Toothbrush Care: Replacing, Cleaning, Storing

KO6A3300-Edit[1]

Amanda Orvis RDH

Toothbrush Care: Replacing, Cleaning, Storing

In order to maintain a healthy mouth, one must use a clean toothbrush.  Toothbrushing plays a major role in your personal oral hygiene care. When brushing, it is important that you use a clean and functional toothbrush.  Toothbrush bristles can harbor harmful bacteria that can be damaging to our oral health.

REPLACING

The ADA (American Dental Association) recommends replacing your toothbrush every 3 months. The same rules apply to both manual toothbrushes and electric toothbrush heads. Many types of bacteria can be found on toothbrush bristles, these bacteria can continue to multiply over time potentially causing harm to our mouths. Toothbrush bristles also break down over time causing the bristles to fan out, fray or simply fall out.  When your toothbrush bristles break down the toothbrush becomes less effective, making it harder to clean your mouth properly. If you or any member of the family become sick or gets an infection in the mouth, it is important to replace yours or their toothbrush immediately to be prevent that harmful bacteria from spreading or re-infecting you or that person. In order to prevent cross contamination make sure you do not share toothbrushes for any reason.

Screen Shot 2015-03-08 at 2.12.51 PM

CLEANING

After brushing your teeth it is important to thoroughly rinse your toothbrush to remove any additional toothpaste, bacteria and saliva. Germs can hide in your toothbrush bristles and lead to oral infections of not properly cleaned.

STORING

After cleaning your toothbrush, it is very important to allow your toothbrush time to thoroughly dry between usages. Designate an area for your toothbrush to dry. Many toothbrush storage containers are available that prop your toothbrush upright and allow the toothbrush to not touch anything else while drying. When traveling, it is just as important to allow your toothbrush to dry between usages. Keeping the toothbrush bristles covered while storing it within your other items during travel is important as well. Small toothbrush storage cases are available at almost all pharmacies and grocery stores. Just make sure the toothbrush is fully dry before storing it in its case.

Screen Shot 2015-03-08 at 2.21.02 PM

5 Quick Rules: 

Do not share toothbrushes

Thoroughly rinse your toothbrush after each use

Leave your toothbrush in an open area to dry after each use

Discard your toothbrush if you become sick or get any dental infections

Replace your toothbrush at least every 3 months

Want to learn more? Visit us at

http://www.shalimarfamilydentistry.com

http://www.northstapleydentalcare.com

http://www.alamedadentalaz.com

http://www.dentistingilbert.com

Source:

http://www.ada.org/en/about-the-ada/ada-positions-policies-and-statements/statement-on-toothbrush-care-cleaning-storage-and-

Dental Fears

KO6A3321-Edit

Becky Larson RDH

I once had an elementary school teacher who would scream if she heard the word “dentist.” About 75% of the population has some form of dental anxiety while about 5-10% of the population has an actual dental phobia. There are various degrees of dental anxiety/phobia, some even requiring psychiatric help. Those who experience this fear of going to the dentist will often avoid dental appointments until they are in extreme pain. I think we all realize that sometimes going to the dentist is just not fun. However, some signs that you may suffer from legitimate dental anxiety/phobia include trouble sleeping the night before a dental appointment, nervous feelings that increase in the dental office waiting room, crying or feeling physically sick when thinking about the dentist, and/or panic attacks or difficulty breathing when at or thinking of the dentist.

extreme-dental-anxiety[1]

So what causes dental anxiety or dental phobia? Some common reasons for experiencing dental anxiety are fear of pain, fear of injections, fear that injections won’t work, fear of anesthetic side effects, fear of not being in control, embarrassment, and loss of personal space. The key to dealing with any of these fears is to talk to your dentist. If your dentist is aware of your fear(s) he/she can suggest ways to make you feel more comfortable when in the dental chair. Some helpful strategies include:

  • Having your dentist explain procedures in detail prior to and during treatment
  • Topical anesthetic and/or closing your eyes during injections
  • Establish a “stop” signal when you want your dentist to stop or give you a break
  • Nitrous oxide prior to treatment
  • Prescription pre-medication (such as Halcion)
  • Sedation/general anesthesia

At our offices we do offer intravenous sedation techniques for dental treatment. With these techniques, sedation drugs are administered through an IV in the patient’s arm or hand. While the patient is sedated, they will still be still be conscious and able to respond to dental staff. They will also be able to breathe on their own.

