5 Facets of a Healthy Lifestyle

Repost

We all say we want to be “healthy,” but what does that mean? Is “health” just the absence of illness? If so, then there are a lot of unhealthy people here in the US, where almost half of all adults have at least one chronic disease. In fact, continues the CDC, 70% of all deaths each year are caused by such diseases, especially heart disease, cancer and stroke.

The picture isn’t much prettier globally. Noting that 36 million people died from these kinds of diseases in 2008, the UN predicts that number to rise to 52 million within two decades, eclipsing deaths from “communicable, maternal, perinatal and nutritional diseases.”

But here’s the most distressing thing: these diseases are largely preventable. What we put into our bodies and how we use them have a big impact on whether (and how) we get sick.

In this light, health is less a state of being than a way of being.

A while back, the American Heart Association ran a health views survey of young adults. According to the LA Times, most participants “said they felt they were living a healthy lifestyle.” The youngest (ages 18 to 24) “strongly claimed that living a long, healthy life was important to them. On average, they said they wanted to live until age 98.” Yet 1/3 said that “they don’t believe that doing healthy things now…will make any difference….”

Maybe one of the problems is that we don’t really know what we’re talking about when we talk about “health.” Just what is a “healthy lifestyle”? How could anyone ever achieve it if they don’t know what it is?

Tenniel drawing of Alice meeting the Cheshire Cat, with text

The Wholeness of Health

As a holistic dentist, I take a “whole-body” approach to dentistry, treating the teeth and gums in their relationship with the rest of the body. Simply put, oral health affects systemic (overall) health, and vice versa. Likewise, physical health can’t be treated as something severed from our mental life. What happens to us physically also affects “how we feel inside,” and mental states can manifest physically – for instance, a headache or stomachache when you’re anxious or stressed.

Everything is connected. So it’s not hard to see how “living healthy” both involves the whole person and benefits the whole person – body, mind and spirit.

Below are 5 key facets of a healthy lifestyle. While acting on them is no guarantee of perfect health, it can dramatically lower your overall disease risk.

5 Facets of a Healthy Lifestyle

  1. Good diet/nutrition – A good diet is based on whole foods, including lots of vegetables, fruits and whole grains. It’s low in added sugars and other refined carbohydrates. Junk foods are a rare indulgence, if eaten at all.
  2. Physical activity – Though most of us lead sedentary lives, this inertia isn’t normal. We evolved to move. Regular exercise and physical activity are a must.
  3. Avoiding toxins – No tobacco. No drugs. Alcohol in moderation. Minimize exposure to toxic chemicals as you are able. (See EWG’s Healthy Home Tips to learn how.)
  4. Rest & sleep – Constant “busy-ness” is a surefire recipe for burnout. We need time off – for fun, for relaxation, for simply being. Getting enough quality sleep also matters, since that’s when our bodies do most of their repair work (e.g., rebuilding muscle, consolidating memory).
  5. Nurturing mental & spiritual well-being – Our overall sense of wellness is enhanced when we give time to ourselves, our loved ones and the things that interest us and give our lives meaning. We find emotional fulfillment. We keep our lives in balance. And this supports our physical well-being.

Modified from the original.

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Oral Cancer: To Screen or Not to Screen?

April is Oral Cancer Awareness Month, and this year, it’s involved some controversy.

It began with the release of a Consumer Reports article that included oral cancer screening among 8 “to avoid.”

“Most people,” they wrote, “don’t need the test unless they are at high risk, because the cancer is relatively uncommon.”

Not long after, a government task force said “that there is not enough published evidence to recommend for or against screening for oral cancer by primary care professionals.” Though dentists aren’t considered “primary care professionals” in this case, it’s an easy detail to miss.

So is CR right about when they say such testing isn’t necessary?

While it’s true that oral cancer used to be rather rare, with mostly smokers and heavy drinkers being at risk, that’s no longer the case. As we’ve noted before, rates have been skyrocketing, largely due to the human papillomavirus, or HPV. More than 35,000 new cases are diagnosed each year, and the 5 year survival rate is only 50%. Part of the reason for that last statistic is that many oral cancers are detected quite late – which is why dentists have been speaking up more and more about the benefits of early detection.

