When you’re buying a tool or appliance, you compare brands for the best quality you can afford. There’s another important item that deserves the same level of scrutiny: your toothbrush. Choosing the right one for you can make a huge difference in your oral hygiene effectiveness.
But a visit to your store’s dental care aisle can dim your enthusiasm. You have plenty of options involving all manner of shapes, sizes and features. Perhaps too many: After a while, the sheer number of choices can paralyze your decision-making process.
You can streamline this selection process by concentrating on a few important toothbrush basics. First up for consideration: the bristles. While you may think a good stiff brush would be best, it’s actually the opposite—most dental professionals recommend softer bristles. That’s because hard bristles can potentially damage your teeth and gums over time.
Softer bristles are gentler on your teeth and just as effective for removing plaque, if you use the right technique and thoroughly brush all tooth surfaces. And look for rounded bristles, which are friendlier to your gums.
Next, look for a brush that feels right in your hand. If you have problems with manual dexterity, look for one with an oversized handle. Some brushes come with angled necks and tapered heads, which you may find effective in reaching less accessible back teeth. This might mean trying different brushes until you get one that’s right for you. Don’t worry, though, you’re not buying a brush for life—in fact, you should change out your brush every three to six months.
You’ll also rarely go wrong buying a toothbrush with the American Dental Association Seal of Acceptance on the packaging. This seal signifies the toothbrush has undergone testing and met the ADA’s standards for hygiene effectiveness. While some manufacturers of effective brushes don’t pursue this seal, you can be sure one with it has passed the test of quality.
It makes all the difference in the world having the right tool for the job. Be sure your toothbrush is the right one for you.
If you would like more information on toothbrushes and other dental care products, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Sizing up Toothbrushes: How to Choose the Right Brush for Optimal Oral Health.”
If you think “vaping” electronic cigarettes (e-cigarettes for short) is healthier for your teeth and gums than smoking cigarettes, you might be disappointed with the latest research. A number of studies seem to indicate e-cigarettes could be just as damaging to your mouth as traditional cigarettes.
An e-cigarette is a device containing a chamber for liquids and a means to heat the liquid into a vapor. The user then inhales or “vapes” the vapor, which contains nicotine and flavorings. The heat also pressurizes the vapor causing it to expel as an aerosol into the mouth.
Researchers have found the ingredients and aerosol effect could lead to potential health problems. An Ohio State University researcher found that vaping disrupted the normal balance of microorganisms in the mouth known as the oral microbiome. This imbalance could make it easier for disease-causing bacteria to proliferate, particularly those most responsible for periodontal (gum) disease.
Another study coming out of the University of Rochester and Stony Brook University in New York detected cell damage in gum tissue caused by e-cigarette vapor similar to that caused by regular cigarette smoke. Some of this damage seemed to result from the flavoring agents used in the e-cigarette liquid, as well as nicotine.
Another study from Quebec, Canada appears to concur with the New York study. These researchers found the damage caused by e-cigarette vapor might substantially increase the rate of cell death in oral tissues by as much as 50% over a short period of time. This kind of damage can lead to higher risks of dental diseases like gum disease or tooth decay.
While we don’t know the long-term effect of using e-cigarettes on both oral and general health, these studies are alarming: They seem to show vaping may cause some of the same problems as smoking. With the jury still out, the prudent thing to do is limit or avoid vaping altogether to protect your mouth from these unhealthy outcomes.
Every year, thousands of children are born with a cleft palate, cleft lip or a combination of both. The advocacy group AmeriFace promotes the month of July as National Cleft & Craniofacial Awareness & Prevention Month to call attention to this potentially disfiguring defect—and to highlight treatments offered by dentists that can change the destiny of a child with a cleft defect.
Simply put, a cleft is a gap or opening in the palate (roof of the mouth) and/or upper lip. Cleft lips and palates result when structures that are forming in an unborn baby’s mouth and face don’t fuse together as they should during pregnancy. They can occur on either one side or on both sides of the face, in partial form (with some connecting tissue present) or completely open.
Clefts can cause severe disfigurement in a child, which may lead to a diminished self-image and disruption in relationships with others. A cleft can also compromise other aspects of a child’s health and life, including dental health, nutrition, respiratory function and speech development.
Doctors don’t always know why a particular baby is born with a cleft lip or palate, but clefts are thought to result from a combination of factors. Genetics most certainly plays a role, but there appear to be other influencing factors during pregnancy like nutritional deficiencies and fetal exposure to alcohol, radiation or toxic chemicals. In addition, having poorly controlled diabetes or being obese during pregnancy may increase the risk of the baby being born with cleft lip or cleft palate.
Managing known health conditions as well as striving for better prenatal nutrition and protection from environmental hazards may reduce the risks for cleft formation, even so, clefts do form. When they do, we can often effectively correct them, thanks to surgical procedures first developed by a military surgeon stationed in Korea in 1950.
