Keeping
your teeth and gums healthy takes just a few basic steps. Brush
and floss every day to prevent tooth decay and remove plaque from
your teeth and gums. Visit your dentist for a professional cleaning
at least twice a year to remove tartar from places brushing and
flossing may miss. Eat healthy foods, drink plenty of water, and
limit sweets. And, if you're a smoker, quit.
Daily
care
You
can remove plaque by brushing twice a day and flossing once a day.
According to one study, brushing your teeth first without toothpaste
and then again with paste reduces plaque by 67% and gum bleeding
by 50%. Flossing removes bacteria and food particles from in-between
teeth. Rinsing with certain mouthwashes also helps. Even rinsing
the mouth with water after eating can reduce bacteria by 30%.
Steps
to effective brushing
-
Brush
twice a day.
-
Use
a soft-bristled brush that fits your mouth.
-
Place
the brush where the gum meets the tooth, with the bristles at
a 45-degree angle to your teeth so they get under the gum line.
-
Move
the brush back and forth in short (tooth-wide) strokes. Be gentle;
brushing vigorously can actually injure the gums and make them
more susceptible to periodontal disease.
-
Brush
both the inner and outer surfaces of the teeth and brush the
broad chewing surfaces with the entire brush.
-
To
clean the inner surfaces of the front teeth, use the tip of
the brush in gentle up-and-down strokes.
-
Brush
for at least 2 minutes.
-
Scrub
your tongue for about 30 seconds to remove even more bacteria.
-
If
you dry brush first, follow the same brushing procedure for
about a minute and a half without paste, then brush again for
another 2 minutes.
-
Rinse
the toothbrush thoroughly.
-
Change
brushes every 3 months or so, or when the bristles are bent
or frayed, or after a cold or illness.
Steps
to effective flossing
-
Break
off about 18 inches of floss and wind most of it around the
middle finger of one hand and the rest around the other middle
finger.
-
Holding
the floss between your thumbs and forefingers, guide it between
two teeth by gently rubbing it back and forth.
-
When
the floss reaches the gum line, curve it around one of the teeth
and gently slide it back and forth in the crevice between the
tooth and the gum.
-
Holding
the floss tightly against the side of the tooth, rub gently
up and down.
-
Repeat
for each tooth, including the backside of your last teeth, changing
to a different part of the floss as you go along.
Dental
healthcare products
On
all products you purchase for oral hygiene look for the American
Dental Association (ADA) Seal of Acceptance. This guarantees that
the ADA has reviewed the advertising claims for the product, finds
them to be true, and ensures the product is safe and effective.
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Because
toothbrushes come in all sorts of shapes and sizes, it's
important for you to choose one that fits the contour and size
of your mouth. For most people, a 4- or 5-rowed, soft, nylon-bristled
toothbrush will do, but extra features can be helpful. For example,
an extended tip helps reach back molars and the inside of your
front teeth. Brushes with higher bristles in the center are
better at reaching below the gum line. The rubber tip at the
end of some brush handles is good for massaging the gums after
brushing and flossing. Electric toothbrushes and new high-tech
models that use sound waves have been found to remove significantly
more plaque than ordinary brushes. However, most experts agree
that if a regular toothbrush is working for you, stick with
it.
-
Choose
a dental floss that does not shred or fray and isn't
so thin it cuts the gum or can't be guided gently down and around
the sides of your teeth. If you have teeth that are very close
together, try a floss made of Gore-Tex®. It costs a bit more,
but it slips more easily between tight teeth and will not tear
on sharp edges. If you have difficulty using floss or have bridgework,
a floss threader may help. Special picks, small brushes, and
other interdental cleaners are handy for wide spaces between
teeth. Standard toothpicks should never be used for regular
hygiene.
-
Oral
irrigators (water spraying devices) will not remove plaque
from your teeth unless used in conjunction with brushing and
flossing.
Dental
examinations
Regular
exams to check the health of your teeth and gums and regular cleanings
to remove plaque and tartar are essential for a healthy mouth. For
most people, seeing the dentist and hygienist twice a year is all
that is needed. However, a pregnant woman or a person with periodontal
disease in the family might need to visit more frequently.
Periodontal
screening
Today,
in many dentists' offices, a periodontal screening is included along
with the cleaning and checking for cavities. Find out if your dentist
conducts this screening. If he or she doesn't, ask for one. Known
as a Periodontal Screening and Recording (PSR), this exam can reveal
the early stages of periodontal disease. Using a mirror and a special
calibrated probe, the dentist checks for bleeding gums and pockets.
If a pocket is found, the dentist measures its depth by placing
the tip of the probe inside the pocket down to where the connective
tissue attaches to the tooth. Pocket depths greater than 3 millimeters
indicate disease; depths greater than 4 millimeters indicate periodontitis.
A new automatic probing device may prove to be more sensitive and
accurate than the manual probe most dentists use. After the screening,
the dentist records where pockets were found, how deep they were,
where the gum appeared inflamed or injured, and which teeth were
loose. If the condition is severe, the dentist may refer the patient
to a periodontist for treatment. Although PSR appears to be more
reliable than x-rays in diagnosing gum disease, it is still recommended
that you receive a full series of mouth x-rays every 2 to 3 years,
not only to discover early bone loss, but also to find cavities
or fractures in the teeth.
Confirming
a diagnosis of gum disease
Your
first visit to a periodontist to confirm a diagnosis of periodontal
disease will be similar to the screening your regular dentist did.
The periodontist will ask you questions about your medical history
and the medications you take. This will reveal whether you've had
prior periodontal problems and whether there is any condition that
might contribute to your problem. The dentist might also ask you
about how you care for your teeth and gums. Next, the gums are inspected
thoroughly for signs of inflammation, redness, puffiness, bleeding
upon probing, and recession of the gums. The periodontist will then
conduct another PSR to measure pockets and check for tooth mobility.
When the stage and extent of the disease has been determined, he
or she will decide upon a treatment.
Dental
care for children
Regular
checkups and cleanings are as important for children as they are
for adults, if not more so. Children should also receive regular
fluoride treatment to prevent decay and reduce periodontal disease.
Studies have shown that adults who received fluoride treatments
as kids, have less periodontal disease.
Other
preventive measures
-
Quit
smoking. Gum disease can be added to the long list of reasons
why it's healthier not to smoke.
-
Drinking
water helps reduce inflammation in the mouth by producing
more saliva. Saliva is important for diluting the toxins created
by plaque. In addition, the more water you drink, the less soda
you're likely to consume, which means less sugar in your diet.
-
Eat
healthier. A balanced diet enhances your overall health.
Fewer sweets decrease the amount of sugar in your mouth that's
available for bacteria to eat and turn into corrosive acids
that can cause tooth decay.