oral hygiene

Can a Water Pick replace Flossing?

March 14th, 2017

Dr.Hughes and the team at Lakewood Park Orthodontics know that keeping your teeth clean during orthodontic treatment can be a difficult task –especially when it comes to flossing. Weaving floss behind wires and brackets can be a challenge. This leads many of our patients to ask about the benefits of a water pick and whether or not it could replace flossing.

Some of our patients use a water pick to flush out food and bacteria stuck between their teeth and brackets. The water pick can reach places where floss simply cannot. Water picks are gentle on braces and on gums. They are less likely to cause bleeding for people with sensitive gums. People suffering from gum disease will find water picks effective in their ability to flush out bacteria from inside deep pockets.
Water picks have many benefits, but they are not an effective substitute for flossing. Water picks are not able to remove plaque from the teeth the way floss can. Water picks can rinse some of the sticky bacteria away but floss actually scrapes the bacteria off of the teeth. Although water picks are not a good enough tool on their own they can be used in combination with flossing and brushing to keep your pearly whites clean and healthy.

If you have any questions or concerns about water picks or your oral hygiene routine we encourage you to ask below or call our office.

February is National Children’s Dental Health Month

February 21st, 2016

Each February the American Dental Association (ADA) sponsors National Children’s Dental Health Month to raise awareness about the importance of oral health.
Why is attention to children’s dental health important?

Tooth decay is the most common chronic disease in children, despite the fact that it’s almost entirely preventable. More that 40 percent of children ages 2 to 11 have had a cavity in their primary (baby) teeth, and more than two-thirds of 16 to 19-year-olds have had a cavity in their permanent teeth.

Developing good habits at an early age and scheduling regular dental visits helps children get a good start on a lifetime of healthy teeth and gums. Good oral hygiene practices such as thorough brushing with fluoride toothpaste can help keep children from getting cavities.

Make sure to brush two times a day for two minutes (that’s 4 times a day for those of you with braces), floss once a day and see your dentist every 6 months.
Lakewood Park Orthodontics is promoting children’s dental health

As an active member of the ADA, Dr. Hughes strongly supports this effort! She will be headed out to local Natick Schools this month to hand out toothbrushes, dental information and give fun classroom presentations on dental health.

Can Braces Cause Staining of the Teeth?

July 10th, 2014


The day that braces come off is a day greatly anticipated by all orthodontic patients and orthodontists alike. It’s the day when both patient and doctor get to see the results of all of their hard work. Nothing can ruin this day quicker than discovering white spot lesions on the teeth.
White spot lesions, also called decalcifications and demineralizations, appear as white, chalky marks on the teeth. They are caused by dental plaque when acids created by the plaque remove minerals from the tooth surface changing the way the surface reflects light. The most common area for white spot lesions is between the gums and the brackets where brushing is most difficult. Many times white spots develop under swollen gum tissue making their detection difficult until after the braces are removed and swelling subsides. University studies have found that white spot lesions occur in 24% of adolescents who have never had braces. This number jumps to as high as 50% in teenagers with braces! Although braces DO NOT cause white spots on the teeth, they do complicate the removal of the plaque.
In order to prevent white spot lesions great oral hygiene is necessary, especially during orthodontic treatment. Removing plaque is the only sure way to prevent these stains. At Lakewood Park Orthodontics we begin oral hygiene coaching at the very first appointment. At the new patient consultation our treatment coordinator explains the importance of removing plaque and shows a video of how white spot lesions are formed. She describes which foods and drinks need to be avoided and encourages the use of a fluoridated toothpaste in order to harden the enamel surface. She also recommends using an electric toothbrush. By the end of the consultation both patients and parents know that white spot lesions are a possibility and how to prevent them.
When the braces are put on, our assistants go through proper brushing and flossing techniques with each patient. Patients are told to brush five times a day for two minutes and to floss once each day. During treatment, our assistants and Doctor Hughes reward good brushers with wooden nickels and give additional instruction to patients who are struggling. When they notice that oral hygiene needs to be improved they point it out to the patient and family immediately. Dr. Hughes has even removed braces early from some patients with severe problems.
If you have white spot lesion on your teeth when your braces come off, it’s reassuring to know that all white spots improve a little over time. Experts advise AGAINST applying extra fluoride during the first six months as it may seal the surface of the lesion and prevent remineralization below the surface. After six months, low concentration over-the-counter fluoride rinses can be applied. Remineralization pastes (like MI Paste) can also be used to repair the tooth. Bleaching has been shown to lighten the enamel surrounding white spot lesions. White spots then blend in better and actually improve as the effects of the bleaching wear off. For more severe problems, your dentist may perform microabrasion (removing superficial white spots), cosmetic bonding (replacing damaged enamel), or place porcelain veneers (covering badly damaged surfaces).
Since white spot lesions are caused by plaque the best prevention is keeping your teeth clean by practicing proper oral hygiene techniques. If you would like additional oral hygiene instruction ask Dr. Hughes or our assistants at your next appointment.
References:
Jorgensen Orthodontics http://www.gregjorgensen.com/blog/2013/08/do-orthodontic-braces-cause-white-spots-on-teeth/#sthash.rnKxgG5n.dpuf
Ora Media Dental Self-sufficiency http://mizar5.com/demin.htm

