If you’ve ever heard your dentist or hygienist talk about “calculus,” they’re not referring to a higher branch of mathematics. The calculus on your teeth is something altogether different.
Calculus, also called tartar, is dental plaque that’s become hardened or “calcified” on tooth surfaces. Plaque begins as soft food particles and bacteria that accumulate on the teeth, and more so if you don’t properly clean your teeth every day. This built-up plaque becomes both home and food source for bacteria that can cause tooth decay or periodontal (gum) disease.
Because of this direct link between plaque and/or calculus and dental disease, we encourage everyone to perform two important oral hygiene tasks every day. The first is to floss between your teeth to remove plaque as you are unable to effectively reach those areas with a toothbrush. Once you loosen all the plaque, the other really important task is a thorough brushing of all of the tooth surfaces to remove any plaque that may have accumulated since the last brushing. Doing so every day will catch most of the softer plaque before it becomes calcified.
Once it forms, calculus is impossible to remove by brushing and flossing alone. That’s why you should have regular cleanings performed by a dental professional. Dentists and hygienists have special tools called scalers that allow them to manually remove plaque and calculus, as well as ultrasonic equipment that can vibrate it loose to be flushed away with water.
In fact, you should undergo dental cleanings at least twice a year (or as often as your dentist recommends) even if you religiously brush and floss daily. Calculus forms so easily that it’s nearly inevitable you’ll accumulate some even if you have an effective hygiene regimen. Your dental team can remove hardened deposits of calculus that may have gotten past your own hygiene efforts.
If you haven’t been consistently practicing this kind of daily hygiene, see your dentist to get a fresh start. Not only will they be able to check for any emerging problems, they can clean your teeth of any plaque and calculus buildup so that you’ll be able to start with a “clean” slate.
Calculus can be tenacious, but it not impossible to remove. Don’t let it set you up for an unhealthy experience with your teeth and gums.
For best results in cleaning your teeth of disease-causing plaque you need both the power of brushing open teeth surfaces and flossing in between them. But you may be wondering: should you perform one task before the other?
In general terms, no—there’s no solid evidence that flossing is better before brushing, or vice-versa. But that being said we do recognize each way has its own advantages.
If you floss before brushing, it’s possible you could loosen plaque that can then be easily brushed away when you perform your second hygiene task. Flossing first can also reveal areas that need a bit more attention from brushing if you suddenly encounter heavy particle debris or you notice a little bit of blood on the floss. And, by flossing first you may be able to clear away plaque from your tooth enamel so that it can more readily absorb the fluoride in toothpaste.
One last thing about flossing first: if it’s your least favorite task of the two and you’re of the “Do the Unpleasant Thing First” philosophy, you may want to perform it before brushing. You’re less likely to skip it if you’ve already brushed.
On the other hand, flossing first could get you into the middle of a lot sticky plaque that can gum up your floss. Brushing first removes a good portion of plaque, which can then make flossing a little easier. With the bulk of the plaque gone by the time you floss, you’ll not only avoid a sticky mess on your floss you’ll also have less chance of simply moving the plaque around with the floss if there’s a large mass of it present.
It really comes down to which way you prefer. So, brush first, floss last or vice-versa—but do perform both tasks. The one-two punch of these important hygiene habits will greatly increase your chances for maintaining a healthy mouth.
Mayim Bialik has spent a good part of her life in front of TV cameras: first as the child star of the hit comedy series Blossom, and more recently as Sheldon Cooper’s love interest — a nerdy neuroscientist — on The Big Bang Theory. (In between, she actually earned a PhD in neuroscience from UCLA…but that’s another story.) As a child, Bialik had a serious overbite — but with all her time on camera, braces were just not an option.
“I never had braces,” she recently told Dear Doctor – Dentistry & Oral Health magazine. “I was on TV at the time, and there weren’t a lot of creative solutions for kids who were on TV.” Instead, her orthodontist managed to straighten her teeth using retainers and headgear worn only at night.
Today, there are several virtually invisible options available to fix orthodontic issues — and you don’t have to be a child star to take advantage of them. In fact, both children and adults can benefit from these unobtrusive appliances.
Tooth colored braces are just like traditional metal braces, with one big difference: The brackets attached to teeth are made from a ceramic material that blends in with the natural color of teeth. All that’s visible is the thin archwire that runs horizontally across the teeth — and from a distance it’s hard to notice. Celebs like Tom Cruise and Faith Hill opted for this type of appliance.
Clear aligners are custom-made plastic trays that fit over the teeth. Each one, worn for about two weeks, moves the teeth just a bit; after several months, you’ll see a big change for the better in your smile. Best of all, clear aligners are virtually impossible to notice while you’re wearing them — which you’ll need to do for 22 hours each day. But you can remove them to eat, or for special occasions. Zac Efron and Katherine Heigl, among others, chose to wear clear aligners.
