Dental Hygiene

Your smile is one of the first things people see. But the occasional check up from your dentist isn’t the only way to maintain those pearly whites. Caring for your oral health at home is equally important.

These resources answer commonly asked questions, offer recommendations, and address unique needs like a sensitive smile.

Dr. Bland and his staff pride themselves on providing information to help you get the most out of your visit. Next time you are in, don’t be afraid to ask questions or get recommendations regarding upkeep. We know that maintaining a healthy smile is imperative to whole body health.

  • How many times have you heard your dentist and dental hygienist tell you to floss? You nod your head and, maybe, you try flossing for a while. Then old habits take over. Well, it bears repeating: is one of the best things you can do to keep your teeth and gums healthy.

    Bacteria accumulate between the teeth and where the tooth meets gum tissue. Every 24 hours brings a new batch. Brushing won't get rid of the bacteria, flossing correctly will.

    Flossing before or after brushing should be a part of your home oral health care program. It doesn't matter which floss you use, and it doesn't require special skills, although practice makes perfect.

    Here's a general routine to follow: wrap floss around your fingers, leaving five to six inches to work with. Keep the floss tight.

    When the floss frays, re-loop the floss and continue flossing.

    If you feel as if you're all thumbs, use a flossing threader. Your dentist or dental hygienist can show you how.

    Choose a section of teeth; say your upper molars, which are most difficult to reach. Follow the curve of enamel on every surface, reaching wherever you can, with about three passes each time.

    If an opening between teeth is tight, you may have to gently pull the floss toward the gum line. Be careful not to damage soft tissue.

    Work from the back teeth toward the front while flossing, and then repeat the process on the other side. Rinse when you're done. The time you invest in plaque removal will pay real dividends at your next dentist cleaning visit. Your dental hygienist will be proud!

  • A good toothbrush is an essential tool for daily dental care and good dental hygiene. Not long ago, toothbrushes were all rather standard in design. Now they are available in a dazzling array of colors, sizes and styles, angled heads, tufted bristles, powered by hand, electricity, or sonic waves.

    When selecting a toothbrush for your teeth, always look for the American Dental Association's (ADA) Seal of Acceptance. This is awarded only to products meeting stringent testing for safety and effectiveness. Claims made by dental care products must be accurate for what they say, as well as imply, to receive the ADA Seal.

    Manual Dental Cleaning

    Choose a brush with soft, polished bristles and rounded ends, comfortable in both size and shape that allows you to reach every tooth. Hard bristles can injure your gums.

    For good dental health replace your toothbrush every three to four months or earlier if the bristles are frayed. Some brushes are designed with replacement indicators to help remind you when a new brush is needed.

    Old, worn out toothbrushes don't achieve desirable results and may also hold harmful bacteria that can cause gum disease. It's also recommended that you replace your toothbrush after an illness. Children's toothbrushes may need to be replaced more often due to wear.

    Electric Toothbrushes

    There are a variety of powered brushes featuring different speeds, bristle rotations, and head sizes. Products vary and the manufacturer's instructions must be carefully followed. Check with your dentist to make sure you're using the brush correctly. Use a light touch and slow movements for maximum tooth cleaning effectiveness.

    Electric toothbrushes offer convenience for the disabled and elderly with limited manual dexterity. Children under ten years old should be supervised.

    Sonic Toothbrushes

    With this new dental care technology, sonic waves remove plaque bacteria without actually having to touch it. Through the motion of sound waves, these toothbrushes are able to sweep away plaque in hard to reach places, between teeth, and below the gumline.

    The sonic wave technology is gentle on teeth, even sensitive ones. These toothbrushes also have proven effective in reversing gum disease, shrinking periodontal pockets, and removing tough stains like coffee, tea, or tobacco.

    If you have any questions about choosing a toothbrush for your preventative dentistry needs, consult your dentist. Whichever toothbrush you select, use it at least twice a day, as part of a good dental health care program.

    By Brian J. Gray, DDS, MAGD, FICO

  • From Austin Powers to The Simpsons, American pop culture has heckled the British for their allegedly bad teeth for years. Let's face it - even Prince Charles could use a good orthodontist. Now it looks like comedians will have fresh material, thanks to a national survey that polled Brits on their dental habits.

    An overwhelming number of respondents admitted to cleaning their teeth with just about everything but floss, opting for everyday household tools instead. Nontraditional tooth picks included: screw drivers, earrings, forks, scissors and (wait for it) knives. (Maybe they should consider putting restrictions on the use of ice picks.) To top it off, about half reported they don't bother cleaning food out from between their teeth at all. Yikes! Needless to say the English dental community has admittedly fallen behind in dental education.

    While it's easy to laugh at our friends across the pond, the truth is a number of Americans aren't doing much better when it comes to oral hygiene. Gum disease and tooth decay are two potentially serious conditions frequently overlooked by the American press. (Maybe they're too busy critiquing jolly England's smiles.) They are also linked to other health problems, including heart disease and low birth weight.

