Patient Education
Dental Care at Home—“The Fundamental Four”
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Toothbrush
- Brush for 2 minutes, twice daily, with a soft bristled toothbrush.
- Replace your toothbrush every 3 to 4 months to avoid bacterial colonization.
- Studies have shown 8 out of 10 patients using an electric toothbrush have better dental checkups than patients using a manual toothbrush.
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Toothpaste
- Colgate Total is the only over-the-counter toothpaste that kills bacteria in the mouth responsible for causing gingivitis.
- Sensodyne Pronamel and Colgate Sensitive Pro-Relief are great over-the-counter options for patients who struggle with enamel sensitivity.
- For cavity-prone patients, prescription Prevident fluoride toothpaste and fluoride-free MI Paste are products available through our office.
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Floss
- Woven floss removes up to 52% more plaque than waxed floss. Reach Gum Care is designed to be gentle on gums and has fluoride to help prevent cavities.
- For patients with tight contacts, woven floss can be difficult to use. In this case we recommend Reach Total Care—“it slides like Glide” but removes up to 2x more plaque.
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Mouthrinse
- Recent research suggests every patient can benefit from the daily use of an oral rinse. Using a mouthrinse helps eliminate bacteria in the mouth responsible for infection of the teeth and gums; however, not all rinses are effective. Many over-the-counter mouthrinses only temporarily freshen breath. Mouthrinse should be used to treat bacteria which are the source of bad breath. Our office recommends Oxyfresh mouthrinse—an alcohol-free mouthrinse that soothes the gums and kills bacteria in the mouth, thus freshening breath.
Your Child and The Dentist
The American Dental Association recommends a child’s first dental visit be scheduled by age one. We recommend the initial dental visit take place with a pediatric dentist as they are best equipped to treat younger children. Parents are typically encouragedto accompany their children during these initial appointments. By age 5 (or as early as age 3) some children are ready to transition to a general dental office for longer appointments and additional treatment, as needed. We are happy to aid in this transition and prepare children for dental health changes as they approach their adolescence.
According to the American Dental Hygiene Association, a good oral hygiene routine for children includes cleaning your infant’s gums after each feeding with a water-soaked cloth. By age 3, children should be taught about correct brushing technique with a pea-sized amount of toothpaste. Proper flossing technique should be introduced to children by age 8. Both brushing and flossing will help develop your child’s dexterity. Regular six month dental visits should be scheduled to check for cavities and possible developmental problems (i.e. crowded, rotated or missing teeth).
Bad Breath (Halitosis)
Whether you call it bad breath or halitosis, it’s an unpleasant condition that’s cause for embarrassment. Some people with bad breath aren’t even aware there’s a problem. If you’re concerned about bad breath, see your dentist and dental hygienist. Together they can help identify the cause and, if it’s due to an oral condition, develop a treatment plan to help eliminate it.
Common Causes of Bad Breath:
- Certain foods—garlic, onion, etc.
- Inadequate oral hygiene
- Dry mouth (xerostomia)
- Gingivitis and periodontal disease
- Tobacco products
- Medications
- Medical disorder—respiratory/sinus infection, bronchitis, diabetes, GERD /acid reflux, etc.
Treatment Options for Bad Breath:
- Diet and Nutrition counseling
- Improved dental home care as advised by your dentist and dental hygienist
- Alternative and/or additional dental care products—toothpastes, mouthrinses, floss, etc.
- Scaling and root planing to treat periodontal disease
- Tobacco cessation
- Regularly scheduled professional cleanings to reduce, treat and prevent bad breath
- Referral to a physician for evaluation of underlying medical condition
Dry Mouth (Xerostomia)
Many people experience the sensation of “cotton mouth” however may be unsure of the cause of this unpleasant feeling. Dry Mouth or xerostomia is a condition that affects many adults. It may seem to be a minor condition; however a dry mouth can lead to other dental problems such as cavities and bad breath. To help identify the cause of dry mouth and develop a treatment plan to help eliminate it, see your dentist or dental hygienist.
Common Causes of Dry Mouth:
- Medications
- Smoking
- Medical disorder—Sjögren's Syndrome, eating disorders, etc.
- Radiation therapy
Treatment Options for Dry Mouth:
- Sip on water throughout the day
- Sugar-free lozenges (containing Xylitol)
- Over-the-counter Biotene products
- Prescription Prevident Dry Mouth Fluoride toothpaste, MI Paste or Carifree Spray
Whitening procedures have effectively restored the smile of people with stained, dull, or discolored teeth.
The darker tissue of your teeth, the dentin, can become exposed as the outer layer of enamel is worn away by the effects of aging or things like caffeine and tobacco.
Food particles are naturally attracted to a tooth's enamel by a certain protein. Products like coffee and tea, berries and soy sauce are notorious for staining teeth. Over time, teeth actually become more absorbent and vulnerable to staining from food and other substances.
One type of stain-caused by traumatic injuries, medications and fluorosis-actually begins inside the tooth; brushing and flossing don't help. Another type of stain-one that can be more easily attacked by brushing, flossing and rinsing-is caused by external factors such as foods.
More and more people today are choosing tooth-whitening procedures to reverse the effects of aging and abuse from food and tobacco stains.
Some commercially available "whitening toothpastes" can be somewhat effective at removing stains and making teeth a few shades brighter. However, many of these products have abrasive substances that can actually wear away your tooth's enamel.
Whitening agents actually change the color of your teeth, but only are effective on certain types of stains. For example, bleaching agents have a difficult time removing brownish or grayish stains. These products also are not as effective on pitted or badly discolored teeth, or on restorations such as crowns, bridges, bonding and tooth-colored fillings (porcelain veneers or dental bonding may be more appropriate in this case).
Professional whitening performed by our office is considered to be the most effective and safest method; done properly, tooth whitening can last as long as five years. Over-the-counter whitening systems are somewhat effective as long as they are monitored and directions followed closely.

