The Importance of Dental Care for People with Braces

Braces wearers are more prone to common dental issues like gingivitis, tartar, and demineralization because the hardware in their mouths makes it more difficult to get their teeth completely clean.  This increased vulnerability to dental problems means anyone wearing braces, especially teens, needs to be extra vigilant in their oral hygiene routines.

When Can Kids Start Brushing and Flossing Their Own Teeth?

Before considering when it's time to teach children to brush and floss on their own, let's first review the basics:

The health of your children's teeth and gums is directly linked to their overall well-being. That is why teaching young children, and yes-babies, the importance of taking care of their teeth and gums is extremely important.

Spring Clean Your Dental Hygiene Routine!

With gorgeous spring weather already here and summer on it's way, there is plenty to smile about! Of course it is also that time of year when our minds turn to spring cleaning and new beginnings. Why not start by improving one of your most precious assets?

A New Way to Fight Childhood Tooth Decay

Try to answer this question correctly: What is the most common childhood disease in the U.S.?

• a) childhood obesity 
• b) diabetes 
• c) tooth decay
• d) asthma

Is it ok to skip brushing your teeth once in a while?

I don't really have to brush my teeth twice a day, every day....do I?

Well, we certainly can't control how often our patients actually brush and floss their teeth; however, we can definitely tell them that skipping these tasks (even for a day or two) can have some pretty disgusting results!

Tips on Remembering to Floss Your Teeth

Believe it or not, your dentist isn't trying to annoy you when he or she gets on your case about not flossing your teeth. Flossing is one of the best, easiest and cheapest things they can do to maintain their oral health, yet it's one of those things that very few people actually do on a habitual basis.

Flossing 101

Although we all know that daily flossing should be part of our regular dental hygiene regime, many of us treat it like an afterthought: “Oh, yeah, it’s been a few days since I’ve flossed, better get after it” or “Now, where did I put that new pack of floss?…oh dear, no time, I’ll find it tomorrow.”

According to the American Dental Association, it is necessary to floss at least once a day to maintain optimal oral health. Flossing simply reaches particles of food that settle between the teeth that can be too difficult to reach with normal brushing. When tiny food particles remain between the teeth and nestle into the gum line, plaque, tartar, cavities, and bad breath are inevitable! Did you know that a toothbrush can only effectively clean about 75% of each tooth’s surface? Without flossing, that’s like not brushing the fractional equivalent of 8 entire teeth! Avoid a dental health disaster by following these guidelines for better flossing:

Tools-Waxed or unwaxed floss, plastic flossers or dental picks-it is just a matter of personal preference. Some tools make flossing easier for those who may have trouble using traditional floss, such as small children and older adults. Using any type of floss is certainly better than not flossing at all. However, waxed floss may have more of an edge, due to some that are coated with essential oils and enzymes. Those extras aid in the removal of plaque and food debris.

Individuals with large spaces between the teeth tend to have great results with what’s known as “super floss”. It is specially made to stretch and expand in larger spaces and contract to fit through smaller spaces. Those with dental work, such as braces, find that floss threaders make the job much easier.

Another important tool for flossing is a timer or even a watch-that’s because failing to set aside a little time each day for flossing is a common problem!

The Right Way to Floss-Rushing this important activity and just zipping the floss though a couple of teeth is pointless. If you are not sure of the technique, consult  your dental hygienist for a demonstration. In the meantime, here are the basics:

• Use a length of floss that is 18 to 24 inches long
• Wrap the ends gently around each index finger
• Using the thumb and index finger on each hand, grasp the floss and guide it between each tooth-if that is uncomfortable or difficult, use your middle finger and thumb instead

The Nitty Gritty-Here are some pointers to make flossing even more effective:

Consider the way your teeth are set into your gums-they are side by side in rows and each tooth has 2 sides that can not be accessed with a toothbrush. That’s why you should floss each side of each tooth!

Move the floss up and down the length of each tooth. When you come to the gum line, curve the floss into a “C” shape to reach around the tooth. Be sure to go just under the gum line.

Either rinse the floss as you go or use a fresh section of floss for each tooth. This will prevent the transfer of bacteria and food particles from going tooth to tooth.

Ok, this may sound strange, but every now and then, try sniffing the floss just after you’ve worked it between a tooth. If you notice an unpleasant odor, take it as a clue that something is amiss. It could be that it’s been a while since you flossed, that you missed something before, or it could be a sign of decay. Either way, floss again, rinse, and brush to see if the matter persists. If it does, see your dentist to find out the cause.

