The Four Pillars of Oral Health
A holistic approach that takes into account the impact that oral hygiene has on the whole body
The four pillars of oral health form the foundation of a holistic approach to oral care. These are:
Prevention with fluoride
Care of the Microbiome
Stephen's Curve, first described by Robert Stephan in 1943, shows the pH of the mouth over time following sugar consumption.
When it comes to Stephan’s curve, there are three factors to bear in mind:
Quality of food
Quantity of food
Time of consumption
Though it is the second pillar, cleaning for many is perhaps the most obvious starting point of oral care.
To ensure regular plaque removal and optimal oral health, establishing a thorough mechanical cleaning routine that includes the following is recommended:
Prevention with fluoride
The most important ingredient a toothpaste can have
Stephan’s curve describes the continuous fluctuation of pH throughout the day, which fuels the demineralisation-remineralisation cycle. Though the saliva plays a role in buffering pH to try and keep it at the normal level of pH 7, or to at least keep it above the critical pH 5.5, prevention of tooth decay needs the support of chemical products. While mechanical cleaning without chemical intervention can remove plaque, the addition of chemical products to one’s routine can protect teeth and gums, preventing tooth decay, gingivitis and periodontitis.
The most important ingredient a toothpaste can have is, inarguably, fluoride. Though consumption of this ingredient is a topic of much controversy, the concerns don’t have enough evidence to support them. The benefits, on the other hand, are vast and scientifically backed. Fluoride has been shown to prevent cavities via a number of mechanisms. Firstly, it stops the enamel from demineralising in the presence of bacterial acids and is also said to inhibit these acids, thus protecting the enamel from two different angles. Fluoride enhances the remineralisation by increasing the rate of the process and creating a material that is stronger and more resistant to subsequent demineralisation. Read more about fluoride here.
Here is a selection of our best-selling toothpastes:
Another chemical product that works prophylactically against tooth decay is mouthwash. Many mouthwashes have no therapeutic effect, but medical mouthwashes with low concentrations of fluoride can help reduce the occurrence of cavities by 30-50%. The use of medical mouthwash is particularly beneficial for young people.
Here are edel white's expert mouthwashes:
Regular visits to a dental professional are essential for maintaining oral health
Dr Tracey Lennemann, Periodontal Specialist
London / Washington DC / München