While analyzing photos of cleft patients, Dr. Ralph Millard realized the tissue needed to repair a cleft was already present, but in a distorted form. He then experimented with surgical techniques that released the tissue so that it could be moved and fashioned into a normal appearance.
Dr. Millard’s original techniques remain the basis for today’s advanced procedures. Correction of a cleft lip or palate typically requires a series of procedures which can span the child’s developmental years. The first surgery usually occurs around 3-6 months of age, followed by later procedures to refine the earlier work. This process usually requires a team of dental specialists that includes oral surgeons, orthodontists and general dentists.
The road to restoration from a cleft birth defect can be a long one for children and their families, but the treatment methods developed over the last several decades can truly give them the gift of a normal life.
If you would like more information about cleft repair and other oral surgical procedures, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Cleft Lip & Cleft Palate: Common Birth Defects That Can Be Repaired Beautifully by Skilled Surgeons.”
Mayim Bialik has spent a good part of her life in front of TV cameras: first as the child star of the hit comedy series Blossom, and more recently as Sheldon Cooper’s love interest — a nerdy neuroscientist — on The Big Bang Theory. (In between, she actually earned a PhD in neuroscience from UCLA…but that’s another story.) As a child, Bialik had a serious overbite — but with all her time on camera, braces were just not an option.
“I never had braces,” she recently told Dear Doctor – Dentistry & Oral Health magazine. “I was on TV at the time, and there weren’t a lot of creative solutions for kids who were on TV.” Instead, her orthodontist managed to straighten her teeth using retainers and headgear worn only at night.
Today, there are several virtually invisible options available to fix orthodontic issues — and you don’t have to be a child star to take advantage of them. In fact, both children and adults can benefit from these unobtrusive appliances.
Tooth colored braces are just like traditional metal braces, with one big difference: The brackets attached to teeth are made from a ceramic material that blends in with the natural color of teeth. All that’s visible is the thin archwire that runs horizontally across the teeth — and from a distance it’s hard to notice. Celebs like Tom Cruise and Faith Hill opted for this type of appliance.
Clear aligners are custom-made plastic trays that fit over the teeth. Each one, worn for about two weeks, moves the teeth just a bit; after several months, you’ll see a big change for the better in your smile. Best of all, clear aligners are virtually impossible to notice while you’re wearing them — which you’ll need to do for 22 hours each day. But you can remove them to eat, or for special occasions. Zac Efron and Katherine Heigl, among others, chose to wear clear aligners.
Lingual braces really are invisible. That’s because they go behind your teeth (on the tongue side), where they can’t be seen; otherwise they are similar to traditional metal braces. Lingual braces are placed on teeth differently, and wearing them often takes some getting used to at first. But those trade-offs are worth it for plenty of people. Which celebs wore lingual braces? Rumor has it that the list includes some top models, a well-known pop singer, and at least one British royal.
So what’s the best way to straighten your teeth and keep the orthodontic appliances unnoticeable? Just ask us! We’d be happy to help you choose the option that’s just right for you. You’ll get an individualized evaluation, a solution that fits your lifestyle — and a great-looking smile!
For more information about hard-to-see (or truly invisible) orthodontics, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Orthodontics for the Older Adult” and “Clear Aligners for Teenagers.”
All-natural fruit juice with no additives: now what could be wrong with that? Nothing—unless your child is over-indulging. Too much of even natural fruit juice could increase their risk of tooth decay.
To understand why, we first need to look at the real culprit in tooth decay: mouth acid produced by oral bacteria as a byproduct of their digestion of sugar. Acid at high levels softens and erodes tooth enamel, which causes tooth decay. Acid levels can rise as populations of bacteria increase often fueled by sugar, one of bacteria's primary food sources.
And not just the added sugar found in soft drinks, snacks or candies—even fructose, the natural sugar found in fruit, can feed bacteria. To lower the risk of tooth decay, dentists recommend limiting the daily amount of sugar a child consumes, including natural fruit juices without added sugar.
That doesn't mean you should nix natural fruit juices altogether—they remain a good source of vitamins, minerals and other nutrients. But you'll need to keep your child's juice consumption within moderation.
As a guide, the American Academy of Pediatrics (AAP) has issued consumption recommendations for children regarding all-natural fruit juice. The academy recommends the following daily juice amounts by age:
- 7-18: 8 ounces (1 cup) or less;
- 4-6: 6 ounces or less;
- 1-3: 4 ounces or less;
- Under 1: No juice at all.
You can further reduce your child's decay risk by limiting their juice intake to mealtimes, a good practice with any sweetened beverage. Sipping through the day on juice or other sweetened beverages can cause some sugar to stay in the mouth over long periods. This can interfere with the natural ability of saliva to neutralize any acid buildup.
If you're wondering what children could drink instead of juice, low-fat or non-fat milk is an acceptable choice. But the most tooth-friendly liquid to drink is plain water. Drinking nature's hydrator is not only better for their overall health, by reducing the risk of tooth decay, it's also better for their teeth.
If you would like more information on how sugar can affect your child's dental health, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Squeeze Out the Juice.”
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