dentist

This Is How To Pick A Toothbrush & Floss

We all know to brush our teeth. Check. We all know to floss our teeth. Check (okay, we know some of us skip this step but we’ll let it slide this time). But do we know which type of toothbrush and which dental floss is the best to keep our pearly whites, well, pearly and white? Today we clear the air on this important topic.

Toothbrushes & Brushing

Before getting into all your purchasing options, let’s do a quick brush up (pun intended) on proper brushing techniques to ensure your dental labors are as effective as possible.

When brushing, you don’t want to apply a lot of pressure; plaque is removed with gentle and thorough cleaning. By being too aggressive you are more likely to damage your gum tissue than clean properly. To start, place the head of the brush at a 45-degree angle and point the bristles just into the gum line. This helps disrupt buildup gathering at the base of the tooth. Avoid brushing all your teeth at once; rather, target a group of 3-4 and gently clear the surfaces before moving on to the next set. Be sure to clean all surfaces of the tooth: fronts, backs, chewing surfaces, and the sides of those hard-to-reach molars. Perfect!

Which Toothbrush Is Best?

Electronic toothbrushes are a fantastic option and do a lot to help agitate food particles and really cleanse your teeth. Manual toothbrushes also work well provided they are used effectively with our above tips. For bristles, many make the mistake of purchasing them too tough. The flexibility and gentleness of soft bristles is precisely what you want to clean without damaging. For toothbrush size, just ensure it isn’t too large that it prevents access to those back molars that can be tricky to reach. There is no single toothbrush that is perfect for everyone, so be sure you’re using the one that feels the best to you and will encourage regular use – if you have any questions, we are always here!

Dental Floss & Flossing

Onto floss – but first, the brush up:

When it comes to flossing, you make a C-shape to curve around each tooth as you bring the floss down. The point is not to drag the line straight up and down, which can irritate the gums, but rather to hug the surface of each tooth and clean from the top to the root with a gentle motion. Use about 18” of floss for a fresh portion each pass. Remember to clean both neighboring teeth each time you bring the floss down, and don’t miss any teeth!

Which Floss Is Best?

There are a few variables to keep in mind when finding your ideal floss. First is the thickness of the floss – some people have larger gaps between teeth, and others have very tight spaces that can make it hard to floss. The ideal thickness is one that is comfortable to use, but still thoroughly cleans between each tooth – for tight spaces, try a flat, ribbon-like floss. There are also options like the material the floss is made of, and then waxed versus unwaxed floss. Some suggest waxed floss may be slightly more effective, but whichever choice is most comfortable for you is the choice we recommend. Yes, a lot of our advice is related to your preferences, but if you find a dental product you like with the ADA Seal of Acceptance, you can be sure you’ve found a winner!

In fact, that is our biggest suggestion for when it comes to both brushes and floss: the right option for you is the one you will actually use. If you have more questions, give us a call – we are always happy to ensure our patients feel confident with their oral health and have all the facts.

Dr.Kenneth M. Sadler
http://www.wsdentalcare.com/
(336) 331-3500
201 Charlois Blvd
Winston-Salem, North Carolina

Keep Calm and Floss On

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On August 2nd, this New York Times article was published and caused quite a bit of controversy in both the dental community and with the general public. While it is not conclusive in its findings, the overarching claim is that flossing may not be as beneficial as once thought. As dental professionals, we take very seriously the responsibility we have ensuring our patients receive the best possible education and care regarding the health of their smiles. For this reason, we feel compelled to express our disagreement with the suggestion that flossing may be overrated, and why that’s a harmful position to propagate.

Let’s first look at the article, which uses a lot of language such as:

  • “…flossing may be
  • “…most of the current evidence fell short…”
  • “That flossing has the same benefit is a hunch that has never been proved.”
  • “…there is some mediocre evidence that flossing does reduce bloody gums and inflammation known asgingivitis.”

