What is professional teeth cleaning (oral hygiene)

Oral hygiene is an important component of the health of the whole body. Many people neglect brushing their teeth twice a day, carrying out this procedure only in the morning. However, professional dentists say: in order to prevent caries and protect the oral cavity from the growth of harmful bacteria, it is necessary not only to brush your teeth twice a day, but also to do it correctly. Let's Let's look at a few basic points in the process of brushing your teeth that will help you keep your mouth clean and keep your teeth and gums healthy.

How many times a day should you brush your teeth?

As we noted earlier, you need to brush your teeth at least twice a day - in the morning and before bed. Professional dentists recommend paying more attention to the evening procedure.

Brushing your teeth before bed is necessary to prevent tooth decay: the food you eat during the day settles on your teeth in the form of plaque and at night promotes the proliferation of harmful bacteria. This can lead to gum inflammation and tooth decay.

The morning routine of brushing your teeth can be done before or after breakfast. However, if you have eaten juice or fruit, you should wait an hour before brushing your teeth. The acid contained in these products softens the enamel and you risk “cleaning out” useful minerals from it.

How often should you visit a dentist for professional oral hygiene?

In order to notice the beginning of pathological processes in time and take action, dentists recommend visiting them once every 6 months, and if you are prone to rapid plaque formation and the formation of tartar and in the presence of orthodontic structures - once every 3-4 months.

During the process of professional hygienic cleaning, the doctor will examine the teeth and mucous membranes, remove residual plaque, polish the teeth, and, if necessary, apply a protective layer of fluoride varnish [4].

List of sources

1. Leontiev V.K., Pakhomov G.N. / Prevention of dental diseases // V.K. Leontiev, G.N. Pakhomov. — M: KMK-INVEST, 2006 // URL: https://e-stomatology.ru/pressa/literatura/profilaktic/ (date of access: 08/06/2020).
2. Clinical recommendations (treatment protocols) for the diagnosis of dental caries, approved by Resolution No. 15 of the Council of the Association of Public Associations “Dental Association of Russia” dated September 30, 2014. Updated August 2, 2022 // URL: https://www.e-stomatology.ru/director/protokols/protokols_30-09-2014/4_karies_8aug2018.doc (access date: 08/06/2020).
3. Dental floss, Directory of dentistry // URL: https://rsdent.ru/zubnaya-nit (access date: 08/06/2020).
4. Teeth cleaning, Directory of dentistry // URL: https://rsdent.ru/chistka-zubov (access date: 08/06/2020).

Toothbrush hardness

The stiffness of the brush is determined by the diameter of the fiber - the larger it is, the stiffer the brush will be. Nowadays, manufacturers often indicate the degree of hardness on packaging: very soft (ultra soft, extra soft), soft (soft), medium (medium), hard and very hard (hard).

Very soft brushes are suitable for children under 5 years old and people with sensitive teeth. Soft brushes - for children from 5 to 12 years old, as well as for severe pain in the teeth and gums. Medium hardness brushes are suitable for children over 12 years old and adults.

Hard and very hard brushes are not recommended for use without consulting a doctor. Such brushes can injure the gums and cause abrasion of the hard tissues of the teeth.

Bleeding gums after professional cleaning

Sometimes you can come across complaints from patients that after cleaning their teeth from tartar, bleeding gums appeared. The reason is not the cleaning procedure itself, but the lack of qualifications of doctors. Therefore, you need to trust your health to professionals: find a good clinic where competent dentists will do everything right and avoid complications.

The financial costs of professional teeth cleaning are much less than the treatment of caries, which can be hidden under plaque, and its complications; Regular teeth cleaning by a specialist will help maintain your health, which means saving time and money.

Abrasiveness of toothpaste

Abrasiveness is considered an indicator of the ability of toothpaste to disrupt the structure of enamel and dentin due to abrasion.

The abrasive substances in the paste are responsible for this indicator: silicon compounds, silicon dioxide, hydrated silicon dioxide, or calcium carbonate and calcium phosphate compounds.

A high degree of abrasiveness, although it contributes to high cleaning power, but at the same time causes more damage to tooth enamel. There are 4 levels of toothpaste abrasiveness:

• Low level of abrasiveness - RDA 0-70. Recommended for children and adolescents up to 12-14 years old and adults with hypersensitivity of teeth and gums. For children under 6-7 years of age, an abrasiveness of up to 40 is more suitable. Such pastes have minimal impact on tooth enamel and dentin.
• The average level of abrasiveness is RDA 70-100. This level of abrasiveness is suitable for children from 14 years of age for daily brushing of teeth. Such pastes help maintain the natural color of teeth after professional cleaning and whitening. If you have increased sensitivity of your teeth and gums, it is better to use pastes with low abrasiveness.
• High level of abrasiveness - RDA 100-150. Recommended for people over 14 years old. If you often drink tea, coffee drinks, or tobacco, then periodic use of highly abrasive paste is also suitable for you. When used occasionally and alternating with a paste of medium abrasiveness, it cleans well and does not seriously injure the enamel.
• Very high level of abrasiveness - RDA above 150. Dentists do not recommend using such pastes frequently, as they can cause serious damage to the enamel. Only a specialist can prescribe high abrasive pastes. You must brush your teeth strictly following your doctor's recommendations.

