Showing posts with label brushing. Show all posts
Showing posts with label brushing. Show all posts

Monday, November 14, 2016

Which floss is the best?

People ask me which type of floss is the "best" type of floss. 
Thin Floss
Thick Floss
Waxed......
Unwaxed.......
Floss on a handle
etc.
etc.
etc.

The answer to this is easy. 
The best floss is ........whichever floss you will use. 
The percentage of people who will floss daily is around 40%.
And the number of people who will never floss is around 20%.

So the "type" of floss you use is not nearly as important 
as actually "using" the floss.  Because it really doesn't matter.





Tuesday, December 10, 2013

Ogden Dentist: What is Periodontitis?


Today, we are going to talk about Periodontitis. Most people are unfamiliar with that term. And it's not surprising since its rather technical in nature. Thus, we will back up a little but and discuss some simpler terms that will help us better understand the more difficult condition of periodontitis.

When you floss you have noticed that the floss will disappear underneath the gums slightly as you near the base of the teeth. That is a very good thing. There is supposed to be a 1-3 mm pocket that surround each and every tooth in your mouth. At that depth, the pocket is very cleanable with your toothbrush, mouth wash, and floss. Maintaining this pocket at this healthy depth will ensure that your gums will stay healthy. Trouble is that many people do not brush, rinse, or floss as often as they should. Thus food gets packed into this pocket, does not get removed in a timely manner, and begins to be a breading ground for bacteria.

Once the bacteria begin to reproduce, the gums start to show the effects. Swelling, redness and bleeding are all common signs of gingivitis. Most people have gingivitis to one extent or another. And as long as the bacteria gets cleaned from the pockets within a few weeks nothing much should happen. It is when weeks, months, and even in some cases, years go by without a person seeing the dentist that the real problems begin to manifest themselves.

As the bacteria builds and the gingivitis gets severe enough the jaw bone, that resides just under the gum tissue, begins to also have difficulties. The bone will start to feel the effects of the bacteria overload and begin to dissolve from around the tooth. This unhealthy, and deteriorating bone condition is what is known as Periodontitis. This condition becomes ever more dangerous as the bone moves further away from the chewing surface of the tooth and closer to the end of the root. As the tooth loses bone support, it begins to be more mobile. Thus every time you chew, the tooth begins to move ever so slightly in the bone.

If the periodontal condition is not corrected the bone continues to erode and the tooth gets looser and looser. Eventually, it becomes so loose that it must be extracted from the mouth. Teeth with absolutely no cavities, crowns, root canals, etc. can be deemed unsalvageable and will be lost. That is the saddest moment of a patient with severe periodontitis.

A patient who has done their very best to brush as often as they could but has been unable, or unwilling, to add flossing and regular dental visits to their brushing regime. Moral of the story is that brushing is only one variable in a far more complex equation of overall oral health care. Taking care of the teeth is one thing. But taking care of the gums and bone structure is another entirely. Please floss appropriately and see your dentist on a regular basis.



Below photos are before and after of a person who had not been to the dentist in 5 years. The crap behind their teeth is calculus build up that helped this patient attain sever periodontitis. The other picture is an after picture of when the teeth were cleaned off.




Dr. Jim Ellis, DDS
1220 33rd Street Suite C
Ogden, UT 84403
(801) 783-3490



SOURCE: http://www.bestogdendentist.com/2013/12/periodontitis-ogden/

Monday, June 17, 2013

I think I see a little spot on my tooth. Should I go to the dentist?

If you ever look in your mouth and are able to SEE any color other then the white of your teeth you need to get it looked at.

It may just be stain or last nights dinner. But it could be a sign of something much more.

When a dentist looks at your teeth he/she uses color change as one of the indicators to take a closer look at any particular area.

The pictures below are a case that we did.
The patient came in with a little darkened area on one of his molars.

After we got done getting out all of the decay out he was as close as you would ever want to come to getting a root canal. Once the decay gets down into the tooth you are no longer able to get to it with your toothbrush, floss or mouthwash. The bacteria simply sets up shop in your tooth and start to multiply. The tooth was saved and things should be okay but the patient had to go through a lot more drilling then they bargained for.






Thursday, June 13, 2013

The trouble with braces.

If you are in braces right now, or have a family member that is in
braces right now then this is something you need to read.

