Podcasts > The Diary Of A CEO with Steven Bartlett > Most Replayed Moment: Don’t Brush Your Teeth After Sugar! The Best Oral Care Routine

Most Replayed Moment: Don’t Brush Your Teeth After Sugar! The Best Oral Care Routine

By Steven Bartlett

In this episode of The Diary Of A CEO, Victoria Sampson explores the connection between oral health and broader medical conditions, including cancer. She explains how a common oral bacterium can affect tumor growth and discusses how everyday habits—from coffee consumption to antidepressant use—impact the balance of bacteria in our mouths.

Sampson shares practical strategies for maintaining oral health, including the proper timing of tooth brushing after consuming acidic foods, effective use of electric toothbrushes, and the role of probiotics in supporting a healthy oral microbiome. She also addresses common dental concerns, explaining the differences between at-home and professional treatments while highlighting the importance of regular dental cleanings for optimal oral health.

Most Replayed Moment: Don’t Brush Your Teeth After Sugar! The Best Oral Care Routine

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Most Replayed Moment: Don’t Brush Your Teeth After Sugar! The Best Oral Care Routine

1-Page Summary

Research has revealed a concerning connection between oral health and cancer, particularly involving a bacterium called Fusobacterium nucleatum. Victoria Sampson explains that this common oral bacterium can accelerate tumor growth, showing strong links to colorectal and breast cancer. The bacterium operates by promoting inflammation and disrupting immune responses, leading researchers to explore targeted antibiotic treatments as a potential cancer therapy.

Factors Influencing the Oral Microbiome

The health of our oral microbiome depends on various factors, including hygiene, diet, and genetics. Sampson notes that common habits like drinking coffee, taking antidepressants, or frequent sugar consumption can create a dry mouth or acidic environment that disrupts the natural balance of oral bacteria. She advises using straws for sugary drinks and avoiding immediate tooth brushing after acidic foods to protect tooth enamel.

Healthy Oral Microbiome Strategies

According to Sampson, green tea proves particularly effective at killing harmful Fusobacterium nucleatum. She recommends consuming sugary items in one concentrated "attack" rather than spreading consumption throughout the day. For proper brushing technique, she advocates using electric toothbrushes with timers and pressure sensors, brushing at specific angles, and avoiding rinsing after brushing to maintain protective effects.

Probiotics and Supplements for Oral Health

Sampson discusses how probiotic supplements can help balance the oral microbiome, particularly when personalized through microbiome testing. She describes specific options like probiotic mouthwash and chewable tablets, which can be selected based on individual microbiome test results that reveal bacterial composition and inflammation levels.

Dental Health and Hygiene

While over-the-counter whitening products can potentially harm teeth, professional whitening treatments offer a safer solution for addressing extrinsic stains from coffee, tea, and smoking. Steven Bartlett notes that while home dental tools like water flossers provide convenient cleaning options, they're intentionally less powerful than professional equipment, making regular dental cleanings essential for optimal oral health.

1-Page Summary

Additional Materials

Counterarguments

  • While Fusobacterium nucleatum has been linked to cancer, it's important to note that correlation does not imply causation, and more research is needed to fully understand the mechanisms involved and the strength of this link.
  • The use of targeted antibiotics as a potential cancer therapy could lead to antibiotic resistance, which is a significant global health concern. Alternative treatments should also be considered and researched.
  • The factors influencing the oral microbiome are complex and multifaceted. While the text lists several, it is not exhaustive, and other environmental and lifestyle factors could also play significant roles.
  • The advice to use straws for sugary drinks and avoid immediate tooth brushing after acidic foods, while potentially helpful, may oversimplify the strategies needed for maintaining oral health and could be less effective without a comprehensive approach to diet and oral hygiene.
  • The recommendation to consume sugary items in one "attack" may not take into account the overall impact of sugar on general health, including the risk of diabetes and obesity.
  • While green tea may have antimicrobial properties against Fusobacterium nucleatum, relying solely on green tea for oral health may not be sufficient for all individuals, and its benefits should be considered as part of a broader oral hygiene regimen.
  • The effectiveness of probiotic supplements for oral health can vary widely among individuals, and while personalized microbiome testing sounds promising, it may not be accessible or affordable for everyone.
  • Professional whitening treatments, although safer than over-the-counter products, can still carry risks and may not be necessary for everyone, especially if the primary goal is cosmetic.
  • Regular dental cleanings are important, but the frequency and type of cleaning should be personalized based on individual needs and oral health status, rather than a one-size-fits-all recommendation.
  • The assertion that home dental tools are less powerful than professional equipment may not recognize the advancements in home dental care technology and the potential for these tools to be highly effective when used properly.

