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Eating sweets need NOT damage your teeth

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IF YOU need a filling at the dentist how many times have you heard the message ‘you must stop eating sweets and sugar’? Really, in this day and age with

Dr Mark Boulcott: Explaining dental disease to a patient.

Dr Mark Boulcott: Explaining dental disease to a patient.

sugar being added or included in almost all foods as not only a sweetener but as a preservative, texture modifier, fermentation substrate, flavouring and colouring agent, bulking agent and emulsifier, is it even possible to comply with this message and not starve?

It is no surprise, therefore that the statistics of decayed teeth in Pembrokeshire as regularly reviewed by the Hywel Dda Health Board Oral Health Profile (last published in 2013) shows an appalling incidence of dental decay in 5 year olds – and yet dental decay is a totally preventable disease!

So what in reality can you and your children eat and be reassured that your teeth will remain decay free? The answer is that there are really no safe foods. The food industry confuses us with statement like ‘no added sugar’, ‘contains natural sugars’ or ‘reduced sugar’. Sucrose, Glucose, Maltose, Fructose (as labeled on many foodstuffs) are all naturally occurring sugars and all, when eaten, cause acid to form in the mouth: The cause of dental decay with the acid ‘dissolving’ teeth. What is less obvious is the amount of sugar contained within the product.

In essence, sugar is sugar: They all cause dental decay no matter how much or how little you eat. One teaspoon of sugar (sucrose) in your Tea is just as bad for your teeth as five sugars. The only difference is that you may get fat, more prone to diabetes and other health complications with a higher sugar intake but much lower amounts of sugar ingestion will still cause teeth damage. So we have to assume all foods we eat contain sugar (fermentable carbohydrate) of some type.

This dissolving of the teeth, called dental decay or dental caries, puts you and your child at the risk of dental pain, infection and the need for treatments possibly including tooth removal.

Thinking that, in the case of young children, it does not matter (after all, ‘baby teeth’ will be replaced) is wrong. The decay of deciduous teeth may still lead to your child having pain and infection but worse, teeth removal possibly needing General Anaesthesia. This is a procedure not without risk and not easy to access in Pembrokeshire with the nearest GA treatment centre being in Swansea with waiting times often inappropriate for acute pain. There is also the fact that early loss of first teeth is much more likely to lead to crowded or crooked permanent teeth: a fact that may require later orthodontics (treating with braces).

The dentists at Herbrandston, one of Pembrokeshire’s most proactive dental practices in regard to prevention of dental disease, give a different message. Dr Mark Boulcott, the principal dental surgeon states: “I never tell parents to stop giving sweets. That message is unrealistic and unhelpful. The modern diet is full of sugary drinks, sugary confectionary and sugar containing meals. Instead I am far more interested in the frequency of sugar ingestion: how often patients eat sugar, not how much sugar.”

“It has been known for decades that sugar causes bacteria in the mouth to form acid which in turn damages teeth. Of course, no sugar equals no tooth decay, but what most patients (and indeed many dentists) fail to understand is that the amount of sugar required to cause bacteria to produce acid is minimal. The more sugar you eat does not mean more acid in your mouth – but even the slightest sugar intake causes tooth damage.”

Dr Boulcott points to evidence from as far back as the 1940s, when Dr Robert Stephan postulated the coincidence of reducing pH (acidity) and tooth decay: “It is evident even before the advent of the NHS that dental decay was not caused by having too much sugar, but by having too great a frequency of intake. Sugar causes damage by allowing mouth bacteria to produce acid but the amount of sugar eaten is irrelevant. Any damage caused by the acid (at a microscopic level) should be repaired provided the saliva is allowed and able to work properly, converting acid back to neutral products and acting to ‘repair’ damaged teeth. If sugar is regularly ingested and more acid is produced before this ‘repair’ process is completed then dental decay will result. The upshot of this is that if a child ate a chocolate bar for breakfast, lunch and dinner, it is in fact unlikely that they will get significant dental decay. If they eat the same amount of chocolate between meals, then they are much more likely: Twice the cycle of damage and far less time for repair. It should be understood that a sugar diet is inevitable,” states Dr Boulcott.

“What people must understand is that keeping food intake to mealtimes only is the best way to keep your teeth safe. This one fact is more important than tooth brushing or Fluoride. So, yes, Children (and adults) can eat sweets but keep these short acting (chocolate rather than a chewy sweet) and confine these to mealtimes – avoid eating between meals.”

