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    What's this?
How the rest of the world brushes their teeth
How is it that some people who have never used a toothbrush have also never had a cavity?

By

Judd Handler
Tue, Aug 21 2012 at 6:40 PM
 61

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Healthy Eating
man using miswak to clean teeth

Muslim and African cultures clean their teeth with a stick called miswak, which naturally has a high concentration of cavity-fighting fluoride. (Photo: Zurijeta/Shutterstock)

There’s a 99 percent chance you are not super rich. But there is a good chance that you are part of the orally hygienic elite 1 percent.
 
While it’s common in the U.S. and other developed countries to use nylon and electronic toothbrushes, most of the world’s population, especially indigenous cultures and developing countries, still use old-world techniques to keep their teeth clean — if they use anything at all.
 
But are modern oral hygiene products and techniques infinitely better than the sticks, animal bristles and bones, twigs, feathers and porcupine quills that non-first-world societies used centuries ago — or continue to use today — to clean their teeth?
 
Is what one eats more important in determining oral hygiene than the materials used to clean the teeth and gums?
 
In other words, if tribes, clans and indigenous societies stick with their traditional diets and don’t eat processed sugar and junk food, is teeth-brushing even necessary?
 
Lack of oral hygiene can lead to heart disease, maybe
A 2010 study published in the British Medical Journal concluded that people who brushed less than twice a day had an increased risk of developing cardiovascular disease, due to inflammation and loss of connective tissue and bone support of the teeth. In the BMJ study, people who brushed their teeth less than twice a day, habitually, had a 70 percent higher risk of developing cardiovascular disease. The study, however, did not consider the participants’ diets.
 
But Sally Fallon, president of the Weston A. Price Foundation, a nonprofit nutrition education foundation, tells Mother Nature Network that in traditional societies that have no access to Western foods with processed sugars and white flour, many of these indigenous people have no cavities, and flash smiles with perfect pearly white teeth, even though tooth brushing is rare, (or was rare, depending on the society).
 
“Within a very short time of forgoing their traditional, native diets, though, cavities become evident,” says Fallon, adding that the next generation of natives who eat processed food will begin to develop crooked teeth.
 
Fallon points to the research pioneered by the foundation’s namesake, Dr. Weston Price, an Ohio dentist, referred to in some circles as the "Charles Darwin of nutrition." The late Price, in the 1930s, traveled the world as a sort of a cultural dental anthropologist. His book, "Nutrition and Physical Degeneration," features many photos of the teeth of various native societies, from isolated villagers in the Swiss Alps, to the Maori of New Zealand, to the coldwater fishermen of Scotland’s Hebrides islands.
 
Vitamin K to the rescue
Price discovered a substance he termed "Activator X" that all the natives with healthy teeth had in their saliva. Price didn’t know exactly what Activator X was, but shortly after his studies, science classified the cavity combating compound as vitamin K. A study published in the Journal of Dental Research states that in 1942, it was proven that vitamin K prevented the formation of acid buildup, which is a major cause of cavities.
 
Some of the foods that are high in vitamin K that Price observed traditional societies consuming were:
 
  • Chicken or goose liver
  • Fermented foods like sauerkraut
  • Grass-fed animal fat
  • Grass-fed, raw butter
  • Egg yolks
 
So should you run to your nearest health food store and swallow a pill of vitamin K and not worry so much about brushing your teeth twice a day? And perhaps buy some goose liver?
 
“There’s nothing wrong with brushing twice per day. We are genetic mongrels in America. None of us has a perfect diet, so I would definitely recommend brushing your teeth,” Fallon says.
 
It’s not just junk food that causes cavities
Dr. Jacquie Fulop Goodling, a Manhattan-based orthodontist who has traveled the world educating people about oral health, addresses a common misconception that modern-day processed foods alone contribute to dental caries.
 
“Diet plays an important role but even natural carbohydrates like bread, rice and pasta — the staple in many diets — break down into simple sugars, which can cause decay. Also, there are many factors contributing to periodontal disease and diet is only one of those factors,” Goodling says.

Some societies that don’t use toothbrushes
“In many regions of the world, people are cleaning their teeth with twigs, most often from oak and neem trees,” says Dr. Steven Goldberg, a Boca Raton, Fla., general and cosmetic dentist and inventor of a modern oral care product, DentalVibe.
 