Actionables

  • You can create a personalized oral health diary to track your daily habits and their effects on your oral microbiome. Start by noting down your daily consumption of foods and drinks, hygiene practices, and any use of oral health products. Over time, you can look for patterns that correlate with changes in your oral health, such as increased sensitivity or gum inflammation, which might indicate an imbalance in your oral microbiome. This diary can help you identify specific lifestyle changes that could benefit your oral health, such as reducing sugar intake or increasing your consumption of green tea.
  • Develop a DIY "mouth-friendly" snack kit for times when you crave something sweet. Fill it with items that are less likely to disrupt your oral microbiome, such as xylitol-sweetened gum, cheese cubes, and crunchy vegetables like carrots and celery that naturally clean your teeth as you eat them. By having this kit readily available, you can satisfy your sweet tooth while minimizing the impact on your oral health and potentially reducing the growth of harmful bacteria like Fusobacterium nucleatum.
  • Engage in a "green tea challenge" where you replace one of your daily beverages with green tea for a month. Document any changes you notice in your oral health, such as reduced bad breath or gum inflammation. Green tea has been shown to have antimicrobial properties, and by incorporating it into your routine, you may help to combat harmful oral bacteria and improve your overall oral health. Share your experience and results with friends or on social media to encourage others to try the challenge and potentially improve their oral health as well.

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Most Replayed Moment: Don’t Brush Your Teeth After Sugar! The Best Oral Care Routine

Link Between Oral Bacteria (Fusobacterium Nucleatum) and Cancer

Research is increasingly uncovering connections between oral health and overall health, with one specific bacterium showing a troubling connection to cancer.

Oral Bacteria Like Fusobacterium Nucleatum Accelerate Tumor Growth in Mice and Are Linked To Cancers Such as Colorectal and Breast Cancer

A study mentioned by Victoria Sampson has made a significant finding that fusobacterium nucleatum, a bacterium commonly found in the human oral cavity, can accelerate tumor growth. This was demonstrated in mice and is linked to an increased risk for colorectal cancer and breast cancer. This connection adds to a growing body of evidence that suggests oral bacteria could play a role in oncogenesis, the process of tumor formation.

Oral Bacteria Significantly Risk Cancer By Promoting Inflammation and Disrupting Immunity

Sampson implies that one of the mechanisms through which fusobacterium nucleatum could influence cancer development is by promoting inflammation and disrupting the body's immune response. Chronic inflammation is a well-known risk factor for cancer, and the disruption of immune function may inhibit the bo ...

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Link Between Oral Bacteria (Fusobacterium Nucleatum) and Cancer

Additional Materials

Counterarguments

  • The correlation between Fusobacterium nucleatum and cancer in mice may not directly translate to humans due to biological differences between species.
  • While inflammation is a known risk factor for cancer, the specific role of oral bacteria in promoting inflammation and its direct link to cancer risk in humans requires further research to establish causation.
  • The presence of Fusobacterium nucleatum in cancer patients does not necessarily imply causation; it could be an opportunistic infection due to a pre-existing cancerous environment.
  • Antibiotic resistance is a growing concern, and the use of antibiotics to target Fusobacterium nucleatum could contribute to this problem if not managed carefully.
  • The effectiveness of antibiotics in tr ...

