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Posts for tag: dental hygiene

By Steven R. Gluck, D.D.S.
April 28, 2012
Category: Oral Health
WhyDoesMyDentalHygienistAskSoManyQuestions

You just came in to have your teeth cleaned, but our hygienist is asking you about your general state of health and what medications you are taking. Meanwhile you are wondering why she doesn't just get on with the cleaning.

Dental hygienists are health care professionals who are trained and licensed to preserve your general as well as your oral health. That's why our hygienist begins your visit by asking you about your health history. Some health problems or medications may require special precautions during a dental cleaning. A hygienist also needs to know about your dietary history and other general health questions.

Our hygienist will examine the skin in and around your mouth for sores, lumps, and other areas that could be signs of oral cancer or other problems. She is trained to spot this disease and others.

Dental hygiene is individualized to your own situation. There is not a “one size fits all” solution. During your cleaning, our hygienist will also evaluate the health of your gums and teeth, checking for tooth decay and for inflammation (gingivitis) and bleeding. She will measure the space between your teeth and the surrounding gums, looking for pockets that form when the gums detach from the teeth. Such pockets indicate periodontal disease and can lead to serious problems.

After your health assessment and examination, the actual cleaning will begin. Your dental hygienist will remove deposits of plaque and calculus by using a technique called scaling. Plaque is a biofilm, a film of bacteria that builds up on your teeth. The reason you brush and floss every day is to remove this film from the surfaces of your teeth and gums and from between your teeth. Plaque that is not removed hardens into a mineralized substance called tartar or calculus, and this is what the hygienist removes by scaling.

The next step is a polish to remove surface stains from your teeth and to give your teeth the slick feeling that you identify as clean.

Finally, our hygienist will discuss your state of oral health with you and make suggestions for improvement. Most hygiene appointments take about 45 minutes to an hour. As you can see, during this appointment a lot must be done to preserve your oral health.

If you are in need of a dental cleaning, contact our office today to schedule an appointment. You can learn more about your visit to the hygienist by reading the Dear Doctor magazine article “Dental Hygiene Visit.”

TVDesignGuruNateBerkusSharestheSecretsBehindHisDazzlingSmile

Perhaps you've seen Nate Berkus on The Oprah Winfrey Show or watched his television program, The Nate Berkus Show. You may even have read his best-selling book, Home Rules: Transform the Place You Live Into a Place You'll Love. Regardless of where or how you discovered Berkus, you will surely have noticed his dazzling smile.

Berkus recently opened up about the facts behind his trademark smile during an interview with Dear Doctor magazine. First off, his smile is totally natural, as he never wore braces or had any cosmetic work, including porcelain veneers. However, Berkus does give credit to his childhood dentist for the preventative healthcare he received as a young boy. “I'm grateful for having been given fluoride treatments and sealants as a child,” he said. Nate also shared the important flossing advice he learned from his dentist that he still follows today: “Floss the ones you want to keep.” Berkus went on to say that he feels, “healthy habits should start at a young age.”

And we totally agree! For this reason we have put together the following list of facts and oral hygiene tips:

  • Over 50% of plaque accumulation occurs in the protected areas between teeth — a place that may be difficult or even impossible to reach with a toothbrush.
  • A thorough brushing may take up to two minutes at first, and it may feel awkward as you reach some places in your mouth.
  • Remember, more is NOT always better! Brushing or flossing too hard can be damaging to your teeth and gums. And never saw back and forth with your floss.

To learn more about oral hygiene, including brushing and flossing techniques, you can continue reading the Dear Doctor article “Oral Hygiene Behavior - Dental Health For Life.” Or you can contact us today to schedule an appointment so that we can conduct a thorough examination, review your brushing and flossing techniques, and discuss any questions you have as well as treatment options. As needed, we will work with you to teach you the proper brushing and flossing techniques so that you feel confident before you leave our office. And to read the entire interview with Nate Berkus, please see the Dear Doctor article “Nate Berkus.”

By Steven R. Gluck, D.D.S.
July 24, 2011
Category: Oral Health

A number of factors can lead to dental caries (tooth decay). To find out if you are at high risk, ask yourself these questions.

Is plaque visible in my mouth?
Dental plaque is a whitish film of bacteria that collects on your teeth. If it is clearly visible, it means that there is a lot of it. Among the bacteria in the plaque are those that produce tooth decay, particularly in an acidic environment. (A normal mouth is neutral, measured on the pH scale, midway between the extreme acidic and basic ends of the scale.)

Do I have a dry mouth?
Saliva protects your teeth against decay by neutralizing an acidic environment and adding minerals back to the outer surface of enamel of your teeth, so reduced saliva is a high risk for caries. Many medications can cause dry mouth as a side effect.

Do I eat a lot of snacks, particularly unhealthy ones?
Frequently eating sugars, refined carbohydrates, and acidic foods promotes the growth of decay-producing bacteria. The more frequently you eat, the longer your teeth are bathed in sugars and acids. Acidic foods not only promote bacterial growth, they also directly cause erosion of the tooth's hard surface by softening and dissolving the minerals in the enamel.

Do I wear retainers, orthodontic appliances, bite guards or night guards?
These appliances are recommended for various conditions, but they tend to restrict the flow of saliva over your teeth, cutting down on the benefits of saliva mentioned above.

Do my teeth have deep pits and fissures?
The shape of your teeth is determined by your heredity. If your teeth grew in with deep grooves (fissures) and pits in them, you are at higher risk for bacterial growth and resulting decay.

Do I have conditions that expose my teeth to acids?
If you have bulimia (a psychological condition in which individuals induce vomiting), or GERD (Gastro-Esophageal Reflux Disease), your teeth may be frequently exposed to stomach acids that can cause severe erosion to your teeth.

Do I already have cavities?
Visible cavities can range from those only visible with laser technology or x-ray examination to those a dentist can see with a naked eye. If you already have small cavities, you are at high risk for developing more.

Do I have white spots on my teeth?
White spots are often the first sign of decay in a tooth's enamel. At this point, the condition is often reversible with fluorides.

Have I had a cavity within the last three years?
Recent cavities point to a high risk of more cavities in the future, unless conditions in your mouth have significantly changed.

If you have any of these indications of high risk, contact us today and ask us for suggestions for changing the conditions in your mouth. You can also learn more by reading the Dear Doctor magazine article “Tooth Decay.”