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Three year olds teeth almost decaying - feel terrible

146 replies

Cloudyrainy · 07/11/2023 12:22

So my son had his first check up at the dentist today, he turned 3 in July.

I was concerned about his teeth as he absolutely HATES me brushing them and he has a lot of issues around food so eats more sugar than he probably should. The dentist has said his teeth are not decaying yet but there are spots they’re concerned about and said that it’s bad considering he is only three.

I feel absolutely terrible, I really do try to brush his teeth as best as I can but it’s obviously not enough. He was also a complete angel for the dentist and he let her rummage about in his mouth and didn’t say A WORD, I feel like she didn’t believe me when I said he clamps his mouth shut and screams when I brush his teeth. She said lots of other children wouldn’t let her in their mouths as well as he did and asked how he doesn’t let me. I didn’t know what to say, she also said if it’s worse at his check up in three months he’d need put under sedation if there was decay?

I just feel absolutely terrible, everything she suggested to try we already do, I’ve tried to make it a game, singing songs, new toothbrush and new toothpaste.

Can I fix this by cutting the sugar and keep trying with the brushing? They weren’t decayed yet but obviously what she said is worrying 😞

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Lollygaggle · 08/11/2023 11:24

bibop · 08/11/2023 08:41

It's common for vegan toddlers and babies to have teeth that start to crumble or decay for this reason. Lack of minerals. Emphasise the animal foods in his diet.

Sorry this is not true.
The enamel on baby teeth is formed well before birth and the enamel on the first adult teeth is also formed before or just after birth.

In order for a dietary deficiency to affect teeth it would have to be so severe it gives rise to rickets as well.

Many vegan children have decay because

a sugar and sugar substitutes such as agave syrup, molasses, dried fruit , smoothies etc play a large part in diet and will decay teeth just as easily as processed sugar

b many parents also buy into anti fluoride philosophy.

This 3 year olds baby teeth are already formed and many of his adult teeth are formed , minerals will not be taken up or deposited into teeth that are formed other than topically ie fluoride , tooth mousse etc

CottonC · 08/11/2023 12:41

@Cloudyrainy you're your child's parent, not their child friend! I don't understand this type of neglectful parenting at all - yes it makes life easier for you and makes you feel better about yourself in the short term but all it ultimately does is fail your child - as you've seen yourself.

If he refuses to open his mouth to brush, you need to give him immediate consequences if he doesn't straightaway agree to being brushed and not let him leave without brushing.

He's behaving well with the dentist because he respects her and her instructions but he's learnt that he doesn't need to respect you. And in fact you reward him for not respecting you as a parent because you give up and let him have his way and pay him lots of attention while he misbehaves. This is a dangerous precedent to set for a child and you're seeing him misbehave in other areas, not just tooth brushing.

Pandering to him with more silly games others are suggesting isnt going to help long term and just rewards his bad behaviour. How many adults see brushing as a fun activity, so understandably, why would most children?? Your vital job as a parent should be showing him that he has sometimes to do things he doesnt like to do that are for a greater good e.g. tooth brushing, eating healthy food, sharing play toys. You have good intentions but the blunt truth is you're failing him at the moment by not parenting properly.

Plumful · 08/11/2023 12:45

@CottonC has summed it up perfectly

Interested in this thread?

Then you might like threads about these subjects:

CottonC · 08/11/2023 14:01

bakewellbride · 08/11/2023 08:59

@bibop veganism is perfectly healthy, no one 'needs' animal foods to be healthy.

@bakewellbride I used to work in food science and I have a biological sciences background. Your statement about veganism is wrong unfortunately. It's not actually a naturally healthy diet at all and logically it can't be, because you're unnecessarily cutting out/reducing important food groups/vital minerals. Just because being vegan is trendy at the moment doesn't automatically mean it's healthy, especially for children.

Eating meat/animal products has been a normal part of the human diet for over thousands of years and has enabled humans develop the way we have.

Adults have free choice to follow what diet they choose. It's unfortunate though when veganism is forced on young children before they can make informed choices.
This is really important to understand: the claims of "healthy" vegan diets are actually false comparisons i.e. comparing veganism to unhealthy non-vegan diets e.g. those who eat too much high fat animal products, rather than comparing to healthy non-vegan diets.

The truth is you can do all the substitutes you want, but no vegan diet can match nutritionally with a healthy non-vegan diet which, barring rare health conditions that need to exclude animal products, is the healthiest diet you can have.

