If you played sports in high school, there’s a good chance you wore a mouthguard to prevent concussions. What you probably didn’t know, is just how much these mouthguards protected your teeth and absorbed impact to your jaw (TMJ). As it turns out, mouthguards don’t stop in high school! Mouthguards go on to protect the teeth and jaws of many adults. Let’s look at the different types.

How do mouthguards work?

Mouthguards are not all constructed the same, but they serve the same purpose, to protect the teeth and absorb the impact of clenching and grinding from the jaws. Bruxism, or clenching and grinding, has a significant impact on the teeth and jaws and is a multifactorial habit stemming from factors like anxiety, stress, and teeth that are not properly aligned ^[1]. Mouthguards work by forming a barrier between the upper and lower teeth, preventing them from grinding against one another. They also absorb and redistribute shock that would be transmitted through the base of the skull to the brain, preventing concussions during sports or any kind of traumatic impact ^[2]. Clenching/grinding and over-exertion of the TMJ occur outside of sports and sleeping too. Many people clench and grind their teeth when stressed, paying bills, working on a computer, and when working out and lifting weights. Depending on the time and frequency of these habits, some mouthguards may be better suited than others.

Are there different types? Is custom better?

If you buy a mouthguard at a sporting goods store, it’s likely to cost about $15-$30. If you get one at your dentist’s office it will cost about $500.00 and up. Why the difference? A couple of reasons. One is that a night guard made in your dentist’s office will be custom fit to your teeth. It will require a few trips as they will have to take impressions of your teeth and send them off to a lab. Once the mouth guard is in, the dentist will have you try it on and will adjust it if needed to ensure it fits comfortably. The goal is for it to fit snugly on the teeth and require a little force to pop it out. Mouthguards bought at the store entail a much simpler process. You buy them… and then you wear them! While it’s nice to skip the impressions and extra visits to the dentist, they are not custom-fit to your teeth and can’t be adjusted if they don’t fit properly. If mouthguards are uncomfortable, people are less likely to wear them. Another reason custom-fit guards are so expensive is the materials. Custom, lab-built mouthguards are much more durable and can withstand a lot more force, meaning they will last longer than those purchased over the counter.

Why do dentists call it a night guard?

It may seem confusing to hear the terms mouthguard and night guard used interchangeably but they are essentially the same thing, barriers to prevent teeth grinding and TMJ exertion. Dentists commonly see signs of clenching and grinding through wear facets in a patient’s teeth and the complaint of a sore jaw and headaches. While they are called night guards, patients are still encouraged to wear them whenever they’re prone to clenching and grinding their teeth like when exercising, doing paperwork, or working on a computer.

Mouthguards work wonders in alleviating TMJ pain and pressure in those who clench and grind their teeth. Whether you decide to buy one over the counter or invest in one custom-built for you, your teeth and jaw will thank you for taking the load off!

Esmy Ornelas

Esmy Ornelas is a registered Dental Hygienist, writer, educator, and consultant with 10 years of experience in dentistry. She is passionate about education, empowering hygienists to advance their careers in and out of the operatory, and about community. She has written for RDH Magazine, the RDH Graduate, and is a full-time professor of Dental Hygiene and Assisting at Rose State College in Oklahoma.

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1. Green J. I. (2017). The Role of Mouthguards in Preventing and Reducing Sports-related Trauma. Primary dental journal, 6(2), 27–34. https://doi.org/10.1308/205016817821281738
2. Shetty, S., Pitti, V., Satish Babu, C. L., Surendra Kumar, G. P., & Deepthi, B. C. (2010). Bruxism: a literature review. Journal of Indian Prosthodontic Society, 10(3), 141–148. https://doi.org/10.1007/s13191-011-0041-5

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Over the years there has been a rise in the usage of electronic cigarettes also known as “e-cigs,” “vapes,’ “e-hookahs, “vape pens,” and “electronic nicotine delivery systems (ENDS.)”^[2] The devices can look like traditional cigarettes, cigars, or pipes or they can be more unconventional in their design and resemble USB flash drives, pens, or something that is less detectable.^[2] This can be concerning as many youths could be potentially damaging their health while their caregivers are completely unaware.

The rise of underage use

It has been reported by various news outlets that there has been widespread usage of vapes by youths in schools in classrooms and bathrooms.^[8] The popularity amongst youth is attributed by researchers to the sweet flavoring that many companies incorporate into the vapor that is inhaled. Many youths believe that vaping is less harmful than smoking cigarettes. Vapes can also be less expensive than traditional cigarettes overtime which is more economical for the younger population.^[3][8] The U.S. Food and Drug Administration (FDA) prohibited the sale of prefilled cartridge e-cigarettes in any flavor other than tobacco or menthol, on January 2, 2020 unless authorized by FDA. Restricting harmful marketing tactics that were directed at young ones was instituted as well so as to help decrease the usage of these products by youths which was on the rise.^[8]

Oral health implications

Most popular reports tend to focus on the potential dangers using electronic cigarettes can have on one’s heart and lungs.^[1] The rise of vaping has lead to an outbreak of lung injuries and deaths that have been attributed to the individuals vaping habits.^[3] Research also shows that there is a negative correlation with the use of e-cigarettes and poor oral health.^[1] Nicotine in any form whether it is smoked or vaped restricts the blood flow to the gums.This restriction increases one’s risk to periodontal (gum) disease, inflammation, tooth cavities, and oral cancer.^[1]

