Dental Health at Our Office in Shelton, CT
At Maria A. Smith DMD, our team is prepared to answer all questions pertaining to your dental health and appearance. Oral hygiene, specifically brushing and flossing, are a vital part of your dental health. We can also answer your questions about the different dental specialties and explain the meaning of dental terms.
Oral Hygiene
Why is Oral Hygiene so Important?
Adults over 35 lose more teeth to gum diseases (periodontal disease) than from cavities. Three out of four adults are affected at some time in their life. The best way to prevent cavities and periodontal disease is by good tooth brushing and flossing techniques, performed daily.
Periodontal disease and decay are both caused by bacterial plaque. Plaque is a colorless film, which sticks to your teeth at the gumline. Plaque constantly forms on your teeth. By thorough daily brushing and flossing you can remove these germs and help prevent periodontal disease.
How to Brush
If you have any pain while brushing or have any questions about how to brush properly, please be sure to call our Shelton office at 203-924-1613.
Dr. Smith recommends using a soft tooth brush or electric brush. Position the brush at a 45 degree angle where your gums and teeth meet. Gently move the brush in a circular motion several times using small, gentle strokes brushing the outside surfaces of your teeth. Use light pressure while putting the bristles between the teeth, but not so much pressure that you feel any discomfort.
When you are done cleaning the outside surfaces of all your teeth, follow the same directions while cleaning the inside of the back teeth.
To clean the inside surfaces of the upper and lower front teeth, hold the brush vertically. Make several gentle back-and-forth strokes over each tooth. Don’t forget to gently brush the surrounding gum tissue.
Next you will clean the biting surfaces of your teeth by using short, gentle strokes. Change the position of the brush as often as necessary to reach and clean all surfaces. Try to watch yourself in the mirror to make sure you clean each surface. After you are done, rinse vigorously to remove any plaque you might have loosened while brushing.
How to Floss
Periodontal disease usually appears between the teeth where your toothbrush cannot reach. Flossing is a very effective way to remove plaque from those surfaces. However, it is important to develop the proper technique. The following instructions will help you, but remember it takes time and practice.
Start with a piece of floss (waxed is easier) about 18” long. Lightly wrap most of the floss around the middle finger of one hand. Wrap the rest of the floss around the middle finger of the other hand.
To clean the upper teeth, hold the floss tightly between the thumb and forefinger of each hand. Gently insert the floss tightly between the teeth using a back-and-forth motion. Do not force the floss or try to snap it in to place. Bring the floss to the gumline then curve it into a C-shape against one tooth. Slide it into the space between the gum and the tooth until you feel light resistance. Move the floss up and down on the side of one tooth. Remember there are two tooth surfaces that need to be cleaned in each space. Continue to floss each side of all the upper teeth. Be careful not to cut the gum tissue between the teeth. As the floss becomes soiled, turn from one finger to the other to get a fresh section.
To clean between the bottom teeth, guide the floss using the forefingers of both hands. Do not forget the back side of the last tooth on both sides, upper and lower.
When you are done, rinse vigorously with water to remove plaque and food particles. Do not be alarmed if during the first week of flossing your gums bleed or are a little sore. If your gums hurt while flossing you could be doing it too hard or pinching the gum. As you floss daily and remove the plaque your gums will heal and the bleeding should stop.
Caring for Sensitive Teeth
Sometimes after dental treatment, teeth are sensitive to hot and cold. This should not last long, but only if the mouth is kept clean. If the mouth is not kept clean the sensitivity will remain and could become more severe. If your teeth are especially sensitive consult with your doctor. They may recommend a medicated toothpaste or mouth rinse made especially for sensitive teeth.
Choosing Oral Hygiene Products
There are so many products on the market it can become confusing and choosing between all the products can be difficult. Here are some suggestions for choosing dental care products that will work for most patients.
Automatic and “high-tech” electronic toothbrushes are safe and effective for the majority of the patients. Oral irrigators (water spraying devices) will rinse your mouth thoroughly, but will not remove plaque. You need to brush and floss in conjunction with the irrigator. We see excellent results with electric toothbrushes made by Oral B, Waterpik and Oral B. Some toothbrushes have a rubber tip on the handle, this is used to massage the gums after brushing. There are also tiny brushes (interproximal toothbrushes) that clean between your teeth. If these are used improperly you could injure the gums, so discuss proper use with your doctor.
