How to Brush
While brushing the outside surfaces of your teeth, position the brush at a 45-degree angle where your gums and teeth meet. Gently move the brush in a circular motion several times using small, gentle strokes. Use some pressure while putting the bristles between the teeth, but not so much pressure that you feel any discomfort. When you are done cleaning the outside surfaces of all your teeth, follow the same directions while cleaning the inside of the back teeth.
To clean the inside surfaces of the upper and lower front teeth, hold the brush vertically. Make several gentle back-and-forth strokes over each tooth. Don’t forget to gently brush the surrounding gum tissue.
Next you will clean the biting surfaces of your teeth. To do this, use short, gentle strokes. Change the position of the brush as often as necessary to reach and clean all surfaces. Try to watch yourself in the mirror to make sure you clean each surface. After you are done, rinse vigorously to remove any plaque you might have loosened while brushing.
If you have any pain while brushing or have any questions about how to brush properly, please be sure to call the office.
How to Floss
Periodontal disease usually appears between the teeth where your toothbrush cannot reach. Flossing is a very effective way to remove plaque from those surfaces. However, it is important to develop the proper technique. The following instructions will help you, but remember it takes time and practice.
Start with a piece of floss (waxed is easier) about 18″ long. Lightly wrap most of the floss around the middle finger of one hand. Wrap the rest of the floss around the middle finger of the other hand.
To clean the upper teeth, hold the floss tightly between the thumb and forefinger of each hand. Gently insert the floss tightly between the teeth using a back-and-forth motion. Do not force the floss or try to snap it in to place. Bring the floss to the gum line then curve it into a C-shape against one tooth. Slide it into the space between the gum and the tooth until you feel light resistance. Move the floss up and down on the side of one tooth. Remember there are two tooth surfaces that need to be cleaned in each space. Continue to floss each side of all the upper teeth. Be careful not to cut the gum tissue between the teeth. As the floss becomes soiled, turn from one finger to the other to get a fresh section.
To clean between the bottom teeth, guide the floss using the forefinger of both hands. Do not forget the back side of the last tooth on both sides, upper and lower.
When you are done, rinse vigorously with water to remove plaque and food particles. Do not be alarmed if during the first week of flossing your gums bleed or are a little sore. If your gums hurt while flossing you could be doing it too hard or pinching the gum. As you floss daily and remove the plaque your gums will heal and the bleeding should stop.
Caring For Sensitive Teeth
Sometimes teeth are sensitive to hot and cold, or even grinding or clenching. If the mouth is kept clean, this sensation should not last long. However, if the mouth is not kept clean from plaque, the sensitivity will remain and could become more severe. If your teeth are especially sensitive, consult with Drs. Ubertalli and Stathis. A medicated toothpaste or mouth rinse made especially for sensitive teeth may be recommended. In some cases where grinding is noted, a hard plastic guard can be fabricated.
Choosing Oral Hygiene Products
There are so many products on the market that choosing the right one can be difficult. Here are some suggestions for selecting dental care products that will work for most patients:
- Power electronic toothbrushes are safe and effective for most users. Not all power brushes are equal. The Oral-B is the most effective and uses an oscillating “back and forth ” rotary motion to penetrate the gum line. We do not find the sonic brushes effective for periodontal patients.
- There are tiny brushes (interproximal brushes) that clean between your teeth. These can clean very well where there is enough room between teeth. Not all teeth will allow these to fit. If these are used improperly you could injure the gums.
- Oral irrigators (water spraying devices) will rinse your mouth thoroughly, but will Not remove plaque. You need to brush and floss in conjunction with the irrigator. We may advise the irrigators to be used with a medication.
- If used in conjunction with brushing and flossing, fluoride toothpastes and mouth rinses can reduce tooth decay by as much as 40 percent. Remember, these rinses are not recommended for children under six years of age.
Drs. Ubertalli and Stathis are the best people to help you select the right products that are best for you.