The child has

Brushing your teeth in childhood is an important point, since habits formed in childhood most often contribute to the formation of the right attitude towards hygiene and your health in the future. Caring for children's teeth is slightly different from hygiene for adults. When your child's first baby teeth erupt, you should begin caring for them. To do this, you need to carefully wipe them with special sanitary napkins or gauze soaked in warm boiled water. You can also purchase special silicone brushes and pastes designed for babies that are safe to swallow. You need to start brushing your teeth once a day, gradually accustoming your child to the fact that the procedure is regular. Once your child gets used to it, you can add one more dental hygiene routine to the day. In adulthood, the hygiene process must be under the supervision of an adult in order to explain to the child the correct cleaning technique. It is extremely important that brushing teeth does not cause negativity in the child, for this you should come up with some kind of encouragement or incentive.

Alternative remedies

To more effectively clean the mouth, in addition to a toothbrush, you should use alternative cleaning products:

• Dental floss. Allows you to remove food debris in the space between the teeth, where a regular brush is not so effective. You need to use dental floss carefully so as not to damage the soft tissue. Under no circumstances should you try to replace dental floss with regular threads - they have a completely different structure and do not have an antiseptic coating.
• Interdental brushes: These brushes are best suited for large, irregular or concave tooth surfaces. To achieve the best result, the diameter of the brush should be larger than the space between the teeth.
• Toothpicks. Small wooden sticks that allow you to get rid of food debris between your teeth. You should also be careful with toothpicks so as not to damage soft tissue.
• Irrigators. A device for cleaning the space between teeth and at the junction of tooth and gum. The irrigator nozzle delivers a stream of water under a pressure of 0.7 - 4.8 bar - this allows you to wash away food debris and remove soft plaque from the surface of the teeth, gums, and oral mucosa.

Benefits of professional cleaning

Daily brushing of teeth has long become a ritual that is not always performed efficiently due to haste, sometimes due to basic laziness. Even with the most thorough cleaning with a good toothbrush, only 60% of plaque is removed, the remaining 40% is plaque on the back of the teeth, in the subgingival space and in the spaces between the teeth. Gradually, this plaque hardens, turning into tartar, which cannot be removed at home.

Dental plaque causes bad breath, caries, inflammation and bleeding gums. Long-term accumulation of microbes on dental plaque leads to the development of periodontitis - the roots of the teeth are exposed, the teeth become mobile, and begin to fall out. There is a risk of microbes penetrating from inflamed periodontal pockets into the blood, which provokes the emergence of secondary foci of infection in various organs: the heart, kidneys, joints, and thyroid gland.

Professional teeth cleaning is needed to:

• remove hard and soft dental deposits;
• prevent bleeding gums;
• eliminate bad breath;
• polish the enamel surface;
• prevent plaque adhesion;
• lighten the tooth surface;
• choose the right filling color for dental treatment;
• remove pigmented plaque after tea, coffee, “smoker’s plaque”;
• detect the initial stage of caries;
• avoid the occurrence of gingivitis and periodontitis;
• strengthen the enamel by treating it with fluoride gel.

Proper Teeth Brushing Technique

High-quality and safe teeth cleaning includes 4 main processes:

• cleaning the outside of the teeth with sweeping movements from top to bottom;
• brushing the inside of the teeth with vertical movements using the tip of the brush;
• Clean the chewing surface of your teeth using back and forth movements;
• massage your gums by closing your jaw and making circular movements along the surface of your teeth.

After completing the main procedures, use dental floss or another means to clean the space between the teeth.

Harm

• Subgingival calculus removal can be a painful procedure, especially if the patient has severe plaque buildup. However, in the conditions of modern medicine, this issue is resolved by the use of anesthesia. In 98% of cases, the procedure takes place without anesthesia, and only in 2% of cases, with hypersensitivity to pain, anesthesia is used.
• During the procedure for removing tartar, damage to the gums occurs. This is an inevitable injury that is usually accompanied by bleeding and sometimes pain. These symptoms disappear within a few hours, and complete restoration of gum tissue occurs within a week.
• Professional ultrasonic teeth cleaning can cause fillings to fall out. However, the loss of the restoration indicates poor quality of its adhesion to the tooth. A timely detected defect in the seal-tooth seal prevents the development of hidden pathological processes. A filling that fits well to a tooth cannot be removed with ultrasound.
• Professional teeth cleaning with ultrasound has a number of contraindications. These include severe diseases of the cardiovascular system, as well as bronchitis and asthma, serious infectious diseases (hepatitis and tuberculosis), wearing a pacemaker, the presence of implants or orthopedic structures in the mouth, childhood and adolescence. In all cases where ultrasound cannot be used, an alternative is used - Air Flow abrasive cleaning.

