Wednesday, September 06, 2006

Beauty: Getting mouthy

By Emma Pomfret03 September 2006

Whether you've had professional treatments or not, caring for your smile at home is important.

Dr Andrea Ubhi, Dentist of the Year 2005/6 has this advice:
"You need to brush your teeth twice a day morning and night for around three minutes, using a fluoride toothpaste.

"Definitely don't scrub or you will wear the surface of your teeth away, so brush in circles or shuffles, or use an electric toothbrush which will do that for you - you should aim to clear away 100pc of the plaque from your teeth twice a day for best results," she adds.

After brushing, you should clean between your teeth. Dr Ubhi recommends using either dental floss, dental tape, or interdental brushes once or twice a day to ensure that you are removing the maximum amount of food debris and plaque.

"The best way to floss is to get a length of floss or tape and roll it up between your two middle fingers, then use your thumb and your first finger as pincers so that you actually control it really well and don't slip and damage the gums.

"Between those two hands leave about two inches of floss free, pull it to one side and slide it slowly between your teeth, making a C-shape on each side of each tooth," she recommends.
"After flossing you need to be rinsing your teeth and gums with antibacterial mouthwash for around 30 seconds.

"Some clients ask me whether or not they should use alcoholic mouthwash but it really doesn't matter. For me it's about the efficiency of the mouthwash, and it is in contact with the teeth and gums for such a minimal amount of time that I don't think that it's a big deal - certainly not compared to drinking alcohol."

If you suffer from bleeding gums or gingivitis, Ubhi says one of the best treatments is the Chlorhexidine group of mouthwashes, although she warns that they should only be used for short periods of time.

"They can stain your teeth brown so you should only really be using them for a 30-day course, preferably just when your dentist prescribes it."

Common Myths
• Stop flossing if your gums bleed.
"If people start bleeding from their gums they often stop flossing or brushing because they think that it's bad for them," Ubhi says.
"In fact, bleeding gums means that you should actually do it more often, so make sure that your routine is really thorough and the bleeding should stop within a few days."

• Brush your teeth before breakfast.
"Some people say that you should brush your teeth before breakfast to remove any bacteria that has built up overnight but, in my opinion, you're definitely better off brushing them after breakfast to make sure that you remove all of the debris," she advises.

• Brush your teeth straight after eating

"The worst thing that you could do is to brush your teeth straight after eating or drinking something acidic such as citrus fruit or fruit juice, because the acid actually softens the top layer of your teeth and by brushing you are actually scrubbing that bit off.

"Always wait half an hour before brushing so that your teeth have remineralised," she says.

Gum disease
Gum disease is caused by plaque and symptoms include swelling, soreness or infection of the gums and tissues supporting the teeth. If left untreated it can cause teeth to become loose and fall out.

Most people suffer from some form of gum disease, and it is the major cause of tooth loss in adults. However, although it can never be cured, the disease develops very slowly in most people, and it can be slowed down to a rate that should allow you to keep most of your teeth for life.

To prevent and treat gum disease, you need to make sure you remove all the plaque from your teeth every day by brushing, flossing and rinsing with an antiseptic mouthwash.

If you begin to notice blood on your toothbrush when you clean your teeth, you should visit your dentist for a thorough check-up as soon as possible.

September is National Oral Health Month. For further information visit the British Dental Association website, www.bda-dentistry.org.uk

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