    In order to maintain your own dental health, it's important to brush and floss everyday. If you find particularly tricky debris stuck between your teeth, skip using your PDA's stylus to dig it out. Your best option is a wood (and therefore flexible) tooth pick or dental ribbon, which is smoother than floss. Tying a small knot in it can help dislodge larger pieces of food.

    So, the next time you hear somebody crack a joke at the queen's expense, consider your own flossing habits. And for Pete's sake, never use anything to clean your teeth and gums that wasn't designed for that purpose!

  • The issue of over brushing and its direct link to tooth abrasion has been a topic in many journal and news articles. A story in The Wall Street Journal (February 4, 2000) stated that in many cases, "the culprit in tooth abrasion is the toothbrush itself."

    This issue is particularly important to because people can damage healthy teeth and gums by brushing too hard, oftentimes with a medium- or hard-bristled toothbrush. In fact, dentists and dental hygienists have a recommendation on how to brush your teeth they recommend that you use a soft-bristled toothbrush for your dental cleaning.

    Your teeth and gums are susceptible to wear and tear like all other parts of your body. In cases of improper dental hygiene and brushing, such as brushing too vigorously, gum tissue can be worn away. Receding gums then lead to other significant dental problems such as sensitive teeth, periodontal disease, cavities, root canals, and, potential loss of teeth.

    Your dental hygienist will explain that brushing your teeth correctly includes adjusting the angle of your toothbrush (it should be at a 45-degree angle), lessening the amount of pressure you use, monitoring the length of time, as well as making sure that you are using a soft-bristled toothbrush. In addition, always ask your dentist for specific recommendations related to your dental hygiene care and healthy teeth.

    While the potential harm to healthy teeth and gums through poor dental hygiene and over brushing is significant, an even greater percentage of the population suffers damage to their teeth from occlusion (bad bite), genetic factors, and poor overall dental cleaning. It is critical to carefully maintain and monitor your oral health.

    The best approach to maintaining good oral hygiene is to brush your teeth twice a day with a soft-bristled toothbrush with fluoride toothpaste, floss or clean between the teeth using an inter-dental cleaner (special brushes, picks or sticks), and visit your dentist every six months. Follow your dental hygienist's advice with regard to any changes to this regimen.

    By Brian J. Gray, DDS, MAGD, FICO

  • We've all heard the success story of fluoride, perhaps the most dramatic turnaround of a population's dental health in history. But we're finding the benefits of fluoride extend beyond decay prevention in our children. There's something in fluoride for adults, too.

    As we get a little older, the gums tend to recede, exposing the tooth root. Since the root surface is dentin, rather than tough, protective enamel, the root becomes more susceptible to decay. Dentin is closer to nerves, too, so teeth can be sensitive to heat and cold.

    Fluorides can help with your dental hygiene program. The numbers in a recent University of Iowa survey are impressive. At the end of a year-long study, adults aged 54 to 93 enjoyed 67% less decay on the root surfaces (and 41% less on tooth crowns) than non-fluoride users. We've seen the same kinds of success when it comes to gum problems with fluoride, there is less plaque, less tartar, and less bacteria all around to multiply into gum disease.

    Gel-Kam

    Many patients know Gel-Kam well.

    Gel-Kam is a prescription stannous fluoride, much more effective than other fluoride compounds on the market.

    Just after you visit your dental hygienist to have your teeth cleaned is a good time to introduce you to Gel-Kam. Right away it restores the fluoride lost during dental cleaning. At home, you apply Gel-Kam once daily, after your regular preventive dentistry regimen.

    We're seeing good results with Gel-Kam. It's easy to use and it's safe - a low fluoride concentration that still works.

    Your dentist is likely to recommend a home fluoride program if you're having recurrent caries, difficulty in keeping free of plaque and calculus, or gum recession.

  • The marketers of toothpastes have come up with a new spin that will work on your teeth – toothpaste that helps prevent plaque. Since most American consumers are now aware of oral hygiene and the threat of gum disease, toothpaste manufacturers and marketers have spent upwards of $77 million to sell anti-plaque and tarter control home care products. The media blitz in the dentistry world is on.

    Dentists have always known that plaque is the cause of gum disease. And plaque will eventually contribute to the formation of tarter on your tooth. But if you use these new toothpastes, will they work.

    Crest and Colgate and other major brands have added a substance that seems to slow the accumulation of tartar on the tooth. You can try it and see for yourself if it works.

    But the bottom line for many dentists would be to make sure you're brushing right, no matter what toothpaste you use. A new group of bacteria forms on a tooth every 24 hours, so the object of brushing is to disrupt these colonies. Dental hygiene includes: good tooth brushing techniques, a learned skill that takes practice. However, even the most determined brushing won't always get rid of debris beneath the teeth.