Unlike many other kinds of cancer screening, a screen for oral cancer is hardly invasive. At minimum, it involves a visual exam that can quickly and easily be done as part of a routine dental exam.

oral_cancer_check

Many also use technology to aid to visual screening. In our office, we have a device called VelScope, which uses a blue excitation light to make healthy areas appear fluorescent and problem areas, dark. This isn’t some extra procedure; once a year, it’s a part of every adult patient’s exam.

Brian Hill, executive director of the Oral Cancer Foundation, nicely sums up the case for screening:

It isn’t an invasive exam, there’s no radiation (no long-term exposure issue), it is painless, it’s usually free, and you’re already sitting in the dentist chair. Why would you not get it?

Indeed.

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Sugar & the Modern Food Environment (Guest Post)

From the blog of Dr. Bill Glaros – Used with permission

sugar_crystals

Sugar has one thing going for it: It makes things taste good. And it’s a taste we’re born to prefer.

In the natural settings that human primate ancestors evolved in, sweetness intensity should indicate energy density, while bitterness tends to indicate toxicity. The high sweetness detection threshold and low bitterness detection threshold would have predisposed our primate ancestors to seek out sweet-tasting (and energy-dense) foods and avoid bitter-tasting foods. Even amongst leaf-eating primates, there is a tendency to prefer immature leaves, which tend to be higher in protein and lower in fibre and poisons than mature leaves. The “sweet tooth” thus has an ancient evolutionary heritage, and while food processing has changed consumption patterns, human physiology remains largely unchanged.

And therein lies the problem. Food and beverage manufacturers bank on this preference: Sweet sells, and we pay. The average American diet is so sugared up, we now eat over a hundred pounds of added sugars each year – roughly double what we ate a century ago. And what have we gotten for it? Not much nutrition but lots more obesity and illness. As Dr. Robert Lustig noted in his widely read and commented upon article in Nature earlier this year,

Authorities consider sugar as ’empty calories’ – but there is nothing empty about these calories. A growing body of scientific evidence is showing that fructose can trigger processes that lead to liver toxicity and a host of other chronic diseases. A little is not a problem, but a lot kills – slowly….

Is it really coincidence that industry front groups have been putting out more pro-sugar messages than usual? The month after publication of Lustig’s article, the International Food Information Council added a “Sugars and Health Resource Page” to pound home the point of how wholesome, safe and healthy sugar can be.

More recently, the New England Journal of Medicine published a set of articles on a major source of sugar: soft drinks. As noted in the lead editorial,

Sugar intake from sugar-sweetened beverages alone, which are the largest single caloric food source in the United States, approaches 15% of the daily caloric intake in several population groups. Adolescent boys in the United States consume an average of 357 kcal of the beverages per day….

Unlike carbohydrates with high fiber content, sugar-sweetened beverages are nutrient-poor and are often associated with consumption of salty foods and fast foods. An emerging association between the increased consumption of sugar-sweetened beverages and chronic diseases such as type 2 diabetes, hypertension, and coronary heart disease is a major concern.

Before the end of the day, the beverage industry was in full spin mode, tossing out unreferenced “facts” that largely sidestep the issues at hand. That “forty-eight percent of overweight and obese individuals drink no sugar-sweetened beverages” says nothing about those who do. And while it’s true that sugary drinks aren’t the sole source of increased caloric intake, they still play a role (in all their super-sized glory).

More, soft drinks offer nothing nutritionally – one reason why they’ve become an easy target for regulation. With processed food, you still get some nutritional value with the junk. With soft drinks, you get nothing but colored sugar water with some preservatives (and maybe a vitamin or two thrown in if it’s an “energy” or “smart” drink).

And it’s not just about the sugar. Too often, junk foods and soft drinks replace real, nutrient-dense foods. The fuller we get on that highly processed stuff, the less we eat things like vegetables and whole fruit. That displacement, in fact, may play a crucial role in the health damage we see from sugar-intensive diets. As Dr. Weston Price wrote in Nutrition and Physical Degeneration,

There is very little of the body building minerals in maple syrup, cane syrup from sugar, or honey. They can all defeat an otherwise efficient [healthy diet]. The problem is not so simple as merely cutting down or eliminating sugars and white flour, though this is exceedingly important. It is also necessary that adequate mineral and vitamin carrying foods be made available [to the body].

But sugar is so nice! you say. Indeed, it is – and even nicer when used less often and in smaller amounts. Here are 12 great tips from Mother Nature News to help get you started.

