The following program presents
00:00:01.36\00:00:02.70
principles designed
to promote good health
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and is not
intended to take the place
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of personalized
professional care.
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The opinions and ideas expressed
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or those of the speaker.
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Viewers are encouraged to
draw their own conclusions
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about the information presented.
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Have you ever bitten your tongue
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or tipped a tooth?
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These are a couple of
obvious causes of oral pain.
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But there are many more
that aren't so apparent.
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Join us for today's program
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as we discover the best that
modern medicine has to offer
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when it comes to
pain in your mouth.
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And learn a few things that
you can do to prevent disease
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through simple
lifestyle changes.
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I'm Dr. James Markham.
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Are you interested in
discovering the reason why?
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You want solutions to
your health care problem.
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Are you tired of
taking medications?
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Well, you're about to be
given Ultimate Prescription.
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Since our very early years,
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most of us have
been taught to brush
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and floss our teeth
every day and for good reason.
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Our oral care
helps fight disease,
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which if not taken seriously
can cause serious pain.
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Oral pain is the
topic of today's program
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and we thank you for joining us.
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This is the
Ultimate Prescription,
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and I'm your host Nick Evanson.
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Dr. Markham. Yes.
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Have you ever
experienced oral pain?
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I think everyone has, Nick,
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if you've ever got
bopped in the mouth
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or bitten your tongue
that counts as oral pain.
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Lots of oral pain
is caused by trauma.
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You know
something's in your mouth.
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It's not right.
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Some, you know a lot
of people have suffered
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through cavities and
problems with their mouth,
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and, you know, we're
going to talk a little bit
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about that today.
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But we've been
talking in general
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about all the
different causes of pain.
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And pain is not very fun.
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And I think what
we've learned is that
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if we can get the cause of pain,
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that's the best
way to deal with it.
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That's right.
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And if it's a dangerous pain,
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you know we need to
get help right away.
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And then, of course,
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chronic pain is a
whole different ballgame
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and we sort of been
addressing that as well.
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But oral pain it is something
that affects many people
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and I think the probably
the specialists in oral pain
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are probably dentists.
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Now I understand
you have a daughter
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who's recently
experienced some oral pain.
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Yes, yes.
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She had her
wisdom teeth taken out.
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Okay. And that was very painful.
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They said it was
crowding her mouth,
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and she had a
wisdom teeth taken out,
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and this really hurt her.
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You know when they took them out
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and she's getting better
and that caused her oral pain,
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and she's just
now getting over that.
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But you know if you're
having lots of oral pain
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that doesn't go away,
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the specialist to
really have it checked out,
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look at the mouth,
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look at the
teeth is the dentist.
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That's right.
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And we recently had
the opportunity to go
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to the Davis family dental care,
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and Dr. Joel Davis is
one of my good friends.
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And he's a recent
graduate of dental school
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and you know sometimes
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people are afraid
of young dentists.
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Both are on top
of things though.
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They've had the
latest training, right?
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And so Dr. Davis shared with us
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about some of the
most common causes
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he sees in his practice,
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and some of the latest
and greatest techniques
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he's learned to
treat the symptoms,
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let's have a look.
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I tell all my patients
that there are two battles
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that we fight in dentistry,
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one is tooth decay
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and the other is
periodontal disease.
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So tooth decay is a cavity,
it's destroying the tooth.
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Periodontal disease is
more like high blood pressure.
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You don't know you have
it until it's measured for,
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but periodontal
disease is a slow destruction
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of the supporting tissues
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that hold the
tooth in the mouth.
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Periodontal disease
is usually not painful,
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it's a slow
progress of chronic problem
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that needs to be
treated with a deep cleaning,
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but it usually is not painful,
until the tooth becomes loose.
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At that point, it's almost
too late to save the tooth.
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Almost every time a patient
comes into the dental office
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with pain in their mouth,
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it's because
they've had a cavity
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that has gone untended
to untreated for too long.
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And the tooth decay
is destroyed the tooth
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all the way down to the nerve
on the inside of the tooth.