    That's why an annual dental cleaning and refresher course on brushing and flossing should bring you up-to-date on the oral health front. And what about those new toothpastes? Can't hurt. Call your dentist today.

  • Maintaining good oral hygiene can be a challenge, especially if you have developed a health condition that makes brushing and flossing more difficult, or have been in an accident that created new limitations. Dental professionals want to help all dental patients keep their mouths healthy, and they offer these suggestions about oral hygiene.

    Dental Brushing Tips

    Problems in hands, wrists, arms, and shoulders can hinder a person's ability to brush and floss. While each situation is different, there are some suggestions that have been effective in making dental care easier:

    - Use a wide elastic band to attach the toothbrush to your hand for extra gripping power.

    - Attach a small rubber ball, a sponge, or a rubber grip to the toothbrush handle with strong tape. This enhances gripping power and is often useful when hand or arm movement is weakened or limited.

    - Use a longer wooden dowel, a ruler, or plastic rod to lengthen the toothbrush handle, wrapping it securely with strong tape. This longer length may help in more easily reaching your mouth.

    - Use an electric or sonic toothbrush.

    Dental Flossing Tips

    If limitations make brushing and oral hygiene harder, flossing may be an even bigger challenge. Depending on your limitations, try these techniques:

    - Use a piece of floss, about 18" long, and wind one end of floss around each finger instead of holding it. This will increase your grip and prevent the floss from dropping out of your fingers with each tooth you floss.

    - Hold the floss tightly and seesaw it back and forth between the teeth, instead of pushing the floss right through.

    - Tie the floss into a long circle instead of using one long piece, which may make it easier to hold and less likely to drop from your hands.

    - Try using a floss holder, available wherever oral hygiene products are sold.

    By Danine M. Fresch, DDS

  • Are you overly sensitive? Relax, it has nothing to do with crying during life insurance commercials. Millions of adults struggle with hypersensitive teeth, which means they are sensitive to hot and cold temperatures, very sugary or acidic foods and drinks and vigorous toothbrushing. This kind of sensitivity is often called "dentin hypersensitivity."

    Dentin is the tissue that makes up the core of each tooth. Above the gumline, dentin is protected with a coating of enamel. Unfortunately, as enamel is worn away or decayed, dentin becomes exposed and receptive to sensations that cause painful nerve responses. This can also occur as the result of receding gums, a common symptom of gum disease.

    So, what causes sensitive teeth? A number of things may be to blame. Over-zealous brushing with a firm bristled tooth brush or abrasive toothpaste can lead to dentin hypersensitivity, as can gum disease, which is the result of poor brushing and flossing habits. Your diet may also play a role, as frequent consumption of acidic foods and drinks can chemically dissolve tooth enamel. Finally, abnormal wear on tooth surfaces from chronic clenching or grinding of teeth, nail biting and chewing on hard objects can lead to sensitive teeth. To avoid the problem, brush and floss daily to maintain healthy gums and protect dentin from exposure. Avoid vigorous toothbrushing with a hard-bristled toothbrush.

    If you're already suffering from overly sensitive teeth, your best bet is to contact your dentist for guidance on dental hygiene. In the mean time, there are products that can help. Desensitizing toothpaste used in conjunction with a soft-bristled toothbrush can help. Toothpaste designed for those with sensitive teeth can reduce the pain associated with the condition after only a few days of use.

  • Bad breath, or halitosis, is a signal that something is not right inside your mouth. It may be as simple as the need to pay more attention to your daily oral hygiene, or it may indicate tooth decay, gum disease, or another medical problem. Whichever it is, bad breath is a red flag: take another look at your mouth!

    Bad breath is a social problem; if you have bad breath, you may notice that people actually back away as you talk to them. Mouth odors are embarrassing, and they tell other people that you aren't taking care of yourself.

    Sometimes people are not aware that their breath smells bad; be alert to how other people react when they're close to you, and be grateful if a friend or family member lets you know about the problem.

    Commercial products claim they will make your breath fresher, but the only way to make sure your breath permanently fresh is to practice good oral hygiene. In fact, eating too many breath mints and hard candies with sugar will lead to tooth decay. If you are constantly using breath mints, breath sprays, or mouth rinses in an effort to cover up your bad breath, you may have a dental or medical problem that needs addressing.

    There are a number of reasons you may experience a bad taste in your mouth, and even be able to smell your own breath. Food may be lodged between your teeth if you are not brushing at least twice daily and flossing regularly.

    Food particles can be very tiny and can wedge themselves between teeth and below the gum line; brushing after meals is important and flossing is imperative to get at the particles that the brush can't reach. Also, you must brush your tongue or use a tongue scraper.

    As odd as it will feel at first, bacteria collects on the tongue and can contribute to bad breath. If you wear removable dentures, take them out at night and clean them thoroughly before you wear them again.

