Countless studies, books, and articles have explored the taste, swallowing, and speech capabilities of the human tongue, often regarded as merely a small piece of flesh. One significant distinction between humans and animals lies in our ability to utilize the tongue for language, a capacity not shared by animals. However, what other roles might animal tongues serve?

Suitable for nutrition

The tongue, found in the vast majority of vertebrate animals (with the exception of a small group of frogs), possesses a remarkable flexibility owing to the arrangement of its muscle fibers in a multidirectional web. The variety of tongue structures across animal species reflects differences in their habitats, dietary habits, and lifestyles. It is crucial to note that for most terrestrial vertebrates, survival would be severely compromised without their tongues. In aquatic environments, where food tends to be softer and readily digestible, tongues aid in biting and mixing food with digestive enzymes. Conversely, the multitude of solid and dry foods found on land, including fruits, vegetables, and animal source foods, require soaking and softening for digestion. Animals thus necessitate tongues created in the best convenient form for their body structures and dietary needs to effectively consume such diverse foods. The remarkable diversity in animal tongue morphology underscores the intricate design and adaptation evident in all of creation, suggesting a divine understanding of each creature’s unique characteristics and the provision of suitable organs to match their needs.

Fish species like carp and catfish lack a mobile and extensible tongue, instead possessing a muscular bundle known as the palate. Unlike humans, fish don’t require mobile tongues for swallowing food. They open their jaws wide to expand their throats and pump water through their gill slits forming a bellows-shaped mechanism that generates a powerful suction force, enabling them to swallow food effortlessly without the need for a moving tongue to assist in biting.

In contrast, land animals lack a bellows-like mechanism such as gills to facilitate food swallowing. While they could potentially use air instead of water for suction, air lacks the density to generate a comparable swallowing force. Instead, they are given the tongue, an organ equipped with robust muscles. However, some birds, due to the slender structure of their mouth and neck regions, cannot accommodate a thick tongue. Instead, they have been taught to swallow by utilizing gravity, keeping their heads raised.

The need for food is one explanation among many as to why tongues are in so many different forms, structures, and functions. Some species of salamanders have a sticky tongue which is longer than their body; they catch insects by snapping their tongue at its prey like a whip. Webbed salamanders (Hydromantes) protrude their attached throat skeleton from their mouths, along with their tongues, which is covered with a sticky secretion, to catch insects or spiders. The tongue is then refolded in its former place in the throat with a special mechanism, where it stores energy for a while to be ready to catch the next prey.

Nearly eight thousand species of salamanders and frogs, chameleons and many lizards quickly pull their prey into their mouths by throwing their tongues like ballistic missiles to hunt. Chameleons, for example, catch crickets in less than a tenth of a second by propelling their tongues at a speed close to five meters per second. These tongues are covered, of course not coincidentally, with very small lumps called papillae, which produce a sticky secretion. The secreted saliva is so sticky that the prey, even if it is 50% heavier than the hunter, cannot save itself from it [1].

Horned lizards (Phrynosoma) use their sticky saliva-covered tongues not only to catch prey, but also to protect themselves from the possible danger of their prey. Ants, which are the prey of these lizards, have poisonous and strong bites. However, despite this, horned lizards swallow them alive. In a 2008 study, it was discovered that the dense and sticky slimy substance secreted from the blister-shaped glands on the tongues and throat walls of lizards protects the lizard from the venom of ants [2].

Some animals, such as the mace-headed giant gecko (Rhacodactylus auriculatus) that lives on the island of New Caledonia, use their tongues to clean their eyes. Snakes sniff their surroundings with their forked tongues, that is, the tongue of snakes is the organ of smell, not the organ of taste. The vibrational frequency of their tongues, which are created to locate their distant or hidden prey, varies according to the intensity and distance of the smell. In order to understand the nature of the odor molecules that stick to their tongues from the air, snakes insert their forked tongues into the Jacobson’s organ in their upper palate so that the smell is perceived in their brains. It is amazing that they are created with this mechanism and taught to follow this procedure.

Bird tongues are like surgical instruments of specialist doctors so that they can benefit from different food sources. An important factor in the diversity of tongues in birds is related to the shape of the flowers, which carry the sweet nectar of the plants. The tongue of most birds is made of very little muscle and connective tissue and is covered with a keratin cover. Attached to the root of the tongue is a system of levers made of bone which is tasked to function like a production line, moving the tongue back and forth so the food is transported from front to back. The woodpecker, for instance, inserts its bill into tree cavities and use their specially structured tongue to pull insect larvae into their mouths.

The tongue is the most vital organ for animals which feed on nectar, such as hummingbirds. Their tongues are created to suck high-energy nectar from the depths of the flowers, like a straw. Nectar is easy to find, but the tongue needs to be suitable for the unique structure of the flower. This is of vital importance so the birds can get a drop of nectar at the bottom of these flowers, which are usually long and narrow-throated.

Previously, it was thought that the nectar passively rose up the round and thin straw-like bills with a capillary mechanism. However, research has shown that, contrary to previous understanding, nectar is collected into the grooves on the tongue through the broom-like end, as observed in the Pied Honeyeater (Certhionyx variegatus). It’s been found that the physical capillarity is not fast enough to drink the nectar of flowers, so hummingbirds move their tongues 15 times per second while hovering, running their tongues back and forth like the piston of a pump [3].

We see that not all nectar-feeding birds are like hummingbirds, and that each bird is equipped with a bill and tongue structure suitable for its food. The tongues of the lorikeet (Trichoglossus moluccanus), who are members of the parrot family, are similar to those of humans, but with their fleshy-looking tongues with brush-like tips, they collect nectar from long-necked flowers by turning it into paste. Unlike the lorikeet, which has a brush-like tongue tip, other species of parrots have a grooved tongue tip to collect nectar; their tongues vibrate very quickly to pump nectar into the esophagus [4].

The tongue and hand skills in humans

Xu An, a neurobiologist at Duke University, and his colleagues have discovered an area in the monkeys’ cerebral cortex called the “oromanuel” region that exerts control over both hands and tongue. There are observations suggesting that a similar brain region exists in humans. For example, as the fingers of children who learn to write move, so does their tongue with similar curves. When they focus too much on what they are doing with their hands, we can see that some people unconsciously open their mouths and move their tongues left and right with a certain rhythm. Some scientists do not see this as an oddity and say that these tongue-twisting movements can increase the accuracy of movements in delicate manual work. However, it is difficult to observe this situation because most people have their mouths closed.

By examining the neural activity records in monkeys, information was obtained about how the complex tongue movements involved in feeding, drinking, and perhaps even vocalizations are coordinated in the brain. It has been determined that in a region the size of a penny in the cortex, there are both sensory neurons coming from the tongue and mouth, as well as movement (motor) neurons that are instrumental in controlling tongue movement. In addition, while it was once thought that chewing movement was under the control of the brain stem just as, for instance, walking is, it has been shown that this center occupies a lot of space in the cerebral cortex, and that the curving of the tongue in complex and asymmetrical ways according to the type of food at the time of chewing is controlled very quickly from here.

Tongue saved from teeth

The most important function of the tongue in mammals is to position food so it is properly chewed and swallowed. Have you ever thought about how agile our tongue must be to stay between our teeth and not get bitten when we talk or chew food? Depending on the species, it takes great timing to shift the food from one side of the mouth to the other with each bite, or to limit it to just one side, keeping the tongue itself safely away from the teeth so that it can’t be bitten. Then, with the addition of secreted, slippery, and softening saliva, the tongue, with appropriate movements, forms the food into a round bite that can easily pass through the throat. Finally, when pushing this bite into the esophagus to be swallowed, a precise adjustment is observed so that not even a small piece escapes into the airways.

