toothbrush

Are you using the right Toothpaste?

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Dr.Saket Gaurav
B.D.S.(India), PGD.Ortho, PGDAD(Cosmetic)
International Dental Practitioner
DENTAL MAKEOVER, Delhi NCR

We are lucky that in today’s world due to advancement in science, research and technology we get the best. We get options to choose best product according to our needs. When it comes to treatment again we get options most of the times. Today we are going to discuss about toothpastes, something very common and used every day by most of us. The number of toothpaste options is available on the market these days, its huge and it can be confusing making a decision about the best one to buy. There are toothpastes that strengthen gums, whiten teeth, control tartar and contain fluoride etc. Which one is best for you and which one should you purchase? This discussion about the various toothpastes on the market should help you choose the right one for you.

Anti Plaque toothpaste: These toothpastes control plaque accumulation on teeth, which reduces the toxic effects of the bacterial toxin on the tooth surrounding tissues, thereby reduces the chances of getting gum disease. Plaque if not cleaned properly hardens into tartar over time. Tartar/Plaque control toothpastes contain ingredients such as pyrophosphates and zinc citrate as well as an antibiotic and antifungal agent called triclosan, which helps to kill bacteria

Fluoridated toothpaste: Fluoride is the most important ingredient to look for when selecting toothpaste. It is a natural mineral that has contributed to a rapid decrease in tooth decay. Fluoride reduces the decay of tooth enamel by the formation of fluorapatite and its incorporation into the dental enamel. The fluoride ions reduce the rate of tooth enamel demineralization and increase the rate of remineralization of teeth at the early stages of cavities. There are many developed countries where the public water supply contains right amount of fluorides in it. When buying water for drinking we should always select the one which contains fluoride in it. Using a toothpaste containing fluoride will help you maintain healthy teeth.

Desensitizing toothpastes: For sensitive teeth, to either hot or cold food items. It helps in reducing the sensitivity on regular use. These toothpastes contain potassium nitrate, strontium chloride, sodium fluoride and other contents which help to block the nerve pathway, hence reducing the sensitivity. But make sure you visit your dentist if the sensitivity worsens.

Whitening toothpaste: There are a number of whitening toothpastes now on the market for people who are concerned about improving the whiteness of their teeth. Whitening toothpaste contains abrasive particles and chemicals that act to polish teeth and help remove stains. This is one of the reasons that it shouldn’t be use over used. If you are concern about whitening your teeth visit your dentist and get the best and safe advices for teeth whitening.

Natural toothpaste: For those who are uncomfortable with brushing with chemicals, natural toothpastes are an option. These toothpastes are made from herbal extracts and other natural ingredients, such as essential aloe-vera, oil of ginger, seaweed extract etc. The health claims of these toothpaste have not been clinically proven. Thus, it is important to check if these toothpastes contain fluoride, a proven active ingredient for the prevention of tooth decay already discussed above. Some people allergic to regular toothpaste may use natural toothpastes id recommended by dentist.

Kids’ toothpaste: Kids toothpastes are available in various stores according to the age groups. It’s a good idea to use it as recommended by the makers. It comes in different age groups according to the need of fluoride in particular age group. The fluoride content in toothpaste for younger kids will be less as compared to teenagers and adults.

Smokers Toothpaste: People who smoke often suffer stained teeth because of tar deposits. Some smokers toothpastes use stronger abrasives to remove these stains. Vigorous brushing with more abrasive pastes may damage the enamel over time. So instead of using hard bristled toothbrush and brushing hard visit your dentist for opinion and try to cut down smoking.

Fluoride is the most important ingredient to look for in toothpaste. Always avoid using whitening toothpaste if you have sensitive teeth. Make sure that the toothpaste you are buying is approved by some dental association. The toothpaste should not contain natural sweetening agent, it should contain artificial sweetening agents like sorbitol etc. Consult your dentist for their recommendations for any specific dental concerns you have.

