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At Drs. Schmitt & Saini Pediatric Dentistry, we prefer our patients to practice good oral hygiene between office visits. Part of that process includes flossing, which Dr. Donald Schmitt and Dr. Rinku Saini will tell you, is the process of cleaning between the teeth to remove food and debris from the areas that are hard to reach with a toothbrush. When food is allowed to remain between the teeth, it provides a breeding ground for bacteria, which can cause periodontal disease.

Should you floss before or after brushing?

You can floss either before or after brushing, according to your own preference. By flossing first, you can brush away dislodged food debris afterward. On the other hand, brushing first allows you to loosen plaque between the teeth, making it easier to floss more effectively.

Whichever you choose, the most important goal is to floss thoroughly. That means using a fresh strand of dental floss each day, and carefully pulling it back and forth between all of the teeth. Do not skip flossing because your teeth look or feel clean.

When to Floss

Unlike brushing, you need only floss between your teeth once per day. Although you may choose to do it in the morning or afternoon, many prefer to floss at night to prevent food and debris from remaining in the crevices of the teeth overnight. This could prevent the build-up of plaque too, which is a cause of tooth decay.

Help with Flossing

If you have questions about your flossing technique or what type of floss is best for your teeth, contact our office. Our staff will be more than happy to assist you in perfecting your home hygiene regimen. In most cases, you can choose between interdental cleaning picks or flexible floss strands to perform your daily flossing routine. If you have permanent oral appliances or restorations, be sure to follow the flossing instructions provided to you, and contact our Concord or Danville office with any questions.

Have you ever thought about how you're cleaning and storing your toothbrush when you're not using it? Did you know that the way you store your toothbrush could have an affect on your oral health? In this post, we'll look at some steps you can take to maximize toothbrush cleanliness and minimize bacteria.

Below are some tips from Dr. Donald Schmitt and Dr. Rinku Saini for toothbrush use and storage:

• Don't share your toothbrush – This may seem obvious, but sharing a toothbrush exposes both users to bacteria and microorganisms from the other user, which can increase chances of infection. You should also avoid storing your toothbrush in the same container as other people’s toothbrushes.
• Thoroughly rinse your toothbrush after each use – Rinsing your toothbrush well under running water will help remove food particles, toothpaste, and other debris from the bristles of your brush.
• Store your toothbrush in an open-air container not a sealed one – Putting a wet toothbrush in a sealed container creates a favorable environment for microorganisms and bacteria.
• Soak your toothbrush in an antibacterial mouthwash after use – There is some evidence to suggest that soaking your toothbrush in an antibacterial solution may reduce the amount of bacteria present on the toothbrush.
• Change your toothbrush every three months – The bristles of your toothbrush become less effective and frayed after repeated use so it's a good idea to replace it on a regular basis. It's also wise to replace it after you've been sick.

There are many simple things you can do to make your oral-care regimen as clean as possible. Use common sense when storing your toothbrush—don't put it in a dirty place like the edge of your sink or in the shower (please, not by the toilet!), and keep it upright in a cool dry place—and you're usually good to go. If your toothbrush is looking a little worse for wear, drop by our Concord or Danville office and we'll be glad to provide you with a new one!

Pediatric dentists do everything they can to save teeth, but sometimes, a tooth is so damaged by accident, injury, infection, or decay that extraction is the only option. Or perhaps your child’s wisdom teeth are starting to come in—and starting to cause problems. Or perhaps there is a baby tooth which has simply overstayed its welcome and is blocking its adult replacement.

While there are several possible reasons an extraction might be necessary, one thing is true for any extraction: you want to make sure that your child is as comfortable as possible and heals as quickly as possible after the procedure.

Aftercare and recovery time isn’t exactly the same for every extraction. Whether your child’s tooth is a baby tooth or a permanent one, whether it’s a single tooth or several, whether it’s erupted or impacted, whether a local anesthetic or sedation is recommended—these factors and more can make a difference in recovery time.

Dr. Donald Schmitt and Dr. Rinku Saini will provide you with clear, specific instructions for helping your child to a speedy recovery after an extraction. We’d also like to offer you some general aftercare ideas to make sure your child is as comfortable as possible while recovering.

• Bleeding

Some bleeding is normal after an extraction. Follow your dentist’s instructions carefully to minimize bleeding at the extraction site. Your child will probably need to keep a gauze pack in place for as long as directed to reduce bleeding and to help a clot form. If bleeding is heavier than expected or goes on longer than expected, call our Concord or Danville office.

