Eggert Family Dentistry Blog

By: Dr. Elizabeth Eggert

Flossing guilt. The phenomenon is real. We know flossing is important for maintaining dental health yet many of us don’t incorporate it into our daily routine. Worse yet? At regular dental checkups, according to the American Association of Periodontology, up to 25% of us stretch the truth about our flossing frequency. (As if it isn’t evident by our swollen gums from our hasty, pre-visit floss!) Let’s cut out the excuses and commit to investing daily in our dental health by taking a look at guidelines for an easy and effective floss and addressing some common questions.

HELPFUL FLOSSING POINTERS
• There are two common types of floss – nylon and monofilament. Nylon floss has a lower price point and comes in waxed and unwaxed varieties and different thicknesses and flavors. Monofilament floss, on the other hand, is a single-strand floss that doesn’t shed or tear and is typically made of plastic or rubber. You will often hear us recommend woven floss as our favorite type of floss. Woven floss is made of multiple fibers twisted together and is a very effective way to pick up significantly more plaque.

• Break off 18-24” of floss and wind it around either your middle or index fingers on both hands and secure it with each thumb.

• Don’t snap the floss into place which can be extremely painful and irritating to your gums. Instead glide the floss back-and-forth between your teeth in a sawing motion.

• As you floss, roll the dirty ends of the floss around your finger to avoid reintroducing the plaque and bacteria you’ve already removed.

• When you insert the floss between your teeth curve the floss into a “c” shape around each tooth and slide it up and down. Be sure to target the left, right and back sides of each tooth.

• Out of sight but certainly not out of mind. The back of your mouth is just as prone to plaque buildup as the rest of your mouth. Remember to floss behind the back side of your back teeth!

A FEW COMMON QUESTIONS

How about those floss forks?
According to the ADA, floss forks are not as effective as strand floss because it is much more difficult to create the C-shape and curve the floss around each tooth. Additionally, they are not environmentally friendly and cost significantly more per use than traditional floss.

When is the best time of day to floss?
The optimal time of day to floss is right before your last brushing of the day. That way your teeth have the maximum amount of time to enjoy their particle-free environment. But, like we have told many of you before, flossing anytime during the day is better than never flossing!

If you are concerned about your smile and want to ensure proper care, Eggert Family Dentistry would love to help! Please don’t hesitate to contact us with any questions you may have!

By Dr. Elizabeth Eggert

Gingivitis – inflammation of the gums – is no laughing matter. Typically caused by a bacterial infection, gingivitis is all-too-common and if left untreated can result in periodontitis and tooth loss and increase the risk of diabetes, heart disease, stroke and lung disease. Fortunately, proper care goes a long way in keeping away this unwanted guest. Here’s everything you need to know to identify, treat and ultimately prevent gingivitis.

HOW DOES IT ALL BEGIN?
Plaque, a thin layer of bacteria, forms on and between your teeth every day. This is why daily brushing and flossing is absolutely imperative. If plaque is allowed to sit on or between the teeth it will harden into tartar, or calculus, which forms a layer of protection for bacteria. With tartar as its accomplice, these bacteria can make their way below the gum line, setting up camp and infecting the gums, causing the condition we know as gingivitis.

SYMPTOMS OF GINGIVITIS
So what kind of havoc exactly does gingivitis wreak? Unfortunately the list is long, some symptoms of which include:

• swollen, tender, discolored or bleeding gums
• bad breath
• sensitive teeth
• pain when chewing
• pus within the gums
• gums that pull away from teeth
• loose teeth

HOW IS GINGIVITIS DIAGNOSED?
Dr. Jeff and Dr. Elizabeth Eggert or one of our wonderful hygienists will measure the depth of any pockets around your teeth with a small ruler. This is a good way to check for inflammation of the gums. A healthy depth is 1-3mm. We will also examine your dental x-rays to look for evidence of bone loss.

TREATMENT
Many methods of treatment exist for healing gums and teeth from the effects of gingivitis. In addition to regular brushing, flossing and mouthwash, deep periodontal cleaning with a process called scaling and root planing is an effective technique for removing tartar and the underlying bacteria that cause this gum disease. We also have the option to introduce laser energy into the gingival pocket, which has been found to be another way to kill those nasty bugs! There are also a number of effectual antibiotic medications in the form of injected gels, mouthwashes, antiseptic chips and oral antibiotics.

