During the second week in April, we recognize and celebrate the expert care dental hygienists provide. Let’s take a moment this week to explore how the special skills of this valued member of your dental team in Puyallup, WA enrich your dental health.

Regular Cleanings

Dentists typically recommend routine dental examinations twice a year, and these visits will almost always include an in-office cleaning by your hygienist.

Dental hygienists are highly trained healthcare professionals who are specialists in caring for your teeth and gums. The hygienists who work with Dr. Sung Lee know how to work with orthodontic patients, and because braces and appliances can make brushing and flossing trickier, cleaning appointments are especially important while you’re in orthodontic treatment.

• Plaque and tartar need to be removed from tooth enamel to help prevent cavities and gum disease. While you can brush away plaque, it takes a dental professional to remove tartar, which is plaque which has mineralized over time.Your hygienist might use a hand scaler, an ultrasonic scaler, or both tools to carefully scrape hardened tartar from your tooth enamel.
• Your cleaning will also include polishing, where surface stains on the enamel are removed using a gentle abrasive. This cleaning might be done with a special toothpaste applied with a small rotating cup or with an air polisher, which removes stains with a stream of fine abrasive powder, water, and pressurized air.
• An expert flossing will remove any remaining plaque from between the teeth.

Deep Cleaning

Hygienists help prevent gum disease. Plaque and tartar on tooth surfaces below the gum line increase your risk of gum disease. Irritated gum tissue gradually pulls away from the teeth, creating pockets of bacteria and causing inflammation and infection.

• Your hygienist will use a probe to gently measure the depth of the space between the teeth and gums. Deeper than normal spaces or bleeding could be a sign of gum disease.
• Tartar on the tooth surface below the gum line will be removed using a treatment called scaling, a non-surgical procedure where your hygienist uses hand scalers or ultrasonic tools to carefully scrape hardened plaque from the tooth.
• Root planing might be done to smooth the root surfaces so that gum tissue can attach snugly around the teeth again, protecting the roots from plaque buildup and bacteria.

Preventative and Cosmetic Care

Some hygienists work with dentists to provide additional diagnostic, preventative, and cosmetic services:

• X-rays and digital imaging.
• Oral cancer screenings.
• Sealants, thin plastic coatings which protect the top surfaces of molars—the most likely places to develop cavities—from accumulating food particles and plaque.
• Fluoride treatment, if recommended, applied in varnish, foam, or gel form.
• Professional whitening treatments.

Education

Finally, your dental hygienist is an educator!

• When it comes to brushing, there are effective techniques and . . . not so effective techniques. Your hygienist can teach you the best way to clean away food particles and plaque, as well as the best tools for the job. This is especially important when you have braces or appliances, which can make it harder to keep your teeth their cleanest.
• During a cleaning, your hygienist will point out any spots where plaque has built up, which can be common around brackets and wires. Discovering the spots where you tend to leave plaque behind allows you to do a better, more thorough cleaning job at home, and will help make sure you have a healthy smile when your braces come off!
• Flossing can be difficult for some patients because they have braces, or because of the way their teeth are aligned, or because of dexterity issues. Your hygienist can show you the best way to floss, as well as recommend products such as specially designed flosses or water flossers which will make flossing around braces and appliances easier and more effective.

The dental hygienists at Sung Lee Orthodontics are skilled professionals who work to create cleaner, brighter, healthier smiles for their patients every day. This week, we appreciate them for helping us achieve the beautiful smiles we get to appreciate all year long!

Your retainer is an essential tool in keeping your teeth and bite beautifully aligned after orthodontic treatment. But sometimes, that hardworking tool needs some TLC of its own. Read on to learn how to keep your retainer its sparkling, healthy best!

Retainer buildup

You might notice after a few months of use that your retainer is stained with white spots or a discolored film. Or that there are gritty patches on its smooth surface. Or you might suddenly notice an unpleasant odor.

If you’re wondering what’s happened to your once-gleaming retainer, let’s break down the sources of these stains, deposits, and odors.

• Plaque is a mix of food particles, bacteria, and saliva which sticks to tooth enamel. If it’s not removed, plaque can harden into tartar. And, just like plaque and tartar stick to your enamel, plaque and tartar can transfer from the teeth and stick to your retainer, leaving white spots or a discolored film.
• Mineral deposits are another source of white spots and gritty buildup. Calcium and phosphate are two of the minerals found in saliva. They replace the calcium and phosphate minerals which have been stripped from tooth enamel by acidic foods or the acids created by plaque bacteria. And while these minerals are vital for enamel health, they’re not doing your retainer any favors! As saliva dries on your retainer, it leaves behind a residue of these white gritty minerals.
• When food particles and plaque build up on teeth, they cause bad breath. When food particles and plaque build up on retainers, they cause an unpleasant odor.

