Charcoal Toothpaste: Is it Safe and Does it Work?

By Mina Youssef, RDH | Dental Hygienist

Is Charcoal Dangerous for My Teeth?

Charcoal is known to be a very abrasive substance. Charcoal is very coarse and gritty, which in turn helps to remove surface stains and plaque from your teeth. Also, charcoal is so harsh that it also wears away the top layer of the tooth called enamel, leaving your tooth weak and susceptible to sensitivity and prone to cavities.

Does Charcoal Actually Whiten Your Teeth?

Activated charcoal is incredibly porous, meaning that it’s highly effective at absorbing bacteria, oil, and dirt. In addition, charcoal is sometimes used in medical settings to remove dangerous toxins. However, it may not actually be effective at whitening your teeth. Truth is, most claims about charcoal toothpaste are unproven.

Is Charcoal Toothpaste a Safe Choice for Your Teeth?

While charcoal-based toothpastes may market themselves as being effective, using abrasive toothpaste too frequently could eventually lead to permanent yellowing of the teeth. Another disadvantage about charcoal toothpaste is that most don’t have fluoride in them, an essential ingredient in preventing cavities.

Is Charcoal Toothpaste Safe for Kids/Young Teens?

Dentists do not recommend using charcoal toothpaste especially in kids and young teens. The abrasiveness of the charcoal could affect developing teeth and hinder growth.

Schedule an appointment with a NOAH dental provider here for more teeth healthy tips!

Does my Toothpaste Need to Include Fluoride?

By Jane Roots, RDH | Dental Hygienist

Yes! Fluoride helps prevent tooth decay.

According to the ADA, Fluoride has been considered safe, effective, and necessary in the prevention of tooth decay since 1950. By strengthening and slowing down the decay process, fluoride limits the ability for plaque and bacteria to break down the enamel of teeth. Fluoride in toothpaste is good, the medical and dental community recommend that you brush your teeth twice a day with a toothpaste that has Fluoride.

The center for disease control (CDC) and dental professionals concludes that “all persons should receive frequent exposure to small amounts of Fluoride,” Fluoride exposure can come from drinking water and toothpaste. Fluoride is beneficial in two ways. First is enamel remineralization, which means when fluoride is absorbed by the enamel on teeth, it attracts minerals to your teeth helping to keep them hard. Secondly, Fluoride helps by protecting your teeth during the demineralization process.

Fluoride never sleeps, it begins to strengthen your teeth enamel even before it breaks through the gums and continues working on an ongoing basis. Whenever you brush with a fluoride tooth paste or consume foods or beverages that contain fluoride, it strengthens weak spots in your enamel and help protect teeth from acid attack. Fluoride equals stronger enamel, less cavities, and a happier mouth!

Schedule a visit with your NOAH dental provider today!

Honoring Black History Month: Dr. Louis T. Wright

Among many of his accomplishments, Dr. Louis T. Wright was the first African American on the surgical staff of a non-segregated hospital in New York City.

Louis T. Wright

Louis T. Wright was born in 1891 in La Grange, Georgia. Wright was the son of a doctor and graduated from Clark Atlanta University in 1911. He went on to attend Harvard University and was very vocal about the unfair treatment he received from professors for not allowing him to deliver babies at a white teaching hospital. Despite graduating 4th in his class from Harvard University, he was unable to obtain an internship to work at any of Boston’s hospitals. Having graduated from a Historically Black College and University (HBCU) for his undergraduate degree, Dr. Wright took his talents to an affiliate of another HBCU, Howard University, to complete his post-graduate internship at Freedman’s Hospital in the District of Columbia.

In 1916, he returned to Atlanta to practice medicine with his stepfather and decided to join the NAACP. He later served as a Lieutenant in the Army Medical Corps during World War I. Dr. Wright ran a field hospital in France and would go on to attain the purple heart, a medal that represents a service member that has greatly sacrificed themselves, or paid the ultimate price, while in the line of duty. After the war, he opened a small practice in Harlem, New York in 1919 and continued to work with the local NAACP chapter.

In 1929, the New York Police Department appointed him Police Surgeon. In 1935, the NAACP appointed him Chairman of the board, and in 1943, Harlem Hospital named him Chief of Surgery. None of these titles have ever been awarded to an African American before.

Dr. Wright suffered from chronic lung damage that he acquired in the war from 1939 to 1942 and was later diagnosed with tuberculosis. He passed away in 1952 of a heart attack. Louis T. Wright was one of the most respected physicians during his time and his research proved significant in areas such as antibiotic treatment, cancer, treating head injuries and treating bone fractures.

