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Posts for tag: oral hygiene

By Raul A. Montalvo, D.D.S.
October 05, 2021
Category: Oral Health
Tags: oral hygiene  
FollowTheseTipsforCleanerandHealthierTeethandGums

It gradually dawned on our ancient ancestors that a healthy mouth was usually a clean one. To achieve that blessed oral state, they chewed on tree bark or employed primitive toothbrushes like bamboo sticks with hog hair bristles attached to their ends.

Today, we have better tools and methods for achieving a cleaner and healthier mouth. But these advancements do little good if a) we don't use them on a daily basis, and b) we're not proficient with them.

October is National Dental Hygiene Month, highlighting once again the importance of these two points for keeping teeth and gums as clean as possible. First and foremost, oral hygiene should never take a holiday—even a day or two of accumulated plaque, the bacterial biofilm that builds up on teeth surfaces, can trigger the occurrence of gum disease or tooth decay.

But while "showing up" every day to brush and floss goes a long way toward a healthy mouth, you also need to perform these tasks well. An inadequate job can leave residual plaque that could still cause disease.

Here are a few handy tips to improve your oral hygiene routine.

Do a thorough job. Plaque can be stubborn, clinging to the nooks and crannies of teeth and around the gum lines—and it can easily be missed while brushing. Be sure, then, to thoroughly work your toothbrush's bristles into all dental surfaces. Your efforts should take about 2 minutes to complete.

Don't be too aggressive. You may need "elbow grease" to clean your floors, but not your teeth. Too much pressure applied while brushing can damage enamel and gums. Instead, go easy when you brush and let the toothpaste's mild abrasives do the heavy lifting.

Use flossing tools. Many people avoid flossing because they find it too hard or cumbersome with traditional flossing thread. If this is a problem for you, consider using a flossing tool—a floss threader or pick, or even a water flosser appliance that uses pressurized water to break up and remove plaque.

Take the "tongue test." Wondering how well you're doing with your hygiene efforts? One quick way to find out is the "tongue test": Simply swipe your tongue across your teeth just after brushing and flossing. If they feel gritty rather than smooth, you may have left some plaque behind.

Besides your personal hygiene efforts, be sure you also have your teeth cleaned regularly by a dental hygienist to rid your mouth of any residual plaque and tartar (hardened plaque)—these can also cause dental disease. Professional care coupled with proficient daily hygiene will help ensure you have cleaner mouth and better dental health.

If you would like more information on the best ways to incorporate oral hygiene into your life, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Daily Oral Hygiene.”

By Raul A. Montalvo, D.D.S.
July 17, 2021
Category: Oral Health
Tags: oral health   oral hygiene  
TakeCareofYourTeethandGumsEvenWhileCamping

July is Park and Recreation Month, a great time to pack up the tent, bed roll and camp stove and head for your nearest state or national park. Just don't take the concept of "getting away from it all" too literally. It's not a good idea to leave all of civilization behind, particularly your daily oral hygiene and dental care habits.

You might think, What's the harm going a few days without brushing and flossing? Actually, there's plenty of harm—even a brief period of neglected oral hygiene is sufficient to give oral bacteria a chance to trigger a case of tooth decay or gum disease.

It's true that you're limited on what you can take with you into the great outdoors (that's kind of the point). But with a little forethought and wise packing, you can take care of your dental care needs and still tread lightly into the woods. Here then, are a few tips for taking care of your teeth and gums while camping.

Bring your toothbrush. There are some things in your personal toiletry you may not need in the wild (looking at you, razor). But you do need your toothbrush, toothpaste and a bit of dental floss or floss picks. We're really not talking about a lot of room, particularly if you go with travel sizes. Just be sure everyone has their own brush packed separately from each other to discourage bacterial spread.

Dry and seal hygiene items. Bacteria love moist environments—so be sure you thoroughly dry your toothbrush after use before you pack it away. You should also stow toothpaste in sealable bags so that its scent won't attract critters (bears seem partial to mint). And, be sure to clean up any toothpaste waste or used floss and dispose of items properly.

Be sure you have clean water. Brushing and flossing with clean water is something you might take for granted at home—but not in camp. Even the clearest stream water may not be as clean as it may look, so be sure you have a way to disinfect it. Alternatively, bottled water is a handy option for use while brushing and flossing your teeth.

Easy on the trail mix. Although seeds and nuts make up most popular snacking mixes for hiking or camping, they may also contain items like raisins or candy bits with high sugar content. Since sugar feeds the bacteria that cause dental disease, keep your snacking on these kinds of trail mixes to a minimum or opt for snacks without these sweetened items.

Camping can be a great adventure. Just be sure you're not setting yourself up for a different kind of adventure in dental treatment by taking care of your teeth and gums on your next big outing.

If you would like more information about taking care of your teeth no matter the season, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Daily Oral Hygiene.”

By Raul A. Montalvo, D.D.S.
July 07, 2021
Category: Oral Health
Tags: oral hygiene  
SeeHowWellYoureRemovingPlaqueWithaDisclosingAgent

You've just finished your daily brushing and flossing. How did you do? Swiping your tongue across your teeth can generally tell you: It's a good sign if it glides smoothly; but if it feels rough and gritty, you better take another run at it.

This "tongue test," however, only gives you a rough idea of how well you're removing plaque, that thin bacterial film on teeth most responsible for dental disease. Plaque, though, can be sneaky, "hiding" in the nooks and crannies on the biting surfaces of teeth, around the gum line and in between teeth.

