Well brushing your teeth ... and how long?

The minimum recommended brushing time is 3 minutes. Why? And what is the average brushing time ?

Our teeth are precious. The oral hygiene is essential to preserve our teeth in good health whole our lives. The first step is based on brushing. Dentists recommend brushing three daily after each meal. Only one in ten people respects the tri-daily brushing (1).
The other recommendation of dentists is to brush teeth for 3 minutes. Again, few of them arrived after those 3 minutes and far as the average time is 46 seconds.


Why should you brush your teeth so often and so long?


To remove any debris lodged in all dental interstices between teeth and between teeth and gums. Then, Only the time can afford to effectively remove plaque. Brushing for 46 seconds does eliminates about half of the newly formed plaque.
Anyway, to brush thoroughly all surfaces of each tooth, it takes time.

The most effective Brushing is one called the "roll"
Dentists recommend finally to a brush in rolls and not horizontal. The objective is to remove dental debris inserted between the teeth and gums. Therefore anyway brush in this direction: the gum (red side) to the tooth (white side). This gesture is easier and more efficient by making rounded or circular movements. Now it seems that 68% of users of a manual brush and make brushing horizontal 17% vertical brushing, brushing against 14% roll.


A few tips and tricks


Use a timer. It will tell you when to stop after 3 minutes.
Try an electric toothbrush. Some even report when the time needed for brushing is complete.
Have regularly used a brush or interdental wire.
Use an indicator of your plate after brushing. By staining the plaque, it will tell you where you do not brush effectively.
Use a toothbrush with soft bristles (less aggressive for the gums) and change it regularly, and when the bristles bend.

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orthognathic surgery (orthodontic surgery)

Why a jaw surgery?

Although it is never too old to start orthodontic treatment, treatment in adults are often more complex due to a progressive deterioration of the condition of their mouths. Here are some points about the imbalances between the jaws and surgery.

  • When jaw growth is completed, if they have a major imbalance, it may be necessary to resort to a surgery to correct them.
  • The most common problem in the North American population is a lower jaw that is too remote (mandibular retrognathia).
  • It is also possible to see the jaws (up or down) too advanced, remote, wide, narrow or a combination of these problems.
  • Orthodontics corrects dental malposition responsible of malocclusions (crooked teeth, crowded, protrusion, tilted, etc.)..
  • Orthognathic surgery aims to correct imbalances between the jaws that are too severe to be corrected by orthodontic treatment only.
  • The orthodontist and the surgeon  work together to develop a treatment plan that will correct the problems of occlusion and jaws.
  • The anomalies of the jaws are caused primarily by heredity but can also be a result of trauma (accidents) or growth defect.
  • The surgical correction make jaws more functional and can improve dental health, occlusion, aesthetics and appearance of the face.


How do we proceed?

Orthodontic treatment combined with surgery is done by stages.
  • Orthodontic preparation is the initial step where corrective appliances fixed (braces) are used to align teeth and prepare teeth for surgery. This step can take an average of 12 to 18 months.
  • The surgical phase, performed by a maxillofacial surgeon, is intended to correct the position of the jaws once aligned teeth.
  • After surgery, orthodontic finishing is to complete the corrections to improve dental occlusion and ensure the stability of the jaws. This stage lasts a few months.
  • If surgery is indicated, it is usually necessary to have recourse also to orthodontic treatment to correct dental malposition before correcting the relation of the jaws.

What are the risks?

  • Jaw surgeries involve certain risks inherent in any normal surgical intervention.
  • These interventions are done by experienced surgeons for several years and are now routine.
  • You will meet a maxillofacial surgeon who will explain the details of the planned intervention, the risks and benefits involved and answer all your questions about surgery.

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Tooth Sensitivity

A certain sensibility is normal after installation or adjustment of orthodontic appliances.

During the first days, your teeth may be sensible especially if you apply pressure on them or if you bite into hard food.
If discomfort is too important, we recommend using a mild painkiller without prescription you are accustomed to whatever you normally take for a headache.
You can also rinse your mouth with warm salt water (one teaspoon of salt in a glass of water) to reduce the sensitivity until you get used to your equipment.
Appliances can sometimes irritate the lips, cheeks and tongue, especially at the beginning of treatment.

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Feeding and orthodontics

Some foods can cause breakage of equipment which may require additional visits to repair them and may delay your treatment. To minimize these inconveniences, some items such as hard food, is to eliminate from your diet.

Choose carefully the types of foods you eat and monitor the way you chew. Here are some examples of foods to avoid:

  • Hard foods such as raw carrots, celery and apples can cause breakage of equipment if they are not cut off before being eaten.
  • As for the very hard nuts (almonds, Brazil nuts, hazelnuts) are recommended not to chew.
  • Gum, hard candy or sticky sweets can get trapped between the brooches and damage them.

