How To Floss

This section is dedicated to the latest information on oral health topics, culled from authoritative sources such as the American Dental Association.

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Heart Disease

Poor dental hygiene can cause a host of problems outside your mouth-including your heart. Medical research has uncovered a definitive link between heart disease and certain kinds of oral infections such as periodontal disease. Some have even suggested that gum disease may be as dangerous as or more dangerous than other factors such as tobacco use. A condition called chronic periodontitis, or persistent gum disease, has been linked to cardiovascular problems by medical researchers.

In short, infections and harmful bacteria in your mouth can spread through the bloodstream to your liver, which produces harmful proteins that can lead to systemic cardiac problems. That's why it is critical to practice good oral hygiene to keep infections at bay-this includes a daily regimen of brushing, flossing and rinsing.


Antibiotic Prophylaxis

In some cases, patients with compromised immune systems or who fear an infection from a dental procedure may take antibiotics before visiting the dentist.

It is possible for bacteria from your mouth to enter your bloodstream during a dental procedure in which tissues are cut or bleeding occurs. A healthy immune system will normally fight such bacteria before they result in an infection. However, certain cardiovascular conditions in patients with weakened hearts could be at risk for an infection or heart muscle inflammation (bacterial endocarditis) resulting from a dental procedure.

Patients with heart conditions (including weakened heart valves) are strongly advised to inform our office before undergoing any dental procedure. The proper antibiotic will prevent any unnecessary complications.


Dentistry Health Care That Works: Tobacco

The American Dental Association has long been a leader in the battle against tobacco-related disease, working to educate the public about the dangers inherent in tobacco use and encouraging dentists to help their patients break the cycle of addiction. The Association has continually strengthened and updated its tobacco policies as new scientific information has become available.

Smoking and Implants

Recent studies have shown that there is a direct link between oral tissue and bones loss and smoking. Tooth loss and edentulism are more common in smokers than in non-smokers. In addition, people who smoke are more likely to develop severe periodontal disease.

The formation of deep mucosal pockets with inflammation of the peri-implant mucosa around dental implants is called peri-implantitis. Smokers treated with dental implants have a greater risk of developing peri-implantitis. This condition can lead to increased resorption of peri-implant bone. If left untreated, peri-implantitis can lead to implant failure. In a recent international study, smokers showed a higher score in bleeding index with greater peri-implant pocket depth and radiographically discernible bone resorption around the implant, particularly in the maxilla.

Many studies have shown that smoking can lead to higher rates of dental implant failure. In general, smoking cessation usually leads to improved periodontal health and a patient’s chance for successful implant acceptance.


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You always brush twice a day, avoid sugary snacks between meals, and go to the dentist regularly. Do you still have to floss your teeth?

Flossing  teeth.The short answer: Yes, at least once a day. Flossing is probably your single most important weapon against plaque, the clingy bacterial biofilm that sticks to the surfaces of your teeth. Plaque is the principal cause of tooth decay; but it is also the cause of periodontitis (gum disease), bad breath, and other maladies. Brushing is a good start — but flossing removes plaque in places a brush can't reach, like the small gaps between teeth and under the gums. It also polishes tooth surfaces and decreases the risk of gum disease.

Some people may think they don't have time to floss, but once you get the hang of it, flossing only takes few minutes. If you are going to floss only once a day, it's best to do it at night just before going to sleep. That's because there is less saliva present in your mouth when you are sleeping, so plaque is more concentrated and potentially more harmful. Just in case you never really learned proper flossing techniques, here's a step by step approach including some easy tips for doing a great job.

Proper Flossing Technique

  • Cut off a piece of floss about 18 inches long. Wind it around the middle finger of both hands leaving a gap of around three or four inches. You will now be able to use different combinations of your thumbs and index fingers to correctly position the floss between your teeth for all areas of your mouth.

    TIP: The most common mistake people make while flossing is that they tighten their lips and cheeks making it impossible to get their fingers into the mouth. Relax your lips and cheeks.

  • Now, guide the floss gently into the space between your teeth.

    TIP: Even if the gap is tight, try not to snap the floss into your gums as you're inserting it. A side-to-side sawing motion is good to use here, but only when slipping the floss gently between the teeth.

  • How to floss your teeth.There are two sides to each space between your teeth and you must floss each side separately so as not to injure the triangle of gum tissue between your teeth. Run the floss up and down the surface of the tooth, making sure you are going down to the gum line and then up to the highest contact point between the teeth. Apply pressure with your fingers away from the gum triangle, letting it curve around the side of the tooth forming the letter “C” with the floss.

    TIP: You want your fingers as close to the front and back of the tooth as possible so both fingers move in harmony up and down until you hear a squeaky clean sound. This is easier with unwaxed floss. The smaller the amount of floss between your fingers, the more control you have flossing.

  • Next, move your fingers to the top contact area between the teeth and slide across to the other side of the space. Apply pressure with your fingers in the opposite direction and repeat.
  • Slide the floss out from between the teeth. If it's frayed or brownish, that's good: you're removing plaque! Unwind a little new floss from the “dispenser” finger, and take up the used floss on the other finger.
  • Repeat the process on the next space between teeth. Work all around the mouth — and don't forget back sides of the last molars.

Variations for Comfort

If you're having trouble with the two-finger method, here's another way to try flossing: Just tie the same amount of floss into a big loop, place all your fingers (but not thumbs) inside the loop, and work it around your teeth with index fingers and thumbs. All the other steps remain the same.

Once you've got the basics down, there are a few different types of flosses you can try, including flavored, waxed, and wider width. Some people find waxed floss slides more easily into tighter gaps between teeth or restorations — but it may not make that satisfying “squeak” as it's cleaning. Others prefer wide floss for cleaning around bridgework. But whichever way works best for you, the important thing is to keep it up!

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