“They break a twig in half, splay and soften the broken end and then rub it on their teeth, in effect, wiping the surface of their teeth clean,” Goldberg adds.
 
Arab Bedouin tribes still clean their teeth by using the twigs of the arak tree, which contains antiseptic properties. Other Muslim and African cultures use a similar stick, called miswak, which naturally has a high concentration of cavity-fighting fluoride.
 
A paper posted on the National Academy of Dentistry’s website says that Hindu Brahmins and priests clean their teeth using cherry wood for an hour, facing the rising sun. Another religious group in India, Jains, cleans their teeth using fingers and without using a brush.
 
In other rural areas of India, people use twigs from mango, cashew or coconut trees.
 
What some cultures use for toothpaste  
Some folk in rural India, Africa, Southeast Asia and South America use brick, charcoal, rangoli powder, mud, salt or ash for cleaning the teeth. This may result in gingival recession, abrasion and dentin sensitivity, says the National Academy of Dentistry.
 
Should Americans ditch their toothbrushes and clean with sticks instead?
The inconvenient truth about going to the dentist at least twice a year and replacing your toothbrush is that all the discarded toothbrushes and toothpaste containers end up in the landfill. But it seems that Americans are in no rush to clean their teeth with twigs. Toothpaste, whiteners, sugarless gum, mouthwash, manual or electric toothbrushes, floss, and other oral care items retailed at $9.1 billion in 2008, according to the U.S. Market for Oral Care Products, 7th Edition.
 
Whether or not you choose to go native and clean your teeth with a tree twig, “Oral hygiene can be a very important component to our overall health. The mouth is full of bacteria and not caring for it can cause inflammation. The gums can become unhealthy if proper dental hygiene is neglected and this can create low-grade infection that can cause inflammation and other problems throughout the body,” says Rebecca Crowley-Huey, physician assistant at BodyLogicMD of Houston, who adds, “Brain fog, autoimmune disease, gut infection or imbalance, and fatigue can be some of the problems caused by inflammation and your mouth is sometimes your first line of defense against foreign material.”
 
Two times a day is much better than only one time per day, says Steve Krendl, a dentist at Hopewell Dental in Heath, Ohio. “A thin film of organic matter, called a biofilm, forms quickly on our teeth throughout a day. Left undisturbed, this turns into plaque, which can harden within 24 hours.”
 
Now that’s something to chew on.
 
Do you brush twice per day — and floss? Let us know below.
 
Judd Handler is a health writer in Encinitas, Calif. He can be reached via email at CoachJudd@gmail.com.

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Comments: 61
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anonymous
Robyn Feb 08 2013 at 10:09 AM

where do you get the miswak in Canada?

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anonymous
Ben Feb 27 2013 at 7:43 PM

Islam Care Centre in Ottawa. see IslamCare.ca for phone and address.

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jamalam
jamalam Oct 30 2012 at 4:54 PM

I brush at least twice a day. I'm 25 just went to the dentist 3 months ago still not a cavity. I believe it has to do with genetics. My mom, grandmother, and from what my mom can remember my great-grandmother never had braces or bad teeth either. I am soo thankful my teeth glow perfection :) Can't say that about any other part of me!!

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hdlugozima_2's picture
MNN Moderator Dec 12 2012 at 3:11 AM

It's true that genetics play a huge role in dental health...but there are steps folks can take to assure the best outcome for their teeth.

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mnnadmin's picture
MNN User Dec 12 2012 at 5:17 AM

Yes. We can take more precautions for healthier teeth.

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anonymous
anonymous Oct 28 2012 at 11:47 AM

Teeth are genetic as well. Families with bad teeth generally produce young with bad teeth. And the same for good teeth. Always, there are exceptions to the rule, of course. But still...

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anonymous
georgie Oct 20 2012 at 12:15 AM

........Cleopatra had horrific breath...among other issues....but a fantastic makeup artist!!!!

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anonymous
Howdy Oct 18 2012 at 6:08 PM

I brush a couple times a week and floss less. No cavities. Mom took fluoride treatments when I was an embryo.

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jaynelwells's picture
jaynelwells Oct 07 2012 at 7:51 PM

Kale, Spinach, Broccoli, Brussel Sprouts plus Collard, Turnip and Mustard Greens are the best source of Vitamin K!

