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Since using Guided Biofilm Therapy (GBT) to treat my patients, I have become a better, more holistic clinician. Disclosing each and every one of my patients as the first step and exposing the ‘enemy’ really helps to drive patients' motivation for dental biofilm management and preventive dentistry at home. After all, nothing bonds people faster than fighting against a common enemy! As a result, I have a deeper connection with my patients. This form of biofilm treatment creates an opportunity to build awareness so that patients are inspired to take control of their own oral hygiene. Moreover, using airflow technology for biofilm removal is painless, time-saving, and minimally invasive. Read on to learn about this revolutionary biofilm technology and how it can transform you and your patient’s experience in the dental chair! Guided Biofilm Therapy in the USA is pretty new, but it is quickly gaining traction. Swiss innovators of novel technologies and experts in dental prophylaxis and prevention, EMS dental are the pioneers of GBT. Their goal was to replace traditional methods of dental biofilm removal with a biofilm treatment protocol that guarantees everyone quicker, painless, and stress-free oral care. Problems with current biofilm and calculus treatment We are all familiar with biofilm, the layer of sticky substance that builds up and sits on the teeth. As we know, the accumulation of pathogenic biofilm can lead to oral problems such as gum disease and tooth decay. Regular visits to your dentist or dental hygienist are necessary to remove biofilm on oral surfaces before they have a chance to develop into something severe. Traditional in-office biofilm and plaque removal methods can be long and daunting for patients. It is essential to prevent scratching the tooth surfaces as this can cause mineral loss and leave the surfaces more prone to plaque and staining. However, conventional treatment involves using dental instruments to mechanically remove biofilm and calculus through repetitive, overlapping strokes, which, overtime, can be harmful to the teeth. Moreover, a highly-abrasive polishing paste is used. At the time, we did not really have much choice. Thankfully, we now have innovations like Guided Biofilm Therapy to professionally remove biofilm in a less invasive and less harmful way that is an overall more comfortable experience for patients. Guided Biofilm Therapy We can break GBT down into 8 steps: The process begins by assessing the teeth, gums, and periodontal tissues, including any implants or peri-implant tissues. Use EMS biofilm solution to illuminate biofilm and highlight problematic areas so the hygienist can assess which necessary treatments should follow. The color will also serve as a guide for biofilm removal. (It is truly satisfying to be able to see the results) This also becomes a learning opportunity for the patient about the importance of prevention and the effectiveness of their current oral hygiene routine. Because we can clearly see the problem, it is much easier to explain to patients what is working, what is not, and what changes they may need to make to their home care regimen. It can be a crucial teaching moment to impact change and recommend necessary lifestyle changes. The next few steps combine three cleaning systems to remove biofilm, stains, and light deposits gently. We can use these ultra-gentle processes to clean the entire mouth. 4. AIRFLOW® technology is used with the AIRFLOW® PLUS powder to clear biofilm on all surfaces in the mouth, including the teeth, implants, restorations, braces, gums, tongue, and palate. Removal of any leftover stains on the enamel is possible with the AIRFLOW® CLASSIC Comfort Powder. 5. Super slim PERIOFLOW® Nozzle with AIRFLOW® PLUS Powder removes biofilm in tight and deep spaces such as the subgingival, periodontal, and peri-implant pockets. 6. PIEZON® NO-PAIN technology with the Perio Slim (PS) instrument combines power and water to remove calculus in an efficient and painless treatment. Use it on the teeth, implants, and restorations without affecting the surfaces. The procedure is much gentler and more precise than typical methods, minimizes sensitivity, is more effective, quicker, and is generally more comfortable for patients to sit through. 7. Next is quality control to ensure the removal of all biofilm and deposits, plus a final screening for interdental caries and lesions which may have become more visible post-clean. This simple but vital step guarantees effective long-term results by ensuring that nothing is overlooked or left untreated. Then use fluoride to seal the teeth and prevent decay. 8. The last step is to set the next appointment or recall, which should be between 3 to 6 months. Regular appointments lead to long-lasting results, which translates to better overall health. Removing deposits may not even be required if the follow-up frequency is adhered to, further shortening the subsequent treatment time. Guided Biofilm Therapy combines air, jet water, and powder for a quick, gentle, and effective teeth cleaning. Using the Air-Flow Plus powder with erythritol (low-abrasive powder) means there are no scratches, abrasions, or mineral loss to the teeth. As a hygienist, GBT really is game-changing. I feel confident that I am not harming my patients while helping them achieve a clean, healthy mouth. The process requires minimal instrumentation, is ergonomically easier to perform, and the total operation time is less, which means extra time for other services and my favorite part — patient education. For my patients, it is a much more pleasant experience overall. They must sit through less mechanical stress, yet they can enjoy satisfactory, long-lasting results. They will also feel more empowered to take charge of their oral hygiene at home. Guided Biofilm Therapy expands the goal for tooth polishing beyond stain removal purely for aesthetic reasons. Instead, it focuses more on removing biofilm and providing therapeutic benefits to the patient's oral and general health. Ultimately, you will have happy, satisfied patients; and happy customers lead to increased referrals, which means more credibility and business for your practice!

