{"id":11842,"date":"2024-05-23T10:00:00","date_gmt":"2024-05-23T10:00:00","guid":{"rendered":"https:\/\/modernsciences.org\/staging\/4414\/?p=11842"},"modified":"2024-05-17T05:31:01","modified_gmt":"2024-05-17T05:31:01","slug":"healthy-teeth-are-wondrous-and-priceless-a-dentist-explains-why-and-how-best-to-protect-them","status":"publish","type":"post","link":"https:\/\/modernsciences.org\/staging\/4414\/healthy-teeth-are-wondrous-and-priceless-a-dentist-explains-why-and-how-best-to-protect-them\/","title":{"rendered":"Healthy teeth are wondrous and priceless \u2013 a dentist explains why and how best to protect them"},"content":{"rendered":"\n<div class=\"theconversation-article-body\">\n    <figure>\n      <img  decoding=\"async\"  src=\"data:image\/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABAQMAAAAl21bKAAAAA1BMVEUAAP+KeNJXAAAAAXRSTlMAQObYZgAAAAlwSFlzAAAOxAAADsQBlSsOGwAAAApJREFUCNdjYAAAAAIAAeIhvDMAAAAASUVORK5CYII=\"  class=\" pk-lazyload\"  data-pk-sizes=\"auto\"  data-pk-src=\"https:\/\/images.theconversation.com\/files\/586206\/original\/file-20240404-17-b7wyfm.jpg?ixlib=rb-4.1.0&#038;rect=9%2C0%2C6029%2C4019&#038;q=45&#038;auto=format&#038;w=754&#038;fit=clip\" >\n        <figcaption>\n          Healthy teeth are truly priceless.\n          <span class=\"attribution\"><a class=\"source\" href=\"https:\/\/www.gettyimages.com\/detail\/photo\/beautiful-smile-with-dental-mirror-royalty-free-image\/185331512?phrase=teeth&#038;adppopup=true\" target=\"_blank\" rel=\"noopener\">Moncherie\/E+ via Getty Images<\/a><\/span>\n        <\/figcaption>\n    <\/figure>\n\n  <span><a href=\"https:\/\/theconversation.com\/profiles\/samer-zaky-469548\" target=\"_blank\" rel=\"noopener\">Samer Zaky<\/a>, <em><a href=\"https:\/\/theconversation.com\/institutions\/university-of-pittsburgh-854\" target=\"_blank\" rel=\"noopener\">University of Pittsburgh<\/a><\/em><\/span>\n\n  <p>At an auction in England in 2011, one of John Lennon\u2019s teeth sold for <a href=\"https:\/\/www.cbsnews.com\/news\/john-lennons-tooth-sells-for-more-than-31000\/\" target=\"_blank\" rel=\"noopener\">just over US$31,000<\/a>.<\/p>\n\n<p>How much are your teeth worth?<\/p>\n\n<p>Teeth are amazing little miracles. They <a href=\"https:\/\/doi.org\/10.1177\/0022034519875450\" target=\"_blank\" rel=\"noopener\">light up our smiles<\/a>, we <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5256769\/\" target=\"_blank\" rel=\"noopener\">use them to speak<\/a> and we <a href=\"https:\/\/doi.org\/10.3390\/electronics5040062\" target=\"_blank\" rel=\"noopener\">chew with them more than 600 times at every meal<\/a>. <\/p>\n\n<p>Yet, in a society where 1 out of 5 Americans ages 75 and up <a href=\"https:\/\/www.nidcr.nih.gov\/research\/data-statistics\/tooth-loss\/seniors\" target=\"_blank\" rel=\"noopener\">live without their teeth<\/a>, many people may not realize that teeth are designed to stay with us for a lifetime. <\/p>\n\n<p>I\u2019m a dentist and an <a href=\"https:\/\/scholar.google.com\/citations?user=vAK2Uy0AAAAJ&amp;hl=en\" target=\"_blank\" rel=\"noopener\">assistant professor<\/a> spanning clinical dentistry and <a href=\"https:\/\/www.dental.pitt.edu\/research\/ccr\" target=\"_blank\" rel=\"noopener\">craniofacial regeneration<\/a> research. Researchers like me are still deepening our understanding of tooth development, with the ultimate goal of serving patients with <a href=\"https:\/\/doi.org\/10.1177\/0022034509349926\" target=\"_blank\" rel=\"noopener\">on-demand regrown ones<\/a>. <\/p>\n\n<p>In the process, I have developed reverence for natural teeth and for the complex beauty of these biological and mechanical masterpieces.