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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Dental abscess

A dental abscess is a bacterial infection that can be painful or not, and usually containing the pus. This type of infection is found in the periphery of the root of a tooth or the gum around.

The abscess occurs, if a tooth is fractured or has a Dental caries that has reached the pulp, what mean, the central cavity of the tooth. If the infection comes from the gum, the abscess continue the to periodontitis (gum disease). A dental abscess badly cared can reach the bone of the jaw and cause serious complications.


Symptoms

The main symptom of a dental abscess is severe and intense pain
at the infected tooth. There may be long periods without pain, even days or months before noticing that it was an abscess. We can also note other symptoms:
  • Redness and swelling of the gums;
  • Pain when chewing;
  • Headache, fever and general tiredness;
  • A large amount of pus and smelling green color which eventually flows, and cessation of pain that follows.

Complications

A dental abscess which is not treated can lead to serious complications that can affect the health of a person in a very important and sometimes fatal way .

A fistula is an openness that is created on the gum where the abscess is chronic. The pus drains out alone in the mouth. When there is a fistula, pain generally decreases, and you can see a small white or red button on the gum.

The loss of the tooth may occur because the abscess can infect the bone that holds the tooth, and if there are too much bone destruction (periodontitis), the tooth moves more and more and eventually falls.

A brain abscess may occur. the infection could propagate to the brain  through the veins. An infection of the brain can lead to coma

A sinus infection can occur because the roots of upper molars are located near the sinuses. If the dental abscess produces the pus, sinuses can then fill with pus wich it comes from  teeth.

Bacterial endocarditis takes place when bacteria that comes from a abscessed tooth,, and can reaches the heart through blood vessels.If these bacteria reach the heart , it may lead to infection and sometimes fatal consequences.

Ludwig's angina is a serious and sometimes fatal infection that affects parts of the face below the lower jaw. It usually occurs to adults who suffer from untreated dental infections. The danger is that it can grow enough to block the airways of the person who sufferer, and smother it.

Treatments

Treat a dental abscess may vary depending on the severity of infection, and if it reaches the gum or tooth:
taking antibiotics may be needed before;
  • Drainage of pus may be indicated if the magnitude of the abscess if is very advanced;
  • If an abscess whose origin is the gum, it must conduct a drainage and curettage;
  •  If the abscess is of dental origin , cleaning endodontic (root canal), possibly accompanied by the establishment of a crown, allows effective treatment.

Prevention

Being affected of a dental abscess can be a painful and very unpleasant. But there are several steps to avoid it:
  • Daily practice of dental hygiene, including brushing teeth 3 times a day, and the passage of floss 2 times a day;
  • Frequent dental examinations twice a year;
  • Scaling and curettage regular;
  • Reducing tobacco consumption and even a complete stop.

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Tooth replacement options

If you have one or more missing teeth, or if absolutely must extract a tooth, there are many options for effective replacement that are available. You can discuss these options with your dentist to find the best solution. However, it is not recommended to stay without replacement teeth to avoid the problems mentioned above.

Dental implants are considered the best and most comfortable alternative. They are also more expensive. An implant is an artificial root that is anchored to the OS and which is placed a crown. It feels like a real tooth and does not require other teeth as anchors.

A fixed bridge is a set of three or more than three crowns fused together, where the middle (pontic) replaces the missing tooth. The crowns on the edge of the bredge are covering natural teeth used as anchor. A bridge can not be removed from the mouth and is very aesthetic, like real teeth.

The partial and complete dentures are removable dentures that replace several teeth (partial) or all the teeth (full). As they are not fixed, these prostheses are not as comfortable as implants or bridges, and do not help chew food as efficiently. But according to the location of missing teeth, dentures can make a more aesthetic smile. Partial dentures also prevent other teeth to move and tilt.

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Consequences of tooth loss

Losing teeth can cause more than just health problems. It directly affects on self-esteem ,since loss of teeth affects the appearance of the smile and face.Here are some consequences of tooth loss:
  • Difficulty of speaking;
  • Difficulty of chewing ;
  • Avoiding going out in public to not show it's smile;
  • Anxiety and self-consciousness;
  • Stiffness of jaw and relaxation problems;
  • Weakening of other teeth because there's less to eat;
  • movement and inclination of the other teeth and their eventual loss;
  • Nutrition problems;
  • For baby teeth, the potential loss of space for adult teeth.

