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Are You Terrible at Remembering to Floss? It Might Be Messing Up Your Gut Health, Experts Say

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The intestine is likely to be the reigning king of microbes within the physique, however second in line to the throne is the oral microbiome. Collectively, the 2 type the largest microbial ecosystems within the human physique1 that work interdependently to type the oral-gut axis.

“The mouth and the intestine are each necessary elements of the digestive system, and they’re intently linked via the meals we eat and the micro organism current in each areas,” says Michael Wei, DDS, a New York Metropolis-based beauty dentist. Your mouth step one of digestion, the place meals is chewed after which handed right down to the esophagus. The micro organism and different tiny organisms residing in your mouth preserve its well being and defend you from illness2. And each time you swallow, “oral micro organism can switch to the abdomen,“ after which to your intestine, says Erin Fraundorf, DMD, MSD, an orthodontist and founding father of BOCA Orthodontic + Whitening Studio.

Other than appearing because the gatekeeper of the intestine, the mouth (and its well being) is drastically necessary for selling total well-being. In actual fact, optimum oral well being is even linked to boosting longevity. “Oral well being, particularly your oral microbiome, units the stage for every part in your physique,” says Dr. Fraundorf. “The higher your oral well being, the higher your intestine well being, and the higher your total well being [will be].”

So, how will you assist your oral-gut axis frequently? Forward, we caught up with two oral well being specialists and a gastroenterologist to get the lowdown. Spoiler alert: Brushing your enamel is just scratching the floor; you additionally need to be aware of what you eat.

How poor oral well being can affect the intestine

Research present poor oral well being can have a profound affect on the intestine. “Analysis has proven that the micro organism within the mouth can have an effect on the micro organism within the intestine3 and vice versa,” Dr. Wei says. He notes that poor oral well being, comparable to gum illness, can result in an overgrowth of dangerous micro organism within the mouth that, when swallowed, can have an effect on the intestine microbiome.

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It is not inherently a foul factor to have micro organism in your mouth or intestine, however the elevated presence of micro organism—in addition to particular dangerous strains—may cause imbalances all through the physique. “Disruption within the stability of intestine micro organism—dysbiosis—has been linked to varied well being circumstances comparable to inflammatory bowel illness (IBD)4,” Dr. Wei says. And curiously, a number of research have discovered associations between IBD and mouth points like gingivitis and periodontal illness5—to the purpose the place specialists theorize that the one impacts the opposite’s development via a distinctive inflammatory relationship between the gums and the intestine6.

Will Bulsiewicz, MD, a gastroenterologist, bestselling creator of The Fiber Fueled Cookbook, and U.S. medical director of Zoe, provides that in recent times, analysis has proven an excellent stronger correlation between the intestine and oral well being on the subject of colon most cancers. “50 p.c of colon cancers have a micro organism known as Fusobacterium7. This bacterium isn’t native to the intestines; it is discovered within the mouth,” Dr. Bulsiewicz says. Though, extra analysis is required to additional examine the hyperlink between the 2.

That stated, the hyperlink between oral and intestine well being isn’t all dangerous information. “Whereas a number of the micro organism in your mouth is dangerous, a number of the micro organism in your mouth is helpful and performs protecting capabilities. In case your oral microbiome is various, wholesome and thriving, the remainder of your physique will thrive, too,” Dr. Fraundorf says. The secret’s to assist oral (and intestine) well being with a couple of key steps outlined beneath.

4 methods to follow good oral hygiene for optimum oral (and intestine) well being

1. Brush and floss your enamel frequently

Sustaining good oral well being is contingent on training good oral hygiene, which ought to brushing and flossing not less than twice each day. Nevertheless, if you need a extra in-depth oral hygiene routine, Dr. Fraundorf’s guidelines goes as follows:

  • Brush not less than twice a day for not less than two minutes every time: Bonus factors for those who brush three to 4 occasions a day—however by no means instantly after consuming, when enamel is most susceptible to the acidic oral atmosphere shaped when consuming meals.
  • Use an electrical toothbrush: Dr. Fraundorf recommends the Oral-B iO 9 or 10 collection fitted with a smooth bristle brush that’s changed not less than each three months (or extra continuously for those who’re sick).
  • Use toothpaste with fluoride or nano-hydroxyapatite (n-HA): For folk with tooth sensitivities, Dr. Fraundorf recommends utilizing a toothpaste that additionally has potassium nitrate in its ingredient listing.
  • Floss manually and with a water flosser: Dr. Fraundorf’s go-to is Oral-B’s water flosser, which she recommends utilizing not less than as soon as each day.
  • Use a tongue scraper: Utilizing a tongue scraper not less than as soon as each day helps take away extra micro organism and particles from the tongue’s floor.
  • Use a mild mouth rinse: Search for a mouth rinse that does not comprise alcohol (to keep away from drying the mouth), and use it least as soon as each day.
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2. Eat oral-microbiome-friendly meals

“Whereas it’s crucial that you just brush and floss, at minimal, twice each day to take care of good oral hygiene, your weight loss program is the most important participant and your final software for protection,” says Dr. Fraundorf. “Growing a various and wholesome oral microbiome begins with deliberately selecting what you place in your mouth.” Her listing of meals good in your enamel and oral well being contains the next:

  • Entire meals, greens, and fermented-and probiotic-rich meals
  • Native, seasonal produce
  • Minimally-processed meals with out preservatives or synthetic components
  • Restricted easy carbohydrates and sugars

3. Take into account mouth taping

Though mouth taping at night time—aka putting a bit of tape over your mouth to keep away from mouth respiration when you sleep—won’t be acceptable for everybody, some docs agree it might have some advantages for oral and intestine well being. For instance, Dr. Bulsiewicz factors out that mouth taping can create a extra hospitable atmosphere for the microbiome (each oral and intestine) that continues to evolve even when you sleep.

“If sufferers are mouth breathers, mouth taping might assist with their oral, and thus, intestine well being, as mouth respiration creates a dry atmosphere which breeds dangerous micro organism and acid, eroding the protecting barrier of the enamel and accelerating tooth decay and gum illness,” Dr. Fraundorf agrees. However seek the advice of a medical skilled earlier than making an attempt it out to make sure it is protected (individuals who have sleep apnea or different respiration circumstances, for instance, mustn’t strive mouth taping).

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4. Don’t skip out in your dental check-ups

Lastly, it’s necessary to go to your dentist frequently. “It’s necessary to take care of a complete oral hygiene routine that features brushing, flossing, and common dental check-ups,” Dr. Wei says. This helps make sure you keep on prime of any oral well being considerations that may, in flip, affect the intestine microbiome.


Effectively+Good articles reference scientific, dependable, latest, sturdy research to again up the data we share. You possibly can belief us alongside your wellness journey.

  1. Park, Se-Younger et al. “Oral-Intestine Microbiome Axis in Gastrointestinal Illness and Most cancers.” Cancers vol. 13,9 2124. 28 Apr. 2021, doi:10.3390/cancers13092124
  2. Deo, Priya Nimish, and Revati Deshmukh. “Oral microbiome: Unveiling the basics.” Journal of oral and maxillofacial pathology : JOMFP vol. 23,1 (2019): 122-128. doi:10.4103/jomfp.JOMFP_304_18
  3. Yamazaki, Kazuhisa. “Oral-gut axis as a novel organic mechanism linking periodontal illness and systemic ailments: A evaluate.” The Japanese dental science evaluate vol. 59 (2023): 273-280. doi:10.1016/j.jdsr.2023.08.003
  4. Santana, Patricia Teixeira et al. “Dysbiosis in Inflammatory Bowel Illness: Pathogenic Position and Potential Therapeutic Targets.” Worldwide journal of molecular sciences vol. 23,7 3464. 23 Mar. 2022, doi:10.3390/ijms23073464
  5. Vavricka, Stephan R et al. “Periodontitis and gingivitis in inflammatory bowel illness: a case-control examine.” Inflammatory bowel ailments vol. 19,13 (2013): 2768-77. doi:10.1097/01.MIB.0000438356.84263.3b
  6. Kinberg, Sivan et al. “The gastrointestinal features of halitosis.” Canadian journal of gastroenterology = Journal canadien de gastroenterologie vol. 24,9 (2010): 552-6. doi:10.1155/2010/639704
  7. Ou, Suwen et al. “Fusobacterium nucleatum and colorectal most cancers: From phenomenon to mechanism.” Frontiers in mobile and an infection microbiology vol. 12 1020583. 29 Nov. 2022, doi:10.3389/fcimb.2022.1020583


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