<\/p>\n\n<h2 id=\"designed-for-lifelong-function\">Designed for lifelong function<\/h2>\n\n<p>The secret of teeth longevity lies in their durability as well as in how they are anchored to the jaw \u2013 picture a hammer and its hand grip. For each tooth, durability and anchorage are functions of the complex interface between six different tissues; each alone is a biological marvel. <\/p>\n\n<p>For anchorage, the <a href=\"https:\/\/www.news-medical.net\/health\/What-is-Cementum.aspx\" target=\"_blank\" rel=\"noopener\">cementum<\/a>, <a href=\"https:\/\/www.sciencedirect.com\/topics\/medicine-and-dentistry\/periodontal-ligament\" target=\"_blank\" rel=\"noopener\">ligament<\/a> and <a href=\"https:\/\/doi.org\/10.3390\/biomedicines11030843\" target=\"_blank\" rel=\"noopener\">bone<\/a> grip the tooth at its root portion that is buried under the gum. The ligament, a soft tissue that is about 0.2 millimeters wide (about the diameter of four hairs), attaches the cementum of the root on one end to the bone of the jaw on the other end. It serves to anchor the tooth as well as to cushion its movement during chewing. <\/p>\n\n<p>For durability, however, the secret lies in the enamel, dentin and pulp \u2013 our focus in this discussion.<\/p>\n\n<figure class=\"align-center zoomable\">\n            <a href=\"https:\/\/images.theconversation.com\/files\/591339\/original\/file-20240430-18-nkeswv.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip\" target=\"_blank\" rel=\"noopener\"><img  decoding=\"async\"  alt=\"An illustration of tooth anatomy\"  src=\"data:image\/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABAQMAAAAl21bKAAAAA1BMVEUAAP+KeNJXAAAAAXRSTlMAQObYZgAAAAlwSFlzAAAOxAAADsQBlSsOGwAAAApJREFUCNdjYAAAAAIAAeIhvDMAAAAASUVORK5CYII=\"  class=\" pk-lazyload\"  data-pk-sizes=\"auto\"  data-ls-sizes=\"(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px\"  data-pk-src=\"https:\/\/images.theconversation.com\/files\/591339\/original\/file-20240430-18-nkeswv.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip\"  data-pk-srcset=\"https:\/\/images.theconversation.com\/files\/591339\/original\/file-20240430-18-nkeswv.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=600&amp;fit=crop&amp;dpr=1 600w, https:\/\/images.theconversation.com\/files\/591339\/original\/file-20240430-18-nkeswv.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=600&amp;fit=crop&amp;dpr=2 1200w, https:\/\/images.theconversation.com\/files\/591339\/original\/file-20240430-18-nkeswv.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=600&amp;fit=crop&amp;dpr=3 1800w, https:\/\/images.theconversation.com\/files\/591339\/original\/file-20240430-18-nkeswv.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=754&amp;fit=crop&amp;dpr=1 754w, https:\/\/images.theconversation.com\/files\/591339\/original\/file-20240430-18-nkeswv.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=754&amp;fit=crop&amp;dpr=2 1508w, https:\/\/images.theconversation.com\/files\/591339\/original\/file-20240430-18-nkeswv.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=754&amp;fit=crop&amp;dpr=3 2262w\" ><\/a>\n            <figcaption>\n              <span class=\"caption\">Dentin and pulp are the body and heart of the tooth.<\/span>\n              <span class=\"attribution\"><a class=\"source\" href=\"https:\/\/www.gettyimages.com\/detail\/illustration\/anatomy-dental-infographic-the-structure-royalty-free-illustration\/1254917213\" target=\"_blank\" rel=\"noopener\">Anna Koroleva\/iStock via Getty Images<\/a><\/span>\n            <\/figcaption>\n          <\/figure>\n\n<h2 id=\"enamel-the-shield\">Enamel \u2013 the shield<\/h2>\n\n<p>The enamel is the protective shell that covers the visible part of the tooth above the gum. Thanks to its high mineral content, enamel is <a href=\"https:\/\/doi.org\/10.1038\/s41467-019-12185-7\" target=\"_blank\" rel=\"noopener\">the hardest tissue in the body<\/a>. It needs to be, since it acts as a shield against the constant impact of chewing.