It is not possible to brush your teeth well with a manual toothbrush without brushing your gums at the same time . However, it is possible to accomplish this goal without hurting your gums with a Braun Professional Toothbrush. There are only 3 brush heads that I recommend using. Please see my video on Youtube at the link below for a more detailed explanation of how to use a Braun toothbrush and don't forget to floss twice a day.
If there is a dental issue, treat it early. I have seen too many patients who waited to get dental insurance and a tooth that could have been a simple filling turned into major treatment that maxed out their insurance with that one tooth. Then they had other teeth with dental issues that they had to pay out of pocket because the cavity spread to adjacent teeth.
It is hypothesized that this will at least cause an inflammatory response in that area which can contribute to systemic diseases such as heart disease, cancer, osteoporosis, or even affect a pregnancy.
See the link below for more information about periodontal disease and how to treat or prevent it.
1. Clear Aligner Therapy using Invisalign- a series of clear plastic trays that gently move teeth to the desired position.
2. Porcelain Veneers- thin porcelain shells that are bonded to the front of one's teeth to reshape, change the shade, or close spaces.
3. Composite bonding-this is a cheaper and temporary solution similar to porcelain veneers but does not look as good. The composite filling material is bonded to one's teeth but is not as smooth as porcelain and therefore tends to stain, discolor, and chip more readily over time.
I would recommend an evaluation by a cosmetic dentist with a photo simulation to see which option is best for you.
For more information on Invisalign see the link below.
Signs and symptoms are related to the stage of periodontal disease and can include bad breath or taste, swollen or bleeding gums, and eventually tooth mobility. Please see my website at the link below for a more detailed explanation of periodontal disease and the sign/symptoms associated with each stage.
Prevention is aimed at minimizing the harmful bacteria causing the disease including
1. Properly brushing and flossing your teeth at least after breakfast AND at night before bed. Mouthwashes are not helpful if your teeth are not clean because they won't reach the areas covered in debris.
2.Visiting your dentist as recommended for cleaning and check ups. The frequency is based on your level of oral health and your gum measurements (periodontal charting). This will also allow your dentist the opportunity to identify the condition in the early stages and treat it before bone loss occurs.
See http://www.ada.org/en/member-center/oral-health-topics/x-rays for more information about dental x-rays.
To treat periodontal disease, I recommend the following
1. Deep cleaning to remove the calculus/tartar (hard stone like material) stuck on one’s teeth, both above and under the gumline. This is a step that must be done by a dental professional because brushing alone will not remove it.
2. Use of a Oral B Braun motorized toothbrush with instructions and coaching on how to use it optimally. I minimally suggest brushing with a Braun motorized brush and flossing after breakfast in the morning AND at night before bed to remove the soft bacterial plaque. Note that most people brush their teeth before breakfast and go through the entire day with their teeth dirty.
3. Maintenance cleanings by a dentist or hygienist with the frequency determined by the severity of one’s disease.
For more information about periodontal disease, visit my website at https://www.irvinedds.com/dental-services/periodontics.html
For answers to common dental question, please visit my website at Irvinedds.com
For answers to common dental questions, please visit my website at Irvinedds.com
For patients with GERD, we also recommend that they use Proenamel toothpaste. It is especially formulated for acidic mouths which are more prone to erosion and accelerated wear.
Also depending on how much movement has occurred, you may have to do some minor orthodontic movement with something like Invisalign. See the link below if you would like more information about clear aligner therapy.
A Water flosser may be helpful for people who find it difficult to floss and won’t floss, such as patients with braces. However, it not as good at preventing dental diseases as regular flossing.
As an analog, lets say you have a really dirty plate and you take it to the sink and spray it off. Does it look clean afterwards? Most people would say No. To get it clean, you have to take a scrubber and physically touch the surface to remove the debri from it. The Water flosser is like the water spray from the facet. It reduces the amount of debri but leaves a lot behind.
We have seen multiple patients over the years, who use a Water Flosser thinking it will prevent cavities and periodontal disease. Unfortunately, it does not. See the link below for more explanation about periodontal disease. https://www.irvinedds.com/dental-services/periodontics.html
It is good that you already avoid sugary foods when possible. As a general recommendation, it's best to limit the length of time sweets and carbohydrates (that turn to sugar) are in contact with your teeth. Sticky foods are worst because they will take longer to dissolve or clear from your teeth and gums.