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Tooth decay is an age old problem that has affected generations of children and adults. Tooth decay is preventable, we just need to understand what causes it so that we may then prevent it from occurring.

Tooth decay is caused by a bacterial intrusion into the tooth. The bacteria feed on the buildup of food debris on teeth. The bacteria then secrete acids which breakdown tooth enamel. Once the acid forms a hole in the enamel, the bacteria can then enter the tooth and progressively breakdown the tooth, causing a cavity.  Understanding this process is critical to maintaining oral health and preventing tooth decay.

Best Tips To Prevent Tooth Decay

Maintain Proper Dental Hygiene. This is the first step to preventing tooth decay. Proper dental hygiene should include, brushing, flossing, and using an antibacterial mouthwash. Toothbrushing should be done at least twice a day for 2 minutes each time. Brushing more often during the day will enhance your dental hygiene. Flossing should be done at least once a day (preferably before bedtime) but it can also be done more often.  The goal in dental hygiene is to not only keep down the amount of debris in the mouth but also to keep the environment from becoming acidic which will allow bacteria to more agressively break down teeth causing tooth decay.

Use of an antibacterial/fluoride mouthwash (such as purple listerine)is often overlooked but is also important. These oral rinses are designed to decrease cavity causing bacteria in the mouth while utilizing fluoride to strengthen enamel against breakdown. If brushing and flossing is done properly, use of an oral rinse should complete the protection against tooth decay.

Sugarless Gum. Sugarless gum is important because it stimulates salivary flow. The increased saliva in the mouth will help to keep our teeth clean. Saliva is the mouth’s natural defense against oral bacteria. Choose a sugarless gum with xylitol. Bacteria can not feed on xylitol, because it cannot be metabolized. This helps keep the acid levels lower. Xylitol has also been shown to help remineralize our teeth’s enamel.

Maintaining Proper Nutrition. Choosing foods and drinks wisely is important to your overall health as well as your dental health. By eating properly, you are able to keep your body as healthy as possible allowing your body to fight off any attack. The best snacks for your dental health include raw vegetables, fruits, and nuts. Avoiding sugar is not always an option so it is important to minimize the damage. Apples are actually the perfect snack for dental health as they act as a tooth cleaner and whitener. They are able to clean your teeth by the abrasive action of the skin and hard inner surface of the apple, malic acid in the apple helps to remove surface stain and keep teeth whiter. You can actually squueze juice from an apple and mix it with baking soda to brush on and whiten your teeth. So next time you are looking for a midday snack pick up a shiny apple.

Drink Fluoridated Water. While fluoride is a controversial topic for many. It has been proven time and again to protect our teeth from tooth decay. Fluoridated water is important for children to drink. The fluoride becomes a permanent part of the tooth when it is consumed during tooth development.  Drinking at least 16oz of fluoridated water each day will help prevent tooth decay. Another option is to use a supplemental fluoride prescribed by your dentist.

-Dental Sealants. Many believe dental sealants are just for children but that is not so. If an adult has no tooth decay on the tooth in question nor any previous dental restorations a sealant can be placed and be effective. A dental sealant is designed to cover the chewing surfaces of premolars and molars. This keeps the grooves of our teeth from developing tooth decay. In many of us, these grooves are quite deep and are an inherent weakness in the fight against tooth decay.

Tooth Decay Conclusion

Tooth decay is preventable with diligent dental hygiene and maintaining regularly scheduled dental visits. Maybe in the future, we can eventually wipe out tooth decay . Until then, we need to follow the steps above to maintain good oral health.




Periodontal disease can be very difficult to manage once it begins to progress past its initial reversible stage of gingivitis. The treatment of periodontal disease requires diligence on the part of the patient to

Periogen Marielaina Perrone DDS

Periogen + Waterpik = Healthier Mouth!

maintain regular dentist appointments and routine home care. Professional dental cleanings go a long way to preserving your teeth and gums, but once patients leave the office they need to maintain their oral hygiene so the disease state does not progress further. Many patients just need to develop a regular routine of brushing, flossing, and rinsing with antiseptic mouthwash regularly. So, how can we improve at home care to make it more effective and efficient for the patient?

Can You Improve Dental Hygiene?

Let’s face it, most patients do not like to floss. So what do we do to get patients to maintain their dental hygiene? One of the most effective and most popular products on the market today is the waterpik flosser. The waterpik flosser works by delivering a combination of water pressure and pulsation. This allows the waterpik to remove debris and bacteria lodged between the teeth and below the gum line. It is also able to massage and stimulate the gums to improve blood circulation and help promote healthy gums.

The waterpik has also been extensively studied in clinical trials and shown that it is clinically proven 50% more effective than traditional dental floss.

SO…what can make the waterpik even better? The answer is in a new rinse called Periogen. Periogen is a patented oral rinse that has been proven capable of dissolving tartar buildup between professional cleanings and dentist 89052 visits. Periogen works by exploiting a weakness (discovered by the research team at the Periogen Company) in the fundamental structure  of oral tartar, and the way it sticks to our teeth.

