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BUSH TELEGRAPH

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Removal of the biofilm is the cornerstone of<br />

good oral hygiene. Sonic toothbrushes are<br />

very effective at breaking down the biofilm<br />

due to inertia from the ultrasonic waves. It is<br />

essential to brush the cheeks, gums, palate<br />

and tongue with a manual ultra soft brush<br />

to remove the dead cells after using a sonic<br />

brush<br />

Chemically<br />

A lot of research has been done to improve<br />

toothpastes. Additives in toothpaste are<br />

greatly assisting in oral hygiene protection.<br />

The acid in plaque can be neutralized by<br />

Arginine, whereas Flurinol remineralises<br />

decalcified areas of enamel and can stay in<br />

the mouth for up to 6 hours. Sodium fluoride<br />

also helps in strengthening remineralizing<br />

enamel and provides Fluoride in the diet.<br />

Chlorhexidine and Stannous chloride kill<br />

bacteria, whilst Sodium hexamethaphosphate<br />

prevents calculus(tartar) formation. Strontium<br />

and Potassium nitrate desensitizes sensitive<br />

teeth.<br />

Selecting an appropriate toothpaste can<br />

assist in special applications to address a<br />

specific dental problem. A good allrounder<br />

would contain Arginine and Fluorinol or<br />

Stannous fluoride. Smokers or those prone<br />

to tartar build-up may select a Sodium<br />

hexamethaphosphate containing paste<br />

whereas those suffering from sensitive teeth<br />

would select a Strontium or Potassium nitrate<br />

containing toothpaste. After oral surgery or in<br />

patients suffering from periodontal disease<br />

toothpastes or mouthwashes containing<br />

Chlorhexidine or Stannous Chloride would be<br />

prescribed.<br />

sticks to the tooth at the junction of crown<br />

and root forming a 3 mm crevice of gum<br />

around each healthy tooth. This is where<br />

bacteria tend to accumulate. The bacteria<br />

can be removed from there by brushing at a<br />

45 degree angle into the crevice. Brush into<br />

the gums. The gums will not recede. Leaving<br />

bacteria in the sulcus causes recession, decay<br />

and gum(periodontal) disease!<br />

Flossing<br />

Each tooth has 5 surfaces to clean.<br />

Buccal(outside), lingual(inside), occlusal(top)<br />

and 2 interproximal(in between) surfaces.<br />

By not flossing, 2 surfaces are not cleaned.<br />

Flossing tape works more effectively as there<br />

is a broader surface to contact the tooth.<br />

Recently more sophisticated types of floss<br />

have been developed to improve cleaning<br />

potential. Flossing will prevent gum disease<br />

and interproximal decay.<br />

Be sure to get your copy of the<br />

Bush Telegraph next month for<br />

Part 2!<br />

Brushing technique<br />

Think of the gum as a poloneck around the<br />

tooth where the head is the tooth. The gum<br />

23

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