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Fluoride – What You Should Know

 

Almost everyone concerned about the health of their teeth brushes regularly, but they may not know exactly why toothpaste performs the cleansing magic it does. They may not even know they also receive fluoride every day in their community’s drinking water.

 

There are various cleaning components in toothpaste and one of the primary ones is fluoride. The discovery of fluoride's cleaning abilities was a boon in preserving dental health. Toothpaste and tap water then became convenient fluoride delivery systems to aid in the fight against tooth decay.

 

A Natural Cavity Fighter

 

The discovery of fluoride’s ability to keep our teeth healthy dates back to the early 20th century. A pair of dentists in Colorado discovered that people in the area had teeth unusually resistant to decay. This was due to the high degree of natural fluoride deposits in the area, which had found their way into the local drinking water. Fluoride became a regular part of toothpaste beginning in 1914.

 

In the 1940s, a multi-year study began with the goal of determining whether adding fluoride to drinking water made a notable difference for dental health. The results showed a 60-65% decrease in tooth decay in children born after the experiment began. As a result, a number of states in America began water fluoridation programs to improve their citizens’ oral health.

 

How Flouride Works

 

The enamel of your teeth is the natural coating that helps to protect them. When children’s teeth are first forming, fluoride combines with the enamel to help stave off decay during a time of life when teeth are particularly vulnerable to cavities. Fluoride remains valuable throughout the life of your teeth by helping protect them against the ravages of sugar and plaque.

 

Rare Health Risks

 

As mentioned, almost everyone’s teeth come into regular contact with fluoride through exposure to drinking water and toothpaste. There are additional fluoride supplements in the form of drops or tablets, and it is also an ingredient in mouthwash. The degree of fluoride in the latter is quite high, so do not swallow it.

High doses of fluoride in water can be bad for you, but this would require ingesting a volume of water with fluoride going well beyond what the normal person drinks.

 

Excessive fluoride can cause conditions known as dental fluorosis and skeletal fluorosis. You can only come down with dental fluorosis as a child, as ingesting too much fluoride at a young age can lead to white spots appearing on your permanent teeth. Fortunately, degrees of this condition ranking above very mild are almost non-existent.

 

You can also acquire skeletal fluorosis by taking in too much fluoride. However, you would have to have a very high amount on a daily basis for a very long period. As with dental fluorosis, the odds of contracting this problem are extremely rare.

 

Government oversight helps to ensure the level of fluoride in drinking water does not exceed safe rates. In Ontario, municipalities follow the guidelines laid out in the Safe Drinking Water Act managed by the Ministry of the Environment.

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10 Tips for Oral Health Care

 

Tooth Care

 

You know the basics of oral health care: brush twice a day, floss your teeth, avoid sugary snacks, and visit your dentist at least twice a year. Here are 10 tips for oral health care you may not know (and a good refresher if you do!)

 

1) Brush Smarter

 

Which is better: a humble manual toothbrush or a fancy electric one? They can be equally effective, but what really matters is your brushing technique.

 

Don’t just brush up and down or back and forth. Hold the brush at a 45-degree angle and use a gentle, circular motion to clean each surface of the teeth, including the chewing side and the side facing your tongue, for at least two minutes. Brushing harder or faster doesn’t do you any good. In fact, it can actually lead to tooth and gum damage! 

 

2) Don't Forget to Floss

 

People often think flossing is secondary to brushing, but they are both essential to good oral health. If you aren’t flossing, you’re leaving a third of the surface of the teeth unclean.

 

The ideal flossing technique is a forward or backward motion, with the floss forming a curved ‘C’ shape around the tooth. Use a fresh part of the floss for each tooth so you aren’t re-inserting the bacteria you just removed.

 

3) Pay Attention to Sensitive Teeth

 

Sensitivity to heat and cold is a common dental complaint, and it’s often a sign of an underlying issue like tooth decay, gum disease, or tooth grinding. It’s important to find and treat the source of tooth sensitivity, even if the pain is mild. See your dentist at the first signs of sensitive teeth.