    If you neglect your dental hygiene over time, bad breath can become a symptom of more serious dental problems. Teeth that are not cleaned properly become a place for bacteria to reside as food particles stay in your mouth and decay. Bacteria attack your teeth and gums and cause cavities and gum disease. If this is happening, gum disease will cause an unpleasant odor.

    Perhaps you are brushing and flossing on a regular basis, but are still experiencing bad breath. If you have teeth that are crooked or crowded, it may be hard for you to clean between them, and this can cause bad breath.

    If you wear dentures that are not fitted properly, they may be trapping food or irritating your mouth. Or perhaps your bad breath is caused by another medical problem: drainage from your sinuses, gastrointestinal problems, kidney or liver problems, or other medical conditions.

    Here's what you can do to investigate on your own. Write down what you're eating and notice whether your breath smells bad because of certain foods. Garlic and onions actually cause odor, but the odor is coming from your lungs as you breathe, not from your mouth itself. The odor from these foods is temporary, and will be gone once the food is out of your bloodstream.

    Are you dieting? Hunger can contribute to bad breath, because of the chemical changes as your body turns fat and protein into the energy it needs. Are you taking prescription or over-the-counter medications? Add these to the record of what you're eating to see whether there's a relationship between your medications and your bad breath. And don't forget to tell your dentist if there's been a change in your overall health since your last visit.

    Are you suffering from dry mouth? Saliva provides constant rinsing in your mouth and washes away food particles. Your dentist may recommend more liquids, and sugarless candy to stimulate natural saliva, and perhaps some of the commercial products that are available to combat dry mouth.

    If bad breath continues after you have done your best job of regular brushing and flossing, start with your dentist or dental hygienist. He or she can tell you whether the odor is caused by an oral problem; if it is not, then your dentist will suggest you see your doctor for a physical check-up.

    Regular dental check-ups will help keep your mouth healthy and working well. Your dentist can spot problems before they cause trouble, including problems that cause bad breath.

    By Brian J. Gray, DDS, MAGD, FICO

  • Whether you're preparing for holiday mistletoe or are just in the mood for some love, you're probably fully aware of the connection between the state of your mouth and the quality of your kisses. Still, a little reminder never hurt. Here's the skinny on getting lucky without embarrassment (from your mouth, anyway)!

    Kick the Smoking Habit

    I'm sure you're very familiar with the smoking lecture. Not only do tobacco products taste awful to your partner, but they put you at greater risk for oral cancer and periodontal or gum disease. Why put so much effort into knocking your sweetheart's socks off if you aren't going to be around to pick them up? If you don't kick the habit for your partner, do it for yourself.

    Don't Chew Gum

    The best smooches are spur of the moment, so it's best to be prepared for them. Besides, sugary gum can lead to tooth decay, AKA cavities. If you must chew gum (maybe you want your breath to be in top shape), choose a sugar-free variety like Xylitol.

    Brush and Floss

    Nothing leaves an impression like bad breath, but it's not the kind of attention you want. Besides, healthy white teeth will help you build confidence in your smile. Brushing your teeth and gums is a good start, but take it a step further and floss each night. You'll dislodge food particles and remove odor-causing, not to mention tissue- and tooth-destroying, bacteria. If you don't have your toothbrush handy after you eat, at least rinse your mouth out with warm water. There are also a number of handy little dental hygiene products available for great breath on the go.

    Take good care of your partner by caring for yourself. If you find that your gums are exceptionally tender or swollen, or if you have habitually bad breath, make an appointment with your dentist. These could be symptoms of a more serious problem!

  • Dip… Chew… Pinch… Snuff… Dirt… Plug…

    All are different names for smokeless tobacco, a finely ground version of processed tobacco. No matter the name, smokeless tobacco is harmful and puts your health at risk. Chew on these facts:

    - About 30,000 new cases of oral cancer will be diagnosed in 1999.*

    - More than 8,000 oral cancer patients will die this year.

    - Tobacco products cause about 75% of oral cancers affecting the mouth, tongue, lips, throat, and parts of the nose and larynx.

    - Nearly 30 cancer-causing substances have been found in smokeless tobacco.

    - One can of smokeless tobacco a day delivers as much nicotine as 60 cigarettes!

    - You have a 50% greater risk of developing oral cancer with long-term use of smokeless tobacco.

    *Cancer Facts and Figures, American Cancer Society, 1999

    Smokeless tobacco has been glorified over time by images of “macho” men performing feats of fame and prowess, whether as athletes, rodeo cowboys, or country music stars. In reality, many want to kick the habit, but nicotine is addictive. It's hard for them to quit.

    In a survey of major league baseball players, more than a third reported they had mouth sores, white patches, or gum problems. Nearly 60% said they wanted to quit. The nicotine actually decreases performance, causing dizziness and slowed reaction time.

