Tips for oral hygiene

The most important tool of oral hygiene is still the toothbrush. Unfortunately, it is far too rarely changed by most people. At the latest when bends appear on the bristles, the toothbrush should be changed, as well after recovery from an infectious disease.
The right application (at least twice a day) is important. The brush should be angled about 45 degrees to the tooth axis so that its bristle ends point into the gingival pocket. The brushing motions should be shaking, almost circling on the spot. Large-area over-scrubbing should be avoided (so-called modified bass technique).

The interdental spaces are insufficiently reached by the toothbrush. Therefore, it requires the use of special aids once a day. The anatomical situation prescribes the appropriate aid.
* Healthy gums: dental floss
** slightly reduced papillae: floss floss ("superfloss"), which is also recommended for cleaning under bridges and on implants.
*** stronger decreased papillae: interdental brush. Choose the right size. You should fill in the interdental space without being brought in with too much resistance.

And remember: plaque (biofilm) is not just a local oral cavity problem. Se affects the whole organism. With the burden on the oral cavity by germs and periodontitis also increases the probability of developing atherosclerosis, heart attack or stroke. Similarly, in pregnant women with periodontitis increases the likelihood of underweight premature birth.

Chewing gum chewing does the teeth well because it stimulates salivation.

Saliva, in turn, is the most important physiological protection system for the teeth and oral mucosa. It neutralizes acids and provides calcium and phosphate ions for the remineralisation of the teeth.

That is why the chewing gum supplements the dental care, especially when on the move when a toothbrush is not at hand -. Prerequisite: The chewing gum should of course be sugar-free. This is the case today for over 80% of chewing gum in the German market. It is even better if the chewing gum contains the sugar substitute xylitol (see above)..

The following figure shows the course of the pH in the mouth after a meal.
red curve: without chewing gum, the pH remains in the acidic range for a long time, i. e. "stress" for the teeth; blue curve: with chewing gum, the pH quickly returns to the neutral range.

(Source: Wrigley Oral Healthcare programs)

Bad breath (halitosis)
How does bad breath develop??
The metabolism of anaerobic (without oxygen survivable) bacteria releases gaseous sulfur compounds, which we perceive as unpleasant smelling.

Where does bad breath come from??
The origin of the bad breath can be very different, but there are very clear preferences for its creation.

Stomach? Very rare, only 0.1%

If the stomach is not well sealed against the esophagus, it may cause odor from there. In fact, this is very rare. Since this information is still not widely used by many doctors, it often causes unnecessary gastroscopy, which does not really help the bad breath patients.

Maxillary or throat mink? Rarely, only to max. 3%

Basically, a sinusitis or tonsilitis as a possible cause should be clarified, because it leads to the proliferation of anaerobic bacteria with their odor-causing potential. In practice, however, they are among the rare causes.

Caries or leaking dental fillings? Sometimes.

But bad teeth are only a cause if the defects are very extensive.

Periodontitis? more often.

The inflammation of the gums with destruction of the periodontium and pocket formation is the second most common cause of halitosis. The periodontal pockets, which are hardly accessible from the toothbrush and mouthwash, are ideal locations for bacterial propagation.

Tongue coating? By far the most common.

The oral mucosa is smooth with one exception: the tongue surface is extremely rough with countless dimples and furrows and taste buds. Nowhere in the mouth are there as many bacteria as on the tongue. We recognize them on the tongue coating. Here is by far the most common cause of bad breath.

The therapy naturally depends on the cause. The control of teeth and gums with professional teeth cleaning are definitely recommended. Likewise, daily oral hygiene should not do without dental floss or interdental brushes.

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Christina Cherry
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