Tooth decay is major problem for children but oral health is vital for all ages

Oral health is a critical part of our well-being, and one that takes both personal care and group efforts to fully achieve. It’s an aspect of health that we need to talk about more openly.

Dr. Paul Karagounis, Senior Medical Advisor, International Health, Cigna Healthcare

Our mouths take in and harbor more types of bacteria than any other part of the body besides the intestine. The mouth is the main gateway to the body, yet few other aspects of well-being are as shrouded in fear and misunderstanding as oral health. In fact, many people prefer to think about their mouths and teeth as little as possible, and many put off going to the dentist for far too long.

Oral health is particularly important for children. Research by Zayed University found that oral disease was the most common disease among children in the UAE. The research concluded that tooth decay was a major pediatric health problem in the UAE.

The prevalence of tooth decay among Emirati children was further backed up by interviews with dentists who estimated that 40% of children aged 2-19 in the UAE suffer from tooth decay.

Apprehension about visiting the dentist is not confined to children. I must admit that I too feel apprehensive about going to the dentist. In my case it’s simple “dentophobia” – an irrational fear of the dentist’s chair triggered by some discomfort long ago, maybe in childhood. But we shouldn’t put off going to the dentist, even if we’re not feeling any discomfort; just only for a regular check-up.

Drilling into the details

Good oral health is important not just for the teeth themselves but for the rest of our body too. For example, we now know that poor oral health, like gum disease and tooth decay, is linked to chronic conditions such as heart disease and diabetes. Indeed, people with these conditions often have much more advanced tooth decay and/or gum disease.

The specific bacteria involved in tooth decay and gum disease can enter the bloodstream and cause inflammation, which can sometimes worsen pre-existing conditions. It is a cyclical process, where chronic diseases can reduce blood supply and immunity defenses in the mouth, causing bad oral health, which in turn can exacerbate further chronic diseases through inflammation. This is why, before any heart valve operation, surgeons will check the patient’s teeth to make sure they don’t have any dental infection. If there’s a gum or tooth infection, the heart valve surgery can’t go ahead until the infection is treated appropriately.

The good news is that our teeth are very resilient. If we take care of our teeth every day, they can easily last our whole life. Here are the basics: first, brush and floss at least twice a day. Especially important is brushing and flossing before you go to bed. Second, eat a balanced diet. Third, try to remove bad habits like smoking or eating between meals.

Finally, regular dental checkups are essential: it’s recommended to go at least once, if not, twice a year – your dentist can detect plaque, tartar, cavities, or even oral cancer in the early stages and give your teeth the deep cleaning they need. This is why access to dental care is so important. In countries where dental treatment is widely available, people tend to keep their teeth for much longer. Unfortunately, dental services are often not covered by national health services or health insurance plans, while some regions still lack proper dental education in schools and dental facilities. 

Filling the knowledge gap

It is important to have open communication with your dentist. My dentist has taken care to make their clinic a comfortable environment, and I know I can have a frank conversation with them any time. They listen to what I say and explain to me what I’m going to feel, what I’m going to hear, and what to expect during treatment.

It is important to note that dental treatment is not the way it used to be 20 years ago. It’s less painful, less noisy, and there are more options – for example, local anesthesia and sedation especially for children if needed. More importantly still, people need to know that oral hygiene is just as important as heart disease or diabetes prevention. This is a vital awareness-raising mission that will involve media, education, and improving coverage for dental procedures.

As an insurance provider, we have a key role to play in getting the message out that good oral hygiene means better overall wellbeing, vitality and quality of life.

Oral health is a critical part of our well-being, and one that takes both personal care and group efforts to fully achieve. It’s an aspect of health that we need to talk about more openly.