Previously it was thought that eating firm apple before sleep can replace teeth brushing with toothbrush. 100 years ago when there were no oral care products, apple maybe was a useful replacement. Firm Lithuanian apples force jaw to work, so gum is cleaned mechanically. But nowadays apple cannot replace toothpaste. We eat absolutely different food products compared with our ancestors: we eat more processed, sweet and sour food products. Some young people’s teeth enamel already is in bad condition and apple acids will further erode enamel. In exceptional cases when teeth brushing with toothbrush is impossible, it is better to eat carrot instead of apple. Carrot is not acidic.
A lot of people think that to eat apple before the sleep is the same as to brush teeth with toothbrush. Is it true or false?
I heard that implant care is of highly importance. So I want to know reasons why it is so. I have few implants but did not take any special care measures. What is waiting for me, if I do not pay special attention to their care?
It is true that implants care is very important. In order they serve as long as possible it is important to properly care of them by choosing additional care products and regularly visiting dentist and dental hygienist.
Recently two implants were implanted in my upper jaw. I want to know what to do in order they serve as long as possible?
In order implants serve as long as possible it is needed:
To pay special attention to implants care;
Regularly, twice a year, to visit dental hygienist and to perform professional oral hygiene procedure, during which the situation is controlled (bleeding while probing, gum condition);
To pay very high attention to oral hygiene at home by using additional products: middle toothbrush, “super floss” floss, interdental brushes and daily mouthwash without alcohol;
If noticed gum changes (bleeding, intumescence, discoloration), it is required to visit a dentist.
How to appropriately care of dental implants?
Dental implants should be care of as real teeth. One crown attached to implant should be cleaned by using dental floss and toothbrush. Prosthesis attached to implants may be removed and cleaned in running water with special prosthesis toothbrush and implants should be cleaned separately. There are oral irrigators, specifically designed to clean dental implants.
In what cases teeth whitening products are not recommended to use?
Before starting to use teeth whitening products you are recommended to consult with your dentist. In some exceptional cases such products are not recommended:
- if teeth are very sensitive
- if gum is bleeding
- if enamel is damaged
- if you have decayed teeth
- if you are allergic to peroxide (a lot of whitening products usable at home contain peroxide)
- if you have periodontitis because of the holes in the teeth
- if dental roots are visible or dental enamel is worn
- if you have crowns or other artificial dental additives
In most cases products designed to whiten teeth at home can whiten only natural teeth. It is not recommended to whiten teeth if you are wearing braces, otherwise you will whiten only visible teeth areas. Besides, whitening products can damage braces. If you are using prescribed medicines, always consult your doctor if you are allowed to use whitening products with medicines.
What is needed to know before whitening teeth?
The most important thing you need to know is that all whitening products effectively whiten only natural teeth. You also need to know that teeth discoloration may occur for various reasons. Stains occurred as a result of using different medicines (for example, antibiotics) are much more difficult to whiten then stains occurred as a result of smoking or drinking colorful drinks. Remember that no whitening products can whiten yellow artificial teeth or additives. In such cases the best decision would be to restore artificial teeth and only then to whiten natural teeth.
How white my teeth could become?
It is a very popular question. Depending on the whitening procedure and other factors, it is very likely that teeth can be brightened up to nine shades. There is no system which would help to evaluate and to determine the prospect color, but the difference is always visible. It may sound strange, but our teeth have different shades, for example, front teeth always are whiter. Visit the dentist. He or she following the structure of your tooth would be able to say what smile to expect after the procedure.
How long after the whitening teeth remain white? Is it temporary?
Common opinion says that teeth whitening results last for 3 years. However it may be, result can last longer or shorter, it depends on how you care about your teeth. If you use a lot of colorific products, drink a lot of coffee, tea or red wine or smoke, do not expect to have white teeth. So in any case how long the result will last after the procedure can tell your dentist, who performed the procedure.
What are the teeth whitening methods?
