Posts Tagged ‘Osteoporosis’

A Hard Subject

Tuesday, June 30th, 2009

Did you know that bone is considered an organ? I don’t know if each individual bone is an organ or the skeletal system as a whole, but it is an interesting and complex tissue that plays an important role to your teeth as well as the rest of your body. It might seem like a hard, inert substance, but it is actually a live and vital tissue. It houses many types of cells, a blood supply and nerves, and it is in a constant state of flux and regeneration. There are basically four types of bone tissue in the body: 1) compact or cortical bone which comprises the thick outer covering, 2) trabecular bone which is the honeycomb inner bone, 3) marrow, which is the soft middle that produces blood cells, and 4) a specialized type of bone tissue called alveolar bone which supports the teeth. We will cover alveolar bone next time.

As a tissue, bone is subject to disease and should receive the proper care and maintenance. To appreciate this, it might help to understand what goes on in there. Your bone is constantly being remodeled in response to its environmental conditions. Cells called osteoclasts dissolve the calcium phosphate structure of the bone and return it to the blood. Osteoblasts are cells which deposit the calcium back into the bone. In this way, the shape and density of the bone can be altered as the body’s demands vary. For instance, if you do a lot of weight-bearing exercise, as well as your muscle mass increasing, your bone density will also increase to meet the requirement for more strength.

This touches on the subject of the most common disease of the bone, low bone density, or osteoporosis. The cause is simple chemistry. If the blood becomes too acidic, it will dissolve the minerals out of your tissues, the most common one being the calcium phosphate in your bones. The reason for acid blood is another easy one to figure out; it’s just what goes into your body. Different things have been shown to have an effect on the blood pH, or acid level.

Let’s start with the things that make your blood too acidic. At the very top of the list are drugs. I’m not just talking methamphetamines, but over-the-counter and prescription drugs also. The mechanism by which drugs enter your muscles, nervous system and brain is called a pH gradient. The blood must become more acidic than those other tissues in order to ‘download’ the drug. To be very effective, every drug must cause the blood to become acidic, and the more acidic, the faster and more potent the drug’s effects will be. Obviously, psychotropic drugs like meth and LSD are quite destructive. The constant and prolonged use by the meth addict leaves him emaciated, literally dissolving him from the inside. But caffeine, tobacco, and alcohol are also very potent drugs associated with constant and prolonged use. They all cause the blood to become very acidic. I might be sounding a little picky, but remember where we’re going with this. That acidity in your blood must be neutralized, and your body does it with the calcium from your bones!

A close second on the list of things that make your blood acidic is soda pop. The carbonation, caffeine, sugar, and phosphoric acid drive your blood acidity through the roof. Diet soda is every bit as bad, and energy drinks like Red Bull and Rock Star are the absolute worst in that category. So called “soft” drinks are so harmful that they should only be available by prescription, and then no doctor in his right mind would prescribe it for you. So you need to be your own doctor and don’t give yourself permission to buy soda for you or your children.

Constant exposure to fluoride replaces the calcium in your bones making them more brittle. According to the Journal of the American Medical Association, there is an increase in hip fractures in areas with water fluoridation.

Food wise, you can pretty much guess how they affect your blood pH. Sugar, artificial sweeteners, additives, and processed foods will make your blood more acid. Conversely, natural raw fruits, vegetables, whole milk, and eggs will not only reduce the acidity, but provide a natural source of minerals that will replenish your body.

Who gets osteoporosis and what do you do about it? You don’t wake up one day and BAM, you have osteoporosis. That last Coke didn’t just push you over the edge. It’s a disease of the elderly because it takes a lifetime of sodas, coffee, cigarettes, martinis, and finally, that shopping list of prescription medications. Of course, the sooner in life you break the pattern, the better chance you have to preserve the integrity and health of your bones. But it is never too late to take charge. Take responsibility for your health! Eat properly and exercise. Look up your prescriptions on the internet and see if they interact with each other, and you decide if you want to gamble on the side effects. It’s appalling to see drug companies try to induce people to use drugs they don’t even need on TV and tragically comical to listen to the required disclaimers. “You might turn blue and burst into flames, but go ahead and try it. It may be just what you need!” Most of my patients that take aspirin are self-medicating because of a TV ad. Don’t do that!