Recognizing dental fears and finding ways to cope with them is extremely important to your dental health. Regular check-ups and cleanings can help prevent recurrent decay, which in turn can reduce the amount of time and money you spend at the dentist.

 

Want to learn more? Visit us at

http://www.shalimarfamilydentistry.com

http://www.northstapleydentalcare.com

http://www.alamedadentalaz.com

 

Sources:

http://www.webmd.com/oral-health/easing-dental-fear-adults

http://en.wikipedia.org/wiki/Dental_phobia

http://www.colgate.com/app/CP/US/EN/OC/Information/Articles/Oral-and-Dental-Health-Basics/Checkups-and-Dental-Procedures/The-Dental-Visit/article/What-is-Dental-Anxiety-and-Phobia.cvsp

http://www.bing.com/images/search?q=dnetal+anxiety&FORM=HDRSC2

Hydrogen Peroxide

KO6A8495-Edit - Copy

Lora Cook RDH

 Is Using Hydrogen Peroxide as a Mouth Rinse Safe?

Screen Shot 2015-01-25 at 9.24.33 PM

Many commercial mouth washes and whitening strips have hydrogen peroxide as one of the key active ingredients. However many are using straight hydrogen peroxide as a mouth wash to kill germs. Is this a safe and effect practice?

Hydrogen peroxide is compose of water and oxygen that works to kills germs and bacteria, and helps to whiten teeth.  It comes in either 1% or 3% concentrations. You can even see it in action!  When it foams in your mouth you know that it is working at killing bacteria.  It also can be used to clean your night guard, retainers, or even soak your tooth brush in.  Best of all it is inexpensive. 

 However this is not the magic cure all, there are some strong precautions that I would like to share with you.  While there are many benefits it can be harmful on gum tissue if used in too strong a solution or too long.  It is very drying to the tissues. This will also work to kill good bacteria in the mouth.  This will leave opportunity for yeast infections of the mouth to flourish, also called thrush.  Candidiasis is a fungal or yeast infection of the mouth or throat. Candida yeast that normally live in the mucosa membrane will flourish causing a over growth of candida, commonly called yeast infections. 

This can be a relatively safe practice by following a few guidelines; dilute peroxide with 50% water, and do use every day.  If you are one of the many people who suffer from dry mouth stick with a over the counter rinse formulated for dry mouth sufferers. 

Want to learn more? Visit us at

http://www.shalimarfamilydentistry.com

http://www.northstapleydentalcare.com

http://www.alamedadentalaz.com

http://www.using-hydrogen-peroxide.com/hydrogen-peroxide-as-mouthwash.html

http://copublications.greenfacts.org/en/tooth-whiteners/l-3/6-tooth-whitening-side-effects.htm

http://www.healthline.com/health/thrush#Symptoms4

Stay Hydrated …and Keep Smiling

KO6A1012-Edit[1]

Ann Clark RDH

     For a lot of people, summer fun means time in the sun and chilling in the pool.  While cool water might feel good on the outside, it won’t lower your core body temperature.  To do that, and avoid dehydration, you need to get enough water and other fluids inside your body.
6a00e54fbce23788330133f44311ee970b-320wi
     Did you know that if you are thirsty or feel worn down, you are already dehydrated?  Other symptoms include light-headedness, headache, fatigue, muscle cramps, or dry mouth.  Diet beverages although thought to make you hungrier and dehydrate you, actually do hydrate you and bonus…make you less hungry says a recent clinical trial published in the June issue of “Obesity”.  Also consuming fruits and vegetables higher in water content can also aide in proper hydration (watermelon, strawberries, lettuce, tomatoes etc).  Staying hydrated can also reduce the risk of other health problems, such as heart disease, hypertension, exercise asthma and hyperglycemia.   Not only is a dry mouth uncomfortable while wearing a sport’s mouthguard, for example, but changes in your saliva’s composition can diminish it’s natural ability to buffer against decay-causing bacteria.
     So keep our summer smile happening!  Drink plenty of fluids-especially water-before, during, and after your fun in the sun!
Information from the American Beverage Association 7/24/14
Referenced-  “3 Tips to Staying Hydrated This Summer”
pic source: www.alsplumbing.com

