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August 22, 2008

Triumpth Toothbrush Breaks New Grounds, Cleans Old Gums

The Oral-B Triumph Professional Care 9400 rechargeable toothbrush is, by some accounts, “just another toothbrush.” When it comes to the opinions of dentists, hygienists and the majority of people who have used it, however, it is something else. To them it’s perhaps something a bit grander than a toothbrush. If you’re interested in taking your oral health to a higher plane from the comfort of your home (risk free, I might add) then please read on, because there is an offer just for folks like you that may change your very life. To put it simply, the Oral-B Triumph 9000 is a powerful, rechargeable toothbrush with multiple brush heads and functions, and it’s available for a limited time through select dental offices for a free, no obligation trial.

That means you can wrap your hands around this multi-hundred-dollar device for nothing out of pocket, check it out, try it out, see if it’s for you, and only then have to pay for it. There are some limitations to the offer, of course; you do have to visit a participating dentist. 

We don’t get paid to endorse this toothbrush, and using it will only lessen your likelihood of cavities, so believe us when we tell you that it takes oral hygiene to a new level of convenience and cleanliness, and the ways you can benefit from such an ideal and thorough brushing are invaluable.

The truth is that we’ll be here no matter what care you take of your teeth, and that nothing would make us happier than to see your oral health improve so that you’re only in our office once every 10 years for a cleaning. Sadly, technology hasn’t yet come so far, so until it does, we’re here for your needs as often as you need us, but this device will get you a step closer to stepping back out the door without any uncomfortable work being done. 

It’s a versatile brush and includes such functions and choices as different brush heads that make using the Oral-B Triumph an enjoyable experience. The responsiveness of the brush heads ensures that the user will achieve a superior cleaning, and the Triumph’s “smart technology” maintains firm but still comfortable levels of pressure and adequate brush-times. Although the initial investment may seem a bit spendy, the long-term benefits of professional brushing at home can save loads of money down the road on expensive dentist’s bills.

The brush includes a hard plastic carrying case for easy transport of toothbrush and brush head. The assembly of the sleek-handled Triumph is detailed in clear, easy-to-follow illustrations in the owner’s manual. Simply insert the charging ring into the base station, and attach the plastic protective cover, which conveniently stores up to four attachments, to the back of the base. Slip the toothbrush body into the charging unit and the Triumph will become fully charged in about 12 hours. Fully charged, this toothbrush will be ready to give you nearly two weeks, or 25 brushing sessions, worth of cleaning action.

One of the nice features of the Triumph’s design is that the protective cover, which is perfect in a family bathroom setting, can be removed when it’s time to travel. Without the cover, the Triumph slim design takes up little room in your travel bag. In addition, the indicator on the handle of the Triumph can be programmed for any of 13 different languages, and the SmartPlug — located at the end of the cord for the charging ring — automatically adapts to any voltage worldwide. This means that whether you’re traveling to Poland or Istanbul, the Florida Keys or the Galapagos Islands, you can always keep your teeth sparkling and fresh.

One FlossAction brushhead is included with the Triumph. According to Oral B, the FlossAction brushhead relies on MicroPulse bristles that penetrate between the teeth for a flossing effect. When you insert the FlossAction into the Triumph, the toothbrush automatically selects the “clean” mode of brushing to give you the best possible cleaning experience. The remaining two modes available with the Triumph — “massage” and “soft” — may be selected manually by pressing the mode button on the side of the handle.

One of the real values of the Triumph lies in the convenience it provides to the user. An easy-to-read digital display set into the handle of the brush lights tells you when the brushheads are ready for replacement or when the battery needs recharging. Additionally, the brush is programmed to time each brushing session for the dentist-recommended two minutes. Every 30 seconds the brush pulses, alerting the user to shift to a new quadrant of the mouth. And when the two minutes are up, the brush pulses and displays a friendly “happy face” on the handle’s indicator.

