Wednesday, March 26, 2008

Xylitol Use

Dear Dr. Ellie: 


Will I receive the benefits of xylitol mints/gum if I use them after eating a snack then brushing my teeth afterwards? Does the xylitol have to remain on the teeth for a certain amount of time to get benefits? An example: I eat breakfast in the morning. Then should I use the mints before I do the brush/listerine/ACT routine. Or do the brushing routine, then use the xylitol? I'm trying to get the most out of all the products I use. 

Thank you

Abby C.


Dear A,

I would suggest doing the mouth rinse routine first and then eat your Zellies (preferably about half an hour after the rinse). Space your 6.5 grams of xylitol out over the day as much as you can after meals and drinks makes perfect sense.

The benefits of xylitol are that it brings minerals to teeth and works as an antibacterial. The length of time it takes for the antibacterial benefits is not known as far as I know and it may occur over time. I would not want to rinse these "benefits" away too soon!

The benefits of the mouth rinse routine are instant although they do last for as long as the final residue from the ACT is in contact with your teeth.

(Research shows that under normal conditions you continue to benefit for half an hour after rinsing, but you benefit from any amount of time however short). There is also research to show that xylitol and fluoride work in harmony and having a few extra minerals floating around cannot be anything but a benefit for your teeth.

On the remineralizing benefits:
Xylitol helps remineralize the deeper areas of a tooth and xylitol appears to help the tooth absorb calcium. Fluoride speeds remineralization of the outer enamel layers of teeth.
So the two together work like a team! Enjoy!

Thanks again for a very thoughtful question!
Ellie Phillips, DDS

Sunday, March 23, 2008

Tooth decalcification question

Hello Dr. Ellie,


I'm a 20 year old male with significant tooth decalcification from wearing braces and not having good oral hygiene while I was wearing them (about six years ago). It's very prominent on my top row, front six teeth. It may also be due in part to the fact that I am atheletic I run triathlon for my university.


I am wondering if you have had any experience in restoring this sort of damage. My dentist could only offer whitening to bring up the surrounding tooth color to match (which would be difficult, as the decalcification is very white) or to grind down the front and implant veneers (expensive and I'm not interested at this age). Do you think xylitol chews and fluoride rinses in the morning and at night would have any affect, alone or with your system?


Thank you,
C. from Athens, Georgia

Dear C.,

Thanks for you letter it is a sad story that I have seen so many times.

The veneer option will always be there to consider as a last resort but I would definitely give the Complete Mouth Care System a two year trial. I obviously have not seen your teeth but my system can do a pretty amazing job whitening and remineralizing teeth when used regularly and correctly.

I would be happy to send you a starter kit to try especially if you could take a snapshot of "before" and after in a couple of years!

The first six months you may not see too much happening. Color changes seem to begin after six months and then they continue for at least two years. Tooth improvements and remineralization occur and will strengthen and make your teeth healthier and this will be good if you need veneers in the end for appearance sake. I personally would be worried about bleaching since more demineralization usually goes hand in hand with the bleaching.

If you would like me to send you a starter kit just let me have the address to send it to.
Then use it morning and night (always night) every day if possible.

Xylitol must be eaten regularly to protect your teeth from the acidic sports drinks you consume.
You need to eat at least 6-8 pieces of gum or my mints every day to protect your teeth.
My daughter is also a triathlete in Austin Texas and she and her team consume Zellies regularly!

I would love to help you try to reclaim your teeth.
Let me know if you like mint flavor or not I will construct an package and ship it out tomorrow.
Thanks for the e-mail.

Ellie Phillips, DDS
Dental Health for Everyone!
26, Corporate Woods
Rochester NY 14623

Saturday, March 22, 2008

Porcelain veneers

Hello Dr. Phillips,

I just came across your website which I find very informative. I have porcelain veneers, can I still use your recommended three oral rinse approach or will it affect the bonding? What toothpaste would you recommend for porcelain veneers? I'm currently using CloSYS but I read that you do not recommend CloSYS toothpaste. 