One of the biggest problems we see with braces is the
amount of cavities that people have right after the braces are removed.

There are a couple of reasons for this.

#1 Is that braces trap food. 
There are lots of nooks and crannies where food can get trapped
and hide out even without having braces.
Once braces are placed the amount of food that can be trapped can triple.
Residual food hanging around in your mouth will feed cavity causing bacteria.

#2 Its harder to floss.
Trapping food is bad enough. But the fact that its even harder to get the 
food out because flossing is now much harder makes it even worse.

Tomorrow I will discuss some things that can be done about this.
But for now just know that those with braces must be more diligent 
then the average person when it comes to caring for your teeth
when you have braces on. 




Thursday, February 7, 2013

Gum Recession (Before & After)

Two different pictures (before and after) with lots to see.

First of all, we need to discuss gum recession. The tooth on the before picture has simple gum recession. Due to one of several factors (age, gum disease, aggressive brushing, etc.) gums can recede over time. The white enamel of a tooth only goes to the original gum line. As the gums recede, part of the root structure is exposed.

Root structure is a slightly darker color then is the enamel. Root structure is also softer then enamel. Over time the root structure can decay very quickly (as seen on the tooth on the right). Once the decay has happened then, we can place fillings in the tooth as we did in the after picture.

Gum recession can be real problem if left unchecked. Please see your dentist if you think your gums may be receding.

BEFORE
Ogden Dentist BEFORE: Gum Recession

AFTER
Ogden Dentist AFTER: Gum Recession



Dr. Jim Ellis, DDS
1220 33rd Street Suite C
Ogden, UT 84403
(801) 783-3490


SOURCE: http://www.bestogdendentist.com/2013/02/gum-recession/

Thursday, January 10, 2013

Groovy Teeth! (Before & After)

Teeth have several surfaces where cavities can begin to form. Many cavities however, form on the grooves that are located on the biting surfaces of the teeth. These grooves trap food and can be tricky to clean out.

Here is a BEFORE and AFTER picture of a tooth with cavities located in the grooves, and then after the grooves have been cleaned out and a filling placed.

BEFORE: Cavities in the Grooves Ogden Dentist BEFORE: Groovy Tooth


AFTER: Cleaned out Grooves with Dental Filling Ogden Dentist AFTER: Groovy Tooth

Moral of this story being that ...
              when you brush your teeth make sure that you.
Clean out the grooves really well. This will help you avoid unwanted trips to the dentist.


Dr. Jim Ellis, DDS
1220 33rd Street Suite C
Ogden, UT 84403
(801) 783-3490


SOURCE: http://www.bestogdendentist.com/2013/01/groovy-teeth-before-after/

Tuesday, December 11, 2012

Do dentists lay your upside down at the office??

It's funny how there is perception, then there is reality.
The first picture illustrates how most people are positioned
when they are getting work done at the dentist office.

This second picture is how people think they are positioned when they
are having work done at the dental office.


I PROMISE, dentists (at least this dentist) does not
put anyone, even close, to upside down when you
are in the office getting work done.


Thursday, October 25, 2012

Tooth Decay and Pain

Tooth decay normally doesn't hurt. 

Its kind of like your dishwasher blowing a gasket, or something similar.
You think everything is fine and then the next moment there is 
water all over your kitchen floor.

Well the dishwasher didn't go from brand new to breaking down over night.
It took a while and if someone trained in dishwasher repair had been
called out to occasionally check things out then the problem may have 
been caught prior to the disaster.

The problem is that to you, the untrained eye, nothing is 
wrong until things are very wrong.

The picture above is a progression of decay. 
Typically it is not until step 4 that you would feel any major discomfort.
Problem is that steps 1-3 can be fixed with fillings and step 4 is a root canal.

You don't wait till your engine starts smoking to change your oil.
Please don't wait till you are in pain to have your teeth checked.
Lots of time, and discomfort can be avoided this way.



Monday, October 15, 2012

Do I have an abscessed tooth?


When a tooth goes bad it will begin to produce infection.
That infection wants to go somewhere.
In a typical tooth the only way out of the tooth is out the 
end of the tooth into the bone.
Once the infection is in the bone it then wants to find a way out of that.
After making it though the bone it will then try to make its way though the gums.
It is at this point when you will start to see the redness, swelling, and 
drainage that are signs of an abscess. 

