What really protects teeth from decay
Health / / December 19, 2019
Do save the tooth from caries thread
Recently the New York Times published an articleCatherine Saint Louis.Feeling Guilty About Not Flossing? Maybe There's No Need. Which questioned the use of dental floss.
A study in 2011Sambunjak D., Nickerson J. W., Poklepovic T., Johnson T. M., Imai P., Tugwell P., Worthington H. V.Flossing to reduce gum disease and tooth decay. It showed that the use of dental floss in addition to dental schotke reduces the risk of inflammation of the gums. And it is not too much, since most of the brushes teeth floss thoroughly enough.
But in the fight against the destruction of enamel thread does not mate. So far there is no evidence that regular dental cleaning floss reduces the risk of tooth decay.
Do I need to do dental scan
American dentists recommend to do X-rays of teeth each year. Frekt Austin (Austin Frakt), Health Economist, analyzedAustin Frakt.You Probably Do not Need Dental X-Rays Every Year. medical research and came to the conclusion that this reassurance is unfounded. A cavity formed in the tooth slowly - 2-3 years.
In Russia, a preventive X-rays are not as popular. But CT scans offer to do regularly. Settle for this expensive service does not stay more than once every couple of years.
What toothpaste effectively
The good news: brush your teeth still useful. But to prevent the development of caries paste should be fluoride. The study results of dental examination of children aged 5 to 16 yearsMarinho V. C. C., Higgins J. P. T., Logan S., Sheiham A.Fluoride toothpastes for preventing dental caries in children and adolescents. It confirmed the efficacy of this mineral for the prevention of caries and tooth loss. And brush your teeth with fluoride toothpaste twice better, not just one: the positive effect will be noticeable.
However, anti-gingivitis and plaque on the teeth paste Fluoride helps. But from the destruction of the enamel it does protect.
Which toothbrush is best
Electric toothbrushes at times more expensive than usual. But it seems to be justified in relation to the fight with a touch and gingivitis.
The researchers compared theMunirah Yaacob, Helen V. Worthington, Scott A. Deacon, Chris Deery, Damien Walmsley, Peter G. Robinson, Anne-Marie Glenny.Powered versus manual toothbrushing for oral health. the teeth of adults and children who used electric and ordinary toothbrushes. A month later it turned out that the first group of plaque formation was reduced by 11%, and after three months - 21%. After a month of use of electric toothbrushes, the incidence of gingivitis decreased by 6%, and after 3 months - 11%.
It is best to cope with the touch of a model with a rotating head.
How many times a day you need to brush your teeth
Another fact that you enjoy. And it has not been confirmed that the brush after each meal is really helpful. It is believed that it may even be harmful. Unambiguous evidence or other found.
Do I need a professional teeth cleaning
Polishing and grinding of the teeth, or professional cleaning, some dentists recommend to do twice a year. However, this procedure has a number of contraindications: allergic reactions to the medication used, the sensitivity of the enamel, bleeding gums.
Eight studies have been conducted in 2005,Jim Bader.Insufficient evidence to understand effect of routine scaling and polishing. the impact of professional cleaning to dental health. None of them did not even confirm the safety of this procedure, to say nothing of the need to do it regularly.
What seals put: expensive or cheap
Dentists always offer to put the seal expensive. That's studyYengopal V., Harnekar S. Y., Patel N., Siegfried N.Dental fillings for the treatment of caries in the primary dentition. , Which showed that between the new and old fillings there is no difference.
Why Yorshik for interdental
In 2015, the review was publishedShalini Gugnani, Neeraj Gugnani.Summary Review / Periodontal disease. seven studies in which 354 patients brushed their teeth three ways:
- Only brush;
- brushing and flossing;
- brush and Yorshik.
Only once, scientists have noted that additional cleaning Yorshik has advantages over the cleaning brush. But the evidence can not be considered restrictive, since we are talking about a superficial study: the long-term effects were not analyzed. The same applies to the comparison Yorshik and flossing.
To draw conclusions about the benefits Yorshik for interdental spaces, data are insufficient.
How often should I visit the dentist
In 2013, scientists analyzedBisakha Sen, Justin Blackburn, Michael A. Morrisey, Meredith L. Kilgore, David J. Becker, Cathy Caldwell, Nir Menachemi.Effectiveness of Preventive Dental Visits in Reducing Nonpreventive Dental Visits and Expenditures. details of medical examinations 36 000 children. With regular checkups probability of subsequent applications for the treatment and the truth it was lower. But economically justified preventive examinations only once a year.
Further studies have shownBisakha Sen, Justin Blackburn, Meredith L. Kilgore, Michael A. Morrisey, David J. Becker, Cathy Caldwell, Nir Menachemi.Preventive Dental Care and Long-Term Dental Outcomes among ALL Kids Enrollees. That the positive effects were not routine inspections per se, and the use of dental sealants. Dental sealants - a coating which is applied on the chewing surfaces to protect them. The most effective treatment for such children, when the teeth are still intact.
But with the correct application of sealants are from three to five years. Therefore, in this case, you can do a few visits to the dentist.
What else can help keep your teeth
The addition of fluorine-containing substances in the tap water for the prevention of diseases teeth in areas where the natural fluoride in the water below the norm, has always been a lot of controversy. But health organizations around the world claim that fluoride is necessary for the prevention of dental caries.
What conclusions can be drawn
Definitely, it makes sense to brush their teeth twice a day with fluoride toothpaste. Teeth child may be coated or encapsulated ftorlakom. But the use of other dental services is questionable.
The lack of evidence of benefit, of course, is not proof of harm. More research is needed. In the meantime, we are left simply to weigh the pros and cons.
Perhaps we should continue to use dental floss: it is simple and inexpensive. But preventive examinations and not always safe professional teeth cleaning is hardly worth it as they ask for.
We must acknowledge that we can not always control the health of your teeth. Genetic predisposition, the composition of saliva, which affects overall health, and especially the bite play a role.
This does not mean you have to stop to take care of the oral cavity. But it is necessary to focus on those measures that are guaranteed to give a positive effect.