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Understanding Tooth Enamel Erosion

on November 20, 2013

Tooth enamel is the thin layer that covers the portion of your tooth that is above the gum line. Although it is the hardest tissue in your body, it is still susceptible to different forms of wear. One such form of wear is erosion.

Severe grinding can cause enamel erosion.

Severe grinding can cause enamel erosion.

Causes

The most common cause of enamel erosion is acid wear. Not only do acidic foods contribute to acid wear, sugary foods do as well. As the bacteria in your mouth consume sugars they produce acids which lower the pH in your mouth. Other sources of acid wear include gastrointestinal problems, acid reflux disease, dry mouth and some medications.

Enamel erosion may also be due to wear on your teeth. Often this type of erosion is due to grinding or clenching at night. Enamel erosion due to wear is often seen on the biting surface of your teeth. It may result in your teeth looking small and flattened.


Prevention

There are some simple steps you can take to prevent enamel erosion.. The simplest steps you can take include cutting highly acidic and sugary foods out of your diet. The number one thing you can cut out to help your teeth is soda pop. Not only is it acidic, but it also contains lots of sugar which the bacteria in your mouth convert to acid as well. Alternatively, using a straw may help limit the exposure of your teeth to acidic beverages.Additionally, avoid brushing your teeth immediately after eating acidic foods. The pH in your mouth is low after eating due to the bacteria in your mouth producing acids. Brushing your teeth prior to the pH returning to normal may cause additional erosion as your enamel is softer when in this acidic environment. Instead, wait about a half hour after eating to brush your teeth. This allows your saliva to work to increase the pH and return your mouth to neutral pH.To prevent against erosion due to wear, our Evanston dentists recommend a nightguard. This appliance is worn at night and helps protect teeth against grinding and clenching.

Treatment Options

The treatment for enamel erosion depends on the severity of the erosion. For minimal enamel erosion the treatment involves placing tooth colored bonding over the area that has been eroded. This can be done in a short session and usually without any anesthetic. If there is more erosion, then there are several different options ranging from veneers to crowns to help restore your natural smile.

Once we have restored your smile, the best investment that you can make is a nightguard to help protect your smile. The resin that the dentists use to repair your teeth is strong, but not as strong as your natural enamel. For this reason, our Evanston dentists recommend a nightguard to ensure that your restorations last as long as possible.

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What is Cracked Tooth Syndrome?

on November 20, 2013

A Cracked ToothAs the name implies, cracked tooth syndrome is when your tooth has a crack or fracture that extends into the dentin of your tooth. Sometimes the crack can reach the pulp of your tooth, which may result in pain.

Causes

There can be many causes for a fractured tooth. Some include: grinding, chewing on hard food (ice, popcorn kernels, hard candy,) and injury. A large change in mouth temperature may also cause your teeth to crack, such as eating hot soup and then drinking cold water right afterward. Teeth that have large restorations may be susceptible to fracture as the restoration weakens the tooth structure. These are some of the most common causes, but there are others.

As the causes of cracked tooth syndrome are so varied, it is hard to prevent. However, there are some measures you can take to help prevent cracked teeth. If you are a heavy grinder, wearing a nightguard or NTI can help reduce pressure and reduce the risk of fracturing a tooth – especially if you have restorations on your teeth. Avoid chewing on hard foods. Cracking nuts and opening items with your teeth should be avoided as well.

Diagnosis

Fractured teeth can be difficult to diagnose. They do not show up on x-rays and are sometimes difficult to see during a visual exam. Cracks that extend through the enamel and reach into the dentin and pulp may cause intermittent pain when you chew or bite. You may also experience sensitivity to hot and cold. If the fracture is only in the enamel, you may not experience any symptoms.

If you believe that you have a cracked tooth, you should schedule an appointment with your dentist. As there are many different causes of tooth pain, our Evanston dentists are able to take x-rays and test your teeth to determine the cause of your pain. Although cracked teeth do not show up on x-rays, if there is another cause, such as decay or an abscess; it may appear on an x-ray.

Treatment

Treating cracked tooth syndrome depends on the severity of the fracture. If the crack is small and doesn’t reach all the way to the gum line, our Evanston dentists will most likely recommend a large onlay. If the crack is larger, they may recommend a crown. In either case, the onlay or crown helps stabilize the tooth and may address the issue.

As there is no way to tell how far a crack reaches into a tooth, the crown or onlay may not solve the issue. If you are still experiencing pain after you have a crown placed, then the next option would be to have root canal therapy. In this case, the crack has most likely reached into the pulp of the tooth or far below the gum line. In some cases, during your root canal therapy, the endodontist may discover that the crack reaches all the way through the root of your tooth. If this is the case, then the tooth should be extracted. After extraction there are several different options to replace your tooth – including implants or a bridge.

Diagnosing a cracked tooth may be difficult, but this is even more of a reason to get your tooth fixed as soon as possible. A tooth that is treated early has a better chance of survival. By the time you feel pain, it may be too late to save your tooth. If you are in pain, contact our Evanston dentist office so that our dentists can help.

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Baby Bottle Tooth Decay

on November 20, 2013

Do not fall into the trap of thinking that just because infant teeth are temporary, they do not need to be well cared for. Infant teeth are just as susceptible to tooth decay as adult teeth. Tooth decay, when found in infants, is often called, “baby bottle tooth decay.” Baby bottle tooth decay can have debilitating effects, but it is easily preventable.

 

Letting your baby fall asleep with a bottle of milk can be hazardous to their oral health.

Letting your baby fall asleep with a bottle of milk can be hazardous to their oral health.

Causes

The most common cause for early childhood caries is from sweetened liquids clinging to the child’s teeth for too long. Giving your child any sweetened liquid; whether naturally sweetened or artificially sweetened, exposes their teeth to sugar and allows the bacteria in their mouth to produce acids. The longer the liquid is left in their mouth the more sugar there is for the bacteria to feed on.

One of the most common causes of infant caries is using a bottle at bed time; especially if it is filled with milk or juice. Saliva flow slows down at night time creating an environment for bacteria to do harm.

Effects

Allowing your child to consume sugary liquids without cleaning their teeth may result in cavities and enamel erosion. What may seem like a small cavity on the surface, has the potential of becoming a large cavity as the bacteria reaches the softer inner tooth structures.

If left untreated, early childhood caries can result in painful infections. Teeth that are greatly decayed may need to be removed. In extreme cases, an infection that reaches the pulp of your child’s tooth has the potential to harm their developing adult teeth as well.

Treatment

Baby bottle tooth decay is easily preventable. As soon as you see your child’s first tooth, begin an oral hygiene routine. For infants, use a soft, damp cloth to wipe their teeth morning and night. As they get older, introduce a toothbrush and show them how to brush their teeth.

DO NOT put your child to bed with a bottle or sippy cup containing milk, juice, or other sweetened beverages. If your child is accustomed to falling asleep while drinking, give them a bottle or sippy cup of water or a pacifier. You can help break this habit by gradually diluting their sweetened beverage with water over two to three weeks, after which switch to just water.

Limit your child’s drinking to milk and water. Steer clear of juices and soft drinks, as these are just empty calories that your child doesn’t need and sugar that can do more harm than good for your child.

Once your child is old enough to brush their own teeth and spit out their toothpaste; our Evanston dentists recommend using fluoride toothpaste to help prevent cavities. If your child is prone to cavities, we sometimes recommend prescription strength fluoride toothpaste.

No matter what age, oral health is important. Helping your children learn good oral hygiene is the first step in giving them a beautiful smile that will last them a lifetime. Make sure you start them on the path to good oral hygiene early in life.

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How to Treat Halitosis

on November 20, 2013

Last week we addressed some of the causes behind bad breath (halitosis). This week we will discuss ways to treat and control your bad breath.

Brushing and Flossing

The best way to treat and control your bad breath is through good oral hygiene. Brushing and flossing go a long way to remove bacteria that can cause halitosis. If your bad breath is due to the food you eat, by brushing and flossing you not only remove bacteria; you also remove any of those food particles that are stuck in your mouth. Using minty toothpaste also can temporarily mask the smell of any strong odors that may be caused by consuming pungent foods.

Tongue ScraperTongue Scraping

Our Evanston dentists recommend using a tongue scraper as another way to help treat halitosis. The back of your tongue can accumulate bacteria, food debris, fungi, and dead cells which can lead to bad breath. By cleaning your tongue regularly, you can remove these culprits and help keep your breath fresh. Toothbrushes are designed to clean the hard tooth surface and are not as effective in cleaning the softer anatomy of your tongue. A tongue scraper is the best way to keep your tongue clean.

Mouthwash

Specific mouthwashes may help treat halitosis, depending on the cause. If you have bad breath due to dry mouth, using a mouthwash containing glycerin will help to moisturize your mouth and control your halitosis. On the other hand, if your bad breath is caused by food or periodontal disease, a mouthwash will not help.

Listerine and other alcohol based mouthwashes will temporarily give you fresh breath, as they cover up the smell more than actually attacking the root of the problem. Also, the alcohol in them is very drying to your oral tissues. Instead, choose a mouth wash containing zinc, such as SmartMouth, which helps neutralize the compounds that are responsible for the smells.

If you feel you are suffering from chronic bad breath, speak to your dentist. They will help you identify the underlying cause – whether it is periodontal disease or another medical condition. Once you know what is causing your halitosis, you will be better equipped to treat it. Your dentist may also be able to recommend treatment options that are more targeted to your condition.

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Causes of Bad Breath (Halitosis)

on November 20, 2013
Does bad breath have you worried?

Does bad breath have you worried?

Halitosis can be an embarrassing condition, especially as most people who suffer with it, can’ttell that they have bad breath. There are a number of different reasons why halitosis occurs.

Food

The most common and well known cause of bad breath is the food you eat. When you eat foods with strong odors they are consumed and absorbed into your blood stream. Brushing your teeth, flossing, chewing gum or mints can all be used to cover up or mask the odor. The compounds that cause bad breath are absorbed into the blood stream and the only way to get rid of this type of bad breath is, time.

Heavy alcohol consumption also causes bad breath, as the alcohol dries out the tissues in your mouth.

Dry Mouth

Saliva helps moisten your mouth and keep your mouth clean. If you are a mouth breather or suffer from dry mouth, then there is less saliva in your mouth to remove debris and help neutralize your pH. This can lead to a larger bacteria population and may cause bad breath. If you suffer from dry mouth, try chewing gum or drinking water to keep your mouth moist. At our Evanston dentist office we also recommend Spry Rain Oral Mist to help moisturize your mouth.

Do not use a mouth wash that contains alcohol as this may exacerbate the problem. Instead swish with water or a xylitol mouth wash as this will help stimulate your saliva production.

Bacteria and Periodontal Disease

When the bacteria population in your mouth gets out of control, you may suffer from bad breath. Brushing your teeth, flossing, and cleaning your tongue can all help keep the bacteria population under control and reduce bad breath. Chronic bad breath is also a symptom of periodontal disease. Periodontal disease is caused when plaque and tartar build up and irritate the gums. Bacteria can then get below the gumline and cause even more plaque and tartar to form increasing the odor produced.

Medications

Some medications have side effects that can lead to bad breath, such as dry mouth. If you find that your medication is causing dry mouth, take extra steps to moisturize your mouth to avoid bad breath.

Bad breath can be awkward, but if you take precautions and maintain great oral health, it doesn’t have to be. If you find that you have persistent bad breath and nothing seems to be working to correct it, contact our Evanston dental office to set up a consultation. Our dentists will help you find out if it is related to a dental condition.

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Tips to Encourage Your Kids to Brush Their Teeth

on November 20, 2013

Introducing your children to good oral health is very important. Some kids need help and encouragement, while others require you to be more creative with your oral hygiene care ideas. Here at our Evanston dental office, we’ve compiled some different tips and tricks that you can try to help your little one keep their smile happy and healthy.

 

Make tooth brushing time a family activity

Make tooth brushing time a family activity

Make tooth brushing time = family time

Brush your teeth alongside your kids. Get down on their level and let them watch how you are brushing your teeth. Alternatively, let your child sit on the sink – with your supervision, of course. This way they can see you and themselves in the mirror and they can imitate you. Make sure you exaggerate your motions, so that they can see how to brush. Tell your kids to brush like wheels – round and round – to encourage circular brushing instead of biting or chewing.

Make sure that your child is brushing every tooth. You may try counting or naming their teeth while you both brush to ensure that every tooth is clean. After you both have finished brushing, let your little one check your teeth while you “check” their teeth. This allows you to brush their teeth more thoroughly.

Sing or play music

Make up a brushing song, or use the alphabet as a measure of how long you and your child have been brushing. It also makes the whole brushing experience more fun. If you don’t have the musical gene, use “Brush DJ.” It will pull music from a specified playlist to play for two minutes while you and your child brush. If you do use music, stop singing or pause the music if your child stops brushing and let them know that it will continue when they start brushing again.

Play

Bring out stuffed animals or toys and let your child watch you brush the toy’s teeth before you brush their teeth. If your child is independent and prefers to brush their own teeth, see if they’ll let you brush their teeth while they brush the stuffed animal’s teeth.

Make up silly games to encourage your children to brush. Getting them laughing or interested will make your job easier and their teeth healthier. Try a contest to see who can make the most bubbles, or play a game.

Use plaque disclosing agents to your advantage

You can get plaque disclosing mouthwash or tablets at your local drug store or dental office. These will turn the plaque in your child’s mouth either blue or red. This gives them a goal to aim for. When their teeth are white again, all of the bacteria have been cleaned out. Check when they’re done and praise them for the job that they did. Point out any areas that they missed and show them how to clean those areas better.

Don’t forget to floss

All the brushing in the world doesn’t reach between teeth and below the gumline, so make sure to teach your kids to floss. There are lots of different flossers available to help make flossing easier. Look at your local drug store or ask your dentist for recommendations.

 

Getting your child to brush and floss shouldn’t be an unpleasant chore every day. Be creative in coming up with ideas to make it a fun activity. Remember that teaching your child good oral hygiene will set them up with good habits and a healthy smile that will last them a lifetime.

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Help Ease Your Child’s Dental Anxiety

on November 20, 2013

Dental Anxiety in KidsDo you find getting your child to go to the dentist a difficult task? Dental offices can be ascary place for kids, but with some help from your friendly Evanston dentists, it doesn’t have to be. There are some simple steps you can take to help ease your child’s dental anxiety.

Communicate, Communicate, Communicate!

The best thing you can do to help ease your child’s fears is talk to them about their visit. Talk to them about the visit one day before to get them use to the idea. Let them know that they are going to see the dentist who will look at their teeth and make sure their smile is healthy and clean. Keep the talk light and friendly. Do not use words like: needles, shots, pain, or hurt; even in a positive way – such as, “It won’t hurt at all!” or “The shot won’t be any worse than a flu shot.” These words may start your child worrying. It is also best to avoid offering a treat, “if they’re good.” This may have them worrying about why they wouldn’t be good in the first place.

Make it Friendly

We work hard to make our Evanston dental office a friendly and welcoming place for patients of all ages. However, if your dental office is more sterile and adult oriented, look around for a pediatric dentist that is close by, (or visit our office if you are in Evanston!) We have books and activities for kids to do while they’re waiting and a treasure chest for after their visit. We encourage parents to come back to the rooms with their kids, and with younger kids we even have them sit in their parent’s lap for the cleaning. If your child is really worried, schedule a meet and greet or a tour of the office for your child and the dental team so that your child will feel more comfortable with the people and the office.

If you have dental anxiety as well, try not to let your child see this as it will just add to their anxiety. If this is the case, schedule a meet and greet for yourself to make sure you are comfortable at the office before you bring your child.

Schedule Smart

For younger children, make sure to avoid scheduling appointments around nap time or meal times when they may be cranky. Morning appointments are best as your child is well rested and ready for exciting adventures.

For older children, try to schedule at times that don’t conflict with other activities so that they don’t feel rushed or stressed while they are at the dental office. Additionally, if you know your child has dental anxiety, schedule at a time that you will know that you can be with them. Even if they don’t want you back in the exam room, knowing that you are present may help ease their fears.

Schedule a trip to the ice cream store or to the toy store after the visit to give your child something to look forward to during the appointment. As we said earlier, don’t use this trip as a reward for being good. Instead think of it as a distraction for your child – something to keep their mind busy while they are visiting with the dentist.

Teach Good Hygiene Habits at Home

The best way for you to influence your child’s oral health is to start their dental routines early. This allows them to learn good oral hygiene from an early age. It also allows dental appointments to be smooth and pain free. Provide a good example of good oral hygiene and brush your teeth with your children. You can start them brushing at a very early age by using a soft cloth to brush their gums before their teeth come in. Once their teeth come in, use a child’s brush and non-fluoride toothpaste until they understand that they need to spit the toothpaste out and not to swallow it.

If you wait until there is decay or an emergency to take your child to the dentist, then they will associate pain with the visit. This is often where children’s fear of the dentist begins.

These tricks may help make your dental visits easier for you and your child. Remember that preventative care is the best method to keep your child’s smile healthy and clean. Make sure you schedule regular dental visits for your child. Work with your dentist to help your child overcome their dental anxiety and keep them smiling for years to come. If you have more tips please feel free to share them with us.

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Proper Brushing Techniques

on November 20, 2013

How you brush your teeth is almost more important than what you use to brush your teeth. Even the most up to date, technologically advanced electric toothbrush won’t clean your teeth properly, if you don’t use proper brushing technique. In fact, your toothbrush may do more harm than good if you aren’t brushing properly.

There are different techniques necessary for different toothbrushes, but there are some commonalities between manual and electric toothbrushes. For example, no matter which toothbrush you use; you should make sure that the bristles are placed at a 45 degree angle to your gum line. No matter which toothbrush you are using, you do not need to apply much pressure – let the bristles do the work of sweeping the plaque and debris away.

Using repetitive motions for a full two minutes will clean your teeth efficiently without causing any damage to your tooth enamel or gum tissue. A great way to ensure that you are brushing for two minutes is to divide your mouth into quadrants and brush each quadrant for 30 seconds. This also ensures that you are not brushing one side of your mouth more than another.

Proper Brushing TechniqueManual Toothbrush Technique

With a manual toothbrush you will need to create the repetitive motions that clean your teeth. On your posterior (back) teeth, use a circular motion to brush the facial (outside) and lingual (inside) surfaces of your teeth. Use a back and forth motion to brush the chewing surfaces. Use the circular motion to brush the facial (outside) surface of your anterior (front) teeth, and use a back and forth motion to brush the lingual (inside) of these teeth.

Do not chew on your toothbrush or apply extra pressure. This will cause your bristles to fray and will result in your toothbrush cleaning your teeth less effectively.

Electric Toothbrush Technique

An electric toothbrush head provides the repetitive motions for you. The technique used with electric toothbrushes is specific to the type of brush head that you use. There are usually two different shapes of brush heads – small and round or longer oval that is similar to the traditional toothbrush shape. With the small round brush head, you should place the bristles on a specific tooth and move the toothbrush head from one tooth to the next. If your electric toothbrush has a longer brush head, you do not have to be as tooth specific. There is no need for you to use a brushing motion with an electric toothbrush, instead using a rocking motion (side to side with smaller heads, up and down with longer heads) to ensure that you reach all parts of your tooth structure.

Again, refrain from using excess pressure whenever you brush your teeth. If you believe that you are brushing too hard, our Evanston dentists suggest choosing an electric toothbrush with a sensor to make you more aware of your habits.

No matter what toothbrush you have, make sure that you are brushing your teeth properly. If you have questions about your brushing technique, feel free to ask your dental care provider, or call our Evanston dental office and set up an appointment. We would be happy to help you make the most out of your oral hygiene routine.

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When should you throw away your toothbrush?

on November 20, 2013

One of the best tools you can use to help keep your teeth and mouth healthy is your toothbrush. Are you getting the most out of your toothbrush? A worn out toothbrush cleans your teeth much less effectively than a new toothbrush, so make sure your replace your toothbrush regularly to increase it’s efficiency.

Worn out, frayed toothbrushWorn Out

As you use your toothbrush, the bristles get worn down and frayed. This causes them to be less effective at removing the plaque and calculus that accumulates on your teeth. Don’t wait until your brush is visibly splayed out and frayed. At this point your bristles are thoroughly worn out and most likely haven’t been doing an optimal job of cleaning your teeth. Instead write the date on your toothbrush handle and replace your toothbrush every 3 to 4 months. If your toothbrush has an indicator strip, but it hasn’t worn out in 3 to 4 months, chances are you aren’t brushing your teeth long enough. If you need, you should get a toothbrush timer to ensure that you are brushing your teeth for 2 full minutes twice a day. If you don’t have a timer, but you have a smart phone, see if one of these apps would work for you.

On the other hand, if you find that your toothbrush is starting to fray prior to the 3 to 4 month mark, chances are that you are brushing too hard. If this is the case, we recommend using an electric toothbrush – specifically an Oral-B with SmartGuide. The SmartGuide has an indicator that lets you know when you are brushing too hard and helps retrain you to brush your teeth better.

Small children often chew on their toothbrush, causing the bristles to fray earlier than expected and requiring the toothbrush to be changed more often.

Sickness

In the past, dentists have recommended replacing your toothbrush when you get sick. A small study by researchers from the University of Texas Medical Branch, has shown that replacing your brush after you are sick may not be necessary. Although one of the co-authors states that more research is necessary to confirm this theory.

At our Evanston dental office, Dr. Jim and Dr. Bob have conflicting opinions on this subject. Dr. Jim recommends replacing your toothbrush after you get sick, especially if you haven’t replaced your toothbrush recently. Older toothbrushes may harbor bacteria, and the addition of any viruses or bacteria from illness just adds to the “ick” factor. Changing your toothbrush after you are sick is a good start to a healthier mouth.

Alternatively, Dr. Bob does not feel there is a need to change your toothbrush after you are sick. Once you get over your illness, your body is capable of producing the antibodies necessary to fight off the illness. So there is less chance of you getting sick from any bacteria that may be harbored by your toothbrush.

In either case, keep the 3 to 4 month time frame in mind. If you are sick nearer to the 3 or 4 month time frame, save yourself the hassle and switch your brush after you are healthy again.

Other Extenuating Cases

Other reasons for changing your toothbrush usually involve outside intervention from pets and small children. For example – a toothbrush that ends up in a pet’s mouth or in the toilet would need to be replaced. Those examples may be obvious, so here’s one that may be less obvious: if your significant other uses your toothbrush. Replacing your toothbrush in this case helps minimize cross contamination, especially if your partner has any kind of periodontal disease or dental caries.

 

Maximize your toothbrush’s efficiency and change your brush four times a year. Choose a toothbrush with extra soft bristles to ensure you don’t damage your gums or enamel. Other than that, choose a toothbrush that is comfortable for you and brush two times a day for two minutes. If you have any questions about your toothbrush or your brushing habits, bring them up with your dental provider at your next dental visit.

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Keep Your Teeth White, Naturally

on November 20, 2013

With all of the whitening products on the market, you may find you are overwhelmed. If you have considered whitening, but aren’t sure that your teeth really need it, we are going to offer you some solutions that you can try on your own before committing to a commercial whitener.

Berries can stain your teethStay away from staining foods

The number one thing you can do to keep your teeth white is to stay away from foods that stain your teeth. Some common culprits include: coffee, tea, colas, and berries. Avoiding these foods is not always possible, but there are a couple of things you can do to lessen their impact to stain your teeth. Firstly, use a straw when you are drinking to help keep the colored fluids away from your teeth (specifically, your front teeth). Secondly, you can swish with water when you have finished eating or drinking. The water will help to rinse your teeth and move the staining compounds away from your enamel. Our Evanston dentist office does not recommend brushing immediately after eating acidic foods, as the lowered pH makes your teeth more susceptible to erosion. If you don’t have any water available, chewing sugarless gum can also help as this will increase your saliva production to help protect your teeth and increase the pH.

Stop smoking

This is a straight forward solution. Smoking stains your teeth. It will also help reduce your risk of oral cancer and lung cancer.

Whitening ToothpasteUse whitening toothpaste

These toothpastes are usually more abrasive than non-whitening toothpastes. They will remove any surface stains that develop throughout the day. As these are more abrasive toothpastes, we do recommend whitening toothpaste with fluoride, or adding a fluoride rinse to your routine if you use this type of dentifrice. Our Evanston doctors don’t recommend long term use of whitening toothpastes due to their abrasiveness. Instead, use whitening toothpaste to touch up after consuming staining foods.

Another option you may try, is brushing with baking soda and 3% peroxide. In this case, dip your toothbrush in the peroxide and then dip it lightly in baking soda. Baking soda is very abrasive, so you do not need a large amount of baking soda. Keep in mind that this will not foam up like your toothpaste; there is no need to use extra baking soda. If you do decide to go this route, brush with toothpaste that contains fluoride afterwards. The fluoride will help remineralize your teeth as well as help with any sensitivity that may result.

These tips are good for everyone to keep in mind. Whether you already have white teeth or are thinking of using a whitening product, you need to remember that whitening is a continuous process as your teeth are always susceptible to stains. Whitening will reset your teeth to a whiter shade, but it is up to you to keep them white. If you are interested in finding out more about your options for whitening, contact our Evanston dental office to find out more.

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