Superscientist · 08/11/2023 14:20

CottonC · 08/11/2023 14:01

@bakewellbride I used to work in food science and I have a biological sciences background. Your statement about veganism is wrong unfortunately. It's not actually a naturally healthy diet at all and logically it can't be, because you're unnecessarily cutting out/reducing important food groups/vital minerals. Just because being vegan is trendy at the moment doesn't automatically mean it's healthy, especially for children.

Eating meat/animal products has been a normal part of the human diet for over thousands of years and has enabled humans develop the way we have.

Adults have free choice to follow what diet they choose. It's unfortunate though when veganism is forced on young children before they can make informed choices.
This is really important to understand: the claims of "healthy" vegan diets are actually false comparisons i.e. comparing veganism to unhealthy non-vegan diets e.g. those who eat too much high fat animal products, rather than comparing to healthy non-vegan diets.

The truth is you can do all the substitutes you want, but no vegan diet can match nutritionally with a healthy non-vegan diet which, barring rare health conditions that need to exclude animal products, is the healthiest diet you can have.

Done poorly I agree but I think it is unfair to say that no vegan diet can be as healthy as a meat based diet.

Most children that are following a vegan diet are doing so for allergy reasons. My daughter is allergic to dairy eggs, soya, fish, beef, chicken and turkey plus other foods more than 20 in total. We have worked hard on her diet and our dietitian has said she would be delighted if all the children she sees had food diaries like hers. Due to her restrictions she can't have most processed food and nothing that comes in packaging. Everything is whole foods and things like stock cubes and sausages are too heavily processed to fit her diet. She doesn't have yoghurts that are full of sugar and again more heavily processed than people would think. We can occasionally find pork that is safe from her other allergen but she does follow a broadly vegan diet.

Badatthis · 08/11/2023 15:36

Not RTFT but has the dentist checked for enamel hypoplasia? My dairy allergy child has it, I'm not sure they're linked but I do suspect antibiotics given to my dd increased the likelihood of both (but it was a bit of a life or death situation so I wouldn't hesitate to make the same decisions)

bibop · 09/11/2023 04:00

Lollygaggle · 08/11/2023 11:24

Sorry this is not true.
The enamel on baby teeth is formed well before birth and the enamel on the first adult teeth is also formed before or just after birth.

In order for a dietary deficiency to affect teeth it would have to be so severe it gives rise to rickets as well.

Many vegan children have decay because

a sugar and sugar substitutes such as agave syrup, molasses, dried fruit , smoothies etc play a large part in diet and will decay teeth just as easily as processed sugar

b many parents also buy into anti fluoride philosophy.

This 3 year olds baby teeth are already formed and many of his adult teeth are formed , minerals will not be taken up or deposited into teeth that are formed other than topically ie fluoride , tooth mousse etc

You haven't done enough research around the topic of tooth remineralisation and the nutrients that support this process.

Tooth remineralisation is 100% a process that is ongoing throughout childhood and adulthood. This is why minor tooth cavities can sometimes be repaired by the body (although large ones or ones from a long time ago usually cannot.)

https://www.healthline.com/health/can-you-reverse-a-cavity

If the diet is deficient in minerals and certain vitamins, teeth can suffer.

(An example of this is woman during WW2 who were under rationing, giving birth to babies and then losing their teeth because their diet didn't have enough minerals to make a baby - lots of calcium is needed to form baby's bones - and maintain their teeth.)

Calcium, vitamin D and vitamin K2 in particular are needed to maintain healthy teeth in adults and especially in children. Vitamin K2 and vitamin D are of special importance because if you are getting enough calcium but not getting vitamin K2 or vitamin D, the calcium won't be deposited where it is needed (i.e., in teeth.) Vitamin K2 is the co-factor needed for the calcium to go where it is needed in the teeth. Calcium on its own isn't enough.

https://www.vitamink2.org/k2-pedia/about-k2/

https://www.healthline.com/nutrition/vitamin-k2#what-it-is

It's very hard to get enough vitamin K2 in the diet without full-fat dairy and egg yolks. These are the main 2 sources of K2 in the Western diet.

