A critical part of effective, daily oral hygiene, flossing removes bacterial plaque from between teeth that can’t be accessed with brushing. Unfortunately, it’s often neglected — string flossing requires a bit more dexterity than brushing and can be difficult to do properly.
It can be even more difficult for people with implants or who wear orthodontic appliances. For brace wearers in particular, getting access to areas between teeth with string floss is next to impossible; the metal brackets and tension wire also have a tendency to catch and retain food debris that’s difficult to remove with brushing alone.
Water flossing, using a device called an oral irrigator, is an effective alternative that addresses many of these difficulties. First available for home use in the 1960s, an oral irrigator delivers pulsating water at high pressure through a handheld applicator that forcefully flushes material from between teeth.
There’s no question that string flossing is effective in plaque removal between teeth — but what about oral irrigators? A 2008 study looked at a group of orthodontic patients with braces who used oral irrigators and compared them with a similar group that only brushed. The study found that five times as much plaque was removed in the group using the oral irrigators as opposed to the group only brushing.
Oral irrigators may also be effective for people who’ve developed periodontal (gum) disease. In fact, oral irrigators coupled with ultra-sound devices are routinely used by dental hygienists to remove plaque and calculus (hardened plaque deposits) in periodontal patients. As with regular oral hygiene, though, it’s important for patients with gum disease to include water flossing with daily brushing (at least twice a day) and regular cleaning sessions at the dentist to ensure removal of all plaque and calculus.
If you’re interested in using an oral irrigator, be sure to consult with us at your next appointment. Not only can we recommend features to look for in equipment, but we can also instruct you on the techniques to make water flossing an effective plaque remover.
If you would like more information on water flossing, 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.”
Actor Michael Douglas shocked TV audiences across the country when he announced on the David Letterman Show in 2010 that he has stage IV oral cancer. Fortunately, the cancer had not spread and his radiation and chemotherapy treatments were successful. This year, Douglas teamed up with the Oral Cancer Foundation to warn others about the dangers of the disease and the importance of early detection. In particular, he wants younger people to know that even if they don't smoke and drink a lot, as he admitted to Letterman that he did, they are still at risk.
As Douglas states in a PSA he made with the foundation, “the fastest growing segment of the people developing oral cancers are young, non smokers.” That's due to a strain of the Human Papilloma Virus known as HPV16 that can be transmitted through oral sex. So it's important to avoid risky sexual behaviors and to be screened regularly for this devastating disease that claims one life every hour in the U.S., according to the Oral Cancer Foundation.
An oral cancer screening is a simple visual and tactile exam done right here at the dental office. We will feel your neck for lumps and inspect your lips and all inside surfaces of the mouth, including the back of your throat, for any suspicious signs. If any are found, a biopsy (laboratory analysis of a tissue sample) can be ordered.
Most oral cancers are “squamous” (small scale-shaped) cell carcinomas that occur in the lining of the mouth and are often preceded by recognizable changes (lesions) of the oral membranes. White or red patches begin to form in the pre-cancerous stage, and as the cancer develops, a non-healing ulcer may appear. If you notice any such changes in your mouth, please let us know.
Michael Douglas ends his PSA with the following plea: “So please, the next time you visit your dentist or your medical doctor, ask for this simple screening. Finding oral cancer in its earliest stages may save your life.” We agree, which is why we always perform this screening during your regular dental check-up. If it's been a while since your last appointment, please come in and see us.
If you would like more information about oral cancer, please contact us or schedule an appointment for a consultation. You can learn more about the disease in the Dear Doctor magazine article “Oral Cancer.”
Since their introduction over three decades ago, dental implants have evolved into dentistry’s premier tooth replacement choice. While their primary purpose is to replace missing teeth and rejuvenate a patient’s smile, they’re also regarded for another important benefit: they can slow or stop bone loss accelerated by the loss of teeth.
Like all living tissue, bone has a life cycle. Older bone dissolves and is absorbed by the body, a process called resorption. New bone forms and grows to replace the resorbed bone in response to stimuli occurring within the body. In the jaw, this stimulation comes from the forces the teeth receive when we bite or chew.
When a tooth is lost, however, it no longer transmits these force stimuli to the adjacent bone. This results over time in less new growth to replace resorbed bone, and the overall bone mass shrinks. In fact, about a quarter of the normal bone width will diminish in the first year alone after tooth loss. Other serious problems follow, like gum recession or chewing and speaking difficulties. A person’s appearance may also suffer, because as resorption continues unchecked, the underlying foundational bone will continue to shrink. As more teeth are lost, a decrease in the distance between the nose and chin may result causing the lower third of the face to become smaller in size.