Be aware that some teeth, especially those with crowns may be what are known as “food trappers”. Be especially diligent with those and never skip flossing! A great trick for to help get the job done is to tie a knot in the floss.

If you have not been flossing regularly, do not be alarmed if it is slightly painful or if you see a little blood. However, if this persists for more that a week to 10 days, see your dentist to ensure that there are no issues.

It’s easy to make flossing a part of your routine when there’s easy access to floss. Try keeping spare packs of floss or flossing picks in the shower, the car, your briefcase or purse, and gym bag. That way, there will be no excuses!

Having any pain from your teeth or jaw? There's no need to suffer, come see us so we can work on a solution and an end to that pain. Simply call 919-782-0548 to schedule an appointment.

Think Dental Hygiene is Just for Kids?

Many adults regard the practice of brushing and flossing as kids' stuff when, in fact, our teeth can last a lifetime with proper care. As we age, our teeth and gums change and can be affected by a variety of factors, including medications, diet, illness, and injury. Please consider that no matter what your age, daily brushing and flossing is a must. Combine those habits with a healthy diet that's low in sugar, artificial ingredients, and processed foods, and you will have plenty to smile about!

Here are a few reasons why we should always pay proper attention to our dental health:

• Plaque has a tendency to build up more quickly on the teeth of older adults. Left unchecked, it can lead to tooth decay and gum disease.
• Always use a fluoride toothpaste and floss daily because cavities and decay that form on the surface of the teeth are more common as we age.
• Many adults have receding gums, which makes brushing and flossing sometimes painful. When anti-sensitivity toothpastes don't work, it's time to come see us. Sensitivity may be an indication of a more serious condition, such as a cavity or a cracked or fractured tooth.
• Certain medications or medical conditions can cause individuals to have a lack of saliva, which leads to a condition known as dry mouth. If not treated, this lack of moisture can actually damage the teeth. A visit to Dr. Simon Melcher can help patients discover various methods to restore moisture in the mouth, as well as appropriate treatments or medications to help prevent the problems associated with dry mouth.
• Several serious disorders can affect one's dental health. Please contact our office if you are facing illnesses such as arthritis, cancer, diabetes, or heart disease, because they can each impact your dental well-being.
• If you have dentures or bridgework, schedule regular check-ups with your dentist to ensure they are doing their job and being maintained correctly.
• Did you know that anyone over the age of 40 is more at risk for gum disease? Rule it out of your life completely by brushing and flossing regularly, avoiding stress, not smoking, eating healthy foods, and monitoring other serious conditions such as diabetes, cancer, and heart disease. Sticking to those practices can prevent it and even reverse gum disease when it is detected in the early stages.
• Fun toothbrushes and colorful bottles of cavity fighting dental rinses are not just for kids! Treat yourself to a new toothbrush, minty-waxed floss, and even some sugarless gum to liven up your routine and brighten those pearly whites!

We hope these  reasons for maintaining excellent dental health help motivate you to take good care of your teeth.  Please call Dr. Simon Melcher at Implant & General Dentistry to schedule an appointment today: (919) 782-0548

Toothbrush Care and Replacement

Have you ever stopped to think about what happens to the germs that reside in your mouth when you brush? Of course, proper dental care eliminates food particles and bacteria that cause plaque and tooth decay. However, it is highly likely that some of those tiny bits and pieces are transferred to the very tool you use to get rid of them - your toothbrush! That is why taking extra steps to keep your toothbrush hygienic and replace it when it has passed its prime are extremely important steps on the path to a healthy smile.

Please consider the following tips for taking care of one of your most important tools in the fight against tooth decay:

• Never, ever, share a toothbrush with another individual-that means between spouses, siblings, and children.
• After use, take a good look at your toothbrush and rinse it under running water several times. Tiny food particles can become trapped between the bristles and result in a bacteria infested situation-right on your toothbrush!After rinsing, make sure to store toothbrushes, upright so they can air dry. Bacteria and other organisms will grow faster on bristles kept in a closed, damp environment.Never allow the bristles of other toothbrushes to touch one another. Even such light contact can spread germs.
• Whenever a toilet is flushed and the lid is open, microscopic bacteria can become airborne. To prevent contact with your toothbrush, make sure it is kept at least 6 feet away from the toilet.
• As an extra precaution, try disinfecting your toothbrush in a strong dental rinse or mouthwash, such as Listerine. You also can purchase an ADA-approved sanitizer machine, which uses ultraviolet lamps or steam and dry heat to destroy nearly all bacteria and viruses.
• Periodically check the condition of your toothbrush. When the bristles are frayed and worn, they are just not up to the job of maintaining healthy teeth and gums.
• The American Dental Association recommends getting a new toothbrush every 3 to 4 months.

