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Caring for Your Teeth

With proper care, your teeth and gums can stay healthy throughout your life. The healthier your teeth and gums, the less risk you have for tooth decay and gum disease. This handout describes how you can keep your teeth and gums healthy.

Your Teeth

 

An individual tooth consists of an exposed crown and a root, buried in the gum and jaw. The crown is usually at least partly covered by an outer layer of an especially hard substance related to bone called enamel. Beneath the enamel (and sometimes exposed to the surface if the enamel is missing or worn away) is an intermediate layer of material called dentine, which is also similar to bone but is not nearly as hard as enamel. It surrounds an inner pulp cavity filled with pulp (a living, vascular and well innervated tissue). Blood vessels and nerves reach the pulp cavity through a channel, the root canal, that penetrates the root. An additional layer of bony material, cementum, usually surrounds the root.
How can I care for my teeth and gums

There are four basic steps to caring for teeth and gums:

  • Brushing,
  • Flossing,
  • Eating right, and
  • Visiting the dentist.
Tips for Brushing

Brush at least twice a day. If you can, brush after every meal. Brushing removes plaque (plak), a film of bacteria that clings to teeth. When bacteria in plaque come into contact with food, they produce acids. These acids lead to cavities. To brush:

  • Place a pea-sized dab of fluoride toothpaste on the head of the toothbrush. (Use a soft toothbrush.)
  • Place the toothbrush against the teeth at a 45 degree angle.
  • Move the brush across the teeth in a small circular motion. Keep the tips of the bristles against the gum line. Avoid pressing so hard that the bristles lie flat against the teeth. (Only the tips of the toothbrush clean the teeth.) Let the bristles reach into spaces between teeth.
  • Brush the top chewing surfaces of the teeth. Be sure to clean the back teeth.
  • Use the same motions for the inside, back surfaces of the teeth.
  • To clean the inside of the bottom front teeth, angle the head in an up-and-down position toward the bottom inside of the mouth and move the toothbrush in a small circle.
  • For the inside of the top front teeth, angle the brush in an up-and-down position with the tip of the head pointing towards the roof of the mouth. Move the toothbrush in a small circle.
Tips for Flossing

Floss once a day. Flossing gets rid of food and plaque between the teeth, where your toothbrush cannot reach. If plaque stays between teeth, it can harden into tartar, which must be removed by a dentist. To floss:

  • Remove about an 18-inch strip of floss from the dispenser.
  • Wind the floss around the middle fingers of each hand, leaving a 1-inch section open for flossing. Floss the top teeth first, then the bottom.
  • Place the floss in your mouth and use your index fingers to push the floss between the teeth. Be careful not to push too hard and injure the gums.
  • Move the floss up and down against the tooth and up and around the gum line. The floss should form a C-shape around the tooth as you floss.
  • Floss between each tooth as well as behind the back teeth.
  • Use a clean section of floss as needed and take up used floss by winding it around the fingers.
How can I eat right to prevent tooth decay?

You get two sets of teeth in your lifetime? The first set, sometimes called "baby teeth", are replaced by permanent teeth about the time you start first grade.

But, just because you get two sets of teeth doesn't mean you shouldn't take care of the first set! If your baby teeth get rotten (decay), your permanent teeth might grow in crooked.

Sugars and starchy foods produce the most acids in the mouth. The longer these foods stay in the mouth, the more they can damage the teeth. For these reasons, it's best to avoid eating a lot of sugary and starchy foods. Hard sucking candies are especially harmful because they stay in the mouth a long time.

Snacking on sugary foods can lead to tooth decay because most people don't brush after snacks. Starchy snack foods, like potato chips, stick to the teeth. Avoid snacking on:

  • Candies, cookies, cakes and pie
  • Sugary gum
  • Crackers, breadsticks and chips
  • Dried fruits and raisins
What else can I do to protect my teeth?

You can also ask your dentist about dental sealants. Sealant is a material used to coat the top, chewing surfaces of the teeth. This coating protects the tooth from decay and usually lasts a long time.

Visit your dentist at least once every six months. To maintain healthy teeth and gums, it's important to have regular check-ups and professional cleanings. You should also see your dentist if you have pain in your teeth or mouth or bleeding, swollen gums.

How Do Braces Work?
  • Teeth can slowly be moved and shifted into proper position by applying pressure in certain directions. Bands, wires and elastics are placed on the teeth to move them in the right direction. This takes place slowly and carefully over an extended period of time.
  • Shifting teeth back into a functional position can take months to years, but eventually you'll have a new and improved mouth!
  • Retainers are often used after the braces, to hold the teeth in their new position until they are stable.
  • It is important to wear the braces or an appliance for however long it takes. If you quit at any point during treatment, the teeth can shift back into their old position.

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