissue. Any toothpaste you choose should never be so abrasive as to cause damage to teeth or gums.
• If you use only charcoal toothpaste, you might not get the amount of fluoride needed to protect your teeth. And no toothpaste can take the place of regular brushing, flossing, and checkups at our Marrero office.
• If you’ve seen the photos posted of charcoal enthusiasts with sooty smiles and teeth, you know brushing with charcoal toothpaste can be a messy process. You might need to take extra care to clean your mouth, teeth, and tongue after using. And your sink.

If you are still intrigued by the idea of charcoal toothpaste, Drs. Carlisle and Fabre and our team are happy to discuss it with you. And if teeth whitening is your concern, we have some proven methods to achieve your best results—even if they don’t provide an opportunity for dramatic charcoal selfies!

Adults are no strangers to feeling like there is never enough time in the day to get everything done. Your alarm clock rings and within minutes you ping pong around trying to spread peanut butter on sandwiches, answer your cell phone, remove the dog hair from your clothes, and make sure your child has completed his or her science fair project. Brushing your teeth can easily fall to the wayside. That is why our office promotes a simple, daily oral health regimen that you can easily incorporate into your busy lifestyle.

The American Dental Hygienists' Association (ADHA), in partnership with the Wrigley Jr. Company, is celebrating National Dental Hygiene Month (NDHM) during October. The ADHA encourages people to "Brush. Floss. Rinse. Chew...Keep it Clean, Keep it Healthy!" and offers some great tips for a quick and effective home oral health routine, below:

Oral Health Routine at Home

• Brushing your teeth twice daily is the most important thing you can do to diminish the accumulation of plaque and the potential for other oral problems such as cavities and gingivitis.
• Flossing once daily removes plaque and food from beneath the gums and between teeth that brushing alone cannot remove. Tooth decay and gum disease often begin in these areas.
• Rinsing your mouth with an antibacterial, non-alcohol based mouthwash kills plaque and gingivitis germs that brushing and flossing do not catch. We recommend using a mouthwash with the ADA Seal of Acceptance.
• Chewing sugar-free gum helps produce saliva, which battles cavities. The gum also neutralizes plaque, strengthens enamel, and removes remaining food. It is especially important to chew gum after eating or drinking.

It's easy to put the toothbrush down in order to take care of matters you feel are more urgent, but remember, a good oral health routine at home is the best way to prevent periodontal disease. "Periodontal disease is the most common cause of tooth loss in adults. An estimated 75 percent of Americans reportedly have some form of periodontal disease," said the ADHA. Periodontal disease also is linked to more serious illnesses such as diabetes and stroke.

Also, remember to keep regular visits with our office. Drs. Carlisle and Fabre can help you learn more about proper care for your teeth and gums.

Cigarette smoke contains more than 6,000 chemicals, and at least 200 of those chemicals are known to be harmful to your health. When smoke is inhaled, moist oral tissues are saturated with excessive amounts of carbon monoxide, hydrogen cyanide, and a host of other known carcinogens. Most oral cancers originate in abnormal squamous cell activity, which are cells found on the lips, inside the mouth, and in the throat.

How Oral Cancer Begins

Cells exposed to consistently high levels of cigarette smoke may eventually suffer abnormal mutations within their DNA. Since deoxyribonucleic acid (DNA) is responsible for providing cells with instructions about growth, reproduction, and death, these instructions become distorted, which causes the cells to reproduce uncontrollably.

Essentially, that is what cancer is: rapid, unchecked growth of genetically mutated cells that encourages the development of malignant tumors. Unfortunately, the chemicals in cigarette smoke are strongly associated with oral cancer.

Signs of Oral Cancer

Early-stage oral cancer is often asymptomatic, which means symptoms appear only after the cancer intensifies and spreads. Possible signs of oral cancer include:

• Ulcers inside the mouth or on the lips that do not heal
• White or dark red patches inside the mouth
• Lumps inside or around the mouth (a lump could appear on your neck)
• Bleeding, numbness, and soreness in the mouth
• Chronic halitosis
• Loose teeth in the absence of tooth decay

Diagnosis and Treatment of Oral Cancer

Squamous cell oral cancer is the most common type diagnosed in smokers. Drs. Carlisle and Fabre and our staff often discover squamous cell carcinoma lesions during dental examinations or cancer screenings. Depending on the stage of the oral cancer, treatment may begin with a biopsy or an exfoliative cytology procedure that involves collecting cells from the oral cavity using a scraper.

According to the Oral Cancer Foundation, oral cancer patients may need surgery, radiation therapy, a combination of surgery and radiation therapy, or chemotherapy to eradicate oral cancer.

Smoking, Cancer, and Tooth Decay

Not only is smoking the number-one cause of cancer but it is also detrimental to the overall health of your teeth and gums. Yellow teeth, bad breath, dry mouth, and expedited tooth decay are all caused by smoking, not to mention the damage smoke does to the heart, lungs, and kidneys.

In other words, don’t smoke!

Most people think braces are all about their teeth. While it is true orthodontics is meant to move your teeth into proper position, there's more to it than that. To safely move your teeth with braces, you're going to need healthy and stable gums (or periodontium—the tissues that support your teeth).

For this reason it's critical to have your periodontal health evaluated prior to getting braces. This applies particularly to adults, since a 2013 study by the Center For Disease Control found that an estimated 47.2% of adults 30 years of age and older had periodontitis (gum disease). If you do have periodontitis, moving your teeth with braces will only make things worse.

Conversely, there is also risk for periodontal disease if you don't get orthodontic treatment. Malocclusion, as well as crooked and spaced teeth, can all contribute to periodontal disease. In these situations your teeth and gums are more difficult to clean and become breeding grounds for disease causing bacteria. Bad oral hygiene combined with these traits can greatly contribute to the development of periodontitis.

So, periodontics and braces have a tricky relationship. On one hand, you shouldn't get braces if you show signs of developing or have periodontitis, while on the other hand, braces can help prevent the possibility of developing periodontitis by correcting the bite and straightening the teeth.

If you are 30 years of age or older and are considering getting braces, it would be wise to first:

• Let Drs. Carlisle and Fabre know about your desire to get braces
• Get an exam to make sure you're in good periodontal health and a good candidate for braces
• If you are a good candidate, keep an eye on your teeth and gums and get regular dental checkups throughout your entire course of treatment.

If you are in any doubt about the status of your teeth and gums, it's always best to get them checked before embarking with braces treatment. For more information or to have your periodontal health assessed for braces treatment, please contact our Marrero office.