For more life-saving stories of Black history and healthcare in America, check out these posts:

Understanding the Tuskegee Study

The Lasting Impact of Henrietta Lacks

Enslaved Women and Modern Gynecology

Honoring Black History Month: Dr. Charles Richard Drew

Honoring Black History Month: Dr. Daniel Hale Williams

Honoring Black History Month: Dr. Kizzmekia Corbett

Honoring Black History Month: Dr. Alexa Irene Canady

Honoring Black History Month: Dr. James Durham

Honoring Black History Month: Dr. Rebecca Lee Crumpler

Honoring Black History Month: Dr. Louis T. Wright

X-Rays – What are They Used For?

By Jane Roots, RDH | Dental Hygienist

There’s a lot more to your teeth than what you can see with the naked eye. Luckily, we have X-rays to see parts of your teeth that aren’t easily visible, like in between tooth surfaces. Dental X-rays are just like X-rays for any other part of your body. A special machine using a form of electromagnetic radiation similar to light but of shorter wavelength penetrates through the solid surface of your body to produce a radiograph – or picture – of what’s inside.

X-rays help your care providers see inside your teeth and under the gums. In fact, X-rays provide an in-depth look at all different parts of your mouth and jaw including your teeth from the crown to the root, inside and out.

These “pictures” of your teeth are used to find dental problems like cavities, cracks, infections, and more. Using X-rays allows your care provider to identify and treat issues early, often preventing future oral health complications.

For children, dental X-rays are necessary to closely monitor the progress of the adult teeth and the jaw’s growth and development. Dental X-rays are also used to assess the health of the bone that surrounds the root of the tooth as well as look for any teeth that haven’t made their way up through the gums.

Dental X-rays are typically performed every six months or, in some cases, annually. However, it may be necessary for X-rays to be taken more often if your dentist is tracking the process of a dental issue or you have pain or irritation anywhere in your mouth.

Schedule an appointment with a NOAH dental provider for a comprehensive oral health assessment to develop a personalized treatment plan that is right for you.

How Often Should You Floss?

By Celeste Ouyoung, RDH | Dental Hygienist

We all know that the number one rule for healthy teeth and gums is brushing and flossing, but knowing and practicing are two very different things.

Just because we know it by heart does not mean we follow it. Many people think just brushing twice a day is enough to keep their teeth and gums healthy and that flossing is just an extra step, but that is incorrect. Flossing is harder to follow because the action required to remove plaque buildup can become tedious and difficult, especially with a full set of teeth and brushing at least twice a day.

The American Dental Association (ADA) and Bloorwest Smiles recommends flossing between your teeth at least once a day. Cleaning between your teeth can help prevent cavities and gum disease. If you do not floss between your teeth to remove plaque, that sticky deposit will continue to build up and eventually harden into tartar. This result can lead to gum disease or even cavities between teeth!

Ensure your flossing technique is effective at removing plaque by flossing up and down between your teeth and below the gumline. It can take time to practice and get better at flossing. If you have any problems flossing, consult with a NOAH dentist or dental hygienist for tips and suggestions to an alternative flossing device that will work for you.

What is the Best Kind of Toothbrush to Use?

By Celeste Ouyoung, RDH | Dental Hygienist

Need help deciding on the toothbrush that is right for you? We’ve got you covered.

The best kind of toothbrush is one with a soft bristle. Using a soft bristled toothbrush is the safest and most comfortable toothbrush to use. It will minimize the risk of scratching and damaging the tooth surfaces and gums as opposed to a medium or hard bristled toothbrush. There are many toothbrush head design options available. Toothbrushes with multi-level bristles or angled bristles perform better than the traditional flat-level bristles in removing bacterial plaque. The varying sizes of bristles are useful for getting into hard-to-reach areas.

Both manual and powered toothbrushes can be used effectively in removing plaque. Some may find it easier to use a powered toothbrush if they have difficulty with a manual toothbrush, especially those with dexterity issues like the elderly, people with disabilities, or children.

You should change your toothbrush or toothbrush head to a new one every 3 months. Food debris and bacteria can get trapped in the bristles of the toothbrush over time. The bristles of the toothbrush will start to wear down or fray the longer it is used and can reduce effectiveness in removing plaque and food debris from teeth.

Look for toothbrushes with the ADA Seal of Acceptance logo on the package. A product with this seal indicates that it is safe and effective for removal of plaque and reduction of gingivitis. You can also search on the ADA website for products that are listed to ensure you are getting a product that is safe and effective: ADA Seal of Acceptance | American Dental Association

To learn more, visit our NOAH Dental page for helpful videos and tips. If you are ready for you or your child to see a NOAH dentist, schedule an appointment today!

Honoring Black History Month: Dr. Rebecca Lee Crumpler

Rebecca Lee Crumpler became the first African American female to earn a medical degree in the United States.