Why vaping is not actually a safer alternative

Some e-cigarette users may have turned to vaping because they considered it a safer alternative to using traditional cigarettes. Research however, shows that the nicotine delivery and emission of some e-cigarettes is comparable to those from traditional cigarettes.^[6] E-cigarettes use a battery that heats up the liquid called “e-juice” into an aerosol that is inhaled by users. Some users think the steam from the vape pens are harmless water vapor when in actuality they can contain the following chemicals: nicotine, propylene glycol, formaldehyde, acetaldehyde, acrolein, dactyl, dtiethylene glycol, cadmium, benzene, heavy metals, and ultra fine particles that can be inhaled deep into the lungs.^[5][6] Many of these chemicals are considered to be cancer causing carcinogens that are also linked to causing lung disease, are weed killers, are used in explosives, or are used in antifreeze.The chemicals found in e-cigarettes increases an individual’s risk to gum disease, cavities, and oral cancer.^[1]

Gum disease & your health

The gums are the foundation of your mouth and aid in supporting your teeth and protecting the roots of your teeth. They provide a protective barrier between harmful oral bacteria that can affect our overall health and wellness. When someone has gum disease their gums are compromised. The gums aren’t able to protect the mouth from harmful bacteria due to being infected and inflamed. From the moment that the vapor from the e-cigarettes enter your body from the mouth, the toxic cocktail of chemicals begin to inflict damage.^[1] Nicotine in any form, whether it is vaped, smoked, or chewed restricts the blood flow to the gums and contribute to gum (periodontal) disease. Vaping can cause mouth and throat irritation, and cause the gums to become tender, swollen, and red.^[4] If the fluid in the vape contains nicotine, then there is an increased risk of teeth stains and discoloration, teeth grinding, and receding gums. Individuals with gum disease have an increased risk of having cardiovascular disease, diabetes, chronic respiratory disease, pregnancy complications, dementia, and cancer.^[6]

The time to quit is now

Quitting the use of tobacco can be difficult if you try to do it without the help of a healthcare professional. Often users relapse as tobacco dependence is a difficult habit to break. Talking with a healthcare provider can increase your chances of being successful. Your provider might counsel you and recommend cessation medications that are approved by the US Food and Drug Administration that are evidenced based treatments. Your health is worth all the effort that you make to maintain a healthy lifestyle and move towards having overall health and wellness.

Kari Carter-Cherelus

Kari Carter-Cherelus RDH, DA is a registered Dental Hygienist, writer, consultant, coach, international keynote speaker, with 23 years of experience in dentistry. She is passionate about helping others recover from burnout, improving organization’s work culture, and helping her clients to improve their mindset. She authored the book The Ultimate Guide For Dental Hygienist Burnout, and has written for RDH Graduate, RDH Magazine, and Inside Dental Hygiene.

View My Profile Contact Kari

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“Brush your teeth twice a day and floss”, this is the advice given to every patient to keep their teeth clean and healthy. Sounds simple right? On a good day it is, but on other days, days that are filled with anxiety, depression, and other mental health struggles, the idea of brushing and flossing can seem impossible. During these times, there are other, more gentle ways to keep your teeth clean. The most important thing to remember? You’re not alone.

How common is anxiety and depression?

Anxiety and depression affect about 40 million Americans a year ^[1]. Even though it’s treatable, only about 36% receive treatment^[1], meaning many are battling it alone. These rates significantly spiked during COVID ^[2]and have had a lasting impact on the mental health of a large portion of the population. Clinical depression has effects other than feeling sad or a loss of energy. It directly impacts one’s decision-making skills and their executive functioning (the ability to take all the steps to get something done) ^[3]. This can make a seemingly simple task like brushing teeth or flossing seem like too much work. “What kind of toothpaste? Electric or manual toothbrush? Floss or floss pik… never mind. I don’t care anymore.” Many can feel terrible or lazy about not having the motivation to brush their teeth but it is not laziness, it’s the chemical imbalance in their brain^[1] working against them, depleting everything they have.

What can I do to keep my teeth clean when I’m struggling?

If you’re someone who struggles with depression or anxiety (the hygienist writing this article does), there are other simple ways to stay on top of your oral care that don’t require too much effort. These things may seem small, but they go a long way in keeping you healthy. Don’t underestimate the power of small efforts! The first is to drink lots of water. This cleanses the teeth and flushes out any bacteria that may be trapped between the teeth. It also helps increase salivary flow which will keep the pH of the oral cavity balanced, preventing cavities. Another is to eat crunchy foods like apples or carrots. The mechanical action of crunching on these foods cleans the chewing surfaces of the teeth (areas especially susceptible to decay) and removes plaque. Lastly, take a multivitamin and an oral probiotic . If you’re only craving sugar, or salty comfort foods when you’re experiencing a bout of depression, taking a multivitamin will ensure your body is still nourished with the vitamins and minerals it needs. An oral probiotic will keep your oral microbiome balanced, which in turn will strengthen your immune system and lessen your susceptibility to cavities and inflammation. Depression and anxiety can make everything seem exhausting, even brushing your teeth. When experiencing a low period, drink some water, take some vitamins, be extra gentle with yourself, and know that you’re doing more than enough. You got this!

Esmy Ornelas

Esmy Ornelas is a registered Dental Hygienist, writer, educator, and consultant with 10 years of experience in dentistry. She is passionate about education, empowering hygienists to advance their careers in and out of the operatory, and about community. She has written for RDH Magazine, the RDH Graduate, and is a full-time professor of Dental Hygiene and Assisting at Rose State College in Oklahoma.

