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Tooth Cleaning Recommendations

Avoid cavities with a good toothbrush

Tooth Cleaning Recommendations

SMILE TO BE MORE HEALTHY

Some scientific studies have proven that smiling releases endorphins, serotonin, and other natural painkillers that produce our bodies. Smiling has also been associated with reduced levels of stress hormones (adrenaline), cortisol and dopamine) and lowering blood pressure. You could say that smiling is almost a natural drug. All this causes a reduction of stress, strengthens the immune system, helps recovery of many diseases, and protects against heart disease.

Brushing teeth


The hygiene in the mouth in it inhabits a large number of bacteria in a way food is also a perfect vehicle for the entry of new products. Many others when chewing and drinking, part of the intake is trapped between the teeth the tongue and gums the accumulated remains are ingested by the bacteria that evacuate them after assimilation, these acids are acid wastes gradually dissolve the tooth and produce what is known as tooth decay. If you don't take care of hygiene, the bacteria will multiply the more they grow. more acid colonies will be produced and the faster the tooth will dissolve when the caries are found only in the enamel the treatment is simple but if the bacteria overcome the thin layer of enamel and penetrate deeper into the skin. much softer tissues than the enamel will be destroyed by the
acids at higher velocity like the tooth that has hardly any way to protect itself, the untreated cavities will end up reaching a critical part called the pulp and it will be will produce a true infection at those times the pain becomes very intense being a desperate alarm of his body in the face of the bacterial threat, 
the tooth is about to be lost and the treatment will be drastic and will require, unfortunately, the removal of the pulp what will leave the tooth lifeless will be the more fragile it will reduce its longevity and possibly lead to the need for a crown that would have required a simple appointment in your dental office to remove tooth decay. will turn if you do not go to the dentist or take care of your hygiene into serious pain, plus many more visits and more costs in short, in addition to caries the lack of hygiene will produce bad taste in your mouth and bad breath especially when you wake up and after ingesting certain foods and beverages so that you are not surprised if you perceive a certain social rejection if this were not enough the accumulation of germs and substances in the tooth will harden over time and form tartar. Remember to visit your dentist.
If gingivitis does not stop, periodontitis will occur, causing the loss of tissue around the teeth. 

HOW DOES FLUORIDE WORK?

The fluoride contained in toothpaste is captured by the tooth. That way allows two actions: it makes it difficult for the enamel loses minerals and, on the other hand, makes it easier for the tooth to regain minerals. Likewise, fluorine in saliva fights the many caries-producing bacteria, interfering with the bacterial metabolism. It is known that the fluoride in toothpaste can prevent up to 40% of caries injuries.

 Carry out correct hygiene.

There are several procedures that you must combine, let's see the manual brushing technique.
First, make sure that the brush is in good condition and clean.
Also, replace it every three months or even sooner if necessary the brushing should be thorough without pressure and should be prolonged by about two approximately minutes using a small amount of fluoride toothpaste. To avoid excess foam during brushing we suggest the following technique: divide the teeth into two groups to avoid forgetting the teeth the upper and lower and always follow the same sequence
first, brush the outer sides of the upper teeth.
To do this, place the brush perpendicular to the tooth slightly inclined towards the gingiva and make a smooth turning movement several times on the surface to advance to the next tooth, I separated the brush and advance in the initial position repeat the brushing movement always brush from the
gum to the tooth and not the other way around to prevent damage to the gum when you have finished brushing the outer sides continue with the inner sides using the same technology behind the inner faces. Once the upper teeth have been brushed, continue with the lower teeth. as before place the brush perpendicular to the tooth slightly inclined towards the gingiva and make a smooth turning movement several times on the surface, after the outer faces continue with the inner faces always in the same order.
Finally, the brushing of the tongue as it retains large amounts of debris.
To do this, stick out your tongue and place the brush as far back as you can but not too much to avoid nausea then make a sweep towards
Go ahead and repeat this step several times finally to maintain hygiene. between the teeth also use dental floss.
Ask your dentist which toothbrush is right for you because there are different types whose composition varies according to the needs the patient's hygiene is the main method to have a good oral and oral health.
your dentist the best guardian of your mouth.

Toothbrushing

We all know that enthusiasm in the discipline of toothbrushing is not enough. An enthusiastic patient does not mean that he or she is effective in applying the correct brushing technique.

One of the most widely used techniques is the Bass technique, published in 1954, which prodigiously encourages circular movements. Since the middle of the last century, this technique has given us the first opportunity to brush three times a day.

It was not until 1967 that Harold Löe implemented plaque indices showing that the clinical and subclinical effects of plaque buildup on a health timeline gingival inflammation are up to 48 hours that the plaque was not removed.

However, toothbrushing is still associated with the number of times a patient eats or feeds. Why do we dentists close ourselves off to the belief that brushing 3 times a day is adequate in frequency? Do we not realize how much influence we have on families and generations?