The Link Between Mouth and Body-Exploring Possible Links

KO6A8579-Edit

Lindsay Whitlock RDH

 

oral-perio-systemic

The oral cavity is recognized as a portal of entry for many infections that affect overall health; including both physical health and emotional health. Among these infections are two leading widespread dental diseases: caries (decay) and periodontal disease (gum disease). The consequences of decay in the oral cavity and periodontal diseases are profound and often times underestimated in context of their negative impact on one’s physical health. More studies are needed but some researchers suspect that bacteria and inflammation linked to periodontal disease play a role in some systemic diseases and or conditions. Research suggests that although periodontal disease starts as a local infection in the mouth, it is generally accepted that associated bacteria and toxins gain access to the body’s blood supply and travel throughout the body. This creates a systemic inflammatory response, which may increase the risk for: heart disease, pneumonia, and complications of diabetes and pregnancy. Although periodontal disease may contribute to these health conditions, it is critical to understand that just because two conditions occur at the same time does not necessarily mean one condition is the cause for another. Researchers are continuing to work hard to examine the affects of when periodontal disease is treated within individuals suffering with these various health problems.

figure_2

Periodontal Disease – What You Should Know

Periodontal disease is a chronic infection within the oral cavity caused by bacteria. It begins when specific bacteria in dental plaque produce harmful toxins and enzymes that irritate the gums. An inflammatory response occurs if dental plaque is not removed on a daily basis. Plaque that remains on teeth over a short period of time can irritate the gums making them red and likely to become tender and bleed. This condition is called gingivitis, which can lead to more serious types of periodontal diseases. Gingivitis can be reversed and gums kept healthy by removing dental plaque daily with oral hygiene routine as well as having your teeth professionally cleaned.

If gingivitis is allowed to persist, it can progress to periodontitis (periodontal disease), a chronic disease in the pockets around the teeth. Inflammation that results may be painless however, it can damage the attachment method of gum tissue and bone to the teeth. Consequently advanced periodontitis is linked with other health problems such as cardiovascular disease, stoke and bacterial pneumonia. Left untreated, teeth may eventually become mobile, fall out, or require removal by a dentist.

Given the link between periodontal disease and the systemic health problems, prevention is a critical step in maintaining overall health.

1. Brush your teeth twice a day for two minutes.

2. Clean between teeth with floss or another type of interdental cleaner once a day.

3. Eat a balanced diet and limit snacks.

4. Schedule regular dental checkups as recommended by your dental hygienist or dentist.

5. Tell your dentist about changes in your overall health.

Click this link that is presented by Listerine and Reach to watch a video further explaining the link between periodontal disease and our bodies.

https://www.youtube.com/watch?v=m-BGfwCoJJA

human

Images:

http://www.richmondinstitute.com/significance-behind-the-oral-systemic-connection

http://www.cvlsmiles.com/images/figure_2.jpg

http://smilesbygoh.com/wp-content/uploads/2013/11/human.jpg

Help! My PreSchooler Won’t EAT!!

Peggy

Peggy Stoor BSRDH

images

I often hear parents complain that they cannot get their kids to eat healthy foods.  I remember the frustration myself when I couldn’t get my toddler to eat anything, let alone a healthy vegetable.  Now that my kids are grown, I wish I had understood that my young child wouldn’t starve himself to death. Toddler’s appetites vary from day to day and if the child is growing and energetic, they are probably getting enough of the nutrients they need.

