Dr. Shervin Molayem

Oral Risks: The Impact of Sports Drinks and Energy Bars on Athletes and Beyond

A study on Olympian athletes aged 18-36 unveiled concerning findings regarding the detrimental effects of sports drinks, energy gels, and energy bars on oral health. This extends beyond athletes, raising alarms for young adults and teens who frequently consume these energy-packed items.
Even though 94% of athletes had good oral hygiene, there were significant tooth problems, underscoring a link between the consumption of sports drinks, gels, and bars, and an increased risk of tooth decay and erosion.
These products, commonly used during training and competitions, pose a dual threat: the sugar levels heighten the risk of decay, while the acidity amplifies the potential for erosion. These products are often marketed without guidance about oral health risks, highlighting the urgent need for awareness.

Study:
Gallagher J et al. Oral health-related behaviours reported by elite athletes. British Dental Journal 2019;227:276-80

Phenylephrine, once a relied upon nasal decongestant, faces a verdict of ineffectiveness in a recent panel decision 🤔

Medication Overuse Headache (MOH), or rebound headache, results from excessive use of headache medications. Pain relievers can worsen the issue, leading to a cycle of recurring headaches. MOH is the 3rd most prevalent headache type, affecting ap. 60 million individuals globally. Addressing MOH involves discontinuation—with potential withdrawal symptoms. Common pain relievers such as aspirin, acetaminophen, migraine medicines, and opioids heighten the risk of MOH.
Thus, exploring natural remedies is imperative. A 2020 review highlights curcumin and chamomile's potential for migraines. Ginger supplements can also reduce migraine pain. Additional alternatives include magnesium, essential oils (peppermint, lavender, eucalyptus), and acupuncture.
It's crucial to prioritize natural treatment options to avoid medication overuse.

Studies:
Chen L, Cai Z. The efficacy of ginger for migraine. Am J Emerg Med. 2021;46:567.
Lopresti AL et al. Herbal treatments for migraine:. Phytother Res. 2020;34:2493.

Statistics are showing lower life expectancy after the pandemic 🤔

A recent review underscores the bidirectional nature of the mouth-gut axis.

The link between oral bacteria and gut pathology is a rapidly advancing field. Gum disease microbes, like P. gingivalis and F. nucleatum, have been linked to colorectal cancer. Continuous ingestion of P. gingivalis can contribute to leaky gut and systemic inflammation. Klebsiella species, harmless in the mouth, can increase inflammation in the gut. H. parainfluenzae, a normal oral commensal, can exacerbate Crohn's Disease and ulcerative colitis. S. mutans, associated with cavities, can increase severity in colitis.

Oral bacteria's impact extends beyond local effects, influencing the immune landscape.

When the gut is inflamed, it can affect the immune system and create T-cells that cause inflammation. These cells can react strongly to oral bacteria in the mouth, worsening oral disease.

Study:
Yamazaki
K, Kamada N. Exploring the Oral-Gut Linkage Interrelationship Between Oral and Systemic Diseases. Mucosal Immunology 2023.

A 2022 study brought attention to adverse reactions associated with facial Botox injections, affecting 1 in 6 users, equivalent to 16% of individuals undergoing the procedure. The global popularity of Botulinum toxin facial injections, a prevalent cosmetic intervention, has prompted heightened scrutiny. Botulinum toxins are neurotoxins with diverse therapeutic and cosmetic applications.
The comprehensive analysis of 30 studies encompassing 17,352 Botox injections into the face revealed the most common side effects: bruising (5%), headache (3%), and facial paresis (2%), a condition where certain facial regions experience temporary paralysis (such as the eyelid or eyebrow). The study underscored potential underreporting of side effects, urging critical evaluation of the safety profile of this cosmetic practice.
Link:
Zargaran D et al. Complications of facial cosmetic botulinum toxin A injection: analysis of the UK Medicines & Healthcare Products Agency. J Plast Reconstr Aesthet Surg. 2022;75:392-401.