Shape and volume ratio

The human tongue, like a water balloon, is a muscular hydrostat whose total volume of mass must remain the same, no matter how much its shape changes. Therefore, when we stick out our tongue, it becomes thinner and longer compared to its bulk shape in the mouth. Similar movements apply when the giraffe’s purple-colored tongue which extends 45–50 cm outward to collect leaves from a thorny tree branch.

In addition to functions such as assisting in eating and distinguishing between thousands of different tastes, the human tongue is unique in helping us speak our complex languages. This is possible because of our tongue’s ability to change shape easily. For the tongue to instantly convolute according to the thousands of words formed in the mind and send food to the pharynx without being bitten, there must be centers in the brain with very different and complex neuron units. The brain is responsible for adjusting all body behaviors by informing other parts of the brain about the processes in these centers. For example, the management of hundreds of functions, such as grimacing because of a sour taste or the immediate reflection of a sudden change in our thinking while speaking and in our choice of words seem to be under the control of neurons in these centers. Looking at these amazing activities, one surely seeks a source of power and wisdom beyond biological structures – neurons or otherwise – that can command all the nerves and atoms in our body.

In all species, the tongue is equipped with taste buds in order to be able to “gate” in directing nutrition and to understand the nature of food. All these special skills given to the tongue enable mammals to eat more food faster and in greater quantities than other vertebrates and to digest this food efficiently. Thanks to this feature given to their tongues, mammals can have their high metabolic rate and activity, both the mother and offspring can be nourished during long-term pregnancies, and the energy needs of large brains are met.

The tongue, which is braided by a complex network of muscle fibers that can move in complex ways, contributes to sucking in most species, but in others, such as dogs, it helps thermoregulation (heat regulation). The excess heat of their bodies, which get very hot by running, is cooled by sticking their tongues out. Bats, on the other hand, click their tongues to produce sounds that are used for echolocation (locating and locating by sound).

A home for microbes

Our tongue is also home to a complex community of bacteria that can affect our health. According to Jessica Mark Welch, a microbial ecologist at the Forsyth Institute, the tongue is an unknown and very important part of the human microbiome as an important source of bacteria. Welch says that the proportions of these microbes vary from person to person, but each bacterial community may have a specific function. For example, the bacterium called Veillonella on our tongue contributes to the regulation of blood pressure by performing the function of converting nitrate to nitrite, which the human body cannot do without. Other bacteria are also thought to possibly play a role in regulating the immune system [5].

We started with a tiny piece of meat, but as we finished it, I hope we understood that our tongue, which is a miracle of creation, is not a small and simple piece of meat.

References

1. C. A. Noel, D. L. Hu, “The tongue as a gripper”, Journal of Experimental Biology, 2018, 221/7, s. 1–10.
2. W. C. Sherbrooke, K. Schwenk, “Horned lizards (Phrynosoma) incapacitate dangerous ant prey with mucus”, Jez-A Ecological and Integrative Physiology, 2008, 309A/8, s. 447–459.
3. A. E. Hewes et al. “Variable evidence for convergence in morphology and function across avian nectarivores”, Journal of Morphology, 2022, 283/12, s. 1483–1504.
4. A. Rico-Guevara et al. “Nectar feeding beyond the tongue: hummingbirds drink using phase-shifted bill opening, flexible tongue flaps and wringing at the tips”, Journal of Experimental Biology, 2023, 226 (Suppl. 1), s. 9356–9360.
5. S. A. Wilbert et al. “Spatial ecology of the human tongue dorsum microbiome”, Cell Rep, 24 Mar 2020, 30/12, s. 4003–4015.

The teeth of a tiny mollusk (Patella vulgata), which is a species of sea snails, have been found to be some of the strongest biomaterials in the world. Also known as limpets, these mollusks are a very small crustacean, often around 0.05-2 cm in size with a large cone shell and possess an incredibly complex system of teeth that dazzles the mind.

Research has revealed that the tensile strength of the sea snail’s teeth is higher than that of spider silk and is comparable to only the strongest commercial carbon fibers. It was found that the teeth of sea snails scraping algae off of rocks showed a tensile strength between 3 and 6.5 GPa (gigapascals). Spider silk roughly reaches a tensile strength of about only 1.3 Gpa. Scientists say that the snail’s teeth can even withstand the pressure that turns carbon into diamonds. Studies have determined that, to our current knowledge, there is no other material of this size (roughly 100 μm micrometers) with as much strength and durability.

This exceptional durability has led scientists to do research on the structure and functioning of these teeth, and the studies showed fascinating results.

The role of teeth in nutrition

Sea snails have a special tongue, called a radula, which they use to scrape off food from rocks. The most important feature of the radula is that it contains more than 100 rows of iron-mineral teeth. However, those used for food intake consist of only 10 rows on the outermost part of the teeth. During eating, a tremendous mechanism operates: the teeth are constantly repositioned according to their conditions of maturation and wear. Worn teeth are replaced by newly matured teeth over the course of 12 to 48 hours to ensure that fresh, sharp teeth are used instead of dulled ones.

This wonderful displacement system operates in a similar way to the movement mechanism on a conveyor belt where the teeth begin to grow primarily in the posterior part of the radula. Meanwhile, they are strengthened and matured by iron mineralization. When this mineralization is complete, they are moved towards the front of the radula. In this way, completely matured teeth are permanently retained at the far-front scraping area. During the scraping process, the matured teeth wear out at a rate equal to the growth rate. In the meantime, a new set of teeth begins to grow. By means of this magnificent cycle, new teeth are constantly created and matured so that there are no disruptions in nutrition.

Biomineralization

The structure of the sea snail’s teeth is also a masterpiece of material science. The dazzling durability of its structure provides optimum strength when scraping food off of rock surfaces.

Although the exact process of biomineralization of the teeth is not known, it is believed that it involves reactions of dissolution and re-precipitation. When the non-mineralized matrix is examined, well-arranged and densely packed chitin fibers are observed that are only a few nanometers apart. The matrix is a structure which keeps the reinforcing material together in layers that are composed of different materials. This organic matrix serves as a framework for crystallization in the structure of the teeth. In the mineralization system, the basic macromolecule α-chitin component is created first. The first mineral that then precipitates is the “goethite,” i.e. the aqueous iron-oxide mineral, which crystallizes parallel to the chitin fibers. These crystals are nucleated on the chitin fibers and formed between them by pushing and pulling the fibers. This way, crystals placed in order cause biomineralization of the structure.

It was found that 80% of the overall volume of the structure is composed of these crystals. The gap between the crystals and the chitin matrix is filled with amorphous silica (SiO₂). The iron contained in the aqueous iron-oxide mineral is the metal that constitutes the largest proportion of the composition. Other metals such as sodium, potassium, calcium, and copper are present in different proportions depending on the sea snail’s exact geographic location.

Critical factors in durability

The most important reason that the sea snail’s teeth have such high durability is because the fibers of the aqueous iron-oxide minerals in the teeth are nano-scale. This is due to the fact that materials of this size are not affected by the conditions that reduce strength.

Another critical durability factor is the small length of critical fibers. Critical fiber length is a parameter that defines the length of a material required to transfer strain from the matrix to the fibers at the time of external pressure. To achieve maximum strain, the length must be greater than the critical length. Materials with a large critical fiber length can hardly reinforce the matrix because most of the strain is not transferred to the fibers and remains on the matrix. On the contrary, materials with smaller critical lengths can transfer the strain on the matrix to the fibers. Therefore, they serve as an effective reinforcement for the matrix.

Fibers of aqueous iron-oxide minerals are of a critical length of 420 to 800 nanometers. This is much smaller than the length of the fibers in the teeth of about 3.1 µm (micrometers). This shows that nanofibers are an effective reinforcer for the matrix and contribute greatly to the ability of the teeth to bear loads.

Besides the structure and composition of the snail’s teeth, its morphological shape is also important in providing strength. It ensures that the strain is evenly distributed all over the tooth.