Actionables

  • You can enhance your oral hygiene routine to potentially reduce harmful bacteria like Fusobacterium nucleatum. Start by incorporating an antimicrobial mouthwash into your daily dental care, alongside regular brushing and flossing. This can help minimize the presence of harmful bacteria that could contribute to inflammation and immune disruption.
  • Consider adjusting your diet to support a healthy oral microbiome, which might lower the risk of bacteria-related health issues. Foods rich in fiber, like fruits and vegetables, can stimulate saliva production and reduce oral bacteria. Additionally, limiting sugar intake can decrease the food source for harmful bacteria, potentially reducing their growth.
  • Engage with your dentist a ...

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Most Replayed Moment: Don’t Brush Your Teeth After Sugar! The Best Oral Care Routine

Factors Influencing the Oral Microbiome (Diet, Lifestyle, Hygiene)

Understanding the factors that influence the oral microbiome is critical for maintaining oral health. Poor hygiene, diet, and genetics can lead to imbalances that foster the overgrowth of harmful bacteria.

Imbalances in Oral Microbiome From Poor Hygiene, Diet, and Genetics Lead To Harmful Bacteria Overgrowth

Consumption habits also play a significant role in oral health. For instance, coffee can lead to a dry mouth by reducing saliva, which is essential for nourishing good bacteria and hindering the growth of bad bacteria. Further, antidepressants can similarly cause dry mouth and negatively affect saliva production. Frequent consumption of sugary tea, especially when sipped over an extended period, disrupts the mouth's ability to neutralize and maintain a balanced pH in saliva, resulting in an acidic environment conducive to decay.

Additionally, diet influences the oral microbiome with frequent sugar intake altering saliva pH and potentially causing decay. To prevent exacerbating the issue, it is paramount not to brush teeth immediately after consuming acidic or sugary substances, as this can lead to grinding the sugar or acid into the teeth's enamel.

Factors Contributing To an Unhealthy Oral Microbiome: Dry Mouth, Frequent Sugary Snacking, Improper Timing of Brushing Teeth

Sampson recommends using straws for sugary and acidic drinks, as it helps bypass the teeth, which reduces decay risk, tooth wear, and staining. Furthermore, smoking and vaping negatively impact the oral microbiome due to their contribution to dry mouth. A lack of ...

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Factors Influencing the Oral Microbiome (Diet, Lifestyle, Hygiene)

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Actionables

  • You can create a personalized hydration reminder system to combat dry mouth from coffee and medications. Set alarms on your phone or smartwatch at regular intervals to drink water, especially after having coffee or taking medications known to reduce saliva production. This can help maintain a balanced oral microbiome by promoting saliva flow.
  • Develop a DIY saliva-friendly snack kit for on-the-go nourishment. Include items like cheese, nuts, and crunchy vegetables that stimulate saliva production and are less likely to alter the pH balance in your mouth. Keep this kit with you to have alternatives to sugary snacks that can disrupt your oral health.
  • Experiment with a homemade mouthwash using natural ingredients that promote a balanced oral microbiome. Mi ...

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Most Replayed Moment: Don’t Brush Your Teeth After Sugar! The Best Oral Care Routine

Healthy Oral Microbiome Strategies (Green Tea, No Sugar, Proper Brushing)

Victoria Sampson sheds light on strategies to maintain a healthy oral microbiome, including the consumption of green tea, limiting sugar intake, and employing effective brushing techniques.

Green Tea Kills Fusobacterium Nucleatum, Supporting Oral Health

Sampson states that green tea is extremely effective at killing fusobacterium nucleatum, a bacterium that can be harmful to oral health. Green tea’s anti-inflammatory properties, aid in managing oxidative stress and its antibacterial nature, particularly against fusobacterium nucleatum, makes it a recommended choice for supporting a healthy oral ecosystem.