How to use- MOUTHWASH

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Dr.Saket Gaurav
B.D.S.(India), PGD.Ortho, PGDAD(Cosmetic)
International Dental Practitioner
DENTAL MAKEOVER, Delhi NCR

When we talk about good oral hygiene, three things come on our mind brushing, flossing and using mouthwash. These are often told by the dentists as well. Today we are going to talk about mouthwash. Mouthwash is a part of a good daily oral hygiene practice. Mouthwashes are beneficial, in removing food particles left in between and on the teeth even after brushing and flossing. Since, it’s a liquid; it can be reach where a tooth brush and floss cannot.

While mouthwash is not a substitute for proper brushing, it can help with a number of oral health issues like cavity protection, bad breath management and in therauptic uses. There are various types of mouthwash available. Broadly, mouthwashes containing fluoride can help in preventing the formation of tooth decay. Alternatively, antiseptic mouthwashes can help reduce the bacteria that cause gum disease and decay. Other mouthwashes may help reduce teeth sensitivity.

There are few myths regarding the use and effects of mouthwash. Let’s discuss it.

Firstly it’s a very common one, mouthwashes cures bad breath. Yes, mouthwash may temporarily cure stinky breath, but it’s not a permanent solution. There can be multiple reasons for bad breath like the food you consume, or if you have any respiratory infection or some systemic disease like diabetes etc or you have lot of plaque and tartar build up all over your mouth. So, freshening your mouth with mouthwash won’t help for long. Better see your dentist to know the exact cause of bad breath and then target the real problem.

Secondly, all mouthwashes are the same. Not really, as discussed before, there are different mouthwashes for different needs. In general, mouthwash can be classified as, regular or therapeutic uses. Rinsing with a regular mouthwash will loosen bits of food from your teeth, lessen bacteria in your mouth, temporarily reduce bad breath and leave a refreshing taste in your mouth. On the other hand, therapeutic rinses contain additional active ingredients such as essential oils, chlorhexidine, fluoride, betadine etc which has been proven to reduce plaque, fight cavities, reduce teeth sensitivity or help in gingival healing by keeping the bacterial count minimum.

You must have heard people saying, anyone can use the mouthwash and mouthwash is harmless. Well that’s not true. Many mouthwashes contain a high amount of alcohol. This can cause dry mouth, which is a cause of bad breath, and irritate oral tissues. In some people, the alcohol can cause sensitivity to the root surfaces of the teeth. There have also been studies suggesting a link between alcohol-containing mouthwash and oral cancer on long term use. Also, Long-term use of alcohol containing mouthwashes can kill ‘good’ bacteria and should never be given to children. Alcohol-free mouthwashes are also available. But other ingredients can cause side effects, too. Many can stain your teeth or cause a burning sensation, and therefore it isn’t recommended for long-term use. Mouthwash is not meant to be ingested, so it may cause problems if accidentally swallowed. It’s not usually recommended for young children before the age of six. This is because most children would swallow the mouthwash instead of spitting it out. Most mouthwashes contain fluoride and few contain alcohol both of these are not advisable to swallow even in trace amounts. Yet there are few mouthwashes available that are specifically made for children because they contain no alcohol and are fluoridated in right amounts. This results in protection against cavities with safety.

Mouthwash cannot replace brushing and flossing. Yes, it cuts back the level of bacteria in your mouth. But not for the whole day if brushing and flossing is not done. Plaque must be removed by a physical action and that’s exactly the role of flossing and brushing. Regular flossing and brushing with a soft-bristled toothbrush will do a much more effective job of removing plaque and debris than mouthwash alone. Research shows that adding a rinse with mouthwash to your oral care routine can in fact improve the overall cleanliness of your mouth and help keep gum inflammation at bay. But mouthwash is usually considered an add-on, not a replacement for brushing and flossing.