Abscess' can come in different forms and in different places.


Here is an abscess at the top of the front tooth.
This one is very red and inflamed. 

Here is an abscess that came out the bottom of the chin.
What you are seeing is a plastic drain that has been inserted to
take away any extra infection.

Here is an abscess at the top of a rear tooth.
This abscess is white and doesn't look very inflamed.




Friday, October 12, 2012

Can this be fixed!?

You bet it can.
This cavity started off looking like a spot on the 
side of tooth that was a little discolored.
It then proceeded to cave in on itself.

Not to worry however.
A simple filling and this patient felt free to smile again.

(Before)

(After)



Thursday, September 27, 2012

Cosmetic Dentistry Magic.

A few more before and after pictures for you today.

This 20 something young lady was pretty scared to try
getting some cosmetic bonding done.

After she got her first look in the mirror however she
couldn't stop saying how great she thought they looked.

Before

After





Thursday, September 20, 2012

Orthodontics can be hard on teeth.

If you are not careful with your dental care while you 
have braces you can end up in a little bit of trouble.

Not only do you need to brush, but you need
to brush even better then normal due to the fact that
your braces will collect food more then your normal teeth will.

This young lady, for instance, had a rough go of her 
home care while she was in braces. 

That combined with a lack of adequate home care after
the braces lead to her having several very large cavities.

There is hope however. 
With a little bit of dental magic we were able to restore
her teeth to a state that allowed her to smile again.

Before


After



Wednesday, September 12, 2012

Dental work is hard with my bad gag reflex.


What is gagging?
Gagging is simply a defense mechanism that your body has to keep you from chocking.
Now this is typically a good thing. No one wants to get something down "the wrong pipe".
This however, can cause problems at the dentist office.
Having a bad gag reflex can make it almost impossible to get certain dental work done.
The picture below will show several items.
The soft palate is what we are interested in for this discussion.
When something touches the soft palate the bodies natural reaction will be
to close your throat off and prevent whatever it is that just touched the
soft palate from continuing down your throat and choking you to death.
Another spot where the gag reflex comes into play is tongue.
This can be a little more problematic then the soft palate gag reflex.
Not much will ever touch your soft palate but your tongue gets touched
all the time as you eat or whenever you go to the dentist.

Not much can be done for the soft palate gag reflex but there is help for the tongue.

Take your tooth brush and find the spot that makes you gag.
Start brushing your tongue at a spot that does not make you gag and
work your way toward that spot. Keep doing that day after day until you
can brush anywhere on your tongue without gagging.

Another trick would be to place a little bit of salt on your tongue, where it
makes you gag, before going to the dentist. That will, hopefully,
distract that spot long enough for you to get done what is you need done.



Thursday, September 6, 2012

My child's tooth just got knocked out! Now what?!


Okay. First of all, as in most traumatic situations.
Do not panic.
Its likely that your child has never gone through this before.
Therefore, they are fairly unaware whether what just happened
to them is simply a minor thing or whether they will soon be in the hospital.
The way they will be able to tell how severe the situation
is is by looking at their parent.
If you are flipping out then they will too.

The first thing to do is to educate yourself BEFORE something like this happens.
It is very important to know when your child's baby teeth will come out naturally.
Here is a chart of, about, when that will happen.
This is important because if the tooth that was just knocked out was about to
come out anyway then there is much less to worry about.
If it's still a year or so away, or you know that its already the permanent tooth
that just got knocked out then there is much more to worry about.



So lets say your child is 8 or 9 years old and it is the adult tooth that just got knocked out.
First thing is to do is obviously check your child for signs of significant injury.
If they hit their face hard enough to knock a tooth out
you need to check for signs of a concussion.
If they seem to be alright except for the tooth then the next step is to find the tooth.
Once the tooth is found treat it very gently.
The tooth is attached to the bone by ligaments.
Parts of those ligaments will still be attached to the tooth and must not be damaged.
First carefully pick off any large pieces of debris.
Secondly the smaller pieces need to be rinsed off.
This is best accomplished by gently rubbing the tooth against the inside of your child's cheek.
This will get all the small particles off and still treat the tooth gently.