The 'Rule of 5's' Designed to Help Patient With Braces

March 27th, 2014

Dr. Chavez, a colleague of Dr. Hughes, has developed an easy to remember formula to help orthodontic patients remember important information about maintaining good oral hygiene. He calls it the ‘Rule of 5’s’. Dr. Hughes would like to share this clever mnemonic (memory) device with her orthodontic patients.
The ‘Rule of 5’s’
1. There are 5 places to brush: (1) Where the teeth meet the gum lines, In toward the gums; (2) under the wire; (3) on top of the wire; (4) on top of the teeth; (5) in back of the teeth
2.There are 5 times during the day to brush: after breakfast, after lunch or after school, after dinner, after snacks and before bed.
3. Spend 5 minutes brushing each time.
4. At the end of the day, spend an additional 5 minutes to floss and use fluoride rinse.

Why is attention to children’s dental health important?

February 21st, 2014

Tooth decay is the most common chronic disease in children, despite the fact that it’s almost entirely preventable. More that 40 percent of children ages 2 to 11 have had a cavity in their primary (baby) teeth, and more than two-thirds of 16 to 19-year-olds have had a cavity in their permanent teeth.
Developing good habits at an early age and scheduling regular dental visits helps children get a good start on a lifetime of healthy teeth and gums. Good oral hygiene practices such as thorough brushing with fluoride toothpaste can help keep children from getting cavities.
Make sure to brush two times a day for two minutes (that’s 4 times a day for those of you with braces), floss once a day and see your dentist every 6 months.

Electric Toothbrush

August 2nd, 2013

Keeping your teeth sparkling clean with braces is not easy! At Lakewood Park Orthodontics, we stress the importance of excellent brushing habits and agree with the recent studies done by the American Journal of Orthodontics and Dentofacial Orthopedics that electronic toothbrushes (particularly the Oral-B Professional Healthy Clean + Floss Action Electric Toothbrush with SmartGuide) do a better job than regular toothbrushes. They are expensive at stores, but you get a discount of 40% by buying through your dentist or orthodontist. Next time you are in the office, just ask any of the staff members for more information.

Here's some more information about electric toothbrushes in case you are considering purchasing one. In any case....just keep brushing!

Features of A Power Toothbrush: Simply stated, rechargeable electric toothbrushes (or “power” toothbrushes) provide superior plaque removal to regular manual toothbrushes. And because they provide the brushing action for you, many people find using power toothbrushes easier than using regular manual ones. Additionally, with so many different types and features available, it’s easy to find one that suits your specific oral health needs.

Superior Plaque Removal: According to a 2005 independent study, “Brushes that worked with a rotation oscillation action removed more plaque and reduced gingivitis more effectively than manual brushes in the short and long-term...

Ease of Use: Whereas you have to move a regular manual toothbrush back and forth along your teeth, power toothbrushes provide the cleaning action for you. That means you need only guide it along the surfaces of your teeth. Once they get the hang of it, many people find this method of brushing easier. Likewise, people with arthritis or other similar conditions may find using a power toothbrush less painful. Power toothbrushes may also help kids brush their teeth more effectively, but sure to check the age recommendations on an electric toothbrush before letting your child use it.

Technology and Features: Generally rich in technology and features, some power toothbrushes can even enable you to improve your brushing habits. And most come with convenient features like a brush head or toothbrush holder, bathroom-counter storage units and travel toothbrush chargers. Hi-tech features may include:

•Numerous brushing modes specialized for sensitive teeth, whitening benefits or gum-massaging action

•Pressure sensors to signal when you’re brushing too hard

•Timers to help you keep track of how long you’re brushing each quadrant of your mouth

•Digital reminders to replace your brush head

•Oscillating-pulsating and cupping, oscillating-rotating or sonic technology

•Multiple brush head compatibility so you can choose which kind of bristle design you prefer