Concentrated Sugar "Attacks" Prevent Oral Microbiome pH Imbalance

Sampson provides personalized recommendations for oral health, which include limiting sugar consumption to prevent an acidic pH balance in the mouth that could lead to tooth decay. She advises consuming sugar in one go, referred to as a "sugar attack," instead of sipping sugary beverages continuously. This approach helps in maintaining balanced saliva pH by reducing the frequency of acidic shifts in the mouth.

Effective Brushing Techniques For Plaque Removal

The timing and technique of tooth brushing play vital roles in oral health. Sampson claims that the most crucial time to brush is before bed, as it helps spread protective substances across the teeth. Post brushing, it is recommended not to rinse with water, as this action can remove these protective substances from the teeth and gums.

Sampson prefers electric toothbrushes due to features like a timer and a pressure sensor, which aid in brushing for the full r ...

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Healthy Oral Microbiome Strategies (Green Tea, No Sugar, Proper Brushing)

Additional Materials

Counterarguments

  • While green tea may have antibacterial properties, it is not a substitute for other oral hygiene practices such as flossing and regular dental check-ups.
  • Some studies suggest that the frequency and duration of sugar exposure may be more impactful than the quantity of sugar intake on oral health, so the concept of a "sugar attack" might oversimplify the issue.
  • Brushing before bed is important, but brushing after each meal can also be beneficial in removing food particles and preventing plaque buildup.
  • Not rinsing with water after brushing might preserve fluoride from toothpaste, but some dental professionals recommend a light rinse to remove dislodged food particles and bacteria.
  • Electric toothbrushes can be beneficial, but they may not be necessary for everyone. Proper technique with a manual toothbrush can be just as effective for some individuals.
  • The recommended two-minute brushing time is a general guideline, and some individuals may require more or less tim ...

Actionables

  • Integrate green tea into your daily routine by replacing one of your regular beverages with it to harness its oral health benefits. For example, if you usually have a soda or coffee in the afternoon, switch it out for a cup of green tea to help combat harmful bacteria in your mouth.
  • Create a sugar tracker using a simple notepad or mobile app to monitor and gradually reduce your sugar intake. Start by jotting down everything you eat that contains sugar for a week, then identify where you can make cuts or substitutions, like swapping out sugary snacks for nuts or cheese.
  • Use a favorite song or podcast as a timer to ensure you br ...

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Most Replayed Moment: Don’t Brush Your Teeth After Sugar! The Best Oral Care Routine

Probiotics and Supplements for Oral Health

Probiotics, often referred to as good bacteria, can help in maintaining a balanced oral microbiome, and their use, when personalized through microbiome tests, can enable better oral health.

Probiotic Supplements Can Repopulate and Balance the Oral Microbiome

Personalize Probiotic Supplements Using Oral Microbiome Test Results

According to Victoria Sampson, personalized recommendations for maintaining oral health—including the use of probiotic supplements—can be derived from oral microbiome tests. Probiotics introduce beneficial bacteria, which are critical in creating a healthy environment in the microbiome. Although not necessary for everyone, they can be particularly effective for those with an imbalance in their oral microbiome.

Sampson mentions a specific microbiome test named Orolis-1, which assesses the levels of good bacteria in the mouth. Based on these test results, a tailored probiotic can be recommended to replenish the missing beneficial bacteria. She speaks of a probiotic mouthwash in powder form that becomes active when mixed with water. This mouthwash should be swished around the mouth and then swallowed, with the intent of promoting health in both the oral cavity and the gut.

In addition to mouthwash, Sampson describes a chewable probiotic tablet that is user-frien ...