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anonymous
'arab/african' ... Oct 06 2012 at 2:05 PM

aha i use a 'twig' to brush my teeth after years of being a normal whitie when it comes to oral hygiene- toothbrushing just plain yellows my teeth in comparison.

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anonymous
Anon Oct 06 2012 at 1:13 PM

"there is a good chance that you are part of the orally hygienic elite 1 percent" I don't think you understand how percents work

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momof3's picture
Momof2children Dec 12 2012 at 8:47 AM

I agree with your princess bride insight!

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anonymous
flaming llamas Oct 06 2012 at 10:44 AM

How interesting *strokes imaginary beard*

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anonymous
kim Sep 29 2012 at 2:49 AM

i brush 2-4 times a week, floss when i remember and other than having teeth sensitivities to cold and sweets, i've never had any problems with my teeth. my diet could be better but that's a work in progress lol

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anonymous
Guest Oct 03 2012 at 8:23 PM

Um, ick.

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anonymous
Enter your name Sep 04 2012 at 4:28 AM

With miswak you can clean the outer front part of your teeth, but you may have a hard time cleaning the inner back part of your teeth, try and see for your self.

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anonymous
Guest Oct 01 2012 at 8:18 PM

hmm i agree, but it still doesnt take tooo much effort. def worth it, thats all i use now

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anonymous
Natalie Aug 31 2012 at 4:05 AM
Hey there! What a great page... but with this article I do disagree. My mother grew up without running water, electricity and of course without western toothbrushes ;) But she also lived of 100% natural food. This is a big difference!! Natural methods are great, but "we" actually do need methods that are adapted to our lifestyle. Some methods work on the short run very well, but on the long run, we are better off to calm our soft and sensible western teeth with modern stuff. As long as one does not
.... More
get hooked up by all the unecessary things they sell nowadays, a tooth brush, good paste and floss and always a biiig smile to let the sun bleach the teeth :P
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anonymous
Erin Brickner Aug 31 2012 at 12:32 AM

It also helps if you were breastfed during your childhood. Proper formation of the jaw and teeth results.

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anonymous
Guest Nov 24 2012 at 9:28 AM

Bollocks. There's nothing that says breastfeeding has any advantages over anything else. Or I should say, for every study that tries to claim something of the sort, there is another that finds the opposite.

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anonymous
Abdul Azim Aug 29 2012 at 6:21 AM

Iam from rural South India,where most people are used to brushing teeth with Neem ie Margosa twigs.My father was one of them and he had healthy teeth until he died at 80+.We foolishly took to synthetic tooth brushing with commercial pastes and developed all kinds of tooth problems with in no time.

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anonymous
Reality Check Aug 27 2012 at 2:57 PM
Add to this discussion the effects of "modern medicine" - children in the 1960's & early 1970's were given a certain class of antibiotics as a miracle drug, only to find it totally destroyed their teeth. It rotted out the baby teeth, and led to discolored, mishapen and misplaced adult teeht with weak enamel. I was one of those - my parents spent as much money as the cost of a new car at the time just to have my baby teeth repaired (including root canals, metal crowns, etc.) - only to have to
.... More
throw all of those baby teeth away and money down the drain. Fortunately, my adult teeth only came in discolored and soft (so I have root canals and crowns and fillings again), but not the mishapen and misplaced teeth. All of this because they were told they were doing something good for their child.
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anonymous
deseed Aug 25 2012 at 8:19 PM

Brushing is not that important. Brushing your teeth only cleans the outer surface and barely cleans between the teeth. Flossing your teeth regularly along with light brushing 2 times a day is the best way to maintain a healthy mouth. And BTW some of us prefer peroxide and baking soda to toothpaste. Peroxide does a great job of killing bacteria in between and around your teeth and the baking soda does an even better job of polishing the teeth than regular old toothpaste.

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anonymous
Adam Ross Aug 23 2012 at 7:23 PM

I was also curious about this too, but i was most curious about how people deal with their breath, i mean do they notice when they're bad breath or not? If so, how do they treat it. I was also curious about Cleopatra, she was said to be the most beautiful woman in the ancient Egypt, but i wonder how her breath smells. I know these questions really need deeper research and study, its like asking a Discovery channel scholar right? but in case you do have the answer, please let me know.

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anonymous
Guest Oct 03 2012 at 10:57 AM

they say listerine didn't invent mouthwash, as much as they invented bad breath.

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