(J Dent Res. 1970 Sep-Oct;49(5):1020-4. New thesis on the development of erosion and dental caries. Gabrovsek J.)
About 6 years ago my son’s teeth started falling apart. He was only 5 and he had decay in quite a few teeth and he’d had abscesses. When his dentist did a saliva test, his results were those of a child who eats sugar from morning to night. WHAT??
That couldn’t be right, I’m a dental assistant, his diet is just about perfect and I brush his teeth at night. None of us could explain it. If I’d been a “normal” (ie non dental) patient, everybody would have assumed that I was lying about his diet. Giving him a coke for breakfast? Mars bar for snack?
3 years later, he was diagnosed with Celiac disease (can’t digest gluten). He’s been on a gluten-free diet since and guess what….no dental problems. None.
Host-mediated response? Could that be the answer? Next time you have a patient with unexplained dental decay, would you consider further investigations into their health/immune system?
Anybody out there want to do some research into this? Get over the indoctrination of “sugar + bacteria = acid produced by bacteria” model.
With many thanks to the wonderful Andy Lane for this.