Counter space can be tight in the bathroom, but the Triumph is efficiently sized to take up a minimal amount of space — about the circumference of a drink coaster. All of the parts of the base station, with the exception of the charging ring, are dishwater safe. Clean-up after brushing is as simple as rinsing the brush under tap water.




August 8, 2008

Evidence-Based Clinical Recommendations for Dental Sealants

To assist dentists in using the new Evidence-Based clinical recommendations for the use of Pit-and-Fissure Sealants, the ADA has developed a set of questions and answers to aid dentists in interpreting the new guidelines and discussing them with patients.

I’ve heard of evidence-based dentistry, but what is EBD really? Evidence-based dentistry is based on three equally important considerations: a dentist’s clinical skill and judgment, each individual patient’s needs and desires, and evidence of the highest possible quality. Only when all three are given their appropriate consideration in individual patient care is evidence-based dentistry actually being implemented. The third part, the high quality evidence, is there to inform dentists and patients of effectiveness, but never to mandate a specific course of treatment. Only you and your dental provider can reach such decisions.   What are evidence-based clinical recommendations? They are the recommendations derived from the current scientific evidence that serve as a tool for dentists and patients alike to use in addressing specific clinical situations, whatever they may be. Who actually develops these recommendations? A panel of researchers and practitioners developed the recommendations after conducting an extensive critical assessment of various scientific literature and journals. The results are reviewed by the ADA Council on Scientific Affairs and other ADA agencies, as appropriate. For more information about evidence-based dentistry, please visit http://www.ada.org/goto/ebd.com.

How Clinical Sealant Data Change Dental Practice? The clinical recommendations reach a number of conclusions that support things that dentists have known all along, including that: 1) Dental sealants are effective at preventing dental decay (primary prevention); 2) Both children and adults can benefit from the use of sealants. Other conclusions may be less familiar to dentists including that:  3) Sealants can stop non-cavitated (incipient) lesions from progressing (secondary prevention);  4) In most cases, removing tooth structure before placing a sealant is not recommended. To be effective, sealants must be applied properly, monitored, and ultimately replaced when absolutely necessary. What is the difference between primary and secondary prevention? Primary prevention is intended to prevent the onset of disease—in this case, using sealants to prevent caries. Secondary prevention is intended to treat a patient who presents early (preclinical) signs of a disease to stop the disease from progressing. As a secondary preventive measure, a sealant is placed on an early, non-cavitated lesion to stop it from progressing to a cavitated lesion.   Do the recommendations say anything about using X-rays? A footnote to the sealant recommendations states that dentists should use recent radiographs, if available, in decision-making, but should not take radiographs for the sole purpose of placing sealants. The ADA/FDA radiographic guidelines include recommendations on prescribing and patient selection. What is the difference between a “non-cavitated” lesion and an “incipient” lesion? The recommendations use the term “non-cavitated,” which is defined as pits and fissures in fully erupted teeth that may display discoloration not due to extrinsic staining, developmental opacities or fluorosis, but that exhibit no shadow indicating dental caries. Some dentists use the term “incipient lesion” to describe the same condition.   How can I best explain to my patients that sealing over incipient decay is the most appropriate treatment? How you communicate with an individual patient depends on that patient’s understanding of dental caries. The ADA has published a patient education page, “Dental sealants: Protecting teeth, preventing and halting decay,” in the March JADA, which you can remove and use to talk with your patients. I’m uncomfortable sealing over incipient lesions. Is it wrong to remove the incipient decay prior to sealing the tooth? Patients rely on their dentists—as members of a science-based profession—to use the best available science to inform their treatment decisions. Your professional judgment, which is based on your experience and high quality evidence such as the clinical recommendations, together with the patient’s needs and desires, determine the appropriate course of action.   I routinely use sealants for children. Should I consider using sealants more frequently on adults? Yes, the recommendations are clear: sealants are not just for children; adults can benefit too. The evidence supports placing sealants on pits and fissures of an adult’s permanent tooth when it’s determined that the tooth or the patient is at risk of developing caries. It also supports placing sealants on early (non-cavitated) lesions in adults to reduce the percentage of lesions that progress to the dentin. Will dental benefit plans cover sealants placed on adults? The dental benefit industry will make decisions about coverage based typically on financial considerations. Additionally, the coverage may vary between benefit plans. 