Fluoride toothpastes and mouth rinses, if used in conjunction with brushing and flossing, can reduce tooth decay as much as 40%. Remember, these rinses are not recommended for children under six years of age. Tartar control toothpastes will reduce tartar above the gum line, but gum disease starts below the gumline so these products have not been proven to reduce the early stage of gum disease.
Anti-plaque rinses, approved by the
American Dental Association, contain agents that may help bring early gum disease under control. Use these in conjunction with brushing and flossing.
Professional Cleaning
Daily brushing and flossing will keep dental calculus to a minimum, but a professional cleaning will remove calculus in places your toothbrush and floss have missed. Your visit to our office is an important part of your program to prevent gum disease. Keep your teeth for your lifetime.
Child Dentistry
Your Child's First Visit
The first "regular" dental visit should be just after your child's third birthday. The first dental visit is usually short and involves very little treatment. We may ask you to sit in the dental chair and hold your child during the examination. You may also be asked to wait in the reception area during part of the visit so that a relationship can be built between your child and your dentist.
We will gently examine your child's teeth and gums. X-rays may be taken (to reveal decay and check on the progress of your child's permanent teeth under the gums). We may clean your child's teeth and apply topical fluoride to help protect the teeth against decay. We will make sure your child is receiving adequate fluoride at home. Most important of all, we will review with you how to clean and care for your child's teeth.
What should I tell my child about the first dental visit?
We are asked this question many times. We suggest you prepare your child the same way you would before their first haircut or trip to the shoe store. Your child's reaction to his first visit to the dentist may surprise you.
Here are some "First Visit" tips:
- Take your child for a "preview" of the office.
- Read books with them about going to the dentist.
- Review with them what the dentist will be doing at the time of the first visit.
- Speak positively about your own dental experiences.
During your first visit the dentist will:
- Examine your mouth, teeth and gums.
- Evaluate adverse habits like thumb sucking.
- Check to see if you need fluoride.
- Teach you about cleaning your teeth and gums.
- Suggest a schedule for regular dental visits.
What About Preventative Care?
Tooth decay and children no longer have to go hand in hand. At our office we are most concerned with all aspects of preventive care. We use the latest in dental sealant technology to protect your child's teeth. Dental sealants are plastics that are bonded to the chewing surfaces of decay-prone back teeth. This is just one of the ways we will set the foundation for your child's lifetime of good oral health.
Cavity Prevention
Most of the time cavities are due to a diet high in sugary foods and a lack of brushing. Limiting sugar intake and brushing regularly, of course, can help. The longer it takes your child to chew their food and the longer the residue stays on their teeth, the greater the chances of getting cavities.
Every time someone eats, an acid reaction occurs inside their mouth as the bacteria digests the sugars. This reaction lasts approximately 20 minutes. During this time the acid environment can destroy the tooth structure, eventually leading to cavities.
Consistency of a person's saliva also makes a difference; thinner saliva breaks up and washes away food more quickly. When a person eats diets high in carbohydrates and sugars they tend to have thicker saliva, which in turn allows more of the acid-producing bacteria that can cause cavities.
Tips for cavity prevention
- Limit frequency of meals and snacks.
- Encourage brushing, flossing and rinsing.
- Watch what your child drinks.
- Avoid giving your child sticky foods.
- Make treats part of meals.
- Choose nutritious snacks.
The first baby teeth that come into the mouth are the two bottom front teeth. You will notice this when your baby is about 6-8 months old. Next to follow will be the 4 upper front teeth and the remainder of your baby's teeth will appear periodically. They will usually appear in pairs along the sides of the jaw until the child is about 2 1/2 years old.
At around 2 1/2 years old your child should have all 20 teeth. Between the ages of 5 and 6 the first permanent teeth will begin to erupt. Some of the permanent teeth replace baby teeth and some don't. Don't worry if some teeth are a few months early or late as all children are different.
Baby, or primary teeth, teeth are important as they not only hold space for permanent teeth but they are important for chewing, biting, speech and appearance. For this reason it is important for you to help maintain a healthy diet and daily hygiene for your child.
Prophylaxis (Teeth Cleaning)
A dental prophylaxis is a cleaning treatment performed to thoroughly clean the teeth and gums. Prophylaxis is an important dental treatment for stopping the progression of gingivitis and periodontal disease.
Prophylaxis is an effective procedure in keeping the oral cavity in proper health and halting the progression of gum disease.