The human gut makes a little K2 (when it is healthy and functioning optimally, and many peoples' guts are not, especially when they have food intolerances and allergies*), and a small amount is converted from vitamin K which comes from green vegetables, but many people don't make enough in their gut and most people can't convert enough vitamin K from green vegetables to vitamin K2. (Genetics is a factor that affects how much vitamin K2 we make from green veg. Most people don't have the right genetics to make enough.)

This is why a vegan or vegetarian diet for children and babies is not a good idea without very careful supplementation. And since remineralisation is a process that is ongoing and requires nutrients, it can affect their teeth. That is why I said that cutting out animal foods can affect a child's teeth.

Vitamin K2 is a newly discovered vitamin so it isn't surprising that you don't know about the research.

*This study shows that when people were put on a vitamin K deficient diet, their gut didn't make enough vitamin K2 to make up the shortfall: https://pubmed.ncbi.nlm.nih.gov/8527227/

Vitamin K2

This is a detailed article about vitamin K2, an incredibly important nutrient that may have important health benefits.

https://www.healthline.com/nutrition/vitamin-k2#what-it-is

bibop · 09/11/2023 04:13

bakewellbride · 08/11/2023 08:59

@bibop veganism is perfectly healthy, no one 'needs' animal foods to be healthy.

It isn't "perfectly healthy" without careful supplementation. No traditional or indigenous society ever excluded animal foods, which is very telling. This is because they lacked supplements to make up the shortfall in certain nutrients.

Here are the nutrients that can't be found in plant foods:

Vitamin K2

Taurine

Creatine

Carnitine

Vitamin B12

DHA

Heme iron (which is the most absorbable form of iron...non-heme iron from plants has a low absorption rate.)

Vegans are also usually low in iodine, calcium and iron, and have lower bone density than non-vegans.

https://pubmed.ncbi.nlm.nih.gov/35010904/#:~:text=Intake%20and%20status%20of%20vitamin,and%20lower%20bone%20mineral%20density.

https://www.sciencedirect.com/science/article/abs/pii/S0033062022000834

Note that supplements for vegans sometimes don't contain all the essential nutrients they are missing.

I am passionate about this topic because I experienced negative health consequences when I was on a vegan diet. I was missing nutrients that I didn't even know existed. This is very common among vegans.

Nutrient Intake and Status in Adults Consuming Plant-Based Diets Compared to Meat-Eaters: A Systematic Review - PubMed

Health authorities increasingly recommend a more plant-based diet, rich in fruits, vegetables, pulses, whole grains and nuts, low in red meat and moderate in dairy, eggs, poultry and fish which will be beneficial for both health and the environment. A...

https://pubmed.ncbi.nlm.nih.gov/35010904#:~:text=Intake%20and%20status%20of%20vitamin,and%20lower%20bone%20mineral%20density.

bibop · 09/11/2023 04:15

P.S. Made a mistake in what I wrote. Vitamin K2 can be found in one plant food - natto, which is a Japanese soybean-based fermented dish.

Mariposista · 09/11/2023 04:26

CottonC · 08/11/2023 12:41

@Cloudyrainy you're your child's parent, not their child friend! I don't understand this type of neglectful parenting at all - yes it makes life easier for you and makes you feel better about yourself in the short term but all it ultimately does is fail your child - as you've seen yourself.

If he refuses to open his mouth to brush, you need to give him immediate consequences if he doesn't straightaway agree to being brushed and not let him leave without brushing.

He's behaving well with the dentist because he respects her and her instructions but he's learnt that he doesn't need to respect you. And in fact you reward him for not respecting you as a parent because you give up and let him have his way and pay him lots of attention while he misbehaves. This is a dangerous precedent to set for a child and you're seeing him misbehave in other areas, not just tooth brushing.

Pandering to him with more silly games others are suggesting isnt going to help long term and just rewards his bad behaviour. How many adults see brushing as a fun activity, so understandably, why would most children?? Your vital job as a parent should be showing him that he has sometimes to do things he doesnt like to do that are for a greater good e.g. tooth brushing, eating healthy food, sharing play toys. You have good intentions but the blunt truth is you're failing him at the moment by not parenting properly.

Absolutely this

newbie202020 · 09/11/2023 06:22

There are loads of 2 minute tooth brushing songs on YouTube that are annoying as anything but my son loved then at that age. Maybe see if that might work?

isthesolution · 09/11/2023 07:12

Bride him.

You can have your iPad/watch tv/go to the park (whatever works) once you've brushed your teeth for 2 minutes.

