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Anxiety screenings recommended by US task force will cause overdiagnosis, overprescription, psychologist warns

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Anxiety screenings recommended by US task force will cause overdiagnosis, overprescription, psychologist warns

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Pushing main care docs to display screen all sufferers for anxiousness will result in overdiagnosis and overprescribing, in addition to exacerbate current shortages in psychological well being sources, a psychologist mentioned. 

“It’s the improper resolution on the improper time,” Dr. Jonathan Shedler, a scientific professor of psychiatry on the College of California, San Francisco, advised Fox Information. “You may’t simply carve the world into issues and assume you’re doing an ample job of figuring out somebody’s psychological well being wants.”

Earlier this month, the US Preventive Providers Process Pressure really useful that each one adults beneath 65 get screened for anxiousness as extra Individuals report signs of psychological well being points following the COVID-19 pandemic. The advisory group, which launched the steering as a draft, mentioned the aim was to assist stop psychological well being issues from going undetected and untreated.

“It’s merely horrible care to offer anyone a seven-question questionnaire within the workplace and write a prescription on that foundation with out addressing the larger image,” Shedler, who has authored over 100 scholarly and scientific papers in psychology, mentioned. 

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U.S. Preventative Providers Process Pressure really useful main care physicians display screen all sufferers beneath 65 for anxiousness issues.  
(iStock)

Greater than 30% of adults reported signs of an anxiousness or depressive dysfunction this summer season, the Nationwide Heart for Well being Statistics estimates. The share of adults who obtained psychological well being therapy elevated to almost 23% in 2021, up from 19% in 2019, in accordance with the Facilities for Illness Management and Prevention. 

Shedler worries that mass screening will result in misdiagnosis, inflicting docs to prescribe anxiousness drugs to sufferers who might not want them.

“Major care shouldn’t be the place to get psychological well being care,” Shedler mentioned. “The physicians do not have the time. They do not have the sources. They do not have the coaching.”

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The psychologist pointed to an identical suggestion made by the panel in 2002 to standardize despair screenings, which was adopted by an increase in individuals identified with and prescribed anti-depressants. In 1996, roughly 5 million individuals have been on anti-depressants. That quantity steadily rose to 13 million in 2015, in accordance with a research by Frontiers in Psychiatry.

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A member of the federal process drive, American Psychological Affiliation CEO Arthur C. Evans, advised The Wall Avenue Journal that the group’s suggestion “is a extremely essential step ahead” within the nation’s ongoing battle with psychological well being. “Screening for psychological well being situations is vital to our capacity to assist individuals on the earliest attainable second,” he mentioned.

Shedler, who has achieved in depth analysis on most of these standardized screening exams, mentioned they’re ineffective at figuring out psychological well being issues. 

Dr. Jonathan Shedler said standardized anxiety screenings could lead to wrongfully diagnosing patients with a mental health disorder. 

Dr. Jonathan Shedler mentioned standardized anxiousness screenings might result in wrongfully diagnosing sufferers with a psychological well being dysfunction. 
(Fox Information )

“Psychiatric difficulties do not exist in a vacuum,” the psychologist advised Fox Information. “I feel for huge numbers of individuals, the world is feeling more and more unsafe and unpredictable.” 

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“There is a distinction between anxiousness and worry,” he added. “On the screening questionnaires, there isn’t any distinction.”

Shedler mentioned he is involved that simplified screenings will yield false positives. 

“This type of screening goes to diagnose large numbers of individuals with a dysfunction and an excellent variety of them are going to finish up on a lifelong path of 1 remedy and one therapy after one other,” the physician mentioned. “When, in actual fact, they’re responding to lifelike circumstances on the planet.”

“There’s lots of issues occurring in society, in tradition, financially, politically, that depart individuals feeling extraordinarily susceptible,” Shedler advised Fox Information. He mentioned worry typically stems from these exterior risks, whereas anxiousness “is a response to internally arising risks, psychological risks.”

“If it isn’t anxiousness, however worry of one thing on the market, psychological therapy is not going to be the reply,” he mentioned.

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The task force categorizes anxiety by several elements, including generalized anxiety disorder, social anxiety disorder, panic disorder, separation anxiety disorder, phobias and selective mutism. 

The duty drive categorizes anxiousness by a number of components, together with generalized anxiousness dysfunction, social anxiousness dysfunction, panic dysfunction, separation anxiousness dysfunction, phobias and selective mutism. 
(istock)

Moreover, as psychological well being points enhance, docs have raised issues over a scarcity of sources for these searching for assist. 