Image Credit: https://www.icechips.com/our-store/mix-n-match-6-pack-pouches A dental hygienist will not often recommend that you eat candy, but Ice Chips candy is the guilt-free sweet treat getting everyone's lips smacking that I can stand over! I just love the story about how the sugar-free xylitol ice chips came about. Two "grannies in a garage" — Beverly Vines-Haines and Charlotte Clary — created and pitched their Ice Chips candy on Shark Tank. The two grandmothers envisioned a safe confectionery for people with diabetes but also wanted something their many grandchildren could enjoy without harming their teeth. Things took off when they created a delicious, xylitol-sweetened treat that tasted much like actual candies but without the potential side effects. Go, grannies! The Ice Chips Candy Shark Tank deal did not go through, but Beverly and Charlotte won the hearts of fans. Despite having little to no candy-making experience, they began churning out Ice Chips in their garage. Before long, people were asking for more, and news about the new delicious, guilt-free xylitol candy spread like wildfire! As more Ice candy flavors came about, retailers began expressing an interest in selling it at their stores. So what are Ice Chips? Are there any negative Ice Chips candy side effects? Are they OK to eat, and do they help with dry mouth? Ice Chips Candy ingredients What are Ice Chips made of that makes them guilt-free? Let's break it down: The main ingredient is xylitol, but there are also certified natural organic flavors, citric acid, cream of tartar, and calcium stearate. Big on flavor, low on calories Ice chips are hard candies made from crystallized xylitol. Xylitol has a sweet taste and comes from fibrous plants such as birchwood for use as a sweetener to replace the calories from sugars and carbohydrates. It looks and tastes like sugar but has an extremely low glycemic index (GI) of 8 and has 40% fewer calories. In comparison, an orange has a GI of 52. In other words, munching on Ice Chips candy, especially in small portions, won't significantly affect your blood sugar levels and calorie intake. Oral health benefits of xylitol Sucking on sugar-free xylitol candy is good for your oral health as it reduces the amount of cavity-causing bacteria in the mouth. For instance, it's common for people to chew on xylitol gums to stimulate saliva production, which keeps the mouth clean by slowing bacterial growth. The fewer bacteria in the mouth, the lower the chances of cavities and problems like bad breath. Simple! There's also promising evidence that xylitol can help to remineralize the teeth, reversing damages caused by bacteria while soothing tooth sensitivity. Similarly, Ice Chips candy which uses xylitol as a sweetener, may offer the same oral health benefits. Ice Chips for dry mouth From an oral health perspective, sucking on Ice Chips is definitely better than reaching for other types of candy to satisfy your sweet tooth. In fact, it can also help relieve dry mouth since it increases saliva production. This saliva moisturizes the mouth without the presence of any harsh chemicals or sugar that can actually worsen dryness. Deliciously addictive Ice Chips candy Benefits aside, Ice Chips taste deliciously addictive! They even leave a pleasant, lasting cooling sensation in the mouth, making them an excellent way to freshen up your breath throughout the day. And, unlike other candies that use artificial sweeteners, there is no unpleasant aftertaste. Cooling, refreshing, and most importantly, guilt-free, it's no wonder Ice Chips candy is so popular, especially during the summertime. Where to buy Ice Chips candy? Beverly and Charlotte's business has continued to grow, and in 2015, they successfully automated their candy-making process and moved to a larger facility. These days, you can buy all types of Ice candy flavors and have them delivered right to your doorstep on Amazon. You can also find them in your local stores. There are many great options with exciting flavors like the new Root Beer Float, classic lemon, or sour cherry. Or you can opt for a variety pack to discover your favorite flavor. If you love coffee but don't want the jittery side effects, try the Ice Chips candy coffee flavor! You can even get Finding Dory-themed Ice Chips from their collaboration with Disney and Pixar. The guilt-free sweet treat that everyone can enjoy Ice Chips can be enjoyed by practically everyone, including adults, children, diabetics, vegans, those on a low-carb or sugar-free diet, or anyone with soy, wheat, dairy, or gluten intolerance and allergies. So, yes, you can go ahead and enjoy Ice Chips candy and the wonders it can do to satisfy cravings without adding any calories to the waistline or ruining your teeth! If you are a parent, you can relax knowing your children can also enjoy this treat without doing damage. While habitually munching on most sugary, sweet treats can lead to tooth decay, switching to Ice Chips means you won't have to worry about cavities or any other oral health and health problems! In fact, you can feel confident that Ice Chips can help promote good oral health and banish harmful bacteria in your mouth, keeping it fresh, clean, and healthy. I love them!

Image credit: https://www.sciencefocus.com/the-human-body/mouth-breathing/ Take a second to notice the way you are breathing. Are you inhaling and exhaling through your nose or mouth? Humans have evolved to breathe through our noses to avoid choking while eating, which is considered the more ‘superior’ way of taking in air. But some of us may develop mouth breathing as we grow or are simply born this way. It can seriously affect your health, teeth, sleep, and overall well-being if it continues uncorrected. Read on to learn more about how breathing through the mouth affects you and how you can gradually correct it! Nose breathing vs mouth breathing Sorry mouth breathers, but what you are doing is not the most efficient. Our bodies breathe on autopilot, so you would think it is doing so in a way that’s best for us. After all, as long as we take in enough air to stay alive, it should be A-Okay, right? Actually, no! When you breathe in through your nose or mouth, two different sets of processes are at play. Let’s look at why nose breathing is more favorable than mouth breathing: Air that goes through the nose passes through complex structures that warm, humidify, pressurize, and filter it so that it can be readily and easily absorbed into the blood when it gets to the lungs. Because of this, nose breathing is capable of helping us extract up to 20% more oxygen than breathing through the mouth. While this might not seem like much, it can make a massive difference. Imagine