Tartar (or calculus as it is sometimes called) can be found above and below the gum line. Tartar above the gum line is referred to as supra gingival tartar and tartar below the gum line is referred to as sub gingival tartar. Dental Tartar is comprised almost entirely of Calcium Phosphate Salt. Calcium Phosphate is also the basic component of tooth material.

Periogen Marielaina Perrone DDS

Periogen Oral Rinse

Calcium phosphate salt differs from calcium phosphate in its electron structure. The calcium phosphate salt has two less electrons than the calcium phosphate which makes it electrically unstable. This process of losing electrons happens in nature all the time. The best comparison is the buildup of lime deposits in water pipes and faucets. Microscopically, tartar is layer upon layer (can be in the tens of thousands layers) of  calcium salts and bacterial debris.

The tartar is a main cause of periodontal disease. Breakdown of gum and bone tissue is caused by toxins released by bacteria in plaque and tartar, and by the body. The toxins cause the body to react by starting the inflammatory process thereby destroying healthy gum tissue and supporting bone structures. Periodontal disease is progressive. Without proper treatment, periodontal disease will lead to tooth loss and infections throughout the mouth.

Periogen is used as an oral rinse 1-2 times per day between professional cleanings to reduce the level of tartar buildup and stain. This will in turn, make for an easier dental visit. It also maintains a healthier state in your mouth for your teeth and gums to heal. Periogen should in no way replace brushing and flossing, or visits to the dentist but just works as an accessory between professional dental cleanings to give you a more effective way to reduce tartar and fight periodontal disease .

periogen

For a long time now, it has been recommended to brush and floss to maintain good oral hygiene. Brushing and flossing alone may not be enough for many patients. The

Oral Rinses Marielaina Perrone DDS

Oral Rinses Can Keep Your Smile Shining!

addition of an oral rinse can offer unique benefits that brushing and flossing are unable to achieve. Some of the oral rinses on the market can be used to treat gingivitis, assist in the remineralization of teeth, treat dry mouth, as well as help whiten our teeth. The main advantage of an oral rinse is its ability to reach all areas of the mouth, between teeth, and under the tongue. This gives it the ability to reach bacteria that normal brushing and flossing may not.

Types Of Oral Rinses

There are many different kinds of oral rinses available in stores today they generally fall into two categories:

Cosmetic Oral Rinses. This type of rinse is used for purely cosmetic reasons including temporarily masking bad breath or teeth whitening agents to lighten color of teeth. These usually have antibacterial properties as well as anti cavity protection but not very potent in those areas. Cosmetic rinses are commercial, over the counter products that help remove oral debris before or after brushing, temporarily suppress bad breath, diminish bacteria in the mouth, and refresh the mouth with a pleasant taste, like mint. Cosmetic oral rinses reduce mouth odors, or halitosis. Some do kill bacteria for a short time, but there is no lasting health impact that you could ascribe to them. The bacteria killed by these types of mouth rinses will grow back eventually, and while you’ll have fresh and minty breath in the short-term, these rinses don’t actually improve your oral health.

Therapeutic Oral Rinses. This type of rinse is meant to fix a persistent oral issue such as gingivitis. Therapeutic rinses have all of the benefits of cosmetic rinses but also contain an added active ingredient that helps protect against some oral diseases. Therapeutic oral rinses are effective in two ways. One is to simply attack bacteria by stop it from reproducing or to kill it. The other newer way is to hinder the bacteria’s ability to attach itself to oral surfaces. If the bacteria cannot attach itself to any oral surfaces plaque cannot form. Dentists will prescribe special rinses for patients with the following issues:

1. Tooth Decay

2. Periodontal Disease

3. Gingival Inflammation

4. Dry Mouth (Xerostomia).
Therapeutic rinses also are highly recommended for those who cannot brush due to physical impairments or medical reasons. A good example is Chlorhexidine which is a very common oral rinse used to treat periodontal disease. It is powerful because its effects last longer than some of the other mouth rinses.

Are There Oral Rinses For Children?

Oral rinses are especially effective for children since their dexterity and attention to detail is usually less than that of an adult. The oral rinses will ensure all areas of the

Oral Rinses Marielaina Perrone DDS

mouth are reached. Oral rinses for children generally have no alcohol and most usually do not have fluoride. They can be antibacterial or they can be used for pre brushing staining of plaque areas.

Oral Rinses Conclusion

Mouth rinses do serve a purpose, whether to freshen your breath or help fight plaque and gingivitis. They can be a vital addition to any oral hygiene regimen. Remember they are not a substitute for regular brushing and flossing. Those are still the main component of the at home oral hygiene program with oral rinses acting as a supplement. Recent studies have shown that oral rinses can reduce plaque and the risk of gingivitis when used in addition to tooth brushing compared with tooth brushing alone. Whatever oral rinse you choose, be sure to follow the instructions and avoid swallowing. As always visit your dentist regularly for dental examinations and professional cleanings. Remember, when choosing a mouth rinse product, pick one that has the ADA seal of approval.