Modeling of biomaterials

All these studies indicate the presence of high-strength composites, which is when a material obtained by combining two or more materials with different physical characteristics, in nature.

Sea snail teeth, which have been created as a highly resistant and strong biomaterial, act as an inspiration for engineering and material science. Their characteristics, such as content and design, are expected to be modeled in areas that require durability and rigidity.

These marvelous systems found in the natural world, sometimes in creatures as tiny as a snail or mollusk, serve as a reminder that nature is filled with wonders for us to explore.

References

· Barber, Asa H., Dun Lu ve Nicola M. Pugno, Extreme Strength Observed in Limpet Teeth,  Journal of The Royal Society Interface, April 2015, DOI: 10.1098/rsif.2014.1326, PubMed.

· World’s Strongest Natural Material Discovered, How It Works, Imagine Publishing, No. 71, p. 11.

· en.wikipedia.org/wiki/Limpet
www.iflscience.com/plants-and-animals/worlds-strongest-natural-material-limpet-teeth/

· www.newworldencyclopedia.org/entry/Limpet

· Barber Asa H., Lu Dun and Pugno Nicola M. “Extreme strength observed in limpet teeth.” 12. J.R. Soc. Interface. http://doi.org/10.1098/rsif.2014.1326

We all may appreciate the difference between the positive impact made by a smile of pearly-white teeth and the repulsion triggered by yellowed and blackened rotten teeth, but the health issues run much deeper: as our medical knowledge grows, we are discovering that many diseases originate from dental cavities where microbes teem and nest, causing inflammations in many organs and tissues, most notably in the heart, kidneys, and joints.

The use of herbal sticks for cleaning teeth dates back to around 3500 BC, the time of the Babylonians. In several works of Ancient Greek and Roman literature, chewable sticks to aid dental and mouth hygiene are mentioned [1]. Hippocrates (355 BC) advises rubbing a ball of cotton wrapped around a stick and dipped in honey on teeth, to maintain dental hygiene, whereas Romans used pastes obtained from gumwood [2]. Dental hygiene is coming throughout history.

Arabs utilized the miswak for many years [3]. The Japanese used wooden sticks called “koyoji” and Jews used wooden sticks called “kesam.” In the 1920s, in some rural areas across the United States, a stick of blood-twig was used for rubbing on the teeth [3]. And according to a Chinese encyclopedia published in the seventeenth century, the first-ever toothbrush was made in China, in 1498.

Prophet Muhammad, peace be upon him, warned those of his Companions who visited him with bad teeth about the need for dental hygiene (Ahmad ibn Hanbal, Musnad 1/214):

“I oft reiterated my recommendations to you about the miswak.” (Bukhari, Jum’a 8; Nasai, Taharah 5; Ahmad ibn Hanbal, Musnad 3/143; Darimi, Wudhu’ 18)

“(The Archangel) Gabriel counseled me to use the miswak so much that I thought a verse might be revealed about the miswak to decree its use as obligatory for all.” (Ibn Majah)

Obviously he assigned the utmost importance to dental hygiene. It should be noted here that the Araq tree (Salvadora persica) from which the miswaq is obtained has features that are not present in other trees, and the Prophet particularly specified using the roots of that tree as the miswak.

Research has been conducted to discover the scientific and modern medicinal effects of the miswak, which has been used by Muslims in adherence to the Prophet’s practice. In 2010, a Ph.D. study at Karolinka Institute, Sweden, provided a significant message about its effectiveness [4] (Picture 1).

The Araq tree, which is used as the miswak across a geography spanning from Africa to the far east, is a short tree or bush with a slanted trunk, and it is easy to chew its spongy roots, parts of which generally expand and soften when dipped in water (Picture 2).

The roots of the Araq tree are washed to remove the soil, and approximately 1 cm from the tip of the root stick is peeled to be used as the toothbrush. The stick is pummeled or chewed until the fibers become softer (Picture 3). Fresh and soft miswak are preferable: If the miswak is dry, it is advised to dip it in freshwater for 24 hours before use. It is better to peel frequently, so the tip is renewed. The most practical advice is to use the peeled tip until it loses its tang and fragrance, because the fragrant components indicate the beneficial effect of the miswak. According to a study, using the same tip for more than 24 hours lowers its cytotoxic ability to get rid of microbes.

The practice of using miswak in the Muslim World is widespread in Asia, Africa, and some regions in the Middle East. As many Muslims opt for miswak use to maintain a practice of the Prophet, the World Health Organization (WHO) also advises and encourages the use of miswak as an effective dental hygiene tool along with the conventional toothbrush. The miswak is easy to use and effective; it also has chemical properties that help control dental plaque. Based on the basic information we have about the miswak, we can easily say that deeper research is needed for its different components, like its fibers, essence, and essential oils.

Antibacterial effects of the miswak

The antibacterial activities of the essences obtained by crushing different roots of the miswak have been analyzed by microbiological techniques. It was discovered that the miswak essence has a very strong antibacterial effect, predominantly against Gram-negative bacteria, including mouth-cavity microbes like Porphyromonas gingivalis and Aggregatibacter actinomycetemcomitans. Two additional studies conducted on five different types of bacteria i.e. Streptococcus mutans, S. faecalis, S. aureus, Haemophilus influenzae, Salmonella enterica, and Candida albicans, and a type of fungus [5, 6, 7, 8] revealed that the miswak essence stops the reproduction of micro-organisms, has a lower effect on Lactobacillus acidophilus, is active against Herpes simplex virus which causes blistered lesions, and suppresses acid production.

The essential oil obtained from miswak essence includes 70% benzyl isothiocyanate, 9.4% limonene, 8.7% I-pinene and 2.55% flavonoid. As the miswak’s main antibacterial component, benzyl isothiocyanate kills bacteria by forming protrusions on their cell membranes. The volatile nature of this substance may open doors to new practices requiring antibacterial treatment. It has been proven that fresh miswak is effective at preventing the formation of dental plaque and gum inflammation, and it has also been acknowledged that it may play a potential role in preventing periodontal diseases.

The miswak essence hinders acidic (pH) conditions causing tartar and dental plaque, leads to a long-term increase of pH in the mouth, stimulates saliva flow in the parotid glands (located in front of both ears), and prevents tartar formation.

It is necessary to conduct further lab and clinical research to augment the positive results shown so far about the effects of the miswak against the inflammation of the palate and gums, as well as its antiviral and antifungal activities. Some research has additionally suggested that the miswak has antioxidant, analgesic, and anti-inflammatory effects. It is claimed that potassium chloride, salvadourea (a urea derivative), alkaloids, and oleic and linoleic acids in the miswak sap increase the viscosity of saliva, helps it to soak into hard-to-reach corners in the mouth, and contributes to overall dental hygiene. It is reported that a substance named Xylitol in the miswak essence suppresses acid production and the reproduction of mutant streptococci [9, 10].

An interesting substance in the miswak oil

Benzyl-isothiocyanates are effective molecules in the defense systems of several plants such as cabbage, watercress, and broccoli. Secreted after damage to plant tissues, benzyl isothiocyanate forms a protective antibacterial layer on the damaged part of the plant. While dental plaque and tartar are mechanically removed by rubbing the miswak on teeth, this action also helps the substance secreted from the miswak reach deeper parts of the oral cavity. It is especially proven that benzyl isothiocyanates are strongly effective as bactericide on Gram-negative bacteria and have minimal effect on Gram-positives.

Lab tests conducted on animals indicate that these components also have anti-carcinogenic activity, and people who get isothiocyanates by nutrition have a lower risk of cancer. It is fascinating that the miswak, too, has the same substance.