Here are some things I’ve learned:

1. Young children and toddlers need between 4-6 healthy meals and snacks per day.

2. Limit beverages such as juice, sweetened drinks and even milk,  as it can    reduce the childs appetite for food.  (not to mention harmful effects on the teeth!)

3. The context in which the food is offered is also of importance so present a relaxed environment, free from distractions like the tv.

4. Kids should be allowed to decide whether and how much to eat and they should not be pressured or rewarded for eating certain foods.

5.When introducing foods, patience is key as it often takes as many as 8-10 exposures to a food before it is accepted.

6. When children are stubborn about eating, it is commonly their way of exerting their independence and this may be a battle to be cautious with. Force feeding may cause a child to dislike that food, shuts off the mechanism in the brain that tells the child she is overeating, and may possibly make the child more stubborn and difficult about food.

images

All of this being said, with our increasingly hectic schedules and the relative ease in which fast foods and overly processed foods are available, nutritional deficiency as well as obesity is becoming more of a concern in our country. Scary Statistics show that childhood obesity has more than doubled in children and tripled in adolescents since 1980.  In 2010, more than 1/3 of children and teens were overweight or obese.

Obese youth are more likely to have risk factors for heart disease, prediabetes, or diabetes. They are at greater risk for bone and joint problems, sleep apnea and social problems like teasing, bullying, and poor self-esteem. Obesity also increases the risk of many types of cancer!

There are many websites on nutrition, healthy eating and ideas. Here are just a few healthy ideas for snacks and easy meals offered from the Academy of Nutrition and Dietetics:

  1. Mini Pizza: Toast a whole-wheat English muffin, drizzle with pizza sauce and sprinkle with low-fat mozzarella cheese.
  2. Snack Kabobs: Put cubes of cheese and grapes on pretzel sticks.
  3. Peel a banana and dip it in yogurt. Roll in crushed cereal and freeze.
  4. Spread celery sticks with peanut butter or low-fat cream cheese. Top with raisins (optional).
  5. Mix together ready to eat cereal, dried fruit and nuts in sandwich bags for an on-the-go snack.
  6. Microwave a small baked potato. Top with small amount of cheddar cheese and salsa or plain low-fat yogurt. (Tastes just like sour cream)!
  7. Banana Split: Top a banana with low-fat vanilla and strawberry frozen yogurt. Sprinkle with your favorite whole grain cereal.
  8. Apple Pie Oatmeal: Make one packet of microwave oatmeal with low-fat milk. Mix in ¼ cup unsweetened applesauce. Sprinkle with cinnamon.
  9. Microwave a cup of tomato or vegetable soup and enjoy with whole grain crackers.
  10. Fill a waffle cone with cut-up fruit and top with low-fat vanilla yogurt.
  11. Parfait: Layer vanilla yogurt and mandarin oranges or blueberries in a tall glass. Top with a sprinkle of granola.
  12. Spread peanut butter on apple or banana slices.
  13. Breakfast smoothie: low-fat milk, frozen strawberries and a banana.
  14. Try crunch vegetables instead of chips with your favorite low-fat dressing for dipping.
  15. Keep cut veggies ready for an after school snack. Some favorites are red, yellow, or green peppers, broccoli or cauliflower florets, carrots, celery sticks, cucumbers, snap peas.
  16.  Dip pita chips in hummus.
  17. Dip graham crackers in applesauce
  18. Dip baked tortilla chips in bean dip
  19. Dip bread sticks in salsa
  20. Dip a granola bar in low-fat yogurt.

For more ideas go to www.eatright.org     and www.kidseatright.org

References:

Academy of Nutrition and Dietetics

Images:

www.healthunit.org

Source:

  • http://www.eatright.org
  •  Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of obesity and trends in body mass index among US children and adolescents, 1999-2010. Journal of the American Medical Association 2012;307(5):483-490.
  • National Center for Health Statistics. Health, United States, 2011: With Special Features on Socioeconomic Status and Health. Hyattsville, MD; U.S. Department of Health and Human Services; 2012.lymphoma.15
  • Freedman DS, Zuguo M, Srinivasan SR, Berenson GS, Dietz WH. Cardiovascular risk factors and excess adiposity among overweight children and adolescents: the Bogalusa Heart Study. Journal of Pediatrics 2007;150(1):12–17.
  •  Kushi LH, Byers T, Doyle C, Bandera EV, McCullough M, Gansler T, et al. American Cancer Society guidelines on nutrition and physical activity for cancer prevention: reducing the risk of cancer with healthy food choices and physical activity. CA: A Cancer Journal for Clinicians 2006;56:254–281.
  • Dietz WH. Overweight in childhood and adolescence. New England Journal of Medicine 2004;350:855-857.