Will benefits be paid for replacement of sealants? Specific details on coverage, such as replacements, are contained in the benefit plan documents. Since the clinical recommendations point out that sealants are effective in reducing the need for subsequent restorations, the ADA hopes that dental benefit plans may begin to include or increase coverage for sealant replacements.




July 25, 2008

Prevent Sports-Related Dental Disasters with Mouthguards

According to the ADA, more than 200,000 oral injuries are prevented annually by sports Mouthguards (1). While this number may sound impressive, it is eclipsed by the estimated 5 million teeth that will be knocked out in sporting events this year alone (2). If only there was a way to prevent it, right? It turns out there is, and it’s very simple, unbelievably affordable, and can be ready to go in just a few weeks. Mouthguards are common, simple and yet very effective, when used properly and consistently.

These oral traumas will happen to children, high school and college level athletes, across the whole spectrum of sports. Dental injuries are the most common type of orofacial injuries sustained during sports participation, and yet they are entirely avoidable. It’s easy to understand that your child should wear a mouth guard while participating in sports like football, wrestling or boxing, but each sport carries its own risks. Mountain biking, gymnastics, volleyball, rollerblading/skateboarding, softball/baseball and competitive level snow and water sports also carry high risks of dental trauma, often in higher proportions than sports you might think of.In 1995 a study was conducted by Dr. Raymond Flanders that concluded that only .07% of injuries came from high school football (3) (where mouthguards are mandatory), compared with 34% from basketball, a game not particular known of as a contact sport.If your child is involved in hockey, let’s talk turkey for a minute, because he or she simply MUST have a mouth guard. Studies have shown that the cost for rehabilitating a single tooth can be as much as 20-times the cost of a mouthgaurd (4). With that in mind, it’s such an obvious investment, you’d almost have to be crazy to pass it up. So now you know you need it, because cost, pain and long-term outcome make it an easy, obvious choice. But what sort of mouthguard should you get? Sporting goods stores carry inexpensive stock or “boil and bite” guards for fairly reasonable prices, while your dentist can offer better fitted, more comprehensive solutions. Which is right for you? First of all, cost should never be an objective. If you can not afford even a store-bought, off the shelf mouth guard, you surely can’t afford to fix your face when it’s accidentally banged up in an elbow-to-the-face accident. The perpetrator gets three minutes of penalty, while you’re left with a lifetime of pain and embarrassment. The bottom line, according to studies, is that these inexpensive boil and bite mouth guards provide a false sense of security. Considering the cost difference is only a few hundred dollars (compared to thousands for tooth repair, replacement or dental implant), the surest method is to ask your dentist for a custom fit mouthguard.Custom laminated mouthguards are tailored exactly to the shape of your mouth and are thicker, stronger and more secure than anything available off the shelf. If you have any doubt about what you need, ask your dentist directly. Don’t wait for your next appointment if it’s important. Just pick up the phone and call. When it comes to having teeth not knocked out of your head, he or she will always take the call and give you the best advice they are able.