getting a 20% off shopping voucher every time you shop; wouldn’t that add up to a lot of savings? Now, imagine getting 20% more air every time you breathe! Studies have shown that breathing through your nose when exercising reduces your breathing rate and can boost your stamina, making you feel less tired. There is a good chance that you might appreciate exercising even more! By filtering the air for dust, pollen, germs, viruses, and other allergens, the nose's filtration system also plays a vital role in defending the body as it is its first line of defense. How mouth breathing effects are causing you harm I am not saying you should avoid mouth breathing completely. It is not always possible. Sometimes the body needs to temporarily switch to breathing through the mouth during intense exercise or if your nose is blocked. Taking in big gulps can help get more air to the lungs quickly. Habitual mouth breathing involves taking in air and expelling it through the mouth for long periods. Mouth breathing at night is especially prevalent, often happening during sleep. Mouth breathing people are more likely to experience sleep problems such as sleep apnea, which can lead to fatigue, lower productivity, and overall poorer quality of life due to a lack of oxygen. Its effects are far more significant in children since it occurs during their development stage. This way of breathing can lead to permanent physical changes to the shape of facial structures and airways. Left uncorrected, it can set the stage for chronic respiratory problems in adulthood, such as snoring and sleep apnea and result in a less attractive face. Studies found that poor sleep quality in children can tremendously impact their mental and physical health, resulting in lower cognitive functioning and quality of life. From a dental point of view, mouth breathing is bad for the teeth as it leads to a dry mouth. There is insufficient saliva to cleanse the mouth of bacteria and debris, giving a chance for bacteria to thrive. If you always have a dry mouth, the buildup of bacteria can cause bad breath, gum disease, cavities, and even throat and ear infections. When you are breathing through your mouth, the tongue is not where it’s supposed to be, which is resting against the roof of the mouth. This positioning assists the formation of natural dental arches and straight teeth. Unfortunately, persistent use of the mouth for breathing can lead to the formation of mouth breathing teeth irregularities, making them crooked over time. Causes of mouth breathing and ways to correct it Whether it develops as a habit or is due to an underlying health problem, it can cause significant issues. Congestion in the nasal cavity which may be due to chronic allergies, asthma, chronic sinusitis, or things like swollen tonsils or adenoid glands at the back of the throat and a deviated septum, can all hinder nose breathing. For most people, mouth breathing is a bad habit. Luckily, this is easy to correct as you can quite easily train your body to breathe through the nose simply by being more aware of how you breathe. Set reminders to check on your breathing and make sure to inhale and exhale through the nose. Got a stuffy nose? Try clearing it with this simple exercise: Breathe in and out through your nose for a few minutes with your mouth shut. Next, take a deep breath through the nose and pinch your nostrils. Then, slowly exhale through the nostrils once you can't hold your breath any longer. Do this as many times as necessary to clear your nose. If that doesn’t help, visit your doctor to determine what's impeding your breathing. They may suggest surgery if there is a tissue blocking your nasal passage or prescribe you nasal decongestants or antihistamines. You can also try steroid nasal sprays that you can buy over the counter. Preventing mouth breathing at night is a little more tricky, but use these steps to make it easier: Clear your nasal airways before bedtime using a nasal steroid, decongestant, or saline spray Sleep on your sides If you sleep on your back, elevate your head to keep the nasal airways open Use mouth tape to seal the lips and direct airflow through the nose Correcting mouth breathing in children If you observe that your child is breathing primarily through their mouth, determine if something is restricting their nasal passage. Visiting your doctor can help evaluate if your child is developing mouth breathing as a habit or if an underlying issue keeps them from breathing through the nose. Once you know the cause, you can help them to make the switch to nose breathing gradually. Mouth breathing effects are numerous and can lead to gum disease and tooth decay if left untreated. The lack of oxygen the body is getting will harm your child's quality of life and increase stress levels, which a lack of quality sleep can also exacerbate. In children, the consequences of mouth breathing are far more severe as it occurs during the time in which their bodies grow and develop. Especially during the early stages, it is highly treatable to prevent or minimize permanent damage to the facial structures and dental development and arrest the medical and social problems that come with it. So, now that you know the harm that mouth breathing can have and the benefits of breathing through the nose, use my simple advice to make some changes today! If you’re as passionate as I am about practicing good oral hygiene, I’d love to meet you! I will be in Orlando on the 20th of July with Mouthwatch at the RDH Under One Roof (UOR) conference, where we’re looking forward to three action-packed days of quality dental hygiene education. Expect educational courses from notable, industry-leading speakers plus an exhibition where you can discover, look, see, and feel the newest, most innovative dental hygiene products and equipment available on the market today. See you there!