The best way to use mouthwash is to gargle or rinse just for a few quick seconds and then spit. Most mouthwashes are at their most effective when in contact with your mouth tissues for 30 seconds per use. Keeping the mouthwash for too long in mouth can cause loss of taste sensation for few days and may irritate the gums and soft tissues all over. If you are using the mouthwash on regular basis you may dilute the mouthwash with water in 1:1 ratio if recommended or needed.

Ask your dentist for advice about the best mouthwash for you. Read and follow the instructions on the label, looking for how much to use and for how long to rinse with the mouthwash. Always remember mouthwash isn’t a short-cut.

Soft DRINKS and their effect on ORAL HEALTH

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Dr.Saket Gaurav
B.D.S.(India), PGD.Ortho, PGDAD(Cosmetic)
International Dental Practitioner
DENTAL MAKEOVER, Delhi NCR.

Commonly it is called “soda” or “soft drink”, different words are used to identify a carbonated/aerated, sugary cold drink or soft drink which is available in various flavors and different brand names. The advert says drinking it is fun, happiness, fact of life, winning mantra, living mantra, the way you should be etc, etc and what not. But these carbonated/aerated soft drinks can lead to not only oral but also general health issues.

Soft drinks and packed juices are very common and easily available dietary source today, which is consumed by most of us anytime in a day or many times in a day, once consumed acids & acidic sugar products and by-products in it softens the enamel (outer most layer of the tooth) which is also supposed to be hardest and most highly mineralized substance in human body contributing to the formation of cavities on the tooth surface and also erosion of the enamel layer leading to tooth sensitivity. In certain cases, this affected enamel caused by soft drinks when combines with inefficient and improper brushing and poor oral hygiene may lead to the gum disease and tooth loss. Because of the high sugar, sodium and caffeine content in soda, it dehydrates the body and over a long period of time can cause chronic dehydration. However, the sugar-free drinks are also not very safe as the acidic potential can still cause problems like dehydration and enamel loss, but they are less harmful in comparison. It appears that increased soft drink consumption is a major factor that contributes to obesity, kidney damage, osteoporosis, elevated blood pressure (on regular use). Soft drinks also have long been suspected of leading to lower calcium levels and higher phosphate levels in the blood. When phosphate levels are high and calcium levels are low, calcium is pulled out of the bones, which causes weakening of the bones.

Soft drink consumption has increased dramatically across the world, especially among children and teenagers. Everyone in spite of their age and gender can be benefitted from reducing the number of soft drinks they consume. Beverages containing less sugar and acid such as water, milk and 100 percent pure fruit juice, fresh juice is even better. Drink them yourself and encourage everyone including kids to do the same. Never drink soft drinks empty stomach as they may harm the gastric mucosa (inner layer of the stomach). Ask your dentist about fluoride application in the form of a foam, gel or rinse, which can be done for all age groups. Make sure that after consuming a soft drink, you flush your mouth with water to remove acids and save tooth from getting exposed to acids for too long. Since, fluoride reduces cavities and strengthens tooth enamel, so brush with fluoride-containing toothpaste. Also rinsing with a fluoride mouthwash also can help. Your dentist can recommend a higher fluoride containing toothpaste depending on the severity of the problem.

TEETH WHITENING

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Dr.Saket Gaurav
B.D.S.(India), PGD.Ortho, PGDAD(Cosmetic)
International Dental Practitioner
DENTAL MAKEOVER, Delhi NCR.

Your smile creates an immediate, subconscious, visual impact on people you meet. A brighter smile gives the impression of youth, vitality, radiant health, happiness, and warmth. A bright smile is perceived as a healthy smile. Tooth whitening is an increasingly popular cosmetic dentistry procedure that can make a massive difference on the appearance of your smile.

Causes of Tooth Discoloration
As we get older, our teeth naturally darken and discolor due to factors such as diet, age, lifestyle-smoking habits, drugs (like tetracycline), grinding (due to stress), trauma and even genetics. Tooth whitening can make your teeth look younger, cleaner and healthier.

