Posts for tag: oral hygiene

By Dr. Dulat
August 21, 2018
Category: Oral Health
DrTravisStorkDontIgnoreBleedingGums

Are bleeding gums something you should be concerned about? Dear Doctor magazine recently posed that question to Dr. Travis Stork, an emergency room physician and host of the syndicated TV show The Doctors. He answered with two questions of his own: “If you started bleeding from your eyeball, would you seek medical attention?” Needless to say, most everyone would. “So,” he asked, “why is it that when we bleed all the time when we floss that we think it’s no big deal?” As it turns out, that’s an excellent question — and one that’s often misunderstood.

First of all, let’s clarify what we mean by “bleeding all the time.” As many as 90 percent of people occasionally experience bleeding gums when they clean their teeth — particularly if they don’t do it often, or are just starting a flossing routine. But if your gums bleed regularly when you brush or floss, it almost certainly means there’s a problem. Many think bleeding gums is a sign they are brushing too hard; this is possible, but unlikely. It’s much more probable that irritated and bleeding gums are a sign of periodontal (gum) disease.

How common is this malady? According to the U.S. Centers for Disease Control, nearly half of all  Americans over age 30 have mild, moderate or severe gum disease — and that number increases to 70.1 percent for those over 65! Periodontal disease can occur when a bacteria-rich biofilm in the mouth (also called plaque) is allowed to build up on tooth and gum surfaces. Plaque causes the gums to become inflamed, as the immune system responds to the bacteria. Eventually, this can cause gum tissue to pull away from the teeth, forming bacteria-filled “pockets” under the gum surface. If left untreated, it can lead to more serious infection, and even tooth loss.

What should you do if your gums bleed regularly when brushing or flossing? The first step is to come in for a thorough examination. In combination with a regular oral exam (and possibly x-rays or other diagnostic tests), a simple (and painless) instrument called a periodontal probe can be used to determine how far any periodontal disease may have progressed. Armed with this information, we can determine the most effective way to fight the battle against gum disease.

Above all, don’t wait too long to come in for an exam! As Dr. Stork notes, bleeding gums are “a sign that things aren’t quite right.”  If you would like more information about bleeding gums, please contact us or schedule an appointment. You can read more in the Dear Doctor magazine article “Bleeding Gums.” You can read the entire interview with Dr. Travis Stork in Dear Doctor magazine.

HowtoReduceToothWhiteSpotsWhileWearingBraces

When your braces finally come off, you’ll hopefully be astounded by what you see –once-crooked teeth replaced by a more attractive smile. But you might also see something you didn’t expect: noticeable white spots on some of your teeth.

These spots called white spot lesions (WSLs) appear lighter than the surrounding tooth enamel due to mineral loss just beneath the surface. This happens because bacterial or food acids have contacted the enamel surface for too long and dissolved the underlying calcium and other minerals. This results in a small discolored and chalky-like area in the enamel.

WSLs are common during orthodontics because wires and brackets create hard to reach places for brushing and flossing, which can accumulate bacterial plaque. The bacteria produce acid, which weakens the enamel at these places. The tiny white spots that result are more than just unattractive—they can become entry points into the tooth for decay. That’s why they should be dealt with as soon as possible—and preferably before they’re created.

To that end, you’ll need to do as thorough a job as possible brushing and flossing while undergoing orthodontic treatment. To improve your thoroughness try using an interproximal toothbrush that can maneuver more closely around braces hardware than a regular brush. You can also improve your flossing with a floss threader or a water flosser, a device that sprays pressurized water to loosen and flush away plaque.

If you do develop WSLs, there are some things we can do to treat them. We can attempt to re-mineralize the affected enamel with the help of topical fluoride (either pastes or gels for home use or with an office application) or a re-mineralizing agent. We can also use techniques like microabrasion, which restores damaged areas beneath the surface, or inject a liquid, tooth-colored resin beneath the WSL’s surface to improve appearance and protect against decay.

If while wearing braces you do notice any white spots or other tooth discoloration let your dentist or orthodontist know right away. The sooner your dental providers can begin dealing with potential WSLs the better your chances for a healthy and beautiful outcome after braces.

If you would like more information on oral hygiene while wearing braces, 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 “White Spots on Teeth During Orthodontic Treatment.”

By Dr. Dulat
July 22, 2018
Category: Oral Health
Tags: oral hygiene  
DontTakeaVacationFromOralHygieneThisSummer

What are you most looking forward to this summer? Maybe you’re planning a trip to the beach, or a getaway in the woods…maybe even a journey to a faraway city or a foreign land. Wherever your holiday travel leads you, we hope it’s enjoyable and safe. And while you’re packing your bags, don’t forget to take a trio of important items that can help keep your vacation trouble-free: namely, a soft-bristled toothbrush, a tube of fluoride toothpaste, and a roll of dental floss.

