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Which toothbrush should I choose? This is one of the most frequent questions we are asked. There are so many choices of toothbrushes out on the market. So, how do you know which one to pick? Brands such as Crest, Colgate, Aim, Arm & Hammer, are just to name a few. There are three types of brushes to choose from. The options are hard, medium, or soft. Hard bristles are made for large teeth and sturdy gums. People who seem to accumulates plaque and tarter faster than other people, tend to use the hard bristled brushes. The firmness works good cleaning the area a little more aggressively than medium or soft bristles. But watch out! Do not brush too hard and end up causing enamel wear or gum recession. A medium bristled brush works good for all ages as long as the teeth are in good condition. The bristles are flexible but still do a thorough job of removing plaque. A soft bristled brush is good for people with sensitivity, children, and people with braces or other dental appliances.

Electric and traditional toothbrushes isolated on white background
There are many choices for the type of toothbrush you choose to use. Will it be manual or powered? Some studies say that powered toothbrushes reduce the percentage of plaque vs. the manual toothbrushes. Although, both work great! The biggest factor is how the person is operating it. The person’s brushing habits and how well they do it is the main key to plaque removal. Age and dexterity are two reasons that powered toothbrushes can be better for some people. For example, people who have arthritis will find it easier to use a powered brush. Teenagers are usually not great when it comes to oral hygiene. Having a toothbrush that does all the work for them is a good idea. Someone who has Parkinson’s disease can have a hard time brushing. This would be another type of person to recommend a powered brush too.

It does not matter what time you brush, just so you do it two to three times daily. If you are not sure if you are removing all the plaque, try a disclosing solution. There are rinses and chewable tablets that have colored dye in them. Once the dye is released and mixed with saliva, the dye will show the areas where plaque is still present. Whether you buy a manual or powered brush, make sure it has the ADA seal of approval. Brush for a total of 2 minutes each time and you will be good to go!

Even though baby teeth are eventually replaced with permanent teeth, it is still important to a child’s overall health. It is okay for infants to suck their thumbs, fingers, toys, or pacifiers. Sucking an object gives children a feeling of comfort. Depending on how much a child sucks their thumb, the permanent teeth that begin to come in can end up being pushed out forward, which forms an overbite.

thumbsucking_2 An overbite is when the upper front teeth overlap the lower ones. This is why it is important to try and make this habit stop by the age of 6. With an overbite, children can also have problems with speech. A lisp can be formed which interferes with the correct formation of words and sounds. Thumb sucking can also lead to buck teeth, which will effect the shape of the face.

thumbsuckingTo help your children stop this habit, try to encourage them with rewards. Provide them with a toy after a certain amount of days they go without sucking their thumb. Mark progress on a calendar where the child can see the progress he/she is making. Most important, no nagging! Children get defensive if the parent is nagging to much about stopping the habit.

 

Burning Mouth Syndrome (BMS) is a painful, irritating condition that makes the tongue, lips, and palate (roof of the mouth) feel like

BurningMouthSyndrome_3 they are burning. Sometimes the burning sensation can affect the whole mouth, and not just a certain area. Although Burning Mouth Syndrome can affect anyone, it is most common in middle-aged or older women.

The moderate to severe burning is the main symptom and can last for months or years. For most people, the burning in the mouth starts in the morning and usually stops at night. Some people feel a constant pain, and others only have the burning sensation occasionally.

Causes of Burning Mouth Syndrome include:

  • Damage to nerves that control taste and pain
  • Dry mouth
  • Acid reflux
  • Depression and Anxiety
  • Hormones
  • Oral Candidacies or Thrush (Yeast infection in the mouth)
  • Nutritional deficiencies
  • Dentures that do not fit properly

BMS can have more than one cause, but usually the exact cause of symptoms cannot be determined.