There are several teeth whitening methods: performed in dentist cabinet by dentist or performed at home by client itself (usually it takes 10 – 14 days). Whitening methods are: whitening with laser, with molds, using ZOOM program, whitening with soda. There are various tapes, pencils, special glazes to whiten at home. But the most effective way to whiten teeth at home is by using molds. Following client’s teeth form individual molds are manufactured which contain special material. The mold is wear on the teeth for couple of hours (according to dentist recommendations) at least for 10 days. During whitening period teeth are more sensitive and you should avoid colorific food products, coffee, tea, red wine, smoking. If whitening procedure is performed in dentist chair, higher concentration gel is used, but the result is faster. Other teeth whitening method is to use ZOOM system. This procedure also can be performed quickly and efficiently and after one visit to dentist your teeth will be visibly whiter. This procedure is more effective because ZOOM gel applied to teeth is irradiate with the light from ZOOM lamps. This helps to achieve the desirable result faster. Although this procedure is fast and effective, in order to strengthen the effect, laser and special lamps also could be used. Whitening with laser is performed only in dentist cabinet. This procedure uses high concentration gel and laser. Laser strengthens the effect of gel. By using this method, teeth whiten very quickly. However, high concentration gel can cause severe sides effects. But if a person is healthy, changes due to side effects do not cause long-lasting damage. As gel has stronger effect, the results are better. Usually one procedure is enough. After it, teeth can be more sensitive for 24 hours and you should also avoid colorific food products and drinks. Both methods are good and effective: by whitening with molds, you need to take more endeavor and be more patient, and by whitening in dentist cabinet usually one or two visits are enough. But this way of whitening is more expensive than whitening at home.
How whitening procedure proceeds?
Teeth whitening in dentist cabinet is the most popular method. Only the dentist can tell whether the client can have teeth whitening procedure. First of all, dentist will apply protective rubber or gel on your gum. Then he or she will apply special whitening liquid on your teeth. This liquid usually contains hydrogen peroxide or urea peroxide. Teeth absorb those materials, so tooth color becomes brighter.
I want whiter teeth, but I don’t know what products to use, because they are very expensive. Can you tell please, if using soda will whiten my teeth?
Yes, but soda damages enamel. After all, soda only cleans your teeth, they become visibly brighter. The same result you can achieve by using toothpaste with sodium bicarbonate. Abrasive particles in such toothpaste are significantly smaller, they clean teeth more gently and therefore damage to enamel is lesser. But if you constantly drink coffee, black tea or cannot quit smoking, you can choose toothpaste with stains dissolving enzymes. Such toothpaste does not contain abrasive particles and you should use it abstemiously, not every day and preferably with other toothpastes.
Do I need to use toothpaste every time I brush my teeth?
To misuse toothpaste is not recommended. You can use toothpaste 2 – 3 times a day – after breakfast, lunch and dinner. It is recommended after snacks to brush teeth with toothbrush and water, to use mouthwash or herbal tea without sugar. Also several times a day clean interdental spaces with special brush or floss. The most important thing when brushing teeth is not toothpaste, but the way you clean your teeth, that is, by mechanical cleaning you should remove dental plaque which contains bacteria.
Often when I brush my teeth I notice that my tongue is white and despite of all my efforts I fail to clean it. What it is and what to do to avoid it?
The tongue is white because of plaque sitting on it. Plaque should be removed from the tongue as well as from the teeth and gum. The tongue should be “scraped” with tongue brush or spoon, because the brush only shove plaque and toxins into the tongue. You need to loll out the tongue ahead as much as possible, to tuck the tongue cleaner as far as possible inside the mouth (until you feel discomfort) and gently sweep cleaner downward – in this way you will remove all plaque. Then wash the cleaner and repeat the procedure as much as you need depending on your needs. You need to clean your tongue every day before meal. Tongue cleaning is a good way to start to observe it, and the result is a better health. If tongue care is poor, unavoidably raises one more problem – bad mouth breath. So if you want to avoid additional problems, you need to care not only of your teeth and gum, but also of the tongue.
Why my gum is bleeding when I clean my teeth with toothbrush or when I am using interdental floss? I have not noticed it early. I heard that bleeding gum can cause teeth loosing. What do you recommend to do in order to save my teeth?
Teeth cannot bleed without a reason, so there should be a reason. Maybe you use improper oral care products or use them wrongly. It is very important to know how to properly clean and remove plaque from the teeth and gum. If plaque is removed improperly, it starts to accumulate on teeth and gum and causes gum inflammation (gingivitis). So if your gum is bleeding I recommend you to visit dental hygienist. He or she will evaluate your situation, prepare a treatment plan and choose oral care products that suits you.