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It's caused them
to have intense pain
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that lasts for two or
three minutes at a time
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which is severe 8, 9 out of 10.
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Sometimes, it's the worst pain
patients have ever experienced.
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But if it's keeping you awake
at night, constantly throbbing,
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we know that
the nerves involved,
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and you're going to need
some treatment right away.
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Other things
that bring patients in
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might be pain of a sore.
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You know an ulcer or
some type of canker sore
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that formed on the
gums or on the lips
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you know we can treat those
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with some
topical creams or rinses.
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Temperamental with
their joint disorder
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or TMD is a
disorder of the joint
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that can be painful or
you might just have popping
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or clicking when
you open and close.
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If a patient locks open,
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that can be very
uncomfortable and kind of scary.
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But typically,
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joint problems are not
painful as more of a chronic.
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You hear a kind of a crepitus
or grinding sound in the joint
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when you open and close
or a popping and clicking.
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And when, when
should you come in
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when you have tooth pain?
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Well, the answer will always be
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the sooner we can
catch that problem,
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the smaller it is
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and the easier
it should be to fix.
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The longer you wait,
it's going to cost a lot more,
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it's going to hurt
your wallet a lot more
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just because it's a
lot more complex to fix.
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Prevention is worth everything.
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If we can stop
things from happening
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such as tooth decay,
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periodontal disease
is worth everything.
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I have patients
all the time to ask me.
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"I've got this special rinse,
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this special paste
or this special brush."
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What works is the
thing that you actually use
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and you need to remove
plaque off the teeth daily
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with a brush and with floss.
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It's traditional,
it's tried and true.
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Flossing and
brushing is what works
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because for removing
the plaque off the tooth
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on a daily basis,
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then we are
eliminating the causative factor
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for tooth decay,
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which is bacteria
or periodontal disease
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which is bacteria once again
that is trapped in the plaque
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or the tartar
that's on the tooth.
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So it really comes down
to really good home hygiene.
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And at the dental office,
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that's one of our
goals is to help educate you
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and enable you to
do a great job at home.
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And we'd like to give a
special thanks to Dr. Davis
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for letting us come
in and see his practice
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and sharing his
thoughts with us.
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You know, that's great
because I'm not a dentist,
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and I don't deal
with a lot of oral pains.
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So I'm glad we
can have specialists
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that we're going to
share with us their expertise,
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so we're going to
continue to get them to come on
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the Ultimate Prescription
and share their knowledge,
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their expertise,
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when's the place
for a modern medicine,
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what we can do to prevent it.
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So I want to thank Dr.
Davis 'cause a lot of people,
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Nick, have mouth
pain and cavities
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and things that
aren't happy in their mouth.
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That's right.
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You know Dr. Davis
just emphasized that point
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that you know flossing
and brushing your teeth
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is more to do every day.
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And if we do that, we
can avoid a lot of pain.
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You know another
friend told me one time,
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"You have to brush your teeth,
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just the ones you want to keep."
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This...
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Well, you know
that's interesting, Nick,
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because if you think
about you know oral pain,
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you know we have
our teeth and our gums,
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what did you know I talked
to Dr. Davis once about this
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as what did we do
before we had toothbrushes
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you know we've
always had toothbrushes.
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That's true.
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And he was telling me that
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the reason a
lot of the cavities,
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gum pain, and problem happens
is because of processed sugar.
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Yeah, sure.
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And if we can get processed
sugar out of our lives,
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we can save a
lot of oral problems.
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That's right.
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And also you
know the canker sores
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and some of
those things you know
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that's great we put
them so topical stuff on it
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to get a feel better total.
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But if we can do the things
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if process sugar our lifestyles
are contributing to it,
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if we can do that,
it's going to help a lot.
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Yeah, certainly.
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Now you know I guess
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we should talk about
all the different causes,
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other causes of oral pain, too.
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Yeah.
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What are some of those
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and if you
experience any others?
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Well, I mean you
know as a cardiologist,
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I run into
people with different,
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and so we're
going to talk to people
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and if they have any
questions go to our website.