While introducing a new set of ethical principles, Prophet Muhammad, peace be upon him, revoked some customs and habits inherent to the pagan culture before Islam (Age of Ignorance) and kept others. Using miswak was a practice among the Arabs in the region; the Prophet encouraged its use and emphasized its benefits. Eventually, Muslims have adopted it as not only a habitual practice, but also as a healthy spiritual activity and are keeping the memory of the Prophet alive.

References

1. Wu, C.D., Darout, I.A. and Skaug, N. (2001): Chewing sticks: timeless natural toothbrushes for oral cleansing. Journal of Periodontal Research 36, 275-84.
2. Hyson, J.M., Jr. (2003): History of the toothbrush. Journal of the History of Dentistry 51, 73-80.
3. Bos, G. (1993): The Miswak, an aspect of dental care in Islam. Medical History, 37, 68-79.
4. Sofrata, A. H. (2010): Salvadora persica (Miswak). An effective way of killing oral pathogens. Thesis for doctoral degree (Ph.D.). From the Division of Periodontology, Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden.
5. Al-Lafi, T. and Ababneh, H. (1995): The effect of the extract of the Miswak (chewing sticks) used in Jordan and the Middle East on oral bacteria. International Dental Journal, 45, 218-222.
6. Almas, K., Al-Bagieh, N. And Akpata, E. (1997): In vitro antimicrobial effect of extracts of freshly cut and 1-month-old miswak (chewing sticks). Biomedical Letters, 56, 145-149.
7. Almas, K. (1999): The antimicrobial effects of extracts of Azadirachta indica (Neem) and Salvadore persica (Arak) chewing sticks. Indian Journal of Dental Research, 10, 23-26.
8. Almas, K. (2001): The antimicrobial effects of seven different types of Asian chewing sticks. Odontostomatolgie Tropicale, 24, 17-20.
9. Kakuta, H., Iwami, Y., Mayanagi, H. and Takahashi, N. (2003): Xylitol inhibition of acid production and growth of mutans Streptococci in the presence of various dietary sugars under strictly anaerobic conditions. Caries Research, 37, 404-409.
10. Miyasawa, H., Iwami, Y., Mayanagi, H. and Takahashi, N. (2003): Xylitol inhibition of anaerobic acid production by Streptococcus mutans at various pH levels. Oral Microbiology and Immunology, 18, 215-219.

In the past, the area missing a tooth could be filled by bridge implants by eroding the enamel on neighboring teeth. In cases where there was a large gap or no teeth to use as connectors, removable implants were used. In other words, present healthy teeth would be treated to compensate for the missing teeth; if the number and health of the remaining teeth was not sufficient, removable implants would be produced that gave the “ready to fall out” feeling. The imperfections of this type of implant led scientists to pursue new ideas.

Scientists have tried to fill in missing teeth with artificial roots and with implants mounted over these by mimicking the existing tooth root. This way, there is no need to treat and erode the healthy enamel of neighboring teeth in the gap. These artificial roots, which are positioned into the jaw bone by a surgical operation, are called a “tooth implant.” Modern-day implants are generally composed of two main parts.

One of these is the fixture part which is secured into the jaw bone by screws; the other is the support part (abutment) which mimics the visible parts of the tooth in the mouth. Approximately 3-4 months of curing time is required for the fusion of bone and implant (osseointegration), which is screwed together by a surgical operation. Towards the end of this time, the implant is built over the abutment. The length of time necessary for the implant to integrate with the bone to replace a tooth which can be extracted so quickly is rather noteworthy despite ongoing studies to reduce the wait time and successful attempts to do so.

Employed materials

Even though the main logic for implants is the mimicry of the tooth and the root, the materials utilized are quite variable. The history of such implants goes back thousands of years. The employment of bamboo sticks in tooth restorations could be seen in some civilizations, such as ancient China. Mayans used sea shells, which were recently shown to be biologically suitable as implant material. Maggiolo produced a tooth root by using gold, in 1809. In the beginning of the 20th century, Lambotte prepared implants using materials such as aluminum, silver, brass, copper, and gold.

These newer implant methods have failed because of the insufficient strength of the majority of the materials and the failure to fit into biological tissues. The initial employment of titanium and its alloys in the 1950’s almost opened a new age in implantology and enabled the successful use of these materials up until today. However, these titanium implants, which are considered successful, have a very limited ability to mimic tooth roots:

• Once the implant is in place, for reasons such as aging and improper tooth brushing, tooth gum recession and resurfacing of the bright faces of the implants which mimic the root surface can take place. This leads to undesirable displays. Even though gum recession can also occur in natural teeth for similar reasons, this situation is not as disturbing as with implants. This is because the tooth root color is similar to that of the tooth surface.
• Under normal conditions, implants should be fused to integrate with the bone (osseointegration). Integrated implants are considered successful clinically. A similar case to this bondage, which is unwanted clinically, is the fusing of tooth and bone which can be seen generally in dead teeth and is called ankylosis. Many hardships can be encountered when the tooth that is fused with the jaw bone is required to be removed. The same thing also applies to the implant. If an implant is set to be extracted for a reason, even if just a small amount must be removed, the surrounding jaw bone must be removed as well. However, a natural tooth is not bonded so tightly to the jaw bone, as if the tooth is healthy, it is suspended over the jaw bone through small suspension-like structures. When a tooth is needed to be pulled as a result of trauma or tooth rotting, only these suspensions are detached; thus any damage to the jaw bone is averted. Present efforts to design similar mechanisms for implants have not been successful yet.
• When a disease develops in our natural teeth, we feel pain and take action before it is too late. However, diseases within implants are rarely encountered as pain; generally, when the pain is felt, the implant is already disconnected from the bone and it is lost. Toothache often felt as a strong pain is a blessing granted to us. If the implants were built with pain mechanisms, just like in our natural teeth, we could take action at the beginning of the disease and avoid the time and financial losses.
• Even a healthy tooth, which we think of as immobile, can move via microscopic ligaments for 0.1 mm around its root on a type of pad. The tooth root is created in a perfect fashion to resist the strong chewing power that can be generated from many directions in the mouth through these ligaments, which are wrapped around different sides and which come from different angles. However, these ligaments, which act as a suspension, do not exist in between the implant and jaw bone. Therefore, implants are almost immobile. Even though it may seem like a good thing for them to be immobile and tightly fixed, there may be intense power spots generated on the implant or jaw bone since these forces acting on the implants are transmitted to the jaw bone without being dispersed. Forces densely acting on small areas can lead to fractures of the material, including tiny screws or porcelain plating, and can damage the bone tissue. Investigators once understood that these tiny, suspension-like structures won’t form around the implant, so they engaged in mounting tiny Teflon or spring pieces inside the implant to generate suspension. However, these imitated suspensions failed to resist the chewing forces that can go up to 400 kg at times, and their use was aborted after a short time.
• Teeth can be examined by the method of tapping with small hand tools (percussion). These small impacts cause pain in case of an abscess at the tooth root. By taking necessary actions, the tooth can survive longer. It is impossible to do such determination and diagnosis with implants.

As it is seen, making less successful artificial implants as opposed to real teeth is quite a cumbersome, costly, painful, and time consuming job. Despite all of these imperfections, because of their numerous advantages over traditional implants, the popularity of dental implants continues to increase, and is preferred by dentists and patients. In addition, implants are seen as an inevitable treatment option when tooth loss occurs, and may ultimately provide patient relief in the long run.

Despite progress made in implants, it’s clear that our teeth were created in such a perfect way, down to the very smallest detail, that they cannot be replaced. Science is well aware of the fact that we will never fully be able to replicate tooth structure. Therefore, studies are shifting towards stem cell research. This way, instead of foreign substances, the missing tooth will be compensated as if by planting tooth seeds by using human’s own cells. Nonetheless, the opportunities that are discovered via all these efforts will never replace the natural teeth that were so perfectly created for us.

