Why do I need to floss my teeth?

 

Why do I need to floss my teeth? Flossing is effective at removing food, bacteria, and plaque between your teeth and along the gum line where the toothbrush cannot reach. While tooth brushing removes bacteria and food debris on the outside surfaces of the teeth, the toothbrush cannot remove plaque and bacteria that is between the teeth.

BENEFITS OF FLOSSING

• Removes bacteria between the teeth
• Removes food and plaque that can be stuck and caught between your teeth and along the gum line
• Can help improve your breath and decrease likelihood of halitosis, bad breath.  Food and bacteria between the teeth can cause halitosis.
• Helps prevent cavities between your teeth.
• Helps prevent gingivitis (bleeding gums) and periodontitis and the possible need for deep cleaning
• Can help your teeth remain whiter by removing foods that can cause extrinsic stains
• If someone is currently undergoing orthodontics (braces), brackets and bands can act as an annoying food trap.  Flossing will help remove such food and bacteria stuck between the teeth.

 WHAT HAPPENS IF I DON'T FLOSS

• Increased risk of tooth decay
• Increased risk of gingivitis, gum bleeding, and bone disease
• Increased risk of halitosis (bad breath)
• If someone is currently undergoing orthodontics (braces), if one does not floss, this exponentially increases one's risk of gingivitis and tooth decay.

 HOW OFTEN SHOULD I FLOSS?

Studies have shown that daily flossing is efficient at removing bacteria, food, and plaque between the teeth.  Along with twice a day brushing, daily flossing is an effective method at keeping your teeth and gums healthy and vibrant. 

It's debatable whether one should floss before or after tooth brushing, but as long as the flossing is done daily, that's the important thing!

HOW SHOULD I FLOSS?

1. Start with approximately 18-20 inches of fresh new floss each time.  Waxed floss is a good choice as the wax may flossing easier go between the teeth.
2. Wind most of the floss around each of your middle fingers, leaving about an inch of floss in between the middle fingers
3. Hold the floss tightly between the thumb and index finger, and slide it up and down between the teeth gently
4. Very gently curve the floss at the end base of the tooth.  Make sure the floss gets underneath the gums.  Try not to force the floss down as this may injure or bruise the gums.
5. Use clean sections of the floss as you move tooth to tooth.
6. When done flossing, dispose of the floss and wash your hands with water and soap.
7. Repeat steps 1-6 daily.

If you have any questions about the importance of flossing your teeth, be sure to ask your dental hygienist and dentist.

Warm  Regards,

Peter Chien, DMD, MPH
www.bellevuefamilydentistry.com
425-615-1600

Signs Teeth Need a Dental Cleaning

Bleeding Gums

So it's been a little while since you or your kid had your teeth cleaned.  Do the teeth appear more "yellow?"  Are the gums feeling itchy?  Do your gums bleed when brushing?  You may be wondering what's going on with your teeth and gums.  Today we'll discuss some of the common signs you may benefit from a dental cleaning.

BLEEDING GUMS

If you notice your gums bleed when brushing, it may be a sign of gingivitis or periodontitis.  If it's due to gingivitis (gum inflammation), then sometimes a simple course of oral hygiene instructions and regular dental cleanings (usually every 6 months) would help reduce gingival bleeding when brushing.

If bleeding gums are due to periodontitis, you may have hardened plaque and buildup beneath your gumline.  If such is the case, you may benefit from a deep cleaning, where the hygienist or dentist would generally apply local anesthetic.  They would then scale and clean areas beneath the gum line to remove hardened plaque deposits (calculus) that may be causing the gums to bleed and also subsequent bone loss. 

If you notice your gums bleed when you floss, the same treatment apply above as with bleeding gums.  Patients sometime will let me know their gums bleed when they floss, and they stop flossing as a result.  My recommendation would be to continue flossing on a daily basis, along with twice a day brushing.  Gums that bleed when one flosses is the body's sign that the gums are irritated by bacteria and/or hardened plaque.  By continuously flossing this allows repetitive bacterial removal, and eventually the bleeding will stop.

BLEEDING GUMS MAY ALSO BE A SIGN OF OTHER SYSTEMIC FACTORS.

Such factors may include:

• Scurvy (lack of vitamin C)
• Pregnancy
• Leukemia
• Brushing and/or flossing excessively hard
• Vitamin K deficiency
• Improper fitting denture
• Systemic infection
• Tooth infection

STAINED TEETH

If you noticed a gradual darkening of your teeth, this is called extrinsic staining.  Oftentimes due to foods and drinks such as coffee, tea, red wine, and blueberries may cause certain parts of the teeth to have dark or grey streaks and spots.

Your dental hygienist or dentist may use a scaler or cavitron to physically debride and remove such stains.  Be advised though if the teeth have been internally grey, such stains are called intrinsic stains and cannot be removed with a dental cleaning.  Such stains may require teeth whitening or possible porcelain veneers depending on the severity of the staining.

BAD BREATH

If you notice you have bad breath, also called halitosis, it may be due to two factors:

• Bacterial buildup on the tongue - Look at the top surface of your tongue and see if you notice a white, grey, or dark coating.  A normal tongue should be bright pink and red.  If such is the case, this dark coating is an abundance of bacteria that usually causes bad breath, and needs to be removed.  I recommend brushing the tongue with a tongue scraper to remove the bacteria.
• Bacterial buildup around and beneath the gums - If you notice a soft white and/or yellow buildup foam/film around the gums, this foam is a buildup of bacteria and remaining food particles.  You may benefit from a re-evaluation of your brushing/flossing habits, along with a possible dental cleaning.

In certain cases a referral to a periodontist (gum specialist) may be required.  If you have any questions on bleeding gums, be sure to consult your family dentist or dental hygienist.

From your gentle family and kids dentist in Bellevue,
Dr. Peter Chien
www.bellevuefamilydentistry.com
(425) 614-1600

Toothbrush, stay away from....

Here's an interesting fact about toothbrushes.  Where do we usually brush our teeth?   Probably in the shower, or in front of the bathroom sink and mirror.  But have you given thought where the toilet is in relation to where you brush?

Did you know that when flushing the toilet, water particles from the toilet can travel airborne up to 6 feet away?  Yup, 6 feet, that's quiet a distance isn't?  It's a given that the toothbrush should be clean and only contain toothpaste and clean water, but what if it contained small particles of.... ok, I won't say it, but you get the idea :)

So next time you brush, you may want to stand a little further away from the toilet :)

From your family Bellevue dentist,
Dr. Peter Chien
www.bellevuefamilydentistry.com
4125-614-1600