There are two basic facts about tooth decay: 1) next to the common cold, it’s the world’s most prevalent infectious disease; and 2) with modern dentistry, it’s preventable.
Getting from Fact 1 to Fact 2 requires the daily hygiene habits of brushing and flossing. You probably learned these tasks when you could barely peer over the bathroom sink; but the real question is: are you getting the most benefit from your efforts? It’s not merely doing them, but doing them the right way.
For example, bearing down on your teeth and brushing vigorously isn’t just unhelpful, it’s damaging. Instead, you should hold your brush with perhaps just two fingers at a 45-degree angle relative to your gum line and “gently” scrub with short circular or “wiggly” strokes. Continue this action around each arch brushing all tooth surfaces, which should take about two minutes.
Your toothbrush itself is also important: most people (unless otherwise directed by their dentist) should use a multi-tufted brush with soft bristles. If you brush with the proper pressure it should last 4 to 6 months before replacing it. You should also replace it if the bristles become worn or splayed.
Flossing once a day is important for removing the plaque between teeth your toothbrush bristles can’t reach. The best technique is to form a “C” with the floss that wraps around each tooth and move it up and down gently three or four times until you hear a squeaky clean sound on both sides of the tooth.
The ultimate test of your efforts comes during your regular dental checkups. You can get a check now, though, on how you’re doing by using your tongue to feel your teeth at the gum line. If they feel smooth and slick, you’re probably doing a good job of plaque removal; but if they feel a bit rough and gritty, you’re missing some of the plaque and need to be more thorough when brushing. You can also use floss by running it up and down the tooth surface — if it squeaks, they’re clean!
Your particular dental condition may require specific treatment or the use of other dental products like antibacterial mouthrinses. But learning and practicing proper brushing and flossing is key to keeping teeth and gums healthy and disease-free.
Can you have healthy teeth and still have gum disease? Absolutely! And if you don’t believe us, just ask actor David Ramsey. The cast member of TV hits such as Dexter and Arrow said in a recent interview that up to the present day, he has never had a single cavity. Yet at a routine dental visit during his college years, Ramsey’s dentist pointed out how easily his gums bled during the exam. This was an early sign of periodontal (gum) disease, the dentist told him.
“I learned that just because you don’t have cavities, doesn’t mean you don’t have periodontal disease,” Ramsey said.
Apparently, Ramsey had always been very conscientious about brushing his teeth but he never flossed them.
“This isn’t just some strange phenomenon that exists just in my house — a lot of people who brush don’t really floss,” he noted.
Unfortunately, that’s true — and we’d certainly like to change it. So why is flossing so important?
Oral diseases such as tooth decay and periodontal disease often start when dental plaque, a bacteria-laden film that collects on teeth, is allowed to build up. These sticky deposits can harden into a substance called tartar or calculus, which is irritating to the gums and must be removed during a professional teeth cleaning.
Brushing teeth is one way to remove soft plaque, but it is not effective at reaching bacteria or food debris between teeth. That’s where flossing comes in. Floss can fit into spaces that your toothbrush never reaches. In fact, if you don’t floss, you’re leaving about a thirdÂ to half of your tooth surfaces unclean — and, as David Ramsey found out, that’s a path to periodontal disease.
Since then, however, Ramsey has become a meticulous flosser, and he proudly notes that the long-ago dental appointment “was the last we heard of any type of gum disease.”
Let that be the same for you! Just remember to brush and floss, eat a good diet low in sugar, and come in to the dental office for regular professional cleanings.
If you would like more information on flossing or periodontal disease, please contact us today to schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Understanding Gum (Periodontal) Disease.”
Why root canal therapy is good for you
Root canal therapy, also called endodontics, is usually performed to remove dental pain, and yet still allow you to keep your tooth. In the not too distant past, if you had dental pain, the only treatment was to take the tooth out, leaving you with a gaping hole, impairing your ability to eat and giving you a not-too-pleasant smile. Now, thanks to modern dental techniques and the skills of dentists like Dr. Jolanta Pajek at Modern Touch Dentistry in Appleton, Wisconsin, you can relieve your dental pain.
Dr. Pajek wants you to know that root canals help you keep your smile intact, but they do much more than that. They also eliminate potentially serious dental infections, called abscesses, which can lead to other systemic problems. You can see why a root canal will do much more than help your smile.
Root canals are performed on teeth infected from deep decay or trauma. The infection has spread from inside your tooth to the outside of your tooth, out the end of your tooth root, called the apex. This infection has begun to destroy the bone supporting your tooth. Bone destruction shows up on an x-ray as a dark, radiolucent area around your tooth root. That’s why it is so important to stop in for a visit with Dr. Pajek if you are feeling dental pain. She will take x-rays and test the vitality of your tooth to determine if you need a root canal.