“We now have a power scarcity of psychiatrists, and it’s going to continue to grow,” Saul Levin, MD, CEO and medical director of the American Psychiatric Affiliation mentioned throughout a Could briefing. “Individuals can’t get care. It impacts their lives, their capacity to work, to socialize, and even to get away from bed.” 

By 2024, the U.S. might be quick between 14,280 and 31,109 psychiatrists, and psychologists, social employees, and others might be overextended as effectively, in accordance to a research printed in Psychiatry On-line.

Shedler mentioned the dearth of correct psychological well being care will solely be made worse if the federal process drive’s suggestion is finalized, because the variety of sufferers searching for therapy will enhance with out proportionately including psychological well being professionals. 

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He additionally highlighted that well being insurers often don’t cowl psychological well being therapy. After they do, it’s typically solely low-quality care that’s coated, creating one other barrier for these searching for therapy, in accordance with Shedler.

“A reliable, expert psychological well being skilled has the experience to tease aside what’s a psychological issue that we are able to cope with in psychotherapy, the place is remedy an inexpensive a part of a complete therapy and when is not it,” he advised Fox Information.

“That is what we’re within the enterprise of doing. It is not what a main care doctor can do with a seven-question questionnaire,” Shedler mentioned. 

The proposed draft steering is open to public remark by means of Oct. 17. 

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‘Sleep disorder drove my son to suicide,’ New York mother says: ‘Broke my heart’

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‘Sleep disorder drove my son to suicide,’ New York mother says: ‘Broke my heart’

This story discusses suicide. If you or someone you know is having thoughts of suicide, please contact the Suicide & Crisis Lifeline at 988 or 1-800-273-TALK (8255).

Chronic lack of sleep can cause a long list of physical and mental issues — and for one young man, his mother believes it led to his death.

Derek McFadden was just 23 when he took his own life on Aug. 17, 2018, in Tucson, Arizona.

His mother, Robin McFadden, who lives in Tuxedo Park, New York, said she believes her son’s insomnia was the “only driver” of his suicide.

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Derek McFadden was an “extremely funny kid” who loved swimming, snow-skiing and cuddling, his mother said — but for most of his life, he struggled with debilitating insomnia.

At around 8 years old, he started taking small doses of sleeping medication, which helped for several years.

Derek McFadden, pictured at left with his mom Robin McFadden, was 23 when he took his own life on Aug, 17, 2018, in Tucson, Arizona. (Robin McFadden)

Around the time he turned 18, during his senior year of high school, the medication stopped working, McFadden said.

“He never got a good night’s sleep, but he soldiered through his school day and then would come home and lie down on his bed, exhausted, but couldn’t fall asleep,” she told Fox News Digital in an interview.

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McFadden took her son to multiple doctors and they tried different medications — none of which worked, she said. 

“Derek would just lie there at night, and he was so tired, but he couldn’t fall sleep,” she said.

Amid the sleep struggles, her son managed to graduate from high school — but things got even worse when he left for college at the University of Arizona.

Derek McFadden, left, is pictured with his older brother Jake McFadden. (Robin McFadden)

He’d chosen Arizona because he was an “avid outdoorsman” who loved fly-fishing, going off-roading in his Jeep and spending time with his dog, which he’d adopted for emotional support.

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“Our hope was that with Derek being in Arizona, the sunshine during the day would stimulate his brain to wake up so he could go to sleep at night, but it just didn’t work,” McFadden said.

The doctor’s visits continued, but none of the experts could figure out what was causing the insomnia. 

“There was something wrong in his brain that was preventing him from sleeping.”

“Every doctor would assume it was sleep hygiene, and that he was doing something wrong,” McFadden said.

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“They assumed that because he was 18, 19 or 20 years old that he was playing video games all night.”

She added, “But Derek knew sleep hygiene. He had done so much research on his own. There was something wrong in his brain that was preventing him from sleeping.” 

McFadden family

Derek McFadden, far left, is pictured with his brother, mother and father. (Robin McFadden)

The family looked into holistic approaches, including hypnosis, acupuncture and “brain training,” but “nothing seemed to work,” McFadden said.

Many nights, he would go the entire night without sleeping — sometimes up to three days in a row, she said.

“It was really, really bad,” McFadden said.