Al Simplifies Gum Disease
Classification: Revolutionizing Dentistry

Al has transformed the field of dentistry by streamlining the diagnosis and treatment of gum disease. A research group from the UCL Eastman Dental Institute in London has developed an innovative Al solution that simplifies gum disease classification, leading to better diagnosis and treatment.

Thanks to Al's contribution, dentists can now quickly and easily classify the severity of gum disease, resulting in more accurate clinical decisions and better patient outcomes. This groundbreaking innovation is the future of gum disease diagnosis, and we're proud to be a part of this exciting transformation in dentistry.

The American Society of Clinical Oncology (ASCO) asserts that alcohol consumption significantly elevates the risk of multiple cancer types, including oropharyngeal, laryngeal, esophageal, hepatocellular, breast, and colon cancers, and possibly others. Even moderate alcohol use has been linked to increased cancer risk, as evidenced by a meta-analysis revealing elevated risks for esophageal squamous cell carcinoma, oropharyngeal cancer, and breast cancer at one drink per day or less. Globally, ASCO estimates that 5-6% of new cancer cases and deaths directly result from alcohol consumption. Notably, no level of alcohol intake is considered safe, with even one drink per day increasing cancer risk. The mechanisms underlying these connections vary by cancer type, with hormonal pathways being well-established factors.
Studies:
LoConte NK. Alcohol and cancer: American Society of Clinical Oncology. J Clin Oncol 2018;36:83-93.
Bagnardi V. Light alcohol drinking and cancer: a meta-analysis. Ann Oncol. 2013;24:301-308.

Studys highlight the detrimental effects of gum disease on general quality of life. Treating gum disease will lead to rapid improvement in overall wellbeing

In 2023, around 2.0 million Americans are anticipated to face a cancer diagnosis. Fried foods, associated with heightened cancer risk, exhibit mechanisms like acrylamide formation at high temperatures, recognized for its carcinogenic nature. Frying meat produces carcinogenic compounds, harming DNA and elevating cancer risk. The frying process induces oxidative stress, fostering free radicals that fuel chronic inflammation and DNA damage, propelling cancer development. Altered fatty acid composition during frying generates compounds linked to inflammation and increased cancer risk. Furthermore, frying leads to a loss of nutritional value, as high temperatures degrade vital vitamins and antioxidants crucial for cancer protection. It's vital to consider these mechanisms within a balanced diet, prioritizing natural foods to alleviate potential risks.
Study:
Zhang T et al. Association of Fried Food with Gastric Cancer Risk: A Systemic Review. Nutrients. 2023 Jun 30;15(13):2982

What are your thoughts? 🦷🩺

The key underlying factor responsible for the onset of gum disease is dental plaque. While pathogenic bacteria in dental plaque are necessary for the development of gum disease, an individual's susceptibility plays a pivotal role. Various systemic factors, such as hormone levels, can render the oral environment more vulnerable to gum disease. Notably, female s*x hormones can lead to an amplified inflammatory response in the gums when exposed to plaque, particularly during puberty, pregnancy, among women using oral contraceptives (birth control pills), and following menopause. Consequently, women experience hormonal fluctuations at different life stages, necessitating additional oral care to ensure both oral and overall health.

Study:
Boyapati R, et al. Influence of Female S*x Hormones in Different Stages of Women on Periodontium. J Midlife Health. 2021;12(4):263-266.

Oral care is a highly specialized field. Fortunately, access to top-tier dental care is available in the US. If you are unsatisfied with your current practitioner, numerous exceptional professionals exist.

It may be time to seek a new dentist if your current one does NOT:

• Address risk factors for chronic diseases, such as poor diet, stress, hypertension, obesity, smoking, and a sedentary lifestyle.

• Utilize AI to enhance X-ray interpretations. AI tools can identify a broader spectrum of shades, resulting in a 37% improvement in diagnosing oral conditions.