1 – American Dental Association, Council on Dental Materials, Mouth Protectors and Sports Team Dentists, JADA 1984: 109; 84-7
2 – Dental Injury Fact Sheet, National Youth Sports Foundation for the Prevention of Athletic Injury, Inc., Needham, Massachusetts, 1992
3 – Flanders, Raymond A. DDS, Mohandes Bhat, DDS, The Incidence of Orofacial Injuries in Sports, A Pilot Study in Illinois, JADA Vol. 126, April 1995; p. 491-6
4 – Padilla, Ray DDS, Sports Dentistry and Prevention of Oral Injuries, CDA Sessions, Anaheim, California; May 12, 1995




July 11, 2008

Repairing and Replacing Molar Fillings Can Restore Any Smile

Most fillings in molars are done with metal-colored materials, rather than tooth-colored materials. One hearty laugh and your fillings are showing, and for some people this can be a point of embarrassment, but it doesn’t have to be. The procedure is called “Posterior Restoration,” and it’s a term that’s already been the butt of a good many jokes, but if you want to guffaw in mixed company, it’s no laughing matter. If you’re looking to replace those old, metal fillings with new, tooth-colored fillings, you probably have a lot of questions. We’ll run down the basic procedure, but if you still have questions, call and set up an appointment and we’ll be happy to answer any other questions you may have. 

The Posterior Appointment  I know, I know, it sounds funny, but posterior just refers to back teeth, as opposed to anterior. Replacing an old posterior filling, crown or bridge can be achieved through a variety of techniques. Sometimes it can be done in a single visit to the office using composite resin filling material. If best results can’t be had in a single trip, we’ll have our skilled, local laboratory fabricate your restoration to our exacting standards. As an important side note, even though it is more expensive for us, we never order laboratory fabrications from overseas providers. The strict standards required in the United States have always provided us with the highest quality standards possible, and as a result, our practice was not affected by the accidental introduction of lead into dental work last year.

The Preparation Appointment  When natural tooth structure can be retained, a cosmetic inlay or onlay may be made from porcelain (or a stronger composite materials only available through a dental laboratory.) When natural tooth structure can not be preserved, a tooth-colored full-coverage crown or bridge may be needed to achieve the desired aesthetic results. The old restoration and any decay will be removed from your tooth at this time. Once this is done, impressions will be taken of the prepared area and sent to the laboratory for custom fabrication. A temporary restoration will be put onto your tooth until the new one is ready. Be very careful with this one, as it is not as strong as the permanent will be. Avoid caramel, hard candy and contact sports that might require a mouth guard.

The Cementation Appointment  Once the fabrication is done and ready to go, you’ll come back in to have the temporary piece removed and replaced. We’ll use the strongest, industry-leading bonding agent to permanently cement your new restoration in place.Your newly restored tooth will look, feel and function like your natural teeth and require the same degree of care to preserve. Our dental practice embraces aesthetic and functional dentistry to help you obtain the attractive and healthy smile that you desire. We focus on our patients, and as dental care providers, it is our intention to help you achieve and maintain a beautiful and healthy smile through regularly scheduled checkups and planned treatment.




June 27, 2008

Cavities Can Hide from Eyes & X-Rays, but Not Lasers

We encourage regular dental checkups, cleanings and home care, but cavities can occur despite even the most rigorous dental hygiene and care. Early detection of problems can minimize major future expenses and be much more comfortable too. New technology has taken a giant step forward in achieving the goal of less invasive and expensive dentistry with the DIAGNOdent laser. To achieve the goal of early detection, we always use the latest technology. Among the most exciting pieces of equipment available anywhere is DIAGNOdent, a small device that literally scans your teeth with a laser light, searching for decay that can otherwise go unnoticed. We can’t treat what we can’t see, but now we can virtually see into the future. Locating hidden decay before it destroys tooth structure from within is a major goal of ours.

The widespread use of fluoride supplements in dental materials, toothpastes and drinking water has made tooth surfaces harder and more resistant to decay, but that’s only the surface, and there’s much more to your teeth than that. Diagnosing cavities beneath the hard surface is more challenging because the disease process can start through microscopic defects in the hard surface enamel and can readily spread into the softer tooth structure beneath the surface. Early decay detection can save you time and money and also increase your overall health and comfort level.X-rays and probing with an explorer are limited in what they can detect in terms of subsurface decay, especially when the cavity is in its early stages. The good news is that the new DIAGNOdent device is a breakthrough that allows the dentist to examine areas below the surfaces without any pain or discomfort at all.  

