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The Spokesman-Review Newspaper
Spokane, Washington  Est. May 19, 1883

Flossing key to putting plaque in its place

Dr. Zorba Paster

‘You’ll wonder where the yellow went, when you brush your teeth with Pepsodent.” I can still hear that jingle from the 1950s.

My mom taught me, like your mom did, to brush my teeth every day, morning and night. Since we started daily brushing with fluoride toothpaste, we’ve dramatically cut down tooth decay. Add to this water fluoridation in some parts of the country and good dental care and you have a dental miracle. (Interesting fact: Tooth decay was the number one reason for turning down Army volunteers in World War I.)

Years ago my dentist told me that flossing was even more important than brushing. I love to brush, but it took me a while to like to floss. Somehow sticking my hands awkwardly in my mouth with a piece of string is just not fun, and it took a while for me to get into the habit.

Flossing is better than brushing for removing dental plaque, that thin film of bacteria around your teeth. It is plaque that causes the gum inflammation that ultimately leads to so much adult tooth loss. Dental plaque is the enemy you want to root out to protect your teeth.

But according to provocative new research from the British Medical Journal, there is another reason to floss – to fight cancer.

Researchers followed 1,400 people for 24 years – all were middle-age when the study started. Everyone was asked about their nutrition, exercise, eating habits, smoking and general health. Throughout the study, all had physical examinations, which included a full dental exam.

By 2009, 58 people in the study had died, most of them in their 60s. Considering I am in that age group, I call it premature. Going back over the data, they found that those who had dental plaque throughout the study were twice as likely to die – with most of them dying of cancer.

Why could this be happening? The theory is that the bacteria found in plaque initiates a cascade of inflammatory molecules that cause chronic inflammation. It’s these molecules that may start the formation of cancer.

Some scientists believe that at least 20 percent of all cancers are caused by this sort of chronic inflammation. This is not such an “out of bounds” discovery, since other studies have shown a link between breast cancer and periodontal disease while other studies have a link between periodontal disease and heart attacks.

My spin: This is an interesting study, but it’s not conclusive. Still, dental plaque is our enemy. Anyone interested in good health brushes their teeth every day. Adding flossing to this is one step that may prevent cancer and heart disease and undoubtedly will make you look sexier.

What’s more it gives you a chance to call Mom and tell her she was right when she said, “Brush those teeth before you go to bed.” Stay well!

Dr. Zorba Paster is a family physician, professor at University of Wisconsin School of Medicine and Public Health, and host of the public radio program “Zorba Paster on Your Health,” which airs at noon Wednesdays on 91.1 FM, and noon Sundays on 91.9 FM. His column will appear twice a month in The Spokesman-Review.