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1. Facts & Statistics: Anxiety and Depression. Facts & Statistics | Anxiety and Depression. (n.d.). Retrieved March 4, 2023, from https://adaa.org/understanding-anxiety/facts-statistics
2. James Cartreine, P. D. (2016, May 6). More than sad: Depression affects your ability to think. Harvard Health. Retrieved March 4, 2023, from https://www.health.harvard.edu/blog/sad-depression-affects-ability-think
3. What causes depression? Harvard Health. (2022, January 10). Retrieved March 4, 2023, from https://www.health.harvard.edu/mind-and-mood/what-causes-depression
4. World Health Organization. (n.d.). Covid-19 pandemic triggers 25% increase in prevalence of anxiety and depression worldwide. World Health Organization. Retrieved March 4, 2023, from https://www.who.int/news/item/02-03-2022-covid-19-pandemic-triggers-25-increase-in-prevalence-of-anxiety-and-depression-worldwide

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]]> https://www.smilebrilliant.com/articles/cure-cavities-with-oil-pulling/ Fri, 14 Jul 2023 10:06:19 +0000 https://www.smilebrilliant.com/?p=864108 Oil pulling is thought to be a cheap home remedy, and effective alternative to traditional treatment, for a variety of oral ailments including cavities, pain, inflammation, and chronic dry mouth. Find out why oil is thought to soothe so many oral health problems & how effective it really is from a dental hygienist. There has…

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]]> Oil pulling is thought to be a cheap home remedy, and effective alternative to traditional treatment, for a variety of oral ailments including cavities, pain, inflammation, and chronic dry mouth. Find out why oil is thought to soothe so many oral health problems & how effective it really is from a dental hygienist.

There has been a renewed interest in home remedies over the years to improve one’s health without using traditional pharmaceutical means or medical interventions. This rise of interest in home remedies to fix oral issues is often attributed to social media trends that often go viral.^[5] However, according to the report Dental Dangers: Home remedies To Avoid While Waiting For Care, many are turning to at-home options due to their lack of access to professional oral healthcare services.^[6] Some individuals either are not willingly seeking professional oral care or have barriers that create access to care issues. These individuals often seek DIY options to help alleviate or cure bleeding gums, chronic dry mouth, broken teeth, toothaches, and cracked teeth.^[5] One method that some have considered is using oil pulling to cure their cavities. Some individuals have even become convinced from various internet sites that oil pulling can help cure cavities by reversing them, resulting in not needing fillings or other dental work. Can you cure your cavities by oil pulling? Is that really possible?

What is a cavity?

First, let’s discuss what a cavity actually is. Cavities or tooth decay is when the hard surface of your teeth (enamel) becomes damaged with tiny openings or holes.^[4] These openings are filled with harmful bacteria acids that will continue to burrow through the tooth breaking down the different layers of tooth structure and causing more damage.

You might not initially know you have a cavity when it first starts, however as it progresses you might experience a toothache, see holes or pits in your tooth, or see some brown, black, or white staining on your tooth.^[4] Delaying the proper treatment–having a dentist provide restorative treatment–can lead to a severe toothache, infection, nerve damage, or even tooth loss.^[4] Think of an apple that has a rotten piece on the fruit, if you cut the rotten piece out the apple is still salvageable. However if you don’t remove the rotten piece then it continues to infect the whole fruit and eventually becomes inedible.

To get rid of a cavity a dentist has to mechanically remove the decay from your tooth with special instruments and place a restoration on the tooth to strengthen it. Once the cavity has penetrated the hard enamel, restorative treatment is necessary because the decay cannot be reversed by any type of medicament.

What is oil pulling?

I know you’ve probably seen popular influencers or celebrities touting the healing benefits of oil pulling…but what is it? Oil pulling involves swishing with a teaspoon of oil in your mouth for twenty minutes every day and then to spitting the oil out.^[2] Many users prefer to use coconut oil for its antibacterial properties, however the original Ayurvedic method calls for the user to use sesame oil.^[2] Oil pulling has been done for centuries by enthusiastic users who claim it helps prevent tooth decay, bad breath, bleeding gums, throat dryness, and cracked lips.^[2]

Although oil pulling might not be the cure all that some claim it to be, according to research it can prove beneficial when used in conjunction with brushing and cleaning interdentally.^[3] Studies suggest that there are benefits to oil pulling such as reducing inflammation by decreasing the bacteria and it can prevent plaque formation.^[3] Certain oils such as coconut are known to have antibacterial properties and is a favorite amongst many who oil pull for its health benefits. You can not, despite the false claims online, cure your cavities by oil pulling.

How to oil pull:

• Swish with one teaspoon of coconut or sesame oil in your mouth for twenty minutes.^[3]
• After swishing for twenty minutes, spit the oil in the trash can. Spitting the oil down your drains could damage your plumbing.^[3]
• Rinse your mouth out with water.^[3]

The average individual can oil pull if they like as an adjunct to what they are already doing in their oral home care routine. If you are brushing at least twice a day for two minutes as well as cleaning in between your teeth with floss or another oral health aid ,then by all means have at it! (3) These are the basics and are the foundation of having a good oral routine that helps to reduce oral disease.^[3] If you are, however, not doing the basics will you realistically be able to incorporate oil pulling for twenty minutes a day daily into your routine?

It is important to make sure you have a realistic oral homecare routine that you can be consistent with. Make sure you visit a dental office regularly. Going to your dental office regularly to see dental professionals is important so as to alert you to any changes that are occurring in your mouth. Incorporating any adjunctive home remedy should be discussed with your dental professionals so they can give you the best tips and base suggestions on your specific needs. Seek out local resources that can help you with any access to care issues as there may be help available that you are unaware of.

