Not to make light of the impoverished in America, but a dentist studied the oral hygiene of Appalachia, and the results weren't pretty.
445 families from two Pennsylvania towns and two West Virginia counties were studied, and they had shockingly high amounts of gum disease. Fully 80% of adults suffered from severe forms of periodontal disease.
I saw a documentary on moonshiners once, and one of the people they were interviewing had no teeth and talked about how you need to use a lot of sugar when brewing your own liquor. I'd make a joke about it here, but it's just too shocking.
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