With early detection like this we can locate hidden problems and treat them to stop the spread of disease or decay before it destroys the tooth from the inside out. This unique instrument gives us instant feedback on the health of the tooth. The probe is like a pen that just glides over the surface of the tooth, automatically scanning the tooth for health. A number scale and an alarm signals the operator when there are signs of hidden decay, and best of all, it’s completely safe, non-invasive and painless.If you want to avoid later costs and potential problems, make sure your dentist uses DIAGNOdent for your next checkup. If he doesn’t, call Dental Care Design and let our investment in new technologies start to the benefit of your health, comfort and pocket book.




June 13, 2008

How Can I Take Care of My Child’s Baby Teeth?

If you’re looking for information on dental care basics for your children from birth to 6 years, you’re reading the right article. Teeth start to come in around the age of 6 months, and the ADA recommends that children visit a dentist at that time to check them out. These teeth help them chew food and speak clearly and will shape your baby’s face as she progresses into adult teeth and an adult face.

If your baby is teething, offer a cold, firm, safe teething object like a teething ring or chilled (even slightly frozen) washcloth. You can rub the gums gently with your clean finger, but it’s very important to get started with oral health as early as possible. 

As soon as teeth come in, it’s important to begin cleaning and brushing. You can gently clean the teeth and gums with a small soft toothbrush or a clean, damp cloth with a very small amount of toothpaste (about the size of a kernel of corn.)

If you give your baby a bottle at bedtime or naps, do not give her juice (and NEVER give her soda pop!) Only give her water, preferably fluoridated tap water. Sweet liquids can cause decay if left in your baby’s mouth while sleeping, and very often do.

Ask your dentist or doctor about fluoride drops when your baby is 6 months old, but make sure that your baby’s mouth is fully checked out by a dentist by age 1. The pediatrician may be a great doctor but can’t possibly take the place of an actual dentist. Take your baby in for a checkup even sooner if you notice a problem.

As your kids get older, brush their teeth at least twice a day and always at bedtime, but ideally after each meal and snack. Use a small, soft toothbrush (despite popular belief, harder bristles aren’t always better!) and a very small amount of toothpaste with fluoride (again, about the size of a kernel of corn.) 

Brush for at least two minutes, maybe even making a game or singing a song to keep the time long enough, and brush every surface of every tooth AND THE TONGUE. Don’t forget to replace the toothbrush at least every three to four months or if your child gets really sick. Your child’s toothbrush can harbor bacteria that will reinfect them. They’re more expensive than ever, but the couple bucks it costs is nothing compared to the savings in pain, suffering, germs and real dental dollars you could sacrifice by failing to buy a new toothbrush.

Lift your child’s lips to get a good look at all of the teeth when you’re brushing. If you see white or brown spots on your child’s teeth, contact your dentist right away, because that is a very real sign of potentially serious problems.

When you think your child is ready, let him or her practice brushing their own teeth. They can start as young as two or three years old, but you’ll still need to give them a serious, thorough final brushing at such a young age. You should still brush your child’s teeth thoroughly yourself at least once per day until your child is at least 6 to 8 years old.

Take your child to the dentist AT LEAST once per year. 

What causes tooth decay?

Germs cause cavities, and germs can be kept to a minimum with regular brushing and frequent checkups. Germs can be spread from parent to child and tooth to tooth. Food and drinks feed these germs that are hiding in the tiny grooves of their teeth. The byproduct (waste) of these germs is acid, which is the direct cause of cavities and decay, but fortunately, tooth decay can be stopped dead in its tracks if it’s caught early enough.

Try to be a role model for your kids. Brush and floss regularly, and bring them (and yourself!) in for regular checkups. Your dentist may suggest treatments to further help your child, such as fluoride pastes (if your water is not fluoridated), fluoride varnish (painted on the smooth surfaces of teeth), or sealants (liquid plastic painted on the chewing surfaces of back teeth.)