Thank you,
FC


Dear FC,

You will love this system because it will make your mouth feel the cleanest ever! Veneers and crowns often make plaque a problem around their edges. This system will change all of that! You will not do harm to your veneers with Crest, but you can certainly choose which of the pastes you prefer. I would begin using the complete system as it is described then experiment (after a few weeks) using Closys toothpaste. You will feel the differences and be able to decide.For most people the Closys paste does not have quite enough "cleaning" power. One of my best dental friends is a top cosmetic dentist in Louisiana. He recommends my system to his patients so you can be sure that others with veneers have been very pleased.

Good luck and please let me know if you have any other questions.
Ellie Phillips
Dental Health for Everyone!
26, Corporate Woods
Rochester NY 14623

Friday, March 21, 2008

Thank You

Dr. Ellie,



Thank you so much for the Zellies samples! My daughter and I have thoroughly enjoyed getting to know this product, and we are hooked! We are so excited about keeping my daughter's teeth cavity free. I was pleasantly surprised to see how delicious the product was! The Zellie mints made it easy for my daughter to take them in her lunch at school when she can't get to a toothbrush. We will definitely be ordering more mints and gum. My excitement has made me want to educate myself further. I have read from front to back your book titled "The Power of Xylitol." What a fascinating read! I am ready to incorporate more Xylitol into our lives but do have a few more questions before doing so. My questions are as follows: (Questions include Ellie's answers)

In the book, there was a reference to cleaning toothbrushes. Can you elaborate on how this is done or provide a web link for me?

I plan to talk more about this in upcoming newsletters and webinars. After brushing dip your brush in a little "Dixie" cup of Listerine swish it around and then rinse it off under the tap water - and dry completely.

Do not cover your toothbrush or keep it in a bag?

Beware of germs in the air around a toilet and store your brushes somewhere away from this area of the bathroom even the kitchen may be a better idea.
http://www.zellies.com/store.asp?pid=17185

What is your recommendation for changing out toothbrushes? I have heard anywhere from 1 week to 6 months!

If you clean your toothbrush every day you will be able to keep your brush for months - since every day it will be clean. Good brushes don't really seem to wear out maybe change every three months or so. The important thing is keeping them CLEAN every day!

Does the size/brand of toothbrush make a big difference for an 8 year old? If so, what do you recommend?

The best brush that I know of is our Zellies.com toothbrush. I took a group of young adults and we tested all the different toothbrushes available over many month to see for ourselves which worked the best. We discovered two kinds and then made a hybrid of these two. You will love Zellies brush suitable for your 8 year old also. People ask if they should have soft/hard this is like the three bears story: Zellies brush is just right!

Does baked Xylitol loose its effectivity?

There are two beneficial effects of xylitol for teeth :1) killing bad bacteria 2) imporoving the color and condition of teeth. Xylitol in cooking and baking will work to kill bad bacteria but the other benefits comes from using mints and gum. I will attempt to explain how cookies can be good for your teeth this idea seems strange at first until you know how it works! The harmful bacteria in the mouth usually "feed" on sugar in the diet. Now you are going to offer them xylitol. They "feed' on xylitol but cannot use it in fact xylitol disables them so they die out leaving your mouth nice and clean.

If you want the remineralizing effect to repair cavities etc. then you need the mints and gum after meals to remove mouth acidity after meals etc and help minerlize and strengthen teeth.


I've read the recommendation to slowly introduce Xylitol when ingesting. If cooking with it, is there a recommended limit? (For example, how many Xylitol cookies could be ingested by an adult or child that does regularly get Xylitol exposure?

Our bodies make 15 grams of xylitol daily ( about 3-4 teaspoons) I would start with a max of 15 grams a day when you are using it as a sugar replacement. (By the way : You do not need this much xylitol for dental health dental benefits plateau at around 10 grams.)But if you are a diabetic or want to replace all the sugar in your house the recommended upper limit each day is said to be over a quarter of a pound!I am not advocating that you consume this much but just so you know!

The answer then is that I would start with 1 tablespoon and increase from there.
I think 20 grams a day max is a sensible amount 5-6 teaspoons ( about 2 tablespoons) Remember moderation in all things ( see below) and DO NOT FEED IT TO YOUR PETS. Dogs have a different reaction to many foods and xylitol is not good for them.


I'm wondering if Xylitol can replace sugar in my household entirely when cooking.)