After installing the equipment, it is preferable to maintain a softer diet for a few days. This will help them adapt to equipment during the initial period of discomfort.


The braces themselves do not cause tooth decay, gum disease or decalcifications but can help if certain precautions are not taken during orthodontic treatment. With good hygiene, the pins will have no adverse impact on your teeth.

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Orthodontics: Does it hurt?

Many patients have heard from their elders or their friends that orthodontic treatment is hurting. But the techniques have evolved, orthodontists now speak more of discomfort.

For many orthodontists, the pain caused by orthodontic treatment is minor, it's present at the beginning of treatment and yields after a few days: it would be more discomfortable than painful. But some factors may explain this difference in perception between doctor and patient.

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Eliminate and prevent bad breath

The bad breath or halitosis is usually associated with bad oral hygiene and the presence of plaque and scale. It is caused by the decomposition of bacteria and food debris between teeth and the saliva. So the cells of the oral mucous membrane generate volatile sulfur compounds. Bad breath can also come from a caries, an abscess, inflammation of the gums ... etc.

warning signs of halitosis

1. Bleeding from the gums
2. Presence of white or yellow on the tongue.
3. Dry mouth, thick saliva, which burns the tongue.
4. unpleasant taste in the mouth in the morning
5. taste sour, bitter or metallic persistent.

But most often, people with halitosis are made aware of this problem by a family member, colleague or friend.

Treatment of bad breath

Above all it is important to consult a dentist able to diagnose the problem and to refer you to the most appropriate specialist. In fact today we can objectively measure the smells that come from the oral cavity using high-tech tools, one of them is the gas chromatograph, a measuring instrument that records the concentration of various volatile sulfur compounds and thus make a correct diagnosis of the origin of halitosis.

To prevent halitosis it's recommended to :

* Remove the calculus (tartar removal), if possible you can properly align teeth (orthodontics). Then improve oral hygiene by brushing teeth and strengthening the gums, using dental floss or interdental brushes, an water pick, a tongue scraper if obvious tongue coating or a mouthwash in a non-extended.
* Use a toothbrush to clean the surface of the tongue.
* To floss at least once a day to remove food between your teeth.
* Avoid foods that cause bad breath such as onions, garlic and pastrami. alcohol and other beverages often cause bad breath.
* Hydrate your lips, because sometimes, a dry mouth gives an unpleasant odor.
* Visit your dentist twice a year to clean your teeth.

Conclusion
Bad breath often misdiagnosed unfairly to attribute a disease of the stomach, pneumonia or sinusitis. While it was found that bad breath comes from 90 per cent of cases in the mouth and not in the digestive tract, sinuses or lungs.

It is therefore necessary to maintain good oral health which is an excellent way of prevention of halitosis.

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Gray teeth and discoloration

Normal, primary teeth are white and generally paler than permanent teeth.

Causes of tooth discoloration
  • A trauma to a tooth either after a fall or stroke, can make the tooth pink or even gray. This condition is generally not harming to the tooth, except for the color change. We should treat the tooth if it becomes infected or  becomes symptomatic.
  • An excessive ingestion of fluoride during during tooth development can cause dark spots on them, called dental fluorosis.
  • Taking the antibiotic tetracycline during tooth formation can make them gray. If a pregnant mother took tetracycline, it can later change the color of her baby's primary teeth gray.
  • Dark spots on the teeth can be a dental caries. If there are suspects about the , it is important to consult a dentist as fast as you can.
  • Baby bottle tooth decay is in the form of brownish stains on the ends of the front teeth. This condition is due to ingestion of milk, juice or sweetened liquids through a bottle during the night when the baby or child is asleep.
  • Sometimes a tooth has dark areas because the enamel has not formed completely. This situation is called hypocalcification.
In most cases the color change of primary teeth does not affect the permanent teeth. The dentist can make composite fillings (white fillings) to hide the discoloration.

In rare circumstances, the discoloration of the teeth follows a systemic disease. If there is a drastic change in color applied to all teeth, it is advisable to consult a dentist or doctor.

To prevent discoloration of teeth
  • Start cleaning teeth as soon as they appear in the baby's mouth.
  • Do not make the antibiotic tetracycline during pregnancy and do not give it to children under 8 years.
  • Avoid excessive intake of fluorine. Find out if the city water contains fluoride , If water does not contain fluoride, it is permissible to give fluoride supplements to protect children's teeth decay.Most dental professionals agree on the beneficial effect of fluoride. If the city's water already contains fluoride, avoid giving fluoride supplements to children.

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