Community

Eating sweets need NOT damage your teeth

Published

10 years ago

February 17, 2015

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.

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.

Community

Drop in sessions to help reshape Mid and West Wales Fire and Rescue Service

Published

7 hours ago

January 24, 2025

Tom Sinclair

MID and West Wales Fire and Rescue Service (MAWWFRS) is pleased to announce the launch of a series of community drop-in sessions designed to gather feedback from residents and stakeholders. This initiative aims to identify issues and challenges that may impact the delivery of the Community Risk Management Plan 2040 (CRMP 2040).

The CRMP 2040 outlines the Service’s commitment to addressing risks, threats, and challenges faced by communities. These drop-in sessions provide an opportunity for residents to help shape the future of fire and rescue services in Mid and West Wales, ensuring safety and well-being remain a priority.

Shaping the future together

Deputy Chief Fire Officer Iwan Cray said: “We believe the best way to serve our communities is by involving them in the planning process. These drop-in sessions are an opportunity for us to listen, learn, and collaborate with the people we serve.”

The drop-in sessions, details of which are available on the MAWWFRS website, offer a platform for open dialogue. Residents can share their insights, concerns, and suggestions, contributing to the development of a modern Fire and Rescue Service tailored to their needs.

A data-driven approach

The CRMP 2040 adopts a data-driven approach, focusing on prevention, protection, and response to reduce emergencies’ impact and enhance public safety. By tailoring services to community needs, MAWWFRS is committed to building safer and more resilient communities.

Get involved

Community members are encouraged to attend these sessions and provide their feedback. To thank participants, MAWWFRS is offering a chance to win a £100 Amazon voucher. To enter, simply attend a session and complete the survey.

For more information about the plan or the upcoming drop-in sessions, visit the MAWWFRS website or contact the team at [email protected].

About MAWWFRS

Mid and West Wales Fire and Rescue Service is dedicated to protecting and serving the communities of Mid and West Wales. Through prevention, protection, and response, the Service works tirelessly to ensure the safety and well-being of all residents and visitors.

Community

Landfill odour sparks calls for inquiry and legal action

Published

1 day ago

January 23, 2025

Tom Sinclair

RESIDENTS near Withyhedge landfill in Haverfordwest are demanding a public inquiry and considering legal action after foul odours returned just weeks after the site reopened on 6 January.

The landfill, closed last May to address odour issues, was declared fit to reopen by operator RML, which claimed its improvements would protect nearby communities. However, Colin Barnett, of campaign group Stop the Stink, said: “People in Crundale, Haverfordwest, and Spittal are being subjected to horrendous smells again.”

Describing the site as a “stink bomb on steroids,” Barnett supported Conservative MS Paul Davies’ calls for a public inquiry. “We’ve been flanneled by NRW, public health, and Pembrokeshire council. It’s disgraceful,” he said, adding that delays in resolving the issue had left litigation as the only option.

RML, part of Dauson Environmental Group, is owned by businessman David Neal, who has previous convictions for environmental crimes in 2013 and 2017. Last year, another of Neal’s companies pleaded guilty to environmental offences.

Natural Resources Wales (NRW) reported receiving 34 complaints since 6 January, with a rise in recent days coinciding with the end of a slurry-spreading ban. However, NRW stated no odours attributable to the landfill were detected and plans to inspect the site with Pembrokeshire council on 29 January.

First Minister Eluned Morgan said: “I’ll keep a very close eye on this, and if concerns persist, we’ll discuss further steps with NRW.”

RML and the Welsh Government declined to comment.

Community

Public transport users urged to ‘check before travelling’ due to storm

Published

1 day ago

January 23, 2025

Tom Sinclair

TRANSPORT FOR WALES and Network Rail are urging all customers to check before they travel on Friday morning and into the weekend with weather warnings in place across the country.

With Storm Eowyn set to hit Wales and winds reaching 90mph on Friday morning, customers should expect disruptions and are strongly urged to check before they travel.

There will be alterations to rail services, replacement road transport on certain routes and blanket speed restrictions at some locations, meaning journeys could take longer than usual.

Stand by buses are being planned at key locations around the network in preparation for travel disruption.

Across Wales and the Borders, Network Rail have positioned response teams to address any storm related problems to keep disruption to a minimum.

TfW Operations Director Sarah Higgins said: “It’s so important for our customers to plan ahead when looking to travel this Friday.

“While we’ve made a number of changes to our services based on detailed forecasts, storms can still be unpredictable.

“We’ve seen the impact storms can have, with damage to trains and infrastructure sometimes taking weeks or months to repair, so our cross-industry approach will hopefully limit that and keep our colleagues and customers safe. We apologise to customers for any disruption to their journeys as a result.”

Network Rail Wales & Borders Operations Director Rachel Heath added: “Our priority is always keeping safe everyone who travels and works on the railway.

“Unfortunately, there will be some delays and cancellations on Friday, as trains will not run on some lines and there will speed restrictions on other parts of the route.

“We are working closely with our train operator colleagues to ensure we can safely reopen affected lines as quickly as possible and urge passengers to check before they travel.”

Rail service changes:

No services to run on the Conwy Valley Line all day, with replacement road transport in place.
No services to run on the Heart of Wales line all day, with replacement road transport in place.
Speed restrictions at various locations around the network, meaning some journeys will take longer than usual. These include:

  50mph speed restrictions imposed from 0200 to 1500 Friday on the North Wales Coast – Bodorgan to Llandudno Junction.
  50mph restrictions from 0200 to 1200 between Carmarthen to Kidwelly.
  50mph restrictions from 0200 to 1200 between Neath and Swansea.
  50mph restrictions from 0100 – 0800 between Newport and Llanwern.

Customers who have connecting tickets for the following operators who have suspended services due to the adverse weather conditions, we’ll honour tickets dated 24 January on either Thursday 23 January or up to and including Tuesday 28 January.