There is a stark difference between something ‘not having been proved’ and something being ‘disproved’. Please know that there is no evidence remotely close to suggesting the latter. In fact whether the evidence is “mediocre” or not, the only evidence the article does mention (quoted above) is in favor of flossing. A lack of ability to prove something is not cause to discourage an entire population from participating in a highly beneficial component of their health care. This is particularly true because evidence is acquired by conducting large-scale studies, which are extremely costly. It would hardly be economical to spend the research funding to prove something we already have no doubt offers a variety of benefit for your oral and overall health.

We do not agree with the article’s brash call to action, or more accurately, call to inaction, and we fear how this may increase the number of people inflicted with preventable damage to their smile. Looking again at the line “…there is some mediocre evidence that flossing does reduce bloody gums and inflammation known as gingivitis.” Gingivitis is the first stage in periodontal disease – the very condition flossing aims to combat. To reduce gingivitis is to reduce your chances of progressing into advanced gum disease, a condition more than half of Americans already suffer from (CDC).

It is unfortunate the scale of damage this article has the potential to incite; too many readers will take this “lack of evidence” as being evidence to the contrary, and feel it gives them permission to neglect a very essential part of their oral health care.

We can only do our best to keep our patients like you educated and on the path to a lifelong happy and healthy smile – a path that certainly includes consistent flossing.

CDC: “Periodontal Disease.” Centers for Disease Control and Prevention. Centers for Disease Control and Prevention, 10 Mar. 2015. Web.

Dr.Kenneth M. Sadler
http://www.wsdentalcare.com/
(336) 331-3500
201 Charlois Blvd
Winston-Salem, North Carolina

Amalgam Fillings: Should They Be Replaced?

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What is a filling?

Receiving a dental filling is a common procedure that many people have personally experienced. As a bit of a background, a filling becomes necessary when a tooth is damaged by decay and needs to be restored and protected. The function of a filling is to both seal off any spaces where bacteria could enter, and to reshape the tooth to its original form and function. Fillings are an invaluable part of dental work because they offer both a solution for present damage, and act as preventative guards against potential future damage.

A variety of materials are used to create fillings: gold, porcelain, a composite resin, or an amalgam (commonly referred to as silver fillings) are all common choices. There is no ‘best’ type of filling, and the right option for you is truly dependent on your individual case and personal preference.

Why remove a filling?

There are a few different reasons one may want to replace a filling, including a more natural look. Porcelain and composite resins look the most natural and are placed to match your tooth color, and it is not uncommon for those with gold and silver fillings to request these more subtle options. Each type of filling has its own lifespan, which can range from just a few years to several decades, so sometimes a routine replacement may also be in order.

BeforeAndAfter Img

However, in addition to appearance and time, there is also a debate surrounding the use of amalgam fillings.

Amalgam fillings are safe and affordable

By definition, the word ‘amalgam’ is synonymous with the words ‘mixture’ or ‘blend’. As an example, a smoothie would be considered an amalgam of fruits!

In the dental world, ‘amalgam’ as it is used to describe a filling indicates it is a mixture of materials – this means that silver fillings are not pure silver, they have other similar materials in them as well. The proposed problem with these fillings is that the material could contain toxic or harmful matter that could negatively affect your health.

That being said, these claims have simply not been proved. A lot of research has been conducted to ensure the safety of patients, but time and time again amalgam fillings are found to be safe, durable, and affordable. In fact, the American Dental Association (ADA) directly states that “the removal of amalgam restorations from the non-allergic patient for the alleged purpose of removing toxic substances from the body, when such treatment is performed solely at the recommendation or suggestion of the dentist, is improper and unethical”. This means that removing the filling creates an even bigger health risk to the patient because amalgam fillings are completely non-toxic!

Dr.Kenneth M. Sadler
http://www.wsdentalcare.com/
(336) 331-3500
201 Charlois Blvd
Winston-Salem, North Carolina

Deep Cleaning: What it means to you

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You’re a good person – you pay your taxes, pick up litter, and make it to the dentist every 6 months. Now you’re being told you may need a deep cleaning…but don’t you clean your teeth every day? And isn’t a deep cleaning what the dentist always does? Not quite, although we know it can sometimes feel that way.