Lingual braces really are invisible. That’s because they go behind your teeth (on the tongue side), where they can’t be seen; otherwise they are similar to traditional metal braces. Lingual braces are placed on teeth differently, and wearing them often takes some getting used to at first. But those trade-offs are worth it for plenty of people. Which celebs wore lingual braces? Rumor has it that the list includes some top models, a well-known pop singer, and at least one British royal.
So what’s the best way to straighten your teeth and keep the orthodontic appliances unnoticeable? Just ask us! We’d be happy to help you choose the option that’s just right for you. You’ll get an individualized evaluation, a solution that fits your lifestyle — and a great-looking smile!
For more information about hard-to-see (or truly invisible) orthodontics, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Orthodontics for the Older Adult” and “Clear Aligners for Teenagers.”
When you’re posting a profile photo on LinkedIn, Facebook, Match.com and other social media sites, which shot is likely to make the best impression in terms of “likeability,” “competence” and “influence”? One in which you’re smiling and showing some teeth, for starters, according to PhotoFeeler.com, a crowdsourcing website that helps people evaluate their head shots. If something about your teeth is holding you back from parting your lips when you smile for the camera, here are some tried-and-true options for doing something about it!
Picture-Perfect Color, Shape and Alignment
Improving the color of your teeth may be as easy as getting regular professional cleanings, which are necessary for removal of calculus — dark-yellow hardened buildup of bacterial plaque — and can polish out superficial staining caused by certain beverages and foods.
Actually changing the color of your teeth entails whitening/bleaching. Professional whitening achieves the fastest results because it uses the highest concentration of peroxide solution and custom-fitted trays. In-home whitening kits take longer to work but are less expensive. Results last anywhere from six months to two years.
For permanent whitening results, consider veneers or crowns. In addition to changing tooth color, they can also alter tooth shape, hide wear and even minimize gaps between teeth. Veneers are affixed to the front of teeth, while crowns cover the entire tooth.
Teeth that are chipped, cracked or have noticeable areas of decay, can be restored with bonding, in which a composite resin material is applied that is colored to match your natural teeth.
You can straighten misaligned teeth and no one even has to know you’re doing it. Barely visible and entirely invisible orthodontic appliances include clear braces, lingual braces (attached to the tongue-facing side of teeth) and clear aligners, which are removable for tooth brushing/flossing, cleaning the appliance, eating, and special occasions.
If you would like more information about enhancing your smile, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Beautiful Smiles by Design.”
Gastroesophageal reflux disease (GERD) is a digestive disorder that can lead to a number of serious health problems. One of them, tooth erosion, could ruin your dental health.
Your stomach uses strong acids to break down food during digestion. A ring of muscle just above the stomach called the esophageal sphincter works as a one-way valve to allow food contents into the stomach but prevent acid from traveling back up through the esophagus.
GERD occurs when the esophageal sphincter weakens and starts allowing acid into the esophagus and potentially the mouth. The acid wash can eventually damage the esophageal lining, causing pain, heartburn, ulcers or even pre-cancerous cells.
Acid coming up in the mouth can cause the mouth’s normally neutral pH to slide into the acidic range. Eventually, these high acid levels soften and erode tooth enamel, increasing the risk of decay and tooth loss.
Accelerated erosion is often a sign of GERD—in fact, dentists may sound the first warning that a patient has a gastrointestinal problem. Unfortunately, a lot of damage could have already occurred, so it’s important to take steps to protect your teeth.
If you’ve been diagnosed with GERD, be sure to maintain good oral hygiene practices like brushing or flossing, especially using fluoride toothpaste to strengthen enamel. But try not to brush right after you eat or during a GERD episode: your teeth can be in a softened condition and you may actually brush away tiny particles of mineral. Instead, wait about an hour after eating or after symptoms die down.
In the meantime, try to stimulate saliva production for better acid neutralization by chewing xylitol gum or using a saliva booster. You can also lower mouth acid by rinsing with a cup of water with a half teaspoon of baking soda dissolved in or chewing on an antacid tablet.
You can also minimize GERD symptoms with medication, as well as avoiding alcohol, caffeine or spicy and acidic foods. Try eating smaller meals, finishing at least three hours before bedtime, and avoid lying down immediately after eating. Quitting smoking and losing weight may also minimize GERD symptoms.
GERD definitely has the potential to harm your teeth. But keeping the condition under control will minimize that threat and benefit your health overall.
If you would like more information on the effects of GERD on dental health, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “GERD and Oral Health.”
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