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Q: Is cola really that bad for my teeth?

A: YES. Have you ever used cola to clean pennies? It's easy, just throw some dirty pennies in a container with some cola and let them soak overnight. In the morning, you'll have clean pennies. The phosphoric and carbonic acids in the cola are responsible for the change. These same acids damage dental enamel and the sugar in those same colas promotes dental decay. Cutting back on cola and replacing it with water is a good idea. If you just can't give up cola, try brushing or at least rinsing with water right after drinking. This will help remove acids and sugars that damage your teeth.

I know that dentists and dental hygienists recommend that toothbrushes be discarded every 3 to 4 months or after a cold or illness, but do we really have to just throw them away? Any suggestions of what a man can do with an old toothbrush?

Well, here are some clever ideas on how to put your old toothbrush to use:

Remove dirt and grime from chains, brakes and other difficult to reach parts of a bicycle or motorcycle.
Clean the heads of your car battery.
Remove dirt and debris from hiking or work boots and sneakers.
Clear the hair out of your electric razor.
There are many other uses one can add to this list, so next time you're ready to throw away that old toothbrush, take a look around. It may become a useful cleaning instrument for something else besides your teeth.

Help! My son just fell off his bike and knocked out his front tooth. What should I do?

Timing is critical. Handle the tooth only by the tip (crown) and avoid touching any attached tissue fragments. If possible, reposition the tooth in the socket and hold gently in place or submerge the tooth completely in milk or lukewarm water. Go to your dentist ASAP!

Is flossing really that important?

Flossing is an essential part of the tooth-cleaning process because it removes plaque from between teeth and at the gumline, where periodontal (gum) disease often begins.

Wind 18 inches of floss around the middle fingers of each hand leaving a 2-inch length in between. Use your thumbs to direct floss between the upper teeth. Keep the 2-inch length of floss taut between your fingers. Use your index fingers to guide floss between contacts of the lower teeth. Gently guide floss between the teeth by using a zig-zag motion. DO NOT SNAP FLOSS BETWEEN YOUR TEETH. Contour the floss around the side of the tooth.

Slide floss up and down against the tooth surface and under the gumline. Floss each tooth thoroughly with a clean section of floss. If you find using floss awkward or difficult (and you certainly aren't alone), there are a variety of dental floss holders or interdental cleaning devices that are available, but that's another question.

When do I know if it is time to get a new toothbrush?

When the bristles are splayed in all directions it is time to get a new brush. This usually happens after 3-4 months of regular use. When a toothbrush gets into this condition it is no longer as effective in cleaning teeth, especially along the gumline and in between teeth. After a cold or illness it is wise to change your brush, too

Do mouthwashes work?

Americans spend $850 million a year on mouthwashes, breath mints and sprays (yes folks, I double checked that figure!). The sad thing is that dental professions and consumers are not secure that any products do more than cover up or mask bad breath. In 1992, Consumer Reports reported that rinsing with a mouthwash is effective in controlling bad breath for only 30-60 minutes. Some products also have a very high alcohol level which has been proven to be harmful. (I've treated patients that I thought had a drink before their appointment only to find out I was smelling mouthwash. Or so they say.) So if bad breath is a problem, go see your dentist. The cure may be as simple as learning to brush better. Other causes may be gum disease, tooth decay, post nasal drip or stomach problems and let's not forget cigarettes, etc.

Q: I'm going on a diet. Will what I eat or don't eat affect my teeth??

A: Yes, some diets that are designed to help you lose weight may be low in the minerals and vitamins that are necessary for good dental health. Your teeth and gums can be affected by deficiencies in calcium and vitamin D which are plentiful in dairy products. Be sure not to skimp in that food group

Q: What is baby bottle tooth decay?

A: Baby bottle tooth decay is rampant dental cavities in a baby or a toddler. It can occur when a child is given a bottle filled with milk, formula, or fruit juice at bed time or nap time. Since breast milk contains sugar, decay can also occur when a baby falls asleep while breast feeding. Sugar in the liquid mixes with bacteria plaque on the teeth to form acid, which attacks the enamel. To prevent damage, clean the infant's gums after each feeding using a soft wet cloth. After the teeth erupt, a soft bristled brush and warm water should be used. If the child must have a bedtime bottle for comfort, the bottle should be filled only with water. If a pacifier is used, never dip it in honey or any other sweets, for this sugar can be just as damaging.

Q: Is it okay to give my baby a pacifier?

A: Yes, there's nothing wrong with pacifiers during the first three years of life. In fact, they may be preferable over finger-sucking habits. Babies are comforted by sucking and it may actually strengthen certain mouth muscles. When this happens, the tongue and lips are better able to guide in the baby teeth which will then guide the permanent teeth. Most children will give up their pacifiers by the age of three. On the other hand, those who suck their fingers or thumbs may continue this habit past age five and some until age nine. At these late ages, this habit most likely will lead to orthodontic (braces) problems.

What is pregnancy gingivitis?

Hormonal differences -- increases in estrogen and progesterone -- can affect a woman's gums during pregnancy. Blood flow to the gums is increased causing puffiness and bleeding. Home care is especially important in battling this problem. Twice daily and after meals brushing and regular flossing can help reduce plaque buildup. If morning sickness is present, anti-plaque and fluoride rinses can also be helpful. A healthy diet that includes sources of vitamin C and B12 can also positively influence dental health. VERY IMPORTANT! See your dentist/hygienist during your second trimester to have a dental exam and cleaning.

OLD WIVES TALE: "Lose a tooth with every baby": the fetus draws calcium from the mother's bones, not her teeth.

Tooth Towels
Available at your local drug store: towelettes for your teeth and breath

Use them while traveling, biking, hiking, camping, work, school, anytime you wish you could brush. Soft, strong, textured cloths, moistened with a mint flavored mouthwash, each towelette is individually packaged for easy storage. They are the easy way for the whole family to clean teeth and freshen breath when brushing just isn't possible.

STAND-UP COMEDY
WITH THE HYGIENIST

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