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oral hygiene

The best way to prevent periodontal disease is to take good care of your teeth and gums at home. This includes brushing your teeth after every meal and before bedtime, flossing at least once each day, and seeing your dentist or periodontist for regular exams twice a year. Spending a few minutes a day on preventative measures may save you the time and money of treating periodontal disease!

-Perio.org

We encourage our patients to find ways to incorporate taking care of your teeth into your day, however you can! Even while watching Netflix, if that is what works for you!

“Interdental cleansing (cleaning between the teeth) is necessary for … optimal oral health. Since most toothbrushes have limited access to proximal (in between) surfaces of teeth… interdental cleansing must be included in dental hygiene care plans. Interdental spaces are areas where bacteria can accumulate, multiply and remain undisturbed.
Undisturbed plaque biofilm can cause gingival inflammation and bleeding and increase the risk for and progression of periodontal disease.” Source: “Interdental Cleansing” by Jacquelyn L. Fried, RDH, MS
Actually, cleaning between your teeth with floss, proxabrushes, softpicks, rubber tip stimulators and watching Netflix at the same time is just fine with us. Dr. Britten and his hygiene team encourage patients to find ways to incorporate taking care of your teeth into your day, however you can!
Dental Floss:

Tight spaces/Good for those spaces that other floss shreds easily https://www.listerine.com/toothpaste-floss/listerine-ultraclean-floss

A great, thin, unwaxed floss, POH dental floss: https://buypoh.com/oral-hygiene/

GUM expanding floss: https://www.amazon.com/s?k=gum+expanding+floss

INTERDENTAL BRUSHES AND SOFTPICKS

SOFTPICKS (Original, Advanced, or Wider Spaces):  https://www.gumbrand.com/between-teeth-cleaning.html

GUM Brand PROXABRUSHES (most common sizes Tight (414), moderate (612) tapered wide (614) or extra wide (618):  https://www.gumbrand.com/between-teeth-cleaning/interdental-brushes.html

TEPE proxabrushes (9 different sizes available!):  https://www.tepeusa.com/collections/tepe-interdental-brushes-original

Oral B end tufted brush:  https://www.safcodental.com/catalog/preventives/end-tuft-toothbrushes/oral-b-end-tufted-toothbrush

TEPE compact end tufted brush:  https://www.tepeusa.com/products/tepe-compact-tuft

GUM brand tongue scraper:  https://www.gumbrand.com/gum-dual-action-tongue-cleaner.html

Proxysoft Bridge & Implant Floss:  https://proxysoft.com/product/proxysoft-bridge-implant-cleaners/

TEPE Universal Care Brush:  https://www.tepeusa.com/products/tepe-universal-care

Thinner floss with threader attached for tight spaces:  https://www.gumbrand.com/gum-easythread-floss.html

GUM Brand PROXABRUSHES (most common sizes Tight (414), moderate (612) tapered wide (614) or extra wide (618):  https://www.gumbrand.com/between-teeth-cleaning/interdental-brushes.html

TEPE proxabrushes (9 different sizes available!):  https://www.tepeusa.com/collections/tepe-interdental-brushes-original

Here at Britten Periodontics, Dr. Britten and his dental hygiene team work together with our patients to tailor home oral care recommendations, focusing on a very personalized approach to treatment and prevention.

Home oral care is such an important contributor to oral health, and can help lessen the need for extensive dental problems. Here are some of our top tips to good oral hygiene!

Our last Blog Article Covered the Importance of Proper Toothbrushing.  Now, let’s talk about how and why to clean well between your teeth – daily!

The areas in between the teeth cannot be reached with a toothbrush. This is the primary cause for most gum disease and dental decay!!  This is why it is so important to clean between your teeth every day.  Traditionally, floss has been used to remove this disease producing bacteria, but softpicks and interdental brushes (also known as proxabrushes) are available in sizes and gaining in popularity because they are easy to use, and for some patients, even more effective than flossing alone!

Softpicks are also a great tool for daily use between the teeth, for tighter spaces. They come in Original, Advanced (With a curved, longer handle) and a bigger size for Wider Spaces


LINK FOR PRODUCTS WE LOVE:  https://mailchi.mp/85b2a6a889d6/britten-perio-homecare-products-we-love

Here at Britten Periodontics, Dr. Britten and his dental hygiene team work together with our patients to tailor home oral care recommendations, focusing on a very personalized approach to treatment and prevention.

Home oral care is such an important contributor to oral health, and can help lessen the need for extensive dental problems. Here are some of our top tips to good oral hygiene!

Part 1: PROPER TOOTHBRUSHING

  • A proper toothbrushing technique is essential for keeping your teeth and gums healthy.
  • Brush gently, thoughtfully and thoroughly twice a day to minimize the debris and bacteria in your mouth.
  • Bristle selection: Bristles that are too hard, or an incorrect technique of brushing can cause your gums to be damaged during the toothbrushing process and can cause them to recede (gum recession) or cause destruction (abrasion) to the teeth and roots.
  • We recommend changing your toothbrush at least every 90 days or after an illness.
  • Hold the toothbrush at a 45° angle so that the filaments reach the gum line. Brush with light pressure using small circular or vibrating movements. Brush the inside, outside and biting surfaces of the teeth.
  • Brush twice a day for at least four minutes if using a manual toothbrush.

