J. Tabacca D.D.S., M.Sc.
Your home care is the most important part of your periodontal treatment. The bacteria that causes periodontal disease is produced by the body and needs to be removed on a daily basis. You must clean your teeth everyday; however, if you don't clean effectively, the disease process will recur. The bacteria is produced, regardless of the types of food you eat. ALthough, certain diets are beneficial, there are no diets that will prevent bacterial formation.
Home care should include:
Brushing should be completed at least once every 24 hour period. Use only a soft bristled toothbrush. The brush should be used at a 45 degree angle where the gum and the teeth meet. Use a small circular motion to loosen the bacteria that is between the gum and the tooth and then with a sweeping motion, brush away the bacteria. Be sure to brush at the gumline on the outside and inside surfaces.
You should floss everyday to reach where the toothbrush does not clean. Wrap the floss around your fingers and gently get the floss between the teeth. With a "c" shape around the tooth, pull the floss tight and scrape from the gumline to the biting edge of the tooth, scraping off any bacteria. Do NOT "saw" back and forth with the floss as it may lacerate the gum tissues.
The floss threader is used to "thread" the floss under bridge work to reach where regular flossing cannot. It is used like a needle and thread.
RUBBER TIP STIMULATOR
It is recommended that the rubber tip stimulator be used on a daily basis to massage the gums. Use the tip to guide the stimulator between the teeth and lay the stimulator on the gums and rub or massage for a few seconds between each area. Be sure to use on the outside and inside surfaces.
Interdental brushes are used to brush in between the teeth, particuarly when there are larger interdental spaces. Use it where it will fit without a wedging affect between the teeth.
END TUFTED BRUSH
The end-tufted brush is used especially in areas of furcations to help clean. Use a circular motion to remove the bacteria.
The red dye is used after brushing to stain the bacteria to see if there are areas that were missed. If red dye is found on the teeth, then you need to go back and brush or floss again to remove the bacteria.
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