I like the idea of moderation in all things and I am not afraid of some sugar - small amounts, especially if it is as natural as possible.
I fear only the artificial sugar substitutes and things like splenda I would NEVER eat or consume!

How important are tongue cleaners? If important, where can these be purchased? Can a toothbrush on the tongue work just as well?

I have never used or recommended a tongue cleaner. I think a brush works great if you like to brush your tongue. If you want to use one no problem let me know and I will see if I can get a good one for you.

I recently read an e-mail from Zellies regarding "The Complete Mouth Care System." The recommendation was to clean with the Closys 1st, then brush, then rinse with Listerine, then rinse with a flouride rinse. Where would the tongue cleaners and flossing enter in this process?


I do not include flossing or tongue cleaners because you don't need either for dental health. I have never flossed nor advocated it to any patient. Watch upcoming seminars to discuss!! If you do want to floss do it after the Closys and before the brushing.


Also, I noted in this recommendation that this was for children over 12. My daughter is 8. What would I leave out of the process for her?


Your daughter could do well with the system but should not need the Listerine yet.

My kids have grown up using the entire system since the age of about 8 and have superb teeth but I don't think it is essential yet.

If she does not like the Closys leave that out also. The Crest and the ACT will work well for her. Also lots of Zellies!


Thank you for your patience with my learning and for giving me hope. I grew up with a mouth full of fillings and am committed to my child not having the same experience. You have provided my family with such insight in a short period that years of denistry has not provided. Have wonderful Easter. With many blessings,

Anne


Dear A,

This is a wonderful message to receive.

I have days when I wonder if anyone is listening to me.

I feel as if I am hitting my head against a wall and then a letter like yours arrives and I know it is good to keep doing this!

I answered your questions inside your text (above). In bold are my replies for you.
I hope this answers everything but do not hesitate to let me know if anything is not clear.

Take care and I hope your and your family continue to enjoy your Easter and your Zellies!
Ellie

Sunday, March 16, 2008

A Thank You -- No Ear Infections

Hi Dr. Phillips,

I wrote to you about 7 months ago about my infant daughter was having chronic ear infections. We have been using Xylitol (sugar substitute form, in Xlear nasal spray and now
Zellie's mints since she now has enough teeth to chew) and I am happy to report Gianna has almost made it through cold season without any ear infections! This is quiet a change from the one per month she was getting prior to using Xylitol.

Just before beginning Xylitol we had an appointment with an ear nose and throat specialist who said we should consider ear tubes. I really was against having her go under anesthesia unless absolutely necessary. I came home and did a Google search on preventing ear infections and found Xylitol and your Zellies website. I know that your products have made a difference in our daughter's life.

I also wanted to let you know that both my children, our daughter (almost 2) and son (4.5) enjoys your products especially the mints and fruit flavored mints (we call them fruities). Our son also enjoys the new favors of gum, grapefruit vanilla and mint being his favorite.

Thanks again for making your products. So far this winter we have avoided any trips to the doctor's office...I am crossing my fingers because I do not want to jinx myself!! Having happy healthy children makes me one happy mommy! So...thank you!


Sincerely,

MD in MA





Dear MD,

I am so grateful for your message and delighted to hear the healthy and good news.
I hope it is OK for us to post your message on our website to encourage others to try this.

So many kids have dental troubles and ear infections.
Please keep us informed as the time goes by and spread the message with other mothers we can help get the word out if we all work together!

Thanks again,

Ellie Phillips, DDS

Friday, March 14, 2008

Question about Zellies Gum

Dear Dr. Ellie: 


Hi, I just ordered some Zellies gum and was wondering if it's OK to chew with braces? I'm an adult who recently got braces, and currently I chew B-Fresh gum without a problem because it's not sticky. I was wondering if you've heard of others with braces who chew Zellies and whether has a tendency to stick to braces or not. 


Thanks, 
H

Dear H,

Zellies gum is not sticky so if you have already tried some gum with success, I would imagine that you will be fine with Zellies gum also.

I have a couple of people with braces who have reported to me that it was fine for them.

If you do decide to try it I would appreciate feedback so that I can put this data together to help others. Zellies mints provide another alterternative for people with braces.

