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Community

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

Parents urged to engage with Newgale Coastal Adaptation consultation

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PARENTS and guardians across Pembrokeshire are being urged to take part in a statutory consultation on major infrastructure changes planned for Newgale.

The Newgale Coastal Adaptation Project: Phase 1 Proposals are currently out for public consultation from April 14 to May 11 2025, and the project team is especially keen to engage with families in the local school community to raise awareness of the long-term changes being proposed.

The Herald understands that AtkinsRéalis, the firm leading the project on behalf of Pembrokeshire County Council, has contacted schools across the area asking them to help distribute information to parents and carers.

The Newgale section of the A487 needs to be moved inland, it has been decided (Image: WNS)

The proposed works involve the construction of a new inland section of the A487, with a bridge over Brandy Brook, to replace the vulnerable coastal stretch of road currently running through Newgale. That section of road has suffered repeated flooding in recent years, and experts say it will become increasingly unsustainable due to sea-level rise and extreme weather linked to climate change.

Once the new inland road is in place, the existing coastal route would be permanently closed and removed.

In addition to the realignment of the A487, the plans include:

  • The reclassification of Newgale Hill and Wood Hill, with adjustments to local traffic management;
  • A short-term access road (in place for up to ten years) to serve beachfront commercial properties;
  • Improved bus stop facilities and turning areas;
  • The creation of a traffic-free Shared Use Path, which would replace a portion of the Wales Coast Path, helping to maintain pedestrian and cyclist access through the area.

The works are part of a wider strategy to manage coastal change in a sustainable way, while maintaining access and infrastructure for residents, visitors, and businesses.

Full details of the proposals, including maps, supporting documents, and environmental assessments, can be viewed online at:
👉 https://newgalecoastaladaptation.co.uk/#/Statutory_PAC

Those without internet access can view the documents at St Davids Library, City Hall, St Davids, SA62 6SD, during the following times:

  • Tuesday: 10:00am – 1:00pm and 2:00pm – 5:00pm
  • Thursday: 10:00am – 5:00pm
  • Saturday: 10:00am – 12:00pm

Anyone wishing to make representations about the proposals must do so in writing before 11th May 2025, either by email to Newgale@atkinsrealis.com, or by post to:
Newgale Coastal Adaptation Project Team
AtkinsRéalis
Floor 4, West Glamorgan House
12 Orchard Street
Swansea
SA1 5AD

The Herald will continue to follow developments on this important project as they progress.

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Community

Ludchurch petition for vital bus route to be established

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A PETITION call to establish a regular bus service from the Pembrokeshire village of Ludchurch to Narberth was heard by county councillors last week.

The e-petition, on Pembrokeshire County council’s own website, by Ryan O’Shea of The Ludchurch Village Committee, asked: “We call on Pembrokeshire County Council to implement a minimum of one daily bus service connecting our village to Narberth. This essential service would significantly enhance the quality of life for our residents by providing much needed access to other destinations such as Tenby and Haverfordwest.

“Ludchurch is a small rural village and many of our residents face difficulties in accessing essential services, employment opportunities, and social activities due to the lack of public transportation. A subsidised daily bus service would not only alleviate these challenges but also contribute to the overall well-being and inclusivity of our community.

“We believe that by offering this service, the council would be supporting the mobility and independence of our residents, fostering greater community cohesion, and contributing to a more sustainable and connected Pembrokeshire.”

After meeting the threshold for consideration, the petition was heard at the March meeting of Pembrokeshire County Council’s Services Overview and Scrutiny Committee

Speaking at the meeting, Mr O’Shea said the village had no shop, post office, or access to a mobile library, and had not had access to a regular bus service for a number of years, asking for a reinstatement of a service, which he said would help social isolation as well as increased employment opportunities for residents and free younger residents “from a dependence on family and friends”.

He said the two-plus miles walk to the nearest bus services, at Summerhill and Princes Gate, on unlit routes without a pavement was “a significant safety concern,” with a Flecsi Bus service not available, and a once-a-week dial-a-bus scheme run from Narberth’s Bloomfield not addressing the community’s needs.

He suggested three ways of addressing the issue: By extending one of the nearby services to include Ludchurch, by enhancing the Narberth-based service, or by improving pedestrian access to the nearest services.

Members heard from Cabinet Member for Residents Services Cllr Rhys Sinnett the Flecsi service was viewed as the best way forward, constrained by funding and no previous offers to tender for the route; the option of re-routing other services adversely affecting timetables.

He reiterated council financial considerations: “As part of the budget for the forthcoming financial year we have had to take an £80,000 reduction in the bus service budget to make our costs and sums add up.

Committee member Cllr Rhys Jordan said he sympathised with Ludchurch, but said many of the county’s rural areas were disconnected from a service; fellow councillor, and committee chair, Cllr Mark Carter adding: “It’s certainly a desirable thing to have but there must be 30 or 40 villages that have the same.”

Local member – and former council leader – Cllr David Simpson said he had been a local county councillor for 20 years and supported the idea, but neither he nor the local community council had “had any approach for a bus service,” adding: “To get this on board in this day and age would cost a lot of money.”

Members resolved the petition be noted along with the Aspirational Bus Network for Pembrokeshire, which is being developed as part of bus franchising, including the expansion and enhancement of Fflecsi services to ensure all rural settlements, including Ludchurch, have access to a daily local bus service.

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Community

Police search for missing Carmarthen man, Liam

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POLICE are searching for a 28-year-old man who has been reported missing from the Carmarthen area.

Liam was last seen at around 11:00am on Monday (March 31) in the Burry Port area.

Officers from the Carmarthen, Whitland, and St Clears area say they are concerned for his welfare.

He is described as being approximately 6ft tall, of stocky build, with short dark brown hair and a black beard. He was last seen wearing black Adidas trousers and a black jacket.

Dyfed-Powys Police are appealing for anyone who may have seen Liam, or who has information on his whereabouts, to come forward as a matter of urgency.

Information can be reported online at https://orlo.uk/gzXsk, by emailing 101@dyfed-powys.police.uk, or by calling 101.

Those contacting police are asked to quote reference number 35 of March 31.

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