And yes you can cut out sugary foods and drinks. Don't buy them into the house. Don't offer them to him. Have a treat night once a week where sweets and fizzy drinks are allowed.

Lollygaggle · 09/11/2023 07:21

bibop · 09/11/2023 04:00

You haven't done enough research around the topic of tooth remineralisation and the nutrients that support this process.

Tooth remineralisation is 100% a process that is ongoing throughout childhood and adulthood. This is why minor tooth cavities can sometimes be repaired by the body (although large ones or ones from a long time ago usually cannot.)

https://www.healthline.com/health/can-you-reverse-a-cavity

If the diet is deficient in minerals and certain vitamins, teeth can suffer.

(An example of this is woman during WW2 who were under rationing, giving birth to babies and then losing their teeth because their diet didn't have enough minerals to make a baby - lots of calcium is needed to form baby's bones - and maintain their teeth.)

Calcium, vitamin D and vitamin K2 in particular are needed to maintain healthy teeth in adults and especially in children. Vitamin K2 and vitamin D are of special importance because if you are getting enough calcium but not getting vitamin K2 or vitamin D, the calcium won't be deposited where it is needed (i.e., in teeth.) Vitamin K2 is the co-factor needed for the calcium to go where it is needed in the teeth. Calcium on its own isn't enough.

https://www.vitamink2.org/k2-pedia/about-k2/

https://www.healthline.com/nutrition/vitamin-k2#what-it-is

It's very hard to get enough vitamin K2 in the diet without full-fat dairy and egg yolks. These are the main 2 sources of K2 in the Western diet.

The human gut makes a little K2 (when it is healthy and functioning optimally, and many peoples' guts are not, especially when they have food intolerances and allergies*), and a small amount is converted from vitamin K which comes from green vegetables, but many people don't make enough in their gut and most people can't convert enough vitamin K from green vegetables to vitamin K2. (Genetics is a factor that affects how much vitamin K2 we make from green veg. Most people don't have the right genetics to make enough.)

This is why a vegan or vegetarian diet for children and babies is not a good idea without very careful supplementation. And since remineralisation is a process that is ongoing and requires nutrients, it can affect their teeth. That is why I said that cutting out animal foods can affect a child's teeth.

Vitamin K2 is a newly discovered vitamin so it isn't surprising that you don't know about the research.

*This study shows that when people were put on a vitamin K deficient diet, their gut didn't make enough vitamin K2 to make up the shortfall: https://pubmed.ncbi.nlm.nih.gov/8527227/

I'm sorry you are wrong.
Remineralisation is a topical process as I said . It can only happen early on in the decay process and needs fluoride or biomin type materials applied to the tooth , normally in the form of toothpaste, mousse or varnish and a decrease in acid produced by sugar . It is nothing to do with dietary deficiencies.

During the Second World War in the U.K. and elsewhere dental health actually improved dramatically because sugar was rationed and rates of dental decay dropped . Eg https://pubmed.ncbi.nlm.nih.gov/1882651/

Pregnant women do not have "weak teeth" and if they do not eat more sugary food or suffer from excessive morning sickness causing acid erosion and tooth brushing difficulties will have no more decay than when not pregnant . However the hormones in pregnancy will make gum disease much worse if you have it and gum disease was and is the major reason for tooth loss and is associated with other health problems. Calcium and phosphorus may be taken from bones but not from teeth https://dentistry.co.uk/2020/10/08/prioritise-dental-health-pregnant-mothers/

The enamel in an adult tooth is inert, it is already formed , calcium is not deposited in it by the body , any reaction is purely the action of saliva , bacteria and things placed topically at the surface .

Is there a long-term caries-preventive effect of sugar restrictions during World War II? - PubMed

Wartime decrease in caries prevalence among children explained by restrictions in sugar availability and consumption is widely documented. The aim of the present investigation was to study possible long-term effects of this regimen on dental caries. No...

https://pubmed.ncbi.nlm.nih.gov/1882651/

idontlikebiglights · 09/11/2023 07:27

You might have tried this but if not, try making tooth brushing fun. Let him pick a fun toothbrush and toothpaste (there's Paw Patrol versions and all sorts) and every time he does it, he gets a sticker on his sticker chart etc. He may be resisting you (and not the dentist) because with you he sees it as a battle.