We encourage you to pay attention to your toothbrush and follow these tips to make sure that you stay as healthy as possible.  Contact Implant & General Dentistry in Raleigh NC to schedule an appointment with Dr. Simon Melcher today: (919) 782-0548.

Why Daily Flossing is So Important

Dr. Melcher and his staff of dental hygienists have heard all of the excuses as to why patients don't floss. They range from, "I forget" to "It's a pain" to "I brush really well!"

Regardless of the reason, not flossing is inexcusable, because it is a vital part of maintaining the best dental health possible. The American Dental Association suggests that we floss at least once a day in order to keep teeth and gums healthy and bacteria free. If you think brushing alone is enough think again:

• Simply brushing, even combined with swishing with a dental rinse just can not remove all of the food particles and plaque that collects between the teeth.
• Flossing reaches the nooks and crannies that a toothbrush can not.
• Patients who fail to floss run the risk of allowing plaque to harden into even tougher to remove tartar, which then promotes tooth decay.
• Flossing prevents gum disease and cavities. It also helps condition the gums and keep them healthy and strong.
• Some people have teeth that are "food trappers". When flossing is not routine, food particles remain lodged between the teeth and cause the growth of bacteria and bad breath!

To make flossing a part of your daily routine, experiment with several different types of floss and flossers. There are flavored, waxed, and easy glide nylon dental flosses available. Disposable, plastic flossers are handy to keep in a purse, briefcase, or gym bag. Another product that some patients like is a wooden plaque remover, also known as an interdental cleaner. For teeth that are difficult to get in between, it may be necessary to use "threaders," that allow one to loop the floss and access tight spaces.

If flossing hurts, or your gums bleed, do not be concerned right away. Sometimes it takes a week or two for your gums to toughen up. If pain or discomfort persists beyond two weeks, schedule an appointment with Dr. Melcher.

Just like anything that becomes part of our routine, we may take shortcuts from time to time. However, with flossing, there are tried and true ways to receive the most benefits. That's why even if you have been flossing for years, it is a great idea to have one of our hygienists demonstrate the most effective flossing techniques.

Need more convincing? See our earlier post about The Importance of Flossing.

Remember that flossing is not just for adults. Young children need to learn the importance of flossing as well. A good rule of thumb is to discuss flossing and show them how when youngsters have two teeth that touch. Plastic flossers are usually easier for small children to use and these days come in enticing shapes and colors!

If you have any questions or would like to schedule an appointment, please call our Raleigh office at 919-782-0548.

Dental Hygiene Begins at Home

At the Raleigh, N.C. office of Dr. Simon Melcher - Implants and General Dentistry - we believe that excellent dental care begins at home. Dr. Melcher and his team of experienced dental hygienists, work with each patient on the basic requirements for taking care of their teeth and gums. Our goal in doing so is to ensure that between their regular visits, patients are diligent and confident in establishing their own "at-home" regiment. Please use our handy checklist to make sure that your dental health is the best that it can possibly be!

• Create your dental tool kit - As with any routine task; having the proper tools is essential. Having these items on hand will make it easy to take great care of your teeth and gums:
• Soft-bristled toothbrush-manual or battery-powered*
• Fluoridated toothpaste
• Floss-waxed, nylon, or flavored 
• Dental rinse that contain fluoride
• Tongue scraper
• Egg timer
• * The American Dental Association recommends replacing your toothbrush every 3 to 4 months. Also, rinse well after each use and allow it to air dry to prevent the growth of bacteria
• Brush at least twice a day - It is ideal to brush after every meal and snack. If that is not possible, then brush twice each day and always before bedtime. Make sure to use small, gentle circular strokes to also keep the gums healthy. Pay close attention to the hard to reach spots and take the time to brush back molars, inside the upper and lower rows of teeth, tongue, and inner cheeks.
• Brush for 2 minutes each time - This is why you'll want to have an egg timer in your tool kit!
• Floss - This activity cleans the sides of your teeth and hard to reach places that are impossible for your toothbrush to reach. Flossing also stimulates circulation and conditions the gums. Did you know that each tooth has 5 sides? That is why brushing alone is just not enough.
• Scrape your tongue - Using this simple tool helps keep your breath fresher. Tongue scrapers are especially valuable in reducing bad breath because they enable the user to remove decaying bacteria that produces volatile sulphur compounds or VSCs.
• Rinse and swish - Complete your routine by swishing and rinsing with a fluoridated dental rinse or mouth wash. That adds a little extra oomph and a rinse can reach spots that brushing and flossing missed!
• Keep healthy snacks on hand and avoid sugar - Drinks and snacks loaded with sugar are harmful, cause the buildup of plaque and promote decay. Snack on fresh fruits and veggies and drink water!