Sip, gargle, spit! If I had to choose one mouthwash to recommend to all of my patients, it would be the CloSYS mouthwash! Yup, it is BRILLIANT, and I feel confident standing behind it. The CloSYS Ultra Sensitive Mouthwash formulation is always my go-to for its super gentle formulation, making it suitable for everyone, including those with extremely sensitive mouths. Despite its gentleness, the CloSYS mouth rinse is powerful enough to eliminate 99% of bad bacteria to give you minty fresh breath. It also disrupts the formation of plaque that will otherwise lead to gum disease and cavities. Now, that’s a well-rounded mouthwash! The CloSYS mouthwash is no ordinary mouth rinse! Does not contain harsh chemicals As we look into the CloSYS oral rinse, it becomes even clearer that it is no ordinary mouthwash. It gets the job done without containing any harsh chemicals such as alcohol, iodine, or hydrogen peroxide. Without alcohol, there is no unpleasant burning sensation, making it easier to rinse for longer. While some enjoy this tingling sensation, you should know that this is caused by alcohol, and it actually doesn’t do much in terms of killing the bacteria. Alcohol is actually quite disrupting as it throws the mouth’s pH out of balance and can also cause dry mouth. Suitable for sensitive mouths and those prone to sores Plus, these harsh chemicals can be a trigger for those with sensitive mouths, which is why the CloSYS mouthwash is so ideal. Going through the ingredients’ list, I was delighted to see that the mouth rinse is also free from Sodium Lauryl Sulfate or SLS! Yay! Although SLS isn’t always harmful, it can trigger a painful reaction lasting for days for those prone to irritation or mouth sores. If your current mouthwash is causing your mouth to break out in sores or any form of irritation, continuing to use it may cause more serious oral health problems down the line. STOP NOW! A comfortable formula for longer swishing Between you and me, we don't need SLS in mouthwash as it does nothing to clean the mouth other than creating bubbles. By opting for a mouthwash without alcohol, SLS, or any other potential irritants, you will be more comfortable rinsing for longer, which helps you to reap more benefits from your oral rinse. Maintains healthy oral microflora and supports healing One magic aspect of the CloSYS mouth rinse is that while it is powerful enough to remove unwanted bacteria, it is delicate enough that it won’t disrupt the mouth’s healthy microflora. In other words, it kills off harmful bacteria without affecting the ones we need to keep the mouth healthy. Maintaining the mouth at an optimal pH also helps keep bad bacteria away and good bacteria happy. Moreover, if you are recovering from an oral operation or are prone to ulcers, the gentle and alcohol-free formula is ideal for keeping the mouth clean while supporting the healing process. According to the company, CloSYS ultra-sensitive mouthwash can eliminate the COVID-19 virus in the mouth by up to 98.4% "What?" I hear you scream. You heard right. Here’s where it gets even more interesting. Recent studies on the CloSYS ultra-sensitive mouthwash have found that it goes a few steps further than any other mouthwash by reducing the COVID-19 virus in the mouth by 98.4% within 30 seconds! I mean, I knew it was good, but this simply catapults it to the top of the ranking, especially since we are in the era of having to ‘live’ with COVID-19. Various independent lab studies had similar results, so it’s safe to say that these numbers are legit. In fact, they’re groundbreaking! By now, we all know for sure that the COVID-19 virus can spread from person to person via droplet sprays from the mouth. If it is true that a simple oral product like the CloSYS mouthwash can help reduce the viral load of the virus in the mouth and thereby potentially lessen the chances of falling ill or becoming infectious, it could play a monumental role in controlling the pandemic around the world. Because of these game-changing results, additional studies are underway. We will hopefully hear some more fantastic news within the coming months, so stay tuned for my updates! How is the CloSYS mouthwash capable of doing this despite being so gentle? Although there is still a lack of evidence that reducing the viral load in the mouth has anything to do with disease transmission, we can't deny the antimicrobial power of the CloSYS oral rinse, as evidently proven by these studies. But how is it capable of doing this? CloSYS mouthwash uses Cloralstan®, a stabilized form of chlorine dioxide that disrupts plaque buildup and keeps infections at bay while killing and inhibiting harmful bacterial growth that can cause problems. Some of its other ingredients are well-known for their usage in drinking water purification. Their safety has been studied and documented extensively. Another unique thing about the CloSYS mouth rinse is that saliva naturally activates the solution to produce chlorine dioxide that penetrates the dental biofilm to destroy pathogens. In addition, Cloralstan® is activated by swishing, so the longer you swish, the better the results! As you can probably tell from my enthusiasm, I’m a big fan of the CloSYS mouth rinse. I can’t get over the fact that it is so gentle yet so powerful at keeping the mouth clean! For those looking for a mild, alcohol-free, yet effective oral rinse, try the CloSYS mouthwash today! If you’re someone who also gets giddy talking about a good mouthwash, or you’re as passionate as I am about oral hygiene, I’d love to meet you! I’ll be in Orlando on the 20th of July with Mouthwatch at the RDH Under One Roof (UOR) conference. We’re looking forward to three action-packed days of quality dental hygiene education. Expect educational courses from notable, industry-leading speakers plus an exhibition where you can discover, look, see, and feel the newest, most innovative dental hygiene products and equipment available on the market today. See you there!

Don't panic the next time you see blood in your spit whilst brushing or flossing! It probably just means it’s time to give your gums and oral health more attention. While it’s usually no major cause for concern, bleeding gums may suggest an underlying condition that can be gradually fixed by making some minor changes. Sometimes you may require treatment from your dentist in some more serious cases. I understand that going to the dentist isn’t always cheap, but what other body parts would you let bleed regularly without getting checked out? We often ignore bleeding gums because they typically don’t hurt, but it can lead to losing teeth, and nobody wants that! But if you want to stop your gums from bleeding once and for all, arm yourself with information on WHY they bleed in the first place! In this post, I'll get to the root of the problem (pun intended!) to help you understand the potential causes of bleeding gums while brushing teeth or flossing. I will also share easy tweaks and home remedies for bleeding gums that you can integrate into your dental care pronto. This way, you can take some accountability for your dental health care and really make a difference. Potential causes for bleeding gums Gingivitis Gingivitis, signifying the early stage of gum disease, can be identified by swollen, tender gums that are so sensitive that they bleed from the slightest touch. It develops from the accumulation of sticky plaque along the gum line that isn’t adequately removed by daily brushing, which harbors nasty bacteria that lead to sensitivity