I do hope you have considered trying my Complete Mouth Care System rinsing for oral health.
Details are on the website and this system can really help to keep your mouth clean when conditions are difficult.

Please let me know if you have any other questions,
Ellie Phillips
Dental Health for Everyone!
26, Corporate Woods
Rochester NY 14623

Thursday, March 13, 2008

Kid's Teeth - and Update

Dear Dr. Ellie,


Hello again, I wanted to give you an update on our young son. He refuses to chew gum or suck on any Xylitol candies, so his mom and I are cleaning his teeth 3 times daily with Xylitol granular crystals. We do this especially before nap and bedtime and then swipe his teeth with the ACTS bubblegum rinse. We have also been using after every bit of food and drink, water included, SPRY's RAIN it is Xylitol and purified water mouth spray. Will this be enough to continue caring for his teeth? They are looking really good. Also, his mom had started using Xylitol, and when she went in for her cleaning, they told her there was nothing to clean. Her teeth were in excellent condition. 

Thanks, 
NT

Dear NT,

So nice to hear this great news!
You are doing so well and I think you will love the outcome in a couple of years when your son starts to grow new adult teeth! I want a picture of this handsome young man when he grows up!

I would encourage you to keep up the good work eating xylitol yourselves and the cleaning of your son's teeth. Remember toothbrushes become infected very easily use Listerine to wash them off and then rinse and dry as often as you can. If guests come to stay or if you travel, make sure your toothbrushes are kept clean and do not pick up bad bacteria in a travel bag etc.

Thanks for the E-mail,

Ellie Phillips, DDS

Sodium Lauryl Sulfate and Canker Sores

Dear Dr. Ellie: 


I have been using your system for only 1 1/2 months, but I have already seen good results. However, I have been suffering from frequent canker sores for a couple of years and recently read that sodium lauryl sulfate might be to blame. I consequently switched to the Closys toothpaste, but I know you don't recommend it. I was wondering if using it instead of Crest is going to truly ruin the positive effects of your system or if it can be acceptable to avoid canker sores. Also, will I increase my chances of getting cavities by switching to a non-fluoride toothpaste? (I am rather prone to cavities to begin with). 


Thank you!
SG


Dear SG,

Thank you for your question.

I am not clear if you are getting the canker sores now or if you have simply a history of them and are worried about getting them in the future.

The system I recommend is very specific and changing any one ingredient will change the outcome. I believe that it is important to rule out other causes of canker sores before you ditch the Crest original toothpaste.

People talk about lauryl sulphate problems. Personally I think there are other chemical interactions caused by toothpaste that are much more likely to be the problem. Canker sores do not seem to be a reaction to one ingredient more from the mixing of products ingredients and chemicals that have not been well tested in the mouth.

Pastes with baking soda, peroxide and other chemicals seem to include chemicals that cause many sensitivity reactions. Colgate Total has an ingredient called triclosan which reacts with the chlorine in tap water to produce chloroform not good for the skin of your mouth and often a precursor for canker sores. I would advise anyone with a history of canker sores to make sure they do not use a paste with triclosan in it.

I would suggest my system for at least two weeks and then decide.
After that, you can substitute any paste you like using and develop your own "system".
So far, I have never found any substitutions that make my teeth feel the way they do now with the Complete System  in the way I recommend!

I hope this is useful information for you,
Ellie Phillips, DDS

Wednesday, March 12, 2008

Using the System

Dear Dr. Ellie,


Hello, I have a friend that is also using your system. I have been doing the entire rinse, brushing of teeth, listerine and act 2 times per day. She said that I should only do it 1 time per day. Am I supposed to do it 1 or 2 times per day? 

Thanks, 
J.


Dear J.,

I suggest using the system twice a day.
Cleaning your teeth before bedtime is the most important time of the day.
It is best if you do not eat or drink anything again after cleaning your teeth and going to sleep.

I also use the system again in the morning before I go to work.
This gives my teeth about half an hour between the rinses and my morning cup of coffee.

I do not recommend using the system more than three times a day.
More than this seems to make teeth sensitive so I vote for twice a day as the best!