BurningMouthSyndrome_1Depending on the cause of BMS, there are medications that can be prescribed to treat the oral candidacies, anxiety, and depression. There are also prescriptions and supplements to relieve dry mouth. Biotene mouth wash is commonly used to treat dry mouth. At home treatment can include sucking on ice chips, drinking plenty of water, avoiding hot and spicy foods, avoiding acidic foods and drinks, and avoiding alcohol and tobacco. If you have any questions about Burning Mouth Syndrome, call our office or physician for more information.

What are sealants?
Sealants are thin plastic coatings that are placed in the groves of the biting surfaces of your teeth. Sealants resemble tooth-colored fillings.

Who should get sealants & why?
Sealant_Before_After The purpose of sealants is to prevent cavities. We recommend children as well as adults to have sealants. As soon as the 6 year molars have fully erupted on your children, you should consider having sealants placed. The 6 year molars (first molars) usually come in between ages 5-7, but that can vary. Later when the 12 year molars erupt, those can also be sealed. The 12 year molars (second molars) usually erupt between ages 8 ½ to 13 years old. Besides, children, anyone who is prone to get cavities should consider getting sealants. Also anyone with deep groves in the biting surfaces of their teeth should consider sealants, since they are hard to keep clean.

Which teeth should have sealants?
Any permanent teeth can be sealed. Molars and bicuspids (pre-molars) are the teeth that are most often sealed.

What is involved with placing sealants?
dental-sealants To place a sealant, the tooth must be very dry. Any kind of moisture could prevent the sealant from adhering to the tooth. To ensure dryness, cotton rolls may be placed around your tooth. Next a preparation gel called etch is placed on the tooth. Then that gel will be washed and suctioned (vacuumed) off and the tooth dried by blowing air. Next a bonding agent will be “painted” on the tooth. Then a blue colored ultraviolet (u.v.) light is used to activate the bonding agent. Then the sealant is placed in the groves of the biting surfaces of the tooth. Finally the blue u.v. light is used to make the sealant harden. You may be asked to close your eyes or wear orange colored glasses because it is not good for your eyes to stare at the blue u.v. light.

Does it hurt to get sealants?
Having sealants placed is a totally pain-free procedure. The materials used to place sealants do have an unpleasant taste, but that does not last long. Soon after the procedure is over you will no longer experience that taste.

How long do sealants last?
The longevity of sealants varies per person. Sealants can last up to ten years or longer.
For more information or schedule an appointment for your child, please contact our office.

Many patients will ask the hygienist or dental assistant, “Do I have to get x-rays?” or “Do I really need x-rays today? I am concerned about the dose of radiation.” For those who are hesitant about dental x-rays, here are some facts about digital x-ray exposure that will reassure patients about radiation.

In everyday activities, we experience more radiation than digital x-rays. Digital x-rays are a lot safer than traditional x-rays. Patients are exposed up to ninety percent less radiation versus the traditional x-rays.

Even though we still use a lead apron as protection from radiation, there is a small measurable difference in dose of the whole body, whether an apron is used or not. The amount of radiation from x-ray machines is small and radiation is only produced during operation. Therefore, medical problems are unlikely.

Studies have shown that the radiation dose from an Full Mouth Set(18 x-rays total) of digital X-rays is less than what a person would be exposed to in one month from environmental sources. Full Mouth Set of x-rays is usually done once every three to five years. The 18 films taken in the Full Mouth x-rays show each individual tooth in the mouth. It is very helpful in detecting any dental issues unseen by a visual oral exam.

Dexis Digital Dental X-rays
Dexis Digital Dental X-rays

Radiation dosage from Panoramic and Bitewing X-rays are even less. Bitewing x-rays are two to four films total, usually taken once to two times a year. Bitewing x-rays show the dentist and hygienist interproximal cavities, which is in between the teeth. Interproximal cavities are not found with the naked eye, which is why bitewing

x-rays are important. Panoramic is the x-ray we do every three to five years to evaluate bone loss and very helpful for patients that still have wisdom teeth.