To avoid these problems, there are many options to replace lost teeth and keep them healthy. But prevention remains the best resolution.

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Who is at risk of losing tooth ?

Everyone is at risk of losing a tooth, but the reasons may vary depending on the age of a person. Although ,tooth loss is mainly related to the elderly person, research shows that 27 percent of adults lose their first tooth between the ages of 21 and 30 years .

Children become more active as they grow up , so they increase the risk of dental traumatisms. These injuries can occur on baby teeth or adult teeth. If children play sports, make sure that they wear a mouthguard.

adults must provide great deal of importance to brushing and dental floss, because bad oral hygiene is the main cause of periodontal disease (gum disease). If periodontal disease progresses, the tooth loss is an inevitable consequence. Gum disease also affects on general health, especially if you suffer from diabetes or heart disease.

Elderly people are most affected by tooth loss for the same reasons mentioned above. As people get older, they are more risky to contract diseases that decrease the immune defense, affecting the mouth as well as the rest of the body. Maintaining good oral hygiene is very important for your overall health.

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What are the causes of tooth loss?

There are many reasons why it may lose a tooth. Understanding these causes can help us to be aware of the condition of our mouth and prevent problems that lead to tooth loss.

Poor oral hygiene ,If you do not brush your teeth daily, and not using dental floss, tooth decay and gum disease may occur,what mean increasing the risk of losing your teeth in the future. Dentists recommend brushing teeth at least twice a day and to floss at least once a day. It is also advisable to consult your dentist every six months for an examination and cleaning.

Poor nutrition : foods that contain lots of sugar, carbs and acids can damage teeth and gums. Such regimes initiate dental caries.

The bad habit of grinding teeth (bruxism) use their teeth over the years and make them shorter. People who grind can also be highly fractured teeth. Smoking or chewing tobacco can aggravate gum disease, which also lead to tooth loss.

Some of Contact's sports :children, adolescents and young adults can lose their tooth while playing a contact sports regularly. These may include football, hockey, basketball, martial arts ... Wearing a mouthguard is very important to prevent injuries that can cause fracture of a tooth.

Some people are afraid of the dentist and did not consult him, even if they feel pain in their teeth. If we do not consult a dentist when there is a problem in the mouth, it can aggravate the condition over time and eventually lead to tooth loss.

Finance : Many people assume that dental care is too expensive. Sometimes they are, but other times there are alternative treatments that are less expensive. We must also remember that prevention is cheaper than treatment.

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tooth loss

If we do not take care of our teeth, we will simply lose.

Tooth loss is normal with primary teeth, which at some moment of the life of a child, a tooth becomes mobile and then falls, but is then replaced by an adult tooth. Otherwise, the loss of a tooth is negative if it's happens with an adult ,as a result of an accident, decay or periodontal disease.

Several decades ago, it was considered normal to lose teeth as getting older. But if there are missing teeth, you will lose the ability to chew food and to stay healthy. Today, there are methods to replace missing teeth, or taking care of your oral health care to keep them forever.

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The end of the orthodontic treatment

When the boxes are removed, the dentist or orthodontist may take others radiographies, and other impressions of teeth. If the wisdom teeth begin to emerge, the dentist may advise you to remove them to prevent the aligned teeth from change their position.

A space maintainer must then be brought,with the discipline for avoiding the relapse. This equipment must be worn all the time during the first 6 to 12 months, and then only during sleeping for a few months or years longer.

Wearing a space maintainer is very important, because the teeth that have been aligned are not completely fixed in their new positions until the OS and gums and muscles adapt the change.

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Playing sports and the orthodontic treatment

We can continue participating in any sports during the orthodontic treatment. If you wear a removable orthopedic appliance or a space maintainer, it is advisable to remove it while playing sports. If there is a system of boxes and wire (pin), it is advisable to wear a mouthguard during playing a contact sports.

