Could that also be related to diet? I'm guessing your grandmother practically never ate sugar if she was living on 200 grams of bread a day.

I've also heard that early modern humans had fairly good teeth for their age despite the presumed lack of dental care, presumably also due to differences in their diet from us.

Diet is super important. I used to drink orange juice every day. I got a cavity every 6 months. I have stopped drinking orange juice and have not had a cavity since.

I just heard a radio piece about how basically all humans had Hollywood smiles (where the teeth lined up perfectly) until the Industrial Revolution, when our jaws began to shrink and there was no longer enough room for all the teeth. I didn't get to hear the part where they discussed/hypothesized whether the changes were due to diet or environment or something else.

So ¼ of your genetic material had a diet in which she never had a filling, and you on a different diet at age of 30 are missing many teeth, and you conclude that it's genetics?

Either some leap of logic or information is missing there or you're drawing the wrong conclusion from your data

Yeah, there is undoubtedly a genetic side to it. My teeth decay rapidly -- as an under-two toddler, I had to undergo full anesthesia for a dental rehabilitation. Though neither my siblings nor my parents have very bad teeth, I've always been the exception (I guess I got just the right mutation). My pediatric dentist was always expressing astonishment at how quickly my teeth decay.

You know how dentists say "Hey, I can tell you drink a ton of soda, you need to stop"? I would get told this every time I'd go in for a cleaning, despite not drinking any soda and very little fruit juice/other sugary drinks for many years, 90%+ water only.

Fast forward 20-something years, and 2 of my daughters have had to undergo a dental rehab similar to mine at very young ages (though not quite as young as me), despite the stringent dental regimen my wife enforces to prevent this fate. There's no doubt that they got my bad teeth genes.

We're talking young kids here, ages 2-3 at the time of the operation (I was 18 mos. when I went down). They don't eat an inordinate amount of sugar, and as I stated above, my wife is very thorough with their dental hygiene. The water is fluoridated where we live. A lot of kids this age surely have much worse diets and much worse dental hygiene, but their teeth seem to be problem-free for many years.

Personally, I've had tons of fillings, 7-ish root canals, two teeth fully extracted because they were past saving, and several that badly need work and I'm not even 30 yet. Pretty much the only people living with worse teeth are opiate addicts.

I hope I win the lottery some day so I can get a mouth full of implants and be done with it. I hear the going rate for this is about $75,000.

A lot of people refuse to believe that genetics play any role, but that's absolutely not consistent with my experience, nor the opinion of most of the dentists I've had.

I feel your pain on this one. I have a very similar problem.

My parents enforced our dental care and we went to the dentist regularly when I was young. Always once a year checkup and twice a year cleaning and still I had regular dental issues.

In the second grade I can recall being brought out of class to a tooth-care specialist the school brings in to teach kids who seem uncared-for to brush their teeth. I brushed twice a day.

When I was fifteen I remember being yelled at by my dentist about how I don't look after my teeth because I had "16" cavities (the dentist, mind you, in my later years I realized was actually a bit of a hack -- all of his work fell out of my mouth and left me in terrible pain).

Around this time the dentist put me on regular fluoride mouth washes -- I went home with a bottle of some god-awful "cherry" flavoured stuff. I _still_ had repeated problems.

Fast forward to the present -- I've had one infected wisdom tooth, one infected molar -- both had to be removed. I have one half-decayed wisdom tooth that will be extracted soon. This fall I've had to have 4 fillings (some of them were put off for a while mind you).

The next year I am pending a root canal and a crown, and my dentist also has informed me that (at age 30) I require jaw surgery or I face the possibility of regular migraines due to molar wear.

I floss, brush, and use mouth wash daily. I don't eat much sugar. My parents actually raised us on a lot of raw vegetables (my mother grew, and I was raised in rural southern Ontario in Canada -- something of a agriculture belt).

The only neglect would be that my parents could not afford braces when I was young.

There has got to be some genetic aspect. Or does Hacker News as a consensus believe in shit luck?

Have you tried oral probiotics? Mind you, I have no reason to believe they'll help you, but at this point why not?

I think I first heard about them on HN. BLIS and K12 are the keywords, if I remember correctly.

You might want to pay Dr. Kim Kutsch a visit, or at least watch some of his webinars on YT. One of the things he recommends that could help you is ordinary bleach (sodium hypochlorite) heavily diluted to about 0.05% as an anti-microbial rinse.

Serious question. Why are you posting health-related advice from a throwaway account? If it's something you are recommending to others, posting from an established account would have much more weight.

I always use throwaway accounts and don't see why account karma should confer additional weight on anything I say.

Here's an article that reviews the literature on diluted bleach rinsing: http://www.rdhmag.com/articles/print/volume-35/issue-6/colum...

It doesn't have anything to do with karma. From a throwaway account, I have no basis to know who you are based on your other participation. HN is a community. Pseudonymity is fine, but anonymity is counter to the idea of community. I encourage you to establish yourself and be part of it.

I know the other guy is giving you a hard time about the throwaway, but I do appreciate this. I'll watch some of his stuff, it looks interesting. Thanks for sharing.

I was astounded when Viktor Frankl reported the same thing in Man's Search For Meaning, observed in his time in a Nazi concentration camp. Your grandmother may well have superior dental genes, but there is something unique about that bread diet and camp/deportation life, too. Sorry to hear about your teeth.

I think your oral microbiome is also important. I've heard about experimental treatments which replace the cavity causing bacteria with other strains that don't produce acids.

I read about that in the 90's- did anything become of it?