Removing Retainer Buildup

How do we break down this buildup? There are some simple ways to reduce or remove plaque, tartar, and mineral accumulation when you’re taking care of your retainer:

• Rinse your retainer off as soon as you remove it from your mouth.
• Clean your retainer every day with a soft-bristled toothbrush. Because even non-abrasive toothpastes can be hard on a retainer, ask the team at Sung Lee Orthodontics which toothpaste—if any—is safe for use.
• Regular deeper cleaning helps reduce the chance of buildup. Dr. Sung Lee can suggest effective ways to get your retainer its cleanest, with recommendations like a white vinegar/water soak or an over-the-counter cleaning product made for retainers. Deep clean weekly or monthly as needed.
• Use cool or lukewarm water when you brush or soak your appliance, because hot water can warp retainers.
• Don’t forget to clean your case regularly, as it can also harbor plaque, minerals, germs, and food particles.
• If stubborn stains persist, bring your retainer into our office in Puyallup, WA for evaluation. Sometimes professional cleaning is necessary.

Prevention is best!

Of course, the very best way to reduce retainer buildup is to prevent it from accumulating in the first place.

• Keep your teeth clean. When your brushing and flossing is on point, you’ll really reduce the amount of food particles and bacteria which transfer to your retainer.
• If you can’t brush right away, rinsing with water after eating or drinking helps remove food particles and acids from the teeth. Water is also safe to drink with your retainer in place. Which leads us to . . .
• Retainers aren’t meant for meals and snacks. Eating solid foods can damage your retainer. Food particles stick to retainers. Clear plastic retainers which fit over the teeth can stain. And, because they fit closely over the teeth, clear retainers can trap foods and beverages next to your teeth, exposing your enamel to sugars and acids over a longer period. Place your retainer in its case, enjoy your meal, and brush and floss as directed before your replace the retainer in your mouth.

A clean retainer is a healthy retainer! Keep your retainer—and your teeth and gums—in the best of health with simple, daily TLC.

Not many people look forward to going to the dentist, especially if you already know that you need dental work done. A small amount of anxiety is one thing, but dental phobia, or odontophobia, is something else entirely. It is an irrational fear of going to the dentist. If you have it, you might be unable to force yourself to go to the dentist, even if you are suffering from bad tooth pain. The effects of dental phobia can be serious, but there are ways to overcome your fear of the dentist to help you achieve and maintain good oral health.

Causes of Dental Phobia

You can develop dental phobia for a variety of reasons, including the following.

• Fear of pain, which you might acquire based on others’ horror stories of their trips to the dentist.
• Fear of needles, such as those used to provide anesthesia.
• A previous bad experience, when something went wrong and pain was intolerable.
• Lack of control from not knowing what is happening or how uncomfortable a procedure might be.

Consequences of Dental Phobia

Avoiding the dentist can have long-term consequences. When caught early, tooth decay is easily stopped with a minor filling. If you let the decay go, you can end up losing your tooth and have chronic pain. A dentist can also check for early signs of gum disease, which, if left untreated, could lead to losing one or more teeth.

Even if you do not have a particular problem, going to a dentist for regular cleanings is a good idea because the hygienist can point out where you need to brush better and remove the plaque from your teeth.

Getting Over Fear of the Dentist

Most patients with dental phobia can get over their condition. These are some approaches that Dr. Sung Lee and our team recommend:

• Explain each step of the process
• Let you know that you can stop the procedure at any time
• Encourage you to come with a family member or friend
• Help you with deep breathing techniques

At Sung Lee Orthodontics, we aren’t just concerned with straightening your teeth and giving you the beautiful smile you’ve always wanted. We are also committed improving the oral health and the well-being of all our patients. Dr. Sung Lee and our team strive to serve our patients by educating them about their treatments, as well as making them feel as comfortable as possible during their initial consultations up until the day they complete their treatments.

Making our patients more comfortable with taking care of their braces in between visits increases the likelihood that they will complete their treatments successfully. We want you to know that if you should ever have any questions about your orthodontic treatment, whether it’s during your adjustment appointment or after hours, we are always here for you and your family.

Please do not hesitate to give us a call at our Puyallup, WA office or ask us any questions you may have on our Facebook page! We can’t wait to hear from you!