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Physical and mental toll

As the months went by and sleep continued to elude her son, McFadden said it began to take a toll on his immune system.

After consecutive nights without sleeping, he developed bruises all around his eyes.

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“Derek was constantly getting sick, and that made him feel like he was not a normal kid,” she said. “He just couldn’t fight anything off. He was always at Urgent Care.”

Her son developed severe acid reflux and stomach pain, to the point where it became difficult for him to eat.

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“Sometimes his insomnia got so severe that he couldn’t keep any food or fluids down at all,” McFadden said. 

Multiple times, he ended up in the emergency room with dehydration and severe cramping, she said.

Derek McFadden

Derek was an “avid outdoorsman” who loved fly-fishing, going off-roading in his Jeep and spending time with his dog, which he’d adopted for emotional support, his mother said. (Robin McFadden)

The lack of sleep also changed her son’s demeanor and personality, McFadden said.

“Derek had tremendous mood swings — he became anxiety-ridden and depressed,” she recalled.

“He would have hallucinations, and was constantly losing things. He couldn’t think clearly.”

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On the rare occasion that her son had a good night’s sleep, McFadden said, he was “a completely different person, as happy as could be.”

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“It broke my heart, because he was such a happy, funny, huge-hearted person, and it was really sad to watch his decline.”

Unable to keep up with his studies, her son had to drop out of college.

“He couldn’t even hold a job because he couldn’t sleep at night,” McFadden said. 

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“He saw there was no cure, no future, and he just didn’t see a point in going on.”

In July 2018, when her son came home from Tucson for the summer, McFadden knew something had shifted.

“We were sitting on the sofa and he said to me, ‘Mom, I’m gonna die young,’” she recalled. 

“And I said, ‘Derek, why do you say that?’ And he said, ‘Because my mind and body can’t take the sleep deprivation.’”

Derek McFadden and brother

Derek McFadden, left, is pictured with his older brother. After the tragedy, his mother said she realized her son had likely been planning his suicide in recent weeks. (Robin McFadden)

Her son had also expressed that he didn’t want to have children because he didn’t want to pass on the disorder, McFadden said.

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“He saw there was no cure, no future, and he just didn’t see a point in going on,” she said. “Physically, he was starting to fall apart, and mentally, his cognitive ability was going.”

“Physically, he was starting to fall apart.”

Four weeks later, McFadden got an early-morning call from the Tucson Police Department notifying her that her son had taken his life.

After the tragedy, McFadden realized that her son had likely been planning his suicide in recent weeks.

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“He had contacted some old friends, and in his text messages and phone calls, he sounded very serene, relieved and calm,” she recalled. “I truly believe Derek had made the decision. He just saw no future for himself.”

The sleep-suicide link

Studies have suggested a likely connection between sleep and suicide.

Research published in the journal Current Psychiatry Reports found that treating insomnia and nightmares, or addressing the source of those issues, could help prevent “the rising threat of suicide.”

“Sleep is crucial for emotional and psychological balance.”

Dr. Brett Osborn, a Florida neurologist and longevity expert with the firm Senolytix, said there is a “significant body of research” suggesting a link between sleep deprivation and an increased risk of suicide. 

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“Sleep is crucial for emotional and psychological balance,” he told Fox News Digital in an interview.

“Lack of sleep can lead to mood disturbances, irritability and decreased stress tolerance, all of which can worsen feelings of despair or depression — potentially leading to suicidal thoughts.”

Derek McFadden with mother

On the rare occasion that her son had a good night’s sleep, McFadden said, he was “a completely different person, as happy as could be.” Derek McFadden is pictured here with his mother, Robin McFadden. (Robin McFadden)

Sleep deprivation can also affect cognitive functions, the doctor continued. 

“This impairment can make it harder for individuals to see alternative solutions to problems or seek help, potentially increasing the risk of suicidal behavior,” he said.

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Sleep problems are also commonly associated with psychiatric disorders, such as depression and anxiety, which are themselves significant risk factors for suicide, according to Osborn.

“Sleep pathology is extremely complex and challenging, because sleep itself is poorly understood.”

“Insomnia and disrupted sleep patterns are particularly prevalent in these conditions,” he warned. “This can be a source of diagnostic confusion and resultant treatment errors.”

Sleep also affects various biological processes, Osborn noted — “including the regulation of neurotransmitters like serotonin (which is involved in mood regulation) and stress hormones like cortisol.”