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Orthodontics and patient age

The mechanical process for moving teeth is the same at any age. The beneficial effect of an orthodontic treatment that is available for children as for adults ,who wish to improve their appearances and their mastications.
The main difference of treatment for adults is that the treatment may last a little longer , because the jaws are not growing ,and it may need to be accompanied by an orthognathic surgery (jaw surgery).

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The Pain during orthodontic treatment

A result the adjustments made during orthodontic treatment,you may feel a discomfort or pain at the teeth and mouth level. It is advisable to take medications as needed. If the pain persists for very long duration, above a week, it is important to tell your dentist or orthodontist.

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Length of the orthodontic treatment

The time required for treatment vary from one person to person. The duration depends on the severity of the problem, the available space of the teeth, the degree of dentistry overlapping , health of teeth and gingival, and discipline of the patient to follow the instructions.

On average, a orthopedic appliance should be weared from 6 to 12 months, and complet orthodontic treatment can last from 1 to 3 years. When the boxes (braces) are removed, most patients must wear a space maintainer for at least 6 months, and in some cases for the whole life.

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How do you know that you need an orthodontic treatment?

If  we observe, at itself or in her child, an overlapping of teeth ,or a bad relation of the jaws, it is advisable to consult your dentist to determine if orthodontic treatment is beneficial. The dentist can treat himself or refer to an orthodontist.


Before finding the exact diagnosis of the problem, a complete orthodontic examination must be performed by the dentist or orthodontist. This review must include taking impressions of the upper and bottom teeth , photographs of the face, and radiographs of teeth and jaws, including the head completely.



When the diagnosis is determined, the dentist can assess the need either wearing a orthopedic appliance (brace) only, or using Boxes system and wire (braces), or a combination of both. Sometimes orthodontic treatment must be accompanied by a surgery of the teeth or jaws that are usually performed by another surgeon.

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Type of Orthodontic equipment

* Removable Braces,wath's mean a typically  device that  has one or more screws , the jaw of the top, bottom or both. It is not attached to the teeth, and can be removed for cleaning. But it is generally advisable to wear it as long as possible.

* Fixed Brace, which resembles the removable brace, but is fixed (glued) on teeth and can not be removed from the mouth.

* System enclosures and brooches, including boxes stuck on the front of each tooth, and a mettalic wire  align all these teeth.

* Orthodontics invisible, a recent technology that is to align the teeth by a transparent system of gutters should be changed every two or three weeks.

* Maintainer of space, which looks like a removable brace, but no screws to turn. It is usually worn on the upper jaw.

* Lingual Wire , is a fixed wire bonded to the rear surface of the teeth to keep their positions after orthodontic treatment. This thread can stay on the teeth for a lifetime.

* Lingual Boxes System , as recent technology, which is very expensive and boxes stuck to the back teeth so they do not appear.

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Orthodontics

Orthodontics is to align the teeth, by changing their positions to improve the appearance and functioning . Orthodontics can also improve facial appearance and functioning of the jaws and joints.



A bad position can make teeth more susceptible to decay, promote infection of the gums and affect the dental health in general.

It can also correct the overlapping of teeth and to get them to the desired position by exerting a slight pressure on them for several months. The dentist could itself make orthodontic treatment if he has the skills, or he may entrust the work to a specialist orthodontist.


Orthodontic problems vs. orthopedic

When it's only about the overlapping of teeth, orthodontic problems can be corrected by wearing a enclosures and a wire to align the teeth (braces).

When the issue is about the size of jaws and the relation between them (for example the lower jaw is much smaller than the upper or lower jaw is advanced compared to the upper jaw), but it's rather about an orthopedic problem. This kind of problem can be corrected by wearing devices that correct proportions of each jaw. This is best done before or during adolescence, but in some cases, we may correct orthopedic problems in adulthood.

In extreme cases of bad relations between the jaws, if the problem is not corrected early, only orthognathic surgery (jaw surgery) can correct the maxillary adulthood.

Braces do not align necessarily teeth. Orthodontic treatment may be needed after orthopedic treatment, and this usually in adolescence and sometimes even in adulthood.

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