Kari Carter-Cherelus
Kari Carter-Cherelus RDH, DA is a registered Dental Hygienist, writer, consultant, coach, international keynote speaker, with 23 years of experience in dentistry. She is passionate about helping others recover from burnout, improving organization’s work culture, and helping her clients to improve their mindset. She authored the book The Ultimate Guide For Dental Hygienist Burnout, and has written for RDH Graduate, RDH Magazine, and Inside Dental Hygiene.
View My Profile Contact Kari
1. How to get rid of cavities: Do Home Remedies Work? (2022, December 29).https://health.clevelandclinic.org/how-to-get-rid-of-cavities/
2. Cleveland Clinic. The benefits of oil pulling for Dental Health. (2022, September 14). https://health.clevelandclinic.org/is-oil-pulling-your-best-choice-for-dental-health/
3. Oil Pulling for maintains oral hygiene. (2017, January 7). Shanghai, Vanish Kumar L. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5198813/
4. Mayo Clinic. Cavities/tooth decay https://www.mayoclinic.org/diseases-conditions/cavities/symptoms-causes/syc-2035289
5. Dangerous at-home care: Who’s most at risk? Leaver, Elizabeth S. (2023, June 2). https://www.dentistryiq.com/dentistry/article/14294701/dangerous-athome-oral-care-whos-most-at-risk
6. CareQuest. Institute for Oral Health. Dental Danger: Home Remedies to avoid while waiting for dental care. Boston, MA (2023, April) https://www.carequest.org/system/files/CareQuest_Institute_Dental-Danger_5.19.23.pdf

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]]> https://www.smilebrilliant.com/articles/chewing-gum-get-rid-of-double-chin/ Thu, 06 Jul 2023 07:35:19 +0000 https://www.smilebrilliant.com/?p=862852 Chewing gum with xylitol can positively affect oral health in several ways as well as strengthen masticatory muscles, but getting rid of a double chin is more complex. Chewing gum can help with a dry mouth and in some cases, the prevention of cavities, but is it true that chewing gum can also reduce the…

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]]> Chewing gum with xylitol can positively affect oral health in several ways as well as strengthen masticatory muscles, but getting rid of a double chin is more complex.

Chewing gum can help with a dry mouth and in some cases, the prevention of cavities, but is it true that chewing gum can also reduce the appearance of a double chin or tighten the skin? Let’s investigate what the science says.

Is it true that chewing gum strengthens our jaw muscles?

There are published studies that conclude gum chewing does in fact improve chewing performance ^[1], but these studies showed the most improvement was seen in those with a certain facial profile and bone structure. The reason for this is that individuals with a longer face are subject to a lower level of bite force leading to a chewing deficiency ^[1]. Chewing is a response to a functional need so for these individuals, chewing gum can strengthen muscles that will combat their chewing deficiency. However, this applies to a slim percentage of the population. For most, the masticatory response is sufficient, and chewing gum won’t have much of an impact on their jaw muscles or bite.

Can chewing gum result in the appearance of a double chin? Or tighten the skin?

If you tighten your muscles by working them out, can you slim down a double chin by working out your jaw muscles? Not exactly. The most common cause of a double chin is excess fat and spot reduction, or working out a specific muscle to tone it, has been debunked in many studies ^[2]. If you want to lose fat in a specific area, you must decrease your overall body fat. Therefore, weight loss will be the most effective way to reduce the appearance of a double chin. Something else to consider is that with the increased usage of electronic devices today, many find they have a “tech neck” from looking down at a screen all day. Neck exercises help with posture, and this may lessen the look of a double chin as well.

Can chewing gum be a bad thing?

While chewing gum may not reduce chin fat or give you stronger jaw muscles, it can help increase salivary flow for those with a dry mouth and if it has xylitol, it can help prevent cavities ^[3]. However, gum should not be chewed excessively because overworking the jaw muscles can lead to muscle fatigue, jaw joint pain, and inflammation. Additionally, if people clench and grind their teeth at night, their jaw pain can be exacerbated by chewing gum as the muscles are then working overtime day and night. If you do decide to chew gum during the day, be sure it’s sugar-free. If you’re chewing on sugary gum all day, not only will it be stressful on your jaw, but it could also lead to cavities.

In summation, chewing gum will not tighten your jaw muscles or reduce the appearance of a double chin. However, if you chew gum with beneficial ingredients like xylitol, you can increase salivary flow and prevent cavities.

Esmy Ornelas
Esmy Ornelas is a registered Dental Hygienist, writer, educator, and consultant with 10 years of experience in dentistry. She is passionate about education, empowering hygienists to advance their careers in and out of the operatory, and about community. She has written for RDH Magazine, the RDH Graduate, and is a full-time professor of Dental Hygiene and Assisting at Rose State College in Oklahoma.
View My Profile Contact Esmy
1. Nayak, P. A., Nayak, U. A., & Khandelwal, V. (2014). The effect of xylitol on dental caries and oral flora. Clinical, cosmetic and investigational dentistry, 6, 89–94. https://doi.org/10.2147/CCIDE.S55761
2. Ramírez-Campillo, R., Andrade, D. C., Campos-Jara, C., Henríquez-Olguín, C., Alvarez-Lepín, C., & Izquierdo, M. (2013). Regional fat changes induced by localized muscle endurance resistance training. Journal of strength and conditioning research, 27(8), 2219–2224. https://doi.org/10.1519/JSC.0b013e31827e8681
3. Shirai, M., Kawai, N., Hichijo, N., Watanabe, M., Mori, H., Mitsui, S. N., Yasue, A., & Tanaka, E. (2018). Effects of gum chewing exercise on maximum bite force according to facial morphology. Clinical and experimental dental research, 4(2), 48–51. https://doi.org/10.1002/cre2.102