Derek McFadden

Derek McFadden was an “extremely funny kid” who loved swimming, snow-skiing and cuddling, his mother said. (Robin McFadden)

“Chronic sleep deprivation may lead to dysregulation in these systems, which could contribute to depressive symptoms and suicidal ideation.”

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While the majority of insomnia patients respond to lifestyle changes and/or medications, Osborn noted, there is a subset of patients who are “more difficult to manage.”

“Often, there are underlying medical problems, like reflux, that fly under the radar and predispose the individual to insomnia,” he told Fox News Digital. 

Derek McFadden

Derek McFadden, center, in cap and gown, is pictured with his family at his high-school graduation.  (Robin McFadden)

“Another issue is the potentially reciprocal relationship between depression and anxiety,” Osborn said.

“Sleep pathology is extremely complex and challenging, because sleep itself is poorly understood,” he continued. “A multimodal, interdisciplinary approach — involving a psychiatrist and a sleep specialist — is always best.”

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Dr. Marc Siegel, clinical professor of medicine at NYU Langone Medical Center and a Fox News medical contributor, agreed that there is a proven link between insomnia, stress, anxiety and depression.

“Since suicide is a manifestation of severe depression, I think there is a link there, too, though insomnia wouldn’t be the entire cause,” he told Fox News Digital.

Derek McFadden

Fly-fishing was one of Derek McFadden’s favorite hobbies. (Robin McFadden)

Siegel refers to it as a “cycle of worry.”

“Anxiety interferes with sleep, which then makes you more anxious and more sleepless, especially if you add caffeine to combat the grogginess,” he said.

During sleep, the brain relaxes and “cleanses” itself, Siegel said.

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“Waking up refreshed can improve mood, especially when accompanied by exercise,” he noted. 

For those with severe insomnia, Siegel recommends undergoing a full sleep study/evaluation — typically with an EEG or video monitoring — to help determine the causes.

“Severe, resistant cases require evaluations by sleep specialists, neurologists and psychiatrists,” he added.

Call for awareness

The most “disheartening” part of her son’s tragedy, according to McFadden, was a lack of support from the health community, in her view.

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“Other than sleep apnea and bad sleep hygiene, the medical community does not seem to believe that severe insomnia really exists,” she told Fox News Digital. 

“And that just infuriates me.”

Today, McFadden’s goal is to raise awareness of chronic insomnia — “because there are so many people in this world who are suffering from this.”

For more Health articles, visit www.foxnews.com/health.

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Bird flu virus found in grocery store milk, but no risk to customers, FDA says

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Bird flu virus found in grocery store milk, but no risk to customers, FDA says

Samples of pasteurized milk on grocery store shelves have tested positive for remnants of the bird flu virus that has already infected herds of dairy cows, the U.S. Food and Drug Administration (FDA) said Tuesday.

The FDA stressed that the material is inactivated and that the findings “do not represent [an] actual virus that may be a risk to consumers.” Officials added that they’re continuing to study the issue.

Bird flu virus, known as Highly Pathogenic Avian Influenza (HPAI) or H5N1, is a disease that is highly contagious and often deadly in poultry. 

Infection with the virus causes decreased lactation, low appetite and other symptoms in affected cattle, the FDA says.

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The FDA says pasteurized milk on grocery store shelves has tested positive for remnants of the bird flu virus, but there is no risk to customers’ safety. (iStock)

The FDA and U.S. Department of Agriculture (USDA) said that commercial milk supply is safe because of the pasteurization process.

The pasteurization process involves killing harmful bacteria and viruses by heating milk to a specific temperature for a set period of time to make milk safer. Federal regulations require milk that enters interstate commerce to be pasteurized.

“The pasteurization process has served public health well for more than 100 years,” the FDA said. “Even if [the] virus is detected in raw milk, pasteurization is generally expected to eliminate pathogens to a level that does not pose a risk to consumer health.”

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“To date, we have seen nothing that would change our assessment that the commercial milk supply is safe.”

Pasteurization is different from complete sterilization, which extends shelf life but is not required to ensure milk safety, the agency said. 

Officials with the FDA and the USDA had previously said milk from affected cattle did not enter the commercial supply. Milk from sick animals is supposed to be diverted and destroyed. 

FDA officials did not indicate how many samples they tested or where they were obtained. The agency has been evaluating milk during processing and from grocery stores, officials said. Results of additional tests are expected in “the next few days to weeks.”