We recommend the Sonicare Power Toothbrush for our patients.

  • Divide your mouth into four quadrants. This can help ensure that you brush each section of your teeth and mouth cavity.
  • Hold your toothbrush at a 45 ­degree angle to your gum line with a Sonicare or 90 degrees with an oscillating brush such as the Oral B.
  • Apply gentle pressure, keeping the bristles in contact with your tooth surface and gum line, which can help ensure you get the most effective result possible.
  • Stay on each area for 30 seconds, moving the brush only when it is time to go to the next area. Once you’ve completed this procedure for a quadrant, move to the inner surfaces of your teeth and repeat the same procedure.
  • To brush behind your front teeth, tilt the brush vertically using only the front half of your brush.
  • Clean biting surfaces, your tongue, and soft palate. This can help remove debris and other odor ­causing bacteria.

Stay Tuned for Our Next Blog Article – Where We Will Talk About How To Take Care of Your Teeth In Between and Other Oral Hygiene Aids!

The best way to prevent periodontal disease is to brush and clean between your teeth effectively every day. Regular dental checkups and professional cleanings every 3 or 4 or 6 months are also an important part of maintaining periodontal health; the instruments and techniques used in these cleanings can reach into areas that your toothbrush and floss can’t.

It is also possible to detect early forms of gum disease by evaluating your gingival (gum) tissues, both visually and by examining their attachment levels to the teeth. And the health of your tooth-supporting bone can be assessed by taking dental radiographs (x-rays pictures).

There are other steps you can take: Eating right, reducing stress in your life, and giving up unhealthy habits like smoking will also help ensure that you keep your teeth for a lifetime.

Watch this video about Healthy Gums from Spear Education

https://spearedu.co/gWHjot0

The human mouth is filled with bacteria. These bacteria, along with mucous and other particles form a sticky film called plaque is constantly forming and which adheres to the teeth. This plaque can be removed by brushing and flossing. When the plaque is allowed to remain on the teeth, the bacteria involved become more harmful, and more difficult to remove, creating an environment that is more toxic to the tissue. The plaque itself can harden creating a cement like substance (calculus) that cannot be removed with brushing and flossing alone.

This leads to inflammation and gum disease.

Good oral hygiene can drastically reduce the incidence of gum disease and tooth decay…

Watch this fabulous video from Spear Education

“Here in our Clearwater periodontal office, we have noticed that many young people and other patients feel that compared to traditional tobacco use, e-cigarettes are a safer and healthier option,” says Clearwater periodontist Dr. Todd Britten. “I see that companies selling these products are adding attractive and sweet flavoring products to attract young people. However, we are noticing in our dental practice that vaping may be as dangerous to oral health—if not more dangerous for the teeth and gums!”

Dr. Britten explained that E-cigarettes and vaporizers work by heating a liquid to generate aerosol, rather than smoke. The E-liquid in vaporizers and e-cigarettes are usually made up of propylene glycol, glycerin, flavorings, water, and in e-cigarettes, nicotine. One of the major ingredients used in vapes and e-cigarettes is a fluid called propylene glycol. “It is a like a thin sweet-tasting gel,” says Dr. Britten, “which when broken down becomes acetic acid, lactic acid, and propionaldehyde. We know in the dental community that acids are NEVER good for tooth enamel – that is what causes cavities!”  Dr. Britten also explained that it is believed that the water molecules in saliva and the tissues of the mouth will bond to the propylene glycol drying the mouth and its tissues out considerable. “We know well in the dental community how harmful dry mouth is in the development of both cavities and gum disease!”

Another ingredient in e-liquid is a combination of vegetable glycerin as well as flavorings which studies have shown  produces twice as much plaque on the teeth, which is also known as biofilm, and increased the stickiness of the bacteria to the teeth by about four times!  This, he explained, means more cavity-causing bacteria to stick to the teeth and roots and can lead to severe tooth decay as well as an increase of gum disease.

“Even for those who may be quitting smoking by switching to e-cigarettes or vapes, unfortunately, it is not a safer alternative for the teeth and soft tissues inside the mouth,” Dr. Britten says. “Nicotine users using an e-cigarette may have lower concentrations of nicotine in their blood, but we really haven’t seen what vaping and e-cigarettes do to the body long-term.”  But short-term, he says, dentists and dental hygienists are starting to see softer enamel, increased plaque and drier mouths with patients using these products.  Which is not good for patients, because as Dr. Britten says, the plaque bacteria in the mouth cause gum disease and the combination of these bacteria and acid in the mouth, cause dental cavities.

