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Proper Home Care

Power toothbrushes, especially Philips Sonicare (Bestsellers | Philips) brushes, are our #1 recommendation for our patients.  They are easy to use and can remove plaque more efficiently than a manual toothbrush.  Simply place the bristles of the electric brush on your gums and teeth and allow the brush to do its job holding it for at least 5 seconds on one or two teeth at a time.

Toothbrushing – Brush your teeth at least twice a day (especially before going to bed at night) with an ADA approved soft bristle brush and toothpaste.

  1. When using a Sonicare, place the brush at a 45 degree angle, ensuring that you always feel the bristles on the gums.
  2. Brush the outer, inner, and biting surfaces of each tooth.
  3. Use the tip of the brush to clean the inside of the front teeth.
  4. Brush your tongue to remove bacteria and freshen your breath.

Clean Between Your Teeth at least 1-2 x a day With Proxabrushes, Softpicks and/or floss:

Softpicks and interdental brushes (also known as proxabrushes) are available in many sizes and are gaining in popularity because they are easy to use, and for some patients – more effective than flossing alone!

Proxabrushes  – Proxabrushes are available on handles (similar to length of toothbrush handles) or in travel sizes.  A travel proxabrush is covered by a cap that sheaths over the brush. This form of Proxabrush is conveniently kept in ones pocket or purse, and thus is good for those individuals who want to clean between their teeth during the day, or to take to restaurants or trips.

Who Should Use Them?

  • Anyone who finds flossing difficult
  • People who don’t like to floss
  • People with exposed roots
  • Deep dental pockets
  • Areas of bone loss or gum recession
  • Areas where teeth are missing
  • Previous gum surgery which has exposed more tooth and root anatomy
  • Larger spaces between the teeth
  • Grooves and concavities in teeth and roots
  • People with braces – great around brackets and wires

Softpicks – Traditionally, floss has been used to help remove the disease-producing bacteria in between the teeth. This bacteria cannot be reached with a toothbrush alone. Bacteria between the teeth is a primary cause for most gum disease and dental decay. It is so important to clean between your teeth every day!

Flossing – Daily flossing is the best way to clean between the teeth and under the gumline.  Flossing not only helps clean these spaces, it disrupts plaque colonies from building up, preventing damage to the gums, teeth, and bone.

  1. Take 12-16 inches (30-40cm) of dental floss and wrap it around your middle fingers, leaving about 2 inches (5cm) of floss between the hands.
  2. Using your thumbs and forefingers to guide the floss, gently insert the floss between teeth using a sawing motion.
  3. Curve the floss into a “C” shape around each tooth and under the gumline.  Gently move the floss up and down, cleaning the side of each tooth.

OTHER IMPORTANT ORAL HYGIENE AIDS:

GUM Brand rubbertip stimulator or Plaque Buster travel rubbertip stimulator –  These tools promote healthy and firm gums by massaging the gingival tissues and stimulating the blood flow. It is a traditional method to maintain your gums in good health. It consists of two separate parts: a comfortable ergonomic anodized aluminum handle and a replaceable synthetic rubber tip stimulator. In addition to massaging the tissue it helps to dislodge food particles and dental plaque between the teeth.

  • Point the gum stimulator toward your gums at a 45 ­degree angle.
  • Run the rubber tip of the gum stimulator in a circle for 10 seconds between each tooth. Stimulate the gums by working the rubber tip back and forth along the gum line. Besides removing plaque, it stimulates your gums and helps with blood circulation.
Compared to traditional gum stimulators that use a metal handle with a disposable tip, the Plaque Buster is an innovative, one­piece, injection­molded design with no metal to scratch the user’s teeth. The device was designed for a comfortable overall feel.
TEPE compact end tufted brush – This brush is designed for hard­ to ­reach or simply difficult ­to­ clean areas where the dental plaque buildup will become harmful to teeth or gums, such as:

  • Exposed spaces between the roots of molar teeth due to periodontitis and gum recession, keeping furcations clean
  • Complex fixed dentures, bridges or dental implants that are inherently hard to clean
  • Orthodontic appliances
  • Difficulty in cleaning the back surfaces of the last teeth at the end of the dental arch at the back of the mouth
  • Other hard ­to ­reach areas identified by your dentist or dental hygienist
GUM brand tongue scraper – The front portion of the tongue is pretty self­ cleansing, however, the back portion can often collect more bacteria. You can use a toothbrush or a special tongue scraper. Tongue scrapers come in various designs. Be gentle. Don’t go too far back and stick to the center of the tongue and not the sides which are more delicate and prone to injury. If you have a sensitive gag reflex a tongue scraper will probably work better for you.Do it daily. Just like brushing and flossing, frequency is key. Oral bacteria are constantly reproducing. Once you start doing it daily, you may find that your mouth just doesn’t seem as clean without doing it!

Implant Care – Care for dental implants is just as important as caring for natural teeth. Thorough oral hygiene is necessary to prevent diseases around implants. With proper home care and regular professional maintenance, implants can last a lifetime.

There are many different “tools” to aid in cleaning implants. Our favorite aids include the Tepe compact tuft brush and Proxysoft Bridge and Implant floss.

Oral Hygiene Products We Love

Oxidative stress is a known contributing factor in the development of chronic inflammatory diseases, including periodontitis, or gum disease. Clearwater Periodontist Dr. Todd Britten explains that adding antioxidants to your diet or the use of natural topical antioxidants as part of an at-home care regimen can help improve oral health by preventing or helping repair oxidative damage.