and bleeding. Periodontitis At the point of gingivitis, stopping the bleeding with at-home bleeding gums treatment is still an option. But without any intervention, plaque solidifies into tartar that builds up at the bottom of the teeth, pushing the gums away and allowing millions of bacteria to thrive below the gum line. Once you get to this state, it becomes a much more severe problem that can only be treated by visiting a dental professional. First-time flossers or any item to clean between the teeth It’s normal for your gums to bleed if it’s your first time picking up the floss, as your gums are just getting used to the pressure. If you’re flossing correctly, the bleeding should be gone within a week. If it persists, it could indicate gingivitis or an even more serious issue. Toothbrush bristle stiffness Soft, medium, or hard — if you hadn't put much thought into the firmness of your toothbrush bristles, listen up! Your gums are soft and delicate, so using a brush that’s too hard could be what’s causing your gums to bleed. Brushing and flossing intensity Bleeding gums while brushing or flossing could also be caused by something as simple as being too vigorous. Again, your gums are delicate and should be treated with care! Pregnancy bleeding Sorry soon-to-be mamas, but swollen and bleeding gums are another thing pregnant women sometimes endure, thanks to surging hormone levels. Elevated hormones boost blood flow to the gums, causing inflammation and making them more tender and vulnerable to plaque and bacteria. Medication Gum bleeding is a potential side effect of some drugs, including antidepressants, blood pressure medications, and blood thinners. A person on blood thinners or anticoagulants needs to be careful during brushing and flossing. These medications affect the blood’s ability to clot, so even the slightest nick can cause a pool of red to start trickling from the gums. Diet Poor diet and not getting enough vitamins C and K could also result in bleeding gums. Vitamin C is involved in tissue growth and repair, which affects the strength of the bones and teeth. Therefore, a lack of it can cause the gums to weaken and become more susceptible to bleeding. Meanwhile, vitamin K helps with blood clotting, and we already know what happens if the blood is unable to clot! Home remedies for bleeding gums Practice good oral hygiene The buildup of plaque along the gum line is one of the leading causes of bleeding gums. So even if cleaning between the teeth and brushing are causing your sink to turn pink every time you do so, that doesn’t mean you should skip them. In fact, it means that you should be doing more frequent brushing and cleaning betwee to get rid of harmful plaque before they have a chance to develop into something more serious. Remember to brush twice daily, for at least 2 minutes each time, and clean between your teeth! Get the right toothbrush bristle stiffness Try switching to a toothbrush with softer bristles to see if allows you to better clean the biofilm or plaque from your teeth and gums, or discuss with your dental hygienist to find the right bristle stiffness for your gums. Brush and floss gently Delicate gums require tender care. It could be as simple as having a lighter hand while brushing to prevent bleeding. Try to be a little bit gentler the next time you brush and see if bleeding still occurs. If it doesn’t, problem solved! However, if it persists, it may be time to visit your dentist. You can also consider switching to floss made of satin, as these are gentler on the gums. Increase Vitamin C and K intake We already know that Vitamin C and K deficiencies are potential causes of bleeding gums. So, ensure you are getting enough of these vitamins in your diet. Boost your immune system to fight off infections that can lead to bleeding gums by increasing your vitamin C intake. Up the C quotient through foods such as lemons, carrots, oranges, and red peppers or by taking supplements. Getting enough Vitamin K helps the blood clot, which you want when brushing or flossing bleeding gums. You can get high amounts of them by eating collard greens, kale, spinach, mustard greens, or with the help of an approved supplement. Saline rinse Since a buildup of bacteria mainly causes gum disease, regularly rinsing the mouth with a saltwater solution may help lower bacterial loads and stop bleeding. You can easily make a mixture yourself at home by simply adding a half teaspoon of salt to a glass of warm water, and gargling for a few seconds, three to four times a day. Visit your dentist regularly Although brushing and flossing removes daily plaque buildup, it is impossible to ensure that we are getting all of it. As a result, some bacteria may remain, hardening over time, leading to other oral health issues. You should visit your dentist at least twice a year for a dental exam and biofilm disruption to remove any leftover plaque or hardened tartar. This will help reverse the development of early gum disease, and it is also essential for cavity prevention. Finding out what's causing your gums to bleed is the first step in figuring out what to do about it. Understanding the “why” is also crucial for prevention. Now you know that bleeding gums can be caused by various things, such as bacteria buildup along the gum line, gingivitis, periodontitis, flossing for the first time, brushing or flossing too roughly, pregnancy, taking certain medications, and not getting enough Vitamins C and K. Moreover, you know that brushing twice daily and flossing at least once a day can eliminate buildup, so please keep doing it! Remember to use the right toothbrush bristle stiffness so that you aren’t hurting your gums, and use a light but firm hand whilst brushing and flossing to avoid bleeding gums. Plus, remember to keep your Vitamin C and K levels up, gargle with a saltwater mixture every now and then, and visit your dentist regularly to keep your oral health in check! Then, hopefully, you can say goodbye to gum bleeding and hello to healthy, shiny teeth! Here are some products that I recommend to help you stop your gums from bleeding and have a healthier mouth. Check out the PRO-SYS range of products for outstanding, highly effective toothbrushes, pastes and mouth rinses and use code ROAMING for 10% off. Or the Burst range for some fantastic electric toothbrushes and water flossers. TePe also has a great selection of toothbrushes, toothpicks, flossers and interdental toothbrushes. Want to learn more about great dental hygiene? Join my monthly webinar on Friday, June 24. You can also catch me at the OSAP annual conference from June 16 to 18 in Minneapolis, MN and the ADHA annual conference from June 24 to 26 in Louisville, KY.