Dr. Pajek wants you to know that it is usually much better to retain a tooth through root canal therapy than to take the tooth out. Once you have a tooth removed, it is gone forever, and so is part of your smile. Teeth can be replaced with dental bridges, implants, or appliances, but why settle for those when you can keep your own teeth?
Root canals will relieve dental pain without the trauma of losing your tooth. Dr. Pajek is committed to providing a comfortable experience before, during and after your root canal treatment. So call Dr. Jolanta Pajek at Modern Touch Dentistry in Appleton, Wisconsin and find out why root canals help more than your smile. Call today!
Your family uses fluoride toothpaste and your drinking water is fluoridated too. So with the fluoride your child already takes in, is it really necessary for topical fluoride treatments during their regular dental visits?
The answer is most definitely. Fluoride has a unique ability to strengthen enamel, your teeth’s protective cover against decay and other diseases. It does this by infusing itself in the enamel structure and making it that much more resistant to acid attack and decay.
This infusion occurs in two ways. First, growing teeth obtain it through the bloodstream as they incorporate other minerals that make up the enamel structure. The very small amount of fluoride added to drinking water — as low as one part per million (ppm) — imparts sufficient fluoride to developing teeth. In the absence of fluoridated water, dietary fluoride supplements can achieve the same effect.
The second way is just after the teeth have erupted and are still quite young. In this case, fluoride coming in direct contact with the enamel surface is absorbed, resulting in changes to the enamel’s crystalline structure that will create added strength. This can occur to a limited degree through fluoride toothpaste or other dental products. The concentration of fluoride in these products, though, is relatively low (850-1500 ppm) as mandated by the U.S. Food and Drug Administration for safety.
Professional applications, on the other hand, are much higher — 12,300 to 22,600 ppm depending on their form. They’re applied, of course, under strict clinical guidelines to cleaned tooth surfaces, usually as a gel, foam or varnish. The latter form will often continue leaching fluoride into the enamel for a month or more.
These topical applications can greatly strengthen the teeth of children who don’t have the benefit of fluoridated water or may be at higher risk for dental disease because of socio-economic conditions. But they can still be helpful for children with adequate fluoride exposure and low risk factors for disease. At the very least, fluoride treatments can give your child an added boost of protection as their teeth continue to develop.
If you would like more information on topical fluoride treatments for children, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Topical Fluoride.”
For major-league slugger Giancarlo Stanton, 2014 was a record-breaking year. After the baseball season ended, he signed a 13-year, $325 million contract with the Miami Marlins — the biggest deal in sports history. But earlier that same year, Stanton suffered one of the worst accidents in baseball: He was hit in the face by an 88-mph fastball, sustaining multiple fractures, lacerations, and extensive dental damage.
After the accident, Stanton didn’t play for the remainder of the season. But now he’s back in Spring Training… and he’s got a not-so-secret weapon to help protect him against another injury: A custom-made face guard designed to absorb impacts and keep him from suffering further trauma.
As sports fans, we’re glad that Stanton was able to overcome his injury and get back in the game. As dentists, we’d like to remind you that you don’t have to be a major-league player to feel the harmful effects of a sports injury — and you don’t have to look far to find a way to protect yourself. In fact, you can get a custom-made mouthguard right here at the dental office.
Mouthguards have a long tradition in sports like football, boxing, and hockey. But did you know that far more Americans are injured every year playing “non-collision” sports like basketball, baseball — and even bicycling? And it doesn’t take a major-league fastball to cause a dental injury: The highest incidence of sports-related dental injuries occurs in 15-to-18-year-old males. In fact, about one-third of all dental injuries among children stem from various types of sports activities. These injuries may result in countless hours being lost from school and work, and cost significant sums for treatment and restoration.
Mouthguards have a proven track record in reducing dental and facial injuries: They are capable of absorbing the energy of a blow to the mouth, and dissipating it in a way that prevents damage to facial structures and teeth. But not all mouthguards are created equal: Custom-fabricated mouthguards, which are produced from an exact model of your mouth made right here in the dental office, offer by far the best protection. They fit better and safeguard the teeth more fully than any off-the-shelf or “boil-and-bite” type can. Plus, they’re more comfortable to wear. And let’s face it: No mouth guard can protect your teeth if you don’t wear it.
What’s more, some recent studies indicate that custom-made mouthguards may offer significant protection against concussion. An increasing awareness of the dangers that concussion may pose to athletes is one more reason why we recommend custom-made mouthguards to active people and their families.
To get his face guard, Giancarlo Stanton reportedly went to a specialist sporting-goods manufacturer in Illinois, and paid around $1,000. But you can get a custom-made mouthguard for yourself or your loved ones right at our office for a fraction of that price. And the peace of mind it can give you is… priceless.
If you have questions about custom-made mouthguards, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “An Introduction to Sports Injuries & Dentistry” and “Athletic Mouthguards.”
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