    Smokeless tobacco causes problems for your oral health:

    - White, leathery patches in your mouth or lips

    - Painful sores that may be pre-cancerous or cancerous

    - Yellow teeth and permanent tobacco-stained teeth

    - Exposed tooth roots from receding gums, likely to cause decay, sensitive teeth and pain

    - Cavities from the sugar added to the tobacco

    - Bad breath

    - Greater risk for developing oral cancer

    Additionally, smokeless tobacco can affect your general health causing:

    - Increased blood pressure and heart rate

    - A greater risk of heart attack

    - Withdrawal symptoms ranging from headaches, moodiness, and problems concentrating when you try to quit

    - Cancer that can be fatal

    If you use smokeless tobacco, chew all these facts over. Choose to quit. Your health is serious business. Talk to your dentist about getting help to quit. Make the right choice -- it's for your body, your health, and maybe even your life.

    By Thomas Warner, DDS

  • Want to reduce bad breath, gum problems and tooth decay? Grab a tongue scraper! While the practice of removing food and bacteria trapped between your taste buds has been recognized and recommended by dentists for half a century, true tongue scraping is a relatively new phenomenon. Perhaps its sharp increase in popularity is the result of recent studies touting about all the wonderful things that come from removing all that "gunk," including healthier teeth and gums and sweeter smelling breath.

    Tongue scraping is an easy way to improve your oral hygiene. People with bad breath, particularly smokers or those with a taste for pungent food, will notice an improvement. Also, those who suffer from a fungal condition called "Brown Hairy Tongue" will benefit tremendously from a good tongue cleaning. For those with sweet smelling, fungus-free mouths, know that tongue scraping will reduce the bacteria that leads to gum disease and tooth decay. In other words, just about anybody will be better off for the effort. So, how does it work?

    A bit of research will tell you that there are dozens of tongue scraping appliances on the market today. One of the most popular and inexpensive types is a soft, flexible plastic strip that you bow and pull along your tongue. It's an incredibly simple design with the potential for amazing results. Two or three strokes are usually sufficient. Please note, scraping should be done before brushing your teeth. It's quick and easy; the most difficult part of the entire process is actually seeing what's been in your mouth.

    If you're not interested in actually buying a tongue scraper, a toothbrush will work fairly well. Though they aren't nearly as effective in removing debris and bacteria from your mouth as tools made for the job, it's far better than doing nothing at all. If you'd like to learn more about tongue scraping, or would like help finding the right dental hygiene method for you, contact your dentist's office, or mention it during your next check-up!

  • Tongue scraping is a relatively new phenomenon in dentistry. It is simply the process of removing all the debris that gets trapped in between the taste buds (or bumps) on your tongue. While cleaning this "gunk" off your tongue has been recognized and recommended by dentists for over 50 years, it is only recently that studies have been conducted to show the decrease in halitosis (bad breath), gum problems, and tooth decay by scraping your tongue.

    How Does Tongue Scraping Work?

    There are dozens of different types of tongue scraping appliances. They are all made for at home use, ideally just before brushing. One popular and inexpensive model is a soft flexible plastic strip that you simply bend and pull over your tongue. Usually two or three strokes is enough to remove the "gunk." The sight of the gunk on the tongue scraper is a little unpleasant, until you recall that it's the same gunk that you would have left sitting on your tongue.

    Who Benefits from Tongue Scraping?

    Tongue scraping is acceptable and easy enough for anyone to do. People with halitosis (bad breath) will benefit greatly from tongue scraping. It also is very effective for smokers and people who enjoy pungent or strongly odored foods. Also, some people who get a condition called "Brown Hairy Tongue," a fungal growth, will really see a big change.

    Will a Toothbrush Work?

    Sure, a toothbrush will work well to clean your tongue. And it certainly is better than nothing. Toothbrushes just aren't nearly as effective as some of the scrapers available. Ask your dentist or dental hygienist for suggestions on the method of tongue scraping that may work best for you.

    By Brian J. Gray, DDS, MAGD, FICO

  • Most of us think that taking care of our teeth is about having a great smile and avoiding the discomfort of a toothache. Although any dentist will say these are valid and important reasons for maintaining a good dental health program, there are three other equally strong reasons to consider.

    First of all, dental health is part of your overall health. Second, choosing dental health is a wise investment of your time and financial resources. Third, your emotional well-being is influenced by how you think and feel about yourself. Your smile is a big part of your image of yourself. Let's examine each of these areas more thoroughly.

    Your Physical Health

    How easy it is to forget that our teeth, gums, and mouth are essential parts of our physical body. Periodontal disease, bone and gum loss, and infections all affect the overall picture of our physical health. The ability to chew our food well helps digestion and reduces stress on the gastrointestinal system.

    Like any physical system, each part of the body plays a role in the overall health of the system; taking care of your teeth and gums is a part of an intentional plan for physical health. In collaboration with your dentist and dental team, you can create a plan for your dental health that will contribute to your overall health plan.

    Dental Care - A Wise Investment

    When treatment is necessary, the new dentistry is also an investment in your financial future. Proper treatment today prevents more costly complications and uncomfortable problems tomorrow. For those who seek to maintain their dental health for life, it is a wise investment to get the most value from the knowledge and skills your dentist and the new dentistry offers you.