A regular dental cleaning is what you are accustomed to receiving every 6 months. The intention of this visit to the dentist is to maintain your healthy gums and give your teeth a little extra attention when it comes to matters of plaque and tartar, which can be difficult to remove fully with a toothbrush and floss alone. The odds are that if you are brushing and flossing every day, and taking any other steps recommended by your doctor, a regular dental cleaning is the perfect addition to your regular care that will keep your smile happy and healthy.

Deep cleaning, a necessity?

A deep cleaning, on the other hand, is what becomes necessary when the health of your teeth and gums become jeopardized by gum disease (or ‘periodontitis’). To put it in perspective, your gums are supposed to have tight and healthy seals around your teeth to protect them and keep them firmly in place. A standard part of your regular cleaning is your doctor using a diagnostic tool called a ‘periodontal probe’ to ensure this is the case; the probe is used to measure the depth of the space between your gums and teeth. Typically 1-3mm is considered normal, and there should be very little or no bleeding at all. Upwards of 4mm is a sign that you are developing ‘pockets’, which are a space between the teeth and gums that becomes prime breeding ground for bacteria and tartar buildup. Plaque that is not brushed and flossed away left on the teeth for more than 24 hours can become tartar, which only your dentist can remove. Left unattended, these pockets can deepen and compromise the tooth and the surrounding bone structure. If the dentist uses the probe and measures 4mm or more, and/or there is significant bleeding and signs of inflammation, then a deep cleaning will be scheduled to help you get your smile back on track.

Deep cleaning is not a scary process.

Oftentimes, your dentist will break the cleaning into two separate visits to most effectively treat your mouth, this is especially important if your entire mouth needs attention so that you’ll be numbed in only smaller sections of your mouth each time, making for a completely comfortable process and quick recovery. The most common forms of treatment are ‘scaling’ and ‘root planing’. The process of scaling involves using a professional tool to remove plaque and tartar from both the surface of the teeth, and the pocket area that has been created between your teeth and gums. A scaling instrument, on the other hand, removes plaque and tartar from the surface of the root of your teeth, which is below the gum line and not visible. These tools are the only thing that can removed built up plaque, as even floss cannot reach far into deepened pockets. The good news is they do a wonderful job of cleaning up any tartar that has built up beneath the visible surface.

Periodontitis is a progressive disease, and left unattended can turn into a much more serious problem. Fortunately, the treatment is typically straight forward and as long as you follow the doctor’s aftercare instructions, the bacteria should be reduced to manageable levels and your gums should return to normal and lose any signs of redness. If you are feeling pain or sensitivity in your teeth, have red and/or puffy gums, or are experiencing bleeding during normal brushing and flossing – call us. The sooner periodontitis is identified the easier it is to treat and the less expensive it is for you, if you have any concerns about your oral health just remember that a professional evaluation is never harmful and may offer you some great information.

Dr.Kenneth M. Sadler
http://www.wsdentalcare.com/
(336) 331-3500
201 Charlois Blvd
Winston-Salem, North Carolina

Easter Hard Candy

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Easter means many things to different families everywhere, but one thing that remains consistent is the appearance of candy! Whether it’s hidden in eggs or just passed around, it comes at a nice nearly halfway mark in the year from Halloween. Sweets make for some excellent treats, and there is no reason not to indulge (in moderation of course)! However, all candies are not created equal, and it may be worth knowing which ones you can have relatively guilt free, and which could spell trouble for your wonderful smile.

When it comes to Easter indulgences, chocolate may make it onto the nice list – we know, this is great news to many of you. The less forgiving candies are the ones that make that all-too-familiar CRUNCH! Hard candies, like lollipops or jolly ranchers, can be an awfully tempting treat to bite. But best case scenario is they can pack hard-to-reach pieces of sugar into your gums that end up sitting there, as saliva can have a difficult time breaking them down. Worst case scenario, that crunch sound may be coming from a broken tooth, and sending you straight from your Sunday activities into our office. We do love seeing our patients, but not at the expense of their healthy smile! It happens more often than you think, and it’s not just because of the sugar – even some who are prone to absentmindedly crunching on ice have discovered the dangers of biting down on crunchy munchies when they find a piece of their tooth broken off. Your teeth are durable for normal eating and chewing, but anything that causes too much stress can run the risk of chipping or breaking one of your pearly whites. Before you try to impress your friends with breaking that jaw breaker in half, remember that it’s earned that name for a pretty good reason.