Types of Tooth Stains
Extrinsic stains are those that appear on the surface of the teeth as a result of exposure to dark-colored beverages, foods and tobacco, and routine wear and tear. Superficial extrinsic stains are minor and can be removed by prophylactic dental cleaning and whitening.
Intrinsic stains are those that form on the interior of teeth. Intrinsic stains result from trauma, aging, exposure to minerals (like tetracycline) during tooth formation and/or excessive ingestion of fluoride. There are alternative cosmetic solutions to treat intrinsic staining, such as dental veneers and crowns.

Types of Teeth Whitening
There are various ways to whiten your teeth, but the two most common are office whitening and the home whitening systems-
Office Teeth Whitening
Professional tooth whitening in a dental office is the preferred whitening method because it is more effective. Even though stronger agents are applied, the rest of the mouth, including the gums, is protected from these materials. The best whitening systems feature a buffer in the gel that protects the tooth enamel from damage, are extremely effective, and can transform teeth color in a single visit. Your teeth can literally brighten up to 5 shades in about an hour.
Tooth whitening can last for 6 months or more, depending on how well you take care of your teeth.
Home Teeth Whitening Systems
They can either be used as a primary whitening option or as secondary option after office whitening to maintain the whitening result for longer time. Dentist’s supervision is must before you start using Home tooth whitening methods. They include whitening strips, paint-on tooth gel, mouth trays with gel. These are typically safe products.

Teeth Whitening Risks
Teeth whitening treatments are considered to be safe when procedures are followed as directed. However, there are certain risks associated with bleaching that you should be aware of:
Sensitivity: Bleaching can cause a temporary increase in sensitivity to temperature, pressure and touch.
Whitening sensitivity lasts no longer than a day or two, but in some cases may persist up to a month. It is recommended to use desensitizing toothpaste for few days after a whitening session.
Gum irritation: You might experience some degree of gum irritation resulting from the bleach concentration or from contact with the whitening trays. Such irritation typically lasts up to 1-2 days.

Maintaining Your Teeth Whitening Results
To extend the longevity of newly whitened teeth, it is recommended

  • To use home whitening  once to twice a month
  • Avoiding dark-colored foods and beverages for at least a week after whitening.
  • Whenever possible, sipping dark-colored beverages with a straw.
  • Practicing excellent oral hygiene – brushing and flossing after meals and at bedtime.

 

Tooth brushing Mistakes

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Dr.Saket Gaurav
B.D.S.(India), PGD.Ortho, PGDAD(Cosmetic)
International Dental Practitioner
DENTAL MAKEOVER, Delhi NCR.

Tooth brushing is such an ingrained habit, few people think twice about it. But as with any habit, you can get sloppy, and that can lead to cavities and gum disease.

1: Not Using the Right Toothbrush
Consider the size of your mouth when picking a toothbrush. If you are straining to open wide enough to let the brush in, the brush is probably too big. The handle has to be comfortable. It should feel comfortable as you are holding and the toothbrush head should be small so that it reaches the very last tooth as well. The more comfortable it is in your mouth and your hand, then the more likely you will use it and use it properly.

2: Not Brushing Often Enough or Long Enough
Softly brushing your teeth at least twice a day is recommended. ”Three times a day is best.” With too much time between brushings bacterial plaque will build up, boosting the risk of gum inflammation and other problems.
Brushing should last at least two minutes, three minutes is even better. Most people fall short of both time lines. It is often recommended to divide the mouth into quadrants and spend 30 seconds a quadrant. Some electric toothbrushes include built-in timers.

3: Not Picking the Right Bristles
Some toothbrushes have angled bristles, others straight. So is one type better? NO…..”It’s more related to technique than the way the bristles come out. What is important when buying a toothbrush? Bristles that are too stiff can aggravate the gums. It is recommended to use a soft-bristled brush. Bristles should be sturdy enough to remove plaque but not hard enough to damage the teeth when used properly.

