Houston residents drink more cola than anywhere else in the country. That plus their ranking of no. 49 in dental visits and no. 41 in dentists per capita doesn't bode well for healthy teeth. Their hard water can also contribute to stains and their ranking as no. 6 in fattest cities means their teeth and gums may be lacking in nutrients and circulation as well. If they want whiter teeth they'll need to put down the Coke can and pick up the phone to make an appointment with their dentist.
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No. 7: Greensboro, N.C.
Greensboro ranks no. 4 for America's smokiest cities, and that combined with its no. 8 rank in most teeth loss (not to mention being no. 44 in dentists per capita), means you'll be hard-pressed to find a flawless smile in this town.
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No. 6: Bristol, Tenn.
Bristol is the second smokiest city, according to U.S. News & World Report, and Dr. Smigel says smoking can cause major staining on your teeth. Plus, the tar can contribute to gum disease. Smoking isn't Bristol's only fault though. The state is also no. 3 in most teeth lost and no. 47 in amount of exercise*, which means residents' gums have two strikes against them.
*According to the Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System Survey Data, U.S. Department of Health and Human Services.
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No. 5: Baton Rouge, La.
Louisiana has more than a few factors working against a pretty smile. It ranks no. 43 in dentists per capita, no. 49 in exercise, no. 52 in fruit and vegetable consumption (and we know those crunchy veggies help fight plaque) and -- not surprising, considering these factors -- no. 5 in teeth loss.
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No. 4: Tulsa, Okla.
Tulsa is also on the list of the smokiest cities, coming in at no. 9. That, plus the area's hard water and low fruit and vegetable consumption, don't help the situation either. Could explain why Oklahoma ranks no. 6 in teeth loss.
What makes for a beautiful smile? We asked Irwin Smigel, DDS., founder and president of the American Society for Dental Aesthetics (ASDA) and creator of Supersmile, for his criteria: Regular dentist visits, not smoking, minimizing your coffee, soda and red wine intake and brushing and flossing. Other factors, like having hard water or a dry climate, can also stain teeth or create a dry mouth (which can hurt gums). We looked at these factors and found 14 cities that fell short on what it takes to have a healthy, attractive smile. If your city is on the list, it might be time to make an appointment with your dentist.