Then, are you ready for this..... you need to stick the tooth back in.
That's right, you need to gently place the tooth back into the socket from which it came.
Its pretty simple.
The Skinny part goes in first.
Just simply slide it back into place.
Don't force it. Simply get it as close as you can.
If it wont go or you don't have the stomach for it then place the tooth
into your child's mouth in the bottom jaw in between the cheek and gums.
Holding the tooth there will give it the best chance for survival.
Another idea would be to place it in a glass of milk.
Saliva and milk are the best places for a knocked out tooth.
DON'T place the tooth in a glass of water.
The water will destroy any chance we would have had to
get the tooth to reattach to the body naturally.

Then finally, in all cases, get to a dentist ASAP.
The dentist will know what to do and will give you options depending on the
severity of the accident and the condition of the jaw and tooth.



Tuesday, August 28, 2012

Stop Sipping!!


We see it all the time.
People coming into the office with with their teeth hurting.
I tell them that they have a ton of cavities and they tell me that that is impossible.
Since nothing is impossible I ask them why they think that.
They tell me its because they only drink 1 can of soda pop a day.
I tell them that that's not so bad and that lots of people have a soda at some point during the day.
I then ask them how long it takes them to drink it.
They tell me that they sip on it throughout the day and that it
 takes them about 4 hours to finish off a can.
Here in lies our problem.
Cavities caused by soda happen due to the time that the teeth
 are exposed to the sugar and not the amount of sugar ingested.
If I drank an entire 2 liter of Mountain Dew for breakfast and
 my patient only had 1 can on Mountain Dew but it took him 
4 hours to drink his can, who do you think would be worse off?
If you said the guy drinking the can then you are starting to catch on.
Although my sugar content is higher and I may experience 
more symptoms throughout my body my teeth are much
 better off. I get the sugar in my mouth and then get it out 
and I am done. The person who sips on that one can for hours
 at a time has sugar covering their teeth the whole time they
 are sipping. So less sugar but more tooth exposure.

Moral of the story is DO NOT SIP!



Monday, August 27, 2012

Baby Tooth Root Canal


Children's teeth are similar to adult teeth in many ways.
They can both decay.
And the decay can get large enough that it can effect the nerve of the tooth.
In the case of an adult a tooth with an infected nerve would need a root canal.
In a child's tooth it would called a pulpotomy.
In both cases the nerve in the tooth is removed in order to help the tooth stop hurting.
One of the main differences here is the rate of success between the 2 procedures.

Root canals are, typically, very predictable.
Pulpotomys are much less so.

One reason for this is that the roots of an adult tooth are stable.
They have formed and are not going anywhere.
The roots on a child's tooth are ever changing.
The adult teeth coming in behind them are applying more and more
pressure to the baby teeth in order to force them out of the way so
that they, the permanent teeth, may erupt through the gums.

With this ever changing root structure, and not wanting to possibly damage the
permanent tooth under the baby tooth it is much more difficult to get a
pulpotomy to work then it is a root canal.

The one huge advantage that children have over adults in this
situation is that the baby teeth will fall out and the adult teeth shouldn't.

If a pulpotomy does happen to fail then removing the tooth is always
an option. And we just need to wait for the adult tooth to grow into its place.



Thursday, August 16, 2012

Dentistry in the 80's


It happens all the time.

Someone comes into my office that hasn't been for a long long time. I ask why it is that they have not come for so many years. They reply that they had a bad experience once and that they can't stand the noise of the drill or the feel of the novocaine or something similar to that.

I ask them how long its been and the response comes back that they haven't been in 20 or 30 years.

I then ask them what their cell phone looked like 25 years ago.
After a puzzled look they go on to describe a boxy bulky phone that weighed a ton. I then ask them to describe their personal computer. They go on to talk about floppy disks and commodore 64s.
I then explain that just like in every other area of their life, things move on. Technology advances and things improve. Dentistry of 30 years ago is NOT dentistry of today. I tell them of quieter drills and how we don't use metal fillings anymore and on and on. The real kicker comes in when I tell them that we haven't used novocaine in over 20 years! I don't even know if you can buy the stuff anymore. Even the stuff we use to numb people up with has evolved immensely.

Moral to the story is this. If you have had a bad dental experience in the past. But it was the past of the 80s or even 90s. Please give the dentist another try. Things are so much better now then they have ever been. Technology can be a wonderful thing.

Don't know why I included this one. Just love the 80s hair.