The excellent nature of teeth comes from the microstructure of the material they are made of. They are not homogenous like cement used in construction work. It is composed of various different layers such as enamel, dentine, and cementum which are formed by enamel prisms and dentine tubules. This structure of the teeth is the source of inspiration for the produced restorations. Since an exact imitation is aimed, in addition to other properties, the microstructure of the teeth also needs to be imitated.

When the general structure of the teeth is investigated, it is observed that there are two major components: organic and inorganic structures. The filling material, referred to as composite, must be in the color of the tooth and must contain the same type of structure. The filling material in the composite increases the resistance of the restoration and has the same function of the mineral hydroxyapatite in the enamel. In the composite, resin matrix takes the place of the organic matrix in the enamel. Up to this point, everything seems fine but the images of scanning electron microscope (SEM) showing the cross sections portray the trivial difference between the composite and the natural tooth. The homogenous, ordinary appearance of the filling and the astonishingly embellished tooth are very easy to differentiate.

There are prerequisites that make tooth restoration successful. We can summarize these as esthetics, functionality, and phonation. These properties are affected with the loss of the tooth or the structure of the tooth. What follows is an analysis as to how and to what extent these properties can be replaced.

Esthetics in the dentistry means exact imitation of the tooth color. To be able to give a natural color to the filling or to the crown could be considered a miracle. It might sound like a very simple issue. However, this is probably the most challenging thing for dentists. If the color does not match, your restoration will look different and will easily be noticeable. Maybe it is my professional curiosity because while watching television I have a tendency to look at people’s teeth before I look anywhere else. From the most popular singers and actors to mighty and scholarly politicians, I can always recognize their prosthesis. Ironically, these people were spending their wealth on professional dentists who could not give their original teeth back to them. The color is not something that could be mixed up together by fulfilling only one of its features. The color comes into existence as a result of common features of many factors. A dentist’s only hope is one day using homogeneous clay typed structures squeezed from a tube.

The structure of the enamel and the dentine are deeply related with opacity and translucency, two important subjects of optics. That is why some parts of the tooth are translucent while the other parts are opaque. It is possible to restore it with a few optical tricks. The tooth is neither completely opaque nor translucent. For example, while the cutting edges of the tooth are translucent (especially the cutting edges of newly erupted milk teeth, they are almost glassy), the cervix of tooth, adjacent to gingiva, is opaque and dusky. Thus, in big restorations, we implant materials that reflect the light differently for every surface of the tooth. We try to compare and contrast to the original teeth by using optical tricks. However, a more important thing is the sustainability of this quality. Especially, for restorations made to anterior teeth, you can observe that the colors have become darker and have separated from adjacent tooth with a dusky-colored borderline. Indeed, it is evident that color harmony is not preserved properly.

We cannot expect to reach a result that is equivalent to the look and feel of natural teeth through esthetic restoration only. The mechanical properties of restoration must be similar to that of the natural teeth. The reaction of the teeth to a certain force is very important. Teeth are subjected to forces of different types and magnitudes throughout the day, and they are created so as to endure those forces. Any restoration must be as strong and durable as the natural teeth. A piece of filling that is placed into a tooth becomes a working part of the entire system. If it is not as resolute as the rest of the system, then it cannot integrate and may fall out. In this regard, the mechanical properties of the material for restoration are crucial. There are dozens of other aspects in which one can compare those properties with a natural tooth. Considering just a couple of the important properties such as hardness and flexibility is enough to show significant differences between natural teeth and restorative materials.

Both hardness and flexibility of a material are determined by certain characteristics and are all formulated in scientific terms. We can see the difference of natural teeth very easily by comparing the hardness and flexibility of the most commonly used composites in the fore teeth and that of hard tissues like enamel and dentine. There is yet another point not to be missed: What makes our teeth perfect is that they are both hard and flexible at the same time. We can see the big gap between real and artificial teeth when we compare the quantitative values of these mechanical properties.

Teeth, in addition to their superior mechanical features, impress us with their exceptional capacity to transmit the force they face. Teeth come in contact with their hard counterpart everyday while eating or otherwise. A casual observer might think that a tooth is directly attached to the chin bone. Let alone being attached, the tooth does not even touch the chin bone. It is tied to the chin bone with flexible strings. A fusion of the bone and teeth is out of the question. It’s as if a bucket is lowered in a well. Whenever we chew, the pressure endured by the teeth is transferred to the bone through these strings in the best manner. These periodontal ligaments serve as shock absorbers. It would be incomplete to explain force transfer in teeth with these strings. It is imperative to remember the structure called lines of forces located on the chin bone that are shaped in such a manner as to guide the force.

It is a noteworthy challenge to make restorations and to replace a tooth in every aspect. Man-made products or works of art cannot be completely imitated; experts at least could tell the differences right away. Could it then ever be possible to imitate an artwork of the Divine to the same degree of perfection in its authentic form?

Mehmet Yildiz is a Professor of operative dentistry at Ataturk University, Erzurum, Turkey.

We agreed with the other organs to explain the splendid art inherent in us to you; we have patiently waited our turn. Our aim is to remind you to look after yourself so you will continue to live a healthy life and consciously perform your duty of servitude to our Lord Who created us. In addition to your perfections, as human beings you also have certain faults, such as being negligent, deceptive, or forgetting easily. Even if you realize that these are your faults, each bears a distinct wisdom in terms of Creation. If from time to time you can succeed in avoiding this negligence and escaping these experiences by using these shortcomings as a springboard or platform from which to depart, you will be able to reflect and contemplate on the attributes of God with greater admiration.

Indeed, we are just inside the gateway of the body that opens to the outer world, the mouth, an area through which the various substances you eat to stay alive pass through the mechanic process we implement before actually entering the body.

When food first enters the mouth, it is passed through a grinding process that carries out a mechanical breakdown before the chemical breakdown in the stomach and intestines. We teeth are aligned along on your lower and upper jawbone. When you were only a two-month old fetus, the Creator Who is aware of the importance of our tasks began to prepare us, and we were planted, just like a seed sown in the earth, in the crevices in your jawbone, and concealed by your gums. But still, we do not appear immediately after birth, because we may hurt your mother when she is nursing you. Initially, it is necessary for you to be fed with that unique nourishment, your mother’s milk. However, we begin to gradually emerge in the form of tiny stumps while you are still being nursed by your mother, when you are around six or seven months old.

We were created to cut, chew, and grind food of various textures and hardness. The number and mechanical functions of my colleagues, who have names such as incisors (cutting teeth), canines, premolars, and molars vary. The incisors, which are at the front, begin to appear when you are still only 6–8 months old, the ones immediately beside them erupt when you are 8–12 months, the premolars appear when you are 12–16 months, the canines at 16–20 months and second premolars when you are between 20–24 months old.