One way or another, we’re all dealing with our own form of trauma. In fact, about 70% of adults in the US have experienced some kind of traumatic event at least once in their lives. That’s a lot of damage! No matter the severity of the trauma, experiencing overwhelming fear and helplessness in extremely stressful circumstances can have permanent effects, going so far as to affect one’s mental, emotional, and physical wellbeing. What is trauma-informed care? Because of this, trauma-informed care (TIC) is becoming increasingly important. It’s wrong to assume that everyone who walks into your dental office will have the same level of comfort. On the other hand, treating each patient with a dose of understanding and sensitivity can positively impact the person and their treatment outcomes. Trauma-informed care recognizes that everyone has experienced trauma in their lives. Whether from adverse childhood experiences, domestic violence, combat history, other traumatic experiences, or even secondary traumatic stress, it acknowledges the symptoms of trauma and the many ways it can impact one’s existence. Using trauma theory concepts helps promote a safe environment of healing and recovery, preventing or reducing the risk of re-traumatizing the patient. Impact of trauma on health Many studies point towards trauma having a direct impact on physical health. It is known to lead to chronic health conditions such as depression, cancer, diabetes, or even early death. There is also evidence linking childhood trauma to poor oral health, leading to higher chances of tooth decay and gum disease. This could be because those dealing with trauma are often more likely to engage in risky behaviors that can jeopardize their health, such as neglecting their diet, smoking, or substance abuse, putting even more strain on their overall wellbeing. When we go through a traumatic experience, our bodies trigger physiological responses to adapt to these events. Unfortunately, we aren’t in control of these responses. Although they are vital to our survival and keeping us safe, sometimes, they can go into overdrive, which becomes more harmful than helpful as time progresses. Re-traumatization Re-traumatization refers to any situation that can trigger an individual’s trauma, conjuring up painful and distressing feelings from the past. It can occur anywhere and is of significant concern since those who are traumatized multiple times frequently experience worse symptoms. Therefore, one of the main reasons for adopting trauma-informed principles is to prevent re-traumatization allowing the healing process to begin. What are the 5 principles of trauma-informed care? Five Guiding Principles serve as a roadmap for trauma-informed care so that care systems and providers can know what to do to reduce re-traumatization. The trauma-informed principles are safety, choice, collaboration, trustworthiness, and empowerment. The very first step of trauma-informed care is to provide assurance that the patient is in good and safe hands. Next, they need to know that the person who will look inside their mouth while it stays wide open for a long time is trustworthy. So, show your patient they can trust you by being mindful of their boundaries and managing their expectations about what will happen. Be sure to include the patient throughout the consultation by giving them choices on healthcare strategies so that they feel a collaborative effort and are interested in participating throughout the process. Empowering the patient may help them feel more motivated to take the driver’s seat in the management of their own oral hygiene. By making the individual feel at ease, you’ll have the opportunity to build rapport and help them understand the importance of practicing good oral hygiene. Of course, not all patients will willingly disclose their history of trauma to dentists; after all, they are not usually the first person you go to for ranting about your problems. But, some might. Better to be prepared than surprised! Creating a trauma-informed practice setting For trauma-informed care to be effective and sustainable, it must exist not only at the clinical level but also at the organizational level. This allows support systems to be put in place at every corner. I’m talking about cultivating a culture of care and understanding for every staff member so that each patient who enters your clinic feels safe and welcomed. Essentially, you want your patients to know they are in a safe space to ease their already heightened anxiety. People with trauma often have trust issues and may even fear dental visits. They are often stressed, and many become impatient. If you don’t approach them in an understanding manner, it will likely be the last time they walk through your door and possibly any other dental office, for that matter. Create awareness amongst all staff members, clinical and non-clinical, from receptionists to security personnel, as they too often have significant interactions with patients. Conduct trauma-informed care training and run trauma-informed coaching sessions for all employees so that they know the direction you are heading, the thinking behind introducing a safe space for those suffering from trauma, and the importance of doing so. Adopting a trauma-informed practice approach creates an opportunity to engage with patients in a more comfortable and reassuring way. By working to break down any barriers, the patient is more open to listening and accepting medical advice, which results in favorable treatment outcomes. Basically, for trauma-informed care to work, we simply have to care just a little bit more. After all, it’s our duty since it ultimately leads to better lives for our patients. So, would you consider making some simple changes in your dental clinic to become a trauma-informed care safe environment?

Image credit: https://floridassmiles.com/what-is-a-gumline-cavity/ Cavities are extremely common. As long as you have teeth, you need to worry about them! Also known as tooth decay or dental caries, cavities are permanently damaged areas on the teeth that lead to tiny holes when left untreated. They can form on any part of the tooth, like between the teeth or at gumline (where the tooth meets the gums). What is a gumline cavity? A gumline cavity is the formation of tooth decay at the gumline, where the tooth meets the gum. By the end of this article, we will cover all there is to know about dealing with cavities at the gumline, including simple habits to prevent gumline cavities at home. We will also discuss how they form, the hallmark gumline cavity symptoms and how to treat them. For example, can you fill a cavity at the gumline? Let’s find out! Cavities don't just appear out of nowhere; they develop over time due to an accumulation of plaque and food residue. Without proper oral hygiene, bacteria can build up in the pits and grooves of the mouth and along the gum tissue. Plaque progresses into hardened calculus, which is more challenging to remove. As plaque, calculus, and bacteria continue to pile up along the gumline, the gums begin to pull away from the teeth, and gum recession exposes the roots to cavities. Does gum disease cause cavities? There is a correlation between gum disease and cavity formation below the gumline, as gum recession can expose the layer of dental tissue covering the roots. The roots tend to be more vulnerable to plaque buildup and decay, and cavities can easily form. Since our gums naturally recede with age, you are more likely to get a gumline cavity or two as you get older too, but thankfully not everyone will get cavities even with some gum recession. Causes of gumline cavities Because cavities develop gradually, you might not even realize you have one until it’s too late. No matter the cause, decay occurs due to a buildup of plaque and bacteria, and their acid byproduct which eats away at the tooth’s hard outer enamel. While it is possible to reinforce weakened enamel, it is vital to catch cavities and stop them in the early stages to prevent irreversible damage. Without a protective outer casing, cavities can progress and affect the deeper layer of the teeth, getting into the dentin and pulp, which is also where your nerves and blood vessels are. Irritated by bacteria, the pulp becomes swollen and expands inside the tooth, compressing the nerves and causing severe pain and discomfort extending from the root to the bone. Symptoms of a gumline cavity Eventually, this gives rise to a bunch of oral health problems such as increased sensitivity, infections, toothache, and even tooth loss. So if you are experiencing sudden tooth pain that affects your daily life, you notice that your teeth are becoming increasingly sensitive to hot and cold, or they ache after you consume something sweet; these could signify a weakened enamel. Other signs include stains on the teeth or, worse, the appearance of abscesses or a hole in a tooth near the gumline. Tooth decay at gumline treatment Image credit: https://www.alwayssmiles.com.au/library/tooth-decay/ Depending on which part of the tooth your gumline cavity is located, you may require more extensive treatment. For instance, smooth surface cavities are much simpler to repair with composite fillings. Some root cavities may also be able to be restored this way too. Nevertheless, if the infection extends below the gums or reaches the tooth's center, minor gum surgery or a root canal treatment may be necessary. How to prevent gumline cavities Thankfully, all of this is avoidable by practicing proper preventative dental care. In other words, never skip brushing or cleaning between the teeth, folks! Although gumline cavity treatments are available, once your tooth is infected, it won’t be as strong and healthy as before. So stopping them from developing in the first place is vital. The first step towards prevention is really simple. All you have to do is make it a habit to clean the mouth, removing plaque and food particles regularly. This can be achieved by… say it with me… brushing your teeth for two minutes with a fluoride toothpaste twice a day! Cleaning between your teeth is also necessary to remove buildup in the spaces between the teeth, which can easily be missed, and where plaque can accumulate. Simple lifestyle changes such as avoiding sugary foods and drinks will also help because, as we know, sugar interacts with bacteria to generate harmful, enamel-corroding acids. But, if you really can’t do without sugar, try chewing or snacking on xylitol-based candies. Cavity detection is only possible by examining your teeth. Therefore, regular visits to your dentist or dental hygienist is another crucial prevention measure in ensuring that your teeth are clean and cavity-free. So if you don’t want the pain, stress, and inconvenience of having a gumline cavity, it’s time to take your oral hygiene seriously. Daily plaque accumulation is the culprit, but this can be easily prevented by simply brushing, cleaning between the teeth, and going for frequent checkups. However, even if it’s too late, a gumline cavity can be easily fixed by filling in the affected tooth. Severe decay may require serious surgery, but it’s necessary to put an end to the infection so it doesn’t go on to cause even more problems.