The PCR lab test the FDA used would have detected viral genetic material even after a live virus was killed by pasteurization or heat treatment, Lee-Ann Jaykus, an emeritus food microbiologist and virologist at North Carolina State University told the Associated Press. 

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Cows being milked on a carousel

Cows being milked while riding a slowly-moving carousel.  (Edwin Remsberg/VW Pics/Universal Images Group via Getty Images)

“There is no evidence to date that this is [an] infectious virus and the FDA is following up on that,” Jaykus said.

Scientists confirmed the H5N1 virus in dairy cows in March after weeks of reports that cows in Texas were suffering from a mysterious malady. 

The FDA says HPAI has now been confirmed in domestic livestock in 33 herds across eight states: Idaho, New Mexico, Texas, South Dakota, Kansas, Michigan, Ohio, and North Carolina.

While the virus is lethal to commercial poultry, most infected cattle seem to recover within two weeks, experts say.

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The National Milk Producers Federation (NMPF) echoed the FDA’s assertions that pasteurization is effective against HPAI and that commercial milk supply is safe.

“Viral fragments detected after pasteurization are nothing more than evidence that the virus is dead; they have zero impact on human health,” the NMPF said in a statement. 

“Further, the federal PMO prohibits milk from sick cows from entering the food supply chain. Milk and milk products produced and processed in the United States are among the safest in the world.”

Cows in field

Bird flu virus has been found in samples of pasteurized milk on grocery store shelves but there is no risk to customers, the U.S. Food and Drug Administration (FDA) said Tuesday. (iStock)

The news comes after a goat in Minnesota tested positive HPAI in February, which marked the first U.S. case of bird flu in domestic cattle, sheep, goats or their relatives.

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The positive juvenile goat was residing on a Stevens County farm that already had bird flu infected poultry, according to the Minnesota Board of Animal Health. 

To date, two people in the U.S. have been infected with bird flu. A Texas dairy worker who was in close contact with an infected cow earlier this year developed “eye redness” and has recovered, according to the Centers for Disease Control and Prevention (CDC).

In 2022, a prison inmate in a work program caught it while killing infected birds at a Colorado poultry farm. His only symptom was fatigue and he also recovered.

The Associated Press contributed to this report. 

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To keep your teeth white, bright and healthy, follow these 7 tips from dental experts

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To keep your teeth white, bright and healthy, follow these 7 tips from dental experts

Dental hygiene is important — as is taking pride in your “pearly whites.”

But keeping your teeth bright and white can be a challenge, with various factors causing discoloration.

Dr. Ronald Santana, head of science and development at Oral Biolife in Pennsylvania, noted that tooth discoloration refers to the “staining or darkening of teeth” from internal or external factors.

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“Extrinsic discoloration is caused by color changes of the tooth enamel by external factors such as smoking, foods or beverages, including coffee, tea and red wine,” he said in a statement to Fox News Digital.

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“Intrinsic discoloration affects the tooth dentin and is caused by some medications taken during childhood (tetracyclines), dental trauma and certain diseases (liver disease).”

One dentist’s rule is, “If it can stain a white T-shirt, it can stain your teeth.” (iStock)

Dr. Erin Fraundorf, owner of BOCA Orthodontic and Whitening Studio in Ladue, Missouri, agreed that numerous factors can cause the discoloring of teeth.

While there is “no way to know the cause without being evaluated and diagnosed by a professional,” the expert said that diet, smoking, medications, trauma, genetics, thin enamel and the wearing down of teeth via grinding and chewing can all lead to discoloration.

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“A good general rule of thumb is that if it can stain a white T-shirt, it can stain your teeth,” she told Fox News Digital.

Santana and Fraundorf offered seven tips on how to get your teeth whiter and brighter.

1. Develop an oral care routine

Fraundorf recommended brushing at least twice a day with an electric toothbrush and using toothpaste with fluoride or nano-hydroxyapatite (nHA).

“Avoid using charcoal or other abrasive toothpastes, as they damage enamel over time, making teeth darker,” she said.

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“Transform mundane oral care into a self-care ritual to make it an experience,” she added.

While some people might feel inclined to try at-home teeth-whitening remedies, Santana stressed that “care should be exercised in selecting a safe and effective at-home approach for tooth whitening.”

woman brushes teeth

Experts say it’s best to avoid using charcoal or other “abrasive” toothpastes. (iStock)

“Avoid trying at-home approaches before seeing a dentist, because some substances may damage the tooth enamel,” he warned.

