| Preventing Decay |
Our aim is to enhance your dental health. Prevention
is always better than cure.
As a part of our consultation process we assess your likely risk of future tooth
decay.
If we believe we can reduce the risk future decay we may institute a personalized
preventative program.
This may include: |
Tooth Mousse
This is a wonderful and significant recent development in the prevention of tooth
decay resulting from intensive research at the University of Melbourne. This
easily applied paste can be used at home to reverse early decay and make your
teeth more resistant to acid attack. For more information visit
this link >> |
Fluoride
People with a high risk of tooth decay can benefit from professionally applied
concentrated fluoride as well as from the use of specially developed high fluoride
toothpastes.
For more information follow this link>> |
Custom trays
In order to achieve a prolonged and effective application of calcium phosphate
and/or fluoride we can provide you with a custom made thin laminate which holds
the pastes in intimate contact with the enamel. This can be worn for several
minutes or for several hours. It is often worn whilst sleeping. |
Custom Program
When needed, we provide a custom program detailing the appropriate steps you
can take to reduce your dental bills and save you visits to the dentist.
This will reduce your need for fillings, reduce the loss of teeth and save you
money.
Your teeth will be healthier and stronger. You will be able to eat and smile
with more confidence. |
Piksters & floss
Over 50% of cavities occur between the teeth where a toothbrush can't reach.
This is also a vulnerable site for gum disease. We recommend the use of floss
and/or small interdental brushes called Piksters. |
Why are Piksters so popular?
Piksters come in small sizes that fit more people!
Piksters are easier than flossing - and MUCH easier than using floss threaders
under bridges. Just 'grab and go' ... Piksters have their own cap and fit comfortably
in your pocket.
Piksters come in 8 sizes so there is one for everybody ... even those with very
tight teeth. Piksters were voted Number 1 'most used/recommended' interdental
brush by an overwhelming majority of dentists responding to a survey. Dentists
also say that their patients love Piksters. When we asked dentists 'how did your
patients react to Piksters?', more than 50% said they reacted 'significantly
more positively than with other brands of interdental brushes', while a further
24% reacted 'very enthusiastically'. The main reasons cited were variety of sizes,
cost effectiveness and durability. |
Piksters are reusable
Just like a normal toothbrush, you can wash the bristles out under running water
and re-use your brush. It will last up to 2 weeks per brush, depending on how
hard you use it and how much you bend the wire. Patients often comment on how
much more durable they are than others they have tried. |
Piksters interdental brushes have the following
advantages -
- Strong, stiff, plastic coated wire. If you have used
interdental brushes before you may notice a difference
in the way Piksters do not buckle or bend as much as some.
- Nylon 612 filaments on most sizes. This is the highest
grade of nylon filament available and as a result many
patients report that the brushes last longer.
- Economically priced. Piksters sometimes cost about half
to one quarter the price of other well known brands, depending
on the country and market. They are sold in packets of
10 or even more economical boxes of 40. For daily use,
these brushes need to be affordable...that is the Pikster
philosophy.
- 'Twisty' handle. This allows the user to rotate the brush
on and after insertion.
- Each brush has its own handle and cap so there is no
need to fiddle with putting a new brush into a handle,
as with some other brands. Piksters also come in a
single size (5) refill head for use in other brands of
toothbrush type handles that will accept standard refill
heads...these are useful for patients who require large
handles but who like the cost effectiveness of Piksters
- Piksters are small enough to be kept in your pocket,
wallet or purse without causing bulkiness, enabling you
to have it handy when you need it.
- Piksters come in a range of 8 sizes for all situations.
- Piksters are an Australian designed and owned product,
sold in 17 countries.
|
| Piksters are a brand of interdental brush. The
following is general information about interdental brushes
and how they relate to gum disease and oral hygiene. |
What are interdental brushes and where are they
used?
Interdental brushes are small circular toothbrushes that you insert into the
spaces between your teeth to clean the difficult areas. They are generally used
for normal cleaning, sometimes as an alternative to floss and sometimes as an
adjunct to floss. They are much easier to use, especially under bridges. They
can also be used under orthodontic wires or between splinted teeth that can't
be flossed and anywhere a toothbrush cannot reach. |
But I brush my teeth...why do I need to clean
the space between my teeth?