Rebecca Lee Crumpler

Born in 1831 in the state of Delaware, Dr. Crumpler worked for 8 years as a nurse before pursuing a degree in medicine. She would then go on to graduate in 1863 from the New England Female Medical College, which later became the Boston University School of Medicine.

Dr. Crumpler practiced in Boston and then moved to Richmond, Virginia after the Civil War ended in 1865. Dr. Crumpler was able to practice with other African American physicians and caring for freed slaves who would otherwise have no access to medical care. She eventually moved back to Massachusetts and retired in the affluent neighborhood of Hyde Park. Where in 1883, she published a book, Book of Medical Discourses based on her journal notes in practice over the years that provided medical advice for women and children.

For more life-saving stories of Black history and healthcare in America, check out these posts:

Understanding the Tuskegee Study

The Lasting Impact of Henrietta Lacks

Enslaved Women and Modern Gynecology

Honoring Black History Month: Dr. Charles Richard Drew

Honoring Black History Month: Dr. Daniel Hale Williams

Honoring Black History Month: Dr. Kizzmekia Corbett

Honoring Black History Month: Dr. Alexa Irene Canady

Honoring Black History Month: Dr. James Durham

Honoring Black History Month: Dr. Rebecca Lee Crumpler

Honoring Black History Month: Dr. Louis T. Wright

Strategies to Live a Heart-Healthy Lifestyle

By Brandon Bolton, RDN |Registered Dietitian

February is American Heart Month! A time to raise awareness and support for the fight against heart disease. Heart Month is a time when everyone can focus on their cardiovascular health. According to the American Heart Association, heart disease is the number one killer in the United States, and the leading cause of death worldwide.  There are many risk factors that can impact your chances of developing heart disease. The National Institutes of Health (NIH) states that preventing heart disease starts with knowing what your risk factors are and what you can do to lower them.  Some risk factors for heart disease include high blood pressure, high blood cholesterol, obesity, diabetes, smoking, lack of physical activity, and unhealthy eating behaviors. These risk factors can be managed or changed. Some risk factors that cannot be changed include age, sex, and family history of heart disease.

My advice:

Heart disease is often preventable when people make healthy lifestyle changes, including changes to your diet and activity level. Living a heart-healthy life involves understanding your risk factors and making positive choices to protect your heart and stay healthy. Here are some heart healthy nutrition and exercise tips:

  1. Choose heart-healthy foods and eat a diet that is balanced with whole grains, fruits and vegetables, and lean protein sources.
    • Try to have at least 50% of your grain intake come from whole grains such as 100% whole wheat bread, oatmeal, brown rice, and quinoa
    • Aim for 1-2 cups of fruit daily
    • Aim for 1-3 cups of vegetables daily
  • Choose fat-free or low-fat dairy products when having milk, cheese, or yogurt.
  • Eat protein rich foods
  • Lean meats such as 95% lean ground beef or pork tenderloin, skinless chicken or turkey (limit red meats to one time per week)
    • Fish such as salmon and tuna (try to eat fish as least once per week)
    • Eggs
    • Nuts, seeds, tofu, tempeh, edamame
    • Legumes such as beans, lentils, and chickpeas
  • Incorporate foods that are high in monounsaturated and polyunsaturated fats:
    • Olive oil or avocado oil
    • Fish and seafood
    • Nuts and seeds
    • Nut and seed butters
    • Avocados
  • Aim for 30 minutes of moderate physical activity 5 days per week!
    • There are many different types of helpful exercise, but here are the three types that can be most effective for heart health:
  • Aerobic Exercise
    • Walking, running, swimming, playing your favorite sport such as basketball or tennis

2. Resistance Training

  •    Working out with weights, resistance bands, or bodyweight exercises like pushups and pullups

3. Stretching, Flexibility, and Balance

  • Look up a stretching video online, or try yoga

Foods to limit:

  • Limit high sodium foods. Adults and children over the age of 14 should eat less than 2,300 mg of sodium daily.
    • Read food labels and choose foods that are lower in sodium. Look for low sodium, reduced sodium, or no salt added on the food label.
    • Try to choose fresh, whole foods whenever possible and try to avoid processed foods such as frozen meals.
    • Avoid the saltshaker and flavor foods with herbs and spices.
  • Limit saturated fats.
    • Saturated fat is usually found in animal-based proteins such as fatty beef, pork, and chicken skin.
    • It is also found in full-fat dairy products such as whole milk.
    • Butter, lard, coconut, and palm oils also contain saturated fats (replace with olive oil)
  • Avoid trans fats.
    • Trans fats can be found in stick margarine, shortening, processed sweets, baked goods, and some fried foods.
    • Avoid foods with “partially hydrogenated oil” on the ingredient list such as cookies, pastries, baked goods, biscuits, crackers, and frozen dinners.
  • Limit foods that are high in added sugars.
    • Sugar-sweetened drinks such as soda, fruit juice, sweetened coffees, and energy drinks
    • Sweets and desserts
  • Limit Alcohol

If you have any nutrition questions or need help developing a heart healthy diet plan, please reach out to one of the dietitians here at NOAH!

