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Accidents happen. Next time you’ll wear your mouthguard when you skateboard, never use your teeth to open anything, and carefully step away from your grandmother’s hard candy dish. But what to do now for your chipped tooth?

First of all, call Zarrella Dentistry. Dr. John Zarrella and Dr. Peter C. Rider and our team can offer tips on dealing with any pain and how to avoid injuring your tooth further. Make an appointment to see us as soon as possible, where one of the following options might be the best treatment for you:

• Bonding

If the chip is small, you might be a good candidate for bonding. A tooth-colored resin is applied to the damaged area with adhesive, molded to shape, and then hardened with a curing light. It is then polished and, if necessary, further shaped to match your surrounding teeth.

• Porcelain Veneer

A veneer is a thin shell of porcelain individually molded for your tooth. If the chip is too large for bonding, or if you would like a more translucent finish, a veneer might be appropriate. During your first appointment, some of the tooth structure will be gently removed to accommodate the size of the veneer. A mold will be taken and sent to a lab for the creation of the veneer, which will be bonded to your tooth on a later visit. Whether a veneer will be successful depends on several variables, such as the condition of the tooth and enamel, your bite, and whether you grind your teeth. We will take all these factors into consideration in discussing possible treatments.

• Crown

A large chip or pain when eating or drinking might mean that you need a crown. This “cap” will protect your tooth from the pressures of chewing as well as restoring its appearance. On your first visit, some of the tooth structure will probably be removed to make room for the crown, impressions will be taken for the dental lab to make a permanent crown, and a temporary model will be fitted to your tooth. In a following visit the permanent crown will be adhered to your tooth.

If the crack has extended to the pulp of the tooth, you might need a root canal. If this is necessary, we will discuss the procedure during our exam.

No matter the size of the chip, it is important to contact our Ashland office immediately to help avoid infection and prevent further damage. If your tooth is broken below the gumline or otherwise seriously compromised, more intensive care will be necessary. But when a minor accident happens, prompt treatment can quickly restore your smile to health.

You’re an old pro at brushing and flossing by now—after all, you’ve devoted years to looking after your dental health, carefully brushing for two minutes twice each day and flossing daily.

But now, you’ve entered unfamiliar territory—orthodontic treatment. It’s time to level up your brushing game to protect your teeth and gums while you create a more attractive, healthier smile.

Why make changes in your dental routine? Because of plaque. Brackets and wires can make brushing more difficult, allowing plaque to build up around your braces. And plaque which sticks around leads to:

• Demineralization—The bacteria in plaque produce acids, which strip away minerals from tooth enamel. This creates a weak spot in the enamel and can leave a noticeable white stain on your tooth when your braces come off—especially around the places your brackets used to be, because that’s often where plaque accumulates.
• Cavities—Over time, as bacteria continue to attack enamel, a weak spot in the tooth’s surface becomes larger and deeper until it forms a cavity.
• Gingivitis—It only takes a few days for plaque to build up enough to irritate gum tissue and cause tender, inflamed, puffy, or bleeding gums.

Some new skills and new tools will help you keep teeth and gums healthy while you’re wearing braces.

Adapt Your Brushing Strategy

Wearing braces means adapting your brushing and flossing habits. You might need to spend a bit more time cleaning your teeth, but the results will be worth it!

• Brush More Often

Brushing after you eat is generally recommended to remove any food particles and plaque sticking around your brackets and wires. This might mean brushing in the morning, after meals and snacks, and before you go to bed. If you’re unable to brush after eating, be sure to rinse and swish with water to help remove food particles.

• Brush and Floss More Carefully

Brush each tooth surface, outside, inside, and the tops of molars. Angle your brush to clean around brackets and under wires. And while flossing might be more challenging, it’s still essential. Dr. John Zarrella and Dr. Peter C. Rider can show you how to floss when wires get in your way.

Upgrade Your Tools

The right tools make any task easier:

• Toothbrushes— Your teeth and gums might be more sensitive now that you have braces. This is a good time to remember that you never need to scrub your teeth, gums, or braces, and that a soft-bristled brush is the only kind of brush to buy.

There are brushes designed especially for braces which have angled bristles to clean around brackets or smaller heads to fit more comfortably in your mouth. Some people find electric toothbrushes are more effective.

• Interproximal brushes and dental picks—Small cone-shaped brushes and soft picks can clean between your teeth and around your brackets and wires when a brush head is too bulky.
• Floss threaders and braces-friendly floss—Floss threaders are flexible hoops which allow you to maneuver floss under the arch wire and between your teeth. Or try pre-cut floss, which comes with one stiff end to thread easily through your braces and between your teeth.
• Water flossers—A water flosser is a gentle and effective way to help wash away food particles.
• Over the counter or prescription rinses—Dr. John Zarrella and Dr. Peter C. Rider can recommend special rinses which can help prevent cavities.
• Cleaning kit—Put together a kit with toothbrush, travel-size toothpaste, floss or picks, and a small mirror for cleanup on the go.

Because there are so many options, experiment with different tools until you find the best, most efficient way to keep your teeth and braces their cleanest.

Learn from the Experts

Finally, optimize your brushing strategies with help from the experts. The dental team at Zarrella Dentistry in Ashland can teach you new brushing and flossing techniques and suggest the best tools to get the best results. And keep up with your regular dental appointments and cleanings! Regular exams will catch any signs of demineralization before they can lead to stains or cavities, and your hygienist can work around your braces to remove plaque you might have missed.