I recently went away for a couple of days and left the Listerine behind.
I could not wait to return home it is amazing how leaving out one part of the system changes the outcome.
Please keep in touch!

Ellie Phillips
Dental Health for Everyone!
26, Corporate Woods
Rochester NY 14623

Flossing

Dear Dr. Ellie You mentioned you don't floss. It is ok to floss? I don't like the feel of food in my teeth and floss daily before bedtime? Thanks, MM

Dear MM


People often try to cure dental disease by flossing.They rarely, if ever, succeed.
So as long as you are not relying on flossing to cure dental disease, flossing itself is not a problem.

I prefer to have people rely on a system of mouth rinses and xylitol which will keep their gums healthy year after year. With correct and regular use of this system, flossing no longer seems to be necessary for oral health. Of course, you can floss in addition many people do this!

I would suggest if you are going to floss that you floss after rinsing with Closys and before tooth brushing. Of course, you would finish up after brushing with Listerine and then ACT rinse.

It is best to use this complete mouth care system just before bed and again in the morning you will love the way your mouth feels.

I hope this helps,
Ellie
Dental Health for Everyone!
26, Corporate Woods
Rochester NY 14623

Tuesday, March 04, 2008

Physiological action of Xylitol

Dear Dr. Ellie,



Does Xylitol have two benefits such as: 1 Lower Oral pH so that acid forming bacteria are reduced? 2- Make it difficult for the acid forming bacteria to anchor to the tooth surface? Sounds like a great synergism. Do I have it right? JBL


Dear JBL,

Xylitol has even more benefits than that!:

#1
Xylitol makes the mouth alkaline by stimulating mineral rich saliva to flow into the mouth (from glands in the skin of the mouth). The minerals in this liquid are able to enter the tooth and build into the structure of tooth dentin and enamel. This means teeth are re-mineralized each time you eat xylitol.

Result: weak areas harden, cavities can repair, sensitivity gets less and teeth begin to look brighter and whiter. Teeth become smoother so plaque is less able to stick to the surface

#2
Harmful acid-producing bacteria absorb xylitol into their "system" but are unable to generate energy from it. They immediately stop producing acids when this happens. Harmful acid-producing bacteria "starve to death" and gradually the population of sticky, plaque-forming bacteria disappear.

Result: less acids formed in the mouth, less plaque on teeth, less chance of gum disease or cavities.

#3
Healthy non acid-producing bacteria take over control in the mouth! Long-lasting protection from "invader" bacteria and a "resistance' to tooth decay. Children have 42 % less chance of infection in their Eustachian ear tubes. Acid reflux symptoms appear to go away!

I hope this helps thank you for the question.

Dr. Ellie Phillips

Osteoporosis and Xylitol

Dear Dr. Ellie:

I was so happy to read that xylitol remineralzies teeth. But I read somewhere else that it also remineralizes bones in those who have osteoporosis. Can you please give me more information on this? 


SGK


Dear SGK,

I promote xylitol for its dental health properties, but I do know doctors who promote xylitol for its positive effects on health.

I believe xylitol has an effect on calcium absorption but there are no clinical trials that I am aware of.

The dental research has been reviewed by evidence based evaluation and found to be clinically significant.

The medical benefits are not supported by this kind of research yet.

Based on what I have read (mostly unsupported) a higher dosage is needed to help reverse osteoporosis.

20 grams a day was the number that I read but this would need to be added slowly into the diet of someone not used to consuming xylitol. I would suggest someone with osteoporosis avoid artificial sweeteners and cut out or replace white sugar with xylitol or stevia.

Many patients with osteoporosis show concurrent dental problems associated with acidic saliva. They have symptoms of sensitive or weak teeth and the onset of gum disease.

I would recommend these patients use xylitol as a dental therapy. I would also recommend they use my complete mouth care system to build the strength of their tooth enamel and reverse periodontal and gum problems.

I am convinced that dental health and general health are intimately related. Curing dental problems and achieving oral health can be the first step to better general health. Xylitol would be an ally for achieving this first step and maybe also an ally to help reverse osteoporosis.

I hope this answers your question,

Ellie Phillips
Dental Health for Everyone!
26, Corporate Woods
Rochester NY 14623

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