Britten Periodontics & Implant Dentistry is a periodontal practice offering patients personalized dental care in implant dentistry in Clearwater, Florida. Dr. Todd Britten offers sedation dentistry, which can be very helpful for those needing advanced treatment, suffer from PTSD or have a fear of the dentist.

Questions? Contact us at:

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Did you know? Periodontal disease is usually more severe towards the back of the mouth and between the teeth because these areas are more difficult to keep clean and free of plaque.  Just look at these very differently shaped molars!

Interdental brushes serve as an alternative or even great addition to brushing and flossing. They can be used daily and can be effective for plaque removal. Proxabrushes, or interdental brushes, are a type of interdental cleaner, meaning it is used to brush between the teeth.  For many patients, they are easier to use than dental floss. There must be at least a small space between the tooth and gum for the brush to pass, so it is ideal for back teeth and/or areas where there has been bone loss, and wider spaces between the teeth.  For most people with treated Periodontal Disease there is no other interdental cleaning aid that works as well as an interdental brush.  A proxabrush typically wears out within two weeks when used daily. A supply of replacement brushes should be kept for ease and speed of brush renewal.

They 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

How To Use Them

For more questions about oral hygiene and interdental care, periodontal disease of dentistry, visit www.brittenperio.com

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Most of our patients can tell the difference in how their teeth and gums feel when they switch to a power toothbrush. Dr. Britten and his team can also typically tell when a patient uses an electric toothbrush versus a manual toothbrush – as there is usually a noticeable difference in the amount of plaque present as well as a patient’s gum tissue tone and color.

Improving oral health will improve overall health, a reason most patients will be happy to make the extra investment for a powerbrush. An electric toothbrush (our favorite professional-grade brands typically run from $150-200) is only a fraction of what it costs to complete most dental procedures. In the end, investing in a good power toothbrush, changing brush heads every 90 days, and using the proper technique will save you money!

Why choose a powerbrush?

Power toothbrushes usually have built in features with an advantage for better oral health.

Timer – Many brands feature a timer to ensure patients brush for a full two minutes, and may also have a pressure indicator to pause brushing or to let patients know if they’re brushing too hard and possibly damaging their gums. The Phillips Sonicare, one of our favorites, hesitates every 30 seconds, to help a patient distribute their brushing in all four sections of the mouth.

More effectively disrupts and removes harmful bacteria in the mouth.  The sonic vibrating or oscillating of bristles from an electric brush remove sticky plaque bacteria effectively and stimulate the gum tissue, reducing inflammation. Electrics brushes operate at 30,000 strokes per minute while a manual is only 200 strokes.

Simpler technique.  With a power toothbrush, all you have to do is move the brush from tooth to tooth, spending a few seconds at a time.   The professional line of powerbrushes from Phillips Sonicare are definitely our favorite because they can penetrate below the gum line to disrupt the bacterial environment formed by plaque.  Other brands, most notably the Oral B have brush heads that oscillate in a half-circle motion to remove biofilm (plaque) from the tooth surface.

Gentle and safe at the gumline.  Using a powerbrush with the correct technique will help prevent gum recession, enamel abrasion (wearing away) and tooth sensitivity from improper brushing as well as tooth decay and gum disease. Even with their phenomenal power, power toothbrushes such as the Sonicare are still very gentle on the teeth and gums. If patients have gum recession, they can just place the brush on the tooth without using a scrubbing action, which can traumatize and wear away more thin and delicate gum tissue.

Stain removal.  Electric toothbrushes help with stain removal, which is attractive to patients who really want a bright, white smile. Some Sonicare models come with a “whitening” setting or even special polishing brush heads.

Helps those with dexterity issues.  Elderly patients or others with dexterity issues can also benefit from electric toothbrushes.  Many patients can’t move their hands the way they need to, so if they use a manual brush, they’re likely leaving plaque behind. Powerbrushes help remove plaque from the teeth for them, so as long as they get it close to where it needs to be, it’s going to remove plaque and help prevent problems.

Great for kids.  Electric toothbrushes are also great options for children, especially if they have braces!

Less time brushing, with a better result! In two minutes, a power toothbrush will remove plaque and massage and stimulate gum tissue more effectively than the minimum of four minutes you would need to brush with a manual toothbrush.

Proper Technique for Effective Power Toothbrushing

Divide your mouth into four quadrants. This can help ensure that you brush each section of your teeth and mouth cavity.

Place toothbrush bristles along gum line. Hold your toothbrush at a 45 ­degree angle to your gum line with a Sonicare or 90 degrees with an oscillating brush such as the Oral B. Applying gentle pressure, keeping the bristles in contact with your tooth surface and gum line, which can help ensure you get the most effective result possible. Stay on each area for a few seconds, moving the brush only when it is time to go to the next area. Once you’ve completed this procedure for a quadrant, move to the inner surfaces of your teeth and repeat the same procedure.

To brush behind your front teeth, tilt the brush vertically using only the front half of your brush. Clean biting surfaces, your tongue, and soft palate. This can help remove debris and other odor ­causing bacteria.

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