But yep I think ultimately, the sweet drinks are going to have to go. With our two, they pretty much drink water all the time. They have refillable bottles they picked themselves and they get upgraded whenever the 'next thing is in' (currently on Smiggle!). Fruit shoots etc are for occasional treats and not as part of everyday.

Easier said than done but perhaps with a load of positive reinforcement you can start a set of really good new habits.

Lollygaggle · 09/11/2023 07:52

Diet is absolutely the key in decay in a three year old.

Unfortunately in the U.K. decay rates are rising once again and tooth decay is the number one reason for children being admitted to hospital https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8120769/

The average U.K. child eats more than 7 times a day and the average U.K. three year old eats 51g of sugar a day more than 2 1/2 times the 19g of sugar recommended by the world health organisation.

OP is managing to get some fluoride toothpaste into her child's mouth and has done the most important thing which is stopping oat milk in a bottle. Feeding sugary drinks in a bottle such as plant milks is a nightmare for teeth as a bottle concentrates the sugar around the front teeth causing bottle caries. Using a cup helps as does limiting sugared foods/drinks to mealtimes only and never before bed.

The message is decrease the number of times a day sugar foods/drinks or starchy foods such as crisps are consumed , limit grazing and use a fluoridated toothpaste but toothpaste will not stop the damage caused by multiple sugar attacks a day.

Childhood caries and hospital admissions in England: a reflection on preventive strategies

Dental caries is a largely preventable disease, yet the extraction of carious teeth is the most common reason for the hospital admission of children in England. This raises concern over the perceived failure of current preventive strategies. Despite a...

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8120769/

princefamilypaper · 09/11/2023 07:58

Get an age appropriate electric toothbrush. My daughter is the same (her dad's a bloody dentist and I was a dental nurse and we still have battles) but at least this way the teeth are scruallt getting brushed. Then I get in there with a normal brush while she's busy with that... I let her do it on her own in the morning then I go in with a normal toothbrush while she's got the electric one as her mouths open and she's distracted at night.

bibop · 09/11/2023 08:45

Lollygaggle · 09/11/2023 07:21

I'm sorry you are wrong.
Remineralisation is a topical process as I said . It can only happen early on in the decay process and needs fluoride or biomin type materials applied to the tooth , normally in the form of toothpaste, mousse or varnish and a decrease in acid produced by sugar . It is nothing to do with dietary deficiencies.

During the Second World War in the U.K. and elsewhere dental health actually improved dramatically because sugar was rationed and rates of dental decay dropped . Eg https://pubmed.ncbi.nlm.nih.gov/1882651/

Pregnant women do not have "weak teeth" and if they do not eat more sugary food or suffer from excessive morning sickness causing acid erosion and tooth brushing difficulties will have no more decay than when not pregnant . However the hormones in pregnancy will make gum disease much worse if you have it and gum disease was and is the major reason for tooth loss and is associated with other health problems. Calcium and phosphorus may be taken from bones but not from teeth https://dentistry.co.uk/2020/10/08/prioritise-dental-health-pregnant-mothers/

The enamel in an adult tooth is inert, it is already formed , calcium is not deposited in it by the body , any reaction is purely the action of saliva , bacteria and things placed topically at the surface .

Remineralization is a natural tooth repair process. Your body takes calcium and phosphate minerals from your saliva and deposits them in your teeth. This process also requires vitamin K2. If you lack calcium, phosphorus and vit K2, your saliva doesn't contain the right elements for mineralisation.

If I'm wrong about this, then webMD.com is bullshitting and you need to write to them and let them know you know better than they do.

https://www.webmd.com/oral-health/remineralizing-teeth

I'm not talking about pregnant women now. I'm talking about pregnant women during the war who were either not getting enough nutrients or lived in zones where there wasn't enough access to foods. Wartime diets were low in sugar but also low in bioavailable calcium and vitamin K2.

What to Know About Remineralizing Teeth

Find out what you need to know about remineralizing your teeth and how to strengthen and repair your teeth.

https://www.webmd.com/oral-health/remineralizing-teeth

bibop · 09/11/2023 08:54

The WebMD article I linked to says it was medically reviewed by a pediatric doctor.