During this period, we are known as the milk teeth. When you are 6–7 years old, the molars emerge and then when you are 7–8 years old the central incisors appear; between 8 and 9 years of age the lateral incisors, between 9 and 11 the first premolars, between 11 and 13 years the second premolars and the canines, and finally between 12 and 14 years of age the second molars erupt; the third molars, known as the wisdom teeth, usually appear any time between the ages of 17 and 40, although sometimes they do not come through at all. The two front incisors, the canine beside them, and the two premolars and three molars, that is, a total of eight teeth, constitute half of the jaw, but all the teeth work as a team of 32. Sometimes you may hear about humans who perform various experiments regarding our strength. My strongest chewing force was recorded as 1900 Newton. In a demonstration of strength, a human was capable of lifting a weight of 620 lb as high as 7 inches from the ground. Although each of us has different functions and appearances, in terms of where we are situated, in general our anatomic structures are the same. The enamel layer covering me is very hard and shiny. My enamel layer is even stronger than bone. My sections, which cut hard substances you put in your mouths like knives without bending, are in fact covered in enamel. Beneath the enamel surface is a solid, bone-like substance known as dentin, which has a slightly different composition than that of the bone found in other parts of the body. The space in the center of this layer (known as pulp chamber) is filled with blood cells and nerves that nourish me. The section of each of us that is buried beneath the jaw bone is called the root, while the part that is visible and which you brush daily is called the crown. Throughout your lives, everything you put in your mouths, whether it is hard, soft, corrosive or acidic, comes into contact with the crown. Some substances can damage us. Even stone or steel would not be able to withstand the conditions that we teeth are exposed to. Although made of metal, a carpenter’s saw becomes blunt, and even a blacksmith’s grinder looses it effect after a while. But if you take good care of us, we will serve you throughout your entire life. Unfortunately, I have noticed that you do not take care of us at all. You eat sweet things, but you do not clean us, you eat meat, but you do not brush us, you relentlessly use us to crack open nuts, and pour anything you find, whether hot or cold, over us. We can withstand this for now because we are still young, but it is impossible to say how long we can carry on like this. If any of us cracks and bacteria begins to eat away at us, eventually causing us to decay, you will start to complain, but it will be too late.

The Prophet Muhammad, peace be upon him, gave utmost importance to us in his daily life. Whenever the opportunity arose, after eating, before prayer, in the morning when he woke up, the Prophet constantly used a miswak, a cleaning twig, and cleansed us with affection. This is why we sparkled like pearls when he opened his mouth or smiled, and those close to him never sensed an offensive odor from his breath. But many people today do have bad breath because they neglect us. Not only does the smell of bad breath make others uncomfortable, but you are also causing harm to yourselves. After the bacteria that hides in the crevices on and between us makes a hole through the enamel and the bone beneath it, this bacteria then begins to spread to your entire body through the blood cells in the pulp chamber, causing damage to other organs of your body. These bacteria can damage vital organs, such as the heart or the kidneys. At first, you do not notice this, because this occurs over a long period. But these bacteria can gradually destroy many of your organs. When you do finally realize what has happened, it could be too late; your cardiac valves may have stopped working properly, or the filtering function of your kidneys may begin to fail.

If you begin to lose us one by one, initially you will notice the change in the taste of your food, then defects in your speech, and eventually you will notice facial deformities and sunken cheeks. You will have to make dentures at great expense, and only in this way will you be able to restore your appearance; but in terms of function, you will never be able to substitute us with those artificial dentures!

You know that one of the main characteristics that distinguish us from animals is speech. Although the focal point of speech is in the brain, speech actually emerges as a sound or words with the collective assistance of many other organs. These are mainly the lungs, the larynx (voice box), the ears and the tongue; but we too play a big role in the correct pronunciation of many letters and words.

In addition, the mechanoreceptors in us and the cell network in our roots display such perfect precision that when we chew, we do not bite your tongue or cheek. Therefore, you can adjust the force of biting pressure for substances of various textures. If these receptors and cell network did not exist, you would use an identical chewing strategy for eating substances as hard as an apple or as soft as pudding. In which case you could not bite an apple or you would attempt to eat pudding with excessive pressure, causing us to grind together with unnecessary force, even breaking us.

So you can see that nothing has been created without a purpose. Are there any unnecessary details in creation? Of course not! This is impossible; as the eternal wisdom and power of He who created us would never permit something which is deficient or of no purpose..!

Dear Peter! I think this should be sufficient in describing ourselves to you. Naturally, the food we breakdown is not in a condition to be swallowed immediately. Therefore, our neighbors, the salivary glands can explain what happens next…

Irfan Yilmaz is a professor of biology in Dokuz Eylul University, Izmir.

instead of a picture, multiplication table adorns my kitchen wall.

I have 8 arms like an octopus reaching in every direction.

Nobody can worry as much as I do.

There is always some stain on my clothes that detergent won’t remove.

I am a mother,

my notebook has dinosaurs drawn on it

the wall of my bedroom a little artist’s exhibition.

Me and my cell phone fall apart too often.

I lose my keys every other day.

I am a mother

and a pediatrician though I never went to medical school.

I play the cook, the nurse, the teacher, the driver, the singer

selfless like the rain, the earth, the sun.

I am a mother,

small things make me cry for joy.

like little notes that say “luv mom”

or sketched portrait with ugly teeth and fuzzy hair,

every line reflecting admiration and care.

I am a mother,

my heart deep and vast like an ocean.

I am a mother,

paradise lies under my feet.

Mirkena Ozer pursues MA in creative writing at the University of Georgia, Atlanta.

Before they go to holy places people bathe or shower and then dress in their best clothes. In this way, they are showing their Creator how morally and physically clean they are. Physical cleansing also has benefits for health by removing visible or invisible dirt from the body. As mentioned above, all religions give importance to both physical and moral purity. This article will focus on the Islamic perspective of cleanliness and support it with scientific findings.

The Islamic perspective of cleansing and ablution

In the Islamic belief it is stressed that God’s beloved people are those who are pure and clean. The Prophet Muhammad, peace and blessings be upon him, said: “Cleanliness is half of faith.” This means that physical cleanliness is very important for the purification of the soul and for preparing to worship God. The purity and cleanliness of the body consists of avoiding all external filth and adorning it with cleanliness and good manners.

Traditions of the Prophet about cleanliness

Whenever the Prophet took a bath after intercourse, he started by washing his hands and then performed an ablution that is similar to the one for the prayer. After that he would put his fingers in the water and rub the roots of his hair with them, and then pour three handfuls of water over his head and then pour water all over his body.¹

“The taking of a bath on Friday is strongly recommended for every Muslim, and (also) the cleaning of his teeth with miswak, and the using of scents if it is available.”²

Aisha said: “The Prophet passed away in my house and leaning against my chest. One of us would recite a prayer asking God to protect him or her from all evils if he or she became unwell. So I began to ask God to protect him from all evils (by reciting a prayer). . . . Abdur Rahman bin Abu Bakr was passing by with a fresh leaf-stalk of a date-palm and the Prophet looked at it; I thought that the Prophet was in need of it (for cleaning his teeth). So I took it (from Abdur Rahman) and chewed the top of it, shook it and gave it to the Prophet, who cleaned his teeth with it, in the best way he had ever cleaned his teeth, and then he gave it to me. Suddenly his hand dropped down or it fell from his hand (i.e. he passed away). So God allowed my saliva to mix with his saliva on his last day on earth and his first day in the Hereafter.”³

The Prophet said, “Were I not afraid that it would be hard on my followers, I would order them to use the miswak (as obligatory, for cleaning the teeth).”⁴

Aisha reported: “The Messenger of God, may peace be upon him, said: ‘There are ten acts according to fitra (acts required by human nature): clipping the moustache, letting the beard grow, using miswak (for cleaning the teeth), snuffing water in the nose, cutting the nails, washing between the fingers, plucking the hair under the armpits, shaving pubic hairs and cleaning one’s private parts with water.’ The narrator said: I have forgotten the tenth, but it may have been rinsing the mouth.”⁵

Abdullah ibn Abbas reported: “I spent (one night) in the house of the Messenger of God (may peace be upon him). He got up, brushed his teeth and performed ablution and said: ‘In the creation of the heavens and the earth, and the alternation of the night and the day, there are indeed signs for people of understanding’ (Al Imran 3:190), reciting to the end of the chapter. He then stood up and prayed two cycles, standing, bowing, and prostrating himself at length in them. Then he finished, went to sleep. He did that three times, six cycles altogether, each time cleaning his teeth, performing ablution, and reciting these verses. Then he observed three cycles of witr. The call to prayer was then heard and he went out for prayer, saying,:” O God! Place light in my heart, light on my tongue, light in my hearing, light in my eyesight, light behind me, and light in front of me, and light above me, and light below me. O God! Grant me light.”⁶

Ablution and its benefits

There are twenty-six movements to the washing ritual of ablution in Islam, and Muslims perform ablution before they start their daily prayers, going before God with a healthy and clean body. The description of ablution and the importance of physical cleanliness are given in the Qur’an as follows:

O you who believe! When you rise up for the Prayer, wash your faces and your hands up to (and including) the elbows, and lightly rub your heads (with water) and (wash) your feet up to (and including) the ankles. And if you are in the state of major ritual impurity (requiring total ablution), purify yourselves (by taking a bath). But if you are ill, or on a journey, or if any of you has just satisfied a want of nature, or if you have had contact with women, and can find no water, then betake yourselves to pure earth, passing with it lightly over your face and your hands (and forearms up to and including the elbows). God does not will to impose any hardship upon you, but wills to purify you, and to complete His favor upon you, so that you may give thanks. (Maeda 5:6)

According to Prophetic tradition these movements are repeated three times each. Additionally, the inside of the ear, behind the ear and one-third of the head above the forehead are wiped once, according to the traditions of the Prophet. Moreover, the Prophet encouraged making ablution before going bed.

