 The prevalent diseases we have in our mouth are the dental decay and the disease on the gums.
Both of them are caused by bacteria that accumulate in the areas we don’t touch. What happens is that we tend to concentrate our cleaning in the central areas and other areas we just don’t reach. In the areas we don’t touch bacteria will develop and once they develop they will be able to cause the disease. So, if we understand the process of the disease, we can intervene in this process and stop it from happening. We can have a very healthy oral cavity and a very good smile.
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 Plaque control is the regular removal of microbial plaque and the prevention of its accumulation on the teeth and adjacent gingival surfaces.
Microbial plaque is the major cause of periodontal diseases. Patient cooperation in daily plaque removal is critical to long-term success of all periodontal treatment. Plaque formation begins on the surfaces between teeth where the toothbrush does not reach. Masses of plaque first develop in the molar and premolar areas, followed by the proximal surfaces of the anterior teeth and the facial surfaces of the molars and premolars. Patients consistently leave more plaque on the posterior teeth than the anterior teeth, with surfaces between teeth retaining the highest amounts of plaque. Plaque control measures: Tooth brush Dentifrices Dental floss Interdental brushes Dental hygiene Proper oral hygiene practices control periodontal disease.  The oral health promotion philosophy is a different approach to dentistry. It’s a preventive approach compared to traditional dentistry. This philosophy was originated in the Scandinavian countries in the 70’s. It deals mainly with the understanding about the process of the dental decay and the disease on the gums. In traditional dentistry, the dentist acts mainly as a mechanicist restorative agent. Patients go to the dentist to check for problems and fix them. In the end, they go home with zero understanding of what is going on in their mouth. In the oral health promotion, the dentist acts more as a guide. We try to clarify and share knowledge with our patient, empowering them to intervene in the process of the disease by changing certain behaviours and perceptions about how it happens. The prevalent diseases we have in our mouth are the dental decay and the disease on the gums. Both of them are caused by bacteria that accumulate in the areas we don’t touch. What happens is that we tend to concentrate our cleaning in the central areas and other areas we just don’t reach. In the areas we don’t touch bacteria will develop and once they develop they will be able to cause the disease. So, if we understand the process of the disease, we can intervene in this process and stop it from happening. We can have a very healthy oral cavity and a very good smile.  Oral health tips: About gums!
It is very common to think that we should not touch our gums when cleaning our mouth. But we definitely and imperatively have to touch our gums in our daily routine. Sometimes we think that our gums are sensitive or we can cause recession (exposure of the roots of our teeth) if we brush around the gums. Our gums will not bleed if they are healthy, and to keep them healthy we need to remove the bacterias that are hidden in the tiny space between the gum and the teeth which is called gingival sulcus. If we avoid touching the gums or miss any area while brushing and flossing, the bacterias will start accumulating in these areas, our body will develop a defence (inflammation) towards them, and that is the reason our gums bleed, not because we are hurting it. Recession of our gums has multiple causes and the traumatic brush is just one component of it. Furthermore, if we use soft or medium brushes and not put excessive force while brushing, there is no harm to the gingival tissue. Try and check the results for yourself.  Oral health tips: Floss!