The benefits include:
- Plaque removal. Tartar (also referred to as calculus) and plaque buildup, both above and below the gum line, can result in serious periodontal problems. Unfortunately, even with a proper home brushing and flossing routine, it can be impossible to remove all debris, bacteria and deposits from gum pockets. The experienced eye of a dentist or hygienist using specialized dental equipment is necessary to catch potentially damaging buildup.
- A healthier looking smile. Stained and yellowed teeth can dramatically decrease the esthetics of a smile. Prophylaxis is an effective treatment in ridding the teeth of these unsightly stains.
- Fresher breath. Bad breath (or halitosis) is generally indicative of advancing periodontal disease. A combination of rotting food particles (possibly below the gum line) and potential gangrene stemming from gum infection, results in bad breath. The routine removal of plaque, calculus and bacteria at our facility can noticeably improve halitosis and reduce infection.
Prophylaxis can be performed at our office. We recommend that prophylaxis be performed twice annually as a preventative measure, but should be completed every 3-4 months for periodontitis sufferers. It should be noted that gum disease cannot be completely reversed, but prophylaxis is one of the tools Dr. Smith can use to effectively halt its progression.
Periodontal Maintenance
Periodontal diseases are infections of the gums, which gradually destroy the support of your natural teeth. There are numerous disease entities requiring different treatment approaches. Dental plaque is the primary cause of gum disease in genetically susceptible individuals. Daily brushing and flossing will prevent most periodontal conditions.
Why is oral hygiene so important?
Adults over 35 lose more teeth to gum diseases, (periodontal disease) than from cavities. Three out of four adults are affected at some time in their life. The best way to prevent cavities and periodontal disease is by good tooth brushing and flossing techniques, performed daily.
Periodontal disease and decay are both caused by bacterial plaque. Plaque is a colorless film, which sticks to your teeth at the gum line. Plaque constantly forms on your teeth. By thorough daily brushing and flossing you can remove these germs and help prevent periodontal disease.
Periodontal diseases can be accelerated by a number of different factors. However, it is mainly caused by the bacteria found in dental plaque, a sticky colorless film that constantly forms on your teeth. If not carefully removed by daily brushing and flossing, plaque hardens into a rough, porous substance known as calculus (or tartar).
Other important factors affecting the health of your gums include:
- Smoking
- Diabetes
- Stress
- Clenching and grinding teeth
- Medication
- Poor nutrition
Periodontal Disease
Bacteria found in plaque produces toxins or poisons that irritate the gums, which may cause them to turn red, swell and bleed easily. If this irritation is prolonged, the gums separate from the teeth, causing pockets (spaces) to form. As periodontal diseases progress, the supporting gum tissue and bone that holds teeth in place deteriorate. If left untreated, this leads to tooth loss.
Preventing Gum Disease
The best way to prevent gum disease is effective daily brushing and flossing as well as regular professional examinations and cleanings. Unfortunately, even with the most diligent home dental care, people still can develop some form of periodontal disease. Once this disease starts, professional intervention is necessary to prevent its progress.
Arestin
Periodontal disease is a serious infection under your gumline.
ARESTIN® (minocycline hydrochloride) is an antibiotic that kills the bacteria that causes the infection.
- It's placed directly in the infected areas—or "pockets"—in your gums.
- It's applied right after scaling and root planing, the dental procedure that disrupts stubborn plaque and bacteria below your gum line—where brushing and flossing can't reach.
ARESTIN® starts working quickly, right at the source of infection, and keeps fighting bacteria long after you leave the dental office. 1,2
ARESTIN® fights infection and inflammation for 30 days,2 and provides significantly better results than scaling and root planing alone for up to 90 days.3
1. Oringer RJ, Al-Shammari KF, Aldredge WA, et al. Effect of locally administered minocycline microspheres on markers of bone resorption. J Periodontol 2002;73:835-842.
2. Goodson JM, Gunsollwy JC, Grossi SG, et al. Minocycline HCl microspheres reduce red-complex bacteria in periodontal disease therapy. J Periodontol 2007;78(8):1568-1579.
3. Williams RC, Paquette DW, Offenbacher S, et al. Treatment of periodontitis by local administration of minocycline microspheres: a controlled trial. J Periodontol 2001;72:1535-1544.
Schedule your consultation today by calling us at 203-924-1613. Your journey to a secure and natural-looking smile begins with a simple call.