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We'll give it over to Dr. Davis
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'cause we might
not be able to handle
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all these oral questions,
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but think let's think about
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we talked about
our teeth and gums.
00:08:02.08\00:08:03.55
Okay.
00:08:03.58\00:08:04.91
But a lot of that
can from trauma okay.
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Right.
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People might have braces
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or special
things in their mouth.
00:08:10.62\00:08:12.32
They might be professions
or things that hit their mouth.
00:08:12.35\00:08:15.79
You know that
would cause trauma,
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that could cause
pain in the mouth.
00:08:17.29\00:08:19.49
Why it's so serious if we
have a lesion in the mouth
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is if we think about
it if the mouth bleeds,
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there's lots of
bacteria in the mouth.
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And you can be set up
for infections in the mouth.
00:08:26.30\00:08:29.14
One of the serious infections
that I'm concerned about is
00:08:29.17\00:08:31.77
if you have a
long-term dental abscess
00:08:31.81\00:08:34.31
which is an infection,
00:08:34.34\00:08:35.68
and it should go untreated
and it gets in the bloodstream,
00:08:35.71\00:08:39.21
guess what the, the
bacteria in the blood
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is circulating
all through the body.
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Causes more stress on the heart.
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Yeah, more stress on the heart
00:08:44.55\00:08:45.89
and if you have an
abnormal heart valve,
00:08:45.92\00:08:48.12
that bacteria that's
floating through says,
00:08:48.16\00:08:50.89
"I'm getting a little hungry.
00:08:50.93\00:08:52.26
What can I latch on to?
00:08:52.29\00:08:53.63
Oh, there's a heart valve.
00:08:53.66\00:08:55.00
I didn't about that,
let me grab onto that."
00:08:55.03\00:08:56.56
So he grabs on
just, "Mmm, little tasty."
00:08:56.60\00:08:59.20
Let me invite my
friends over, and before long,
00:08:59.23\00:09:01.84
we could have an
infection on the heart valve,
00:09:01.87\00:09:03.87
we call that endocarditis.
00:09:03.91\00:09:06.71
Also dental care
00:09:06.74\00:09:08.34
and it is causing
a lot of inflammation
00:09:08.38\00:09:10.61
and inflammation is not
good for the body either
00:09:10.65\00:09:12.95
especially, heart disease.
00:09:12.98\00:09:14.32
So we want to
keep that mouth healthy
00:09:14.35\00:09:16.05
just to prevent heart
disease infections there,
00:09:16.08\00:09:18.62
so trauma is a big deal.
00:09:18.65\00:09:20.26
We don't want to get
are or you know so, Nick,
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I would advise
don't get in fights.
00:09:22.59\00:09:24.66
Okay.
00:09:24.69\00:09:26.16
If you're playing basketball
and you've got some rough guys,
00:09:26.19\00:09:28.73
you might want
to wear mouth guard,
00:09:28.76\00:09:31.07
things of that nature.
00:09:31.10\00:09:32.63
If you're wearing braces,
you know you want to be careful
00:09:32.67\00:09:35.30
that you don't get a sharp
wire that's banging into things.
00:09:35.34\00:09:37.77
Right.
00:09:37.81\00:09:39.14
Those are some just
some common things of trauma,
00:09:39.17\00:09:40.98
so trauma is up there
pretty high of oral pain.
00:09:41.01\00:09:44.61
Now every time I
go to my dentist,
00:09:44.65\00:09:46.31
he pulls out the
tongue, he kind of pokes around,
00:09:46.35\00:09:48.18
feels around.
00:09:48.22\00:09:49.55
I assume he's
checking for cancer.
00:09:49.58\00:09:50.92
Yes, he is.
00:09:50.95\00:09:52.29
Now can that be a source
of real pain in the mouth
00:09:52.32\00:09:53.66
or how would you know
other than him checking?
00:09:53.69\00:09:55.02
Well, you might feel a mass.
00:09:55.06\00:09:56.99
If the cancer is
pushing on a nerve
00:09:57.03\00:09:59.13
or pushing on an
important structure,
00:09:59.16\00:10:00.80
it could cause pain as well.