• Recommend the removal of silver fillings, given the potential toxicity of mercury leakage, which can lead to imbalance.

• Promote mouthwashes without valid reasons, as frequent use has been linked to a higher risk of chronic diseases like high blood pressure.
Take oral microbiome seriously, as it plays a pivotal role in health and disease and can guide tailored treatment plans.

Your oral health is crucial; find a dentist who considers these aspects to enhance your well-being.

🔬🦠

Recent research presented at the European College of Neuropsychopharmacology Congress highlights the mental health benefits of regular exercise compared to antidepressants. The study followed 141 individuals with depression, allowing them to choose medication or running. Over 16 weeks, 45 participants chose antidepressant, while 96 engaged in a running program (2-3 supervised 45-minute sessions/week). Both groups experienced remission in their symptoms at around 44%, but runners showed significant physical health improvements, including reduced heart rate, blood pressure, waist circumference, and enhanced lung function. The antidepressant group exhibited physical decline, increased weight, blood pressure, triglycerides, and decreased heart rate variability. This study underscores the importance of lifestyle changes for individuals dealing with depression.

The greatest epidemic of this century. What are your thoughts? 💭

Mouthwash Contains Compounds Associated with Diabetes Risk
Maintaining good oral hygiene is vital for overall health. Surprisingly, a common bathroom product might impact more than just the mouth. According to a study featured in the official journal of the Nitric Oxide Society, researchers discovered a potential connection between mouthwash use and type 2 diabetes. Their analysis revealed that individuals who used mouthwash more than twice daily faced a considerably higher risk of pre-diabetes or diabetes compared to those who used it less frequently. The researchers proposed that this association may be attributed to the impact on beneficial oral microbes, which play a crucial role in the production of nitric oxide.
Study:
Joshipura KJ, et al. Over-the-counter mouthwash use and risk of pre-diabetes/diabetes. Nitric Oxide. 2017;71:14-20.

Times have changed and so should the way we practice. Bacteria and toxins, even in small amounts, don't stay local. Lucky to be living in a time when implants can replace these infected yet quiet teeth.

The hype surrounding the medicinal use of ma*****na to address health issues might be overstated. Many claims have been put forth about the benefits of medical ma*****na in alleviating pain, insomnia, anxiety and depression. Findings from a 2022 study involving patients assigned to receive medical ma*****na cards indicate potential negative consequences.

Many suffering from pain, anxiety, or depression did not observe any improvements. Those exhibiting anxiety or depression faced an elevated risk of developing cannabis use disorder. This disorder's signs encompass an increasing need for more cannabis to combat
drug tolerance, and persistent use irrespective of physical or psychological issues. This research highlights the importance of making informed decisions regarding medicinal cannabis.

Study: Gilman JM, et al. Effect of medical ma*****na card ownership on pain, insomnia, and affective disorder symptoms in adults: a randomized clinical trial. JAMA network open. 2022;5(3):e222106-.

This study highlights the importance of vitamins and nutrition relating to the body as a whole but specifically when it comes to brain function and memory. A multivitamin is a good place to start

Size Matters: Why Cloth Masks Fall Short Against COVID-19

The coronavirus is tiny compared to other small particles, with only 0.1-0.5 μm. The size of common bacteria is 1-3 μm, while respiratory droplets have 5-10 μm. A typical wildfire fire smoke particle known as Smoke PM10 is

Side affects we should all be aware of when it comes to masks 😷

Researchers conducted an investigation involving a saline oral rinse to explore potential correlations between heart disease and white blood cells.
Participants underwent an oral rinse with saline. Subsequently, they underwent an electrocardiogram assessment, followed by blood pressure, flow-mediated dilation (which gauges arterial flexibility for heightened blood flow), and pulse-wave velocity (a measure of artery stiffness) assessment.
The outcomes revealed that elevated levels of white blood cells corresponded to compromised flow-mediated dilation, an early marker of suboptimal arterial health, implying an elevated risk of cardiovascular disease. This study offers a promising way to highlight the importance of oral health and quick heart health assessment. It gives healthcare professionals a chance to encourage early action in patients.

