The ketogenic or keto diet has gained a lot of attention in recent years due to its benefits of helping people lose weight. This diet is high in fats and very low in carbohydrates, which puts the body into a state called ketosis. In ketosis, the body switches from using glucose (sugar) for energy to using fat instead. However, does this kind of diet impact your dental health?
The truth is that whatever you consume is directly linked to your dental health. Whatever changes you make in your diet can have positive and negative effects on your teeth. On the positive side, keto reduces sugars and carbohydrates. This lowers your chances of getting cavities and plaque buildup as oral bacteria rely on sugars to grow.
However, the keto diet has a strict nature, which can prevent your body from getting all the essential nutrients that it requires. Low carbohydrate intake can cause dry mouth and increase the acidity in saliva. If you have a keto diet and are concerned about your dental health, consult with a dentist in Concord, NC, today.
What is ketosis, and how does it affect the mouth?
A person’s body normally uses carbohydrates as the primary source of energy. However, when your carbohydrate intake is reduced, your body shifts from using carbohydrates to using fats as the new energy source. This metabolism is known as ketosis. The liver converts the fatty acids into ketones, which serve as an alternative energy source for the body.
The side effect of ketosis is called keto breath, which refers to a distinct bad odor. Keto breath usually happens when ketone production is increased in your body during the breakdown of fats. When your body enters ketosis, it produces three main types of ketones: acetone, acetoacetate, and beta-hydroxybutyrate.
The relationship between low-carb diets and oral health
Low carbohydrate diets can be beneficial for your oral health. It greatly influences the oral microbiome. When carbohydrates are reduced, sugar, which is a primary food source of bacteria, is also reduced.
Therefore, the bacteria find it difficult to thrive in such an environment, and their population is decreased. Moreover, a lower-carb diet means decreased sugar consumption, which is directly linked with cavities.
Oral bacteria feed on the sugars in your mouth and produce acids, which demineralize tooth enamel, resulting in cavities. If you cut down your sugar intake, you will experience a high reduction in these acid attacks. Ultimately, this helps maintain oral hygiene and reduce the risk of cavities and decay.

Potential drawbacks of keto on oral health
A ketogenic diet may offer you various health benefits. However, it also has some potential drawbacks to your oral health. A major side effect is keto breath. It generates a distinct fruity or metallic odor, which might be unpleasant.
This happens due to the production of acetone when your body enters ketosis. Acetone is one of the three main types of ketones produced during fat metabolism and is released through exhalation.
Reducing carbohydrates can affect saliva production. Saliva plays an important role in neutralizing acids, washing away stuck food particles, and providing minerals that strengthen your tooth enamel.
When carbohydrate intake is low, the chances of dry mouth can increase. Bacteria love to thrive in dry mouths, which can lead to plaque buildup. When there is less saliva to wash away acids, the bacteria will continue to attack the enamel, resulting in tooth infections and decay.
However, you can counter this by drinking an adequate amount of water and eating good-fat foods. While it is good to opt for a keto diet to bring yourself back in shape, you should be aware of its consequences as well.
Is your keto diet causing oral problems?
If you follow a keto diet and believe that your oral problems are a result of that, visit a dentist to find out what the issue really is!