00:10:00.83\00:10:02.86
So that that's a big, big
issue if you have oral cancer,
00:10:02.90\00:10:05.50
who's at risk of having cancer.
00:10:05.53\00:10:08.00
A lot of people
that chew tobacco, okay,
00:10:08.04\00:10:10.61
that's a
carcinogen that gets in there.
00:10:10.64\00:10:12.54
So those are people
00:10:12.57\00:10:13.91
that are at a higher
risk of having oral cancer,
00:10:13.94\00:10:15.74
but he will look for cancer
00:10:15.78\00:10:17.11
but cancer is a
cause of referred pain.
00:10:17.15\00:10:19.88
And also sinuses.
00:10:19.91\00:10:21.32
You know sometimes sinus pain
can be referred into the jaw.
00:10:21.35\00:10:26.32
And you might
feel like a pressure
00:10:26.35\00:10:27.99
on the upper jaw
that kind of thing.
00:10:28.02\00:10:30.26
It might be due to pain.
00:10:30.29\00:10:32.29
Other types of pain
is infections, okay,
00:10:32.33\00:10:35.30
have you ever
had a strep throat?
00:10:35.33\00:10:36.67
I haven't really.
00:10:36.70\00:10:38.03
Yeah, oh, have
ever have a sore throat?
00:10:38.07\00:10:39.40
Yep, I had a sore throat.
00:10:39.43\00:10:40.77
Well, many people
have had sore throats.
00:10:40.80\00:10:42.57
And sore throats can
be from an infection,
00:10:42.60\00:10:44.74
either a bacterial
infection or a viral infection.
00:10:44.77\00:10:48.84
Lots of kids around five,
six age gets strep throat.
00:10:48.88\00:10:52.38
And that's very painful.
00:10:52.41\00:10:53.75
And if you look in their throats
00:10:53.78\00:10:55.12
and they say ah, you'll
see all sorts of you know
00:10:55.15\00:10:57.29
so white splotchy
blots, tonsils, tonsillitis,
00:10:57.32\00:11:01.69
you know we can get
that tonsils infected
00:11:01.72\00:11:04.16
that can cause a lot of pain.
00:11:04.19\00:11:05.96
Usually, when you swallow,
00:11:05.99\00:11:08.16
so those are another couple
of causes of chronic pain.
00:11:08.20\00:11:11.60
So you've probably...
00:11:11.63\00:11:12.97
Every question
I asked you, Nick,
00:11:13.00\00:11:14.47
you've never had problems with
00:11:14.50\00:11:15.87
so have you ever
had pain in your mouth?
00:11:15.90\00:11:17.24
I've had sore throat.
00:11:17.27\00:11:18.61
Okay, so you
had the sore throat.
00:11:18.64\00:11:19.97
Yeah, I had a sore throat.
00:11:20.01\00:11:21.34
I don't know,
00:11:21.38\00:11:22.71
what's difference between
sore throat and strep throat,
00:11:22.74\00:11:24.08
I guess I think strep
being a bit more serious.
00:11:24.11\00:11:25.45
It's a cause, you know,
00:11:25.48\00:11:26.82
that you know strep
is a bacterial infection.
00:11:26.85\00:11:29.32
Whereas sometimes you
just get a viral infection
00:11:29.35\00:11:31.65
or you know common cold or
rhinovirus is a common virus
00:11:31.69\00:11:34.92
that can cause a sore throat
but it's not, it's not quite,
00:11:34.96\00:11:39.43
they don't get
the white blotches.
00:11:39.46\00:11:40.83
You don't run afoul
of that kind of thing.
00:11:40.86\00:11:42.96
So I think we've talked about
causes of pain in the mouth,
00:11:43.00\00:11:45.93
teeth, gums,
trauma, cancer, infections.
00:11:45.97\00:11:50.27
We've talked about the sinuses.
00:11:50.31\00:11:52.24
And if you have it,
you've got to get it looked at.
00:11:52.27\00:11:53.98
That's right.
00:11:54.01\00:11:55.34
Now let's go back
to processed sugar.