Having a spare "tool-kit" to use at school or the office will also help you establish regular good habits.

Our team at Implant and General Dentistry are at your service if you have any questions, concerns, or just need a refresher on how to floss or brush correctly.  Please contact our office to schedule an appointment: 919-782-0548

Preventative Dental Care

Reaching adulthood without ever having any cavities is commendable. However, be aware that dental diligence is vital at any age. In fact, we are at risk of tooth decay our entire lives, even past the formative years. Adults have a new set of factors that can impact dental health, such as coffee and tea consumption, smoking, and certain piercings.

Take the following steps to ensure you'll always have healthy teeth and gums and a beautiful smile.

• Brush at least twice a day with a soft bristle brush and an ADA-approved fluoridated toothpaste. Sonicare brushes and battery-operated ones do a very effective job towards fighting plaque and decay. Make sure to replace your toothbrush every 3 to 4 months.
• Flossing a minimum of once a day will take care of tough to reach places between the teeth where a toothbrush can not. Waxed, flavored flosses are nice to use, leave your mouth feeling fresh, and keep gums healthy. Flossing also helps remove plaque. When left unchecked, plaque can build up, harden and result in tartar. At that point, a professional cleaning will be necessary.
• By adding a dental rinse, tongue scraper, and sugarless gum to your dental hygiene kit, your teeth and gums will benefit greatly. Using a few extras such as these is a nice way to boost the power of regular brushing and flossing.
• Keep a spare set of dental care tools plus a bottle of water with you to make taking care of your teeth a regular habit, even when at work, school, or on the go.
• Come see Dr. Simon Melcher at General & Implant Dentistry regularly. Every six months is recommended and immediately if there are any issues. Get the most from brushing and flossing by having your dental hygienist refresh your memory on the proper techniques.

Preventative care for your teeth saves discomfort, pain, time, and money down the road and is well worth the investment in new toothbrushes, floss, and other dental care tools as well as the time it takes daily to properly use these tools.  We strongly encourage you to take excellent care of your teeth and to come and see us often!  Call today to schedule an appointment: 919-782-0548.

My Gums Bleed When I Brush. What Does It Mean?

If you've noticed some bleeding after you brush or floss your teeth, it's most likely an early sign of gingivitis - a condition that causes your gums to swell due to the accumulation of plaque. Gingivitis is not a serious health risk in and of itself; however, if left untreated, gingivitis can lead to more serious issues like periodontitis and bone loss.

A patient with gingivitis will usually have red, puffy gums, especially after brushing or flossing. Fortunately, proper oral hygiene will usually resolve gingivitis. In other words, if you can improve your dental care routine, you may be able to cure gingivitis on your own, without having to make a trip to the dentist's office. Some patients find that using an antiseptic mouthwash along with proper brushing and flossing helps prevent gingivitis.

It should be noted that not every case of gingivitis is caused by plaque. Sometimes, gingivitis is the result of a specific virus, bacteria or fungus. Other cases may be caused by trauma, reaction to foreign bodies or even genetic factors. If you find that your gingivitis is not going away, even with improved oral hygiene, it may be that your condition is a non-plaque induced gingival disease. Talk to your dentist about the possible causes for your condition and the necessary treatment.

If you're not sure whether you have gingivitis or not, here are a few common symptoms to be mindful of:

• Bright red or purple gums
• Gums are tender, uncomfortable
• Gums are painful to the touch
• Bad breath (halitosis)
• Gums appear puffy and swollen
• Gums have receded

If you have noticed any of the above symptoms, don't hesitate to contact Dr. Melcher. These may not be serious risks to your health at first, but if left untreated it could lead to significant problems in the future. Implant and General Dentistry is open Monday through Friday from 8am to 5pm. Call us at 919-782-0548 or visit us online to schedule an appointment.

Do Water Irrigation Systems Replace the Need for Flossing?

Oral irrigation products like Waterpik systems or water jets can be very useful in removing retained food particles from hard-to-reach areas between your teeth. However, using these systems should not replace your daily flossing routine. These devices help dislodge bits of food that can sometimes get stuck between teeth, but they do not help in removing plaque. Only regular brushing and flossing (along with regular dentist check-ups) can keep plaque buildup at bay and maintain a truly healthy smile.

