Choosing the right toothbrush for your needs

It would be easy to get overwhelmed by the huge range of dental care products now available.

Even looking just at toothbrushes present a wide range of choices.

There are hundreds of manual and powered toothbrushes to choose from.

Start by looking for products that carry the American Dental Association Seal of Acceptance – this is an important symbol of a the product’s safety and effectiveness.

When you buy a toothbrush, replace it every three to four months. Replace it sooner if the bristles become frayed as a worn toothbrush will not clean your teeth properly.

Make it easy for your children to brush their teeth by choosing a child-sized toothbrush and make it more interesting for them by selecting fun colors and designs.

Often people who have difficulties with hand, arm or shoulder movements find that powered toothbrushes are the best choice. However, it’s also possible to make a few small changes to modify a manual toothbrush and make it easier to use.

For example, you can:

•  Enlarge the handle with a sponge, rubber ball, or bicycle handle grip
•  Lengthen the handle with a piece of wood or plastic
•  Bend the handle slightly while running it under hot water

Your dentist will give you tips on what toothbrushes would be right for your needs.

How to overcome problems with teeth grinding

When under stress, many people find themselves grinding their teeth or clenching their jaws.

This habit actually has a name – bruxism – and often it’s something we do when we sleep.

It can be caused by stress and anxiety and it can also be due to sleep disorders, an abnormal bite or missing and crooked teeth.

It can lead to symptoms such as dull headache or a sore jaw.

Your dentist can fit you with a mouth guard to protect your teeth during sleep.

Severe grinding can lead to painful or loose teeth and this can lead to fractures in your teeth.

Taking stress out on your teeth in this way can lead to long term damage so, if stress is the cause, you need to find a way to relax!

Relaxants, counseling and even exercise may help reduce stress and tension and can be a big help to your teeth.

How dentistry has developed over the last 300 years

When you visit a modern dental surgery, it’s hard to imagine the challenges of dental treatment without all the latest technology.

Yet specialists have been taking care of people’s teeth for thousands of years.

Here are some of the key developments over the last 300 years.

1723: French surgeon Pierre Fauchard – credited as being the father of modern dentistry – publishes the first book to describe a comprehensive system for the practice of dentistry.

1760: John Baker, the earliest medically-trained dentist to practice in America, immigrates from England and sets up practice.

1790: John Greenwood adapts his mother’s foot treadle spinning wheel to rotate a drill.

1790: Josiah Flagg, a prominent American dentist, constructs the first chair made specifically for dental patients.

1832: James Snell invents the first reclining dental chair.

1841: Alabama enacts the first dental practice act, regulating dentistry in the United States.

1844: Horace Wells, a Connecticut dentist, discovers that nitrous oxide can be used as an anesthesia and successfully uses it to conduct several extractions in his private practice.

1880s: The collapsible metal tube revolutionizes toothpaste manufacturing and marketing.

1890: Willoughby Miller notes the microbial basis of dental decay in a book which started a world-wide movement to promote regular toothbrushing and flossing.

1896: New Orleans dentist C. Edmond Kells takes the first dental x-ray of a living person in the U.S.

1938: The nylon toothbrush, the first made with synthetic bristles, appears on the market.

1945: The water fluoridation era begins when the cities of Newburgh, New York, and Grand Rapids, Michigan, add sodium fluoride to their public water systems.

1950s: The first fluoride toothpastes are marketed.

1960: The first commercial electric toothbrush, developed in Switzerland after World War II, is introduced in the United States. A cordless, rechargeable model follows in 1961.

How cancer treatment affects oral health

When someone is undergoing cancer treatment, it’s important that they involve their dentist in their program of care.

They should schedule a dental exam and cleaning before the treatment actually begins and then repeat it periodically during the course of treatment.

It’s important that they tell the dentist that they are being treated for cancer and that they also discuss any dental procedures, such as extractions or insertion of dental implants, with the oncologist before starting the cancer treatment.

It’s therefore a good idea to ensure that the dentist and oncologist have each other’s details to enable them to discuss any issues to help the patient.

