Wednesday, April 3, 2013

The Marvels in Your Mouth

[ed. See also: This NPR Fresh Air interview with Mary Roach (h/t Scott)].

When I told people I was traveling to Food Valley, I described it as the Silicon Valley of eating. At this cluster of universities and research facilities, nearly 15,000 scientists are dedicated to improving — or, depending on your sentiments about processed food, compromising — the quality of our meals.

At the time I made the Silicon Valley comparison, I did not expect to be served actual silicone.

But here I am, in the Restaurant of the Future, a cafeteria at Wageningen University where hidden cameras record diners as they make decisions about what to eat. And here it is, a bowl of rubbery white cubes the size of salad croutons. Andries van der Bilt has brought them from his lab in the brusquely named Department of Head and Neck, at the nearby University Medical Center Utrecht.

“You chew them,” he said.

The cubes are made of a trademarked product called Comfort Putty, more typically used in its unhardened form for taking dental impressions. Dr. Van der Bilt isn’t a dentist, however. He is an oral physiologist, and he likely knows more about chewing than anyone else in the world. He uses the cubes to quantify “masticatory performance” — how effectively a person chews.

I take a cube from the bowl. If you ever, as a child, chewed on a whimsical pencil eraser in the shape of, say, an animal or a piece of fruit, then you have tasted this dish.

“I’m sorry.” Dr. Van der Bilt winces. “It’s quite old.” As though fresh silicone might be better. (...)

Most of the time, while you’re just breathing and not swallowing, the larynx (voice box) blocks the entrance to the esophagus. When a mouthful of food or drink is ready to be swallowed, the larynx has to rise out of the way, both to allow access to the esophagus and to close off the windpipe and prevent the food from “going down the wrong way.”

To allow this to happen, the bolus is held momentarily at the back of the tongue, a sort of anatomical metering light. If, as a result of dysphagia, the larynx doesn’t move quickly enough, the food can head down the windpipe instead. This is, obviously, a choking hazard. More sinisterly, inhaled food and drink can deliver a troublesome load of bacteria. Infection can set in and progress to pneumonia.

A less lethal and more entertaining swallowing misstep is nasal regurgitation. Here the soft palate — home turf of the uvula, that queer little oral stalactite — fails to seal the opening to the nasal cavity. This leaves milk, say, or chewed peas in peril of being horked out the nostrils. Nasal regurgitation is more common with children, because they are often laughing while eating and because their swallowing mechanism isn’t fully developed.

“Immature swallowing coordination” is the reason 90 percent of food-related choking deaths befall children under 5. Also contributing: immature dentition. Children grow incisors before they have molars; for a brief span of time they can bite off pieces of food but cannot chew them.

Round foods are particularly treacherous because they match the shape of the trachea. If a grape goes down the wrong way, it blocks the tube so completely that no breath can be drawn around it. Hot dogs, grapes and round candies take the top three slots in a list of killer foods published in the July 2008 issue of The International Journal of Pediatric Otorhinolaryngology (itself a calamitous mouthful). A candy called Lychee Mini Fruity Gels has killed enough times for the Food and Drug Administration to have banned its import.

by Mary Roach, NY Times |  Read more:
Image: David Plunkert