Healthy starts in the mouth – with the right care. More than 80% of twelve-year-old teenagers today have caries-free teeth, according to the fifth German oral health study. That was not always so. In the late 1980s / early 1990s this was only 13%. The reasons for improving dental and oral health can originate in successful dental prevention, brush your teeth, and in professional and domestic prophylaxis concepts. Although, tooth decay remains one of the most common diseases in adolescence.
But gum inflammation must also counteract. The best and most efficient teeth cleaning is possible for all age groups from young to old with fast-swinging (machine) toothbrushes. Some users favor vibrating sonic toothbrushes, others rotating brushes. The brush head mustn’t be too big, that medium-hard bristles come in use. Thus, brushes clutch on to halfway against the gums and brush your teeth at a 45-degree angle.
Excessive contact pressure is harmful and can lead to increased wear and tear on tooth substance, gum injuries, and sensitive tooth necks. If the contact pressure is too high, you can tell by the quickly bent brush additions, which should actually last four to six weeks. Mechanical brushes are easily turning around on the spot, carefully spin along the curvature of the teeth, and wiped towards the open mouth. Scrubbing movements worsen the cleaning result and, like excessive contact pressure, can lead to damage.
Brush your teeth twice a day
Dental plaque and plaque build-up quickly. Just minutes after professional teeth cleaning, the first deposits of plaque are present again. Thus, in return, it multiplies within about 48 hours and can then cause tooth decay and inflammation of the gums. In the areas around the excretory ducts of the salivary glands, especially on the tongue side of the lower front teeth, calcification of these coatings creates tartar.
However, these deposits must separate very carefully and as completely as possible at least twice a day before tartar can form. A “little cleaning” only marginally affects the so-called biofilms. The sticky biofilm cannot remove enough with a toothbrush and water.
Teeth and gums should be brushed twice a day, preferably in the morning and evening. Even a practiced dentist usually needs more than three minutes, especially since all interdental spaces, e.g. B. should floss up. For many adolescents, this is made even more difficult by the fact that they wear fixed orthodontic devices or tooth or mouth jewelry, or intraoral piercings, which often have to be cleaned with single-bristle toothbrushes. If you have bad breath, it is fit to touch the back of your tongue. E.g. B. to clean with a traditional toothbrush.
If toothpaste with coarse cleaning agent additives is in use or if you brush your teeth up directly within up to two hours after drinking acidic drinks or food, the tooth enamel can get rough or the tooth surface can be abrasively take off. To measure the rough behavior of the different kinds of toothpaste, the scientific societies used measured values such as B. introduced the RDA or PCR values.
The relative dentin abrasion (RDA value) is a measure of the abrasion of hard tooth substances:
- Value <30: low abrasiveness, but also less cleaning effect,
- 35 to 50: a good compromise between low abrasiveness and cleaning effect,
- 50 to 70: slightly higher abrasiveness with stronger cleaning
- 70 to 80: medium abrasiveness, not suitable for long-term use,
- 95 to 100: high abrasiveness, under no circumstances for long-term use,
- Value > 250: legal limit, extremely high abrasiveness.
PCR | Pellicle Cleaning Ratio
The Pellicle Cleaning Ratio (PCR) describes the cleaning effect of toothpaste. These values are available from the manufacturers on request. Cleaning agents that come in toothpaste are, for example, sodium hydrogen carbonate and calcium carbonate (soft), hydroxyapatite and silica (medium-hard), or aluminum oxide and perlite (hard). The RDA value of a toothpaste used daily should be in the range between 50 and 70 RDA. Silica cleaning agents are widely in use because they are largely inert in the toothpaste formulation and do not interact with fluoride ions.
Mucous membrane irritation or blister-like detachment of the oral mucous membrane, which mostly comes from the addition of wetting agents by the manufacturer, are usually misread as intolerances. A possible increase examines for the wetting agent sodium lauryl sulfate.
Such wetting agents are z. B. added as a foaming agent to many kinds of toothpaste. Some toothpaste that is “organic” contains abrasive additives based on pumice instead of the modern, gentle silicate abrasive. These are often comparatively coarse-grained and very abrasive. Besides, many “organic toothpaste” do not contain fluoride, which is essential for dental health.
Ways to take care of them!
Avoid Non-Flouride Toothpaste To Brush your teeth!