 

4) Eat Well and Brush Often

 

You’ve heard it since you were a kid: sugar causes cavities. True, a diet high in sugar can lead to cavities, but the real cause is plaque, produced by bacteria in your mouth that eats the carbohydrates left on teeth after a meal.

 

While sugar is the biggest cavity culprit, even healthy food leads to some plaque formation. This is why you should brush after every meal, not just after dessert, and avoid eating or drinking anything, aside from water, after you have brushed your teeth at night.

 

5) Watch Your Fillings

 

Do you have fillings? If so, you can usually expect them to last for eight to 10 years. However, some fillings break down earlier than that. When a filling starts to chip and break apart, food and bacteria can get caught underneath, causing decay deep in the tooth. Be sure to make a dental appointment if your tooth filling is not holding up.

 

6) Wear a Mouth Guard

 

Mouth guards are standard equipment for contact sports like hockey and football. However, less confrontational sports—such as baseball, skiing, and skateboarding—can also pose a risk of injury to your teeth. Even minor dental injuries can lead to long-term consequences, so a mouth guard is a good investment for anyone who participates in a sport on a regular basis.

 

7) Read the Ingredients on Toothpaste

 

What’s in your toothpaste? Different kinds of toothpaste—those for desensitizing, tartar control, whitening, et cetera—consist of different active ingredients. Understanding how these ingredients work will help you choose the right toothpaste for you. You should always choose a toothpaste containing fluoride, even if your tap water is already fluoridated. 

 

8) Beat Bad Breath

 

There are many possible causes of bad breath, but poor oral hygiene is a common source. When you don’t brush and floss regularly, odor-causing bacteria can accumulate between teeth and in the back of your throat. However, bad breath can also be a sign of a medical problem, so have a dentist rule out any oral hygiene issues first.

 

9) Use Mouthwash as Directed

 

Mouthwash cannot replace proper brushing and flossing, but it can help boost your oral hygiene and control issues like bad breath, plaque, and oral sores. Be sure to read the instructions on the bottle before using it. Depending on the ingredients, the manufacturer may recommend using it either before or after brushing or flossing for the best results.

 

10) Make Regular Dental Appointments

 

Do not wait until you have a problem to see your dentist! Even if your teeth and gums seem fine, the dentist might notice things you can’t feel or see. Scheduling regular dental exams will help you detect and treat cavities, tooth decay, gingivitis, and other oral health issues before they become painful and/or expensive to fix.

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8 Things You’ll Learn About in Dental School

 

Everyone knows dental hygienists clean teeth. But did you know they also examine patients for signs of disease, provide preventative treatment, and educate people on good oral health? Here’s a sneak peek at some of the amazing things you’ll learn in dental school.

 

Practical Skills

 

Dental hygienists do more than just clean teeth. They examine teeth and gums, chart cavities, place brackets and bands, install arch wires, and take a hands-on role in all kinds of dental procedures. These practical skills are the core of any dental hygienist program.

 

Once you have learned the fundamentals, you’ll begin to apply what you have learned in a mock clinical setting until you’re ready to assist with real patients.

 

Tools of the Trade

 

What's the difference between electric and air-driven handpieces? You’ll know soon. Dental hygienists use a wide range of dental equipment and tools, from simple picks and dental mirrors to high-tech equipment like X-ray machines.

Dental school will teach you to pick the best dental tools for the job.

 

Treating Different Patients

 

No two patients are exactly alike. Different people have different needs when it comes to dental care. In dental school, you’ll learn to provide top-notch treatment to people of all ages and backgrounds. Some schools offer courses focusing on the unique needs of people who are elderly, disabled, or have other barriers to receiving dental treatment.  

 

Human Biology

 

Dental hygienists not only learn the ins and outs of oral anatomy, they also acquire in-depth knowledge of the human body in general. They study various aspects of human biology, right down to the microscopic make-up of tissues and the mechanisms of disease.

 

 

Community Health and Advocacy

 

As members of the dental profession, dental hygienists have a platform to advocate on dental health issues in the community. Many dental schools have a course on public health and advocacy, where you learn how to improve access to dental care and spread the word using marketing and mass media.