Even if you resist that satisfying crunch, there are still a few other points of concern for hard candies that you don’t run into with other options (like chocolate!). Hard candies that you suck on tend to spend a concentrated period of time in a single location, which over-exposes particular areas of your mouth to sugar and lead to a very concentrated build-up of acid, which can be a quick way to damage the enamel. Consider this next time you find yourself unwrapping that tootsie pop or after-meal mint, and perhaps enjoy a stick of gum instead. It’s not often that the solution for a sweet treat is yet another sweet treat, but you’re in luck because this time it is! After enjoying your holiday treats, consider enjoying a piece of sugar-free gum – the increased saliva productions while chewing can actually help dislodge and break down the remaining sugar in your mouth.

Overall, we don’t want to take the enjoyment out of candy-filled holidays – enjoy your time with your friends and family, and definitely don’t be afraid to pop open that plastic egg and see what treats hide inside. If you do find yourself going crazy for the crunchy candies, we hope you chew safely…and if things go wrong, you always have your friends at our office to set things straight (:

Dental Health and Pregnancy

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Pregnancy changes a lot about the female body, which is no surprise considering all the physical and hormonal effects that take place over the course of those 9 months. All that considered, the profound connection between pregnancy and dental health can still be a shock to many.

As an example, the rapid surge in hormones, such as estrogen and progesterone, can alter the manner in which gum tissue reacts to plaque. Plaque buildup affects everybody, so it’s always important to make sure your teeth are being cleaned thoroughly. However, ‘pregnancy gingivitis’ is a condition that affects the vast majority of mothers-to-be and should be carefully monitored. Prevention is always more useful than treatment, and for that reason we encourage a diet high in Vitamin C and B12 – don’t forget, baby’s teeth are developing too so it’s important to have a diet that’s nutritious for your teeth and theirs! Be sure to brush twice daily with a fluoridated toothpaste and floss each evening as well.

In addition to ‘pregnancy gingivitis’, pregnant women are also at risk for ‘pregnancy tumors’. These tumors are inflamed, but non-cancerous, growths that may develop when the gums become swollen and irritated. Usually the tumors will resolve themselves post-birth, but if you find one and it’s uncomfortable or painful, don’t hesitate to call our office so we can help you proceed with the right treatment for you.

In general, if you are either currently pregnant or planning to become pregnant, you should always let your dentist know immediately in order to best proceed to minimize the risk of pregnancy-related complications. If needed, most procedures can be performed during pregnancy, particularly if you are in pain or have any concerns. However, we do not recommend any elective procedures until after the baby’s birth in order to minimize health risks to you or the child. Pregnancy does come with health concerns to be monitored, but as was the case before you received the news about your bundle of joy, consistent and thorough cleaning is always your best bet. Above all else, relax and enjoy this special time!

Dr.Kenneth M. Sadler

http://www.wsdentalcare.com/

(336) 331-3500

201 Charlois Blvd
Winston-Salem, North Carolina

 

Effects of Osteoporosis on your Oral Health

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Effects of Osteoporosis on your Oral Health

Osteoporosis isn’t a new discovery, or a disease unheard of by many. That being said, many people don’t realize how closely tied to your oral health it can actually be.

In short, osteoporosis is caused by an insufficient consumption of calcium and vitamin D. It affects the bones, making them less dense and thus more likely to break. Osteoporosis is directly tied to your long-term dental health as this weakening of the bones may heavily compromise the jaw bone. A weakened jawbone can have a host of detrimental consequences for your teeth, including increased tooth mobility, or complete tooth loss.

The best cure for the degradation of the jawbone is avoiding it all together with a balanced diet high in vitamin D and calcium, and getting a sufficient amount of exercise. Barring that, be sure to attend your dental appointments regularly so that way the structure and health of your mouth can be monitored, and any problems that may develop are addressed immediately and not permitted to deteriorate.