We know the importance of oral hygiene after feeding and that the accumulation of residues or by-products of the alimentary bolus, called alba matter, have a greater affinity for the mandibular mesiodistal areas as well as the wide interdental spaces. It is there where the favorable and opportune brushing after each feeding resides, but if it is a question of the control of plaque and for subsequent of the pathogenic "biofilm" we know that the routines of 3 times a day without supervision are completely sterile.

Soft, ultra-soft brushes have become a great support for hygienists and periodontists. However, there is still little awareness in the population regarding the need for correct toothbrush choice.

soft and ultra soft brushes

We know that different toothbrush designs can be novel and even very flattering in the marketing effect. But, even so, it is well known that each design demands a specificity that the student and the dentist must know.

It is now common for dentists to know more about restorative dental materials than the basic over-the-counter hygiene material that is the toothbrush.

Today, clinical studies and meta-analyses show that brushing techniques must be adapted to the life of the individual. From a young age, since the patient has complete temporary dentition, it is recommended that the correct brushing technique be horizontal at the expense of imitation. Later, since the child has greater control over his or her motor skills, it is recommended to switch to the Bass technique and finally culminate from adolescence to adulthood in the modified Stillman technique.

In this century, at the end of this decade, we efficiently found that the control of bacterial plaque can decrease up to 50% of it with the use of a correct technique and a paste with tin fluoride compound achieving an increase in health and decreasing gingival bleeding and inflammation.

Electric brushes


Without a doubt, one of the most controversial issues in the field of oral health prevention is the use of electric toothbrushes. To this day many people see them as useless expense and even the professional recommendation is still limited by some conservative clinicians.

The reality is that electric toothbrushes today are a great advance with a double potential, the removal of bacterial plaque, and the motivation of the patient.

Although within the mythological concepts published in the '80s of the last century; the classic premise that electric toothbrushes are indicated for people with different capacities and/or motor problems is still resisted to die. Within the erroneous premises, we know that ignorance and lack of knowledge in countries like ours and where young people are more open to technology during childhood, today the use of mechanical-electrical assistants is a reality that must be taken seriously.

In a society where it is easier for children to have an iPad from the age of four or earlier, it should no longer be complicated to visualize family expectations opening up to the use of electric toothbrushing through the timely recommendation of the dentist.

Studies in the periodontal area have given us conclusions that have limited the significance between the comparison of the use of an electric toothbrush and the manual.¹ But even so, systematic reviews such as the European Workshop in Periodontology in 2003 show us that the effectiveness of electric toothbrushing compared to the manual can have very good results in terms of gingival bleeding together with the resolution of inflammation during the treatment of gingivitis and periodontitis.

The reality as far as the need for understanding the usefulness of the electric/mechanical brush lies mainly in understanding the functioning of these hygiene aids. The movements on which the removal of plaque is based are with oscillation/rotation movements and vibration

Several studies have illustrated the comparison in terms of effectiveness in supporting the treatment of periodontal disease. The primary assessment is of the rate of personal plaque control and reduction of gingival bleeding as reported in the 2016 e Van der Weijden publication. In this, it is observed in a systematic review that electric toothbrushes are superior to manual toothbrushes in the effectiveness of plaque removal and bleeding control. Even in the comparison between the different brushes available on the market, the electric toothbrush that applies oscillation/rotation movements also shows an advantage over sonic and ultrasonic toothbrushes.

Interdental hygiene


Interdental hygiene is one of the greatest challenges in preventive and therapeutic periodontal disease dentistry. All reports have been consistently favorable when talking about its importance. The American Dental Association reports that about 80% of plaque removed in dental hygiene is due to the correct application of interdental hygiene.

Technology is no stranger to the promotion of tools to encourage interdental hygiene. Irrigators, air-irrigators, and other electronic devices have found a constant evolution in the struggle to increase the use of interdental hygiene. Even so, all efforts remain unsuccessful when we observe that no electronic device has been able to replace the use of dental floss
Therefore, the recognition of interdental biology is more timely and all concepts are built through common sense. A great example is a simple view that occupies the reasoning that interdental areas are the most susceptible to periodontal disease simply because they are areas that are difficult to access for brushing.

None of the above-mentioned brushing techniques have found a significant basis in interdental hygiene, so new toothbrush designs are based on the premise of reaching interproximal areas that conventional brushes do not commonly reach.
The importance of interdental hygiene does not lie in the use of the floss but in its correct application. Patients report that floss can be harmful when they use it and this is only attributable to a lack of proper teaching and instruction.

However, Berchier's publication in a systematic review determined the effectiveness of flossing in combination with manual brushing on the inflammatory response in adults with periodontal disease and the conclusions were very consistent. All this evidence, as well as that published by Hujoel, dictates that even for the prevention of interproximal caries flossing is a real option.

Even so, dental hygiene assessments show us that the greatest range of plaque removal is with the use of interproximal brushes. These have obtained very good ratings since their clinical effect is established by covering more contact areas in interdental cleaning. However, in situations where there is no access for interproximal brush use, these can hurt or cause loss of papilla mainly in thin phenotypes.

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