Of course, if your dentist has recommended you use a water irrigation system for your teeth, you should follow your dentist's advice. These products can be very effective for people whose traditional manual oral hygiene is less than ideal. In some cases, a dentist will recommend an oral irrigation system along with antibacterial solutions to help maintain the health of periodontal patients. Patients who may benefit from oral irrigation the most include those with orthodontic appliances, implants, crown and bridge work, diabetes, or gingivitis.

Like any other self-care dental device, oral irrigation systems are most effective when used on a daily basis - unless your dentist instructs you to do otherwise. These devices should be a complementary action to a patient's daily dental care routine - it should NOT be a substitute for it.

For more information on water irrigation devices for your dental health, talk to Dr. Simon Melcher. He can help you determine if using these devices is right for you and your lifestyle. Contact Implant & General Dentistry at our website or call us at 919-782-0548 to schedule an appointment.

Proper Tooth Brushing Technique

Brushing your teeth is one of the most important daily habits to maintain a healthy smile. Unfortunately, many people don't realize they aren't bushing effectively. Improper brushing can lead to tooth decay, cavities, and expensive dental bills. How frustrating it would be to continue to have dental problems, even though you're brushing regularly!

Here's a quick look at the most effective way to brush your teeth. These recommendations come straight from the American Dental Association (ADA).  You can learn more at MouthHealthy.org.

First, a few tips... Brush twice a day with a soft-bristled toothbrush. Replace your toothbrush every three or four months. (Sooner if the bristles become frayed or bent). Use an ADA-approved fluoride toothpaste. (Or ask your dentist to recommend one for your specific condition).

Now, for the technique... Place your toothbrush at a 45 degree angle to the gums. Move the brush back and forth gently in short, tooth-wide strokes. Be sure to brush the outer surfaces, inner surfaces and chewing surfaces of the teeth. To clean the inner surfaces of your front teeth, tilt the brush vertically and make several up-and-down strokes. Brush your tongue to remove bacteria and keep your breath fresh.

For a helpful visual guide, download the How to Brush PDF from the ADA.

Remember, brushing is only one part of maintaining dental health. Flossing and regular cleanings are also recommended to keep your smile healthy!  Be sure to schedule your next appointment with Dr, Simon Melcher at Implant and General Dentistry: 919-782-0548.

The Importance of Flossing

Brushing and flossing typically go hand-in-hand when it comes to healthy dental habits. Unfortunately, many people neglect to floss, despite regular brushing. While it may not seem like a big deal, The American Dental Association warns that people who avoid the floss will likely have serious dental issues in the future.

Flossing is important because it helps remove plaque from between your teeth. Plaque is that sticky yellowish coating that builds up along the gumline. It's full of nasty bacteria that excrete acidic matter, causing damage to your teeth and gums. If plaque continues to build up and is left untreated, it could lead to gum disease, tooth decay and even tooth loss.

Most toothbrushes cannot effectively clean the areas between your teeth, so even if you're a die-hard brusher, you'll still need the aid of dental floss to clean those hard-to-reach places. This may be a hassle for people who have difficulty handling dental floss, but it is a very worthwhile hassle. If you need some help, your dentist will probably be more than happy to give you a quick lesson on how to floss during your next visit. You can also download a How To Floss PDF from MouthHealthy.org, a website from the ADA.

Remember, flossing is just one part of maintaining oral hygiene. Brushing your teeth after meals (or at least twice a day) and visiting your dentist for regular cleanings are also essential for keeping your smile bright and healthy.

Contact Dr. Simon Melcher at Implant and General Dentistry in Raleigh today to schedule your next routine checkup: 919-782-0548

Tips for Great Dental Hygiene

Dr. Simon Melcher and his staff at Implant and General Dentistry in Raleigh NC promote healthy dental hygiene for their patients of all ages.  The basis for this hygiene is twice-daily brushing and flossing using proper techniques.  Here are some tips for great dental hygiene and even better trips to the dentist:

• Brush two times a day using fluoride toothpaste
• Hold the brush at a slight angle towards the gums when brushing along the gum line
• Brush the tongue and roof of your mouth
• Replace worn toothbrushes often
• In addition to brushing, be sure to clean between the teeth daily using floss
• Floss along each side of every tooth to clean between teeth and under the gumline
• Eat a balanced diet and limit between meal snacks
• Avoid hard or chewy sugary candies that linger in the mouth and may get stuck in the teeth
• Be sure to tell your dentist if something in your mouth does not look or feel right

We invite you to consult with Dr. Melcher to learn about recommended products to get the most out of your daily dental hygiene.  He and his staff can also provide customized cleanings and treatments on the basis of your periodontal (gums and bone) health.

Contact Implant and General Dentistry, your Dentists in Raleigh NC, today: 919-782-0548.