As it is, due to hormone imbalances and changes over life, women are most at risk to developing osteoporosis, but it can absolutely develop in either gender depending on a host of lifestyle variables, not limited to diet and exercise.

Symptoms to pay attention to that may be indicative of osteoporosis affecting the jaw include: pain and/or swelling in the gums or jaw, as well as infection; injured gums not healing in a timely fashion; teeth that become loose for no reason or after only minor strain; numbness or discomfort in the jaw; or at worst, exposed bone. If you experience any of these symptoms, don’t hesitate contacting your dentist to prevent exacerbating the issue.

Dr.Kenneth M. Sadler

http://www.wsdentalcare.com/

(336) 331-3500

201 Charlois Blvd
Winston-Salem, North Carolina

A Time To Give Thanks

As Thanksgiving swiftly approaches, here is a little insight as to how to not over indulge when turkey day hits!  We all know the famous expression “Your eyes are bigger than your stomach!” or “You eat with your eyes first!”  This is usually the case with most of us when it comes to sitting down to eat Thanksgiving dinner.  Let’s just put this out there…  Gorging yourself on snacks, cakes, pies, and starches just means a really big stomach-ache and a miserable rest of the night, not to mention the potential for damage that it can have on your teeth and gums!

This year, why not give your smile the attention that it deserves?

Instead of the incessant snacking on all of the empty calories, head over to the veggie tray!  A variety of veggies can do wonders for you!  Not only for your oral health, but also for your health in general.  Reaching for a nice healthy snack is a great decision!

When you are loading up your plate with all those delicious foods, try and plan out your plate.  Be mindful of the items you are scooping on as well as how much of what, you are dishing.  Instead of piling on mashed potatoes, rolls, stuffing and marshmallow covered yams, try this combination instead; A bigger scoop of green beans, some turkey, yams (minus the marshmallow), a smaller portion of the potatoes (minus that extra butter) and a little fruit salad on the side without the whipped topping.  Your plate will be well balanced with more appropriate portions and without all of the sticky, bad-for-your-teeth toppings.

Thanksgiving desserts are a must for most! After you have yourself a small slice, if you are able to excuse yourself and go rinse your mouth and (if at all possible) brush and floss your teeth, you will be well on your way to a happier and healthier smile!  If you brush those teeth and gums after eating the sweets and dinner, they are not able to sit on your teeth allowing time for bacteria build-up and all that comes along with the damaging sugar ingredients that cause harm.

With proper oral health care and limited portion control when eating, you CAN quite literally “Have your cake, and eat it too!”

Aside from eating, here’s something fun to do.  Sit down with a friend or loved one and think about a couple of specific moments when someone’s smile impacted you, or when your smile meant something to someone else; even as little as holding a door open for a stranger and the exchange of smiles that was made at that point in time.  This will open up a conversation about smiles and positivity!  And really, what could be better than that?!

All-in-all, we hope you have a wonderful and love-filled Thanksgiving!

Winston-Salem Dental Care

201 Charlois Boulevard
Winston-Salem, NC 27103
Phone: (336) 331-3500

to Trick or to Treat! That is the question!

To Trick Or To Treat?  That Is The Question!

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Halloween is a night full of spook-tacular thrills and terrifying fun!  It can also be a dreaded nightmare with the overload of candy that can spark the start of a cavity!  This year, why not try something new?  When you are gathering your cauldron full of trick or treat goodies, try and opt for some alternatives to the sugar jitters that are bound to commence!  There is no written rule that you HAVE to give out candy.  This year, let’s stand out from the crowd and spice it up a little bit.