May 30, 2008

Is Tooth Whitening a Gateway to More Cosmetic Dentistry or a Cost Saver?

In our survey, we asked dentists from across the nation what percentage of their patients who initially request tooth whitening go on to have additional cosmetic dental procedures. Two out of three dentists reported a conversion rate of less than 40%. That doesn’t mean that tooth whitening “leads to more cosmetic dentistry”, but it means that it does lead to greater dental awareness for these patients with sufficient means to ask the very question in the first place.

“Whitening opens the door to more cosmetic dentistry,” commented one general dentist. Another disagreed, saying, “There sure aren’t as many patients beating down my door for cosmetic treatments like LVI and other gurus would have you believe. The kids’ karate lessons, the cruise, and the new SUV are all way more important.” Here are some better, even if not bigger considerations: 1 – Utah Dentists reported that 40-60% of patients who came in for whitening procedures requested additional medical treatments. 2 – In places where the economy was slowing, dentists found that just 20% of clients made up more than 60% of cosmetic dental procedures. While we don’t support the division of classes as such, we can understand why those with sufficient means ensure their toothy grin looks perfect, even in times when they may not have means sufficient to afford such dental luxuries. If they find the value, perhaps you might do so as well. 3 - Patients need to know the facts about tooth whitening - Tooth whitening is only temporary, and it has limitations. This has to be stressed to the patient. Cosmetic dentistry should only be done in the patient’s best interest. I have seen it completed on some patients who never needed it. A true doctor sometimes has to look beyond a patient’s teeth. There has to be a point when you say to a patient, ‘You don’t need it.’ Look at Michael Jackson. More doctors should have said no to him. Unfortunately, some doctors think they can do no wrong.

Consider these factors before making your decision. It is possible that there is no benefit to your future professional prospects that my require a crystalline set of pearly whites, or that the customers, distributors and investors would find no benefit either way. Only you can make these decisions. Regardless of your post in life, or the likelihood of your insurance to repay such expenditures, if you aren’t willing to part with your pearly white chompers, and you live in or around Snohomish County, you should take the time to talk to Dental Care Design in Lynnwood for a no-hassle, no obligation consultation to find out what is still possible, what possibilities still exist, and determine what your insurance might pay for them either way.




May 16, 2008

How Arestinâ„¢ Can Assist your Treatment of Periodontal Disease

Periodontal disease is the chronic infection of the gums and bones that hold your teeth in place. If left untreated, the gums and bones holding your teeth in place can be damaged, leading to the very real and almost certain possible likelihood of tooth loss. However, there is help and that help may come in the form of Arestinâ„¢, but you’ll need to talk with your doctor to find out if it can help you.

Periodontal disease is very common, and affects an estimated 50 million Americans at any given time. Recent studies have suggested a link between periodontal disease and other health complications, such as diabetes, heart disease, stroke, and others.

Periodontal disease is treated using an effective protocol of drugs like Arestin. Scaling and root planning (SRP) is a procedure used to remove plaque buildup and bacteria from infected areas around your teeth. Arestinâ„¢ is a highly specific antibiotic that is easily place in the gums around the teeth to treat periodontal disease and help promote healing after SRP.

Arestinâ„¢ is a small amount of powder that is administered quickly, easily and painlessly. Application is comfortable, and no bandages are required, and best of all, it won’t leak, fall out or even be noticed by the patient.

Bear in mind that Arestinâ„¢ is indicated as an assist to scaling and root planning for reduction of pocket depth in patients with adult periodontitis, so it may not be for everyone. The most common side effects include headache, infection, flu syndrome and general pain, though all of these are very uncommon. Arestinâ„¢ contains monocyline, though, so it should not be used in children or in pregnant or nursing women.