Three fluorides in particular play an important role in dentistry: sodium monofluorophosphate, amine fluoride, and tin fluoride. Mixing with saliva as a calcium source, an invisible layer of calcium fluoride forms on the cleaned tooth surface during three minutes of brushing. This protects the tooth from acid attacks by bacteria, inhibits the dissolution of enamel minerals, and promotes remineralization (re-incorporation of saliva minerals into the tooth surface). The calcium fluoride layer utilizes up during the day, which is why it should build up again twice a day when you brush your teeth with such toothpaste.
Dental care is not vital in children until the first milk tooth erupts. Up to the age of two, it is put forward that to brush your teeth twice a day with the nanoscopic amount of children’s toothpaste with 1000 ppm of fluoride besides. Between the ages of two and six, children should brush twice a day with a strand of children’s toothpaste (1000 ppm fluoride).
After the age of six, children, adolescents, and adults all brush with a toothpaste with 1000 to 1500 ppm fluoride, and each uses a length of the strand (template on the entire bristle field of the toothbrush). Toothpaste with a fluoride content of more than 1500 ppm is a prescription drug that is prescribed by dentists in Germany and is reserved for special risk groups only.
From a dental perspective, fluoride-free toothpaste should not come into use. In the past 30 years, the number of new caries cases in Germany has decreased significantly. Today more than 80% of all twelve-year-olds have naturally healthy teeth, which is also due to the use of fluoridated toothpaste.
Are there alternatives to fluoride?
Modern toothpaste can contain liquid tooth enamel in addition to fluoride (Apa Care ® toothpaste). These are synthetically turnout, highly active enamel minerals (hydroxyapatite), which are the building blocks of tooth enamel. In combination with fluoride and hydroxyapatite, the build-up of the calcium fluoride protective layer can bolster. Thus, the return of the enamel minerals in the tooth surface can be bear.
Besides, the natural tooth enamel can gently gleam with hydroxyapatite, and the sensitivity of the tooth necks is sustainably slim. However, hydroxyapatite alone cannot replace the fluoride effect to this day. After brushing your teeth, the mouth should not be swill out. This allows fluoride and, if necessary, the hydroxyapatite to act longer.
Tooth Jewelry, piercing, and Co.
Tooth jewelry is almost as old as humanity. There are hardly any limits to the variety, and the type of tooth and mouth jewelry is subject to constant change. Gold crowns on the front teeth used to be a status symbol, today they are rather hideous. Temporary tooth jewelry to put on as a dummy may be a party gag. While permanently affix tooth jewelry such as small “Brillis” must be glued on.
To do this, the enamel has to be etched, which damages the tooth surface and makes it more prone to caries. Tooth jewelry that is deposit between the teeth or even piercings of the lip frenulum of the tongue is very questionable from a medical point of view.
Teeth Whitening Techniques
Most whitening techniques (teeth bleaching, bleaching) attack the tooth surface. The whitening effect is kindred with the formation of micropores in the tooth enamel and a change in the structure of the prism. Suggestions emerge that only dentists whiten teeth. The only way to achieve lightening results, with professional measures to repair the damaged tooth surface.
This can significantly improve the sustainability of the bleaching result and prevent the risk of staining, which is not uncommon with home bleaching. Tooth whitening can also be done at home by applying tooth repair pastes such as Apa Care ® and Repair or Tooth Mousse ® after brushing your teeth. Results in whitening effects due to a “compression” of the tooth surface. Due to increased storage of tooth minerals from saliva and the repair paste.
However, caution should be considering. Much abrasive toothpaste that has the word “repair” in their name tend to remove material instead of applying them.
Should I use Mouthwash to brush my teeth?
Risk groups such as elderly patients, the disabled, patients with general illnesses, or those taking pills. E.g. B. with antihypertensive drugs, antidepressants, hormone preparations, bad breath, the tendency to gum disease, or periodontitis benefits greatly from using a mouth rinse (twice a day for 30 seconds) in addition to brushing with a toothbrush and toothpaste.
Antibacterial ingredients (e.g. essential oils or chlorhexidine) in a mouth rinse solution can insert the biofilm residue after you brush your teeth. It has an additional antibacterial effect there for up to twelve hours.
Chewing gum excites the flow of saliva, thereby buffing harmful acids and improving remineralization. Dental chewing gums containing xylitol is effective if a proper dose and regularly masticate as a cure for 6 weeks. They can drastically reduce caries activity. Xylitol is a natural product that is gain from the bark of birch trees or corn. Children chew chewing gum three times a day with 1g xylitol each, adolescents from the age of twelve. Though adults chew twice that amount – ideally two chewing gum three times a day.