 

Nutrition

 

Diet plays a huge role in oral health. To help your patients maintain healthy teeth and gums, you must know the science of nutrition. Dental hygienists learn the function of basic nutrients, vitamins, and minerals in the body, along with the impact of nutrition and nutritional deficiencies on oral health. By the time you’re finished dental school, you’ll know more about healthy eating than a dedicated health nut!

 

Communication Skills

 

Do you have good people skills? If so, you’ll have a leg-up in the dental profession. If not, dental school will help you catch up! Dental hygienists often spend more time speaking with patients than dentists do, and they teach patients to maintain and develop good dental habits. With good communication skills, you can help make the dental office experience more comfortable and beneficial to patients.

 

Yourself

 

Dental school is no walk in the park. Mastering the practical skills takes a great deal of physical strength, endurance, and manual dexterity. Your science courses will demand hours of reading and dedicated studying, testing your ability to analyze problems and think critically. However, at the end of this long road lies a career full of potential! Going through the rigors of dental school will help you discover whether the dental profession is right for you, and if so, what role you want to play within it.

 

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Remembering “Just” What a Hygienist Does

 

It's human nature to concentrate on the main details of a situation. For example, if you were going in for an open-heart procedure, you would likely concern yourself with the surgeon’s track record. This particular specialist is the main part of the operation, but they receive assistance from other highly qualified professionals.

 

If you a love a movie, you make a point of remembering the director’s name, but not necessarily the editor or key grip, both of whom are likely also exceptional at their jobs. Let’s face it, there are very few specialists who work entirely alone, but it is often customary for the world to have only one person take a bow.

 

Veteran dental hygienist Candice Feagle attended a function awhile back and when mentioning what she did for a living, the person she spoke to replied, “Oh, you’re just a hygienist.” Most of us take pride in what we do and it was understandable that Candice had a negative reaction, though she kept it to herself. It wasn’t the first time this had happened to her or other people in this profession.

 

However, after mulling it over the next day, she decided to write about the incident for Dentistry IQ

 

Not "Just" Collecting a Paycheck

 

The vast majority of dental hygienists worked hard to earn their certification, and continue to enhance their knowledge by taking advantage of related learning opportunities.

 

"Oh, you're just a hygienist"

 

Like any profession, some hygienists are content with their current routine, but there is room to grow in this role. Candace felt at several points that she was indeed “just” a hygienist, which prompted her to expand her career possibilities. Most recently, Candace chose to pursue a bachelor’s degree in allied dental health, allowing her to experience the nonclinical side of the profession, an aspect many patients do not realize exists.

 

Not "Just" Cleaning Teeth

 

The average client probably doesn’t realize how much their hygienist does for them. Is it the dentist who reviews their medical history with them and goes out of their way to help ease their anxiety? Does the dentist perform oral cancer screenings, sterilize the equipment, conduct fluoride treatments, take blood pressure, or do periodontal charting?

 

They can, but in the vast majority of cases, the hygienist performs these as well as other key aspects of a dental appointment.

 

As Candace also points out in the article, motivated hygienists can go on to become public health professionals, researchers, administrators, entrepreneurs…you name it!

 

Not every job will make you a millionaire or put your name up in lights. Sometimes the greatest satisfaction comes from knowing you are making an important contribution to a person’s health and well-being.

 

Having been in the dental profession for the last 26 years, I can honestly say I love my profession...I know the varied abilities and diverse opportunities being a hygienist represents.”

 

The pride Candice expresses in that statement makes it clear she knows the value of what she does. And that’s just fine with her.

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Oil Pulling - Fact or Fad?

 

An inviting smile can open doors and our oral health is also important to our overall well-being. Most of us brush and floss regularly to ensure our teeth remain clean and free of cavities, though some people go the extra step of having their teeth whitened.

 

Such measures can be quite expensive and inconvenient, so wouldn’t it be wonderful to have another more cost-effective way of ensuring your dental health you could do at home? Not to mention one that may also result in fresher breath?

 

Oil pulling might be the way to accomplish this. While there is no definitive scientific evidence to say this method works, many people swear by it. Although oil pulling is a hot topic on the internet, it is actually a case of renewed interest in a cleaning method dating back several centuries.

