
On average, we’re talking about a 14–15 percent difference in tooth decay cases. They found that there is indeed a wide and dramatic disparity between the dental health of children in Appalachian counties as compared to Non-Appalachian counties in the state. In a 2015 paper, authors Kim, Manz, and Weyant collected data from a statewide, school-based survey based here in Pennsylvania. No matter, the disproportionate occurrence of tooth decay and tooth loss in the Appalachian region has been confirmed by others too. Unfortunately, I personally cannot access Harris’ brief and I’m not sure whether Singer’s figures come from Harris’ paper or from another source entirely. Dana Singer is a research analyst whose research she dedicates to a long battle against heavily sugared drinks.

Harris refers to Pricilla Harris, who in 2009 published a legal brief that explored the depths of the region’s, my region’s, affinity with carbonated beverages. That’s according to calculations by Singer, who is working with Harris,” writes Eliza Barclay, at NPR. “Some 26 percent of preschoolers in the region have tooth decay, and 15 percent of 18- to 2-year-olds have had a tooth extracted because of decay or erosion. “Mountain Dew mouth” has turned into a word of shame, and to me that signals just how little understanding there is of the problem.

It’s about a people with inadequate access to affordable dental care, or who have otherwise lost their faith in dental care or whatever anyone has to offer them. It’s about a part of American society that has gone forgotten. “Mountain Dew mouth” is about so much more than soda pop. There is no denying the costs of consuming soda. Are there more pieces to the puzzle, though?

Soda is harmful, and it can damage your teeth in many ways, just like it can do harm to other parts of your body. In the dental world, this problem of “Mountain Dew mouth” is often used (rightly or wrongly) to hammer down on the evils of soda and the harm it can do to us. It has also come to define debates around decisions with far-reaching consequences for the Appalachian region - where disproportionately bad oral health has given form to the term and to what it stands for. “Sugar kills,” reads the headline, as the article then proceeds to lecture us on the harm of sugar and soda, using “Mountain Dew mouth” as the emphasis of the argument.