“Adequate” toothbrushing is an “effective” way to reduce the discoloration of your teeth, according to Santana.

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“Tooth brushing with a correct brushing technique, employing a whitening dentifrice and using an electric toothbrush are effective resources to reduce tooth discoloration.”

Fraundorf added that flossing with toothpaste, using a water flosser to remove plaque and using a tongue scraper daily to decrease bacteria can also promote whiter teeth.

2. Drink more water

Water is “the best thing you can drink to keep your teeth healthy and white,” according to Fraundorf.

“Next time you have that cup of coffee or glass of red wine, take a swig of water in between sips and briefly swish around,” she advised. 

Woman reaches for water glass near bed

Water is “the best thing you can drink to keep your teeth healthy and white,” a dentist suggested. (iStock)

“Water will not only prevent the staining particles from clinging onto your teeth, it will also help neutralize the acidity of the beverage.”

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Fraundorf also recommended choosing flat water rather than sparkling.

“Drink and swish with it frequently to neutralize your oral environment and fight stains,” she suggested.

3. Chew sugar-free gum

Studies suggest that cavities are “significantly lower” in patients who chew sugar-free gum for 20 minutes after a meal, Fraundorf noted.

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“Chewing sugar-free gum increases salivary flow by stimulating mechanical and taste receptors in the mouth,” she told Fox News Digital. 

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“Saliva helps wash away food particles as well as dilute and neutralize acids produced by plaque bacteria on teeth, leading to a reduction in cavities and stains.”

4. Drink through a straw

Using a straw, especially when drinking dark, acidic or sugary beverages, can help decrease the contact these substances make with your teeth.

woman drinking green juice health and fitness

Drinking through a straw decreases the liquid’s contact with your teeth, experts advised. (iStock)

“For extra credit, try drinking beverages more quickly to reduce the amount of time your oral environment is exposed to a lower pH, therefore decreasing the amount of enamel damage,” Fraundorf said.

5. Fight stains with fruits and veggies

Certain foods and drinks — such as red wine, soda, soy sauce, curry, balsamic vinegar and coffee — may stain your teeth and should be avoided, Santana said.

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“Moreover, although the scientific evidence is limited, consumption of a balanced, healthy diet — containing strawberries, grapes, apples, watermelon, papaya, pineapple, cheese, celery, carrots, broccoli and almonds — may limit tooth staining,” he noted.

Fraundorf agreed that “superfoods may be one of the best (and tastiest) ways to whiten your teeth naturally.”

woman bites into a strawberry

Superfoods like strawberries can help whiten teeth, according to experts. (iStock)

“Strawberries, apples and watermelon all contain a lot of malic acid, which helps whiten your smile by removing surface stains and increasing saliva,” she said.

Other superfoods that can help whiten teeth include celery and leafy greens, since their “fibrous textures act like a natural toothbrush, exfoliating plaque off your teeth,” Fraundorf added.

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“Dark, leafy greens also contain calcium, counteracting the effects of acids, and an abundance of folic acid, which is essential to gum tissue cell growth.”

6. Visit the dentist

“Maintaining excellent oral health is the most important thing you can do to achieve a bright smile,” Fraundorf told Fox News Digital.

“Set a calendar reminder to get regular check-ups and cleanings with your general dentist.”

Santana added, “Your dentist can prescribe safe and customized resources for tooth whitening tailored to your specific needs.”

woman checks out her teeth at the dentist

Patients should visit the dentist for a general check-up every six months, experts recommended. (iStock)

7. Consider professional teeth whitening

Although being diligent about oral care can help keep teeth bright, Fraundorf suggested that professional teeth whitening could be necessary to “take your smile to the next level.” 

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“Maintaining excellent oral health is the most important thing you can do to achieve a bright smile.”

“Whitening treatments are not one-size-fits-all, so it is important to seek customized care,” she said. 

“The most ideal whitening treatment is one specific to you, crafted based on your unique smile goals, teeth composition, diet, sensitivity level and lifestyle.”

She added, “A multitude of factors go into a proper diagnosis and customized treatment plan for teeth whitening to ensure the best, most comfortable, beautiful results.”

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Artificial tooth structures, like crowns, veneers and composites, won’t whiten, according to the expert — which means whitening these teeth will require extra restorative work.

For more Health articles, visit www.foxnews.com/health

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