Many physicians have gone drugless and have written books to expose the drug companies’ control of American health care. In Dr. Jerry Avorn’s book, ‘Selling Sickness’, he talks about how drug companies invent diseases so they can sell more drugs. In his book, ‘Taking Control of Your Health’, Dr. Joseph Mercola says, “the most common cause of death in America is the fatally flawed medical system that focuses on using toxic and expensive pharmaceutical band-aids that in no way, shape, or form treat the underlying cause of the disease.”

I believe there certainly is a place for drugs such as medical emergencies, serious infections and high blood pressure, but not as a way of life. The price tag is too high. They are poisonous to your body. Their side effects are usually much worse than any benefit or relief they claim to give. They are pulling the calcium out of your bones and redistributing it into your kidneys, gall bladder, and joints, leaving your bones weak and crippling your body.

Next week we will talk about what drugs are being peddled for osteoporosis and their alarming effects.

Dr. Moulton’s article was published in the Desert Valley Times, December 2007

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The New Order

Tuesday, June 30th, 2009

In the olden days, there seemed to be an order of things that would prompt a person to go see their dentist for care.
The first concern for most patients was pain, followed by appearance, decay, gum disease, and missing back teeth, respectively. Many patients would only seek dental treatment when they were experiencing extreme pain, or if they were not happy with the look of their front teeth. Cavities, gum problems, and spaces where teeth were extracted were often ignored.

With all of the new information we know about gum disease, it is necessary to change our list of priorities.
Pain is still the front-runner and greatest cause for concern. If a patient has a tooth-ache, it often means that there is an infection present, whether it is within the tooth itself, or the gums that surround the tooth. Dental infections can be very serious and should be taken care of immediately.

Periodontal, or gum disease, is the second most important priority. According to recent studies, more than half of all people over 18 have at least the early stages of periodontal disease. Periodontal disease is an infection that destroys the gum surrounding your teeth and also destroys the supporting bone that holds your teeth in place. Unlike most diseases that give us early warning signs, gum disease progresses silently, often without pain. It may develop slowly or progress quite rapidly. Not only is the loss of gum and bone a concern, but studies have proven that gum disease may increase your risk of a variety of health problems, including:
Heart disease
Weakened immune system
Diabetes
Stroke
Lung Disease
Preterm, low birth babies
Respiratory disease
Osteoporosis
Gastric ulcer

If you are already experiencing any of these health concerns, it is very important to maintain good oral health by visiting your dentist regularly.

Tied for third on the new list are decay and appearance. I’m sure most of you know that if decay is not kept under control, it can actually spread to other teeth in your mouth. Also, if decay is left in a tooth long enough, it will eventually reach the nerve of the tooth, often causing an abscess, or infection, in the bone. The tooth will then need a root canal, or may need to be extracted.
We all understand how prominent appearance has become in our society. Everyone wants to have a beautiful smile to share. There are many ways to achieve the smile you have been wanting, including whitening, “invisible” braces,
porcelain veneers, etc. Just remember that a beautiful smile is more than straight, white teeth. It is important to make your entire oral health a priority.
As before, missing back teeth are last on the list. But that doesn’t mean they are less significant than the other things.
When a tooth is lost and not replaced as soon as possible, the remaining teeth can drift out of position and change the bite. This can lead to cavities, gum disease, bite problems, and TMJ (joint problems in the jaw). All of your teeth work together to help you chew, speak, and smile. When teeth are missing, it is difficult to do these things. Even the loss of back teeth can cause your bite to shift and your face to look older. Fortunately, missing teeth can be replaced in several ways, including implants, bridges, and removable appliances.
As you may have noticed, the dental concerns we have discussed can often times be interrelated. Gum disease can cause tooth loss, and tooth loss can cause gum disease. A “tooth-ache” can be caused by gum disease as often as it can be caused by decay. Loss of teeth, swollen, red gums, and decay all affect our appearance.
Evidence shows that it is time to let go of the ‘old school’ mentality and embrace the new order of things. We cannot stress enough how important it is to visit your dentist to have oral examinations and cleanings done regularly. By keeping these recare appointments you will increase your chances of a healthy smile, but most importantly, a long, healthy life.

Dr. Moulton’s article was published in the Desert Valley Times, June 2007

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