Have you ever wondered just how good a sonic electric toothbrush can be? Learn about the fantastic features of the all-new BURST toothbrush here! Toothbrushes come in various styles, from the traditional manual to the modern sonic versions. However, I have found one that stands out regarding efficiency, style, affordability, and usability. One of the few I recommend to my patients is the BURST toothbrush. As a dental hygienist, I believe that prevention is vital for achieving good oral health. Brushing regularly with the right tool for your mouth is crucial for keeping the teeth and gums plaque-free. Using fluoride toothpaste helps protect and strengthen the teeth at the same time. So when I find a tool like the BURST sonic toothbrush that does it right, I’m always eager to share it with my patients! Let’s find out why there is so much hype surrounding the BURST electric toothbrush! Reasons to love the BURST toothbrush Convenient and affordable subscription plan The BURST sonic toothbrush is incredibly affordable and comes with a lifetime warranty and an option to subscribe for new BURST toothbrush heads to automatically arrive every 12 weeks. This toothbrush is meant to be with you for life. But, if there’s ever any issue, you’re guaranteed to receive a replacement immediately, so you won’t miss a day of brushing. Nice! We often use a toothbrush head for waaaay too long when they really should be changed every 3 to 4 months, or sooner if you notice the bristles beginning to wear down. Unfortunately, many of us neglect to change our toothbrush heads and continue using them longer than we should. It’s often just simply something we don’t pay much attention to, but the bristles must be regularly changed as they can harbor viruses and germs. These bad-boy germs can spread to other family members' toothbrushes or cause reinfection for the user. Yuck! When you’ve been using the same toothbrush head for several months, especially if you’re a heavy brusher, you must replace the heads to ensure they always work efficiently to get rid of plaque. Thanks to the automatic BURST toothbrush head replacement service, I’m confident more people change their toothbrush heads more frequently. It’s literally a no-brainer as it makes the entire process more accessible and seamless. Stylish and practical design At first glance, the BURST toothbrush looks like any standard electric toothbrush. But once you begin to use it, you will quickly discover the wonderful intricacies and features that make it stand out. Style isn’t usually an important aspect to consider for a toothbrush. But, BURST’s sleek and stylish design is definitely a bonus. Plus, it is easy to use, has a firm and comfortable grip, is lightweight, and foldable, making it perfect for taking on the go. Sweet! No excuses for not brushing after a lunch date! I personally love toothbrushes that have a feather bristle or tapered bristle style. I feel that it sweeps into the gingival sulcus or under the gums better than rounded top bristles. The BURST toothbrush heads are not only tapered but have multiple lengths that fit better into the curves and grooves that we all have. This is vital as, typically, this is where build-up can begin to accumulate. They are also soft, making them perfect for sensitive or bleeding gums. Give your mouth some loving while brushing with the BURST electric toothbrush! Other fab features of the BURST toothbrush Charcoal bristles On top of their unique design, the bristles on a BURST electric toothbrush are infused with a special kind of white charcoal known as Binchotan. In Japan, Binchotan has been used for centuries for purifying the air or drinking water. I don’t personally put a lot of weight on this feature, but if you do, then this is a great brush head for you to try! 33,000 sonic vibrations per minute! Many electric toothbrushes on the market use sonic vibration to maximize micro-movements, increasing effectiveness when brushing away plaque and other impurities. Although the BURST toothbrush may not have a rotating head, its powerful motor vibrates the bristles at an impressive 33,000 times per minute! Boom! Sonic cleaning at its best! Varying settings Your BURST electric toothbrush even offers you the choice of three settings: whitening, sensitive, and massage, all vibrating at different intensities. The toothbrush vibrates at a maximum of 33,000 sonic vibrations per minute during “whitening” mode and when working to remove tough stains and plaque. The “sensitive” mode vibrates at a much lower frequency for those with sensitive teeth and gums. Finally, the “massage” choice lets the BURST sonic toothbrush vibrate in pulses to target sore areas and improve gum circulation. Timer When we are in a hurry, we might be tempted just give the old teeth a quick scrub. But that is not good enough for your oral health. The BURST electric toothbrush has a built-in quad interval and a two-minute timer to remind you to brush for the recommended time and cover every inch of your mouth. It automatically switches off once the two minutes are up, and the quad interval vibrates every 30 seconds to remind you to move to another section of your mouth so that no area is left unbrushed. Clever little BURST toothbrush! Stellar battery life Just when you thought it couldn’t get any better than this, the BURST toothbrush impresses again with its four-week battery life on just one charge! The charging dock also has a very sleek look and takes up minimal space on the countertop, so you can simply leave it to charge overnight, and you’re good to go for a whole month! (Now, if only my phone was the same!) The BURST toothbrush can really do it all. Every aspect, from its design to the charcoal-infused bristles, the convenient subscription plan and the fantastic battery life, make it truly a toothbrush designed to help people brush better and brush more. Added together, all these reasons make me think the BURST sonic toothbrush is a great and reliable tool for cavity prevention and to help my patients achieve good oral health. So until something better comes along, this is the toothbrush I’ll be recommending to my patients to encourage better brushing! I love this toothbrush so much that I want you to get more out of your purchase by using my special promo code L16PNU to save over 40% on a brand new BURST toothbrush. And you get another 25% on their fabulous whitening strips just for reading my blog! Happy brushing! If you’re a dental professional keen on the infection control aspects of dentistry, broaden your ideas and knowledge on the topic by registering for my “FOR THE LOVE” series. The 4th installment is coming out 27th of May, and we can talk-shop there! Or, if you prefer to tune in to webinars, check out a couple that are ongoing this month.

