Posts for: October, 2017
Finally — your braces are off! A look in the mirror reveals a straighter, more attractive smile. Unfortunately, it may also show something not so attractive — tiny, chalky spots on your teeth.
These “white spot lesions” are created by acid remaining too long in contact with the enamel, causing it to lose minerals at those places. The acid comes from plaque (a thin film of bacteria and food particles) that brushing and flossing fail to remove. Snacking on foods and beverages with added sugar or high acid content may also make it worse.
Besides their unattractiveness, these spots can lead to tooth decay — so it’s important to try to prevent it. Limiting sugar-added snacks and acidic beverages to mealtimes will help, but the main key to preventing lesions is more thorough brushing and flossing.
Because of the braces, this can take longer to do than if you weren’t wearing them. It’s also more difficult maneuvering your toothbrush or floss around the orthodontic hardware. You can improve thoroughness and access by using a powered brush or one specially designed for use with braces. And, a water flosser that removes plaque between teeth with a pulsating spray of water is an effective alternative to string floss.
Even if (despite your best efforts) some lesions form, we can still treat them. Resuming normal hygiene practices after braces may take care of it — if not, we can strengthen the affected areas of the enamel with pastes, gels, or other topical fluoride applications. We can also use a technique called caries infiltration that injects tooth-colored resin (often used for cosmetic dentistry) beneath the white spot to harden it, and leave it more translucent in resemblance of normal enamel. If these fail to produce satisfactory results, we can use cosmetic bonding that permanently covers the tooth with resin or veneers.
It’s best, though, if you can prevent the lesions while you’re wearing braces. Besides daily hygiene, be sure to keep up regular dental visits for teeth cleaning. Your efforts will go a long way toward keeping your newly aligned teeth bright and blemish-free.
If you would like more information on dental care and hygiene while wearing braces, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “White Spots on Teeth during Orthodontic Treatment.”
The American Dental Hygiene Association has designated October as National Dental Hygiene Month. Good dental hygiene is the best weapon against your mouth’s number one enemy: dental plaque.
Plaque, a sticky biofilm that forms on your teeth, is an accumulation of bacteria, other microorganisms, food debris, and other unpleasant components. It can make your teeth feel fuzzy or slimy. And worse, the bacteria in plaque can lead to tooth decay and gum disease.
The best way to keep plaque at bay is by brushing your teeth twice a day and flossing once a day. But even though you can remove much of the plaque in your mouth with a toothbrush and dental floss, there are nooks and crannies that are hard to access with these basic oral hygiene tools.
Staying on top of dental plaque is an ongoing challenge. Immediately after teeth are cleaned, plaque starts to form again. And the longer plaque stays on teeth, the thicker it grows. Minerals in saliva become incorporated into the biofilm. As plaque takes on more minerals, it becomes calcified. This is when it hardens into calculus, or tartar. At this stage, tooth-brushing and flossing cannot disrupt the hardened layer of buildup, sometimes visible as yellow or brown deposits around the gum line.
This is why it’s important to schedule regular professional dental cleanings. At the dental office, we have special tools to remove tartar and get at those hard-to-reach places that your toothbrush and floss may have missed. If you have questions about dental hygiene, plaque control or another oral health issue, we are happy to talk with you. We are your partners in fighting plaque for a bright, healthy smile!
Read more about the topic in the Dear Doctor magazine article “Plaque Disclosing Agents.”