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You’re an old pro at brushing and flossing by now—after all, you’ve devoted years to looking after your dental health, carefully brushing for two minutes twice each day and flossing daily.

But now, you’ve entered unfamiliar territory—orthodontic treatment. It’s time to level up your brushing game to protect your teeth and gums while you create a more attractive, healthier smile.

Why make changes in your dental routine? Because of plaque. Brackets and wires can make brushing more difficult, allowing plaque to build up around your braces. And plaque which sticks around leads to:

• Demineralization—The bacteria in plaque produce acids, which strip away minerals from tooth enamel. This creates a weak spot in the enamel and can leave a noticeable white stain on your tooth when your braces come off—especially around the places your brackets used to be, because that’s often where plaque accumulates.
• Cavities—Over time, as bacteria continue to attack enamel, a weak spot in the tooth’s surface becomes larger and deeper until it forms a cavity.
• Gingivitis—It only takes a few days for plaque to build up enough to irritate gum tissue and cause tender, inflamed, puffy, or bleeding gums.

Some new skills and new tools will help you keep teeth and gums healthy while you’re wearing braces.

Adapt Your Brushing Strategy

Wearing braces means adapting your brushing and flossing habits. You might need to spend a bit more time cleaning your teeth, but the results will be worth it!

• Brush More Often

Brushing after you eat is generally recommended to remove any food particles and plaque sticking around your brackets and wires. This might mean brushing in the morning, after meals and snacks, and before you go to bed. If you’re unable to brush after eating, be sure to rinse and swish with water to help remove food particles.

• Brush and Floss More Carefully

Brush each tooth surface, outside, inside, and the tops of molars. Angle your brush to clean around brackets and under wires. And while flossing might be more challenging, it’s still essential. Dr. Cosman, Dr. McDonough, Dr. Levac and Dr. Korcok can show you how to floss when wires get in your way.

Upgrade Your Tools

The right tools make any task easier:

• Toothbrushes— Your teeth and gums might be more sensitive now that you have braces. This is a good time to remember that you never need to scrub your teeth, gums, or braces, and that a soft-bristled brush is the only kind of brush to buy.

There are brushes designed especially for braces which have angled bristles to clean around brackets or smaller heads to fit more comfortably in your mouth. Some people find electric toothbrushes are more effective.

• Interproximal brushes and dental picks—Small cone-shaped brushes and soft picks can clean between your teeth and around your brackets and wires when a brush head is too bulky.
• Floss threaders and braces-friendly floss—Floss threaders are flexible hoops which allow you to maneuver floss under the arch wire and between your teeth. Or try pre-cut floss, which comes with one stiff end to thread easily through your braces and between your teeth.
• Water flossers—A water flosser is a gentle and effective way to help wash away food particles.
• Over the counter or prescription rinses—Dr. Cosman, Dr. McDonough, Dr. Levac and Dr. Korcok can recommend special rinses which can help prevent cavities.
• Cleaning kit—Put together a kit with toothbrush, travel-size toothpaste, floss or picks, and a small mirror for cleanup on the go.

Because there are so many options, experiment with different tools until you find the best, most efficient way to keep your teeth and braces their cleanest.

Learn from the Experts

Finally, optimize your brushing strategies with help from the experts. The dental team at Cataraqui Dental Centre in Kingston, ON can teach you new brushing and flossing techniques and suggest the best tools to get the best results. And keep up with your regular dental appointments and cleanings! Regular exams will catch any signs of demineralization before they can lead to stains or cavities, and your hygienist can work around your braces to remove plaque you might have missed.

Take some time each day to level up your brushing game, and, when those braces come off, you’ll celebrate with a winning smile!

At Cataraqui Dental Centre, we know that brushing your toddler’s teeth can be an intimidating prospect. So we’re providing a few tips in the hope of making the process a lot more easy, effective, and all-around enjoyable for everyone!

Start by getting into a position that gives you control and enables you to see well into your child’s mouth. If you can see clearly, you will be able to maneuver the toothbrush better around your son or daughter’s mouth for a better quality of brushing.

It’s important to choose a time when your toddler is calm. Have your little one sit with his or her favorite stuffed animal, or play a fun movie in the background so your child can focus on something comforting while you’re brushing.

Using a circular motion, brush all sides of their teeth. Be sure to let your toddler have a turn after you’re done, to start getting used to it. This way, he or she is more likely to repeat the brushing and flossing exercise when your youngster is old enough.

Dr. Cosman, Dr. McDonough, Dr. Levac and Dr. Korcok and our team agree that brushing and flossing need to be performed with kindness and care. To ensure your child learns good dental hygiene habits early on, be gentle and make this time a happy, learning time.

Your child should also have regular appointments at our Kingston, ON office for checkups and cleanings to keep on track!

Whether you’re using the latest note-taking app or old-school pen and paper, it’s a good time to start jotting down your resolutions for a healthier, happier New Year. To help the process along, we have some suggestions for traditional tooth-friendly resolutions—and also some ideas which might surprise you!

