dental

Flossing and Brushing the Teeth. Cleanliness is the best weapon against caries and periodontitis. Bacteria and food particles must be removed before the enamel is penetrated. This means thorough brushing regularly each day, preferably after every meal. If it is impossible to brush after every meal, it is helpful to rinse the mouth by swishing water vigorously back and forth between and around the teeth. When the teeth are brushed, food particles that lodge between the teeth should also be removed with dental floss.

The dental floss should be strung tightly between the two index fingers or between the bows of a floss holder. Flossing and brushing should be done in an orderly sequence so that no area is neglected. The usual pattern is beginning at the upper right, progressing to the upper left, and then from the lower left to the lower right. The floss is gently inserted between the teeth and pulled against the surface of one tooth to a point slightly under the tissue of the gum. It is then moved up and down for several strokes. The adjacent tooth is cleaned in the same manner.

The “sulcular” technique for brushing the teeth is so called because the bristles of the brush are worked beneath the free gingival margin and into the space between the tooth and the gum (the sulcus). To accomplish this the bristles are placed at a 45 degree angle to the gum line. Pressure is then used to move the brush back and forth in a circular motion. The brushing is continued around the mouth in the same pattern as the flossing.

A disclosing dye may be used to determine the presence of plaque on the teeth. Flavored mouthwash does not reduce plaque formation and is useful only to moisturize the tissues and improve mouth taste. (See also mouth care.)

Proper Diet. In order to help maintain healthy teeth, the diet should include all the essential elements of good nutrition. Tooth decay can be reduced by limiting the intake of certain forms of sugar, especially the rich or highly concentrated ones such as in candy or rich desserts.

fluoridation is another important means of preventing caries. Many communities whose water is lacking in an adequate natural supply of fluoride add the chemical to their water supply. In communities that do not have fluoridation, dental professionals may add a fluoride solution directly to the teeth or may suggest other means of obtaining fluoride protection.

Correction of Malocclusion. Another factor leading to tooth decay is malocclusion (poor position of the teeth), which results in faulty closure of the jaws and uneven meeting of the teeth. This should be corrected early because it also can lead to inadequate nutrition because of difficulty in chewing, and if it is severe enough to distort the face, it may have psychologic effects.