Where are you getting your info from @Lollygaggle? Genuine question, not meaning to attack or criticise. Just wondering if you are in the dental profession or have found conflicting info online about this topic.

mumonthehill · 09/11/2023 09:02

With regards to the teeth brushing, i am wondering if you could use Father Christmas as a bribe. So on dec 1st write a note from santa or the elves and leave a new toothbrush, say that santa was proud he went to the dentist and is looking forward to seeing shiny teeth. Then leave a note every couple of days saying well done. You could leave a small new bath toy etc with each note. It might get him giving it a go!!

bibop · 09/11/2023 09:04

I'm not saying sugar isn't a factor. It absolutely is. It's just not the only factor.

Lollygaggle · 09/11/2023 12:04

bibop · 09/11/2023 08:54

The WebMD article I linked to says it was medically reviewed by a pediatric doctor.

Where are you getting your info from @Lollygaggle? Genuine question, not meaning to attack or criticise. Just wondering if you are in the dental profession or have found conflicting info online about this topic.

Paediatric doctors and doctors in general know very little about dentistry. They study the mouth and supporting structures for a couple of hours . A dentist studies for years and continues those studies all through their life.

Modern understanding of decay has been very much informed by the war years and rationing with the subsequent improvement in oral health associated with decreased sugar consumption. There was less chance of someone loosing teeth during rationing and the war.

Most adults will lose their teeth because of gum disease and indeed if you speak to the older generation it was "pyorrhoea " (old fashioned name for gum disease) that meant they had their teeth removed at a young age.

Stress, smoking , pregnancy hormones and nutrition can certainly have an effect on gum disease .

The "body" does not actively deposit calcium or phosphorus in teeth once they are formed. The only live part of a tooth is the pulp (nerve and blood vessels) which is inside the tooth (see previous reference) and research actively shows that even in people with gross calcium deficiencies no mineral is taken from the tooth by "the body".

Demineralisation and remineralisation of teeth can be demonstrated in vitro ie in a test tube with cow enamel. Put a tooth in acid it demineralises , put it in a suitably neutral solution with a remineralising solution and if the damage is not too great it will remineralise. Tooth decay prevention is all about keeping acid away from enamel. What you eat is essential in keeping the acid away.

There is very widespread evidence that dental decay , along with many other diet related diseases , actually improved during the war and into rationing period.

Indeed amongst populations that may have had very poor nutrition generally ie post war Japan , Tanzania etc tooth decay was virtually unknown until the introduction of a western, high sugar diet . In Iraq where nutrition of the general population has dropped following the war the decay rate has also dropped because a lot less sugar is eaten https://www.cambridge.org/core/journals/public-health-nutrition/article/new-understanding-of-the-relationship-between-sugars-dental-caries-and-fluoride-use-implications-for-limits-on-sugars-consumption/0FF6455AFB95AAE91DBD1636C3DE2C7C

I could say I am a dentist of many years standing , who has also taught other dentists but you have no proof of that.

It is an utter myth that pregnancy takes mineral from the mothers teeth. This is an extract about very old research

"There is a common belief that calcium from the mother’s teeth may be leached during pregnancy in a similar way to maternal bone in order to help the growth of the developing baby. However, studies have actually found this not to be the case. Way back in 1943, David Dragiff and Macwel Karshan undertookdetailed chemical analyses of teeth extracted from pregnant and non-pregnant women. They found little differences in the mineral content in the teeth of the pregnant women, and importantly, no reduction in the levels of calcium. The teeth of women do not ‘soften’ during pregnancy, and this theory is simply false."

The problem you will find is that the link between sugar intake and decay was proved over 70 years ago and the research to say calcium is not "taken" from pregnancy womens teeth is also over 70 years old. The research showing that decay in populations is not related to general nutrition levels but to ingestion of sugar is also 70 years old with many,many studies since. understanding of reversing very early decay has become more subtle but the universally taught truth in undergraduate and post graduate dentistry is , generally , cut down the sugar cut out the decay. No food or mineral supplementation has an effect other than adding fluoride but even this cannot overcome frequent sugar consumption.

A new understanding of the relationship between sugars, dental caries and fluoride use: implications for limits on sugars consumption | Public Health Nutrition | Cambridge Core

A new understanding of the relationship between sugars, dental caries and fluoride use: implications for limits on sugars consumption - Volume 17 Issue 10

https://www.cambridge.org/core/journals/public-health-nutrition/article/new-understanding-of-the-relationship-between-sugars-dental-caries-and-fluoride-use-implications-for-limits-on-sugars-consumption/0FF6455AFB95AAE91DBD1636C3DE2C7C

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