

Studies by the state government of Ohio have found similar results – that the Appalachian region has a lot more dental issues than non-Appalachian states. All these studies point to the region’s affinity with carbonated drinks.

Other surveys, including by author Kim Manz, have also sought to determine the causes of disproportionate occurrence of tooth decay and tooth loss in the Appalachian region. Pricilla Harris explores the depths of the region’s affinity with carbonated beverages in a legal brief published in 2009. Today, the soda is most known for ruining the teeth of residents of the area, in an epidemic known as Mountain Dew Mouth. However, the drink was officially developed and popularized in the early and mid-1990s in Knoxville, Tennessee. Willy the Hillbilly once declared that “it will tickle your innards” in a 1966 commercial. Mountain Dew – the soft drink – is a carbonated, fluorescent-green soda. Here’s everything you need to know about this widespread issue, including causes and what you can do to protect yourself. According to Eliza Barclay of NPR at least 26% of preschoolers in the region have tooth decay. The issue is just as serious among the younger generation.

Recent stats show that up to 98% of people in the region experience tooth decay before turning 44 years old.