Most of us find flossing very demanding and dull. Some even hate flossing as it can be difficult to reach the back teeth, can have bleeding and discomfort or we can even think it is pointless. Mouthwash marketing strategies claiming to kill bacterias can contribute to perpetuate certain misunderstandings about cleaning our mouth. This can lead us to conclude that if there is no food stuck between my teeth or if I rinse my mouth with one of them, I need no floss. That is very wrong and dangerous. The surfaces of our teeth which are facing another tooth (interdentally) are large and hidden. The brush will never touch this area to remove the bacterias and the mouthwash will not kill the bacterias from these surfaces. We need to touch them within 24 hours to avoid the organisation of bacterial plaque and subsequent gum disease. Compared to all demands of healthy lifestyle, flossing is not a big deal. The lack of habit is the main problem. If you have difficulties holding the floss, try to use mounted flosses or interdental brushes. Please keep in mind that flossing is easy to do and easy not do do, its your choice! https://www.icmdentistry.co.uk/book-now  Oral health tips: Get rid of bad breath! Most of the mouthwashes only mask the unpleasant smell but some complex factores can determine whether you will have pleasant breath or not... Whether you have fresh breath is determined by both oral and other factors. The most common cause is deficient oral hygiene and consequent formation of tongue coating and dental plaque. It is quite common to think that good oral hygiene simply means brushing after food. However, the most important is cleaning all bacteria from the dental surface, especially close to the gums. If you do not use floss every day to disrupt the bacteria in the interdental areas, you will certainly have bad breath. Morning breath is not considered a medical problem but for some people it can be an area of embarrassment. The cause is mild hypoglycaemia (reduction of blood sugar), the reduced salivary flow during sleep, and the increase in more pathogenic bacterial species. These microorganisms act on the natura balance of oral mucous and saliva proteins, generating unpleasant smells. Poorly fitted dentures and defective restorations are also sources of bad breath as they can increase plaque retention. Bad breath can also be caused by some medical problems. Dry mouth (xerostomia) is a condition that affects the flow of saliva. This increases the bacteria accumulation in the mouth leading to bad breath. It can be caused by certain medications, salivary gland problems or by continued mouth breathing. Other medical conditions include throat, nose or lungs infections, sinusitis, bronchitis, diabetes, liver or kidney problems. If you have bad breath, you will need to make come changes in the way you clean your teeth and gums in order to keep your mouth healthy and fresh. Visit your dentist so they can conduct an evaluation to find the cause of your bad breath, clean all those areas that are difficult to reach and research the best way to keep your mouth clean. Most mouthwashes only mask the bad breath for a short time. Though some mouthwashes are specially formulated to match the volatile sulfuric compounds responsible for bad breath, but they do not treat the underlying problem. One of the warning signs of gum disease is that you always have bad breath or bad taste in the mouth, usually associated with bleeding when brushing or flossing. Again, your dentist will be able to diagnose and treat the problem. The sooner the problems are found, the more effective any treatment will be. Brush your teeth and gums effectively at least twice a day with a fluoride toothpaste. Do not forget to brush your tongue as well. Floss once a day for cleaning the bacterias from the interdental surface in all areas. An interdental brush can be used as an alternative or supplement to dental floss to clean bacterias between the teeth. Remember that cleaning between the teeth means cleaning bacteria, not only food scraps. The reason we clean our teeth is not to remove food!
Bacterias are the villains. They are the target! If we can remove bacterias from the surfaces of our teeth, we will not allow them to get organised enough to cause problems to our teeth. Of course it is important to clean the food, but this is secondary. Food becomes relevant just because it is food for the bacterias as well. More food stuck, more bacterias growing and “eating” as well. But the bacterias will survive even if we don’t eat anything. So, again, we need to clean all surfaces of our teeth even if we just drink water for the whole day.  Most of us find flossing very demanding and dull. Some even hate flossing as it can be difficult to reach the back teeth, can have bleeding and discomfort or we can even think it is pointless.
Mouthwash marketing strategies claiming to kill bacterias can contribute to perpetuate certain misunderstandings about cleaning our mouth. This can lead us to conclude that if there is no food stuck between my teeth or if I rinse my mouth with one of them, I need no floss. That is very wrong and dangerous. The surfaces of our teeth which are facing another tooth (interdentally) are large and hidden. The brush will never touch this area to remove the bacterias and the mouthwash will not kill the bacterias from these surfaces. We need to touch them within 24 hours to avoid the organisation of bacterial plaque and subsequent gum disease. Compared to all demands of healthy lifestyle, flossing is not a big deal. The lack of habit is the main problem. If you have difficulties holding the floss, try to use mounted flosses or interdental brushes. Please keep in mind that flossing is easy to do and easy not do do, its your choice! by Dr Italo Carpes Moraes  Most of the mouthwashes only mask the unpleasant smell but some complex factores can determine whether you will have pleasant breath or not...
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ABOUTLondon dentist registered in the UK since 2008. His mission is to improve patient health & appearance, self-confidence and overall quality of life. ARCHIVES
December 2020
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