00:11:55.38\00:11:56.71
You mentioned that earlier,
00:11:56.75\00:11:58.08
that's a
really, really tough one
00:11:58.11\00:11:59.88
to eliminate from your diet.
00:11:59.91\00:12:01.48
It is, but it's
sort of a contributor
00:12:01.52\00:12:04.02
to all sorts of problems.
00:12:04.05\00:12:05.75
Cavities, bacteria in the mouth,
00:12:05.79\00:12:07.72
they like that processed sugar.
00:12:07.76\00:12:09.52
It can create,
00:12:09.56\00:12:10.89
weakens your immune system
or likely to get infections,
00:12:10.93\00:12:14.06
more you know, more
like the gum health,
00:12:14.10\00:12:15.93
the gums aren't happy when you
get a lot of processed sugar.
00:12:15.96\00:12:18.83
So if we can get
rid of processed sugar,
00:12:18.87\00:12:21.07
we can eliminate a
lot of the problems
00:12:21.10\00:12:23.97
of chronic mouthing.
00:12:24.01\00:12:25.34
If you do that and you
get rid of processed sugar
00:12:25.37\00:12:29.24
and you take good
care of your teeth
00:12:29.28\00:12:31.18
and you avoid trauma,
boy, you can will be low risk
00:12:31.21\00:12:34.58
for having
problems with mouth pain.
00:12:34.62\00:12:36.35
If you do have oral pain
00:12:36.38\00:12:37.95
and it doesn't go
away pretty quickly,
00:12:37.99\00:12:39.79
you need to get it evaluated.
00:12:39.82\00:12:41.16
The specialist that does that
00:12:41.19\00:12:42.86
is someone like
Dr. Davis, a dentist.
00:12:42.89\00:12:45.33
Don't go to a cardiologist
if you have mouth pain.
00:12:45.36\00:12:47.66
That's right.
00:12:47.70\00:12:49.03
'Cause I will
look at you and I said,
00:12:49.06\00:12:50.40
"Kelly, my
daughter's having some pains,
00:12:50.43\00:12:52.03
she want me to look at
her sockets the other day."
00:12:52.07\00:12:54.00
And I looked at them and said,
00:12:54.04\00:12:55.37
"Ah, they look
pretty good to me."
00:12:55.40\00:12:56.74
She said, "Well,
why does it hurt?"
00:12:56.77\00:12:58.11
"Well, it probably hurts
00:12:58.14\00:12:59.47
because their
nerves were disrupted
00:12:59.51\00:13:00.84
when the teeth came out."
00:13:00.88\00:13:02.21
Well, that didn't
sit well coming from dad.
00:13:02.24\00:13:03.95
So she made an appointment
to see the dentist today.
00:13:03.98\00:13:06.41
She wanted to hear from
the professional dentist.
00:13:06.45\00:13:07.95
The expert.
00:13:07.98\00:13:09.32
So you might want
to go to the expert,
00:13:09.35\00:13:11.12
if you want an expert opinion.
00:13:11.15\00:13:12.79
But I just want to give
some general principles on pain,
00:13:12.82\00:13:15.52
what to do, how to prevent it,
00:13:15.56\00:13:17.13
what we need to do when
we're experiencing pain.
00:13:17.16\00:13:19.49
Yeah, but we've got
a bunch of questions
00:13:19.53\00:13:21.16
that are coming to the website
00:13:21.20\00:13:22.53
and we're going get to
those in just a moment.
00:13:22.56\00:13:23.90
If you have a question
please visit our website
00:13:23.93\00:13:25.80
at HeartwiseMinistries.org.
00:13:25.83\00:13:27.94
You can ask the
doctor your questions,
00:13:27.97\00:13:29.60
and we'll get them to
the preferred specialist,
00:13:29.64\00:13:32.61
and you can also request prayer
00:13:32.64\00:13:34.61
and there's a
bunch of health resources
00:13:34.64\00:13:36.04
on the website.
00:13:36.08\00:13:37.41
So visit that,
communicate with us,
00:13:37.45\00:13:38.78
and we we'll be
back in just a moment.
00:13:38.81\00:13:40.35