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WE CAN SEE a hint of the state of dental health in Shakespeare’s England from a sonnet in which he describes his lady love’s reeking breath. The lines “black contagious breath” and “his breath stinks with eating toasted cheese” make it into two of the history plays. This was likely because dental health in England was in a sorry state during the Bard’s day.

The Sugar Trade Devastates English Dental Health

Cavities and missing teeth were common in Early Modern England, but it was much worse for the wealthy and even Queen Elizabeth herself, whose teeth were described as “very yellow and unequal” by a French ambassador and “her teeth black” by a German traveler, who correctly identified sugar as the culprit. That’s right: the sugar trade had reached England, and aristocratic teeth paid a heavy price for it. Surgeons, tooth-drawers, and blacksmiths had a lot of work to do pulling rotten teeth.

Cavities Only the Nobility Could Afford

Sugar was so expensive that only the wealthy could afford it. Some were even using sugar paste to brush their teeth! Many in the lower classes would actually rub charcoal on their teeth to make themselves appear richer. As for actual dental hygiene, people would use quills or wood for toothpicks and cloths to wipe off plaque. We’re definitely happier with modern floss and toothbrushes!

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Dr. Kazemi is a board-certified Periodontist & Implant surgeon. She completed her certificate in Periodontal Surgery & Implant Dentistry at the University of Southern California, Los Angeles. During her time at USC, she was the President of ‘’Advanced Periodontology Residents Study Club’’ and was selected to receive ‘’Associate endowed scholarship’’ from USC School of Dentistry. Before her time at USC, she earned an MS degree in Clinical Translational Sciences from the University of Illinois at Chicago where she received the ‘’Board of trustees Scholarship’’ for academic excellence.

A recipient of several awards and honors, she has also lectured nationally and internationally on implant dentistry and laser dentistry. Dr. Kazemi has published several articles in peer-reviewed journals and serves as a peer reviewer and associate editor of scientific journals in the field of implant dentistry and periodontology.

Dr. Kazemi strives to make dental visits a low-stress experience with minimal discomfort. She takes pride in providing high quality evidence based care to each patient based on their unique individual needs. When not working, she spends time with her family & friends, enjoys hiking, working out, cooking and traveling.

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