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Adult and Child Cleaning
Brushing and flossing your teeth
are the two most important
factors in daily dental hygiene.
This is because plaque, a sticky
mixture of food particles and
bacteria, begins building up on
your teeth within 20 minutes of
eating a meal. If the plaque is
not removed quickly, it can
harden, turn into tartar and
eventually cause tooth decay.
But brushing and flossing alone
can't get rid of all the plaque
and tartar in your mouth. That
is why your teeth need to be
cleaned by a dentist or
hygienist every six months. This
regular cleaning is referred to
as "prophylaxis" in the dental
community. Using special
cleaning instruments, our
cosmetic dentists can clean and
polish your teeth so they
continue to remain healthy and
free of decay and gum disease.
What is a Prophylaxis?
A prophylaxis is a
preventive cleaning performed by
a dental hygienist. It is
usually done every six months
for people who have healthy gum
tissue, good overall health, and
minimal plaque and bacteria
build up. At times it may also
be appropriate for an individual
with mild gingivitis or gum
tissue inflammation.
What is a Dental X-Ray?
A dental x-ray (radiograph)
is a picture taken intra-orally
(inside the mouth) for
diagnostic purposes. It shows
many things that are not visible
to the dentist's eye. Dental
x-rays are an essential part of
a thorough dental examination.
Types of Radiographs

Bitewings
Images of the back teeth
used to diagnose cavities
between the teeth.

Periapical
A dental x-ray used to
diagnose conditions causing
tooth pain or sensitivity. This
image can be taken of a front or
back tooth.
Who Needs to Have Dental
X-Rays?
Dental x-rays are a standard
of care in dentistry, and should
be taken every 12 months. Your
dental professional will
prescribe dental x-rays that
suit your particular needs. If
you are experiencing pain or
sensitivity you will require
dental x-rays more often.
When is it Safe to be Exposed
to X-Rays?
The radiation received from
a dental x-ray is substantially
less than the radiation you
would receive from the sun in
one day. Your x-ray exposure has
been minimized by technology
advances such as:
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High speed film
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Long cone devices
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Lead aprons
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Thyroid collars
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Low radiation settings
The only time radiation is not
advisable is during pregnancy,
when dental x-rays will not be
taken unless an emergency is
identified.
How to Read an X-Ray
X-Rays
allow the dentist to examine the
inside of the tooth, as well as
the structures surrounding it.
X-Rays do not show soft tissue,
only bone and hard structures.
This
x-ray picture shows the upper
right teeth. The green arrows
point to the bone support. The
blue arrows point to the healthy
enamel of the tooth. The red
arrows point to the canal
holding the nerves, blood
vessels, and pulp tissues of the
tooth. The purple arrows point
to the decayed enamel.
This
dental x-rays shows the upper
font teeth and the dark black
area between them, which
indicates decay. Decay between
the teeth is usually caused by a
lack of flossing. The yellow
arrows point to this decayed
area.
Toothpaste Ingredients
Do you read the toothpaste
label? Many of these seemingly
chemical-sounding names are
really just simple ingredients.
Here are a few of them, with
explanations.
Hydrogen peroxide
A bleaching agent, and the
only proven one that
successfully whitens teeth.
Sodium bicarbonate
This ingredient is none
other than plain old fashioned
baking soda. It helps remove
surface stains, as it is mildly
abrasive and helps make the
teeth feel smooth and clean.
Sodium pyrophosphate
An ingredient found in most
tartar control toothpastes, as
it prevents the plaque
formation. However once this
plaque hardens into tartar, only
your dental professional can
remove it.
Propylene glycol
The ingredient that keeps
the toothpaste’s solid and
liquid ingredients mixed and
moist.
Sodium Lauryl Sulfate
A foaming agent. It has been
known to cause canker sores in
some people.
Sodium saccharin
A toothpaste sweetener.
Desensitizing ingredients
These ingredients are added
to toothpastes for sensitivity
reduction. They block pain from
passing to the nerve inside the
tooth.
Triclosan
An antibacterial agent
proven to fight gingivitis by
inhibiting bacterial growth.
Tooth Sensitivity
Tooth sensitivity is pain
caused by cold, hot, or sweet
foods. The most common cause is
exposed root surfaces. Root
surfaces are made of dentin
which is more porous than tooth
enamel. It has pores or tubules
that serve as conductors for the
nerve, so any dramatic
stimulation of these tubules
will cause the sensation of
pain, which can be quite abrupt
and severe.
Causes of root exposure
-
Brushing too Aggressively
- may cause gum tissues
to recede, leading to root
exposure.
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Gum Disease - affects
bone support around the
teeth, and if bone support
is lost, gums will likely
recede, which leads to root
exposure.
Other causes of sensitive
teeth
What to do at home
-
Continue good oral hygiene
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Use an extra soft toothbrush
-
Utilize a desensitizing
toothpaste
-
Avoid sweet or sour foods
-
Avoid food or drink with
extremely cold or hot
temperatures.
-
Utilize fluoride mouthwashes
and toothpastes
-
Professional Care
There are several different
solutions that your dental
professional can offer you:
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White filling placement to
cover exposed roots
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Fluoride varnish application
to exposed root surfaces
-
Dentin sealer can be applied
to exposed surfaces
How to Floss
Flossing is a very important
part of cleaning the teeth. It
removes plaque and bacteria from
in-between the teeth where the
tooth brush and saliva cannot
reach.
There are several different
flossing tools that can be used
if you find it difficult to
wield the floss with your
fingers. Ask your dental
professional to provide you with
an interdental tool.
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Use a piece of floss that is
12 - 18 inches long. Wind it
around your index fingers,
keeping about 1-1.5 inches
in between your fingers for
flossing.
-
Gently slide this piece of
floss in between the teeth.
Curve the floss around each
tooth, creating a C shape.
Slide the floss up and down
the side of the tooth for 3
or 4 strokes. For each new
area, change the floss by
unwinding and rewinding it
between your fingers.
How To Brush
Brushing
is less important than flossing,
but more important than using
mouthwashes. It removes plaque
and bacteria from all the smooth
surfaces of the teeth.
Plaque removal is most
effectively accomplished by an
electric toothbrush, as they
have been proven far more
effective in daily plaque
removal than a manual tooth
brush. Regardless of toothbrush
type, remember to change your
tooth brush head every three
months.
-
When brushing your teeth,
pay particular attention to
the areas nearest the gum
line because most plaque and
bacteria build up there.
-
Use short circular strokes
pointing the toothbrush
bristles toward the gum
line.
-
For the insides of the upper
and lower front teeth point
your toothbrush at a 45
degree angle. Use a straight
up and down stroke.
-
For all areas by the cheeks
or lips, point the
toothbrush towards the gum
line. Use short circular
strokes.
-
After you have thoroughly
cleaned every tooth, brush
the top of your tongue to
remove bacteria.
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