• Swelling

Swelling is a normal response to extractions. Your dentist might suggest cold compresses to help reduce swelling immediately after the extraction. If you don’t have an ice pack, ask whether a bag of frozen peas or corn can substitute.

With any cold compress, it’s important to protect your child’s skin from injury. Follow your dentist’s suggestions for application and be sure not to exceed the time limits recommended. And don’t apply a compress directly to your child’s face—wrap a towel or cloth around the bag or pack to protect the skin.

• Careful Cleaning

The area around the extraction shouldn’t be disturbed or touched. The blood clot which forms after an extraction protects the area from irritation and infection caused by food particles and bacteria. If a clot is dislodged accidentally, it can lead to a condition called dry socket, which can be very painful.

This means no brushing near the extraction site, and no heavy rinsing or spitting for as long as directed. If your child is younger, you might need to help with brushing over the days following to make sure those sturdy bristles don’t get close to the extraction site before it’s healed.

• Soothing Foods

Have a supply of your child’s favorite comfort foods handy while healing, such as cream soups, mashed potatoes, scrambled eggs, gelatin, yogurt, and smoothies. Hot and cold foods can be irritating, so stick to cool or lukewarm foods for the first few days. Encourage your child to drink lots of liquids, but nothing carbonated. And do wait until any numbness wears off before giving your child chewable foods to avoid biting tongue or cheeks.

Remove spicy favorites from the menu, which can be irritating, as well as chewy, crunchy, or jagged foods like crackers, since tiny, sharp bits of food can make their way inside the site. Remind your child to chew on the side of the mouth opposite from the extraction site. And, since suction is an all-too-easy way to dislodge the clot over the extraction site, no straws!

• Schedule Recovery Time

Make sure your child rests and takes it easy after the procedure. Exercise, lifting, even bending over can dislodge a protective clot, so re-schedule any physically demanding sports and activities until your child is given the dental all clear.

• Medication

If your child has been given a prescription for pain medication or antibiotics, follow the instructions as directed. Your dentist might recommend age-appropriate over the counter pain relievers to have on hand. For severe or continuing pain, call your dentist or oral surgeon right away.

An extraction can be worrying for both patient and parent, so talk to Dr. Donald Schmitt and Dr. Rinku Saini for the best ways to make this experience a positive one for your child before, during, and after treatment.

Pediatric dentists are experts in children’s extractions, while ensuring that the procedure is as stress-free and as comfortable as possible for your child. Follow their instructions for aftercare, and you’ll ensure your child’s recovery is as stress-free and comfortable as possible, too.

Did you know your toothbrush could be covered with almost ten million germs? We know … it’s gross! That’s why you should know how to store your toothbrush properly, and when it’s time to replace it.

If you need to brush up on your toothbrush care knowledge, we’ve got you covered so brushing will always leave you feeling squeaky clean.

Keeping a Clean Toothbrush

Your mouth is home to hundreds of types of microorganisms, so it’s normal for some of them to hang onto your toothbrush after you’ve used it. Rinsing your brush thoroughly with water after each use can get rid of leftover toothpaste and food particles that cling to the bristles. Some dentists suggest soaking your toothbrush in mouthwash every now and then can help reduce the amount of bacteria further.

Store your toothbrush in a cool, open environment away from the toilet or trash bin to avoid airborne germs. Closed containers should be avoided because they provide a warm, wet habitat that bacteria love to grow in.

If you have multiple people sharing one sink, an upright holder with different sections will keep everyone’s brushes separated and avoid cross contamination. In addition, we would hope this is a no-brainer, but please don’t share toothbrushes!

Microwaves and dishwashers are not suitable tools for cleaning a toothbrush, because brushes aren’t built to last through this kind of treatment. If you want a really clean toothbrush, your best option is simply to buy a new one.

Replacing Your Toothbrush

The American Dental Association recommends you replace your toothbrush every three to four months, or sooner depending on individual circumstances. Dr. Donald Schmitt and Dr. Rinku Saini and our team agree. If you have braces, tend to brush too strongly, or the bristles become frayed, it’s time for a new brush.

Children will also need replacement brushes more frequently than adults. If you or your child has been sick, you should replace the toothbrush immediately to avoid re-exposing yourself to illness.

Worn-out brushes are not only unsanitary, they don’t do a good job cleaning teeth. Bristles that are worn out and dull won’t scrape away plaque and bacteria as well as a fresh toothbrush can.

Though the idea of ten million germs can be worrisome, if you take a few small precautions, you may ensure your toothbrush stays in good shape. And the cleaner the toothbrush, the cleaner the smile!