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The hollow space chance your dentist isn’t asking about

by Dental News Network
November 18, 2025
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The hollow space chance your dentist isn’t asking about
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At my annual bodily, my physician asks about my vitamin, sleep, and pressure ranges.

When the general public pass to the dentist, they get requested—most commonly—in the event that they’re flossing.

For 40 years, I’ve watched dentists (myself incorporated) center of attention nearly totally on mechanical cleansing—brushing, flossing, fluoride—whilst totally ignoring the surroundings the ones enamel are sitting in all day!

We handled the mouth like a sink that wanted scrubbing. However your mouth isn’t a sink. It’s an ecosystem. And identical to any ecosystem, it flourishes or struggles in line with the stipulations you create for it.

One of the vital overpassed elements is hydration and electrolyte stability.

Thirty years in the past, I wouldn’t have believed I’d be writing about electrolytes and oral fitness…don’t all of us affiliate electrolytes with frame developers and marathon runners?

However right here’s what I’ve realized: the fitness of your saliva determines the fitness of your oral microbiome. And the fitness of your oral microbiome determines nearly the whole thing else.

The general public suppose saliva is simply water. And sure, it’s 99% water—however that different 1% is performing some severely heavy lifting.

That 1% contains:

  • Electrolytes (sodium, potassium, calcium, magnesium, bicarbonate, phosphate)
  • Antimicrobial proteins
  • Enzymes
  • Antibodies
  • pH buffers

What stunned me maximum: the viscosity of your saliva—how thick or skinny it’s—without delay affects which micro organism can thrive on your mouth.

Recall to mind viscosity like this: honey is thick and strikes slowly (top viscosity). Water is skinny and flows speedy (low viscosity). Your saliva must be proper within the heart—now not too thick, stringy or ropey, and now not too watery.

While you’re correctly hydrated and your electrolytes are balanced, your saliva has the very best consistency. It’s now not too thick, now not too skinny. This permits the mucin proteins on your saliva to extend and create a protecting coating over your enamel and gums—a biofilm, however the just right type.

While you’re dehydrated, all of the gadget shifts…

Your saliva will get thicker and stickier. Waft price drops. The antimicrobial proteins can’t do their process as smartly. And all of sudden, the micro organism that shouldn’t be there get started taking up.

Research on sufferers with dry mouth (xerostomia) display transparent shifts of their oral microbiome—extra pathogenic species, fewer health-associated species. The similar trend displays up in people who find themselves chronically dehydrated, despite the fact that they don’t really feel “dry mouth.”

The Dysbiosis Cascade

When your saliva go with the flow decreases and its composition adjustments, you input what researchers name “dysbiosis”—an imbalance on your microbial ecosystem.

Right here’s what occurs:

  1. Really helpful micro organism (like Streptococcus salivarius) decline
  2. Pathogenic micro organism (like Porphyromonas, Fusobacterium, Prevotella intermedia) building up
  3. Biofilm structure shifts from protecting to inflammatory
  4. Your chance for cavities, gum illness, or even systemic irritation is going up

This may occur despite the fact that you’re brushing and flossing completely.

I’ve observed it masses of occasions. Sufferers who had been meticulous about oral hygiene however nonetheless struggled with cavities, bleeding gums, or persistent dangerous breath. Once we dug deeper, the problem wasn’t their brushing methodology. It used to be their inside surroundings.

You’ll be able to brush and floss each day—however those are all issues that reinforce the oral microbiome most effective when your saliva has the correct viscosity. With out that basis, your mouth is in hassle.

To not point out…maximum toothpastes dehydrate and dry your mouth—like maximum soaps dry your pores and skin. 

Your salivary glands want electrolytes to supply wholesome saliva.