Pregnancy and Oral Health

KO6A3300-Edit[1]

Amanda Orvis RDH

Being pregnant comes with various responsibilities, your oral hygiene being one of them. It is important that you continue to maintain your normal brushing and flossing routine. It is also a great idea to rinse daily with a fluoridated mouth rinse. There are several brands to choose from, just make sure you look for the ADA seal which guarantees safety and effectiveness.

ADA_seal_rdax_215x215

     For most women your routine dental visits are safe throughout your pregnancy. Make sure when calling to make your dental appointments you let your dental office know what stage of your pregnancy you are in. Let your dentist know if you have had any changes in your medications or if you have received any special instructions from your physician. Depending on your specific situation and your treatment needs, some of your dental appointments and procedures may need to be postponed until after your pregnancy.

Dental X-rays are sometimes necessary if you suffer a dental emergency or need a dental problem diagnosed. It may be wise to contact your physician prior to your dental appointment to get their approval to have x-rays if necessary.

23

     During pregnancy some women may develop a temporary condition known as pregnancy gingivitis, which is typically caused by hormonal changes you experience during pregnancy. This is a mild form of periodontal disease that can cause the gums to be red, tender and/or sore. It may be recommended that you be seen for more frequent cleanings to help control the gingivitis. If you notice any changes in your mouth during pregnancy, please contact your dentist.

During your pregnancy you may have the desire to eat more frequently. When you feel the need to snack try to choose foods that are low in sugar and nutritious for you and your baby. Frequent snacking can cause tooth decay.

Feeling nauseous? If you experience morning sickness you can try rinsing with a teaspoon of baking soda mixed with water. This mixture lowers the acidity in your mouth. The acidity can cause erosion of the enamel. Your gag reflex may be extra sensitive during your pregnancy, so switching to a smaller toothbrush head may be beneficial.

Sources:

http://www.ada.org/sealprogramproducts.aspx

http://www.google.com/url?sa=t&rct=j&q=&esrc=s&frm=1&source=web&cd=1&ved=0CDgQFjAA&url=http%3A%2F%2Fwww.idph.state.ia.us%2FIDPHChannelsService%2Ffile.ashx%3Ffile%3DA6FAA346-C53D-49A5-AB8D-6198A087A02A&ei=gJO3UsDwH8bbyQG8sYHYAw&usg=AFQjCNFlpM4U5Hwp3J00K0jdNoM5DHzOXw&bvm=bv.58187178,d.aWc

http://www.google.com/imgres?sa=X&hl=en&qscrl=1&rlz=1T4GGNI_enUS478US479&biw=1600&bih=714&tbm=isch&tbnid=nldgrSnzOgvsAM:&imgrefurl=http://www.myhealthyspeak.co.in/index.php/management-of-pregnancy-gingivitis-3&docid=73o889OPRA5FCM&imgurl=http://

www.myhealthyspeak.co.in/wp-content/uploads/2013/07/23.jpg&w=176&h=117&ei=9JO3UvFL6GSyQHXi4DAAg&zoom=1&ved=1t:3588,r:88,s:0,i:375&iact=rc&page=4&tbnh=93&tbnw=137&start=75&ndsp=28&tx=80&ty=49