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]]> https://www.smilebrilliant.com/articles/does-teeth-whitening-strips-work/ Wed, 15 Mar 2023 06:23:38 +0000 https://www.smilebrilliant.com/?p=844043 Teeth whitening strips are easy to use, widely available, and may be a great solution for superficial stain removal in some cases. For most, years of staining and imperfect coverage by the strips will leave prominent staining & insufficient results. For others with ongoing tooth sensitivity, they may experience excessive discomfort. For centuries, white teeth…

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]]> Teeth whitening strips are easy to use, widely available, and may be a great solution for superficial stain removal in some cases. For most, years of staining and imperfect coverage by the strips will leave prominent staining & insufficient results. For others with ongoing tooth sensitivity, they may experience excessive discomfort.

For centuries, white teeth have been seen as a sign of wealth, beauty, and privilege. Whether you’re looking for a more youthful look or want to boost your confidence, teeth whitening can make a big difference. Teeth whitening is one of the most popular cosmetic dental procedures, but it’s important to seek professional help to avoid damage to your teeth and gums.

Oral health conditions to consider before proceeding with any whitening procedure are periodontal disease, crowding, medical history, and current restorations such as fillings, crowns, and veneers.

Understanding over-the-counter teeth whitening strips

Whitening strips are a popular way to improve your smile and confidence, but it’s essential to do it safely. They are easy to use and relatively affordable. Additionally, various formulas are available to target different needs, such as sensitive teeth or deep stains. Whitening strips consist of plastic holders typically containing 5–15% hydrogen peroxide, developed with the main idea of avoiding the customized trays used in an at-home dental bleaching technique.^[1]

How do whitening strips work?

There are numerous whitening products on the market, and the formulations and ingredients have evolved over the years. Tooth whitening agents aim to remove stains and discolorations. The success of tooth whitening depends on the type of stain present, which can be categorized as extrinsic staining, intrinsic staining, and internalized discoloration^[2]

Whitening strips deliver a thin layer of peroxide gel on plastic strips shaped to fit onto the buccal surfaces of the teeth. ^[3] Carbamide and hydrogen peroxide are the most broadly used whitening agents. A typical set of instructions is to apply the strips twice daily for 30 minutes for 14 days. ^[3]

Is it possible to cause permanent damage with prolonged over-whitening?

Prolonged over-whitening can cause damage to the enamel structure and cause sensitivity to the teeth and irritation to the gums. This depends partly on how many whitening products are used in conjunction with the whitening strips.The degree of these side effects is directly related to the concentration of the peroxide bleach component, the duration of the treatment, and the non-bleach composition of the product used. ^[3] Aggressive bleaching can chemically react with composite restorations, glass ionomer cements, sealants, and ceramic crowns, thus reducing their stability. ^[3]

Disadvantages of whitening strips

Whitening strips are a popular at-home teeth whitening option; however, some temporary risks include sensitivity, damage to your enamel, or irritation to the gums if misused. An ingredient that can aid in the reduction of sensitivity caused by teeth whitening is products containing potassium nitrate.

Whitening strips may not lighten crowns, veneers, or composite (tooth-colored) fillings. A study that investigated the application of carbamide peroxide and hydrogen peroxide whitening agents resulted in clinically unacceptable color change for all resin composites. ^[4]

Advantages of whitening strips

Research has shown time and again that having a beautiful smile is linked to your self-confidence and can also increase your happiness in life. ^[5] Whitening strips are affordable and easy to use at home or on the go. Although whitening strips are not as powerful as custom teeth whitening procedures, they can still impact lightening teeth. Whitening strips are easily accessible over the counter, online, at supermarkets, and pharmacies and are also gentler on the teeth and gums. Whitening strips are an excellent choice for those looking for a quick and convenient way to achieve brighter teeth. However, follow the instructions on your whitening product and talk to your dentist if you have any concerns.

Lacy Walker
LACY WALKER, RDH, BS, CDA, FAAOSH - dental hygienist, speaker, owner of Shared Hygiene, LLC, & writer w/ 25 years of experience in the dental field working in a psychiatric hospital, cosmetic, restorative, DSO, and periodontal practices. Lacy is the CE Director for A Tale of Two Hygienists podcast & Public Relations Chair for the AADH. She has a passion for the oral-systemic connection & is published in DACE, RDH Magazine, & DrBicuspid. Lacy is an approved provider of CE credits through AADH.
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References