Dental implants can interrupt this process by encouraging bone growth around the implant. Implants are made of “osseophilic” titanium, meaning the metal has a natural affinity with bone. After implantation, bone cells will begin to grow and attach to the titanium post. The enhanced growth stabilizes bone loss by providing stimulation to the bone as teeth once did, thereby maintaining bone levels and minimizing potential effects on the patient’s appearance.
Ironically, too much bone loss could make the installation of implants more difficult, since they require a minimum level of bone mass for anchorage. Receiving an implant as soon as is practical once a tooth is lost will minimize the chances of that occurring — and a better chance of improving bone health overall.
If you would like more information on how dental implants improve bone health, 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 “The Hidden Consequences of Losing Teeth.”
If you've ever watched Dancing with the Stars on television, you've no doubt noticed the vivacious and talented Cheryl Burke, whose ballroom dance moves are as captivating as her bright smile. In fact, Cheryl considers her smile to be one of her most important assets as a professional dancer.
“As a performer, you're basically smiling the whole time,” Cheryl told Dear Doctor magazine recently in an exclusive interview. “It's just really important to take care of your teeth and have a great smile.”
Cheryl is very conscientious about caring for her smile, but that wasn't always the case. In the Dear Doctor interview, Cheryl revealed that her teeth suffered from ineffective oral hygiene when she was younger. “I definitely had my share of cavities,” Cheryl recalled, adding that she believed this was her own fault. “I didn't use floss,” She explained. “I think when you do floss frequently, it helps to reduce the chances of getting cavities. It took me a while to figure it out.”
Once Cheryl did figure it out, she was able to make cavities a thing of the past. But in order to make sure the effects of her prior tooth decay did not mar her lovely smile, she made sure her dentist — who is also her stepdad! — gave her tooth-colored fillings that could not be distinguished from the surface of a natural tooth. “It's important for me,” Cheryl said.
Lots of dental patients feel the same way, even if they don't spend time in front of television cameras. That's why the dental profession has developed tooth-like materials such as composite resins and porcelains that mimic natural tooth material exactly. These materials are also suitable for children's teeth and can incorporate fluoride to reduce tooth decay. It's even possible to replace old silver-colored fillings with these newer dental materials.
If you would like to learn more about tooth-colored fillings, please contact us to schedule an appointment for a consultation. To read Dear Doctor's entire interview with Cheryl Burke, please see “Cheryl Burke.” Dear Doctor also has more on “The Natural Beauty of Tooth-Colored Fillings.”
As a parent, the task of guiding your children through their physical, mental and social development can sometimes seem overwhelming. That doesn’t have to be the case with their dental development — that’s because we’re one of your most reliable support partners for oral health. We’re available not only to treat problems as they arise, but to also offer expertise and resources that can help you help your children establish life-long oral health.
Here are just a few ways we can help guide you along the path to a brighter dental future for your children:
Age One Dental Visit. A healthy life is built on healthy habits — and there’s no better habit for great dental health than regular checkups. We recommend your child’s first visit with us around their first birthday. Beginning this early not only helps us identify any emerging dental problems, it can also help the child — and you — become more comfortable with visiting the dentist. As they grow older they’ll think nothing of their regular visits in the dentist’s chair.
Help! While your child’s first teeth coming in are exciting milestones, the teething process can be extremely frustrating. And, when those same primary teeth give way to their permanent versions, you’ll develop a new set of concerns about their development. By establishing a long-term trust relationship with us, we can offer a wealth of knowledge and tips (as well as needed reassurance) concerning the various stages of your child’s dental development.
“Do as I Do.” Dental visits are important — but the greatest contribution to long-term dental care is a daily habit of proper brushing and flossing, which should start as soon as your child’s first teeth begin to appear. “Modeling” is the best approach for instilling this habit in your child — performing hygiene tasks together and allowing them to learn how to do it from you. To be sure you’re passing on the proper technique, we’ll be glad to provide you with instruction on brushing and flossing — for your sake as well as theirs.
Although rewarding, raising a child is a tough job. When it comes to their oral health, though, we can help make that job a little easier.
If you would like more information on building the right foundation for your child's dental health, 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 “Dentistry & Oral Health for Children.”
This website includes materials that are protected by copyright, or other proprietary rights. Transmission or reproduction of protected items beyond that allowed by fair use, as defined in the copyright laws, requires the written permission of the copyright owners.