Although the space or gap between your teeth conceals only about 40% of the tooth
surface, it accounts for about 80% of the problems. By cleaning the space you
get a huge and disproportionate advantage in stopping decay and gum disease.
Problems in the space can be serious because they often go unnoticed. This is
the reason most X-rays are taken - to check for decay in the space and to catch
it early. By cleaning the gap, you not only reduce your chance of dangerous decay,
root canal treatments and crowns, but you substantially reduce your chance of
serious gum and bone disease around the chewing teeth. |
Is gum disease really that serious ... don't
the gums just heal?
The gum itself is not the problem or the issue. The gum merely covers the bone
and the bone is what holds your tooth in. When the gum gets inflamed and infected,
it slowly eats away the bone... because this is not painful a lot of people don't
even notice it happening and may not know until it is almost too late to save
the tooth. |
How do I tell if my gum is inflamed or infected?
The best early warning sign is to see if the gum bleeds on gentle probing by
the dentist or hygienist. It is critical that the gum doesn't get infected
or inflamed for long periods. Interdental brushes will stop the gum bleeding
with time by removing the cause, which is the 'plaque'. Get your gums checked
every 6 months to assess what state they are in. |
What about floss? How does it compare to
interdental brushes?
Floss is an excellent way to clean the gap and if you already
floss you should definitely not stop. The problem is that most
people don't floss...probably because they find it too awkward
to use. Interdental brushes can be used with one hand, which
makes them easier and more likely to be used. Floss is superior
in some areas...such as the front teeth. It gets down under
the spike of gum in between the teeth. But in other areas,
interdental brushes may be better, such as the indents (or
hollows) between the roots of your molars and premolars. These
areas are called 'furcations'. Floss forms a straight line
across the top of the furcation, whereas interdental brushes
have bristles under compression that spring out sideways to
clean these hollows.
Gum disease and decay between the back teeth is a bigger
problem than in the front teeth...as evidenced by the millions
of people who have many missing back teeth but still have
their front ones relatively in tact. Interdental brushes
address the most important issue, the back teeth, and make
effective cleaning easier and more likely to happen. |
Are interdental brushes only for unhealthy or
inflamed gums?
No, they can be used for daily plaque control on healthy or inflamed gums in
conjunction with your normal toothbrush. They are also an excellent aid for those
who wear orthodontic wires or teeth that are splinted (wired together) for orthodontic
retention or for periodontal support, because they clean between the teeth under
the wires where it is hard to get floss. Implants need special care, as do bridges.
Plastic coated interdental brushes are very good for these areas as they can
clean around the artificial teeth without damaging them, and are quick and easy
to use. Floss needs an awkward floss threader to use around bridges and splinted
teeth. |
What size should I use?
You can ask your dentist or hygienist what size/s they would recommend. Alternatively,
you can often buy a variety pack with one of each size so you can experiment
to see what size fits most comfortably into the various spaces you have in
your mouth. |
 |
Do I use the biggest size I can get between
my teeth?
Generally speaking, use larger sizes for back teeth and the small ones for the
front teeth. For back teeth, use the biggest size you can comfortably get in
as it will provide a more thorough cleaning action and suppress the gum from
growing up excessively in between your teeth. Such excessive growth can cause
a natural food and plaque trap which leads to a self degenerating situation.
IMPORTANT - Please Note: All interdental brushes, toothpicks and sticks can put
pressure on the tip of the gum, especially if you force it, or use a brush that
is too big for the space. This can cause a slight re-shaping of the gum over
time. This is generally good for back teeth but most people like the look of
the small triangle of gum growing in between their front teeth. Therefore, use
the smallest size around your smile area in order to ensure a gentle cleaning
action on these cosmetically sensitive areas, or if in doubt use floss instead.
