One of the keys to a healthy mouth is daily oral hygiene. These tasks have one objective: remove plaque, a thin film of bacteria and leftover food particles, from tooth surfaces. Plaque fosters bacterial growth that can cause diseases like tooth decay or periodontal (gum) disease.
Brushing does an effective job removing plaque from the broad surfaces of teeth. But because plaque can also grow between teeth where your brush can’t reach, you also need to floss.
Unfortunately, flossing is a lot of people’s least favorite hygiene task. It can be time-consuming and requires a little more dexterity than brushing. As a result, it’s common for people to brush but not floss — and potentially miss plaque that could trigger dental disease.
There is an easier alternative to traditional string flossing: an oral irrigator. These countertop appliances deliver a stream of pulsating water at high pressure through a handheld device that looks similar to a power toothbrush. The user directs the water stream through the nozzle tip (which comes in various sizes) between the teeth. The water vibrates plaque loose and then rinses it away.
Besides people with limited dexterity, water flossers are also ideal for individuals wearing braces or other orthodontic hardware. Because of the metal hardware on and around teeth, flossing can be an arduous task. An oral irrigator makes it easier to floss and reduce plaque buildup, a perennial problem for orthodontic patients. In fact, one study of orthodontic patients found that using an irrigator with a tip especially designed for braces removed five times as much plaque as patients using only a manual toothbrush.
Of course, anyone can use an oral irrigator as an alternative to traditional flossing. Your dentist and staff can advise you on what to look for in equipment and provide instruction on how to use it. If traditional flossing isn’t your thing, consider an oral irrigator to get rid of plaque and keep your teeth and gums healthy and attractive.
If you would like more information on oral irrigation to remove daily plaque, 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 “Cleaning between Your Teeth: How Water Flossing can help.”
For anyone else, having a tooth accidentally knocked out while practicing a dance routine would be a very big deal. But not for Dancing With The Stars contestant Noah Galloway. Galloway, an Iraq War veteran and a double amputee, took a kick to the face from his partner during a recent practice session, which knocked out a front tooth. As his horrified partner looked on, Galloway picked the missing tooth up from the floor, rinsed out his mouth, and quickly assessed his injury. “No big deal,” he told a cameraman capturing the scene.
Of course, not everyone would have the training — or the presence of mind — to do what Galloway did in that situation. But if you’re facing a serious dental trauma, such as a knocked out tooth, minutes count. Would you know what to do under those circumstances? Here’s a basic guide.
If a permanent tooth is completely knocked out of its socket, you need to act quickly. Once the injured person is stable, recover the tooth and gently clean it with water — but avoid grasping it by its roots! Next, if possible, place the tooth back in its socket in the jaw, making sure it is facing the correct way. Hold it in place with a damp cloth or gauze, and rush to the dental office, or to the emergency room if it’s after hours or if there appear to be other injuries.
If it isn’t possible to put the tooth back, you can place it between the cheek and gum, or in a plastic bag with the patient’s saliva, or in the special tooth-preserving liquid found in some first-aid kits. Either way, the sooner medical attention is received, the better the chances that the tooth can be saved.
When a tooth is loosened or displaced but not knocked out, you should receive dental attention within six hours of the accident. In the meantime, you can rinse the mouth with water and take over-the-counter anti-inflammatory medication (such as ibuprofen) to ease pain. A cold pack temporarily applied to the outside of the face can also help relieve discomfort.
When teeth are broken or chipped, you have up to 12 hours to get dental treatment.Â Follow the guidelines above for pain relief, but don’t forget to come in to the office even if the pain isn’t severe. Of course, if you experience bleeding that can’t be controlled after five minutes, dizziness, loss of consciousness or intense pain, seek emergency medical help right away.
And as for Noah Galloway:Â In an interview a few days later, he showed off his new smile, with the temporary bridge his dentist provided… and he even continued to dance with the same partner!
If you would like more information about dental trauma, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Trauma & Nerve Damage to Teeth” and “The Field-Side Guide to Dental Injuries.”
Although oral cancer isn't the most prevalent among metabolic diseases, it is one of the most deadly with only a 50% survival rate after five years. That's because it can be difficult to detect in its early stages when treatment is most effective.
That's why prevention to reduce your chances of oral cancer is so important. Many people know quitting tobacco products, including smokeless varieties, and moderating alcohol consumption are key to any prevention strategy. But there's one other factor you should also consider: your diet.
We've learned quite a bit in the last few decades about how certain foods we eat contribute to the cancer disease process. Cancer seems to originate when elements in the body or environment (known as carcinogens) damage DNA, our unique genetic code, on the cellular level. For example, a class of chemicals called nitrosamines is a known carcinogen: we often encounter it in the form of nitrites used to preserve meat (like bacon or ham) or as byproducts in beer, seafood or cheese.
