Sipping Toward Disaster

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Sipping Toward Disaster
Educating Students on the Risks of Soda
Consumption
Brian Jacobsen, DMD
Tongue Point Job Corps Center Astoria, Oregon
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Presentation Overview

• Answers to two burning questions
• Soda and its effects on teeth and health
• Brief research overview
• Educational techniques and materials
• Case studies

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Why do they call it Tongue Point?
Where is Astoria, Oregon?
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Tongue Point
A Large Job Corps Center (500 students) On an
Old Naval Base Has Seamanship Program
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Tongue Point
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Astoria, Oregon
Founded 1811
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Wreck of the Peter Iredale
October 25, 1906
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Our Students are Sipwrecking Their Teeth!

• They are
• Floating in a sea of soda machines
• Bombarded by a fearful storm of flashy
• advertising and celebrity endorsements
• Lost in a fog of misinformation and addiction
• Often in a big hurry

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Soda The Perfect Storm

• Consider the following
• Widely available
• Addictive
• Inexpensive
• Sugars feed bacterial plaque
• Acid directly attacks teeth
• It coats all exposed tooth surfaces
• Plastic bottles favor portability and sipping

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We must empower our students to make better
decisions about soda consumption through
educating and motivating them.
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Is there a problem?
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Source Liquid Candy How Soft Drinks are
Harming Americans' Health Michael F. Jacobsen,
PhD, http//www.cspinet.org/sodapop/liquid_candy.h
tm
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Disturbing Trends
12 to 19-yr-old boys 24 oz of soda/day (868 cans
per year). Girls only ¼ less 1983 boys
twice as much milk as soda girls 50 more
milk than soda. 2003 both twice as much soda
pop as milk. Increase in serving size of
Coca-Cola 1950s 6 ½ oz bottle. 1970s-1980s
12 oz can 1990s-today 20 oz bottle
Source Liquid Candy How Soft Drinks are
Harming Americans' Health Michael F. Jacobsen,
PhD, http//www.cspinet.org/sodapop/liquid_candy.h
tm
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Soda and Current Health Trends

• Teenage girls risk osteoporosis
• Obese boys consume more calories from soda
• Obesity up 30 in last 10 years
• Obesity raises risk of type 2 diabetes and
  
  cardiovascular disease

Sources Liquid Candy How Soft Drinks are
Harming Americans' Health Michael F. Jacobsen,
PhD, ttp//www.cspinet.org/sodapop/liquid_candy.ht
m National Center for Health Statistics, NHANES
III Dietz, WH. Pediatrics 1998 pg. 518-525
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Weve All Seen This Mouth
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Caries Formation is a Multifactorial Process
The Principle Acids . . . diffuse into tooth
enamel or dentin and dissolve . . . minerals
from crystals inside the tooth.
Source John D.B. Featherstone, MSc, PhD. The
Caries Balance Contributing Factors and Early
Detection, Journal of the California Dental
Assoc., Feb. 2003.
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Dissolution of dental enamel in soft
drinks Effects of sports drinks and other
beverages on dental enamel J. Anthony von
Fraunhofer, Msc, PhD Matthew M. Rogers, DDS Eric
Jacobsen, DDS (06) Research Assistant
The research
Enamel blocks were immersed in beverages for 14
days. They were weighed at 24-48 hour intervals.
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Key Findings

• Enamel dissolution occurred
• Diet soda dissolution regular soda
• Non-cola gtgtgt cola drinks
• Enamel aggressivity more important than pH
• Less time and rinsing beneficial

Source http//www.agd.org/library/2004/aug/vonFra
unhofer.pdf
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ACID ADDITIVES TIME DENTAL CARIES
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How are we helping our students to understand
and apply this message?
Posters Brochures Collaboration With Other
Departments Object Lessons Verbal Education and
Follow-up Support of Water-promotion Efforts
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Minnesota Dental Association
Posters, flyers, magnets, stickers, and an
educational PowerPoint CD.
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Stop the Pop http//www.modental.org/
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Brochures From Patterson Dental Supply Co.
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These and other brochures are available in our
waiting area.
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Collaboration With Healthy Choices Committee
Centerwide Newsletter Encouraging Water
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An interesting chairside object lesson.
18 teaspoons of sugar!
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• Verbal Education and Follow-up

• Watch for characteristic caries
• Discuss role soda can play
• Make notation in chart
• Follow-up at future visits
• Offer praise and encouragement

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Poster in Cafeteria
Providing Convenient Filtered Water
Water Wednesdays
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Encouraging Results

• Soda education at initial exam
• Positive feedback reports from hygiene visit
• Students buying and using water bottles
• Reinforcement at hygiene visit

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Student now carrying only water Drinks soda 1 to
2 times/week.
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Clean Teeth, Healthy Gums, Negative Drug History
Well, I do drink a lot of soda
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This slim young man said I used to be over 300
pounds, and he had the stretch marks to prove
it. How could his plaque removal could be this
good, and his caries this bad?
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• Three main contributing factors
• Smoking lessens saliva
• Historically lax homecare
• 2-Liter of Mt. Dew/day
• when 300 lbs.

An RCT and several composites later, our
carpentry student has reason to smile and the
knowledge to keep himself doing so.
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May we all be clinically proficient and
educationally effective as we use the tools at
our disposal to educate, motivate, and
empower those we serve.