<\/p>\n\n<p>Enamel does not contain cells, blood vessels or nerves, so it is nonliving and nonsensitive. Enamel is also non-regenerating. Once <a href=\"https:\/\/www.youtube.com\/watch?v=zGoBFU1q4g0\" target=\"_blank\" rel=\"noopener\">destroyed by decay or broken by misuse<\/a> such as ice chewing, nail biting or bottle opening \u2013 or touched by the dental drill \u2013 that part of our priceless enamel is gone for good. <\/p>\n\n<p>Because it interfaces with a germ-laden world, the enamel is also where decay starts. When acid-generating bacteria accumulate on unbrushed or poorly brushed teeth, they readily dissolve the minerals in the enamel.<\/p>\n\n<figure>\n            <iframe loading=\"lazy\" width=\"440\" height=\"260\" src=\"https:\/\/www.youtube.com\/embed\/zGoBFU1q4g0?wmode=transparent&amp;start=0\" frameborder=\"0\" allowfullscreen=\"\"><\/iframe>\n            <figcaption><span class=\"caption\">How bacteria invade the teeth and cause cavities.<\/span><\/figcaption>\n          <\/figure>\n\n<p>Like hair or fingernails, the non-innervated enamel is not sensitive. The decay advances through the 2.5-millimeter thick (tenth of an inch) layer of enamel painlessly. When caught at that phase during a dental checkup visit, the dentist can treat the decay with a relatively conservative filling that hardly compromises the tooth\u2019s structural integrity.<\/p>\n\n<p>Because of its high mineral content, enamel is stiff. Its lifelong support is provided by the more resilient infrastructure \u2013 the dentin.<\/p>\n\n<h2 id=\"dentin-and-pulp-body-and-heart\">Dentin and pulp \u2013 body and heart<\/h2>\n\n<p>With less mineral content than enamel, dentin is the resilient body of the tooth. It is a living tissue formed of parallel tiny tubes <a href=\"https:\/\/doi.org\/10.1016\/0003-9969(94)90043-4\" target=\"_blank\" rel=\"noopener\">housing fluid<\/a> and <a href=\"https:\/\/www.researchgate.net\/figure\/Illustration-of-polarized-odontoblasts-Unique-features-of-odontoblasts-are-shown_fig2_329022748\" target=\"_blank\" rel=\"noopener\">cellular extensions<\/a>. Both originate from the pulp. <\/p>\n\n<p>The pulp is the tooth\u2019s soft tissue core. Vastly rich in cells, blood vessels and nerves, it is the life source of the tooth \u2013 its heart \u2013 and the key to its longevity. <\/p>\n\n<p>Like smoke detectors communicating with a remote fire station, the cellular extensions within the dentin sense decay as soon as it breaks through the nonsensitive layer of enamel into dentin. Once the extensions communicate the danger signal to the pulp, our tooth sensitivity alarm goes off: The tooth heart is in flames.<\/p>\n\n<p>The <a href=\"https:\/\/doi.org\/10.22203\/ecm.v041a13\" target=\"_blank\" rel=\"noopener\">inflamed pulp<\/a> initiates two protective actions. The first is to secrete an <a href=\"https:\/\/doi.org\/10.1016\/j.joen.2020.11.017\" target=\"_blank\" rel=\"noopener\">additional layer of dentin<\/a> to delay the approaching attack. The second is toothache, a call to visit the dentist.