1. de Freitas, M. R., de Carvalho, M. M., Liporoni, P. C., Fort, A. C., Moura, R. D., & Zanatta, R. F. (2021). Effectiveness and Adverse Effects of Over-the-Counter Whitening Products on Dental Tissues. Frontiers in Dental Medicine, 2. https://doi.org/10.3389/fdmed.2021.687507
2. Naidu, A. S., Bennani, V., Brunton, J. M. A. P., & Brunton, P. (2020). Over-the-Counter Tooth Whitening Agents: A Review of Literature. Brazilian dental journal, 31(3), 221–235. https://doi.org/10.1590/0103-6440202003227
3. Carey, C. M. (2014). Tooth Whitening: What We Now Know. The journal of evidence-based dental practice, 14 Suppl, 70. https://doi.org/10.1016/j.jebdp.2014.02.006
4. Kurtulmus-Yilmaz, S., Cengiz, E., Ulusoy, N., Ozak, S. T., & Yuksel, E. (2013). The effect of home-bleaching application on the color and translucency of five resin composites. Journal of dentistry, 41 Suppl 5, e70–e75. https://doi.org/10.1016/j.jdent.2012.12.007
5. Rye, D. G. (2017, June 13). Studies prove your smile has a direct impact on your self-confidence. Your Dental Health Resource. Retrieved December 13, 2022, from https://yourdentalhealthresource.com/studies-prove-your-smile-has-a-direct-impact-on-your-self-confidence/

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]]> https://www.smilebrilliant.com/articles/how-to-clean-clear-aligners/ Mon, 30 Jan 2023 11:50:39 +0000 https://www.smilebrilliant.com/?p=835211 Cleaning the appliances that you use in your mouth is just as important as brushing your teeth. Appliances like clear retainers & night guards can grow unwanted bacteria and other types of germs that are harmful to your oral & overall health. Clear braces or aligners are a type of orthodontic treatment that is used…

The post Don’t put germs in your mouth! Guide to keeping retainers, teeth aligners and oral appliances clean appeared first on Smile Brilliant.

]]> Cleaning the appliances that you use in your mouth is just as important as brushing your teeth. Appliances like clear retainers & night guards can grow unwanted bacteria and other types of germs that are harmful to your oral & overall health.

Clear braces or aligners are a type of orthodontic treatment that is used to straighten your teeth and correct malocclusion or bite issues.^[2] They have gained in popularity as they are considered by many to be more aesthetically pleasing, comfortable, and easier to comply with than traditional braces. Many wearers of the teeth aligners love that they are removable and that they can take a short break from them when needed.^[3] The old aligners are disposed of every couple of weeks and are replaced as treatment progresses.The problem however is that some users reportedly go long stretches without cleaning their oral appliances.^[4]

Despite being disposable, clear aligners still need to be cleaned properly.^[1] Just as you are supposed to brush your teeth at least twice a day, you should also maintain all oral appliances such as your aligners. Failure to clean aligners properly will result in them harboring harmful bacteria that causes odors, stains, and the accumulation of harmful debris that leads to tooth and gum problems.^[1]

The benefit of clear aligners is that you can remove them when needed such as when you are going to eat. Clear braces can stain easily if proper precautions are not taken. The user should avoid wearing them while consuming dark-colored foods and drinks, such as coffee, tea, red wine, and tomato sauce..^[2] It is important that upon removal you place them in a clean container and not in unhygienic places such as unclean surfaces, napkins, or in your pockets. Doing this will subject the oral appliances to bacteria that you then will introduce into your mouth.

Before placing the aligners back in your mouth you should either rinse them or clean them. Rinsing the aligners makes them appear cleaner and can remove visible debris. It is similar to rinsing dirty dishes prior to placing them in a dishwasher, you still haven’t removed the unseen bacteria that may have built up with just rinsing. To remove the unseen bacteria you must thoroughly clean them upon waking and prior to going to sleep.



How to properly clean aligners:

• Rinse your aligners with water in the morning and at night.^[2]
• Brush your aligners with a soft toothbrush and a nonabrasive toothpaste, so as to remove debris, food particles, and bacteria.^[2] Some manufacturers of oral appliances recommend that you use a clear liquid soap to remove debris.^[1] Speak with your dentist regarding their recommendations.
• Rinse the aligners thoroughly after brushing them.^[2]
• Store them in a clean dry protective case when not in use.^[2]

Cleaning Accessories:

Some clear aligner companies recommend maintaining your aligners by using tablets or cleaning crystals that dissolve in water to aid in cleaning them.^[1] You should try to avoid using denture cleaner tablets as these can potentially discolor the aligners overtime. Instead use cleaning tablets that are made especially for cleaning oral appliances such as clear braces, mouth-guards, whitening trays, or retainers.

You should place your aligners in a container and place the tablets or crystals in the container so that the aligners could be disinfected. After soaking in the solution for a few minutes you would manually brush the aligners with warm water.^[1]

Many dental professionals such as dental hygienists recommend using a UV cleaner to regularly disinfect your oral appliances such as clear braces, mouth-guards, whitening trays, or retainers and oral cleaning aides, such as your electric toothbrush heads. A UV light can kill up to 99.9 % of bacteria and germs that might be on your oral appliances.^[5] Many choose to use this method as they don’t have to worry about possibly having an allergic reaction to using a tablet or solution, as these products that might become absorbed into the appliances.^[5] A UV cleaner is great for quickly, safely, and effectively cleaning oral appliances as all you do is place the appliance in the UV cleaner with some water and press a button.^[5] After the designated time you can remove the appliance. This helps to maintain the appliances in-between thoroughly brushing them.

It is imperative that while you are in orthodontic treatment you make sure your oral hygiene routine is impeccable so that you can keep your mouth healthy. Brush your teeth two to three times a day and floss.^[2] Drinking plenty of water will prevent your mouth from getting dry as the aligners can decrease the saliva that is in your mouth leading to dental issues.