To avoid or minimize the negative consequences of professional teeth cleaning, be sure to choose professionals with a proven reputation!

Make an appointment for an examination and consultation with the dentists at the VOKA clinic before the procedure.

Which brush to use

As we found out earlier, you should choose a toothbrush based on the sensitivity of your teeth. Dentists recommend using brushes with low or medium hardness.

Stiffer brushes can only be used as prescribed by a specialist and all recommendations are followed. Otherwise, you may damage the surface of your teeth and soft tissues.

Electric toothbrushes are not as effective as they might seem. They do not sufficiently clean the surface of the tooth and drive food debris into the space between the tooth and gum. It is better to opt for a regular brush with a hardness that suits you.

What paste to use

According to GOST, toothpastes are divided into hygienic and therapeutic and prophylactic. Hygienic pastes are designed for mechanical cleansing, removing food debris and plaque from enamel. Therapeutic and prophylactic products are intended for the prevention of oral diseases. Such pastes have an antiseptic and anti-inflammatory effect.

Rospotrebnadzor identifies 4 types of toothpastes:

• with fluoride content - reduce the risk of developing caries and demineralization of enamel;
• with triclosan - have an anti-inflammatory effect in gum diseases;
• having a whitening effect - help in the fight against dark plaque;
• with an anesthetic effect - reduces the increased sensitivity of teeth to sour, hot and cold.

Recommendations from dentists: a modern approach to caries prevention

Bacterial film, or plaque, forms on the surface of teeth and mucous membranes almost constantly. These are the remains of food and drinks, as well as the results of the vital activity of the normal microflora of the oral cavity. Such accumulations are proteinaceous in nature and quite densely cover the surface of the tooth enamel. They can be felt as a slightly rough sticky coating, and externally they can look like a thin, translucent film with a yellowish tint.

If dental plaque is not removed in a timely manner, then after 10–12 hours it hardens as the mineralization process begins. tartar is formed . To effectively remove existing soft plaque and prevent the development of hard dental plaque, you need to maintain an interval between brushings (10–12 hours) and carry out the procedure for at least 2 minutes.

Physiologically, the oral cavity is adapted to self-cleaning due to the activity of saliva, the work of muscles, tongue, lips during talking, swallowing, chewing, breathing, etc. However, unfavorable factors are an excess of carbohydrates in food, chewing too quickly, preference for soft foods, use of antibiotics without doctor's prescriptions, diseases of the dental system - disrupt self-cleaning processes and increase the risk of caries.
This once again emphasizes the importance of preventing dental diseases and developing hygienic skills for caring for teeth and the oral cavity. Leontyev V.K., academician of the Russian Academy of Medical Sciences, professor[1]

There is a fairly common misconception that frequent brushing of teeth or the use of mouth rinses will save you from plaque formation. It must be remembered that an incorrectly selected toothbrush, as well as the use of specialized toothpaste (especially highly abrasive or with active additives) not according to the instructions can cause microtrauma to the tooth enamel. Invisible cracks form on it, in which bacteria accumulate, and it is difficult to remove them from there. This is how the process of caries formation starts. Therefore, brushing your teeth too often is not recommended.

The second common mistake is neglecting the recommendation about the need to brush your teeth twice. If oral hygiene is carried out once a day, this will not be enough to remove plaque and prevent the formation of tartar.

How long to brush your teeth

To achieve the best results when brushing your teeth, you must not only adhere to the correct technique, but also brush your teeth for a certain amount of time. Professional dentists say that the most optimal time for brushing the oral cavity is 2 minutes - 30 seconds for each half of the upper and lower jaw.

By following all these recommendations, you can easily achieve oral health and visit the dentist less often, only for prevention and professional cleaning.

In adults

Brushing your teeth in the morning removes plaque accumulated during the night, gives your teeth a clean look and ensures fresh breath. However, you should not brush your teeth immediately after breakfast, since after eating, the enamel is most sensitive and susceptible to destruction. The duration of brushing your teeth should be 2-3 minutes, on average 1 minute for each jaw. Unfortunately, very often teeth are brushed in a hurry, without devoting the necessary time to oral hygiene. Such care can cause plaque formation and gum inflammation. Bacteria accumulated under plaque destroy tooth enamel and cause inflammation in the oral cavity. Proper hygiene prevents the development of caries and gum disease.