RISK FACTORS THAT INCREASE YOUR PROPENSITY FOR GINGIVITIS
While there are many ways to be proactive in warding off gingivitis including incorporating proper daily dental care and limiting or eliminating tobacco and alcohol consumption, there are also a number of additional risk factors that increase the likelihood of developing gum disease. Some of these risk factors include diabetes, a compromised immune system, crooked teeth, pregnancy and the intake of certain oral medications likeoral contraceptives, steroids, anticonvulsants, calcium channel blockers and chemotherapy.

PREVENTION
Daily dental care is the best defense against gingivitis. Thorough brushing with fluoride toothpaste, flossing and rinsing with mouthwash is a great start. A soft-bristled toothbrush is less irritating on the gums and just as effective as a medium or hard-bristled brush. Also, a diet rich in calcium, essential vitamins and B12 is a great way to bolster the health of your teeth and gums as well as your overall health. Last but certainly not least, regular dental recare visits, including a professional cleaning, are fundamental. Dentists and hygienists have tools to remove stubborn and hard-to-reach plaque and tartar that regular toothbrushing and flossing can’t.

If you’re concerned about your smile and want to ensure proper care, Eggert Family Dentistry would love to help! Please don’t hesitate to contact us with any questions you may have!

How Oral Health and Heart Disease Are Connected

By: Dr. Elizabeth Eggert

Did you know that gum disease and heart disease may be connected? It’s true! Your oral health can indicate if other medical conditions exist long before you’re feeling unwell. Gum disease and heart disease may share an even stronger connection.

A Study of Heart Disease Studies
Recently, researchers analyzed the findings of more than 120 scientific studies. Together, they found a connection between gum disease and heart disease. But doctors still aren’t sure if this connection is direct or causal.

This wide-spread data base found gum disease as a risk factor in coronary artery disease, stroke, and diseases involving the blood vessels and arteries. One study found a direct link between gum disease and clogged arteries in the legs.

But despite the findings, there still isn’t a consensus on whether or not gum disease increases your risk for heart disease. What doctors do know is that the bacteria that causes gum disease can spread through your blood stream and into your heart. The bacteria can cause damage and inflammation within the heart. People with gingivitis or advanced periodontal disease are more likely to have heart disease, too.

Gum Disease Symptoms
While doctors may not be certain of a direct link between gum disease and heart disease, we recommend patients don’t use that as an excuse to ignore their gum health. Red, swollen and sore gums that bleed when you floss, brush, or eat are signs of gum disease. So are recessed gums, bad breath, and loose teeth. If you’re experiencing these symptoms, please contact Eggert Family Dentistry to schedule a consultation.

Preventing Gum Disease
Fortunately, preventing gum disease is easy. Brush your teeth twice a day and floss daily as well. And if you smoke, stop. Visit us at least twice a year for your recare checkup. Feel free to ask us about the link between heart disease and gum disease during your checkup. Also let us know if you already have heart disease. We’ll take extra care to evaluate your gum health and recommend appropriate treatment.

Ready to discover if your gums are in good shape or may be indicating underlying health issues? Schedule your recare appointment with Eggert Family Dentistry today.

 

We have received a number of emails, calls and questions from patients about Waterpiks. Waterpiks can make wonderful gifts.

Waterpiks are effective at forcing food particles and flushing bacteria out from in between the teeth and below the gums where floss can’t always reach, the surge of the water is an excellent source of stimulation as well. All of these things aid in healthier gums. Waterpiks cannot take the place of flossing, however, because floss mechanically removes plaque off the sides of the teeth and slides through the contacts between the teeth, a very important action needed to help prevent cavities.

If you have any compromises that don’t allow you to floss like braces or health or dexterity limitations, then the Waterpik can be a very helpful oral hygiene tool. Beware though, They can be messy and just like flossing they do take practice to be successful.

We recommend, floss to loosen plaque and then use the Waterpik to flush away loose plaque & food debris, followed by brushing with a fluoride toothpaste.

So by all means add a Waterpik to your daily routine , Santa knows just where to find one!

By: Dr. Elizabeth Eggert

Permanent teeth are supposed to last forever. But sometimes, it’s better to part ways with a troublesome permanent tooth than keep it around. Here’s a look at why we may recommend removing a tooth and what you can expect during your tooth extraction appointment.

Why We Might Recommend Removing a Tooth

Damage from trauma or tooth decay is the most common reason we recommend removing a tooth. Sports injuries, falls, and other accidents can cause irreparable damage to teeth. So can severe tooth decay that affects the root of the tooth.

An infection or risk of infection may also cause enough damage to cause us to recommend an extraction. Severe gum disease is another reason we pull teeth. Sometimes, the gum tissue that supports the tooth becomes so infected that the tooth becomes loose and needs to be pulled.

Other times, we may recommend removing a tooth if it is crowding its neighbors. This is especially common for patients who are getting braces. Pulling a tooth may be the best option for properly aligning your smile or allowing other teeth to erupt.

What to Expect during Your Tooth Extraction Procedure

After a consultation with Dr. Elizabeth or Dr. Jeff, we’ll help you decide if the tooth should be extracted at our office or with the oral surgeon. Sometimes a local anesthetic is enough to numb the area and safely and completely remove the tooth. Other times, you may decide that undergoing IV sedation is best for you.

Once the anesthetic kicks in, we’ll remove your tooth. This can be as simple as using forceps to pull the tooth out of its socket. But sometimes, we have to cut away gum and bone tissue to better expose the tooth so we can remove it more easily.

Once the tooth is removed, we’ll pack gauze into the socket to stop the bleeding. Sometimes, we’ll add a few dissolvable stiches to close the gum edges. During the healing process, a blood clot forms in the socket. If it becomes loose after your extraction, it causes a painful condition called dry socket. If you experience pain in the area of your pulled tooth, come back to see us. We’ll add a dressing over the socket to reduce the pain as a new blood clot forms.

What to Expect after Your Tooth Removal

After your procedure is complete, we’ll share your at-home recovery plan with you. You can expect some discomfort at the site of the extraction for a few days. We’ll recommend over-the-counter painkillers or prescribe a painkiller depending on the extent of the procedure. Applying ice to the site after the procedure can reduce swelling. Avoid spitting or rinsing your mouth for 24 hours after your procedure. This will allow the clot to form and avoid a painful dry socket.

It’s okay to continue to brush and floss your teeth. Just avoid the extraction site. We also recommend patients stick to liquid or soft foods for the first few days to promote healing.

What We Need to Know from You before Removing a Tooth

Removing a tooth is one of the most common and safest dental procedures we perform. But sometimes, patients have an underlying medical condition that may complicate the extraction. If you’re prone to infection, are immunocompromised, have liver disease, have a heart defect, or have an artificial joint or heart valve, please let us know so we can refine our treatment plan.

If you’re experiencing pain from a damaged tooth, schedule an appointment with Dr. Elizabeth or Dr. Jeff. We’ll perform a thorough exam and recommend your appropriate next steps.

By Dr. Elizabeth Eggert

Short answer: yes definitely!

Dr. Elizabeth and Dr. Jeff can’t count the number of times a sheepish patient owns up to cheating on flossing and brushing between recare visits. Others try to get away with a little white lie—there’s no way Dr. Elizabeth or Dr. Jeff can actually tell I’m not flossing, right?

We’ve all had times in our lives when we let flossing fall off our list of good habits. But dental professionals can tell just by the state of your mouth whether or not you’re brushing and flossing regularly.

Gum inflammation often gives you away.

Regular flossing removes the plaque that builds up between your teeth and along the gum line. If you’re not flossing regularly, plaque will build up in these areas. It doesn’t take long before the plaque causes inflammation along your gum line.

There’s another way to tell, too. When we check your gums during your recare visit, inflamed gums often bleed a lot more than healthy gums do. If your mouth’s a bit of a bloody mess during your visit, this will change when you start flossing regularly.

Plaque and tartar are two of our key informants.

The plaque buildup that eventually causes gum inflammation is a key indicator that you’re not brushing or flossing adequately, even if your gums aren’t inflamed yet. So is tartar (or calculus), which is plaque buildup that has calcified on your teeth. That means it’s been there a while, and you’re going to need our help removing it.

Flossing or using a water flosser regularly can remove the plaque buildup from between your teeth and prevent tartar and inflammation.

You’re not the first patient who’s tried to pull a fast one on us.

Remember when you were a kid and it seemed liked your mom always knew when you were lying? “I wasn’t born yesterday,” she might have said to you. We often think the same thing during our recare visits. You’re not the first patient who’s tried to pull a fast one on us. Just like mom, we’ve got your number!

At Eggert Family Dentistry we love all our patients, which is why we are so passionate about teaching you good brushing and flossing habits. We may give you a friendly reminder to start flossing, but it’s only because we care about your oral health. Contact us today to schedule your next appointment with our caring dental team.