4: Not Brushing Correctly
Long horizontal strokes along the gum line can lead to abrasions. Aim your bristles at the gum line at a 45-degree angle and do short strokes or vibrations. Softly brush up and down your teeth, not across your teeth. The strokes should be vertical or circular, not horizontal.
Be sure to brush outer and inner tooth surfaces, the chewing surfaces, and your tongue.

5: Brushing Too Often or Too Hard
While brushing your teeth three times a day is ideal, but brushing twice is must. Excessive brushing could expose the root of the tooth to irritation, and that could in turn irritate the gums. Brushing vigorously can also erode tooth enamel. The trick is to brush very gently for two to three minutes.

6: Skipping Inner Tooth Surfaces
Most people forget to brush the inner surfaces of teeth — the surface that your tongue presses against.
The plaque you can’t see is just as important to remove as the plaque you can see.
The most commonly skipped area, dentists say, is the inner surface of the lower front teeth.

7: Starting in the Same Place Each Time
Many people start brushing the same part of their mouth over and over. Start in a different place so that
You don’t get lazy in the same area of your mouth.

8: Not Following Up With a Rinse
Bacteria can grow on an un-rinsed toothbrush. Then, the next time you brush your teeth, you may actually put old bacteria back in your mouth. Rinsing the toothbrush after you brush will help remove any leftover toothpaste, too.

9: Not Letting the Toothbrush Dry
If you have a toothbrush that’s perpetually moist, it will cultivate more bacteria.
If the bristles stay soggy, you can shape-out them as you use the brush. Or it might be a breeding ground for bacteria. It’s a good idea to shake out the moisture, and then recap it with a cap that allows air in.

10: Not Changing the Toothbrush Often Enough
It is recommended to get a new brush every three months or even sooner if the bristles look frayed. Once the bristles lose their normal flexibility and start to break apart, change your toothbrush. Some brushes have colored indicators that alert you when they need replacing.

Which is the better toothbrush: Electric or manual?

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Dr.Saket Gaurav
B.D.S.(India), PGD.Ortho, PGDAD(Cosmetic)
International Dental Practitioner
DENTAL MAKEOVER, Delhi NCR.

From the time we’re young, we’re taught that using a toothbrush regularly is one of the best ways to keep our teeth and gums healthy. But which toothbrush is best?

The earliest toothbrushes were actually small twigs people rubbed against their teeth to get rid of food bits and other pieces of debris. Over hundreds of years it evolved, beginning to feature bristles made from boar’s hair. In the late 1930s, when toothbrushes with nylon bristles were first invented, consumers choosing a toothbrush didn’t have many options. Now, the story’s completely different. Most stores that sell oral hygiene products now have an extensive collection of different types of toothbrushes on their shelves, including manual (disposable) and powered (electric) varieties.

Let’s take a look at the Pros and Cons of the two and find out.

Manual Toothbrush
Pros

  • Thoroughly clean teeth with proper brushing technique. Brushing only takes 2 minutes and you can most definitely keep your teeth at a grade A+ level with a manual toothbrush.
  • Multiple toothbrush styles, bristles, heads and colors to choose from. You have the ability to choose soft bristles if you have sensitive gums, and a smaller head if you have a smaller mouth. Some brands even make special prints on toothbrushes for children. Nevertheless, you’ll never be short of options with manual toothbrushes.
  • Easy to travel with. All you need is a toothbrush case and you’re all set to go for your trip. No need to worry about batteries or charging outlets.
  • No batteries or charging.
  • Inexpensive and often free whenever you make a trip to your dentist. Keep in mind that you should ditch your toothbrush after about 3 months of use.

Cons

  • More work.
  • No timing. Manual toothbrushes require you to guess how long your brushing session will last (unless you set a two-minute timer).

