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Why should I floss at all?
Flossing is the next crucial step in maintaining good
oral health. You can remove plaque from between your teeth
with dental floss. Your toothbrush can't reach these spaces,
which is why this is so important.
Brushing and flossing both serve the same purpose - both
mechanically remove bacteria build-up from the teeth and
gums. Removing bacteria is the primary goal of good oral
health. If the bacteria is not removed plaque forms. Over
time, this plaque turns into a hard substance called tartar.
The levels of more dangerous type of bacteria build up
within tartar.
These bacteria produce toxins which irritate and cause
inflammation of the gums. This is known as gingivitis.
Untreated gingivitis leads to periodontal disease - a
condition where bacterial toxins invade not only the gums
but also the bones and the structures supporting the teeth.
This can lead to bone loss, loose teeth, and teeth that fall
out. Periodontal disease often requires more extensive and
expensive treatment.
Another reason to rid the mouth of bacteria is the fact
that bacteria in the mouth are responsible for bad breath.
Bacteria break down food particles left after we eat
creating volatile sulfur compounds. These sulfur compounds
are responsible for malodorous breath.
By brushing we rid the mouth of bacteria reducing the
risk of gingivitis and periodontal disease. We also help
ensure that our breath remains fresh smelling.
If we only brush however, we miss the bacteria that
reside on tooth surfaces that the toothbrush can not reach.
These include the spaces in between teeth. Here bacteria
will be allowed to grow uninhibited leading to tartar
formation, gingivitis, periodontal disease, and tooth decay.
It is also a great place for bacteria to rest while they
create foul smelling sulfur compounds.
Flossing is a key component to any good oral hygiene
program. The American Dental Association recommends that you
floss at least once a day. Brushing without flossing is like
washing only 70% of your body. The other 30% remains dirty.
If you haven't flossed in a while, you may see a little
red tinge of blood on the floss after you use it. This
indicates that your gums are slightly inflamed and vastly in
need of flossing to remove bacteria. With a regular regimen
of flossing this red tinge should go away. Also, white
buildups on the dental floss are indications that plaque has
accumulated between your teeth.
I recommend Glide dental floss because it slides easily
between teeth. However, any floss that you can get between
your teeth and which does not fray or break easily is good.
Breakage and fraying of floss is an indication of rough
fillings and these fillings should be replaced.
How do I floss properly?
To
floss properly, follow these simple steps:
Break off about 18 inches of floss and wind most of it
around one of your middle fingers. Wind the rest of the
floss around a finger on the opposite hand.
Hold the floss tightly between your thumbs and
forefingers. Using about one-half inch at a time, gently
guide the floss between your teeth. Be careful not to force
the floss into the gums.
When the floss reaches the gumline, curve it into a
C-shape against one tooth. Slide the floss gently into the
space between the gum and the tooth, making sure it goes all
the way down under the gum. Hold the floss tightly against
the tooth. Rub the side of the tooth gently with up and down
motions to move the floss away from the gum.
Floss between all your teeth.
Since plaque is an invisible film, use a disclosing agent
(available from your dentist) once a week. This will show
whether you are thoroughly cleaning all the plaque away and
indicate the areas you're missing.
If you haven't been flossing regularly, your gums may
bleed the first few times you do this. But after a few days,
they should stop bleeding during flossing. If they don't,
make an appointment for a thorough teeth cleaning and
consultation.
How often should I replace my toothbrush
You
should get a new toothbrush every three or four months, or
sooner if the bristles get worn out. Children's brushes may
wear out even more quickly.
When looking for a toothbrush, or any type of dental
product, you may be overwhelmed by the choices available. To
choose a good product, start by looking for the American
Dental Association (ADA) Seal of Acceptance on the label.
Products that may have this seal include toothpaste,
tooth-brushes, dental floss, interdental cleaners,
mouth-rinses and oral irrigators (a device that uses a
stream of water to remove food from your teeth).
What role can flouride play in preventing tooth disease?
Fluoride Tablets and Drugs
The use of dietary supplements of fluoride tablets or drops
is also an effective and inexpensive measure against tooth
decay. These supplements can be prescribed by your physician
or dentist. Generally, fluoride drops are recommended for
infants from birth until they are able to consume fluoride
tablets. Fluoride tablets are prescribed for children up
through the teen years. For maximum effectiveness, the drops
and tablets must be consumed daily. Because some parents
find it difficult to follow a protracted daily routine,
public health programs in which fluoride tablets are
provided to children in school have been established in some
areas. The tablets are first chewed and the resultant
solution is swished in the mouth before it is swallowed.
