Purchase an electric toothbrush, such as an Oral B Braun or Sonicare, and use it at least two to three times per day. It is best to use a model with a timer that has you brush at least two minutes for the entire mouth. These tend to be more effective than manual brushing and they are easier to use. Replace the heads as recommended by the manufacturer. If you brush by hand, use a soft head toothbrush and replace about every two months.
Use a mouthrinse daily. Most national brands are effective and any mouthrinse with an ADA seal against plaque will help. Some have an ADA seal to reduce cavities and contain fluoride. The latter type tend to be less effective at reducing periodontal disease progression..
Clean between your teeth at least once a day. This can be accomplished using dental floss and other products such as Soft-Picks and floss threaders. Waterpiks can also be used, but be careful. Use them on lower settings and do not point them down into a periodontal pocket.
Use an ADA-approved toothpaste, preferably with fluoride. Different kinds of toothpaste are designed to treat a variety of conditions, like yellowness, sensitivity, and cavities. Keep in mind whether you like paste or gel, or different flavors, these factors have no influence on effectiveness.
Limit eating and snacking if you cannot brush relatively soon afterwards. Avoid sugary snacks and beverages that promote plaque growth on the surface of the teeth. Certain foods and beverages — such as berries, coffee, and wine — can also stain teeth if consumed regularly without brushing.
If you have a history of periodontal disease, you should have your teeth professionally cleaned every three to six months with a hygienist. The status and severity of your disease will determine the frequency of cleanings. These cleaning visits often alternate between our office and your general dentist.
If you have dental implants, get them regularly checked.Dr. Jeffrey A. Peck
Don’t brush harder, brush longer.Dr. Jennifer A. Lopes
There’s more than one way to clean between your teeth, especially if flossing is tough to handle. Try a Soft-Pick, Waterpik or Stim-U-Dent.Dr. Jennifer A. Lopes
Inflammation, receding gums, bleeding gums, swollen gums, reddening of gums, halitosis.
Daily brushing and flossing. Don’t brush harder, brush longer and angle the brush at the gum line. Floss and try using a Waterpik or Stim-U-Dent for cleaning.
Substantial bacteria and plaque buildup. Inflamed gums and bleeding gums when brushing. Bone loss of up to 10%.
See Periodontist. Dental deep cleaning.
Less than 50% bone loss. Increased redness of gums. Bleeding gums when brushing and flossing. Worsening halitosis.
See Periodontist. Dental deep cleaning to remove deep deposits of bacteria and possible LANAP.
More than 50% bone loss. Swollen gums, reddening of gums, oozing of gums, painful chewing, severe bad breath. Loose teeth.
See Periodontist. Periodontal surgery or LANAP procedure to clean these deeper pockets of bacteria.