 

How Does it Work?

 

Coconut Oil

 

Oil pulling is the practice of swishing raw coconut oil in your mouth for 15 to 20 minutes each day. If you are interested in trying this, don’t worry—you won’t have to be splitting or milking coconuts. You can find bottled coconut oil in your grocery store. You can also use sesame or sunflower oil, though most people find the taste of coconut oil preferable.

 

Coconut oil is solid in form, but quickly liquefies as it mixes with your saliva. Take a generous tablespoon of the oil, place it in your mouth, and swish. You don’t need to swish as vigorously as you would with mouthwash as your jaw would become quite tired.

 

Do the oil pull first thing in the morning before you eat to get rid of the bacteria build-up in your mouth that occurred overnight. Once the time has elapsed, spit out the oil, and gargle for one minute with a mixture of lukewarm salt water. Then brush your teeth using a brush separate from one used normally. After brushing, rinse the brush thoroughly in warm water.

 

It is important to avoid swallowing. While the coconut oil will not harm you, swallowing means you will ingest all of the oral bacteria you want to purge from your body.

 

Detoxing Your Mouth

 

Those who swear by oil pulling say it is a great way to detox your mouth. Tooth decay results from a build-up of harmful bacteria in the mouth. These germs can lead to plaque, gingivitis, cavities, and even gum disease. Brushing your teeth regularly helps to eliminate such germs, but could oil pulling provide extra help for you in this area? Possibly, but there is no concrete proof.

 

Tooth Whitening and No More Bad Breath?

 

We all want whiter teeth. Could oil pulling provide a cheaper and easier way to attain this without having to go to the dentist or deal with those annoying whitening strips? Oil pulling enthusiasts enthusiastically claim yes, your teeth will look cleaner.

 

They also claim oil pulling will make your breath fresher, though this is not something that would last throughout the day.

 

Should you try oil pulling? Doing so will not cure cavities or correct any major dental issues, and it is no replacement for daily brushing and flossing. There is no scientific basis for the claims made on behalf of oil pulling and some dental professionals feel you can get comparable results using mouthwash and possibly even just water.

 

However, oil pulling certainly cannot harm you in any way and will not worsen your oral health.

 

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Three Innovative Ways to Calm Your Patient

 

Some people find a trip to the dentist quite stressful. This can stem from anxiety, an unpleasant experience with another practitioner, or even a dental accident they saw in a movie or television show. Let’s face it—the thought of a stranger having access to an intimate part of the body can spook some individuals.

 

 

Many practitioners already take steps to offer the most relaxing and professional atmosphere possible to allay such fears. However, a recent study by Deva Priya Appukuttan offers additional suggestions on how to help clients struggling with dental phobia and a subsequent failure to maintain oral health through regular appointments.

 

Here are three of the main points the author discussed.

 

Get to Know Your Clients

 

When a practice first accepts clients, they answer a series of questions relating to their medical history, insurance, etc. Appukuttan suggests it is also wise to consider a semi-structured interview. This calm, informal conversation would allow the practitioner to learn more about situations causing fear and/or anxiety. The dentist or staff member could unobtrusively guide the conversation using open-ended questions, rather than direct and potentially off-putting queries.

 

In addition to learning what situations may cause issues, the dentist might also determine such fears are part of a wider psychological issue and recommend the person to seek out a therapist. This mental health professional may work directly with the dentist to design an approach to help the patient overcome their worries.

 

Anxiety Questionnaire

 

In addition to the medical questionnaire mentioned above, practitioners can also offer a second one dedicated to anxiety issues patients sometimes experience. This would act as a confidential way for nervous clients to self-report using a series of questions and a scale mirroring the person’s anxiety. For example, when asked about having a cavity filled, a “1” could mean little worry and a “5” could show great worry.

 

The dentist could use this knowledge to categorize patients and approach them accordingly. Starting a dialogue in this fashion can help avoid unexpected issues during the moments of a procedure where such an interruption could be problematic.