Another form of carcinogen is the unstable molecules produced during normal cellular function called free radicals. But our bodies have a natural neutralizer for free radicals called antioxidants. We obtain these substances in our food in the form of vitamins and minerals. While you can also ingest these in the form of supplements, the best way to obtain them is through a diet rich in plant-based food, particularly fruits and vegetables.
So in addition to lifestyle changes like quitting tobacco or moderating alcohol consumption, make sure your diet is a healthy and nutritious one. Limit your intake of processed foods (especially meats) and increase your portions of fresh fruits, vegetables and dairy products.
And don't neglect practicing effective brushing and flossing each day, along with regular dental cleanings and checkups. All of these healthy practices will greatly decrease your chances for life-threatening oral cancer.
If you would like more information on preventing oral cancer, 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 “Diet and Prevention of Oral Cancer.”
Everyone knows that in the game of football, quarterbacks are looked up to as team leaders. That's why we're so pleased to see some NFL QB's setting great examples of… wait for it… excellent oral hygiene.
First, at the 2016 season opener against the Broncos, Cam Newton of the Carolina Panthers was spotted on the bench; in his hands was a strand of dental floss. In between plays, the 2105 MVP was observed giving his hard-to-reach tooth surfaces a good cleaning with the floss.
Later, Buffalo Bills QB Tyrod Taylor was seen on the sideline of a game against the 49ers — with a bottle of mouthwash. Taylor took a swig, swished it around his mouth for a minute, and spit it out. Was he trying to make his breath fresher in the huddle when he called out plays?
Maybe… but in fact, a good mouthrinse can be much more than a short-lived breath freshener.
Cosmetic rinses can leave your breath with a minty taste or pleasant smell — but the sensation is only temporary. And while there's nothing wrong with having good-smelling breath, using a cosmetic mouthwash doesn't improve your oral hygiene — in fact, it can actually mask odors that may indicate a problem, such as tooth decay or gum disease.
Using a therapeutic mouthrinse, however, can actually enhance your oral health. Many commonly available therapeutic rinses contain anti-cariogenic (cavity-fighting) ingredients, such as fluoride; these can help prevent tooth decay and cavity formation by strengthening tooth enamel. Others contain antibacterial ingredients; these can help control the harmful oral bacteria found in plaque — the sticky film that can build up on your teeth in between cleanings. Some antibacterial mouthrinses are available over-the-counter, while others are prescription-only. When used along with brushing and flossing, they can reduce gum disease (gingivitis) and promote good oral health.
So why did Taylor rinse? His coach Rex Ryan later explained that he was cleaning out his mouth after a hard hit, which may have caused some bleeding. Ryan also noted, “He [Taylor] does have the best smelling breath in the league for any quarterback.” The coach didn't explain how he knows that — but never mind. The takeaway is that a cosmetic rinse may be OK for a quick fix — but when it comes to good oral hygiene, using a therapeutic mouthrinse as a part of your daily routine (along with flossing and brushing) can really step up your game.
Dental implants are widely considered by both dentists and patients as the premier choice for replacing missing teeth. Unfortunately, implants aren’t the appropriate choice for teenagers with missing teeth.
That’s because their jaws won’t fully finish most of their growth and development until early adulthood. An implant placed too early could become misaligned as the jaw matures. The best approach for a teenager is a temporary restoration until they’re old enough for an implant.
There are a couple of good options. One is a removable partial denture (RPD), prosthetic (false) teeth set in an acrylic base that mimics gum tissue at the locations of the missing teeth. RPDs, which stay in place by way of metal clips that fit over other teeth, are easy to wear and maintain.
On the downside, an RPD can break if you bite into something too hard. They can lose their fit and may need to be replaced with a new one. And, some teens aren’t quite keen on wearing a “denture.”
Another option is a bonded or Maryland bridge, a kind of fixed bridge. We bond dental material to the back of a prosthetic tooth with portions of the material extending out from either side of it.Â We then bond these extending tabs to the back of the teeth on either side of the prosthetic tooth to hold it in place. Unlike traditional bridges, we can eventually remove it without any permanent alterations to the teeth it’s attached to.
Before we undertake a bonded bridge, though, we must make sure the gums and bone of the surrounding teeth are free from periodontal (gum) disease and are healthy and strong enough to support the bridge. We also need to be sure the patient doesn’t have a deep bite or a teeth grinding habit, which could cause the teeth to make contact with the tabs and break them.
The patient also needs the maturity to responsibly perform diligent oral hygiene: this type of bridge has a tendency to build up disease-causing plaque, so brushing twice and flossing once every day is critical. Not doing so increases the risk of tooth decay or periodontal (gum) disease, which could complicate a future implant.
We can discuss these options after a thorough dental examination of your teenager. Either way, we’ll be able to restore your teen’s smile until we can undertake a more permanent restoration.
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