Image by kaibara87, via Flickr

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Dr. David Kennedy’s Fluoridegate

A new documentary well worth your time and attention, from one of America’s leading experts on fluoride and fluoridation:

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Amalgams & Mercury Damage

amalgamsBefore yesterday was through, the ADA was in full spin mode over Thursday’s Dr. Oz Show: “Are Your Silver Fillings Making You Sick?” Apparently oblivious to irony, they reiterated their usual claim that there’s “no sound science” supporting mercury amalgam’s well-documented health risks – and then insisted on its safety.

As if saying something often and loudly and forcefully enough could somehow make it true.

It’s like when amalgam’s defenders say that the mercury it contains isn’t the dangerous kind – and is even a little magical:

Mercury is an important component in the fillings because it effectively binds the other metals together, forming a strong bond that contributes to the filling’s durability. It is important to note that there are several kinds of mercury. The mercury found in water that can build up in fish and lead to health problems if you ingest too much is not the same type of mercury used in amalgam. The mercury in amalgam is contained, or sequestered, within the filling.

Of course, even the ADA agrees that mercury vapor is released during chewing or grinding. A 2009 paper in Chemical Research in Toxicology estimated that older fillings may have lost up to 95% of their original mercury content. That mercury doesn’t just disappear, of course. The body’s self-regulating mechanisms clear as much of it as it possibly can. That which isn’t excreted is stored, typically gravitating toward fatty tissues such as the liver and brain.

More, although the mercury in amalgam may start out in elemental form, it doesn’t stay that way. As Dr. Huggins notes in It’s All in Your Head, mercury released from amalgams fillings can become methylated.

Mercury is highly reactive chemically. It likes to combine with biological tissue. In the mouth, mercury has the ability to combine with a carbon-hydrogen compound called a methyl group. When mercury combines with methyl groups it is called methyl mercury.

Methylation actually begins in the mouth , due to the action of oral bacteria, but it can occur elsewhere (also). And “although the amounts found are small,” wrote researchers in the Journal of Nutritional & Environmental Science, “any measurable amount of methyl mercury” only adds to a body’s total toxic burden.

Methylmercury is a bioaccumulative toxin. That’s why mercury in fish – especially fatty fish – is such a concern. When mercury contaminates water, it gets methylated by bacteria. Fish exposed to this methylmercury accumulate it in their bodies. When we eat them, we get a dose of the stuff, too.

And there is no question about it: the stuff is highly toxic. It’s main damage is neurological, particularly during the developmental period before birth and into a child’s early years of life.

Of course, it has other effects, as well – including a somewhat surprising one suggested by a recent study. Methylmercury exposure in young adulthood appears to raise the risk of developing diabetes later in life.

The study, published last month in Diabetes Care, analyzed data from nearly 4000 adults between the ages of 20 and 32. According to lead author Ka He of Indiana University,

Our results are consistent with findings from laboratory studies and provide longitudinal human data, suggesting that people with high mercury exposure in young adulthood may have elevated risk of diabetes later in life.

Why? It may be related, at least partly, to pancreatic beta cell dysfunction. These cells have been shown to play a major role in type 2 diabetes.

The abstract of the Diabetes Care study is available here.

We know that our current diabetes epidemic, like its companion obesity epidemic, has many causes. Further study is needed to know if we need to add yet another cause to that list.

Image by Enzo Carretta, via Wikimedia Commons

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Bad Breath? Good News!

If you decide what to read on the basis of whether or not it has a catchy title, you likely missed “The Efficacy of Different Mouthrinse Formulation in Reducing Oral Malodour: A Randomized Trial” in the Journal of Clinical Periodontology (presuming, of course, you’re the type who reads things like the Journal of Clinical Periodontology).

rinseSo let’s call it “How Well Do Different Mouthwashes Get Rid of Stinky Breath?” instead.

Are you interested now?

The randomized, double-blind trial was small and simple: For one week, 18 participants used one of three rinses. Two products – Halita and Meridol with zinc lactate – contained at least one antimicrobial agent (Halita contains cetylpyridinium chloride and chlorhexidine in addition to the zinc). The other contained fluoride.

Sulfur levels and organoleptic (“sniff test”) scores were taken twice to measure odor – once 15 minutes after their first rinse and again at the end of the week. The first took note of masking effects, while the second noted therapeutic effects.

Those were the rules, but how did it turn out?

All three rinses did fine with respect to immediate freshness, but only those with antimicrobials showed a therapeutic effect. They also had the most powerful masking effect.

