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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.

 

1 Comment

1 Comment

  1. jet charter boca

    December 26, 2025 at 9:13 pm

    I enjoyed reading this. It’s clear and well-written.

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Business

Calls for award-winning Pembrokeshire sauna to be permanent

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CALLS to allow the permanent siting of an award-winning Pembrokeshire seaside village outdoor sauna, which has been featured in the national press, have been submitted to the national park.

Back in June 2024, a temporary two-year permission for a mobile wood-fired sauna at Saundersfoot harbour was granted by Pembrokeshire Coast National Park’s development management committee.

Since then, a further application by Kerry Evans of Hwyl Outdoor Sauna to make the siting permanent has been submitted to national park planners.

A supporting statement says, since its introduction the sauna has “become a popular and valued amenity for both residents and visitors, offering a space focussed on health, wellbeing and community connection”.

It went on to say: “The overall sentiment within the village has been strongly supportive, with many residents recognising the sauna as a valuable asset that enhances the amenities in Saundersfoot,” adding: “Hwyl Outdoor Sauna has received positive attention in regional and national press helping to promote Saundersfoot as a destination for coastal wellbeing and outdoor experiences.

“Media coverage has highlighted the sauna as an example of the increasing popularity of sea swimming and sauna culture around the UK coastline.

“Hwyl Outdoor Sauna has been featured in two books on the best saunas in the UK.

“The business has also been recognised through tourism and hospitality awards, further demonstrating the quality of the experience provided and the positive contribution it makes to the local visitor offer.”

Back in February, the business, set up by former superyacht worker and mum-of-two Kerry won Sauna of the Year 2026/27 at the Wales Prestige Awards.

At the time Kerry said: “I could not be more proud of what I have achieved with Hwyl. I am so grateful to my wonderful team, who have made this journey not only possible but genuinely so much fun.”

Kerry ploughed a legacy from her beloved late father into the venture of a Pembrokeshire seafront sauna.

The application for allowing the sauna to be permanent added: “Through the Welsh Government I have been able to secure the funds to install a cold-water shower on Saundersfoot Harbour, which will be open year-round. This will be achieved via Hywel Outdoor Sauna and a weather proofing fund, from the Welsh Government. This facility has also a GoFundMe to raise the remaining costs.”

It concludes: “Hwyl Outdoor Sauna has established itself as a valued wellbeing facility that benefits both residents and visitors. It enhances the amenities available in Saundersfoot, supports the local economy by encouraging additional visitor activity, and contributes positively to the community through charitable support and engagement.

“The permanent siting of the sauna would allow this successful local small business to continue operating and provide these benefits to the village in a stable and sustainable way.”

The application for a permanent facility will be considered by park planners at a later date.

 

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Community

Motorcyclists targeted in Easter safety crackdown

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DYFED-POWYS POLICE has launched Operation Apex ahead of the Easter Bank Holiday, with officers stepping up efforts to keep motorcyclists safe on roads across the region.

The force says more riders are expected to take to the roads over the long weekend, prompting increased patrols, targeted enforcement on routes considered high-risk, and engagement with bikers at key locations.

Police are urging riders to take extra care by keeping their speed down on corners, watching carefully for other road users, and treating rural roads with caution, as conditions can change quickly and surfaces are often less predictable.

As part of the operation, motorcyclists are also being encouraged to sign up for a BikeSafe workshop. The police-led initiative offers expert advice as well as an observed ride aimed at helping bikers improve their skills and confidence on the road.

Officers are also reminding riders to carry out basic safety checks before setting off, particularly if their motorbike has not been used for some time. Tyres, brakes, lights, chain condition, oil and fuel levels should all be checked before any journey.

The warning comes as recent wet weather has left some road surfaces badly damaged, with potholes posing an extra hazard. Police also noted that while spring temperatures are improving, chilly mornings can still bring frost or icy patches in places, alongside the usual unpredictability of Welsh weather.

Dyfed-Powys Police said riders should enjoy the Easter weekend, but make safety and getting home safely their top priority.

 

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Community

Withybush hospital Welsh Government intervention call

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A SENIOR member of the Welsh Government has been accused of “passing the buck” for declining a call to directly intervene in contentious changes to Withybush hospital.

Last year, Hywel Dda University Health Board consulted with its communities on options for change in critical care, dermatology, emergency general surgery, endoscopy, ophthalmology, orthopaedics, stroke, radiology and urology.

It said its Clinical Services Plan focuses on nine healthcare services that are “fragile and in need of change”.

The proposed changes included an option for Withybush patients needing specialist critical care being transferred to Glangwili.

At a recent two-day meeting, the board, amongst its many other decisions, backed changes into emergency general surgery which will see no emergency general surgery operations taking place at Withybush, but a strengthening of the same-day emergency care (SDEC).

Members stressed the changes would not happen overnight.

Following the decision, calls for intervention have also been made by local Senedd members Paul Davies and Sam Kurtz, who wrote to the Cabinet Secretary for Health & Social Care to urge him to intervene and stop the Health Board removing services from Withybush.

That response from the cabinet secretary has been criticised by Mr Kurtz.

In his letter of response, Cabinet Secretary for Health and social Care Jeremy Miles MS stressed planning and delivery of local health services, in this case “scheduled to begin in the next Senedd term, with a time horizon of up to four years to complete,” were, under statutory arrangements for NHS Wales, “the responsibility of health boards”.

Responding, Sam Kurtz said: “The response from the Welsh Health Minister is regrettably, though perhaps unsurprisingly, deeply disappointing. Rather than demonstrating leadership and using the powers that he has as Health Minister, he appears to be passing the buck to the health board despite the profound impact these decisions will have on services in Pembrokeshire.

“There is clear and justified concern among residents. After years of cuts to services at Withybush Hospital, this response will do little to reassure our communities.

“People deserve clarity, accountability, and a meaningful voice in decisions affecting vital services. Paul Davies and I will continue to stand firmly in defence of healthcare provision across West Wales.”

The Minister’s letter added: “Since the decision was taken, both the First Minister and I have set out the Welsh Government’s position in answers to questions from members of the Senedd and in debates. We have been very clear that decisions of this nature rest with the health board.”

It went on to say: “In your letter, you raise points about services within the scope of the [Clinical Services Plan] as well as the future of the emergency department at Withybush Hospital. I want to be very clear that emergency department services were not part of the CSP decision.”

The county council has also debated the downgrade plans for Withybush.

petition to the Senedd against the changes has been created by Crymych resident Ajay Owen, entitled Urgent Pembrokeshire Healthcare & Resident Safety – Withybush Hospital & Health Board Intervention.

The petition, running to August 23, has attracted more than 11,000 signatures to date.

 

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