 

Building Trust

 

The rapport dental professionals build with their clients is very important. A busy practice often reduces the amount of time a practitioner can spend with patients, which is unfortunate, as it can lead to an increase in anxiety for some.

 

Taking the time to listen, answer questions, and map out each step in the procedure can go a long way in reducing a client’s fear. This opportunity to make inquiries and spell out any concerns will increase the person’s respect for the practitioner. It is important to acknowledge it is not unusual to experience some anxiety before a procedure. Make eye contact, avoid any negative word choices, and emphasize you are here to help. All questions are valid; provide detailed responses demonstrating your interest and desire to do a thorough and professional job.

 

Maintain this dialogue while performing the procedure. Keep the client informed of what you are doing and what the next step will be. Also, ask whether they are experiencing any discomfort and reassure them they are doing well. Be honest and straightforward.

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Post-Surgical Home Care Tips

 

Your ordeal in the dental chair may be over, but treatment doesn’t end when you leave the office. Proper post-surgical care at home is a critical step towards good oral health. Follow these post-surgical home care tips to hit the smoothest road to recovery after dental surgery.

 

DentalExam

 

Knowing What to Expect

 

Every procedure is different. Even relatively minor surgeries, like dental implants and tooth pulling, require proper after-care to heal well.

 

Talk to your dentist or oral surgeon about post-surgical home care before you go in for surgery. They may advise you to adjust your normal routine, change your diet, or refrain from certain activities to give yourself time to heal. If you know what to expect, you can prepare these arrangements in advance and jump straight to recovery after the dental surgery is over.

 

Helping Incisions Heal

 

Every procedure is different. Even relatively minor surgeries, like dental implants and tooth pulling, require proper after-care to heal well.

 

Talk to your dentist or oral surgeon about post-surgical home care before you go in for surgery. They may advise you to adjust your normal routine, change your diet, or refrain from certain activities to give yourself time to heal. If you know what to expect, you can prepare these arrangements in advance and jump straight to recovery after the dental surgery is over.

 

Once the bleeding stops, follow these tips to help the wound heal:

  • Brush and floss carefully around the incision.
  • Wait 24 hours, the rinse your mouth gently with a mixture of salt and water, not mouthwash!
  • Avoid drinking ay warm liquids, like tea or coffee.
  • Don`t drink anything through a straw, as this can dislodge the blood clot.
  • Never touch the incision with your fingers!

If the wound continues to bleed for more than four hours after the surgery, contact your dentist or oral surgeon.

 

Relieving a Sore Jaw

 

Having a stiff, sore jaw is a common complaint after oral surgery. In most cases, your jaw will feel better after a few days of rest. It helps to swap out solid foods for something easy to chew, like eggs, pasta, or smoothies. You can gradually re-introduce solid foods into your diet as you recover.

 

Treating Swelling and Bruising

 

Swelling is a normal reaction to many oral surgeries. In some cases, the tissue also bruises for a few days after the swelling goes down.

 

The best way to deal with bruising and swelling depends on the time that has passed since the procedure. In the first 24 hours, you may apply a cold compress to the area for up to ten minutes at a time; after 48 hours, switch to something warm, like a hot water bottle in a towel.

 

Call your dentist or oral surgeon if swelling continues to worsen 48 hours after the surgery, or persists for longer than a week.

 

Following Expert Advice on Post-Surgical Home Care

 

While these post-surgical home care tips are useful for most oral surgery, your dentist has the last word. Always follow their directions when it comes to after-care, and ask them if you have any questions or concerns about your recovery. Be sure to attend any follow-up appointments to confirm you’re on the right track.

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First Data On New Dental Fillings To Repair Tooth Decay Revealed

 

Amalgam Fillings

 

This might be a shock, but its true: data indicates that over 80 percent of the population in the United Kingdom has at least one filling in their teeth, seven fillings being the average. In addition to this, dentists fill eight million cavities with amalgams each year.

 

There are many mercury-based amalgams, but thanks to new data released by Professor Robert Hill, this may not need to be the case much longer. This data, regarding new bioactive glass composites, indicates a prolonged composite life and a lessened need for amalgams with mercury. This is major progress in restorative materials for everyone’s teeth.