Sadly some 60 years on and this simple message is still failing to get through. Dentistry and preventive messages still seem to mean little to a large percentage of the population with people in Wales being less likely to have been seen a dentist in the past two years than people in England. (52.2% of adults in Wales and 56% in England; and 64.7% of children in Wales compared to 69.1% in England). Many people argue that the reducing amount of NHS dentistry is to blame but in reality many patients (over half the population of Wales) seek dentists only in event of an emergency; citing anxiety rather than money (or NHS access) as being the major obstacle to visiting.

At Herbrandston, the dentists are trying to change this attitude by breaking down the barriers of fear and anxiety offering often unique ways of dealing with even the most difficult of dental phobias. This not only includes a gentle caring atmosphere of quiet professionalism mixed with genuine friendliness but also techniques such as dental sedation, hypnosis, introductory sessions without treatment and even animal therapy using pigs and ferrets to desensitize. They are working hard to emphasise the preventative message rather than the cycle of repair after repair. A very busy practice despite being in a rather isolated part of Pembrokeshire, Herbrandston will be expanding to open a state of the art new practice in Narberth in March.

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Community

Burned down hotel to be used for social housing

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A SCHEME to build 38 affordable and social housing units on the site of the fire-ravaged former Cleddau Bridge Hotel, Pembroke Dock is expected to be backed by senior Pembrokeshire councillors next week.

Members of Pembrokeshire County Council’s Cabinet, meeting on April 22, are recommended to support a contract with developer Castell Group Ltd for the mix of affordable homes and social housing units at the site, with the actual contract details expected to be discussed in a private and confidential session.

A report for members ahead of the meeting says: “The potential development site on the former Cleddau Bridge Hotel site, Pembroke Dock has been up for sale for some time, and its purchase by Castell Group Ltd (‘Castell’) is now imminent.

“Following completion of their purchase, Castell will submit an application for planning consent to develop the land for affordable and social housing. It would see the development of a high-profile site with visual impact on surrounding areas that has sat dormant for many years.”

Castell has approached the housing service to determine whether there is an interest in working with them to bring forward the development as a housing site, the report says.

Castell Construction Ltd, the delivery arm of Castell, specialises in the construction of affordable / social housing, typically for registered social landlords across south Wales.

An initial proposal says the development, if backed, would see 12 one-bedroom flats, 15 two-bed houses, five three-bed, two four-bed, and four two-bed bungalows, the report adding: “This site would help towards both the council’s 300 new home target and also Welsh Government’s 20,000 new homes target.”

It adds: “The proposal by Castell Construction Ltd is for a development programme of 18 months following planning permission being secured. Castell Construction Ltd estimate commencing the development in March 2025, which would mean completion in autumn 2026.”

Delegation of the decision to enter into the works contract to the Director for Social Services and Housing is sought, and Cabinet is also being asked to delegate the decision to proceed with the land acquisition to the Assistant Chief Executive.

The development package would be part-funded from the housing revenue account, the remainder from the Social Housing Grant and/or second homes premium for affordable housing if it becomes available for the Housing Service to use in this manner.

The proposals would be subjected to an as-yet unsubmitted planning application; if granted Castell Construction Ltd hopes to start the development in March 2025, finishing in autumn 2026.

In 2023, an unrelated application by a different applicant, to demolish the remnants of the hotel and replace it with a care home was approved.

In a prime location at one of the entrances to Pembroke Dock the former Cleddau Bridge Hotel has been derelict since a fire in March 2019, which brought emergency services from as far afield as Ammanford, Aberystwyth and Swansea.

Mid and West Wales Fire and Rescue Service previously said the fire was started by a deliberate act.

Following a fire investigation, Dyfed-Powys Police said they found there to be insufficient evidence to identify a suspect.

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Community

Tesco shoppers in Pembs called to help raise funds for food allergy charity

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SHOPPERS in Pembrokeshire are being encouraged to help an in-store fundraising campaign from Monday 22nd to Sunday 28th April to support medical research into food allergies.

For the fifth year running, Tesco is working with The Natasha Allergy Research Foundation, the UK’s food allergy charity, to help raise awareness and support clinical research into food allergies by contributing 10p from every own brand Free From product bought in stores and online, as well as providing customers with the opportunity to round up their shopping at self-service tills throughout the week.

All money raised will help Natasha’s Foundation to continue its research into reducing the risks of food allergies and further developments into the management of allergies.

In addition to the funds being raised, the campaign aims to increase awareness in Pembrokeshire about the importance of understanding food allergies and clearly highlighting ingredients in food which can cause allergic reactions.

Natasha’s Foundation was founded in 2019 by Tanya and Nadim Ednan-Laperouse following the tragic loss of their daughter Natasha who had a fatal allergic reaction to a baguette that contained sesame seeds that were not listed on the packaging.