Does this mean chemical clean is the way to go?

All have their downsides. Chlorhexidine and cetylpyridinium chloride tend to stain the teeth. The latter may also irritate the soft tissues of the mouth or trigger allergic reactions. Fluoride, of course, has its own problems.

And none have proven much better than more natural products, which raises the issue we’ve noted before:

If the effects of natural substances on oral [pathogens] are at least as good as those of a chemical substance, why opt for the chemical?

One alternative we especially like is Natural Dentist Healthy Gums Mouth Rinse. This natural mouthwash helps control periodontal disease and biofilm (plaque) build-up through its blend of cleansing and soothing botanicals including echinacea, golden seal, grapefruit seed, aloe vera gel and calendula. It contains no alcohol, artificial sweeteners, dyes or preservatives, and will not stain the teeth.

For other easy ways to improve your breath, see our previous post.

Image by twenty_questions, via Flickr

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Getting to the Root (Canal) of the Issue

Break out the streamers and strike up the band! Root Canal Awareness Week starts Sunday!

Hey. Where are you going?

While the endodontists – dentists who specialize in root canals – want to sell you on the wonders of root canals, the 70% who’d prefer to avoid them are right to be wary…but maybe not for the reasons they think.

Root canal therapy is typically recommended when a conventional dentist notices advanced decay extending into the dentin of a tooth. They say this will “save” the tooth, but in reality, it saves only the outer structure. All the tissue that made it a living organ – the pulp – is removed.

The hollowed out pulp chamber is then filled with a putty-like substance and sealed with a restoration.

This is just one of the things an endodontist probably won’t tell you. Dr. Mercola and Dr. Huggins can tell you many more.

 

As former endodontist George Meinig once said,

We believe now that every root canal filling does leak and bacteria do invade the structure. But the variable factor is the strength of the person’s immune system. Some healthy people are able to control the germs that escape from their teeth into other areas of the body. We think this happens because their immune system lymphocytes (white blood cells) and other disease fighters aren’t constantly compromised by other ailments. In other words, they are able to prevent those new colonies from taking hold in other tissues throughout the body. But over time, most people with root filled teeth do seem to develop some kinds of systemic symptoms they didn’t have before. (emphasis added)

Turn to cancer expert Dr. Joseph Issels, and the bad news just keeps on coming:

According to Issels, “A survey conducted at my clinic found that, on admission, ninety-eight percent of the adult cancer patients had between two and ten dead teeth, each one a dangerous toxin producing ‘factory.'” The clear implication is that no dentist had carefully evaluated those people for dental foci – oral sources of infection that affect other areas of and organs in the body.

Issels continues:

Only total, thorough dental treatment will really succeed in giving the body’s defense a chance. The growth of the tumor itself is very often distinctly slowed down by focus treatment. Now and then tumor development stops altogether, and sometimes even regresses. The head foci therefore seem not only to contribute to the development of secondary lesions, to the origin of cancer disease, but also to exert a direct influence on tumor growth by stimulating it. Many tumors seem to respond to immunological therapy only when foci have been removed. The subsequent improvement in the body’s defenses clearly shows itself in the response to immunizing vaccines.

He later makes a very sobering statement:

My own unhappy experience shows that with cancer patients, foci treatment has generally been left to a very late stage. In the vast majority of the patients I have treated, it was quite clear that foci treatment should have been carried out years before and certainly long before the manifestation of the tumors.

So what to do if a tooth is so infected that root canal therapy may be called for? There are some biological dentists who believe it can still be an option so long as the canal is thoroughly disinfected with ozone before sealing, but as we’ve noted, that may not be a good long-term solution.

Extraction may sound extreme, but in light of the havoc oral pathogens can cause, it really is often the lesser of two evils. Once the tooth is out, it may be replaced with a bridge, partial or possibly a zirconium implant.

Ultimately, the choice is yours to make. The important thing is to understand the risks and benefits of any dental procedure and determine the option that best matches your needs, goals and values.

It’s easy for the uninitiated to misunderstand the science behind holistic dentistry and its whole-body health approach. If you want to know more, one of our favorite introductions is the very readable Whole Body Dentistry by Mark A. Breiner, DDS, which covers the whole shebang. For more specific and in-depth information about root canals, check out Meinig’s classic Root Canal Cover-Up.

Image by Zzyzx11, via Wikimedia Commons

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