Home Care D1310- D1330)

A beautiful, healthy smile that lasts a lifetime is our ultimate goal when treating patients.  Your personal home care plays an important role in achieving that goal.  Your personal home care starts by eating balanced meals, reducing the number of snacks you eat, and correctly using the various dental aids that help control the plaque and bacteria that cause dental disease. If you have not already done so, visit the section on Dental Disease to fully understand how these preventative methods will benefit you.

 

Nutritional Guidance - Controlling the acids that come into contact with the teeth, and the overall acidity of your mouth is critical to prevent demineralization of your teeth, and promote remineralization and repair.

  1. Limit the intake of foods that are high in acids. If you are not sure what those foods are visit a great link by clicking here.
  2. Limit the intake of foods that are high in sugar. Because sugar turns into acid in the mouth. And don't be fooled by companies that promote a "healthier version" of sugar in their foods. Sugar is sugar, period.
  3. Limit the intake of foods that are high in starches (grains, etc). Because starches turn into sugar which turns into acid in the mouth.
  4. So what can you eat then? Just about everything that is processed has starch, sugar, and acid.  Obviously raw fruits and vegetables, meats and dairy are the best things to eat, and water is the best thing to drink.
  5. If you do eat the "wrong" type of food, be sure to give the mouth about 45 minutes to return from an acidic state to a neutral pH. That way you begin remineralizing anything that began to demineralize.

Mints, gum, drinks that contain Xylitol or Sorbitol - these two artificial sweeteners are considered "dietary alcohols" and are not considered acid producing. In fact they quickly neutralize acids in the mouth and accelerate the remineralization process. 

Tooth brushing - Brush your teeth at least twice a day (especially before going to bed at night) with an ADA approved soft bristle brush and toothpaste.

  1. place the brush at a 45 degree angle to the gums and gently brush using a small, circular motion, ensuring that you always feel the bristles on the gums.
  2. Brush the outer, inner, and biting surfaces of each tooth.
  3. Use the tip of the brush to clean the inside of the front teeth.
  4. Brush your tongue to remove bacteria and freshen your breath.

Electric toothbrushes are also recommended.  They are easy to use and can remove plaque efficiently.  Simply place the bristles of the electric brush on your gums and teeth and allow the brush to do its job, several teeth at a time.

Flossing – Daily flossing is the best way to clean between the teeth and under the gumline.  Flossing not only helps clean these spaces, it disrupts plaque colonies from building up, preventing damage to the gums, teeth, and bone.

  1. Take 12-16 inches (30-40cm) of dental floss and wrap it around your middle fingers, leaving about 2 inches (5cm) of floss between the hands.
  2. Using your thumbs and forefingers to guide the floss, gently insert the floss between teeth using a sawing motion.
  3. Curve the floss into a “C” shape around each tooth and under the gumline.  Gently move the floss up and down, cleaning the side of each tooth.

Floss holders are recommended if you have difficulty using conventional floss.

Rinsing – It is important to rinse your mouth with water after brushing and after meals if you are unable to brush.  If you are using an over-the-counter product for rinsing, it’s a good idea to consult with your dentist or dental hygienist on its appropriateness for you.

Use other dental aids as recommended by your dentist or dental hygienist:  interdental brushes, rubber tip stimulators, tongue cleaners, irrigation devices, fluoride, medicated rinses, etc., can all play a role in good dental home care.

 

 The following codes are used for Preventative Home Care:

D1310: nutritional counseling for control of dental disease

D1320: Tobacco counseling for the control and prevention of oral disease

D1330: oral hygiene instruction

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