Here are some unique alternatives:

  • Mini Play Doh
  • Snack Packs (pretzels, popcorn, fruit chews… etc.)
  • Temporary tattoos or stickers
  • Spooky vampire teeth
  • Halloween themed goodies (pencils, rings, toys, activity books… etc.)
  • Glow sticks
  • Mini juices or waters
  • Small chalk packs
  • Costume jewelry
  • Mini bubbles
  • Travel size floss and toothbrushes 😉

A couple of tips to keep in mind before the kiddos are ready to hit the town:

– Feed your child a well-balanced meal before they go trick or treating.
– Use smaller candy loot bags instead of pillow cases or large grocery bags

Now, let’s be real, we all know that Halloween is a time to indulge, a little (or a lot) in the sugary goodness.  Let this be a special day that your child can have a couple of pieces of candy out of their loot bag.  But limit the amount they consume.  Not to mention, no one likes a belly ache after too many sweets.  Just keep in mind, when your child comes home from the wicked Halloween trick or treating, go through their candy.  If there are any candy wrappers that are open or look to be tampered with, throw away without hesitation.  And don’t let your kids keep their candy stash!  If you are in control of it, you can monitor when they have a piece and how much they are eating.

If you only want to allow for a couple of pieces of candy, and get rid of the rest, consider these options:

  • Dental Office Candy Buy Backs
  • Donating the candy to the troops
  • Make your child a deal. For every piece of candy they hand over, give them a dime and then let them pick something special they would like to do with their earnings! Instant allowance! Perhaps a movie of their choice?  A dinner date with Mom and/or Dad?  Or a new toy?

No matter what the decision you choose to go with this year, we hope you have a safe and frightfully fun-filled Halloween!

Winston-Salem Dental Care

201 Charlois Boulevard
Winston-Salem, NC 27103
Phone: (336) 331-3500

How Focusing on These 3 Points Will Help You Spring Out of the Winter Blues!

March Blog

Happy Spring 2015

As we move out of winter, you may be changing your frame of mind from “Snuggly winter days…” to “Time for spring cleaning!” Have you ever considered a dental spring cleaning? If you can spring clean your home, why not your teeth?! Here are three easy points to focus on:

  1. Healthy eating
  2. Tooth care
  3. Dental check-up

Healthy Eating

When your tummy rumbles, instead of reaching for a bag of chips, grab some veggie sticks or slice up an apple! We understand the convenience of snack foods as well as the deal you get when purchasing a bulk pack. But most of these things lack nutritional value and do not fare well on your body, health or mouth. Create a goal to reach for a healthy snack to fill the nutritional craving your body is after. Your waistline and teeth will thank you!

Foods that are high in sugar wreak havoc on your teeth contribute to the start of cavities. Food consistency also plays a role in oral health. Very hard foods can harm the surfaces of your teeth, and there’s also the potential to cause significant damage by cracking or chipping a tooth!

Reach For                                                          Pass On

Fruits Sodas
Veggies Candy
Whole Grains Chips
Nuts Ice Cream
Skinless Chicken Sugary Cereals
Non-Breaded Fish Hard and Sticky Foods
Low Fat/ Fat Free Yogurt Cookies
Low Fat/ Fat Free Cheese Cakes/ Pies

Tooth Care

  • Are you attentively brushing your teeth twice a day for 2-minutes?
  • Are you flossing daily (or at all)?
  • Have you changed your toothbrush in the last 3 months?

When brushing your teeth spend the full 2 minutes taking care to cover the front and back of each individual tooth. Before finishing up – give your tongue a once over as well! Many toothbrushes have a built in tongue brusher on the back of the toothbrush head. Toothbrushes do wear out. They can fray and lose the sturdiness to properly clean your teeth. Toothbrushes should be replaced about every three months.

Flossing

Flossing cleans about 40% of your teeth surfaces. Remember to reach your very back teeth. Flossing helps to lessen plaque build-up and helps prevent gum disease.

Dental Check-up

Remember how great your mouth feels after a dental cleaning in our office? Now that the holidays have come to a close, your teeth may be in need of a professional cleaning. Call Winston-Salem Dental Care for a dental check-up and cleaning. Check-ups are recommended every 6 months unless you are experiencing a problem area in your mouth. And, if that is the case, call us as soon as possible. Whenever you are in pain or have a question, call us.

Now that you have these things fresh on your mind, you are ready to take charge of spring! And you can do so with a bright shining and CLEAN smile!

References:

http://www.webmd.com/oral-health/features/still-not-flossing-more-reasons-why-you-should

Winston-Salem Dental Care

201 Charlois Boulevard, Winston-Salem, NC 27103

Call: (336) 331-3500