    Dental Hygiene - Emotional Well-Being

    How you feel and think about yourself is an important part of your emotional well-being and a pleasant smile plays a big role in this. In addition, when you take an active role in caring for yourself, it also contributes to your overall sense of competence in managing your life and maintaining a positive lifestyle. The habit of dental health self-care and regular dental hygiene examinations reinforces taking positive steps for yourself in other areas of your life.

    The new dentistry also can provide you with innovative and effective ways to create and maintain a pleasant smile that you feel good about. When it comes to feeling good about yourself and your smile, the new dentistry offers many exciting and effective options.

    By Brian DesRoches, PhD

  • The chemistry of your mouth is as unique as your signature. No two are exactly alike. And so, when it says in popular magazines that "you" need only a dental hygiene appointment twice a year to stay in good dental health, some dentists get very concerned. They don't know you. They're referring to an "average" patient. Dental insurance plans also tend to believe in this mythical "average patient" and may not pay for more than a bi-annual visit.

    Sure, two visits are fine for many patients, even most. But some mouths build up more deposits of calculus than others. Some mouths are naturally decay-prone. Still others, and this is critical, may be showing signs of periodontal problems.

    Bleeding gums need to be taken seriously. They're signs of an infection that can be a significant risk factor for heart disease. If you had a bleeding sore on your hand that didn't heal you'd get to a doctor and have him check it out, right? Type I perio (gingivitis) consists of tender gums and a little bacteria-filled pocket between your tooth and gum. It's easily treatable at this point. But if the infected pockets are allowed to enlarge, that inflammation can extend to the bone beneath and erode it.

    Your dentist's concern is for your overall oral health and your teeth, not whether you've made the standard number of appointments for this year. He or she wants the chemistry to be right in your mouth… and between the two of you.

  • What's the best thing that's happened to you over the past year? A special vacation you'd been promising yourself? Or purchasing that new car you've had your eye on for a long while?

    All of us look forward to pleasure purchases. They add luster to life. And if you think about it, the things we seem to find easiest to afford are the things that make us feel good about ourselves.

    Yet, for most of us, number one on the list for a good life is good health. Today we know that good dental health is just as important as your overall physical wellness. After all, you only have one body and one set of adult teeth. How they serve you depends on the priority you assign them.

    Make feeling good about yourself a priority. One component may be that dream vacation. But certainly another component is keeping yourself physically healthy enough to enjoy the experience. And that means paying attention to your oral hygiene and practicing preventive dentistry.

    You don't need to be told that the actual cash you spend to keep yourself dentally fit is only a tiny fraction of what you spend to feel good about yourself. After all, it's no fun being able to afford a gourmet meal if it's painful to chew and swallow it.

    Your dental hygienist will welcome your visit and looks forward to helping you help yourself to dental health with a good dental cleaning.

  • One of the simplest dental hygiene exercises you can do for yourself is something you've heard before and it bears repeating: floss.

    Every 24 hours, bacteria contribute to a new batch of plaque. Brushing, no matter how well done, will not get all the "bugs," especially between teeth and where tooth meets gum tissue. Flossing before or after brushing should be a part of everyone's oral health care program. The kind of floss, waxed, unwaxed, tape, doesn't matter. Just choose the product you're comfortable with, and use it.

    Maybe you never quite got the hang of flossing, or are a little out of practice. Here's a quick refresher course.

    Wrap about 18 inches of floss around your fingers; give yourself about five to six taut inches to work with. If the floss frays or builds up with debris, re-loop the floss and keep at it.

    Try starting on the upper molars, way in the back; they're most difficult to reach. Follow the curve of enamel on every surface you can, three to four passes each.

    Where teeth meet, you may have to gently pull the floss to the gumline. Avoid sawing motions as that may damage soft tissue.

    Proceed from the back teeth to the center front. Then repeat the process on the other side.

    Rinse, and there you are.

    If you find all this tedious or feel you're "all thumbs," a floss threader can help. Your dental hygienist can show you how to handle one. Just ask for help.

    And remember, any amount of time you spend on plaque removal is time well spent for better dental health. The more time the better. If you have more questions or for more information, just call your dentist.

  • Sure, regular cleanings with our office promote good oral hygiene, but did you know it can also prevent a multitude of diseases? That 2 o'clock chair-side rendezvous may not seem nearly as exciting as a late lunch with a friend, but it will be well worth it in the end. Here are 10 really great reasons to stick with your regular dental cleaning schedule!

    It Prevents Oral Cancer.

    You may or may not realize that you're screened for oral cancer during your regular dental cleaning. According to the Oral Cancer Foundation, an American dies of oral cancer every hour of every day. It's a sad proposition, especially when you consider that it is highly curable with early diagnosis.

    It Wards Off Gum Disease.

    Gum disease, or an infection in the gum tissues and bone that keep your teeth in place, is one of the leading causes of adult tooth loss. It can be treated and reversed if diagnosed early. Unfortunately, not receiving treatment will lead to a more serious and advanced state of gum disease. Regular cleanings and check ups and daily brushing and flossing are key weapons in the fight against these conditions.

    It's About More Than Your Mouth.

    Sure, not getting regular check-ups may make you less kissable, but did you know that studies have linked heart attacks and strokes to gum disease associated with poor oral hygiene? A trip to your dentist every 6 months could reduce your risk of serious health problems!

    You Want to Preserve Your Smile.

    As mentioned, gum disease is one of the leading causes of tooth loss in adults. To keep your pearly whites intact, stick with your teeth cleaning schedule.

    It's Best to Detect Dental Problems Early.

    We've already touched upon early detection of gum disease and oral cancer, but don't overlook more basic dental problems. Cavities and broken fillings are easy to treat. Without regular trips to the dentist, these problems can lead to root canals, gum surgery and tooth extraction. Which sounds worse: A 30-minute cleaning or an hour under the knife?

    You Want to Know You're Doing it Right.

    Maybe you bought a fancy new electric toothbrush, or aren't keeping up with what current research has to say about caring for your teeth. Either way, check ups allow your dentist to examine your mouth and keep you on the right path.

    You Have Dental Insurance.

    Consider how much money you put into your dental insurance plan. Take advantage of it and save a lot of money in the long run by avoiding costly procedures that result from poor dental habits.

    You Want to Upgrade Your Smile.

    If you're already suffering from tooth decay or gum problems, regular appointments will allow our office to create a personalized treatment plan that will give you the best smile possible.

    You Want to Dazzle.

    Regular cleanings remove most tobacco, coffee and tea stains, polishing your teeth to a beautiful shine!

    You Need Some Time Alone.

    Okay, maybe not completely alone, but the time you spend in the waiting room and chair is really your time. You can forget about the office or the stresses of family life and just relax. Read a magazine or work through a crossword if you want. Take advantage of the time you're given, rather than worrying about how to fit it in your tight schedule. Your health and well-being should never take a back seat to your daily planner.

    If it's been more than 6 months since your last check up and cleaning, call your dentist to schedule an appointment today!

  • If you were looking for an excuse to drink more red wine, it's your lucky day.

    A study released by scientists from Université Laval in Quebec, Canada, reports that compounds known as polyphenols in red wine have been found to stave off periodontal diseases. Periodontal diseases are those that affect the gums and bone around the teeth, often leading to permanent tooth loss. The research shows that the polyphenols, derived from red grape seeds, neutralize one of the major tissue-destroying compounds associated with periodontitis, which affects a significant number of adults.

    Red wine boasts a number of additional oral health advantages as well, such as having anti-tumor properties and preventing heart disease. Along with green tea, fresh fruits and green vegetables, it has been known to reduce the risk of cancer and mortality. Still, it's important to err on the side of caution and drink only in moderation - no more than a glass or two a day. Needless to say, if you're prone to heavy drinking, it's best to steer clear of alcohol.

    While red wine is preserving smiles across the globe, other sugary drinks are destroying them. U.S. schools have begun to restrict the types of sodas to prevent child obesity and tooth decay. Acidic drinks like coffee, a crutch for millions of groggy Americans each day, can have a negative affect on teeth as well. Even good old fashioned juice has come under fire as of late, often noted for having a high sugar content but very few of the nutritional qualities attributed to whole fruit, such as fiber. Your best bet for good dental hygiene? Drink plenty of water. If you must have a sugary or acidic beverage, be sure to either brush your teeth rinse your mouth out with warm water afterwards.

  • What you eat affects your oral health destiny. You can dramatically impact your dental health by eating a well-balanced, healthful diet. Research has shown that poor nutrition jeopardizes our oral health which puts you at risk for a number of serious dental problems.

    The Food Factor

    Our food choices can make a big difference in two of the most common diseases today: tooth decay and gum disease. Certain foods, especially those containing sugar, are directly linked to increased levels of cavity-causing bacteria. Tooth decay results when acids from the bacteria attack the teeth forming cavities. While diet doesn't directly cause gum disease, a condition affecting the supporting tissues of the teeth, researchers believe the disease is more rapid and severe when poor nutrition is a factor. Gum disease is a serious problem, since it can lead to tooth loss if untreated.

    Diet and Dental Health

    The American Dietetic Association and the National Institutes of Health recommend eating a well-balanced diet including plenty of fruits, vegetables, a good variety of breads and cereals, dairy products, fish, chicken, dried beans and peas, and meat. Enjoying a variety of foods is the best way to get all the important nutrients needed for keeping healthy. Beware of fad diets that exclude entire food groups. This can cause nutritional deficiencies.