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Probiotics and Supplements for Oral Health

Additional Materials

Counterarguments

  • The efficacy of probiotics for oral health is not universally accepted; more research may be needed to establish their benefits conclusively.
  • Personalized probiotics based on microbiome testing can be costly and may not be affordable or accessible to everyone.
  • The oral microbiome is complex, and introducing probiotics may not always result in a balanced microbiome or improved health outcomes.
  • Some studies suggest that the benefits of probiotics may be temporary and that long-term use may not lead to sustained oral health improvements.
  • The regulatory status of probiotics as supplements rather than medications means they are not subject to the same rigorous testing and approval processes, potentially affecting quality and efficacy.
  • There may be potential risks or side effects associated with the use of probiotics, especially in immunocompromised individuals, which are not fully understood or communicated.
  • The relationship between the oral microbiome and systemic health is intricate, and the impact of oral probiotics on gut health is an area that requires more research.
  • The claims of genetic mutations a ...

Actionables

  • You can start a daily food diary to track foods that may influence your oral microbiome, noting any changes in oral health over time. By monitoring what you eat and any subsequent oral health issues, you might identify patterns that suggest which foods promote a healthy balance of bacteria in your mouth. For example, if you notice improved gum health after eating yogurt for a week, it could indicate that the probiotics in yogurt are beneficial for your oral microbiome.
  • Create a DIY oral care kit with natural ingredients known to support oral microbiome health, such as a homemade toothpaste with baking soda and essential oils like peppermint or tea tree oil. Experiment with these natural alternatives to see if they complement your oral health regimen. For instance, you could use your homemade toothpaste in the morning and your regular toothpaste at night, then observe any differences in how your mouth feels or smells.
  • Engage in a ...

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Most Replayed Moment: Don’t Brush Your Teeth After Sugar! The Best Oral Care Routine

Dental Health and Hygiene (Whitening, Plaque Removal)

Dental health and hygiene and the effectiveness of various methods for teeth whitening and plaque removal are discussed to maintain a healthy smile.

Dentist Teeth Whitening Addresses Extrinsic Stains Safely

Steven Bartlett addresses concerns about the safety of teeth whitening and the best approaches for achieving a brighter smile.

Otc Whitening Products Can Be Harmful; Professional Treatments Are Safe and Effective

Extrinsic stains from sources such as coffee, tea, and smoking, which discolor the surface of the teeth, are relatively easy to target. A trip to the dental hygienist or the use of whitening toothpaste can provide some help in this regard. However, caution is advised with whitening toothpaste due to their abrasive nature, which may damage tooth enamel over time and lead to sensitive teeth. For a safe and effective whitening experience, it is recommended to opt for professional treatments. While some professional whitening products can be harmful, others, like Enlighten, are considered to be as safe as having a Coca-Cola for a few days, which is deemed not massively damaging.

Water Flossers and Home T ...

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Dental Health and Hygiene (Whitening, Plaque Removal)

Additional Materials

Counterarguments

  • While dentist teeth whitening is generally safe, some individuals may still experience sensitivity or other adverse reactions, and it's important to discuss potential risks with a dentist.
  • OTC whitening products, when used correctly and approved by dental health authorities, can be both safe and effective for some individuals.
  • Some extrinsic stains may be stubborn and not as easy to remove as suggested, depending on the individual's dental history and the duration of the staining.
  • There are whitening toothpastes available that are designed to be less abrasive and may not damage tooth enamel if used as directed.
  • The safety of professional whitening treatments can vary, and even treatments like Enlighten may not be suitable for everyone or could still pose risks if not administered properly.
  • Water flossers have been shown in some studies to be quite effective for plaque removal and can be a good option for people with b ...

Actionables

  • You can enhance your daily dental routine by incorporating foods that naturally whiten teeth, such as strawberries and apples, which contain malic acid that helps remove surface stains. Adding these to your diet can complement professional whitening treatments without risking enamel damage like some toothpastes might.
  • Create a personalized dental care calendar to schedule regular professional cleanings and check the timing for safe intervals between professional whitening treatments. This helps maintain oral health and ensures you're not overdoing treatments that could lead to sensitivity or damage.
  • Invest in a high-quality, adjustable water fl ...

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