Patient Education

Dental Care at Home—“The Fundamental Four”

  1. 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.
  2. 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.
  3. 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.
  4. 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.
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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  


Braces are applied to teeth for various reasons, including poorly aligned jaws, crooked, crowded and missing teeth, or a bad bite (also called malocclusion).

Various things can cause teeth to become crooked or jaws misaligned, including thumb-sucking or a traumatic injury. Some conditions are inherited.

Children between the ages of 7 and 14 are typical candidates for braces because their facial structures are still developing. Adult braces usually entail additional procedures because their faces have already fully developed.

About Braces

Orthodontics is a field of dentistry that deals with corrections involving jaw and teeth alignment.

Braces employ the use of wires and are usually one of three types:

  • Old-fashioned, conventional braces, which employ the use of metal strips, or bands.
  • Metal or plastic brackets that are cemented or bonded to teeth.
  • Brackets that attach to the back teeth (also called "lingual" braces).

Procedures

Orthodontic procedures, also called "orthodontia," are complex processes.

In most cases, a dentist will need to make a plaster cast of the individual's teeth and perform full X-rays of the head and mouth.

After orthodontic appliances are placed, they need to be adjusted from time to time to ensure that they continue to move the teeth into their correct position.

Retainers are used following braces to ensure that teeth remain in position.

Aesthetic and Comfort Issues

Advances in technology have vastly improved appearance issues with orthodontia.

Braces today are made from extremely lightweight and natural-colored materials. The materials that braces attach to-brackets-are bonded to the surfaces of teeth but can be later removed.

People can expect to wear braces for about two years-less or more in some cases. Adults are usually required to wear braces for longer periods of time.

Because orthodontic appliances need to be adjusted from time to time to ensure they continue to move the teeth into their correct position, they can create pressure on the teeth and jaws. This mild discomfort usually subsides following each orthodontia adjustment.

Hygiene issues

People who wear braces must be diligent in ensuring that food particles and other debris do not get trapped in the network of brackets and wires. In addition, brackets can leave stains on enamel if the area surrounding them is not cleaned on a daily basis.

Daily oral hygiene such as brushing, flossing and rinsing are a necessity. Some people with orthodontic appliances can benefit from using water picks, which emit small pressurized bursts of water that can effectively rinse away such debris.

Another caveat: Braces and sticky foods don't mix. Crunchy snacks and chewy substances should be avoided at all costs because they can cause orthodontia to be loosened or damaged.

Space Maintainers

Space maintainers are nifty devices that can help teeth grow in normally following premature tooth loss, injury or other problems.

The devices can help ensure that proper spaces are maintained to allow future permanent teeth to erupt.

If your child loses a baby tooth early through decay or injury, his or her other teeth could shift and begin to fill the vacant space. When your child's permanent teeth emerge, there's not enough room for them. The result is crooked or crowded teeth and difficulties with chewing or speaking.