This table shows examples of radiation exposure:

Full mouth x-rays = 10-15 USV per year
Panoramic x-ray = 6-11 USV per year
4 Bite-wing x-rays = 2-3 USV per year
Mammogram = 1-2 MSV per year
High mileage frequent flying (100,000 to 450,000 miles per year) is 1-6.7 MSV
Sunlight, Radon Gas, and living at high altitude= 6 MSV per year
Natural Background Radiation from living at sea level= 3 MSV per year

Hopefully this information will ease patients minds about digital dental x-rays. Just think about how much radiation we get exposed to in our everyday life. Then think about how many times you are asked to have x-rays taken in the dental office. Feel free to ask our Team more questions about digital x-rays!

Many people in the United States have some form of gum disease. Some cases are mild while others are more severe.

Gingivitis is a mild form of periodontal disease which is reversible. In gingivitis, the gums become red, swollen, and bleed very easily. It is seen a lot more in teenagers and young adults. Gingivitis can be easily prevented by brushing two to three times daily for a total of two minutes each time, along with flossing once daily. The good news about gingivitis is that it can be reversed if you already have it.

Periodontitis, on the other hand, is the more severe form of periodontal disease that cannot be reversed. In periodontitis, gums pull away from the teeth and form “pockets” that eventually become infected. The plaque, tarter, and bacteria gets below the gum line which starts to form spaces or “pockets.” Proper oral hygiene can prevent periodontitis. Not only does periodontal disease affect your teeth and gums, it also affects your overall health. Some examples that periodontal disease can cause are: heart disease, stroke, pancreatic cancer, osteoporosis, respiratory disease, etc.

Find below a brief pictorial representation for the various stages of periodontal disease.

stages_of_perio_disease

Usually from the minute the “cleaning” begins, you can usually tell if someone has or might be prone to periodontal disease. In some cases, patients have never been “probed” before. The probe is the instrument we use to determine the amount of bone loss a patient has. The probe has millimeter markings that go from 1 to 10 mm. Some probes can go up to 12 mm. One to three millimeters is considered healthy gums. Four millimeters and above is considered periodontal disease. Unfortunately, a lot of people are unaware of their gum health until they come in our office.

There are different ways to treat periodontal disease. Depending on how advanced the periodontal disease is, you may be referred to a gum specialist called a periodontist. First, the hygienist will do a “deep cleaning” also known as “scaling and root planing.” This, combined with proper oral hygiene, will help improve the “pockets” formed from periodontal disease. There are different ways to help keep the periodontal disease under control. You may be prescribed an antimicrobial mouth wash containing chlorhexidine that helps fight gingivitis and periodontal disease. Such mouth rinses are safe and effective. The rinse also helps heal swollen and irritated gums.

Ask our team if you have any questions about your gum health.

It is very important to take care of your dental health, no matter what age you are. However it becomes more important as you age. We all hear “ I am going to lose my teeth as I grow old”. That is so not true. Your teeth can grow old with you and can last you a lifetime.

As you age, your mouth changes. You will notice that your teeth are not as sensitive when you were a young adult. That’s because the nerves in your teeth become smaller. So, if you don’t visit your dentist regularly, problems may not be diagnosed until it is too late.You can stay healthy, look good and feel great and to your surprise, a healthy mouth makes a very big difference.

The following are a few tips to improve and maintain your oral health:

1. Brushing twice a day with soft bristle toothbrush. You can benefit from an electric toothbrush too.
2. Floss at least once a day to clean in between your teeth.
3. Most tap water contains fluoride which helps prevent tooth decay no matter how old you are. So drink tap water.
4. Quit smoking. Not only does it put you at risk for lung and various other cancers, it can also cause tooth decay, gum disease and even tooth loss.
If you wear any dentures or partial dentures, then remember to clean them daily. Also don’t forget to remove them at night.
Visit your dentist regularly.

Following simple little steps like healthy diet, regular visit to the dentist and healthy oral habits can help you have your teeth for a lifetime.

Call us today at 205.833.5405, let us help you with your precious teeth.