Prevention
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Dental Cleaning
Dental cleanings should be carried out exclusively by dentists or dental hygienists. A standard cleaning consists of scaling, root planing, and polishing, which are detailed below.
Scaling
Scaling involves removing plaque and tartar from all tooth surfaces. Different scaling methods are used depending on the severity of plaque and tartar buildup.
Traditional scaling is done manually by dental hygienists, but with advancements in technology, electric scalers allow for faster cleaning. The best results are often achieved by combining both electric and manual scaling methods.
Ultrasonic scaling utilizes a device called a cavitron that emits sound waves to break down tartar. However, ultrasonic scalers can only remove about 50% of tartar, so manual scaling must follow for a complete clean.
Root Planing
This procedure involves cleaning deep pockets in the gums to prevent further gum disease. Root planing is often used to treat more advanced stages of periodontal disease. As gum pockets become deeper, they trap plaque more easily, leading to further inflammation and bone loss.
Root planing involves inserting specialized tools below the gum line to remove plaque buildup. In some cases, local anesthesia is required, and depending on the severity, multiple appointments may be necessary.
Polishing
Polishing is the final step in dental cleaning, which smooths the tooth surface. There are two main types of polishing: prophy jet polishing and rubber cup polishing with prophy paste. Prophy jet uses a mixture of high-pressure water and baking soda to clean the surface of your teeth and neutralize mouth acids. Rubber cup polishing uses a low-speed handpiece with abrasive paste to remove stains.
The duration of a dental cleaning depends on factors such as the amount of plaque, the complexity of dental work, and the health of your gums. People with more tartar may require longer appointments.
Regular dental cleanings every six months are recommended to prevent plaque buildup. Individuals with deep gum pockets should consider cleanings every three months to avoid complications related to gum disease.
Early Dental Care
Although it may be too late for adults to benefit from early dental care, it’s crucial for children. Taking care of your teeth should start before they even emerge. A healthy diet, proper care, and fluoride in food and water contribute to strong and healthy teeth. While you can’t change your own childhood, you can provide a healthy start for the children in your life.
It’s a good idea to check with your local water supplier to ensure the fluoride level is at the recommended 1 ppm (part per million). When children consume fluoride before their teeth emerge, it strengthens them for life. As soon as teeth appear, begin brushing, and once all surfaces can’t be reached with a toothbrush, introduce flossing.
Brushing Tips
When brushing, use a soft-bristled brush and avoid applying too much pressure. Hard bristles or excessive force can wear down enamel. Move the brush up and down instead of side to side, and use fluoride toothpaste, preferably one labeled “tartar control” to slow down tartar formation. A pea-sized amount of toothpaste is sufficient—using more can be less effective.
Flossing
Flossing removes plaque between teeth that a toothbrush can’t reach. The type of floss (waxed, unwaxed, string, or ribbon) is less important than daily use. Proper technique is essential for effective flossing. It’s often recommended to floss before brushing. Ask your dental hygienist for a demonstration during your next check-up.
Bad Breath (Halitosis) – Causes
Most bad breath originates in the mouth. It’s usually caused by a sulfur compound released by bacteria, particularly on the back of the tongue, where food debris and plaque accumulate. Plaque on teeth and deep gum pockets, common in people with periodontitis, can also contribute to bad breath.
Treatment for Bad Breath
Treatment starts with a thorough dental examination and health history, possibly including an “odor-meter” test to measure sulfur gas levels. Periodontal disease and cavities should be treated, oral infections addressed, and impacted teeth, if any, removed. Maintaining good oral hygiene, including cleaning the teeth and tongue, is crucial. Mouthwashes and toothpaste may help manage bad breath, and consulting your dentist for product recommendations is a good idea.
People suffering from halitosis should be encouraged to seek treatment, as it often yields highly effective results.