There are three types of prophylaxis in medicine: primary prevention – to prevent the onset of disease; Secondary prophylaxis – when maintaining good health and control of a disease; and tertiary – when the same goals are applied to a complication of the disease.
In the field of dentistry, a clear example can be given with the prevention of caries. Primary prophylactic measures include maintaining good oral hygiene; secondary – the treatment of caries and tertiary – treating the complication of caries, such as pulpitis. Apart from being more complicated, secondary and tertiary prophylaxis is also more expensive.
Why do we need to keep strict oral hygiene every day?
Regular and correct cleaning of the teeth ensures a healthy smile for a lifetime.
It has been proven that daily cleaning of the teeth with a thread increases life expectancy by six years.
Prophylaxis of any disease is also more justified from a financial point of view.
What Causes Caries and Gum Problems – Periodontitis?
The cause of dental caries and bleeding gums, as well as periodontitis, is an unclean long plaque on the tooth surface. The plate is made up of millions of bacteria that feed on the food residue in the mouth. Bacteria in the plaque degrade sugars and produce heartburn. They, in turn, degrade the teeth enamel. The result – tooth decay is formed.
Unclean plaque absorbs minerals from the saliva and becomes harder – a tartar is formed. The tooth is like a coral reef in which the bacteria live – they are in constant contact with the gums – it inflates them and they easily bleed.
Plaque formation takes place over a 12-hour interval – so it’s important to brush your teeth twice a day.
Complete mouthwashing is easy, such as “1, 2, 3”
The oral cavity is cleaned by brushing. It is recommended to use a medium to medium soft toothbrush because the soft does not properly remove the plaque and the hard can damage the tooth when applying force.
The brush is fit when its hairs are flat. Then good denture cleaning is provided provided the correct technique is followed.
It is advisable to change the brush every month – hairs have better elasticity at the beginning, which ensures more effective removal of the plaque.
The correct technique of brushing teeth
Grab the brush so that its bundles are at an angle of 45 degrees to the gum line and perform a sweeping movement from the gum to the end of the tooth.
Try to clean all surfaces starting from the upper teeth. Continue to brush the dental surfaces from the outside, then from the inside. Finally, with horizontal movements, also clean the cheek surfaces of the side teeth. Change the brush position for each tooth surface and wash each tooth separately.
Apply the toothbrush bent to reach the surfaces of misplaced teeth. Move slowly, with light, steady and constant pressure. It should not be too strong to bend the bundles at any point in the procedure.
Repeat the same steps for the lower teeth.
About electric toothbrush
The use of electric toothbrushes is becoming increasingly common. Just buying such a brush does not guarantee perfect oral hygiene. Washing should be done with the proper technique, long enough and often enough. For optimum tooth cleaning, we recommend the use of an ultrasonic toothbrush in combination with the correct brushing technique.
Intraoral shower – for periodontitis, bridge constructions and brackets
Patients with periodontitis, bridge structures and braces should use an intraoral shower.
Patients who are treated with braces should pay special attention to dental cleansing.
A special series of toothbrushes adapted for orthodontic patients carrying brackets has been developed. The difference with standard toothbrushes is the brush head design, which allows a quality brushing of the plate from the tooth surface around the bracelets.
Clearing the interdental spaces
About 40% of the tooth surface is in the interdental space. These spaces can not be brushed, regardless of their design or use technique. The fact is that caries develop most often in the interdental spaces. Cleaning the teeth with a thread once a day is essential for maintaining good oral health.
The interdental threads are:
Surfed – easier to use,
Expanding – clean the best,
Thread with holder
Interdental thread cleaning technique
Toss about 35-40 cm from the thread;
Around the pointers or thumbs you need to fix about 4-5 cm of thread to clean;
The rest is wrapped around the middle fingers;
Place the interdental thread in the contact between two teeth;
With saw-moving movements the tooth contact is overcome.
Do not push forcefully!
The thread should be like a loop around the tooth surface you are cleaning
Clean the tooth with a tooth, using a clean piece of thread for each interdental space.
For cleaning around implants, braces and bridge constructions, a special series of Superfloss stitches has been developed, with a plastic nozzle to better adapt to the cleansing areas.
These brushes are suitable for cleaning the interdental spaces, if you have larger teeth distances, wear braces or suffer from periodontitis.
These brushes have different sizes that vary in diameter.
The use of mouth rinsing solutions does not exclude mechanical cleaning of the teeth, but complements it. It has been shown that the use of mouthwash reduces plaque formation and the severity of gingivitis to a significant extent compared to brushing alone. It is desirable not to choose the rinse solution yourself. Let the dentist recommend the most suitable for you.
You can use mouthwash twice a day. The rinsing is done after brushing the teeth for about 30 seconds, the entire solution taken should be separated afterwards.
And the tongue?
An essential part of maintaining complete oral hygiene is cleaning the tongue. Its relief surface predisposes to bacterial retention. This accumulation of microorganisms is one of the causes of bad breath.
To clean the tongue, gadgets are created that work by scraping the surface. There are also combined toothbrushes with a rubber surface designed to clean the tongue.
It is advisable to have the tongue clean in the morning.
Tongue cleaning technique
Rinse mouth with lukewarm water;
The cleansing of the tongue is in the direction from the root to the top;
Do not apply great pressure – greater force does not ensure the removal of more microorganisms.
Put a small amount of paste on the tongue cleaner.
Clean again from root to tip of tongue.