<\/p>\n\n<p>The earlier the visit, the less the drilling and the <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/8478124\/\" target=\"_blank\" rel=\"noopener\">smaller the filling<\/a>. If caught in time, most of the tooth\u2019s natural tissues will be preserved and the pulp will likely regain its healthy state. If caught too late, the pulp <a href=\"https:\/\/my.clevelandclinic.org\/health\/diseases\/23573-pulp-necrosis\" target=\"_blank\" rel=\"noopener\">slowly dies out<\/a>. <\/p>\n\n<p>Without its heart, a nonliving tooth has no defense against further decay invasion. Without a hydration source, a <a href=\"https:\/\/doi.org\/10.1016\/j.dental.2006.11.018\" target=\"_blank\" rel=\"noopener\">dried-out dentin<\/a> will sooner or later break under the forces of constant chewing. Besides, a tooth that has already lost a significant portion of its natural structure to decay, <a href=\"https:\/\/doi.org\/10.1016\/s0099-2399(89)80191-8\" target=\"_blank\" rel=\"noopener\">cavity preparation or root canal instrumentation<\/a> becomes weak, with <a href=\"https:\/\/doi.org\/10.1177\/00220345221093936\" target=\"_blank\" rel=\"noopener\">limited longevity<\/a>.<\/p>\n\n<p>In other words, the tooth is never the same without its heart. Pulpless, the tooth loses its womb-to-tomb endurance and mother nature\u2019s lifelong warranty. <\/p>\n\n<h2 id=\"the-tooth-coming-together\">The tooth coming together<\/h2>\n\n<p>More complex \u2013 and more precious \u2013 than a <a href=\"https:\/\/www.sciencemag.org\/video\/making-nacre\" target=\"_blank\" rel=\"noopener\">pearl within an oyster<\/a>, the formation of a tooth within our jawbone involves layered mineral deposition. As <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/14620213\/\" target=\"_blank\" rel=\"noopener\">tooth development progresses<\/a> in a process of ultimate cellular engineering, the cells of the six aforementioned tissues \u2013 enamel, dentin, pulp, cementum, ligament and bone \u2013 multiply, specialize and mineralize synchronously with each other to form uniquely interlocking interfaces: <a href=\"https:\/\/images.app.goo.gl\/f2q2kX1xEFtxMpch9\" target=\"_blank\" rel=\"noopener\">enamel to dentin<\/a>, <a href=\"https:\/\/images.app.goo.gl\/YEAGUE5ynaGj4dgi8\" target=\"_blank\" rel=\"noopener\">dentin to pulp<\/a>, <a href=\"https:\/\/images.app.goo.gl\/NunRVNycpiHeFfgB7\" target=\"_blank\" rel=\"noopener\">cementum to dentin<\/a> and <a href=\"https:\/\/images.app.goo.gl\/TyqNoDfFXce2D4Bh8\" target=\"_blank\" rel=\"noopener\">cementum to ligament to bone<\/a>. <\/p>\n\n<figure>\n            <iframe loading=\"lazy\" width=\"440\" height=\"260\" src=\"https:\/\/www.youtube.com\/embed\/xrebAYBnKw0?wmode=transparent&amp;start=0\" frameborder=\"0\" allowfullscreen=\"\"><\/iframe>\n            <figcaption><span class=\"caption\">Tooth development \u2013 the ultimate process of cellular engineering.<\/span><\/figcaption>\n          <\/figure>\n\n<p>In a <a href=\"https:\/\/www.youtube.com\/watch?v=xrebAYBnKw0\" target=\"_blank\" rel=\"noopener\">progress akin to 3D printing<\/a>, the tooth crown grows vertically to full formation. Simultaneously, the root continues its elongation to eventually launch off the crown from within the bone across the gum to appear in the mouth \u2013 the event known as teething. It is about that time, around 12 years of age, that our set of adult teeth is complete. These pearls are set to endure a lifetime and are undoubtedly worth preserving.<\/p>\n\n<h2 id=\"save-your-teeth-visit-the-dentist\">Save your teeth, visit the dentist<\/h2>\n\n<p>Tooth decay, <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30766141\" target=\"_blank\" rel=\"noopener\">the most prevalent disease in humans<\/a>, is both <a href=\"https:\/\/doi.org\/10.1038\/sj.bdj.4801214\" target=\"_blank\" rel=\"noopener\">predictable and preventable<\/a>. The earlier it is caught, the more the tooth integrity can be preserved. Since the process starts painlessly, it is imperative to visit the dentist regularly to keep those insidious germs in check.