Mel Rosenberg: What causes cavities?

Recorded atOctober 17, 2016
EventTED-Ed
Duration (min:sec)04:43
Video TypeTED-Ed Original
Words per minute165.17 slow
Readability (FK)35.83 very difficult
SpeakerMel Rosenberg

Official TED page for this talk

Synopsis

When a team of archeologists recently came across some 15,000-year-old human remains, they made an interesting discovery: the teeth of those ancient humans were riddled with holes. So what causes cavities, and how can we avoid them? Mel Rosenberg takes us inside our teeth to find out. [Directed by Andrew Foerster, narrated by Addison Anderson, music by Devin Polaski].

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100:07 When a team of archaeologists recently came across some 15,000 year-old human remains, they made an interesting discovery.
200:15 The teeth of those ancient humans were riddled with holes.
300:19 Their cavities were caused by the same thing that still plagues us today, specific tiny microbes that live in our mouths.
400:28 These microbes are with us soon after birth.
500:30 We typically pick them up as babies from our mothers' mouths.
600:34 And as our teeth erupt, they naturally begin to accumulate communities of bacteria.
700:39 Depending on what we eat, and specifically how much sugar we consume, certain microbes can overpopulate and cause cavities.
800:48 Diets high in sugary foods cause an explosion of bacteria called mutans streptococci in our mouths.
900:55 Like humans, these microorganisms love sugar, using it as a molecular building block and energy source.
1001:03 As they consume it, the bacteria generate byproducts in the form of acids, such as lactic acid.
1101:09 Mutans streptococci are resistant to this acid, but unfortunately, our teeth aren't.
1201:16 While each human tooth is coated in a hardy, protective layer of enamel, it's no match for acid.
1301:22 That degrades the armor over time, leaching away its calcium minerals.
1401:28 Gradually, acid wears down a pathway for bacteria into the tooth's secondary layer called the dentin.
1501:35 Since blood vessels and nerves in our teeth are enclosed deep within, at this stage, the expanding cavity doesn't hurt.
1601:43 But if the damage extends beyond the dentin, the bacterial invasion progresses causing excruciating pain as the nerves become exposed.
1701:52 Without treatment, the whole tooth may become infected and require removal all due to those sugar-loving bacteria.
1802:00 The more sugar our food contains, the more our teeth are put at risk.
1902:04 Those cavemen would hardly have indulged in sugary treats, however, so what caused their cavities?
2002:11 In meat-heavy diets, there would have been a low-risk of cavities developing because lean meat contains very little sugar, but that's not all our early human ancestors ate.
2102:22 Cavemen would also have consumed root vegetables, nuts, and grains, all of which contain carbohydrates.
2202:29 When exposed to enzymes in the saliva, carbohydrates get broken down into simpler sugars, which can become the fodder for those ravenous mouth bacteria.
2302:40 So while ancient humans did eat less sugar compared to us, their teeth were still exposed to sugars.
2402:47 That doesn't mean they were unable to treat their cavities, though.
2502:50 Archaeological remains show that about 14,000 years ago, humans were already using sharpened flint to remove bits of rotten teeth.
2603:00 Ancient humans even made rudimentary drills to smooth out the rough holes left behind and beeswax to plug cavities, like modern-day fillings.
2703:10 Today, we have much more sophisticated techniques and tools, which is fortunate because we also need to contend with our more damaging, sugar-guzzling ways.
2803:20 After the Industrial Revolution, the human incidence of cavities surged because suddenly we had technological advances that made refined sugar cheaper and accessible.
2903:31 Today, an incredible 92% of American adults have had cavities in their teeth.
3003:37 Some people are more susceptible to cavities due to genes that may cause certain weaknesses, like softer enamel, but for most, high sugar consumption is to blame.
3103:46 However, we have developed other ways of minimizing cavities besides reducing our intake of sugar and starch.
3203:53 In most toothpastes and many water supplies, we use tiny amounts of fluoride.
3303:59 That strengthens teeth and encourages the growth of enamel crystals that build up a tooth's defenses against acid.
3404:06 When cavities do develop, we use tooth fillings to fill and close off the infected area, preventing them from getting worse.
3504:13 The best way to avoid a cavity is still cutting down on sugar intake and practicing good oral hygiene to get rid of the bacteria and their food sources.
3604:23 That includes regular tooth brushing, flossing, and avoiding sugary, starchy, and sticky foods that cling to your teeth between meals.
3704:31 Gradually, the population of sugar-loving microbes in your mouth will decline.
3804:36 Unlike the cavemen of yesteryear, today we have the knowledge required to avert a cavity calamity.
3904:41 We just need to use it.
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