Staying hydrated with water can prevent the retainer from drying out, becoming damaged, and help to prevent bacteria overgrowth.^[4] Avoid smoking as this will also dry our out oral tissues, and increase the likelihood of gum issues. Visit your dentist regularly so that they can monitor the progression of your orthodontic treatment and alert you to any treatment changes or concerns.^[2]

Kari Carter-Cherelus
Kari Carter-Cherelus RDH, DA is a registered Dental Hygienist, writer, consultant, coach, international keynote speaker, with 23 years of experience in dentistry. She is passionate about helping others recover from burnout, improving organization’s work culture, and helping her clients to improve their mindset. She authored the book The Ultimate Guide For Dental Hygienist Burnout, and has written for RDH Graduate, RDH Magazine, and Inside Dental Hygiene.
View My Profile Contact Kari

References

1. How to Clean Invisalign: Do’s, Don’ts, and Best Practices. Nall, Rachel. (2020, October 19). https://www.healthline.com/health/how-to-clean-invisalign
2. Cleveland Clinic. Clear Braces.(2022, July 25). https://my.clevelandclinic.org/health/treatments/23568-clear-braces
3. Dental Health Society. Keeping Invisalign Clean-How to Do it and Why It’s Important. (2021, November 1). https://dentalhealthsociety.com/invisalign/keeping-invisalign-clean-how-to-do-it-and-why-its-important/
4. Medical News Today. 8 tips for cleaning a retainer. (2021, March 7). https://www.medicalnewstoday.com/articles/317894#Retainer-cleaning-myths
5. Do UV sanitizers work on retainers? Pepito, Mary Grace. (2022, April 7). https://www.orgoneenergy.org/blogs/news/do-uv-sanitizers-work-on-retainers

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]]> https://www.smilebrilliant.com/articles/how-does-whitening-toothpaste-work/ Tue, 24 Jan 2023 11:31:58 +0000 https://www.smilebrilliant.com/?p=831192 Can whitening toothpaste really whiten our teeth while we brush? The truth is, it does remove some stains, but its capacity to whiten is limited. When shopping for toothpaste, it’s hard not to be a little skeptical of all the claims on the box. Things like “whiter teeth in 2 hours!”, and “remove years of…

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]]> Can whitening toothpaste really whiten our teeth while we brush? The truth is, it does remove some stains, but its capacity to whiten is limited.

When shopping for toothpaste, it’s hard not to be a little skeptical of all the claims on the box. Things like “whiter teeth in 2 hours!”, and “remove years of stains with 1 tube” sound incredible, after all who doesn’t want whiter teeth? But can you really whiten your teeth with just a whitening toothpaste? Let’s investigate.

How Exactly Does Whitening Toothpaste Work?

First things first, can stains be removed with toothpaste? Yes, depending on the stain. If the staining is extrinsic (outside the tooth), and caused by things like wine, coffee, or smoking, these stains can for the most part be removed. If the staining is intrinsic (within the tooth), they cannot.

There are a couple of ways a whitening toothpaste can whiten the teeth. The first is with an abrasive agent like hydrated silica^[1]. This abrasive is gritty and works to scrub and buff the stains off the tooth. Another is with hydrogen peroxide or carbamide peroxide (very similar to hydrogen peroxide, just a little more diluted). Hydrogen peroxide differs from hydrated silica in that it penetrates the tooth ^[2] causing an actual bleaching effect. While hydrogen peroxide is effective, there is debate whether the 1 wt.% regulated amount of peroxide in toothpaste^[2] is enough to penetrate the tooth as the average person only brushes about a minute a day (it should be two). A small tip when brushing is to skip rinsing afterward. This allows the beneficial ingredients in the toothpaste to be more readily absorbed by the teeth.

Do I Use Whitening Toothpaste for Maintenance or for Stain Removal?

While whitening toothpaste can remove some surface staining, it is best used for maintenance as the whitening effects are fairly minimal. The best options for whitening teeth are bleaching trays which will offer a much more concentrated delivery of peroxide in a shorter amount of time. You can achieve a whiter smile more effectively with bleaching trays once every few months than you can by using a whitening toothpaste every day. That being said, whitening toothpastes are still a great option for maintenance as too much bleaching can make teeth sensitive. If teeth are sensitive, a desensitizing gel is a great option to have on hand to soothe teeth and reduce any pain or sensitivity.

Do I Need to Brush Harder When Using Whitening Toothpaste?

Absolutely not. While it’s easy to think brushing harder will lead to whiter teeth and more stain removal, aggressive brushing is never the answer as it’s harmful to the tooth and surrounding tissues. However, one should still be on top of their homecare if they hope to attain a brighter smile. Tartar and plaque retain a lot of stain and can cause the teeth to have a dingy appearance.

Whitening toothpastes are a great addition to an oral homecare routine. They are gentle enough for daily use and help maintain a bright smile!

Esmy Ornelas
Esmy Ornelas is a registered Dental Hygienist, writer, educator, and consultant with 10 years of experience in dentistry. She is passionate about education, empowering hygienists to advance their careers in and out of the operatory, and about community. She has written for RDH Magazine, the RDH Graduate, and is a full-time professor of Dental Hygiene and Assisting at Rose State College in Oklahoma.
View My Profile Contact Esmy

References

1. Collins, L. Z., Naeeni, M., & Platten, S. M. (2008). Instant tooth whitening from a silica toothpaste containing blue covarine. Journal of dentistry, 36 Suppl 1, S21–S25. https://doi.org/10.1016/j.jdent.2008.02.006
2. Epple, M., Meyer, F., & Enax, J. (2019). A Critical Review of Modern Concepts for Teeth Whitening. Dentistry journal, 7(3), 79. https://doi.org/10.3390/dj7030079

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]]> https://www.smilebrilliant.com/articles/get-kids-ready-for-the-dentist/ Thu, 27 Oct 2022 06:10:33 +0000 https://www.smilebrilliant.com/?p=815544 Make sure your child’s first dentist visit is a positive experience to set them up for a lifetime of great oral health! Fear of the dentist is considered normal and even joked about between kids and adults. TV shows and movies are filled with remarks and depictions of dentists as scary and anxiety-inducing. No matter…

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]]> Make sure your child’s first dentist visit is a positive experience to set them up for a lifetime of great oral health!

