Do you swear to tell the tooth? The whole tooth? And nothing but the tooth?
We are going to chat a little bit about oral health. That in itself almost sounds dirty, but it isn’t. Or it shouldn’t be.
Just a few basic dental facts so we are all on the same page. We’ll keep this simple.
Typically there are 20 baby (or milk) teeth with up to 32 permanent (or adult) teeth. I say up to because that includes wisdom teeth. Not everyone develops these. Now, having stated these numbers, there are always those folks who grow extra teeth and those who never form some. We can chat about this another time.
Teeth are composed of layers:
- Enamel: hardest substance in your body, mineralized outer layer covering the top or crown of the tooth
- Dentin: is almost like a bone and makes up the majority of the tooth bulk and is protected by the enamel for the crown (and cementum on the root, not labelled in this diagram)
- Pulp or pulp chamber: the middle of the tooth and has the “live” or “vital” connection via blood vessels to your jaws (yes, teeth can die)
Plaque (you’ve heard of that before) is the film (microbial biofilm) that builds on your teeth during the day and at night. It is usually colourless but it is responsible for bad breath (halitosis), red, irritated gums (gingivitis) and if left undisturbed, can harden into tartar. It commonly forms at the gum line and can work it’s way under the gums, down the root of the tooth. Plaque feeds on sugar (from foods we eat, such as carbohydrates) and produces acid in the mouth. This eventually leads to. . . (dramatic pause) cavities. This is why removing plaque daily, is critical.
Removing plaque is a two-step process. Flossing and brushing. Flossers, in my over 20 years experience in the dental/orthodontic world, fall into several categories.
- Those who do it daily
- Those who do it when they get something stuck between their teeth
- Those who do it a day or two before seeing the dentist/hygienist to try to fool them into thinking that they actually floss every day (doesn’t work, we can tell)
- Those who do it for a few days after seeing the dentist/hygienist as they feel motivated by a good pep talk/lecture
Those of you who do it daily, congrats! Pat yourself on the back. You are ahead of the game.
Those who don’t floss daily, well, that’s kinda like not cleaning the underside of the toilet seat. It’s gross.
I get why you don’t do it. When you finally break out that tortuous string, it hurts. Even if your technique is good. Your gums bleed. They get really red. They swell up twice or even three times their normal size. They throb (kinda like when you work a muscle you haven’t used in a while). And at that point, you throw that hateful minty thread into the garbage and vow never again! I’m here to tell you it doesn’t have to be that way. Join the flossers. Drink the proverbial Kool-aid.
The fact your gums bleed when you clean them should cause all the alarm bells to go off in your head. If you washed your hands and they bled, you’d be pretty concerned right? Gum tissue isn’t any different.
Get your floss, waxed, unwaxed, plain or flavoured and get to it. If you opt to use a floss pick, please wipe the little piece of floss before moving on to the next spot, otherwise you are just moving your plaque from place to place. Don’t get me wrong, a floss pick is better than not flossing at all. There are no rules stating you have to floss in the bathroom. If you aren’t offending anyone, do it while watching tv. Do it in the shower (don’t let the floss go down the drain though). Like Nike says: Just Do It. That first time? Yes, it will hurt. Yes it will bleed, maybe even a lot. Yes your gums will puff up and throb. Get over it. It falls under the heading of “suck it up buttercup” and you do it again the next day. And the next. And the next. Keep showing up to your floss date. In a few days, the bleeding settles down and maybe even stops. The puffiness and redness settles down and you may notice your gums are a lighter shade and are hugging your bone more. Hooray! That throbbing or pulsing sensation is likely gone now too. Guess, what? Your breath smells a whole lot better too. Next time you see the dentist or hygienist, you won’t get a lecture either.