Yoga instructors also teach their students to wash their hands, eyes, legs, mouth, and genitals before going to bed with cold water as well. This act of cleansing prepares the body for a deep sleep [Avadhuta, Vedprajinananda, Yoga Health Secrets].

Ablution stimulates the biological rhythms. In his article entitled “Muslim Rituals and their Effect on the Person’s Health,” Dr. Mogomed Magomedov⁷ mentions how ablution stimulates the biological rhythms of the body by specifically focusing on the Biological Active Spots (BASes), very much like the idea behind Chinese reflex therapy:

As we know human body is a complex system of electromagnetic fields, meridians, biological rhythms and so on. Man’s internal organs, in their turn, present a bio-energetically sophisticated whole; they all have indissoluble multi-channel bilateral connections with the skin, which hosts special spots, whose functions resemble those of buttons on “control” and “ recharge boards” responsible for particular organs. These spots are called biologically active spots (BASes).

Dr. Magomedov also suggests that his studies are inspired by his solemn belief that five daily prayers each day are bound to have not only an “indisputable spiritual effect,” but are also to have a purely healing effect physically.

Ablution prevents potential health problems. The scholar Mukhtar Salem points out the health benefits of the washing movements in ablution in his book Prayers: A Sport for the Body and Soul. He classifies the benefits of ablution as follows:

1. Ablution helps prevent skin cancer. The author claims that the areas washed during ablution are those parts of the body that are most prone to be exposed to pollution, whether it is pollution from the internal secretions of the body onto the skin surface, such as sweat, or whether it is from external pollution. Ablution removes this “pollution” five times a day, and hence maintains a clean outer layer of skin, which in turn helps the cells underneath to function properly. Also, washing with water helps invigorate the blood vessels, as well as the nerves and glands that are near the surface of the skin, and hence helps them perform their functions efficiently. [Salem, Mukhtar, Prayers: A Sport for the Body and Soul, Cairo, The Arab Modern Center (1990), pg. 52.].

2. Washing the mouth removes food particles, which could cause teeth and gum problems in the mouth. This is also one of the reasons why miswak (or brushing one’s teeth) is recommended.

3. When washing one’s nostrils, one is also performing a preventive health measure as the germs trapped in the nostrils are removed and do not pass onto the respiratory system. According to a study conducted by a team of doctors at Alexandria University, the Prophetic tradition that urges an exaggerated washing of the nostrils by introducing water into the nostril and then blowing it out positively affects the inner coating of the nostrils. Those who carried out the washing in the correct manner had clean, shiny nostrils with no dust clinging to the small hairs inside. However, those who did not perform the ablution had slightly darkened, greasy nostrils and their nostril hairs came away easily.

4. Repeated washing of the face invigorates the facial skin cells and helps prevent early wrinkles, as well as having a cleansing effect on the inside of the eyes, which prevents eye infections. (Salem 1990). Washing the ears also helps get rid of wax accumulation, which may cause ear infections or affect the inner ear, which eventually causes a loss of balance.

5. The Prophetic tradition of encouraging one to wash between the toes while washing the feet is also extremely important, Salem (1990), as this prevents the foot, which in our modern times is trapped most of the day inside shoes, from acquiring athlete’s foot.

Salem (1990) concludes that ablution also has an exercising effect on all the muscles involved in the action, as they are thus being stimulated five times a day or even more according to the frequency of repetition.

Ablution is useful for controlling anger as well. In a hadith⁸ the Prophet encouraged making ablution when angry in order to cool down and to benefit from the refreshing effect of the water; he stated that anger is from the devil, that it is made out of fire, and can therefore be put out by water.⁹

Conclusion

Scientific experiments document the relation between physical purity and moral purity. This helps to understand the reasoning behind the encouragement of cleanliness in different belief systems. Ablution is a significant part of the Muslim daily rituals, and it not only has physical benefits but also spiritual benefits, such as stimulating the biological rhythm, preventing health problems, relaxing the body, purifying the soul, and washing away the sins.

References

• Avadhuta, Vedprajinananda, 2005, Yoga Health Secrets, http://www.mega.bz/body_energetics/article.mgi?id=147
• Magomed Magomedov, Muslim Rituals & Their Effect On The Person’s Health, http://www.crescentlife.com/wellness/muslim_rituals_and their_effct_on_the_person’s_health.htm
• Salem, Mukhtar, 1990, Prayers: A sport for the soul and body, CAIRO, The Arab Modern Center, p: 52.
• Zhong, Cen-Bo, and Liljenquist, K, 2006, Washing away Your Sins: Threatened Morality and Physical Cleansing, Science, vol 313, pp: 1451-1452

Notes

1. Sahih Bukhari, Volume 1, Book 5, Number 248

2. Narrated by Abu Said, Sahih Bukhari, Volume 2, Book 13, Number 5

3. Narrated by Aisha, Sahih Bukhari, Volume 5, Book 59, Number 732

4. Narrated by Abu Huray ra, Sahih Bukhari, Volume 9, Book 90, Number 346

5. Sahih Muslim, Book 002, Number 0502

6. Sahih Muslim, Book 004, Number 1682

7. Daghestan State Medical Academy, Assistant to the department of the Man’s General Hygiene and Ecology

8. http://en.wikipedia.org/wiki/Hadith

9 Narrated Atiyyah as-Sa’di.

A tooth is created with four main layers: enamel, dentine, pulp chamber and cementum (the thin layer where the tooth attaches to the jaw). The hardest tissue of the body, the enamel is the protective, outermost layer of the tooth. Since it does not contain any living matter such as veins or nerves, we are not affected by hot, cold, sweet or sour stimulants via the tooth. If the Owner of an Everlasting Might and Compassion had not created the enamel of the tooth, which He placed at the entrance of the digestion room in the human palace, as he did, the variety of food we would eat would be very limited. Even slight contact with air would cause us great discomfort, and speaking or even opening our mouth would give us great pain.

The dentine, the hard layer just below the enamel, is a tissue sensitive to hot, cold, sweet and sour stimulants. As a reflection of the Creator’s Affection for His Creation, the dentine tissue is repaired when necessary by the restoring cells that he placed there.

The most inner part of the tooth is the organic part called the pulp chamber, which is filled with veins to protect the tooth from decay and feed it with necessary nutrients. Nerve cells in the soft pulp tissue play the greatest role in sensing the stimulants of heat, cold and pressure.

If we examine the anatomical structure of a tooth in detail, only then can we clearly see how it is perfectly equipped with wondrous and intelligent structures. However, are we really conscious of the duties of our teeth, placed in our jaws like pearls, in protecting our general health?