    Snack Smart

    Snacking is a favorite pastime, but certain snack choices promote tooth decay such as soft, sweet, sticky foods. Select nutritious snacks better for your teeth and general good oral health, especially colorful, juicy fresh fruits and crisp, crunchy vegetables. Choose your snacks based on any other dietary concerns, such as low cholesterol, low-fat, or low sodium diets. Dental cleaning should always follow snacking, whenever possible.

    If you snack on crackers, cookies, or chips, it's better if you eat them in combination with other foods, such as cheese with crackers, rather than alone. This is because these foods when eaten alone tend to produce more bacteria in the mouth leading to tooth decay. Remember, each time you snack, oral bacteria is activated. Drink plenty of water to rinse away some of the disease-causing bacteria. If possible, brush your teeth after snacking.

    Select from the wide variety of foods for healthful eating -- that are good for you and your oral health.

    By Brian J. Gray, DDS, MAGD, FICO

  • Most of your dentist's patients enjoy robust health, and he or she is thankful for that. In fact, if you are faithful about your "recall" appointments (regular check-ups) he or she probably sees you more often than your physician does. That means much more to him or her than finding a small cavity, or more than a chance to catch up on your comings and goings between visits.

    As your primary dental health care provider, your dentist has a singular and weighty responsibility: early detection of disease. When he or she sizes up the health of your gums, tongue, neck, jaw, the mental check-list is long, he or she looks and feels. He or she "invisibly" observes your general health, head, skin, glands, sinuses (and teeth, of course).

    What is your dentist looking for? Simply put, anything wrong. Among them: dry mouth, bacterial infections, any lesions on the mucous membranes, gum color and texture, soreness or ulcerations, you get the idea. It's important for you to share with your dentist any general health problems you may have noticed or changes in medications. He or she needs the whole picture.

    Practicing preventive dentistry is very important. There are more than 200 known diseases of the oral cavity. Your dentist is on the look-out for all of them. Not only can an oral problem signal local trouble, but it may indicate something systemic, something throughout your body.

    For this reason, your six-month recall visit may be the most important exam you have all year. If a cavity is found, that can be fixed. If evidence of something more serious is found, then you benefit from the advantage of early detection.

    Your dentist and dental hygienist want all of their patients to take these exams seriously. A cavity or canker sore, after all, is one thing. Your whole health, quite another.

  • Do you remember how disappointed you were as a kid when some concerned adult dared put raisins in your Halloween bucket? Your mother was probably relieved, convinced they would be far better for you and your pearly whites than the rest of the junk food you'd strung out across the kitchen table. Ask a pediatric dentist, however, and you might get a different story.

    It's true that there are a number of benefits to eating raisins. They're low in fat and cholesterol, but boast plenty of fiber, calcium and potassium. Unfortunately, they're also both sticky and high in sugar, putting them high on the list of foods that can cause cavities. Some health professionals lump them in with all the other typical junk foods kids eat. Don't worry, raisins aren't the only foods once thought healthy that can contribute to tooth decay and poor oral health. Go ahead and add other dried fruit, sweetened cereals and even fruit juices to the list.

    Don't chuck raisins out just yet, however. According to Vincent Iannelli, M.D., raisins were recently found to contain phytochemicals, which have been found to inhibit the growth of bacteria that are commonly linked to cavities. Note that this study was conducted in a lab, and no study has even been done to show that cavities are either more or less likely to find kids who eat raisins.

    So, where does this leave you? A good general rule when it comes to eating for good health is to stick with whole fruits and vegetables whenever possible. If you must eat something that you aren't sure is good for you, do it in moderation. For good dental hygiene, be sure to drink lots of water, and always either brush your teeth and rinse your mouth out with warm water after eating sugary or acidic foods to prevent tooth decay!

  • Are you crazy about gum, but not so much about its affect on your teeth? (Good for you!) Researchers presenting at the American Academy of Pediatric Dentistry Annual Session in Cincinnati found a natural sweetener may not only improve the taste of gum, juice and candy, it may also reduce tooth decay and increase dental hygiene.

    Their study observed children of Belize over the course of several years, some of whom chewed gum with sugar, others with artificial sweeteners. Results showed that those who chewed gum artificially sweetened with Xylitol, a natural sweetener found in trees and fruit that does not cause cavities, suffered from less tooth decay over the duration of the study.

    Another study done in Finland found fewer mothers transmitted cavity-causing bacteria to their children when they chewed gum with xylitol. The bacteria transmission occurs when mother and children share eating utensils.

    Xylitol is widely available in most supermarkets, but know that it's difficult to achieve the correct dosing. To see results, you'd have to chew gum with a high dose of Xylitol frequently and for prolonged durations. Products containing this natural sweetener may also cost more than those artificially sweetened with other additives.

    So, the next time you're dying for a piece of chewy goodness, consider grabbing a brand containing Xylitol. While it can be difficult to obtain optimum results through its use, it is certainly better for your dental health to chew than gum containing sugar.