Dental Cleaning – What to expect

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Have you every gotten your invoice after your dental cleaning and wonder what the heck it all means? What on earth is prophylaxis… or root planning? What am I paying for?!

Recall/Recare exam

This exam is performed by your dentist – they will check any areas of concern noted by your hygienist, check your oral tissues, look at past x-rays as compared to your current ones, and check any other functional or aesthetic problems you wish to discuss.

Scaling

When using an ultrasonic scaler, a vibrating metal tip on the tool chips tartar off of your teeth above your gum line. Then, a water spray on the scaler washes away the tartar and flushes plaque from the gum pockets. Or, your hygienist will use a manual (not powered) hand scaler and scraping device to remove small remaining pieces of tartar.

Root Planning

Root planing is like tooth scaling except it takes place on the roots of your teeth that sit below your gum line.During root planing, your hygienist will use a tool to gently push aside your gum tissue and expose the surface of the roots. Then uses the same tooth scaling tools to chip tartar from the roots, making them smooth.

Prophy/Prophylaxis

This is what most people call “polishing”. A slow speed dental drill with a rubber cup attachment is dipped in a slightly abrasive polishing paste and used to clean and polish the teeth. It moves in a rotational pattern and feels similar to brushing your teeth.

Fluoride – Varnish/Trays/Rinse

Fluoride varnish: is a liquid form of fluoride that it brushed onto your teeth at the end of your cleaning appointment. It comes in many flavours and is the most effective form of fluoride application. Though you no longer leave the dentist with that squeaky clean feeling, you’re doing your tooth enamel a world of good!

Fluoride Trays: Your hygienist places a thin ribbon of the fluoride gel into each upper and lower fluoride tray. The trays are seated on the upper and lower teeth and remain in place for 5 minutes. Only a small amount of fluoride should come out of the base of the trays when they are placed, otherwise, there may be too much fluoride in the trays. After 5 minutes, they trays are removed and you spit out the remaining fluoride. It is very important not to rinse your mouth, drink or eat for at least 30 minutes after your cleaning.

Fluoride Rinse: While we do not use fluoride rinse as it is proven to be clinically ineffective, it is used much like a mouth wash (such as Lysterine) and swished in the mouth for 30 seconds and spit out.

Bite Wings/Periapical X-Rays

A bite wing x-ray shows the upper and lower back teeth in a single view and is taken to see how the upper and lower teeth line up, to check for decay, and discover bone loss due to infection and serious gum disease. A periapical x-ray shows your entire tooth, from the crown to the root tip. They are particularly useful when diagnosing abscesses and necessary root canal treatment. X-rays are not taken at every cleaning, but we recommend doing them annually or if you are having a particular problem that needs diagnosis.

Panographic X-Ray

A panoramic x-ray is a two-dimensional (2-D) dental x-ray hat captures the entire mouth in a single image, including the teeth, upper and lower jaws, surrounding structures and tissues. It is taken in a special machine that goes around the head and captures images of your entire mouth, face from the nose down, sinuses, and nerves.

Velscope

A velscope is a wireless handheld device that uses natural tissue fluorescence to enhance our ability to detect abnormalities in the mouth that are often invisible to the naked eye. Unlike regular oral cancer screening, which involves visual examination for red, white, or black spots in the mouth, Velscope uses a superior blue light to excite molecules deep within the layer of our oral mucosal tissues, i.e. the mucous membrane lining the inside of the mouth. These excited molecules then emit their own light in shades of green, yellow, and red. The Veloscope’s proprietary filter makes fluorescence visualisation possible through blocking the reflected blue light and enhancing the contrast between the normal and abnormal tissue. Basically, Velscope allows dentists to detect dysplastic cells or cells that are just beginning to make their transformation into pre-cancerous cells through abnormal fluorescence patterns.

As always, if you have any questions about you bill, please contact our front desk and we’d be happy to explain all charges.

Travelling Tooth Tips

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The world is opening up again and more and more people are travelling. Here’s how to keep your oral hygiene it’s best while on the road.

1. Schedule a dental appointment before your trip

If you are due for a cleaning and check up, now is the time to get it done. Your annual x-rays will find any problems that need to be sorted out before you leave – the last thing you want is to need emergency dental care on vacation! Have you had a dull or on and off tooth ache you’ve been avoiding? Travelling by air can aggravate it – get it checked before you leave.

2. Clean your travel bags

Most of us just throw our toothbrush into our toiletries bag when travelling. Can you remember the last time you cleaned the inside? Me neither. I know I don’t want my toothbrush bristles rubbing up against my spilled hair gel!

3. Dry it out!

Ideally, you shouldn’t pack your brush into a closed environment where it stays wet. The moisture will help to feed bacteria. Whenever possible, let your toothbrush dry out before it goes into a case or toothbrush holder. Since that’s not always possible, and you may need to pack it away wet, make a habit of unpacking your toothbrush, cleaning it and leaving it in an airy spot as soon as you arrive.

4. Forgot your toothpaste?

It’s easy to get toothpaste from a convenience store, but if you find yourself with a last minute missing toothpaste situation, don’t let that stop you from brushing. Use plain water and clean your teeth as you ordinarily would. Toothpaste is ideal but brushing without it is better than not brushing at all.

5. Can you trust the water?

When you’re used to clean drinking water on tap, you can forget that even brushing your teeth or rinsing your toothbrush with contaminated water could make you ill. Find out about local water quality, and if you need to drink bottled water in the country you’re visiting, be sure to brush your teeth and rinse your toothbrush with bottled water too.

6. Slow down on sugary treats

If you’re on holiday, you’re likely to spoil yourself with foods you don’t usually eat. And if you’re travelling overseas, you’ll be eager to try the local sweet treats and desserts. By all means enjoy your culinary holiday but take good care of your teeth too! Try to stick to one or two sweet treats a day and eat sugar-free gum afterwards to keep bacteria at bay.

Your teeth don’t get a holiday,  so be kind to them while you’re having a good time. A holiday may only last a few days or weeks, but your teeth must last a lot longer than that. Keep up your oral health routine, use these tips for oral health on the go, and have a great time!

Sparkling Water and your teeth

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Is your raging Bubly habit risking your oral health? Any drink with carbonation has a higher acidity level – including your favourite sparkling waters. Some reports have questioned whether sipping sparkling water will weaken your tooth enamel (the hard outer shell of your teeth where cavities first form).

According to available research, carbonated water is generally fine for your teeth—and here’s why. In a study using teeth that were removed as a part of treatment and donated for research, researchers tested to see whether sparkling water would attack tooth enamel more aggressively than regular lab water. The result? The two forms of water were about the same in their effects on tooth enamel. This finding suggests that, even though sparkling water is slightly more acidic than ordinary water, it’s all just water to your teeth.

Sparkling water is far better for your teeth than sugary juices and sodas. In addition, be sure to drink plenty of regular, fluoridated water, too—it’s the best beverage for your teeth. Water with fluoride naturally helps fight cavities, washes away the leftover food cavity-causing bacteria feast on and keeps your mouth from becoming dry (which can put you at a higher risk of cavities).
Be mindful of what’s in your sparkling water. Citrus and other flavoured waters often have higher acid levels that does increase the risk of damage to your enamel. Plan to enjoy these in one sitting or with meals. This way, you aren’t sipping it throughout the day and exposing your teeth over and over again to the slightly higher level of acid it contains.
Sparkling water brands with added sugar can no longer be considered just sparkling water. They are a sugar-sweetened beverage, similar to soda, which can contribute to your risk of developing cavities.

So remember—sparkling or not—water is always the best choice.