If you have been careful about keeping up your oral hygiene all year, you’ve probably already noticed the rewards it can bring—like a sparkling smile, fresh breath, and good dental checkups. But even if you’re planning to get away from it all this summer, don’t take a vacation from oral hygiene. And if your oral hygiene routine could stand some improvement, maybe this is the time to make a fresh start.

Maintaining good oral health while you’re on the go doesn’t have to be a high-tech pursuit. You don’t need broadband service or a good mobile signal; you don’t even need electric power. Running water is nice, but not essential. And all the tools you need can fit easily in a travel bag.

The benefits of good oral hygiene are clear. Brushing twice every day and flossing once a day can effectively fight the bacteria that cause tooth decay and periodontal disease. That’s important any time of year, but perhaps even more so when you’re traveling because it’s harder to keep a healthy diet. Grabbing a sugary drink or a snack to go is convenient, but it provides food for the bacteria that can cause dental diseases; also, the acid in some soft drinks (even diet sodas) can wear away tooth enamel, leaving you with less protection against cavities.

Summer vacations can bring welcome surprises and unforgettable experiences. But needing urgent dental care in an unfamiliar place is the kind of surprise you can do without. So even though you may be far away from the routines of home, don’t take a vacation from your oral hygiene routine.  It takes just a few minutes, but it can keep your smile bright and healthy wherever you go.

If you would like more information about oral hygiene, please contact us or schedule an appointment.

HowBigBangTheoryActressMayimBialikGetsHerKidstoFloss

How many actresses have portrayed a neuroscientist on a wildly successful TV comedy while actually holding an advanced degree in neuroscience? As far as we know, exactly one: Mayim Bialik, who plays the lovably geeky Amy Farrah Fowler on CBS' The Big Bang Theory… and earned her PhD from UCLA.

Acknowledging her nerdy side, Bialik recently told Dear Doctor magazine, “I'm different, and I can't not be different.” Yet when it comes to her family's oral health, she wants the same things we all want: good checkups and great-looking smiles. “We're big on teeth and oral care,” she said. “Flossing is really a pleasure in our house.”

How does she get her two young sons to do it?

Bialik uses convenient pre-loaded floss holders that come complete with floss and a handle. “I just keep them in a little glass right next to the toothbrushes so they're open, no one has to reach, they're just right there,” she said. “It's really become such a routine, I don't even have to ask them anymore.”

As many parents have discovered, establishing healthy routines is one of the best things you can do to maintain your family's oral health. Here are some other oral hygiene tips you can try at home:

Brush to the music — Plenty of pop songs are about two minutes long… and that's the length of time you should brush your teeth. If brushing in silence gets boring, add a soundtrack. When the music's over — you're done!

Flossing can be fun — If standard dental floss doesn't appeal, there are many different styles of floss holders, from functional ones to cartoon characters… even some with a martial-arts theme! Find the one that your kids like best, and encourage them to use it.

The eyes don't lie — To show your kids how well (or not) they are cleaning their teeth, try using an over-the-counter disclosing solution. This harmless product will temporarily stain any plaque or debris that got left behind after brushing, so they can immediately see where they missed, and how to improve their hygiene technique — which will lead to better health.

Have regular dental exams & cleanings — When kids see you're enthusiastic about going to the dental office, it helps them feel the same way… and afterward, you can point out how great it feels to have a clean, sparkling smile.

For more information about oral hygiene, please contact our office or schedule a consultation. You can read the interview with Mayim Bialik in the latest issue of Dear Doctor magazine.

By Dr. Dulat
October 14, 2017
Category: Oral Health
Tags: oral hygiene   plaque  
TacklingDentalPlaque

The American Dental Hygiene Association has designated October as National Dental Hygiene Month. Good dental hygiene is the best weapon against your mouth’s number one enemy: dental plaque.

Plaque, a sticky biofilm that forms on your teeth, is an accumulation of bacteria, other microorganisms, food debris, and other unpleasant components. It can make your teeth feel fuzzy or slimy. And worse, the bacteria in plaque can lead to tooth decay and gum disease.

The best way to keep plaque at bay is by brushing your teeth twice a day and flossing once a day. But even though you can remove much of the plaque in your mouth with a toothbrush and dental floss, there are nooks and crannies that are hard to access with these basic oral hygiene tools.

Staying on top of dental plaque is an ongoing challenge. Immediately after teeth are cleaned, plaque starts to form again. And the longer plaque stays on teeth, the thicker it grows. Minerals in saliva become incorporated into the biofilm. As plaque takes on more minerals, it becomes calcified. This is when it hardens into calculus, or tartar. At this stage, tooth-brushing and flossing cannot disrupt the hardened layer of buildup, sometimes visible as yellow or brown deposits around the gum line.

This is why it’s important to schedule regular professional dental cleanings. At the dental office, we have special tools to remove tartar and get at those hard-to-reach places that your toothbrush and floss may have missed. If you have questions about dental hygiene, plaque control or another oral health issue, we are happy to talk with you. We are your partners in fighting plaque for a bright, healthy smile!

Read more about the topic in the Dear Doctor magazine article “Plaque Disclosing Agents.”