One of the main entrances to our bodies for microbes is the mouth. Because of this, maintaining healthy teeth and a clean mouth is very important in preventing diseases and maintaining a healthy life. When the mouth is not kept hygienic, a suitable environment is formed for the emergence of even very feeble microbes. In an unhygienic mouth, food residue accumulates and forms a bacterial plaque on the teeth. Using the glucose in this plaque, these bacteria produce acids. It is this acid that causes tooth decay and gum diseases.

Are we adequately informed about dental health and hygiene, a very important concept in preventive medicine? That Prophet Muhammad, peace and blessings be upon him, emphasized the importance of cleaning the mouth and teeth whenever one does his/her ablution and after every meal, grants a profundity of worship to God by keeping our teeth healthy.

Importance of Milk Teeth

Milk teeth start to appear in a baby’s gums after about the sixth month of age. The appearance of milk teeth differs from baby to baby according to factors like genetics, birth weight, socio-economics and nourishment level. By cutting a group of teeth every six months, all of the milk teeth appear by the age of 30 months. Between the 6th and 12th months the first incisors, between the 12th and 18th months the first molars, between the 18th and 24th months the first canines and between the 24th and 30th months the second molars erupt. Since the dentine tissue is not fully developed in this period, milk teeth are not at all resistant to decay. Since the pulp chamber is very soft and packed with blood vessels, it is very vulnerable to decay. Sucking fingers, excessive use of a pacifier, sucking or biting lips and gritting teeth all negatively affect the development of milk teeth. During the eruption of milk teeth, babies may have discomfort like itching gums, a need to bite something, excessive saliva secretion, watery eyes, lack of appetite, loss of weight, fever, bad temper and crying. In order to relieve these discomforts, the baby may be given something to chew on to relieve the pressure on the gums, and some cold drinks and cold food to soothe the pain.

As nothing in creation occurs devoid of wisdom, one may ask “What benefits are there after the discomforts when a baby’s milk teeth are coming in?” In other words, why are the milk teeth so important? Most of us do not give them enough care, because we think of them as temporary. The space occupied by the milk teeth is saved for the permanent teeth, and when the permanent tooth starts erupting, the milk tooth guides it into its proper place. If milk teeth are extracted too early, this alignment and spacing function of milk teeth cannot be performed, hence the permanent teeth may erupt in an improper way. Moreover, milk teeth provide proper chewing and correct vocal speech for the baby. When a baby develops unhealthy milk teeth, this may cause problems like poor facial appearance, and therefore some psychological disorders in the future. Untreated defects of milk teeth can cause pain, bad breath, difficulty in chewing, disorders in jaw development, malnutrition, aesthetic and general health problems like rheumatism and heart diseases.

Protection of Milk Teeth

Since tooth decay in babies’ teeth is very difficult to treat, preventive measures are much more important in looking after the milk teeth. Some of these measures are as follows;

• A baby must not allowed to sleep with A milk bottle in her/his mouth,

• Sugar, honey or any other sugary substance must never be added to baby’s milk,

• Baby must be given water after every feeding,

• After baby’s first teeth erupt, after every morning and evening meal, his teeth must be wiped with a soft, wet, clean towel,

• Give a soft learning toothbrush to the baby to play with.

A child must start using a toothbrush after his molars erupt, at the age of 2.5 to 3 years old. The size of the toothbrush should be suitable to the child’s mouth. It should be soft and made of nylon. Children can only brush the front of their teeth. Since the space between the teeth should also be cleaned to provide a shield against decay, parents should supervise their children when brushing their teeth. At this age, a child cannot brush his/her teeth properly, but the main aim to be achieved is for him/her to get into the habit of brushing teeth. Toothpaste may start to be used for the child after the age of three. We must not forget that the important thing for oral hygiene is not the toothpaste itself, but brushing the teeth properly and thoroughly. If these measures are not taken, or if it is already too late, any disorder in the milk teeth must be treated immediately without making the mistake of thinking the milk teeth will be replaced anyway.

Permanent Teeth

The first permanent teeth are the first big molars, which erupt when the child is about six years old. Between ages 7 and 9, the lower and upper incisors, between ages 9 and 10, the lower canines, between 10 and 12, the first and second small molars, between 11 and 12, the upper canines, between 12 and 13, the second big molars, and finally, between 17 and 21, the wisdom teeth, the third molars erupt. During the eruption of permanent teeth, some problems like distorted development may occur. Genetic factors, early loss of milk teeth, breathing disorders, untreated cavities between milk teeth and a mismatch of jaw and tooth sizes, may cause irregular development of teeth. The dental treatment practiced for aligning such irregular teeth is called ‘orthodontic treatment.’ Since irregularities of teeth form spaces suitable for the accumulation of food residue which allows microorganisms to increase and then leads to decay, orthodontic treatment should be done before the permanent teeth are firmly positioned. Irregular teeth may cause jaw-aches because of abnormal interlacing of upper and lower teeth.

There are different thoughts about whether the wisdom teeth should be pulled out or not. Wisdom teeth are placed at the furthest back part of the jaw curvature. This part of the mouth is very suitable for food residue and microorganisms to accumulate. Because of this, wisdom teeth are very vulnerable to decay. In addition, any decay in these teeth may also affect the adjacent molars. If a positive result will not be achieved from treatment, these teeth can then be pulled out. However, if the wisdom teeth will erupt correctly into their places and do not negatively affect the surrounding tissues, and if there is sufficient space for them in the jaws, it is definitely beneficial for them to stay.

Another tooth problem that seems to concern today’s aesthetic conscious individuals is the color of teeth. However, tooth color is completely a personal phenomenon, like eye or skin color. But still, we must know that some external factors, like tea, coffee, smoking, feeding habits and tooth injuries, and some internal factors, like genetic attributes and aging, may also affect the color of the teeth.

What should we do to obtain Dental Health?

Mouth and tooth hygiene is an important issue that was emphasized strongly by Prophet Muhammad, peace and blessings be upon him, and the most effective method he used was brushing the teeth. However, after eating acidic foods or drinking acidic drinks like fruit juice, fruits, soft drinks or fizzy drinks, you should wait for about 30 minutes, because the dental enamel will be softer and more sensitive just after consuming such foods and drinks and if you brush straightaway, you may rub the acid into the enamel tissue of your teeth. You can clean the residues of acidic foods and drinks by rinsing your mouth with water or a fluoride based mouth rinse.

Having a healthy mouth and teeth mainly depends upon applying a good brushing technique to the teeth and gums. By applying the brush in a circular manner, you should always start brushing the gums towards the teeth, then the outer surfaces and finish with all inner surfaces. You must avoid damaging the masticator surfaces by applying too much force. Brushing the teeth twice a day at least is necessary to prevent the formation of bacterium plaque.

In order to achieve ideal hygiene for your teeth, you should also use dental floss for cleaning between the teeth. This will help to clean places where a brush cannot reach and thus prevent dental plaque. Also, special mouth rinses may be used in order to provide an effective general cleanliness.

Toothpicks can also be used between the teeth. While they are cheaper, they cannot provide a hygiene as comprehensive as dental floss, since they are thicker than floss. When using toothpicks, you should choose those with blunted tips to prevent any inflammation of the gums. Food residue that has stayed too long between the teeth should not be swallowed, since large amount of harmful microorganisms may grow on it.

In elderly people, due to a lack of sufficient calcium, disorders like gum retraction and wobbly teeth may occur. For people who have lost their teeth completely, because of osteolysis of the lower jaw, dental prostheses may not fit properly in the jaw. During this time of life, extra calcium intake should be provided by following a calcium-rich diet.

With age, the amount of calcium also decreases in the body. In relation to this situation, teeth also become more fragile. Using the teeth to break open nuts may cause cracks that cannot be seen with the eye, which may later cause fractures in the teeth. Therefore, we must never use our teeth to break hard foods, such as nuts, at any age, and we must be careful about breaking teeth, especially during old age.