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Secrets for keeping your teeth forever
10 secrets to keeping your teeth forever

1. See your hygienist at regular recall intervals as advised - This is the key secret to your healthy mouth
2. Daily flossing & brushing, at least twice a day, before or after mealtimes, as advised
3. Use a rotary toothbrush, like the Sonicare
4. Use a fluoride gel or fluoride mouthwash
5. Keep up your preventive care at home. Use recommended aids
6. Avoid misusing your teeth, like stripping cables, removing bottle caps, or biting your nails
7. Protect your teeth - get a mouthguard if you play sports
8. Please get dental problems attended to early. Don't leave them to later
9. Maintain your investment in your mouth! Don't waste your time and money
10. Attend your dentists recall examination when advised

If you apply all 10 secrets your teeth and gums will thank you and should last your lifetime!

Oral hygiene techniques

The most important aspect to maintaining a healthy mouth is to regularly clean your teeth and gums.
It is vital that you brush regularly and routinely and make it as efficient as possible. Ideally you should also use floss or other interdental aids to help you clean the areas between your teeth where your brush does not reach.

If you feel overwhelmed with all the different types of cleaning aids, don’t worry. It’s better to establish an effective brushing technique before moving on to flossing for the first time, other products can be introduced when you are happy to do so.

Our hygienists will be happy to help you use the best techniques and products in your home care routine to help you maintain your oral health.

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Brushing at all ages:

Children up to 4 years old
Young children are not able to brush their teeth by themselves. It is important that mum or dad help them to make sure that the teeth are cleaned properly. As they get older please let them try themselves, as long as you have a final ‘go’ to ensure they are clean

Children up to 8/9 years old
Children do not have a high level of manual dexterity so our hygienists recommend a ‘simple scrub’ type brushing technique. They stress the need to cover all the tooth surfaces, ensuring your child understands the most beneficial part of brushing is the time spent cleaning, 2 minutes is about all one can expect a young child to do.

Get your children to time themselves (and to time you), we suggest that at least once a week the whole family (where possible), clean their teeth together.
This is to show your children that cleaning their teeth is not just something ‘mum and dad tell you to do’ but is an important part of their daily routine.
For young children a brush length of no more than 2cm and half that in width is ideal. Most manufacturers now produce excellent children’s brushes.
Disclosing tablets are a useful aid to brushing – they can be used to test your childrens brushing effectiveness and to ensure thorough cleaning.
Your children should brush their teeth 2 or 3 times a day

Young people - 10 - 15 years old
As children grow up so their level of manual dexterity increases and our hygienists will show a simple bass technique; although some may find the small movements awkward they should try and persevere as it is a more efficient cleaning method. Again stress the importance of time; ideally increase the time to 3 minutes. 2 or 3 times a day is still recommended

Adults
Many of you are heavy handed and show a fair amount of tooth brush abrasion, so the emphasis for you should be shifted from a scrubbing type action to a more refined technique – the modified bass technique is the one that seems to suit most reasonably dextrous people - but again, stressing time is essential for complete cleaning 2 or 3 times a day.

At this stage we can be more realistic with you and point out that a very thorough cleaning once a day is ok, but, you need to spend about 5 minutes per day with efficient brushing and diligent interdental cleaning (at a time when you can spent some time on yourself).

The usual brushing times such as first thing in the morning or before you go out, are social cleaning and are more for fresh breath than for gingival health or tooth cleanliness, but they do have an important place in the overall dental health of people.

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Brushing if you have problems

Mentally disabled people
You may require some assistance with brushing, but you may be more than capable with brush and floss. Your hygienist will assess and help you decide upon the most suitable techniques for you to use. You may find an electric toothbrush such as the Sonicare easier to use.

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Physically disabled people
You may require some assistance with brushing, but you may be more than capable with brush and floss. Your hygienist will assess and help you decide upon the most suitable techniques for you to use. You may find an electric toothbrush such as the Sonicare easier to use.

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Arthritic people
You will need your level of dexterity assessed, then the hygienist can decide upon the most suitable brushing technique - collapsible travel brushes are quite helpful as they have larger handles that are easier to hold and therefore easier to manipulate. Some manufacturers make special covers that fit over standard toothbrushes to make them easier to grip and more effective. You may find an electric toothbrush such as the Sonicare easier to use.

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Pregnancy
Our hygienists often see ladies who say that their gums are bleeding a lot more since becoming pregnant, this is known as pregnancy gingivitis, and is caused by the change in hormones in your body, causing an over reaction to the bacteria in your mouth.

This can treated by improving the level of your oral hygiene activity, if you can manage this without retching. Interdental cleaning is a must and you also need to try and floss.

Mouthwashes are a useful aid, for these times when you find it is impossible to brush.

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More mature people
Often as we get older, there can be deterioration in oral health, this is due in some instances to the loss of muscle tone, causing a reduction in grip and manual dexterity.

Oral environment also changes with age. There is often a decrease in salivary flow and the soft tissues (oral mucosa) may become thinner and less well supplied with blood.

Our hygienists can help you in a number of ways, one of them being the regularity of visits, simple scaling & polishing every 2 to 3 months will help. An electric brush will probably be easier to use and thereby be more effective in plaque removal.

You may also have more time to spend cleaning your teeth more frequently throughout the day. Using flossettes may be easier than flossing. A soft tissue management programme enables our hygienists to monitor your dental health more closely and gives targets for you to aim for and usually helps.
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Cleft palate
Your level of plaque is usually increased as you often wear a prosthesis and therefore there is a need to be diligent with oral cleaning.

Our hygienists usually suggest that as well as brushing teeth, your palate (roof of the mouth) needs gentle brushing as this can become built up with plaque. Your prosthesis will also need thorough cleaning.

The bass technique is usually suitable for cleft palate patients but our hygienists will always assess you individually. The soft tissue management programme is a must for all compromised patients and a cleft palate is no exception. If there is extensive displacement of your maxillary teeth (upper jaw) one suggestion will probably be the recommendation to use an electric tooth brush and flossettes will be easier to use than conventional floss.

It is vitally important that your oral environment is kept as clean and healthy as possible especially if this is prior to corrective surgery.

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Fractured jaw
In general practice we don't see many people with fractured jaws but it is still important that our hygienists are able help, particularly after your discharge from hospital.

Where your jaw is fractured in a complicated manner, plating the bone will probably be the chosen form of repair, when your soft tissues have healed oral hygiene would not be too difficult to maintain.

The problem would be during the early part of treatment where your mouth will very painful to clean thoroughly.

It’s important to attend the dental surgery to so we can assist in keeping your mouth as clean as possible. In the early part of your rehabilitation, warm salt mouth rinses as often as possible are very useful, especially if you can only tolerate a soft tooth brush, it’s important to establish good cleaning as your pain diminishes.

With more straight forward fractures the tried and tested method of treatment is to wire your upper and lower jaws together and thus immobilise them. This makes cleaning your teeth very awkward (to say the least). If you have some teeth missing with subsequent gaps then a fine brush can be inserted and manipulated through these gaps. If there are no gaps then cleaning the outer surfaces with a tooth brush and rinsing with an antibacterial mouth wash is really all that can be done.

Fortunately the wires are not there for that long, probably about 6 weeks, and as soon as they are removed, you must attend the dental clinic for an examination and scale polish, plus oral hygiene instruction to return your mouth to full health.

The easiest way to keep a fractured jaw site clean is to try and prevent it happening in the first place by avoiding arguments with hard objects!

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Click here for information on periodontal care



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