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 after dental treatment, teeth are sensitive to hot and cold. If the mouth is kept clean, this sensation should not last long. However, if the mouth is not kept clean, , the sensitivity will remain and could become more severe. If your teeth are especially sensitive, consult with Dr. Culberson or his hygienist. A medicated toothpaste or mouth rinse made especially for sensitive teeth may be recommended.
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:
- As a general rule, always look on the product label for the seal of approval from the American Dental Association’s Council of Dental Therapeutics. In essence, this indicates that the product does what the maufacturer says that it does.
- Automatic and “high-tech” electronic toothbrushes are safe and effective for the majority of users. Oral irrigators (water spraying devices) will rinse your mouth thoroughly, but will not remove all of the sticky plaque film. (Think of wiping the hood of your car after using only the rinse at the car wash.) You need to brush and floss in conjunction with the irrigator. We see excellent results with the electric toothbrushes “Rotadent” and “Oral B” and “Sonicare” are three examples.
- Some toothbrushes have a rubber tip on the handle that is used to massage the gums after brushing.
- Tiny brushes (interproximal toothbrushes) that clean between your teeth have proven to be more effective in cleaning between teeth that have widened spaces. If these are used improperly you could injure the gums, so be sure to discuss proper use with Dr. Culberson.
- If used in conjunction with brushing and flossing, oral rinses can reduce oral bacteria in your throat, thereby preventing “seeding” of other oral areas. Various rinses have different components. Some contain alcohol and others are alcohol-free. Again, look for the ADA seal of approval on the product label.
- Tarar control toothpastes will reduce tartar above the gum line, but because gum disease causes deep pockets below the gum line, these products have not been proven effective in advanced cases of periodontitis.
- Tongue scrapping is also essential. (Think of your tongue as analogous to a shag carpet.)
Dr. Culberson and his hygienist can help you select the bast products for you.