How to care about your teeth

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Proper Brushing Technique

Tilt the brush at a 45° angle against the gumline and sweep or roll the brush away from the gumline. Gently brush the outside inside and chewing surface of each tooth and then brush your tongue to remove bacteria and freshen breath.

How to brush your teeth properly

Proper Flossing Technique

Floss before every brushing. Remember that using just a small bit of dental floss to gently slide debris from between the teeth goes a long way towards eradicating plaque and keeping the mouth free from bacteria. Floss should be wrapped around the fingers then stretched tightly between the thumbs, or thumb and first finger, of each hand so that it can be eased carefully between teeth. The floss should be moved carefully up and down the side of each tooth, pushing the floss down just under the gum line.

Other interdental cleaning

Other interdental cleaning devices (those devices that clean in between teeth) such as interproximal brushes or wooden or rubber tips are also valuable for certain people including those with missing teeth, large gaps, areas where the gum line has dropped, crowded teeth etc. A dentist is trained to determine the individual needs of a patient, and determine which tool will be the most effective.

Interproximal brush used to clean in between teeth. This is especially useful for people who cannot use conventional dental floss, such as those who have bridges that join teeth together, and/or orthodontic treatment (this person has a metal retainer behind the lower front teeth). www.tepe.com

Tepe

Independent clinical research studies demonstrate that the Waterpik® Water Flosserr oral irrigator is up to 93% more effective than dental floss for improving gum health. It removes stubborn plaque and debris from deep between teeth and below the gumline. It also massages and stimulates the gums for better circulation. www.waterpik.co.uk

Waterpik

Useful Tips

It is important to remember that if one cleans the teeth properly with brushing and flossing, there is no need for a mouthwash. To date, the best mouthwashes include an ingredient known as chlorhexidine gluconate. Any mouthwash with this ingredient should ONLY be used for short periods of time as it has problems such as altering taste, staining teeth and margins of fillings etc. Those mouthwashes containing thymol and cetylpyridinium chloride are effective, but to a lesser degree than chlorhexidine gluconate.

Recently, there has been the heated debate over alcohol containing mouthwash related to oral cancer. Some people have dismissed the link, however, one study in 2008 from an Australian journal proposed a link between oral cancer and mouthwash in non-smokers and non-drinkers, and fuelled the debate over whether dentists should be recommending alcohol containing mouthwashes. More and more companies are releasing alcohol free mouthwashes in light of recent evidence. At the moment, alcohol containing mouthwash does not cause oral cancer; it simply has been linked with a higher incidence in some research.

Gum, lollies, high fluoride toothpaste, and CPP-ACP.

If you are unable to clean your mouth directly after eating, consider chewing sugar free gum. This will stimulate saliva in your mouth that will naturally help flush out any lingering remnants of food.  Also sugar free lollies will promote a similar mechanism.

High fluoride toothpastes should be used only in consultation with dental advice. They usually have five times the fluoride content of normal toothpaste and are advised in patients who are high-risk to dental decay. Other agents such as CPP-ACP (casein phosphopeptide – amorphous calcium phosphate), which are effective in helping remineralise the tooth, are being promoted in patients prone to erosion, dental decay, and dry mouth.

Gum