Advanced + Family Dentistry - January 2020

The Legend of the Tooth Worm ONE OF DENTISTRY’S STRANGEST MYTHS

Toothaches are uncomfortable enough without getting slimy critters involved. However, for the majority of human history, “tooth worms” were believed to be the actual source of toothaches and other oral health issues. Where did this belief come from, why was it so pervasive across cultures, and how did the precursors to modern dentists treat the problem? The answers might surprise you.

little creature? One theory suggests premodern dentists removing dental

crowns mistook the underlying nerve for the worm. However, more recent research from the University of Maryland Dental School has revealed “wormlike” structures inside molars that could have inspired the myth.

Unearthing the Worm

Turning to Magic and Ritual

The first mention of a worm that fed on human teeth can be found in an ancient Babylonian cuneiform inscription. The tale depicts a conversation between a worm and Mesopotamian gods, in which the worm declares, “The blood of the tooth I will suck, and of the gum I will gnaw its roots!” While it is unclear if this inscription was the genesis of the myth, Babylon certainly wasn’t the only place it appeared.

Before modern medical science, people turned to the supernatural to cure their dental issues. After all, the tooth worm was thought to be a semimagical being, so why not fight magic with magic? Some of the less graphic premodern treatments included trying to smoke the worm out by using honey to lure the worm out of the tooth or banishing the evil creature through ceremonial chants. Today, we know tooth worms don’t exist, and our dentists won’t cast any magic spells on you (we promise). However, every story has a nugget of truth: While much smaller than worms, bacteria do feed on our tooth enamel. That’s why regular cleanings twice a year are important to keep your smile happy and healthy!

Worming Through History

This hungry little worm appears again in Mayan legends, Sinhalese folk charms, and even 18th-century books on dentistry. How did so many cultures from around the world believe in the same pernicious

SMILE-FRIENDLY RECIPES

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device provides electrical stimulus to the spinal cord. But unsatisfactory outcomes due to subtherapeutic or overstimulation events are common. Closed-loop stimulation is allowing for better communication between the device and the spinal cord, providing more optimal stimulation and relief of pain.

Inspired by NourishedKitchen.com

Biologics in Orthopedic Repair

HOW TO MAKE YOUR OWN SAUERKRAUT Cabbage is in season right now, which means it’s the perfect time to try your hand at making sauerkraut. The fermented cabbage requires only two ingredients, keeps for months, and is packed with beneficial probiotics.

After orthopedic surgery, the body can take anywhere from months to years to recover. But biologics — cells, blood components, growth factors, and other natural substances — can replace or harness the body’s own power and promote healing. These elements are finding their way into orthopedic care, allowing for the possibility of expedited improved outcomes.

Ingredients

Equipment

• 2 lbs cabbage • 4 tsp fine sea salt

• Jar • Lid with airlock • Something to weigh down cabbage, ideally made of a nonreactive material like glass

Antibiotic Envelope for Cardiac Implantable Device Infection Prevention

Directions

1. Remove outer leaves from cabbage. Slice very thinly. 2. In a large bowl, combine cabbage and salt. Let stand for 20 minutes. 3. Squeeze cabbage to release juices. Let the cabbage continue to soak and release juices for another 20 minutes. 4. Transfer to a jar and press down cabbage until completely submerged in its juices. Weigh down cabbage. 5. Seal jar with airlock. Let cabbage sit at room temperature and away from sunlight for one month. Once fermented, transfer to the fridge. Sauerkraut will keep for six months to one year.

Worldwide, roughly 1.5 million patients receive an implantable cardiac electronic device every year. In these patients, infection remains a major, potentially life-threatening complication. Antibiotic-embedded envelopes are now made to encase these cardiac devices, effectively preventing infection.

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