Here's the story: 5-6 years ago was my last dentist visit (lack of insurance and lack of liking the denist mostly). They always griped about flossing, but ok otherwise. So I finally get some insurance and when a strange tooth pain set it, I went in for a check-up and cleaning. A good amount of plaque, but the dentist (an older detist) did not mention any decay. At this point, I went on a sensitivity toothpaste (KNO3) with fluoride. Tooth pain went away in about a week's time. Shortly after, I've implemented paleo eating. About 3 months ago, I stopped with fluid milk (formerly consumed 2 gallons per week), the only dairy I now eat is cream, butter or the occasional parm or blue cheese. Fast-forward to today, and my 6 month visit. Gums are healthy, minimal plaque, no admonition for not flossing constantly. However, he (different dentist) claims to find 7 cavities. I'm a little shocked to say the least.
Question is: what change did I make that led to this situation?
I'd be really surprised if simply going paleo did this. Everything I've seen points to paleo being quite good for dental health.
Going dairy-free seems like I might have knocked out a huge amount of calcium from my diet. Of course, I also knocked out a ton of lactose as well. I don't have any dairy intolerance, and it definitely helped with leaning out a bit this last summer. I strongly suspect this might be the issue.
There's also the different opinions of two dentists. I tend to prefer older doctors, dentists, veterinarians, etc because they tend to be a little more laissez-faire in their treatment. I can't help but think the new dentist takes a more aggressive approach to treatment, treating anything that he possibly can treat as opposed to treating actual problems. I asked him which cavities had priority and he simply replied "all of them". Red flags in my mind for that statement. Or maybe the first dentist was just being lazy the first day and failed to mention anything. I certainly trust the first dentist more than today's dentist.
My plan of attack is to give myself 2-3 months on a different course to see what changes I can make. I'm thinking of reintroducing dairy since I'm 100% ok with it. Also going to try to increase my vitamin D3 supplementation (I started this when I started with paleo ~6 months ago) from ~15000 IU/week to 30000-35000 IU/week. Also going to make an appointment with the other dentist for a second opinion.
Hack my teeth? Opinions, recommendations, stories; all welcome.
Yes, I've searched and read previous questions on the topic. Am interested to hear if any others specifically went dairy-free and ended up with a less than stellar dental checkup...
Edit: Diet: Pretty standard paleo stuff. Have my own "Robb Wolf" meal matrix: meat, veggie, fat. Meats are beef (I knew the cow, it's good.), venison (wild), pork (I knew the pig, it's good), or seafood (wild-caught only). Veggies are varied; lots of spinach, cauliflower, sweet potatoes, etc... Fats are olive or coconut oils, some butter at times. Dairy is limited to what I mention above. Daily coffee for breakfast.
Supplements: 1-5 1000 IU Vitamin D3, when I remember to take them. 1.5 g EPA, 1 g DHA daily. B-complex with C & Zinc occasionally, used to be more regular with it though.