Electric Toothbrush
Pros

  • Easy to use. With a powered toothbrush, all you need to do is place the toothbrush at a 45° angle and let the toothbrush do all the work.
  • Less work for better results. Studies have shown that electric toothbrushes do a better job of cleaning your mouth and removing plaque and debris.
  • More fun to use for children. Children like to take the easy way out on chores. If a child never brushes their teeth because they don’t want to, try having them use an electric toothbrush. It’s less work, it tickles their teeth, and the timer will let them know they’re all done! It’s a lot easier (and more fun).
  • Built in timer. Electric toothbrushes use a built in timer that stops the toothbrush once two minutes are up; no more guessing!

Cons

  • Charging. You’ll either have to charge your toothbrush or replace its batteries.
  • Cost. Electric toothbrushes cost significantly more than a manual toothbrush. There are several types of powered toothbrushes but be prepared to pay more than you usually do.
  • Not as easy to travel with. Traveling with an electric toothbrush can be a hassle. They are bulky and bringing a charger along doesn’t help with room constraints.
  • Easy to break. Dropping your toothbrush can be fatal. You have to be more careful whenever using an electric toothbrush.

One last thing to point out: there have been a few studies that prove electric toothbrushes remove statistically significant more plaque compared to manual toothbrushes and are better at fighting gum disease. Despite the studies, your oral health will remain healthy (despite which type of toothbrush you use) as long as you consistently take care of your teeth. If you are on the fence of buying a powered toothbrush, talk to your dentists the next time you go for a checkup.

SMILE IS INFECTIOUS

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Dr.Saket Gaurav
B.D.S.(India), PGD.Ortho, PGDAD(Cosmetic)
International Dental Practitioner
DENTAL MAKEOVER, Delhi NCR.

When you look at someone’s beautiful dazzling smile, it spreads like an infection and paints a ray of
sunshine all over your face. Smile is so universal that even a new born knows it by heart & when the
captivating smile is shared it melts the wall. But it is only possible when you have healthy and white
teeth.

COSMETIC DENTISTRY: A branch of dentistry dealing with the appearance of your teeth. It
handles the modification of your smile and anything having to do with how your teeth and gums look in
terms of the length, shape, color, alignment and proportion. But as a dentist for me it is obtaining the
most beautiful and long-lasting improvement in the appearance of someone’s smile with the minimal
amount of treatment. The primary aim of cosmetic dentistry is to improve the aesthetics of a person’s
teeth, gums or bite. There are a variety of cosmetic procedures available that are appealing to many
people. The most popular procedure is tooth whitening in which teeth are bleached to remove stains
and appear brighter. Other cosmetic dental procedures available to help you achieve your perfect smile
are:-

  • Dental implants provide custom, natural-looking replacements for missing teeth
  • Crowns /caps and dental bridges give you that whiter, brighter smile and later one also closes
    the missing space
  • Dental veneers hide many flaws
  • Tooth-colored restoration replace metal fillings for a natural appearance
  • Dental bonding uses a material that looks and feels like tooth enamel to repair damage and
    flaws
  • Inlays and onlays (or indirect fillings) remedy tooth decay or similar structural damage

A smile makeover typically involves one or more cosmetic dentistry procedures such as dental veneers,
dental implants, gingival sculpting and teeth whitening to give you the look you’ve always wanted
Full mouth reconstruction offers natural-looking and clinically sound treatments to correct functional
problems with your bite, muscles, teeth and bone structure.

First impression is the last impression and everyone is becoming more self conscious of their teeth when
they have chipped, discolored, deformed, crooked or missing teeth. They may feel the need to cover
their mouth every time they laugh and tend not to smile with their teeth in photos. Apart from affecting
a person's self confidence, it can also affect a person's oral health particularly if chipped or missing teeth
are left untreated. Good thing is that most of these issues can be resolved and treated or at least
worked out to get better than what it was before. Also, as a dentist, I believe there are always one or
more treatment options available for any dental issues at an affordable cost.

Depending on the complexity and severity of the problem, referral to dental specialists may be
necessary. Ask your dentist or oral health professional for further details. Always remember to get
dental health check up and oral prophylaxis (scaling) of your teeth every six months to keep your teeth
and oral health in good shape and also to check the condition of the treatment already taken.