The Classics

• Brush and Floss Regularly

If you’re sticking to the “two minutes twice a day” brushing schedule as well as flossing once a day, great work! Often, though, that two-minute window starts to shrink as our brushing routine becomes *too* routine. Try timing yourself while you brush normally. If you’re falling quite a bit short of two minutes, taking just a bit more time will be lots more effective in removing plaque from your teeth.

And since gum disease is a leading cause of tooth loss in adults, commit to flossing once a day to remove irritating plaque and bacteria from between teeth and around the gumline.

• Use Fluoride Toothpaste

Fluoride toothpaste doesn’t just help prevent cavities by cleaning away plaque and food particles. It also helps make our enamel stronger. 

Acids created by plaque bacteria and acids in our diet dissolve minerals from tooth enamel, making it softer and more vulnerable to cavities. Fluoride bonds with the minerals in enamel to create an even stronger protective enamel coating. Check with Dr. Cosman, Dr. McDonough, Dr. Levac and Dr. Korcok or the American Dental Association’s website for the best toothpaste choices for healthy, strong enamel.

• See Your Dentist Regularly

Dentists typically recommend a full dental exam and cleaning twice each year. Your dental team at Cataraqui Dental Centre will take X-rays as needed, examine your teeth, gums, and general oral health, and screen for oral cancer. A professional cleaning will remove any built-up plaque and tartar, which is especially important for gum health.

Being proactive with your dental care means you’ll be sharing your healthy smile all year long—as well as discovering any potential problems before they can develop into major problems!

The Surprises

• Chew (Sugarless) Gum

When you’re not producing enough saliva, you feel the effects of dry mouth, including sore throat, difficulty swallowing, and bad breath. Another side effect? Poorer dental health. 

Saliva helps neutralize the acidic foods we eat, washes away bacteria and food particles, and contains minerals like calcium and phosphorus which remineralize tooth enamel. Chewing sugarless gum encourages saliva production. If you suffer from dry mouth, check with your dentist to see if chewing sugar-free gum can help.

• Don’t Brush Right After Eating

Brushing after a meal is great to remove food particles like sugars and carbs which stick to our teeth—and which the bacteria in plaque thrive on. But if you’ve been eating or drinking acidic foods, it’s best to wait about an hour before brushing. 

Acids in foods, like acids created by bacteria, weaken tooth enamel. Brushing right away can be abrasive and damage enamel, but if you wait for an hour, the minerals in saliva have a chance to remineralize and restore your enamel strength.

• Toss Your Toothbrush

Not that we mean give up brushing altogether! But your toothbrush bristles start to fray and fan out after several months, meaning that you won’t be getting the full cleaning effects of your great brushing technique. Put a note on your calendar to replace your brush every three to four months for the best in plaque removal.

If you’re already following all these suggestions for protecting your dental health, resolve to keep up the good work! If not, give these easy-to-follow recommendations a try. Protecting your dental health is essential to gift yourself a new year filled with happy, healthy smiles in Kingston, ON.

In years past, it was often recommended that dental patients who had a history of heart problems or other conditions, such as joint implants, be given antibiotics before any dental work. This pre-treatment is called prophylaxis, based on the Greek words for “protecting beforehand.” Why would Dr. Cosman, Dr. McDonough, Dr. Levac and Dr. Korcok suggest this protection? It has to do with possible effects of oral bacteria on the rest of the body.

Our bodies are home to bacteria which are common in our mouths, but which can be dangerous elsewhere. If these oral bacteria get into the bloodstream, they can collect around the heart valve, the heart lining, or blood vessels. A rare, but often extremely serious, infection called infective endocarditis can result.

It is no longer recommended that every patient with a heart condition take antibiotics before dental procedures. Doctors worry about adverse effects from antibiotics or, more generally, that an overuse of antibiotics in the general population will lead to more strains of antibiotic-resistant bacteria.

There are some patients, however, who are at a higher risk of developing infective endocarditis, and who should always use preventative antibiotics. Generally, premedication is advised if you have one of these risk factors:

• A history of infective endocarditis
• Certain congenital heart conditions (heart conditions present since birth)
• An artificial heart valve
• A heart transplant

Your cardiologist will know if prophylaxis is advisable, and if you are taking any drugs which could interact with antibiotics. Always talk to your doctor about any dental procedures you are planning, particularly if they are invasive procedures such as gum surgery or extractions.

If you believe you would benefit from antibiotics before dental treatment at our Kingston, ON office, the most important first step is to talk with your doctors. We are trained to know which pre-existing health conditions call for prophylaxis, which dental procedures require them, which antibiotics to use, and when to take them. Tell us about any health conditions you have, especially cardiac or vascular issues, and any medication allergies. Working with you and your doctor to protect your health is our first priority, and having a complete picture of your medical health will let us know if antibiotic prophylaxis is right for you.