Tanya Ednan-Laperouse OBE, said: “We’re thrilled that Tesco is supporting us for the fifth year running. Allergen awareness is so important, and money raised in previous years has helped to fund clinical research exploring the management of food allergies.”

Oonagh Turnbull, Head of Health Campaigns at Tesco, said: “The work that Natasha’s Foundation has done to date has been fantastic and we are delighted to be able to support this for a fifth year.

“There are now 175 products in our Free From range, from meals and desserts to snacks, all created with great taste but without any of the allergens. We welcome any shoppers in Pembrokeshire to try these products or kindly round up their shopping at the self-service tills to help raise money for a fantastic cause.”

Natasha’s Foundation is committed to raising awareness and funds for critical food allergy research. But the real impact of the charity’s work lies in the lives it can change.

Millions of people live with food allergies in the UK and must navigate a world where seemingly simple acts, like grabbing a quick bite to eat, can become fraught with danger. It can affect anyone, at any age.

Billie Hoque, a commercial manager for a maritime security company, from Luton, has three allergic children – Jess, aged 7, Jude, 4, and Jayde, three months.

Billie, 35, said: “Food allergies first entered our lives when my son Jess was born in February 2017. From birth, Jess was presenting symptoms of allergies, yet I didn’t know it at the time. His constant discomfort and breathing troubles led to numerous doctor visits only to be dismissed as new-mum worries, and I felt unheard and alone.

“The switch from breastmilk to formula was a turning point. After initial acceptance, Jess refused all feeds for three days. When he finally ate, he became violently ill and struggled to breathe. Calls to an emergency doctor offered little help, and when he was prescribed “thicker milk” it triggered a terrifying reaction. This was his first anaphylactic reaction, and the first time the doctor diagnosed him as having a severe milk protein allergy.

“The loneliness and isolation I felt from becoming an allergy parent were all-consuming. The family and friends who I had been closest to, quickly became the ones who made me feel the most alone. They didn’t understand or seem to take seriously what I was going through.

Billie continued: “Life changed for me in June 2021 when I found The Natasha Allergy Research Foundation. I found a community – parents united by the fight for awareness. Meeting Nadim and Tanya, who lost their daughter Natasha to allergies, laid bare the heartbreaking truth of this condition. Yet, their strength resonated deeply.

“Though every single allergy story and experience shared through Natasha’s Foundation was different, the community all had one thing in common; we understood the fear, the loneliness, and the exhaustion of the continuous battling needed to keep our children alive. This community transformed me. No longer alone, I found strength and inspiration among these incredible people.

“Today, my purpose is clear. With this supportive network and a collective voice, we can raise awareness and fight for a future free from food allergies. This journey not only saved my sons, but it has also saved me too. I’d urge everyone to support the fantastic work of The Natasha Allergy Research Foundation and their goal of making food allergies history through research and raising awareness of food allergies.

“Tesco’s Free From range offers my children a chance to be included in all the tasty treats other children enjoy. Their clear labelling on the front of the packaging is not only helpful to me but is easy enough for my 7-year-old to clearly see that a food is safe for him. This limits the anxiety he has around eating new foods.”

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Community

Cardigan Radio launches daily live broadcasts

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Cardigan Radio/Radio Aberteifi says it is excited to announce a new line up of daily live broadcasts starting every evening from 7 PM at www.cardiganinternetradio.wales. Live shows will be hosted
by founder and presenter Bobby Kelly and other dedicated volunteer members.

The Cardigan Radio stream is constantly alive with great music that spans various genres, providing something for everyone. Listeners are encouraged to tune in and experience the quality and diversity of
Cardigan Radio’s programming for themselves.

You can listen 24/7 not only through their website www.cardiganinternetradio.wales but also on platforms such as Online

Radio Box and Radio Garden.

Online Radio Box: https://onlineradiobox.com/uk/cardiganinternet/
Radio Garden: https://radio.garden/visit/cardigan/DyV8OcNC

Interested in getting more involved? Cardigan Radio is always looking
for passionate volunteers to join our team. Whether you’re keen on
presenting, handling tech, or engaging with the community, we’d love to
hear from you. Contact us at [email protected] or call
01239 543025.

Connect with us on Facebook for updates and more information:

https://www.facebook.com/groups/friendsofcardiganradio
https://www.facebook.com/RadioCardigan

Tune in to Cardigan Radio and discover your new favourite sound!

If you’re interested in being a guest on our station, whether remotely
or in one of our member’s studios, we’d love to hear from you!

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