<\/p>\n\n<p>During your checkup visit, the dental professional will clean your teeth and check for early decay. If you are diligent with your <a href=\"https:\/\/www.ada.org\/resources\/ada-library\/oral-health-topics\/home-care\" target=\"_blank\" rel=\"noopener\">daily preventive measures<\/a>, the good news for you will be no news \u2013 enough to make anyone smile.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img  loading=\"lazy\"  decoding=\"async\"  src=\"data:image\/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABAQMAAAAl21bKAAAAA1BMVEUAAP+KeNJXAAAAAXRSTlMAQObYZgAAAAlwSFlzAAAOxAAADsQBlSsOGwAAAApJREFUCNdjYAAAAAIAAeIhvDMAAAAASUVORK5CYII=\"  alt=\"The Conversation\"  width=\"1\"  height=\"1\"  style=\"border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important\"  referrerpolicy=\"no-referrer-when-downgrade\"  class=\" pk-lazyload\"  data-pk-sizes=\"auto\"  data-pk-src=\"https:\/\/counter.theconversation.com\/content\/224207\/count.gif?distributor=republish-lightbox-basic\" ><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https:\/\/theconversation.com\/republishing-guidelines --><\/p>\n\n  <p><span><a href=\"https:\/\/theconversation.com\/profiles\/samer-zaky-469548\" target=\"_blank\" rel=\"noopener\">Samer Zaky<\/a>, Research Assistant Professor in Oral and Craniofacial Sciences, <em><a href=\"https:\/\/theconversation.com\/institutions\/university-of-pittsburgh-854\" target=\"_blank\" rel=\"noopener\">University of Pittsburgh<\/a><\/em><\/span><\/p>\n\n  <p>This article is republished from <a href=\"https:\/\/theconversation.com\" target=\"_blank\" rel=\"noopener\">The Conversation<\/a> under a Creative Commons license. Read the <a href=\"https:\/\/theconversation.com\/healthy-teeth-are-wondrous-and-priceless-a-dentist-explains-why-and-how-best-to-protect-them-224207\" target=\"_blank\" rel=\"noopener\">original article<\/a>.<\/p>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"Healthy teeth are truly priceless. Moncherie\/E+ via Getty Images Samer Zaky, University of Pittsburgh At an auction in&hellip;\n","protected":false},"author":827,"featured_media":11867,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","fifu_image_url":"","fifu_image_alt":"","footnotes":""},"categories":[12],"tags":[1392,460,474],"class_list":{"0":"post-11842","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-health-and-body","8":"tag-dental","9":"tag-teeth","10":"tag-the-conversation","11":"cs-entry","12":"cs-video-wrap"},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/modernsciences.org\/staging\/4414\/wp-json\/wp\/v2\/posts\/11842","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/modernsciences.org\/staging\/4414\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/modernsciences.org\/staging\/4414\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/modernsciences.org\/staging\/4414\/wp-json\/wp\/v2\/users\/827"}],"replies":[{"embeddable":true,"href":"https:\/\/modernsciences.org\/staging\/4414\/wp-json\/wp\/v2\/comments?post=11842"}],"version-history":[{"count":1,"href":"https:\/\/modernsciences.org\/staging\/4414\/wp-json\/wp\/v2\/posts\/11842\/revisions"}],"predecessor-version":[{"id":11843,"href":"https:\/\/modernsciences.org\/staging\/4414\/wp-json\/wp\/v2\/posts\/11842\/revisions\/11843"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/modernsciences.org\/staging\/4414\/wp-json\/wp\/v2\/media\/11867"}],"wp:attachment":[{"href":"https:\/\/modernsciences.org\/staging\/4414\/wp-json\/wp\/v2\/media?parent=11842"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/modernsciences.org\/staging\/4414\/wp-json\/wp\/v2\/categories?post=11842"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/modernsciences.org\/staging\/4414\/wp-json\/wp\/v2\/tags?post=11842"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}