Fear of the dentist is considered normal and even joked about between kids and adults. TV shows and movies are filled with remarks and depictions of dentists as scary and anxiety-inducing.

No matter how old you get, however, visiting the dentist is a critical part of a healthy lifestyle. Creating a positive experience at the dentist for your child early on will start them on the right path to a lifetime of a healthy smile.

When should I start taking my child to the dentist?

A child can develop cavities as soon as they grow their first tooth^[3]. You can begin taking your child to the dentist as soon as they develop that first tooth but should begin going before their first birthday at the latest.

How do I find the right dentist for my family?

The American Dental Association recommends asking for recommendations from friends and family before searching through advertisements and social media^[2]. Once you’ve limited your options, check out their websites and finally their social media to make a choice that feels right for you.

Some key points to consider may include location and office hours^[2].

It can also be helpful to call or meet the dentist before scheduling your appointment. Prepare for the meeting by creating a list of questions and concerns you may have. By visiting the office in person, you will have the opportunity to see if you feel comfortable in the office and with the staff.

How do I prepare my child for the visit?

Practice having your child open their mouth so it will not come as a shock when they arrive and the dentist requests this. Showing them media, including books or videos about what will happen when they get to the appointment can also help to ease stress^[3].

Try not to schedule the appointment during your child’s naptime, make sure they’ve eaten before the visit and have a snack prepared for after^[3].

What will happen when we get there?

The dentist will likely have you sit in the chair with your child sitting on your lap. The dentist will then check teeth and jaw development, mouth injuries, cavities and other possible issues, followed by a cleaning^[3].

What now?

After the exam and cleaning, your dentist will talk to you about how to best care for your child’s teeth and allow you to ask any questions you may have^[3].

To prevent future dental issues, it’s important to clean your child’s teeth on a regular basis by brushing them twice a day with fluoride toothpaste.^[1].

It’s important to foster a positive relationship with the dentist for your children, so try to keep concerns and anxiety about this new experience away from your child. By creating healthy habits early on, your child will have a healthier smile in the future!



Cassidy Reaka
Cassi is a student at the University of Missouri studying Journalism with an emphasis in Strategic Communications and a minor in Sociology. She is a current copywriter for Relevant Youth. She hopes to one day work as a public relations specialist.

References

1. American Dental Association. (n.d.). Healthy habits. Mouth Healthy TM. Retrieved October 9, 2022, from https://www.mouthhealthy.org/en/babies-and-kids/healthy-habits
2. American Dental Association. (n.d.). How to choose a dentist (in four steps). Mouth Healthy TM. Retrieved October 9, 2022, from https://www.mouthhealthy.org/en/dental-care-concerns/how-to-choose-a-dentist
3. American Dental Association. (n.d.). Your baby’s first dental visit. Mouth Healthy TM. Retrieved October 9, 2022, from https://www.mouthhealthy.org/en/babies-and-kids/first-dental-visit

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]]> https://www.smilebrilliant.com/articles/what-are-veneers-and-how-do-i-determine-if-i-need-them/ Tue, 08 Jul 2014 23:52:09 +0000 http://www.smilebrilliant.com/blog/?p=1939 What are veneers? Veneers are a very appealing and prevalent way to improve your smile. They are thin pieces of tooth colored material used to refabricate a natural look, and provide resilience and strength of tooth enamel. Veneers are discretely sculpted for each patient, and nearly impossible to differentiate from a natural tooth. Veneers can…

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]]> What are veneers?

Veneers are a very appealing and prevalent way to improve your smile. They are thin pieces of tooth colored material used to refabricate a natural look, and provide resilience and strength of tooth enamel. Veneers are discretely sculpted for each patient, and nearly impossible to differentiate from a natural tooth.

Veneers can correct:

• Misshaped teeth
• Cracked teeth
• Enamel Defects
• Gaps
• Chipped teeth
• Discoloration
• Minor misaligned teeth
• Minimal crowding

Veneers offer a simple solution to tooth inadequacies and when crafted and installed by a skilled professional. They are exceptionally thin and bonded to the front surface of the tooth. The preparation requires minimal enamel reduction and considered to be one of the most conservative types of dental restorations.

Facts about veneers:

• Like natural teeth, a veneered tooth needs to be brushed and flossed daily.
• Biting your nails and chewing on ice cubes can cause micro fractures in a veneer and may result in reduction of durability over time.
• Excessive tooth grinding will weaken restoration bond, consult a dental professional about a night guard if grinding is an issue.
• Non abrasive fluoride toothpaste is suggested to be used on a veneered tooth
• Veneers are semi-translucent just like a natural tooth, whitening procedures are suggested to be completed before restoration consultation.


Erin Stelbrink


Erin Stelbrink is a Registered Dental Hygienist with 11+ years of experience as a licensed hygienist and oral health care professional. She holds a passion for researching and acquiring awareness of the latest technologies and methods for providing valuable health care service and clinical treatment. Have more questions? Email Erin at erin@smilebrilliant.com


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