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    Dental care - adult

    Teeth - caring for

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    Tooth decay and gum disease are largely caused by plaque, a sticky combination of bacteria and food. Plaque begins to accumulate on teeth within 20 minutes after eating. If this plaque is not removed thoroughly each day, tooth decay will flourish. Over time, plaque will harden into tartar.

    Plaque and tartar lead to a number of problems:

    • Cavities -- holes that damage the structure of teeth
    • Gingivitis -- swollen, inflamed, bleeding gums
    • Periodontitis -- destruction of the ligaments and bone that support the teeth, often leading to tooth loss
    • Bad breath (halitosis)
    • Abscesses, pain, inability to use teeth
    • A variety of health problems outside the mouth, from preterm labor to heart disease

    Healthy teeth are clean and have no cavities. Healthy gums are pink and firm. To maintain healthy teeth and gums, follow these steps:

    • Brush your teeth at least twice daily, preferably after every meal and at bedtime.
    • Floss at least once per day.
    • Schedule an appointment with a dentist for a routine cleaning and examination. Many dentists recommend having the teeth professionally cleaned every 6 months.
    • Keep dentures, retainers, and other appliances clean. This includes regular brushing and may include soaking them in a cleansing solution.

    Ask your dentist:

    • What toothbrush you should use, and where your problem areas are located. Ask if an electric tooth brush is right for you. Such brushes have been shown to clean teeth better than manual tooth brushes.
    • How to properly floss your teeth. Overly vigorous or improper flossing may injure the gums.
    • Whether you should use any special appliances or tools, such as water irrigation. This may sometimes help supplement (but not replace) brushing and flossing.
    • Whether you could benefit from particular toothpastes or mouth rinses. In some cases, over-the-counter pastes and rinses may be doing you more harm than good, depending on your condition.

    Regular teeth cleaning by a dentist removes plaque that may develop even with careful brushing and flossing, especially in areas that are difficult for you to reach on your own. Professional cleaning includes scaling and polishing. This uses various instruments or devices to loosen and remove deposits from the teeth. Routine examination may include dental x-rays.

    See also plaque identification at home.

    References

    Messadi DV, Younai FS. Halitosis. Dermatol Clin. 2003;21:147-155.

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              Review Date: 2/22/2012

              Reviewed By: Paul Fotek, DMD, Florida Institute for Periodontics & Dental lmplants, West Palm Beach, FL. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.

              The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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              St. Luke's Hospital - 232 South Woods Mill Road - Chesterfield, MO 63017 Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
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