 

The bioactive glass composites, according to Professor Hill, possess a unique ability to release fluoride. Fluoride, as you know, is an essential component in oral health. It is a mineral often found in soil, water, and some food. It improves teeth’s resistance to decay, and may even reverse tooth decay that has already started. The bioactive composites can also release high quantities of phosphate and calcium, two other elements needed to form strong tooth mineral.

 

The bioactive glass composites, according to Professor Hill, possess a unique ability to release fluoride. Fluoride, as you know, is an essential component in oral health. It is a mineral often found in soil, water, and some food. It improves teeth’s resistance to decay, and may even reverse tooth decay that has already started. The bioactive composites can also release high quantities of phosphate and calcium, two other elements needed to form strong tooth mineral.

 

The benefits of the new bioactive glass composite have caught the attention of the dental community. It is definitely clear these fillings can provide significant improvements in oral health when patients require dental fillings. BioMin Technologies has even licensed the technology of the bioactive glass and hopes to find a use for the remineralizing in dental products with restorative properties.

 

In recent developments in the dental industry, there is significant pressure to reduce and hopefully eliminate the use of amalgams with mercury by the year 2020. In fact, Richard Whatley, who happens to be the CEO of BioMin Technologies, indicates this is actually included in a number of international agreements. The good news is this new bioactive glass composite is a great help in the reduction of mercury-based amalgams. The fillings, as described previously, do not simply put teeth into stasis. They actually help to reverse the effects of tooth decay and return your teeth to their optimum health.

 

These new dental fillings, along with proper oral hygiene practices like regular brushing (twice a day) and flossing (most recommend once a day, or at least with meals where food often gets caught in your teeth), are sure to help the overall oral health of everyone, particularly with the scourge of tooth decay.

 

 

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Can Chemicals in Food Packaging Damage Children’s Teeth?

 

In recent years, there has been increased concern about the harmful effects of chemicals found in everyday products. Endocrine disruptors such as BPA are known to increase the risk of cancer, birth defects, and other conditions.

 

Now, research has linked these chemicals to MIH – a condition that irreversibly damages children’s teeth. The study found that early exposure to chemicals found in food packaging and fungicides may interfere with the growth of dental enamel.

 

Molar incisor hypermineralisation (MIH) is a condition that causes defects in a child’s tooth enamel. MIH weakens the enamel of permanent molars and incisors, causing the teeth to be cavity-prone and sensitive to hot and cold. The condition affects up to 18% of children aged six to nine.

 

Molar incisor hypermineralisation (MIH) is a condition that causes defects in a child’s tooth enamel. MIH weakens the enamel of permanent molars and incisors, causing the teeth to be cavity-prone and sensitive to hot and cold. The condition affects up to 18% of children aged six to nine.

 

To study the effects of endocrine disruptors on enamel, Dr. Katia Jedeon and his colleagues experimented on rats. They gave the rats daily doses of endocrine disruptors, in an amount equivalent to the average dose a human would experience daily. The exposure started in utero and continuing for a month after birth – the period when tooth enamel develops. 

 

After 30 days, they collected cells from the surface of the rats’ teeth and analyzed them. The chemicals had a clear effect. Two genes that control the creation of tooth enamel, Klk4 and SLC5A8, were expressed differently.

 

The study also revealed a potential cause of this effect.

 

In the second part of the experiment, the researchers collected ameloblast cells, which play a key role in forming tooth enamel. They found that sex hormones, like estrogen and testosterone, boost the expression of the genes that make tooth enamel. Endocrine disruptors can block the effect of male sex hormones. This indicates the chemicals may lead to MIH by blocking the hormones needed for development of tooth enamel.

 

Unlike bone, tooth enamel does not have living cells. This means it cannot regrow, so any damage to the enamel is permanent. However, parents can protect children by reducing their exposure to endocrine disruptors.

 

"Tooth enamel starts at the third trimester of pregnancy and ends at the age of 5, so minimizing exposure to endocrine disruptors at this stage in life as a precautionary measure would be one way of reducing the risk of enamel weakening,” says Dr. Jedeon. 

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