Take some time each day to level up your brushing game, and, when those braces come off, you’ll celebrate with a winning smile!

Just like that, it’s Spring, and the world looks brighter! The skies are sunnier. Daylight in Ashland lasts longer. And your smile can be brighter, too—with a little bit of spring cleaning.

After all, sometimes dental habits become so automatic that we don’t pay them as much attention as we should. Without careful daily brushing and flossing, you could start to see surface staining on your enamel. Or red and swollen gums. Or tartar deposits along the gumline or behind your teeth. 

The start of the season is a good time to spring ahead with a plan for better oral health, and we have some simple ideas to help you clean and protect your smile all through the year.

Assemble the right tools.

• Use a soft-bristled toothbrush, because anything firmer can be hard on your tooth enamel and gums. If you’re having trouble removing food particles and plaque, an electric toothbrush might be a game changer.
• Find the right floss. If you’ve been neglecting flossing because it’s difficult, or if you have mobility issues, there are lots of options available to improve efficiency and comfort. Whether it’s floss picks, interproximal brushes, or water flossers, Dr. John Zarrella and Dr. Peter C. Rider can recommend the best products for your individual needs.
• Choose fluoride toothpaste. Fluoride not only helps prevent cavities by creating an unfavorable environment for cavity-causing bacteria, it also actually strengthens tooth enamel as well. Win/win!

Use those tools!

• Brush all the surfaces of your teeth carefully and thoroughly (no need to scrub) and brush along the gumline at a 45˚ angle. This will help prevent plaque from accumulating above and below the gumline, where it can harden into tartar.
• Brush often enough and long enough. The team at Zarrella Dentistry generally recommends brushing twice a day, for two minutes each time. 
• If you wear aligners, a retainer, a mouthguard, a nightguard, or other appliances, brush your teeth before wearing them. You don’t want to trap food particles or bacteria in your appliance!
• Floss at least once a day, or more often as recommended. Proper flossing can be difficult sometimes, so ask Dr. John Zarrella and Dr. Peter C. Rider for the best techniques.

Make sure your dental products are in top shape.

• Replace your toothbrush as often as necessary. After three months or so, bristles start to fray. They don’t clean as effectively, and they could be abrasive to gum tissue. Change out your brush every three to four months, including the head on your electric brush. A good way to remember is to change your brush with the change of seasons. 
• Check the date(s)! Many toothpastes, mouthwashes, and other oral supplies come with a “best used by” date, ensuring that your products remain safe and effective.
• Choose the right toothbrush holder. Your brush should air-dry upright, because germs thrive in closed, damp environments. And your holder shouldn’t allow your brush to touch other people’s brushes to avoid transfer of bacteria and viruses. Clean your brush holder regularly to remove toothpaste residue and germs.
• Clean your aligners, retainer, mouthguard, night guard, and/or cases for your appliances as recommended. Bits of food, bacteria, viruses, and other germs collect there as well.

Work with the experts for your brightest smile.

• See Dr. John Zarrella and Dr. Peter C. Rider regularly. You’ll discover any problems which might be dimming your smile, and you’ll discover them early.
• Schedule cleanings with your exams. The team at Zarrella Dentistry uses tools such as ultrasonic or hand scalers and polishers to remove stubborn plaque, tartar deposits, and surface stains that brushing can’t.
• If you want brighter, whiter teeth, consider professional whitening. While whitening kits are available in almost any drug store or supermarket, office treatments or kits provided by Dr. John Zarrella and Dr. Peter C. Rider use stronger ingredients and are more effective.

Easy steps, yes? Step up your cleaning routine, and you’ll have a springtime filled with not just brighter smiles, but healthier smiles, too!

There are numerous ways to prevent cavities. Some, like brushing your teeth regularly and visiting our Ashland office, are more obvious than others. Beyond the standard methods of preventing cavities there are a number of different ways to keep your mouth healthy that you might also find surprising.

1. Reduce your consumption of carbs and sugar.

The consumption of sugar is ultimately the biggest catalyst for cavities. By limiting the sugar you consume both at meals and while snacking you will in turn be preventing cavities. But this goes for all carbs, not just sugar. See, even more complex, lower glycemic, carbs can lead to cavities in your mouth, so the best way to prevent them is to limit your carbohydrate intake. This is not to say that you have to cut out carbs all together, but by reducing your intake, you will prevent cavities and it can also lead to a healthier body overall.

2. Rinse your mouth with food-grade hydrogen peroxide.

For some people this may seem a little odd, but washing your mouth out with a food-grade hydrogen peroxide is an excellent way to prevent cavities. Doing so will kill harmful bacteria that accumulates in your mouth much in the same way applying the anti-septic to a cut does. That said, when you rinse your mouth out similar to how you would use a mouth wash, you want to make sure you don't swallow the hydrogen peroxide, spit it out instead.

3. Use a straw.

If you are someone that drinks a lot of sugary beverages a great way to prevent cavities is to use a straw. This way the sugar in the beverage does not come into contact with your teeth as much as it would if you were to drink straight from a glass, can, cup, or bottle.

4. Chew gum.

Chewing gum is another viable way of preventing cavities. You, of course, will need to chew a sugarless gum flavored with a substitute like Xylitol, and preferably with a cavity fighting ingredient in it.

5. Eat cheese.

Plain and simple cheese has a protein called casein which helps build calcium in your teeth which is vital to the integrity of your mouth and preventing cavities.