Easy Egg Substitutes That Won’t Cost You The Farm

People can’t stop talking about the price and availability of eggs and we don’t blame them. 

According to a report from the U.S. Bureau of Labor Statistics, the average price for a dozen eggs increased by 59% last year and doesn’t show signs of coming down anytime soon.  

Luckily, if we’ve learned anything through supply shortages and rising costs in recent years, it’s how to let go of everyday staples and learn to get by with alternatives.  

Finding an alternative to eggs might be easier than you think.  

Aside from being fried, scrambled, poached, deviled, and chopped – a great source of flavor and protein – eggs are most often used as a recipe ingredient to help baked goods rise, thicken sauces and soups, bind dry ingredients together, and add moisture. 

Egg Alternatives – Replaces one egg in a traditional recipe.

Leavening (helps baked goods rise) 

  • ¼ cup of diet soda, seltzer, or carbonated water 
  • 2 tbsp. water, 1 tbsp. vegetable oil, and 2 tsp. baking powder 
  • 1 tsp. baking soda and 1 tbsp. vinegar 

Thickening 

  • 1 tbsp. plain gelatin dissolved in 1 tbsp. cold water, then add 2 tbsp. of boiling water 
  • ¼ cup mashed white or sweet potatoes 
  • 1 tbsp. ground flaxseeds (or chia seeds) and 3 tbsp. water 
  • 3 tbsp. aquafaba (liquid from canned/cooked beans) 

Binding and Moistening  

  • ½ cup bananas, mashed 
  • ¼ cup unsweetened applesauce (replaces eggs, butter, and oil in traditional baking recipes or box mixes) 
  • ¼ cup canned pumpkin or squash 
  • 2 tbsp. tomato paste 
  • ¼ cup soft tofu (pureed)  
  • ¼ cup plain yogurt 
  • 3 tbsp. creamy nut butter 
  • ¼ cup buttermilk 

Take inventory of which of these ingredients are floating around in your pantry or fridge, pair them up with savory or sweet recipes, and see how these egg alternatives measure up to the real thing. It might take some trial and error to find what flavor and texture works in your favorite recipes, but it sure beats the price of eggs. 

Keep in mind that while these substitutions for eggs might make a recipe turn out the same, the nutritional value may differ. Eggs are a great source of protein which is essential to your diet. If you have questions about creating or maintaining a balanced diet, schedule an appointment with one of NOAH’s registered dietitians today. 

Honoring Black History Month: Dr. James Durham

By Lisa Nails | Patient Navigator

James Durham is noted as the first African American Physician to practice medicine in the United States.

James Durham

Born in 1762 and working most of his life as a slave, he was able to gain knowledge in the field of medicine from his slave owners who were doctors. One of his slave owners, Dr. Robert Dow, who became sort of a mentor to him, trained Dr. Durham as a physician and allowed him to treat and perform procedures on patients of different races under his supervision.

In 1783, Dr. Durham paid for his freedom from his work as a physician and was able to open his own independent practice, despite not obtaining a medical degree. In 1789, his practice is reported to have grossed $3000 annually. From there, he built a reputation for successfully treating patients with yellow fever and his work in diphtheria. Dr. Durham’s success would eventually catch the attention of Dr. Benjamin Rush in Philadelphia, who would later join his practice.

In 1801, Pennsylvania laws restricted anyone from practicing medicine without a formal degree. Dr. Durham continued to practice in secret until 1802, when he mysteriously disappeared. Although his whereabouts remain unknown, it is speculated that he was murdered because of his success as an African American man during that time.

For more life-saving stories of Black history and healthcare in America, check out these posts:

Understanding the Tuskegee Study

The Lasting Impact of Henrietta Lacks

Enslaved Women and Modern Gynecology

Honoring Black History Month: Dr. Charles Richard Drew

Honoring Black History Month: Dr. Daniel Hale Williams

Honoring Black History Month: Dr. Kizzmekia Corbett

Honoring Black History Month: Dr. Alexa Irene Canady

Honoring Black History Month: Dr. James Durham

Honoring Black History Month: Dr. Rebecca Lee Crumpler

Honoring Black History Month: Dr. Louis T. Wright