In particular:

  • Bicarbonate acts as a pH buffer, neutralizing acids that purpose cavities
  • Calcium and phosphate reinforce remineralization of teeth tooth
  • Sodium and potassium keep watch over fluid stability and saliva go with the flow
  • Magnesium helps enzyme serve as and mineral absorption

While you’re low on electrolytes—whether or not from dehydration, deficient vitamin, over the top caffeine, or persistent pressure—your saliva composition shifts. Bicarbonate drops. pH turns into extra acidic. Mineral content material decreases.

And identical to that, you’ve created an atmosphere the place cavity-causing micro organism thrive.

For those who’re low in electrolytes, you generally tend to lose moisture and are much more likely to get dehydrated. 

For those who don’t have sufficient electrolytes out of doors your cells, water will get pulled into the cells and away out of your tissues and blood, dehydrating you; you probably have too many, water will get pulled out of the cells, making you hypertonic—so the stability of electrolytes is what helps to keep your frame’s water in the correct position.

We get too few electrolytes lately as a result of trendy diets are low in mineral-rich entire meals, our water is stripped of herbal minerals, and pressure, sweating, caffeine, alcohol, and drugs all building up electrolyte loss.

You will be dehydrated and occasional on electrolytes should you realize fatigue, headache, dry mouth, mind fog, darker urine, muscle cramps, or feeling thirsty even after ingesting water.

That is why I started paying nearer consideration to electrolytes in my day-to-day regimen. I’m loving those ones.

Whilst electrolytes create the bodily basis for a wholesome oral microbiome, inexperienced tea polyphenols create the organic basis.

The principle polyphenol in inexperienced tea—EGCG (epigallocatechin gallate)—has been proven to:

  • Disrupt pathogenic biofilm formation (particularly the “dangerous” micro organism like S. mutans)
  • Scale back bacterial adhesion to enamel
  • Shift the oral microbiome towards health-associated species
  • Decrease irritation in gum tissue

However right here’s what makes inexperienced tea so chic: it doesn’t kill micro organism indiscriminately like antiseptic mouthwash does. It selectively disrupts the biofilms of pathogenic micro organism whilst permitting really useful micro organism to thrive.

Even higher is that green tea acts as a prebiotic—it feeds the nice micro organism you need whilst ravenous out the dangerous ones.

That is precisely what you need. You want micro organism on your mouth. You simply want the correct stability of micro organism.

This realization ultimately knowledgeable the introduction of a prebiotic toothpaste corporate I co-founded. Maximum toothpastes center of attention on killing micro organism. Fygg makes a speciality of feeding the correct micro organism whilst rebuilding tooth with nano-hydroxyapatite.

I’ve been ingesting this inexperienced tea for the previous 20 years or so, and I’ve spotted a measurable distinction in my oral fitness. Much less plaque buildup. Cleaner-feeling enamel. And my hygienist has commented that my gums glance higher than they have got in years.

For those who’re coping with:

  • Ordinary cavities in spite of just right oral hygiene
  • Bleeding gums
  • Continual dangerous breath
  • Dry mouth
  • Enamel sensitivity

…your dentist will have to be asking about your hydration standing, your electrolyte consumption, and what you’re ingesting all the way through the day.

To not point out—should you’re ingesting inexperienced tea, then you definitely’re displacing different seemingly-healthy beverages that wreak havoc at the oral microbiome—Ollipop, kombucha, and many others.

Inexperienced tea’s pH is somewhat acidic, however nowhere close to soda or juice territory.

For those who’d love to continue learning, take a look at my interview with Natural Olivia, “Holy Spit.” 

Hope you have got an excellent week,

Mark

P.S. Sadly, many of the dental box isn’t pondering this manner but. However that’s converting. Useful dentistry is after all catching as much as what the analysis has been appearing for years: your oral fitness is inseparable out of your systemic fitness.

If you wish to discover a dentist who will get this, take a look at my Useful Dentist Listing.

Those are practitioners who have a look at the mouth as a part of the entire frame, now not only a selection of enamel to scrub.

>> For those who’re a dentist or hygienist who’d like to sign up for us, hit answer—I would like to listen to from you!


Tags: CavityDentistisntRisk
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