Note that you will do no harm if the gum reshapes slightly - it is just a minor
cosmetic issue. If you are not worried about the cosmetics, use any size that
you can comfortably get in between your teeth. Caution - Although you can bend
the wire for easier access into back teeth areas, do not bend the wire back and
forth too often as it will weaken the wire and eventually cause it to break...sometimes
in as little as 5 bends. If it does break and leave the brush piece in between
your teeth, use your fingers to remove it or use another brush to push it out. |
|
How long do interdental brushes last?
Generally in a range of 3 days to 2 weeks, depending on which
brand you use and how hard you work it.
Do I throw them out each time or can I reuse them?
Like normal toothbrushes you can wash them out and re-use
them until the bristles deteriorate or the wire has been
bent severely many times. If you prefer, you can dispose
of them after a single use.
|
How often should I use interdental brushes?
Interdental cleaning is probably only necessary once a day but there is no reason
why you couldn't do this as often as you wanted to. Unlike a toothbrush you
can keep an interdental brush in your pocket and use it in many situations
where it would not be suitable to brush - especially after meals where you
can't access a bathroom or use a conventional toothbrush. |
What happens if my gums bleed when I start using
interdental brushes?
Do not be concerned. It will stop in a week or two. It is usually due to pre
existing inflammation in the gums which causes weakening of the blood vessels.
The primary cause of this bleeding is insufficient plaque removal, which is in
turn due to ineffective brushing and ineffective cleaning. If you remove the
plaque, the source of the problem is removed. Bleeding is usually a sign that
you are NOT DOING IT ENOUGH. When you do brush enough, the gum will heal, toughen
up, and won't bleed when gently rubbed. Please speak to your dentist or hygienist
if any bleeding continues - you may have a ledge of calculus or tartar under
the gum that catches plaque. This ledge is a hard, rocky material that needs
removal by a dental professional ... a toothbrush won't remove it. |
|
What do you mean 'ineffective brushing'? - isn't all brushing
the same?
What really causes decay and gum disease is the nearly invisible, sticky white
paste called plaque that forms in lumps on the teeth and gums every day. Wherever
plaque stays for long periods, you are almost certain to get decay and/or gum
disease. Not only does it have the ability to eat holes into teeth, it also severely
irritates the gum, causing the body to send in repair cells and bacteria-attacking
cells that accidentally destroy the bone...and this leads to even bigger problems
until the tooth falls out.
You need to brush and clean effectively. Many people put a brush in their mouth
and make random movements - and imagine they have cleaned their teeth.
In reality they typically only remove 50% of the plaque - and the places
where the remaining 50% stays are covered 99% of the time. It is these sites
where you can expect 99% of your dental problems to occur. The gap between your
teeth is a huge source of problems, because it is naturally protected and hidden
from the cleaning action of the tongue and abrasive action of food. When we clean
teeth it is not like we are cleaning our shoes to make them look good. 'Cleaning'
is an insipid word and could be replaced by the more accurate expression 'removal
of toxic bacteria and congealed acidic material'...that is what plaque is. 'Cleaning'
is defined as the removal of the majority of the plaque - not simply removal
of food scraps. Although it is nice to get rid of food debris, this is not the
real reason for 'cleaning'. |
When I get my teeth 'cleaned' by the dentist, are they
just removing plaque?
No...plaque will stick to the teeth and calcify to form a rock-like material
called calculus...you can't get this off, and it needs to be removed with ultrasonics
or hand instruments. If you have periodontal pockets, they need to be cleaned
out too. Depending on the extent of the disease process and bone destruction,
this can be a simple or a complex job requiring many visits, and may need local
anaesthesia (an injection), just like a filling. |
What are periodontal pockets?
Periodontal disease can painlessly destroy the bone between and around your teeth,
whilst the gum on the outside remains at the existing height. This creates
an invisible space where plaque and dangerous bacteria can be sheltered from
the cleaning action of your normal toothbrush. These areas are called periodontal
pockets. Many people have these invisible pockets or gaps between their gum
and tooth. Normally the gap between the tooth and the gum is 2-3mm deep. If
periodontal disease sets in that can increase to 5 or 6mm and at this point
it usually becomes self degenerating. At 8-9mm, the outlook for the tooth is
very poor. The deeper the pocket, the harder it is to stop it getting worse!
That is why we practice preventive dentistry. |
| |
| top of page |