Oral Piercings

KO6A8579-Edit

Lindsay Whitlock RDH

ORAL PIERCINGS THROUGH THE AGES:

imgres

  • Body art or oral piercings originally began as a sign of distinction, religious acts and sacrifice.
  • This culture is traced back to the Mayans who pierced their tongues to demonstrate courage and virility.
  • In purification rituals Eskimos, pierced the lips of infants.
  • As passage into puberty Aleuts pierced the mandibular lips of boys.
  • In Southern India, the tongue was pierced with a skewer to take a vow of silence.
  • In history, oral jewelry such as stones, bones, ivory, and adorned wooden disks are used as tribal influence for those in Ethiopia and Brazil (The Perils).
  • In several third world countries body art is still a practiced custom.
  • Today, body art and oral jewelry have become a huge phenomenon in the western culture as a compulsive tendency to be different.

EFFECTS OF ORAL PIERCINGS:

6DSCN3057

  • Infection, Swelling, Pain: The oral cavity is a damp, warm environment, which houses millions of bacteria. An infection can quickly become life threatening; it’s a possibility for the piercing to cause the tongue to swell, potentially blocking one’s airway.
  • Damage To Gums, Teeth, Fillings: A common habit of biting the oral piercing can injure one’s gums, chip or injure teeth or a filling.
  • Nerve Damage: Following a piercing, one may experience a numb tongue, which is caused by temporary or permanent never damage. The injured nerve may affect how one moves their mouth, and sense of taste. Damage to the tongue’s blood vessels can cause serious loss of blood.
  • Hypersensitivity To Metals: Allergic reactions at the piercing location is common.
  • Excessive Drooling: Oral piercing can greatly increase saliva production
  • Dental Appointment Difficulties: Oral piercings/jewelry can interfere with dental care by blocking X-rays.

4812852-f6

WHAT YOU SHOULD DO IF YOU ALREADY HAVE AN ORAL PIERCING?:

  • Contact your dentist or physician immediately if you have any signs of infection—swelling, pain, fever, chills, shaking or a red-streaked appearance around the site of the piercing.
  • Keep the piercing site clean and free of any matter that may collect on the jewelry by using a mouth rinse after every meal.
  • Try to avoid clicking the jewelry against teeth and avoid stress on the piercing. Be gentle and aware of the jewelry’s movement when talking and chewing.
  • Check the tightness of your jewelry periodically (with clean hands). This can help prevent you from swallowing or choking if the jewelry becomes dislodged.
  • When taking part in sports, remove the jewelry and protect your mouth with a mouthguard.
  • See your dentist regularly, and remember to brush twice a day and floss daily.

before-3_med_hr 

IMG_1181

Works Cited

American Dental Association. Oral Health Topics: Tongue Piercing and Tongue Splitting. Amended. October 2004. Retrieved 30 April 2013. http://www.ada.org/2750.aspx?currentTab=2 Body piercing Statistics. (2012). Retrieved from http://www.statisticbrain.com/body-piercingstatistics Chimenos-Küstner.E. (2003). Appearance and culture: oral pathology associated with certain “fashions” (tattoos, piercings, etc.). retrieved from  http://www.ncbi.nlm.nih.gov/pubmed/12730654

Ford CA, Bearman PS, Moody J JAMA. Foregone health care among adolescents.1999 Dec 15; 282(23):2227-34. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1360944/

Francesco Inchingolo, Marco Tatullo, Fabio M. Abenavoli, Massimo Marrelli, Alessio D.             Inchingolo, Antonio Palladino,Angelo M. Inchingolo, and Gianna Dipalma. Oral            Piercing and Oral Diseases: A Short Time Retrospective Study. Published 2011 October    18. Retrieved 30 April 2013. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3204433/

Kelly Soderlund, ADA News staff. Fewer adults visiting the dentist. Updated 13 March 2013.     Retrieved 30 April 2013. http://www.ada.org/news/8366.aspx

Oral Piercings. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1360944/

The Perils of Oral Piercing Retrieved from http://www.rdhmag.com/articles/print/volume- 26/issue-3/feature/the-perils-of-oral-piercing.html

Wilkins, E. M. 2011. Clinical Practice of the Dental Hygienist. Philidelphia: Lippincott Williams & Wilkins.

Image Sources: