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 Integrative Dentistry: Hygiene Basics 
 
Most people think brushing alone will keep teeth and gums clean and healthy. This belief is shattered when they chew a special "disclosing" tablet made of food coloring that stains plaque, the sticky, colorless film of bacteria that forms on the surfaces of teeth. When chewed, these tablets temporarily stain the areas on the teeth where-no matter how long or how many times a day you brush-plaque remains. Disclosing tablets, available at drug stores and from your dentist, provide dramatic evidence of the limitations of brushing.

How often has your dentist told you to brush more, floss more? Most people feel frustrated when they get this speech from the dentist or hygienist. Although brushing after each meal is important, it is simply not enough to maintain healthy teeth and gums.

Lack of hygiene and improper hygiene play a significant role in the development of gum disease. One study indicated that when individuals with healthy teeth and gums stopped trying to remove plaque, gum disease developed within ten to twenty-one days. If not thoroughly removed within twenty-four hours, byproducts of the bacteria irritate the gums and cause inflammation (gums become red, tender, and swollen).

Not only is plaque control important in the prevention of gum disease, it is also primary in the healing process after gum and bone surgery. Studies have shown that, all else being equal, if proper hygiene is maintained after gum surgery, healthy gums are maintained over the years. Poor oral hygiene results in the repeated need for surgery and the return of gum disease.

Effective plaque control refers to the specific measures needed to prevent plaque build-up. It appears that mechanical removal of plaque is the most reliable method of controlling and preventing its build-up. A toothbrush and floss are the fundamental tools required for this mechanical removal. Several useful adjuncts to brushing and flossing include water-irrigating devices, balsa-wood wedge toothpicks, and rubber-tip stimulators. Whatever device you use, proper technique is essential. (Refer to Oral Hygiene in Part Three for more detailed information regarding these individual devices.)

Even when daily hygiene is maintained, a professional cleaning every six months by the dentist or hygienist must be included in your dental regimen. If your daily hygiene is not adequate, you will develop a buildup of tartar (hardened plaque). In this case, the dentist or hygienist will use a special instrument called a cavitron to clean your teeth. This device uses high-frequency sound vibrations in water to break up and wash away the tartar. Your dentist may even recommend more frequent cleanings, depending on the condition of your gums and bone.

Toothpastes contain mostly flavoring agents, detergents, and abrasives. Other common ingredients are listed on the following page. Do not use toothpastes that contain sparkles or added sweeteners, including saccharin or other artificial sweeteners. These chemicals are absorbed through the tissues into the blood stream. Some toothpastes that claim to remove or retard tartar may actually cause tooth sensitivity due to the harsh chemicals they contain. Baking soda is excellent for use as a toothpaste.


Ingredient Function Comments

Alcohol Antiseptic, arrests the growth of bacteria. Used in commer- cial mouthwashes High doses are toxic. When used routinely, it may dry the tissues, contributing to cavities and cancer.

Aloe vera Soothes and acts as an anti-inflammatory. Extracted from the leaves of the aloe vera plant.

Anise Flavors toothpastes. Known for its ability to aid in digestion.

Carrageenan Thickener and stabilizer in toothpastes. A seaweed gum by-product.

Chlorhexidine Preservative, has antiplaque and antiseptic properties. Used in mouthwashes such as Peridex. Possible side effects include staining of teeth and alterations in taste.

Ginseng Thought to enhance endurance, slow the aging process, protect cells from radiation damage, prevent heart disease, and increase the flow of saliva. Derived from the root of the ginseng plant. Most uses have not been fully proven scientifically. Any benefits to teeth and gums have not been substantiated.

Glycerin Prevents drying out of products. Derived from palm oil.

Goldenseal Exerts influence on the mucous surfaces and on the tissues they contact. Extracted from the root of the goldenseal plant

Hydrogen peroxide Disinfects, cleanses, bleaches, and liberates oxygen. Long-time use is not recommended.

Jojoba Soothes, may relieve swelling. Obtained from the jojoba bean. Has no known side effects.

Myrrh Antiseptic, used to treat halitosis (bad breath). Obtained from trees and shrubs of the genus Commiphora.

Quaternary ammonium compound Reduces plaque by acting as an antiseptic, solvent, and emulsifying agent. Used in Cepacol and Scope. Adverse reactions may include a burning sensation in the mouth.

Sage Astringent. Extracted from leaves of salvia officinalis. An excellent gargle for sore throat. May cause dry mouth.

Sanguinarine Reduces bacteria's ability to attach to teeth and gums. Also retards the acid-producing ability of bacteria. Used in Viadent toothpaste and mouthwash. Derived from the bloodroot plant. Chemical name is benzophenathradine. Adverse effects may include a burning sensation in the mouth.

Sodium citrate Anticoagulant. A chemical.

Tea tree oil Said to have antiseptic and antifungal properties. Used in toothpastes found in health-food stores. Essential oil of the plant Melaleuca alternifolia. Research into its benefits has been limited.

Thyme essence Used in some toothpastes and mouthwashes for its antiseptic action. Also known as oill of thyme (thymol), an extract of leaves and flowers of thymus vulgaris.

Titanium dioxide Witch hazel A whitening agent used in toothpastes. TiO2, derived from titanium, a metallic element.

Witch hazel Used in mouthwashes for its astringent properties, has a mild anti-inflammatory effect. Extracted from bark and leaves of the witch hazel shrub.

Zinc chloride Astringent, used in some mouthwashes. A mineral.

Zinc oxide Has mild, soothing astringent properties. Used in some toothpastes. A mineral.


From The Complete Book of Dental Remedies by Flora Parsa Stay, DDS , ©1996. Published by Avery Publishing, New York. For personal use only; neither the digital nor printed copy may be copied or sold. Reproduced by permission.

(Excerpted from The Complete Book of Dental Remedies)
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 About The Author
Flora Stay DDSFlora Stay, DDS holds a doctor of dental surgery degree from University of California, San Francisco. She is the founder of ...more
 
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