This technology didn’t exist even a few short years ago, and now it does, and it can improve your outcome by a small margin or all the way up to a factor of ten, depending on your medical history. Imagine having a procedure performed at little risk, but a single application can reduce your risks anywhere from 5% to 95%, depending upon your circumstance. This is what medical technology has been busy doing these past twenty years when the laymen weren’t paying attention, and I have to say, it’s pretty spectacular all around.




May 2, 2008

You Can Have Straight Teeth without Braces with Invisalign

Braces can be uncomfortable and even embarrassing, and in some lines of work, it can be impossible to take the years needed to wear the braces and still do your job. If your smile is who you are, and you just can’t bear the thought of having that “braces smile,” you can still have straight teeth thanks to the revolutionary innovations of Invisalign.

Invisalign is invisible, removable, comfortable and convenient. Using 3D computer technology, Invisalign translates your dentist’s instructions into a series of nearly undetectable aligners. You then wear each aligner for about two weeks, removing them only to eat and brush your teeth, and they will gradually move your teeth until you’ve achieved the desired results. Think of it like a space age retainer, but without the hassle, inconvenience and slurred speech so commonly associated with the use of a retainer. Whether you have crowding or spacing, this can be an effective method of straightening teeth in teens and adults. It averages only 12 months from start to finish but varies depending on the severity of the case. 

Best of all, if your insurance covers braces, it will typically cover Invisalign to the same extent. If you’ve always wanted that straight-teeth smile but can’t have the stigma of braces or a retainer, there is finally an alternative to match even the most demanding of lifestyle.

We’re often asked if people really don’t notice when they’re being worn, and our answer is always the same. Most staff members at Dental Care Design have used this treatment system, and nobody has ever noticed it. One of our staff members was asked how discreet it is while she was wearing it! If you’re interested in Invisalign and want to learn more about cost, coverage, duration of treatment and whether or not you’re a candidate, set an appointment today and we’ll waive the cost of the initial consultation. Nothing to lose and everything to gain sounds like a pretty good prognosis to me.




April 18, 2008

Tooth Decay and the Benefits of Fluoride

Fluoride has been fairly widespread for more than 50 years, so it’s almost certain you’ve heard of it, even if you’re unsure what it does or how it works. Fluoride is a derived form of a naturally occurring element. It occurs both in both natural and synthesized forms, in medical treatments and public water supplies, and is widely accepted for its ability to harden tooth enamel, effectively increasing resistance to cavities.

Tooth enamel is hard, yet porous. Think of it like an eggshell. Substances can still seep through that protective outer coating no matter how hard it may feel to the touch. Plaque on the surface of your teeth can produce acids that seep into the pores of the enamel and break down its internal structure. This process is called demineralization and can create a weak spot on the surface of the tooth that may become a cavity if left untreated.

The Role of Fluoride: Fluoride helps prevent tooth decay by slowing the breakdown of enamel over time and also by accelerating the remineralization process. The new enamel crystals that form after fluoride treatments are harder, larger and significantly more resistant to acids that cause decay.

Common Sources of Fluoride: Common sources of the beneficial, enamel hardening, decay preventing fluoride include public tap water, almost every brand of toothpaste, and mouth rinse. Inform your dentist if your drinking water is not fluoridated. He or she may recommend that you use higher concentrations of fluoride gels, mouth rinses, drops or tablets. To help strengthen weak spots and exposed roots and to prevent the early stages of tooth decay, you should always brush regularly with fluoridated toothpaste. In one study alone*, conducted using Crest Cavity Protection toothpaste as an example, patients using it developed 41% fewer cavities than patients using a toothpaste without fluoride. Daily brushing, as well as regular flossing and periodic, scheduled professional cleanings, will help prevent cavities and preserve your total oral health.

* Study conducted was “Jansen ME, Kohout F. The effect or a fluoride dentrifice on root and coronal carries in an older adult population. J Am Dent Assoc. 1988:117:829-832




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