Oral Hygiene


While brushing the outside surfaces of your teeth, position the brush at a 45 degree angle where your gums and teeth meet.  Gently move the brush in a circular motion several times using small, gentle strokes.  Use light pressure while putting the bristles between the teeth, but not so much pressure that you feel any discomfort. 

When you are done cleaning the outside surfaces of all your teeth, follow the same directions while cleaning the inside of the back teeth.

To clean the inside surfaces of the upper and lower front teeth, hold the brush vertically.  Make several gentle back-and-forth strokes over each tooth.  Don’t forget to gently brush the surrounding gum tissue.

Next you will clean the biting surfaces of your teeth.  To do this use short, gentle strokes.  Change the position of the brush as often as necessary to reach and clean all surfaces.  Try to watch yourself in the mirror to make sure you clean each surface.  After you are done, rinse vigorously to remove any plaque you might have loosened while brushing.

If you have any pain while brushing or have any questions about how to brush properly, please be sure to call the office. 

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Periodontal disease usually appears between the teeth where your toothbrush cannot reach.  Flossing is a very effective way to remove plaque from those surfaces.  However, it is important to develop the proper technique.  The following instructions will help you, but remember it takes time and practice.

Start with a piece of floss (waxed is easier) about 18” long.  Lightly wrap most of the floss around the middle finger of one hand.  Wrap the rest of the floss around the middle finger of the other hand.

To clean the upper teeth, hold the floss tightly between the thumb and forefinger of each hand.  Gently insert the floss tightly between the teeth using a back-and-forth motion.  Do not force the floss or try to snap it in to lace.  Bring the floss to the gum line then curve it into a C-shape against one tooth.  Slide it into the space between the gum and the tooth until you feel light resistance.  Move the floss up and down on the side of one tooth.  Remember there are two tooth surfaces that need to be cleaned in each space.  Continue to floss each side of all the upper teeth.  Be careful not to cut the gum tissue between the teeth.  As the floss becomes soiled, turn from one finger to the other to get a fresh section.

To clean between the bottom teeth, guide the flow using the forefinger of both hands.  Do not forget the back side of the last tooth on both sides, upper and lower.

When you are done, rinse vigorously with water to remove plaque and food particles.  Do no be alarmed if during the first week of flossing your gums bleed or are a little sore.  If your gums hurt while flossing you could be doing it too hard or pinching the gum.  As you floss daily and remove the plaque, your gums will heal and the bleeding should stop. 

Caring for Sensitive Teeth

Sometimes after dental treatment, teeth are sensitive to hot and cold.  This should not last long, but only if the mouth is kept clean.  If the mouth is not kept clean, the sensitivity will remain and could become more severe.  If your teeth are especially sensitive, let one of the IPI doctors know or one of their hygienists.  They may recommend a medicated toothpaste or mouth rinse made especially for sensitive teeth.

Choosing Oral Hygiene Products

There are so many products on the market it can become confusing and choosing between all the products can be difficult.  Here are some suggestions for choosing dental care products that will work for most patients.

Automatic and “high-tech” electronic toothbrushes are safe and effective for the majority of the patients.  Oral irrigators (water spraying devices) will rinse your mouth thoroughly, but will not remove plaque.  You always still need to brush and floss in conjunction with an irrigator.  We see excellent results with the Sonicare® toothbrush. It is the only toothbrush the Institute for Periodontics and Implant Dentistry endorses. We make the Sonicare Elite Professional available to our patients at a nominal cost. We want to make it accessible to everyone because we have seen it really help improve many patients’ oral hygiene.

Some toothbrushes have a rubber tip on the handle, this is used to massage the gums after brushing.  There are also tiny brushes (interproximal toothbrushes) that clean between your teeth.  If these are used improperly, you could injure the gums so discuss proper use with one of our clinical staff.

Fluoride toothpastes and mouth rinses, if used in conjunction with brushing and flossing can reduce tooth decay as much as 40%.  Remember, these rinses are not recommended for children under six years of age.  Tartar control toothpastes will reduce tartar above the gum line, but gum disease starts below the gum line so these products have not been proven to reduce the early stage of gum disease.

Our doctors are the best people to help you select the right products that are best for you.