Study:
Hong KY, et al. Oral inflammatory load predicts vascular function in a young adult population: A pilot study. Frontiers in Oral Health.;4:1233881

Interesting research done here! Movement is important, even if not done daily

Researchers conducted an investigation involving a saline oral rinse to explore potential correlations between heart disease and white blood cells.
Participants underwent an oral rinse with saline. Subsequently, they underwent an electrocardiogram assessment, followed by blood pressure, flow-mediated dilation (which gauges arterial flexibility for heightened blood flow), and pulse-wave velocity (a measure of artery stiffness) assessment.
The outcomes revealed that elevated levels of white blood cells corresponded to compromised flow-mediated dilation, an early marker of suboptimal arterial health, implying an elevated risk of cardiovascular disease. This study offers a promising way to highlight the importance of oral health and quick heart health assessment. It gives healthcare professionals a chance to encourage early action in patients.

Study:
Hong KY, et al. Oral inflammatory load predicts vascular function in a young adult population: A pilot study. Frontiers in Oral Health.;4:1233881

Recent studies from Japan have demonstrated the remarkable potential for tooth regrowth in mice, setting the stage for a paradigm shift in dentistry. By unraveling the intricate mechanisms behind tooth development, researchers are uncovering the role of specific genes and proteins. The successful growth of teeth in these studies highlights the promising strides in regenerative medicine. These findings have ignited excitement and anticipation within the dental community, as upcoming clinical trials aim to translate this success to human applications. If these trials prove successful, they could herald a revolutionary advancement in dentistry, offering a natural and effective solution for tooth replacement. The prospect of harnessing the body's innate regenerative capabilities to regrow teeth holds the promise of transforming smiles and oral health on a global scale.

Many natural remedies carry powerful properties that lead to healing in the body, but a lack of scientific evidence sometimes leads people to conclude that these remedies are not beneficial. I stand on “absence of evidence is not evidence of absence" - what are your thoughts? 🤔

Do you suffer from lower back pain? Did you know that it could be linked to your gut? The inflammation resulting from dysbiosis/leaky gut can manifest as chronic back pain. Dysbiosis refers to an imbalance in the gut microbiota, leading to an overgrowth of harmful bacteria. Concurrently, leaky gut, or increased intestinal permeability, allows toxins to leak into the bloodstream, triggering an immune response and inflammation throughout the body. This inflammation can manifest as persistent lower back pain. Although not every case of chronic back pain might be linked to leaky gut, and other factors likely play a role, addressing gut health is essential for reducing inflammation levels and improving overall well-being. Prioritizing gut health can be vital in recovering from chronic pain and promoting a healthier, more vibrant life. Study: Dekker Nitert M, et al. Altered gut microbiota composition is associated with back pain in overweight and obese individuals. Frontiers in Endocrinology. 2020;11:605.

Did you know your saliva adapts to your diet? 🥦

Eating too fast can have detrimental effects on weight management and metabolic syndrome. When we eat quickly, we tend to consume larger portions and may not give our body enough time to register fullness. We chew less than we should, potentially impairing digestion and metabolism. This can lead to overeating and contribute to weight gain, higher blood sugar, higher LDL cholesterol, a larger waistline. and an almost twofold increase in the risk of metabolic syndrome. Slowing down the pace of eating allows for better portion control, and improved digestion and gives the body a chance to recognize satiety cues, supporting healthy weight management and reducing the risk of metabolic syndrome. A healthy metabolism and weight management start in the mouth!

Study: Stover PJ, et al. Neurobiology of eating behavior, nutrition and health. Journal of Internal Medicine. 2023