So, how do you know if you're clearing out any plaque holdouts? An effective way is to use a plaque disclosing agent. This over-the-counter dental product consists of a swab, tablet or solution, which contains a dye that's reactive to plaque.

After brushing and flossing as usual, you apply the solution to your teeth for about 30 seconds. You then take a look in the mirror: Any remaining plaque will be stained a bright color that makes it stand out. There are also agents with two colors of dye, one that stains older plaque and one for newer plaque.

The plaque staining not only helps you see how well you've been brushing and flossing, it can also show you areas in need of improved hygiene. For example, if you notice a scalloped pattern around the gum line, that may mean your brush isn't getting into that area effectively. In this way, you can use a disclosing agent to fine-tune your hygiene.

Repeated use of a disclosing agent is safe, but just remember the dye color can be vivid. It does wear off in a few hours, though, so perhaps schedule it for a day off around the house. You should also avoid swallowing any solution or getting any of it on clothing.

The ultimate test, though, is a thorough dental cleaning with your dentist at least every six months. They can verify whether you've been fairly successful with your brushing and flossing, or if you have room for improvement. If you do use a disclosing agent, you can also discuss that with them in working out better strategies to protect your teeth from tooth decay and gum disease.

If you would like more information on improving your oral hygiene, 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 “Plaque Disclosing Agents.”

By Raul A. Montalvo, D.D.S.
June 17, 2021
Category: Oral Health
Tags: oral hygiene  
ManagingOralHealthIsanImportantPriorityforHIV-AIDPatients

Forty years have passed since the first reported case of Acquired Immune Deficiency Syndrome (AIDS), and it and the human immunodeficiency virus (HIV) that causes it are still with us. About 1.2 million Americans are currently infected with HIV, with 50,000 new cases diagnosed each year.

The emergence of antiretroviral drugs, though, has made it possible for many with HIV to live normal lives. Even so, the virus can still have a profound effect on health, including the teeth and gums. Because of its effect on the immune system, HIV+ patients are at greater risk for a number of oral conditions, like a fungal infection called candidiasis ("thrush").

Another common problem is chronic dry mouth (xerostomia), caused by a lack of saliva production. Not only does this create an unpleasant mouth feel, but the absence of saliva also increases the risk for tooth decay and periodontal (gum) disease.

The latter can be a serious malady among HIV patients, particularly a severe form of gum disease known as Necrotizing Ulcerative Periodontitis (NUP). With NUP, the gums develop ulcerations and an unpleasant odor arising from dead gum tissue.

Besides plaque removal (a regular part of gum disease treatment), NUP may also require antibiotics, antibacterial mouthrinses and pain management. NUP may also be a sign that the immune system has taken a turn for the worse, which could indicate a transition to the AIDS disease. Dentists often refer patients with NUP to a primary care provider for further diagnosis and treatment.

Besides daily brushing and flossing, regular dental cleanings are a necessary part of a HIV+ patient's health maintenance. These visits are also important for monitoring dental health, which, as previously noted, could provide early signs that the infection may be entering a new disease stage.

It's also important for HIV+ patients to see their dentist at the first sign of inflamed, red or bleeding gums, mouth lesions or loose teeth. Early treatment, especially of emerging gum disease, can prevent more serious problems from developing later.

Living with HIV-AIDS isn't easy. But proper health management, including for the teeth and gums, can help make life as normal as possible.

If you would like more information on dental care and HIV-AIDS, 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 “HIV-AIDS & Oral Health.”

By Raul A. Montalvo, D.D.S.
May 28, 2021
Category: Oral Health
Tags: oral hygiene  
AnOralIrrigatorCouldMakeFlossingEasierforYou

If we were playing word association with the term “oral hygiene,” you'd probably answer “brushing.” And you would be right—brushing cleans tooth surfaces of accumulated bacterial plaque, a thin biofilm most responsible for dental disease.

But brushing is only half of the oral hygiene equation: You also need to remove dental plaque between teeth where brushing can't reach. And, that requires that other practice—flossing.

Unfortunately, brushing is more popular than its hygienic sibling because many people find traditional thread flossing more difficult and messier than brushing. That can make it tempting to skip flossing—but then you're only getting half the benefit of oral hygiene for reducing the risk of tooth decay or gum disease.

There is, however, a way to floss that doesn't involve a roll of thread: oral irrigation. This form of flossing uses a countertop device that directs a pressurized spray of water between teeth through a handheld wand. The directed spray loosens and then flushes away accumulated plaque.

Oral irrigators (also known as water flossers) have been an important tool for decades in dental offices, and have been available for home use since the 1960s. In the last few years, though, the devices have become more compact and easier to use. More importantly, studies have shown they're as effective in removing between-teeth plaque as regular flossing.

These irrigation devices are especially useful for people wearing braces. The attached brackets and wires make it extremely difficult to maneuver flossing thread between teeth. Because of this (as well as similar difficulties in brushing), patients are more susceptible to dental disease while undergoing orthodontic treatment.

But a 2008 study showed that oral irrigators are quite effective for braces wearers in removing between-teeth plaque. It found those who used an irrigator after brushing removed five times the amount of plaque than those that only brushed.

Even if you're not wearing braces, you may still find an oral irrigator to be a useful flossing alternative. Speak with your dentist for recommendations on what to look for in an oral irrigator and tips on how to use it. It could make a positive difference in your dental health.

If you would like more information on how best to keep your teeth and gums clean, 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.”



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