This procedure benefits the teeth that have erupted as well
as those being formed in the jaws.
Fluoride-Containing Mouthrinses
Another effective method of increasing the resistance of
teeth to decay is rinsing with dilute solutions of neutral
sodium fluoride. Rinsing for one minute with fluoride is
done either daily or weekly depending upon the amount of
fluoride in the solution. A 0.05 percent solution of neutral
sodium fluoride is used for daily rinsing and a 0.2 percent
solution is recommended for weekly rinsing. Studies show
that school-age children who rinse weekly with a fluoride
solution will have about 35 percent fewer cavities than
usually expected. Other studies suggest that fluoride
mouthrinses may provide added protection for youngsters
receiving community fluoridated water as well. Fluoride
mouthrinsing programs are easily conducted in schools and,
in fact, thousands of children are participating across the
county in weekly fluoride mouthrinsing programs. The
procedure requires only about five minutes of school time
each week. It is inexpensive and well accepted by teachers
and students. Generally, fluoride mouthrinses are not
recommended for children younger than 6 years of age.
Fluoride mouthrinses are not intended for swallowing.
Because many children younger than school age are not able
to control their swallowing reflex, they often ingest
mouthrinse. If too much fluoride is consumed while teeth are
developing, a condition called dental fluorosis (white spots
on the teeth) may result. Fluoride mouthrinses are also
available commercially without a doctor's prescription for
daily home use.
Fluoride Dentifrices
The use of a fluoride-containing dentifrice (toothpaste) is
recommended for children and adults. Regular and thorough
toothbrushing with a fluoride dentifrice will provide
protection against tooth decay and added protection when
used together with most other forms of fluoride therapy. The
use of a fluoride-containing dentifrice by children below
the age of 6 should be closely supervised by an adult.
Because preschool-age children are susceptible to developing
dental fluorosis, only a small, pea-size portion of
toothpaste should be put on their toothbrush for brushing.
Professional Application of Topical Fluorides
Dentists and dental hygienists often apply fluorides
directly to the teeth. These topical fluorides are either in
the form of gels, applied in mouth trays, or solutions
painted directly on the teeth. Semiannual applications of
these fluorides also substantially reduce dental decay. The
National Institute of Dental Research, one of the National
Institutes of Health in Bethesda, Maryland, is studying
other approaches and methods of fluoride use. One such
possibility is the use of fluoride compounds that could
provide a protective cover on the teeth for many hours, as
well as ways to release fluoride gradually in the mouth.
These efforts are part of a broad program to find better
ways of preventing dental decay.
How often should I have my teeth professionally cleaned?
Regardless of how well you brush and floss at home, your
teeth need to be professionally cleaned about every six
months. The purpose is to remove the plaque and tartar that
build up on and between teeth despite good cleaning habits.
In addition your teeth, gums, mouth and throat and neck
should be examined to check for oral cancer, facial
structure and the condition of your temporomandibular joint.
X-rays should be taken to get a better look at the structure
of your teeth and mouth. These X-rays are not dangerous.
A clinical exam will include looking for signs of gum
disease, tooth decay, broken fillings, erosion, and also
checking the mobility of your teeth. The entire visit should
take about 30 to 60 minutes.
Regular dental visits are essential in maintaining healthy
teeth and gums, and shouldn't be ignored even if your mouth
and teeth are healthy.
What is the best toothpaste to use?
Here
again, the ADA has some guidelines, so make sure you look
for the seal. Of the various ingredients in toothpaste, for
example, baking soda has not been shown to be beneficial. In
fact, baking soda used for baking should never be used to
brush: It is much too coarse and can damage your teeth.
However, ingredients that promote tartar control, hydrogen
peroxide and desensitizing ingredients have been shown to be
effective. The toothpaste that makes you brush your teeth
more often is the one you should use. Experiment and find
which one makes your mouth feel the freshest and you will
look forward to brushing.
How do you brush your teeth?
The best way to keep
plaque off your teeth is to brush and clean between your
teeth. You should brush twice a day with a toothbrush that
has soft bristles. Be sure that your toothbrush is the right
size and shape to fit into all corners of your mouth. Brush
in a circular motion and not in a sawing motion, making sure
a portion of the gum is covered as well. Improper
toothbrushing can wear out your teeth or leave behind
harmful plaque, especially near the gumline." |