Bacteria thrive in the spaces between your teeth. Unfortunately, they can be challenging to reach without interdental brushing. As long as you have a row of teeth standing next to each other, you have interdental space that needs frequent cleaning to prevent plaque and debris buildup that can lead to irreversible damage. Although brushing removes debris and disrupts biofilm on the teeth's surfaces, the bristles aren't thin enough to get into the gaps and crevices between every tooth. You may be thinking, "this is a job for flossing!" but while it does help to dislodge food particles and biofilm in the gaps, flossing isn’t the best option for every single person. Benefits of interdental brushing You already understand the need to brush and floss, but I'm here to tell you why you should incorporate cleaning between your teeth with interdental toothbrushes into your oral care routine. Let's look at the three major benefits: Prevents bacteria buildup It may come as a surprise to learn that even by diligently brushing and flossing daily, you can still miss pockets of nasty bacteria buildup in the crevices between the teeth. As time passes without intervention, these colonies can fester, developing into a slew of oral health problems such as cavities, infections, teeth sensitivity, and gum disease. And we don't want that, right?! It’s more thorough and gentler than flossing If your goal is to be as plaque-free as possible and have clean, healthy chompers that won't wreak havoc on your health, this is your sign to invest in interdental toothbrushes. When it comes to cleaning between the teeth, studies have found that they are more effective and gentler than floss as they are less likely to cut or damage the gums. Also known as spiral, proxy, or interdental brush picks, they are typically thin and have a cone-shape or cylinder design. These bristles are what make them clean more effectively than floss. Basically, you can think of them as special tiny toothbrushes designed to clean the tight spaces between your teeth. But this doesn't mean you should skip flossing entirely; it can still help reach and clean incredibly tight spaces. They are the perfect size for cleaning your interdental space Available in varying sizes to cater to different mouths, interdental toothbrushes can be used several times before discarding. Chat with your dentist or dental hygienist to find the right size and type they recommend for your mouth. Ideally, you want a brush that fits without having to force it through, and you also don't want a size that's too small as it'll ultimately be ineffective at cleaning. And since your interdental spaces are irregular, you may need a few different sizes for different parts of your mouth. They're also bendable to fit better into every groove. How to clean between your teeth Interdental cleaning should be done once a day, ideally at night, before brushing to loosen up the day's bacteria and debris. Brush picks can help you get into each interdental space with a delicate in-and-out, up-and-down movement through the crevices to disrupt biofilm structures. Remember to rinse the brush between every gap to ensure that you don't carry over any gunk from the previous one. For best results, interdental brushing should become a part of your daily oral hygiene routine. Sure, this means you'll be spending a little bit more time in front of the mirror, but trust me when I say that your efforts will be well worth it down the line! So you stick to your new habit, search for easy-to-use tools so you won't think twice about picking them up. It also helps to remember your end goal — clean, plaque and disease-free chompers! Don't know where to start? Try these out: As a die-hard advocate for prevention, I've found a few reliable interdental brushing tools from TePe that I can safely and confidently recommend to my patients. All of these have been developed in partnership with dental experts to guarantee the finest quality in every detail. I find that they are most effective and user-friendly. Especially for first-timers who don't have a single clue about brush sizes, consider the TePe Original Mixed Pack, which consists of 9 different sizes ranging from 0.4 mm to 1.3 mm. This variety pack is perfect for helping you find the correct sizes for your mouth. Take some time to try them out, and don't forget to use a light hand instead of forcing them through. For cleaning between the back of the teeth, the TePe Angle Mixed Pack has six interdental brushes of sizes from 0.4 mm to 0.8 mm. These have a long handle and angled head, allowing easier access to the back of the teeth. The various brush sizes can accommodate the different shapes and sizes of spaces between the teeth, around orthodontic equipment, underneath bridges, or beside implants. These are great for beginners too! Lastly, for cleaning on the go, the TePe EasyPick is my absolute go-to. The brush core is stable and flexible, and the soft silicone coating, made of alternating sizes, thoroughly cleans between the teeth while being comfortable on the gums. Again, these come in varying sizes, allowing you to find a suitable pick for every interdental space in your mouth. They also come in a handy travel case to keep them clean and take them on the road. Now that you know how and why you should clean between teeth, all that's left is to pick up a set of interdental brushes and start brushing the gaps between your teeth daily, at least once a day. Remember that interdental brushing shouldn't be painful! Always use a gentle hand and never force your way into the gaps. Don't be afraid to ask your dentist or dental hygienist about suitable sizes and bristle firmness for your particular oral needs. Once you become a regular brusher, flosser, and interdental brusher, you can rest assured that you are doing your best to keep your teeth clean and free from problem-causing bacteria. Happy brushing!