I have never visit a dental hygienist. But my sister has visited him recently and she told me that it is necessary to have done oral hygiene procedures on regular basis. I want to know if I need this procedure, because I never complained about tooth pain and I do not have any sealants.
Professional oral hygiene means the removal of mineralized plaque (tartar) in order to keep a good oral health. So it is not enough to brush your teeth at home. Properly soft and mineralized plaque can remove only dental hygienist or another dental care specialist, so you need to visit him or her regularly (once in a half of year (depending on situation).
I brush my teeth with hard toothbrush because only when I am using such toothbrush I feel I cleaned my teeth properly. But after brushing I notice that I am bleeding and my gum is painful. Why it is so? What product to buy in order my gum would stop to be painful and bleeding?
First of all, hard toothbrush is not suited to daily use. It is designed to brush prosthesis. So it is not surprising that after brushing your teeth with hard toothbrush your gum is bleeding. It is clinically proven that 75% people who use hard toothbrush experience gum bleeding because they mechanically damage their gum. It is very important to use proper dental care products: proper toothbrush, toothpaste, interdental floss and mouthwash. In your case, if you want to reduce gum bleeding I would recommend you to use soft “Curaprox” toothbrush, “Arthrodont” toothpaste which stops gum inflammation and “Curasept” mouthwash. If the situation will not change, you need to visit dentist or dental hygienist who evaluates the condition of your mouth.
Recently I have found out that I am pregnant. What can you recommend that would prevent me from dental problems during this period?
Society has a myth that one tooth is the price you pay for one child. The myth is based on the fact that embryo absorbs calcium directly from mother’s teeth and eventually teeth should be extracted. If mother’s diet is rich in calcium, the embryo will get its calcium from mother’s food, so mother won’t lose her calcium. The phenomenon when caries in pregnant woman organism develops more quickly is related to more frequent snacks and poor oral hygiene. Increased gum sensitivity and bleeding is related to the fact that during pregnancy mother’s bloodstream fastens 30-50%. Bacteria which localize in possible gingivitis area (above the gum) is better feed, so gingivitis risk increases. Growing bacteria colonies are the perfect precondition for caries and periodontitis disease. So expecting women should pay more attention to the care of their teeth. I recommend you to brush teeth twice a day for 2-3 minutes and, if possible, after each meal; to use interdental floss every day; if you feel sick, to rinse mouth and to brush teeth with toothbrush as often as possible in order to neutralize acids originating during vomiting; to balanced diet; regularly visit your dentist.
Recently I have read about oral irrigator. What do you think about this device? Is it really efficient?
Oral irrigator is very useful. It is clinically proven that by using oral irrigator gum care is two times better and efficient than using interdental floss. Ir helps to clean such places that are unreachable with toothbrush. It also massages gum and protects it from inflammation. This device is really efficient because replaceable tops are fitted to orthodontic apparatus, prostheses and dental implants.
I constantly use whitening toothpaste. But later my teeth became more sensitive. Maybe I use a wrong toothpaste? What do you recommend to do in order to reduce teeth sensitivity?
Whitening toothpaste is not designed to use every day. It contains a lot of abrasive materials which scratch enamel, so your teeth are more sensitive than usually they are. At this time when your teeth are sensitive I would recommend you to choose sensitivity reducing toothpaste and mouthwash that contains NaF (Sodium fluoride). It could be toothpaste “Elmex Professional Sensitive”, “Elgydium Sensitive”, “Velym” and mouthwash “Jordan Clinic Protect Mouthrinse” and many others. Sensitivity is also reduced by using fluoride varnish application which you can try in your dentist cabinet.
I have heard that bed mouth breath most commonly occurs due to improper or insufficient oral hygiene. Is it true and why?
It’s true. One of the main reasons of bad mouth breath is bad oral hygiene, but not always so. Bad mouth breath can be caused by systemic disease, long-term use of medicines or old and unsealed sealants. In order to avoid bad mouth breath, it is recommended to visit dental hygienists regularly, to replace old sealants and to have done professional oral hygiene procedure.