And the dentist and physician should be informed about any issues such as bleeding of the gums, pain, or unusual feeling in the teeth or gums, or any dental infections.

Maintaining excellent oral hygiene during cancer treatment is vital to reduce the risk of infection and to help aid the treatment process.

Making your teeth look better with veneers

Everybody wants the best smile possible and there’s no need to have it spoiled by gaps in your teeth or by teeth that are stained or badly shaped.

Whether the problem was caused by nature or by an injury, you may be able to have a veneer placed on top of your teeth to restore or improve your smile.

Veneers are thin, custom-made shells crafted from tooth-colored materials designed to cover the front side of teeth.

Your dentist will usually make a model of your teeth and the veneers will be made by a specialist dental technician.

A small amount of enamel has to be removed from your teeth to accommodate the shell so having veneers is usually an irreversible process.

In order to make the most of your veneer, your dentist may suggest that you avoid foods and drinks that could discolor them, such as coffee, tea or red wine.

It’s also possible that veneers might chip or fracture.

But, for many people, veneers are well worth it as they give them a completely new smile.

Periodontal disease: what it is and how to avoid it

Periodontal disease is an infection of the tissues that support your teeth.

There is a very slight gap (called a sulcus) between the tooth and the gum.

Periodontal diseases attack this gap and cause a breakdown in the attachment of the tooth and its supporting tissues.

When the tissues are damaged, the sulcus develops into a pocket and, as the disease gets more severe, the pocket usually gets deeper.

The two major stages of periodontal disease are gingivitis and periodontitis.

Gingivitis is a milder and reversible form of periodontal disease that only affects the gums. Gingivitis may lead to periodontitis, which is a more serious, destructive form of periodontal disease.

There are several factors that have been shown to increase the risk of developing periodontal disease:

•  Systemic diseases such as diabetes
•  Some types of medication
•  Crooked teeth
•  Bridges that no longer fit properly
•  Fillings that have become defective
•  Smoking
•  Pregnancy

And there are a number of warning signs that can suggest a possible problem:

•  Gums that bleed easily
•  Red, swollen, tender gums
•  Gums that have pulled away from the teeth
•  Persistent bad breath or taste
•  Permanent teeth that are loose or separating
•  Any change in the way your teeth fit together when you bite
•  Any change in the fit of partial dentures

However, it’s also possible to have periodontal disease with no warning signs.

It’s therefore important to have regular dental checkups and periodontal examinations.

If you have developed periodontal disease, the treatment will depend on how far it has progressed.

You can take steps to prevent periodontal disease from becoming more serious or recurring.

Good dental hygiene practices such as brushing twice a day, cleaning between your teeth, eating a healthy diet and having regular visits to the dentist will make a huge difference.

The facts about oral cancer

Oral cancer is not as well known as other types of cancer but it can represent a life-threatening risk if not identified early.

•  It strikes an estimated 35,000 Americans each year
•  More than 7,500 people (5,200 men and 2,307 women) die of these cancers each year
•  More than 25% of Americans who get oral cancer will die of the disease
•  On average, only half of those diagnosed with the disease will survive more than five years
•  African-Americans are especially vulnerable; the incidence rate is 1/3 higher than whites and the mortality rate is almost twice as high

Although the use of tobacco and alcohol are risk factors in developing oral cancer, approximately 25% of oral cancer patients have no known risk factors.

There has been a nearly five-fold increase in incidence in oral cancer patients under age 40, many with no known risk factors.

The incidence of oral cancer in women has increased significantly, largely due to an increase in women smoking. In 1950 the male to female ratio was 6:1; by 2002, it was 2:1.

The best way to prevent oral cancer is to avoid tobacco and alcohol use.

Unusual red or white spots can form in and around the mouth. These are often harmless but they can be cancerous or pre-cancerous.

Identifying and removing these early enough is a major factor in reducing the incidence of cancer.

So knowing the risk factors and seeing your dentist for regular examinations can help prevent this deadly disease.