Antioxidant products used in the oral cavity can promote homeostasis, enhance wound healing, and alter microbial flora during medical treatments such as chemotherapy and dental procedures, or by dental materials. Dr. Britten has found that antioxidant products can also have a healthy antimicrobial (germ-killing) effect. They can also be used to help heal ulcers and other types of tissue trauma or injury.

A product that Dr. Todd Britten recommends regularly in his periodontal practice is PerioSciences AO Provantage Gel [www.periosciences.com]. “It is a gel that can be used up to 5 times a day for many conditions. PerioSciences also makes a toothpaste and a rinse which can be used in addition to the gel to improve periodontal health.” Dr. Britten goes on to explain that the essential oils in the mouthwash (menthol and thymol) have an anti-plaque and anti-gingivitis effect without damaging tissue cells and antioxidants (phloretin and ferulic acid) have beneficial effects on the cells and tissues found in the mouth.
“Your dental professional can recommend specific regimens for each type of surgery or any acute conditions requiring antioxidant products. A maintenance program after that is often recommended.”

Dr. Britten also goes on to explain that anti-inflammatory foods incorporated into the diet are also beneficial for oral and overall health. According to the American Heart Association, some foods high in antioxidants or have a high degree of anti-inflammatory effect would be fatty fishes, dark leafy greens, tea, whole grains, nuts, ginger and even dark chocolate.

“Since we know that periodontal disease is connected to variety of other diseases, including heart disease, diabetes, and rheumatoid arthritis, treating inflammation by using antioxidants both in our diet and/or topically may not only help manage periodontal diseases but may also help with the management of other chronic inflammatory conditions.”

“All those bumps and grooves on your tongue are a haven for bacteria and could be contributing to your bad breath because of the gases they give off, says Dr. Matthew Messina, a consumer advisor for the American Dental Association. It’s important to take care of the tongue in addition to regular brushing and flossing.”-from Colgate.com

The front portion of the tongue is pretty self-cleansing, however, the back portion can often collect more bacteria. You can use a toothbrush or a special tongue scraper. Tongue scrapers come in various designs.

Some tips:

1-Clean any area where there is a coating. This is usually found on the back portion of your tongue.

2- Be gentle. Don’t go too far back and stick to the center of the tongue and not the sides which are more delicate and prone to injury. If you have a sensitive gag reflex a tongue scraper will probably work better for you.

3- Do it daily. Just like brushing and flossing, frequency is key. Oral bacteria are constantly reproducing. Once you start doing it daily, you may find that your mouth just doesn’t seem as clean without doing it

Dr. Todd Britten performs the latest techniques in gingival grafting, or gum grafting, and other gum recession procedures to treat patients suffering from loose, sensitive teeth and receding gums in Clearwater, Florida. “Recent surgical innovations have made this procedure safer and more effective than ever before,” says Dr. Todd Britten.

Gum grafting involves carefully placing a small amount of new gum tissue in an area where little or no gum tissue currently exists to prevent further gum recession or to cover root surfaces of the teeth that have become exposed. A thin piece of tissue is taken from the roof of the mouth or gently moved over from adjacent areas to provide a stable band of attached gum tissue around the tooth. The tissue used in this procedure may be obtained from a variety of sources: an area of tissue nearby, the hard palate (roof of mouth), or donated tissue from another person, which has been medically processed. The gingival graft may be placed in such a way as to cover the exposed portion of the root, however, the main objective is to re¬establish the protective barrier or layer of the gum around the tooth. Occasionally, a patient may need multiple procedures to achieve the ideal amount of root coverage. The tissue is then delicately sutured (stitched) in place where it’s needed, using very fine suturing material.

Gum recession can occur for a variety of reasons, including genetics or age, oral trauma, and periodontal disease. Patients experiencing signs of gum recession are encouraged to seek treatment right away. Gum recession is not only a cosmetic problem – but it can also affect oral and periodontal health. A successful graft can reduce or eliminate problems like tooth sensitivity and further gum recession, as well as improve the aesthetics of a person’s smile. When a tooth loses the natural protection of healthy gum tissue, they become extremely sensitive to hot or cold temperatures, causing pain when drinking or eating, or even to cold air. Missing gum tissue also makes it easier for bacteria to penetrate the roots and cause decay — or for minor trauma to result in rapid gum recession. The eventual result is often tooth loss.

Dr. Britten offers a variety of modern and effective treatment options for receding gums in his Clearwater, Florida periodontal practice, including gum grafting procedures and the minimally invasive Pinhole® Surgical Technique. For more information on the progression of gum disease, scaling and root planing procedures, or periodontal surgical treatment options, contact us today at 727-586-2681. Britten Periodontics & Implant Dentistry is a periodontal practice offering patients personalized dental care in implant dentistry in Clearwater, Florida. Dr. Todd Britten received his Bachelor of Science & Doctorate of Dental Surgery from University of Florida, a Master’s Degree and Certificate in Periodontology and Implant Dentistry; and completed extensive training at the Institute of Advanced Laser Dentistry. He is one of the only board-certified periodontists in Pinellas County. He is a member of the American Academy of Periodontology, American Dental Association, Florida Association of Periodontists, Upper Pinellas County Dental Association, Hillsborough County Dental Association, Hillsborough County Dental Research Association and Florida West Coast Dental Association.

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