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You brush and floss thoroughly twice a day. You have regular checkups. Everything seems fine on the periodontal radar. Sometimes, however, even healthy gums can become sensitive and irritated. Is it something you did? Maybe! Here are some common causes of gum irritation and sensitivity that you might not be aware of.

• Brushing Bravado

One of the most important tools for gum health is one we use at least twice a day—the simple toothbrush. Two minutes at night and two in the morning reduce the bacteria and plaque that lead to serious gum disease, known as periodontitis. And while preventing tooth decay and gum disease are the primary goals of brushing, let’s also protect delicate gum tissue from injuries and irritation caused by too-forceful brushing.

Try using a brush with soft bristles and brushing with short strokes and gentle pressure, especially if you know you have a tendency to be a bit heavy-handed. Massaging rather than scrubbing will clean teeth and gums just fine.

• Fierce Flossing

Just because we can use dental floss to slice cakes or cookie dough logs doesn’t mean we should apply the same pressure to our gums! While a firm sawing motion seems like the obvious way to clean between teeth and gums, you can actually cause irritation and bleeding that way.

Insert the floss between your teeth carefully, bring it to the gumline, and move the floss with gentle pressure up and down and around the tooth surface. This technique will make sure that you remove food particles and plaque from beneath the gumline without causing your gums any trauma. Ask us about the best flossing techniques—we know them all.

• Appliance Aches

You know how helpful your braces/retainers/mouth guards/dentures are. You just wish that your helpful appliance was a little less irritating to sensitive gum tissue.

This is a problem that often disappears as you get used to your new appliance. But if pain or irritation persists or gets worse, give us a call. We want to make sure your appliance fits properly, and make any necessary adjustments to ensure your comfort.

• Peroxide Problems

Most home whitening kits use peroxide-based gels or treated strips to remove surface stains from the teeth. Those same bleaching agents that make enamel whiter can also cause gum sensitivity and irritation. If you use whitening strips or gel trays, be careful to keep the peroxide solution away from gum tissue. But because these systems are one-size-fits-all, that is often easier said than done.

If you have sensitive gums, one solution is a professional office whitening. We’ll check on your gum (and tooth) health first, and monitor and protect your gums throughout the procedure. If you still want to whiten at home, we can create custom trays for you that will provide more complete exposure to the whitening solution for your teeth, and less exposure for your gums, than over-the-counter products.

• Still Smoking?

Studies have shown a strong link between gum health and smoking and other forms of tobacco use. Smokers are much more likely to suffer from gum disease than non-smokers, and those who have smoked for a long time, or who smoke heavily, have an even higher risk of developing periodontal disease. Some studies suggest that smokers don’t respond as well to treatment as non-smokers.  Unfortunately, it appears that smoking and tobacco use help mask the obvious symptoms of gum disease (redness and bleeding), which could lead smokers to delay getting treatment. If you smoke, talk to us about ways to quit.

We talk a lot about periodontal health because it is so important. Periodontitis can lead to infection, loss of bone around the tooth, and even eventual tooth loss. If you are suffering from any of the signs of gum disease—swelling, redness, bleeding, pain—give our Lincoln, NE office a call. Whether it’s as simple as making a few lifestyle changes, or a problem requiring professional dental treatment, being proactive with your dental care is more than good for your gums—it’s good for your health!

Let’s face it, by now, brushing our teeth is something we pretty much do on auto-pilot. A quick brush after breakfast, a minute or so at night, floss when we think of it. Done. But take a few minutes to review these cleaning tips, and see if a few small adjustments to your routine could make all the difference at your next checkup at our Lincoln, NE office.

• Tools

Some of us prefer brushing with a manual brush. Some like the electric brush for ease and comfort. Whichever form of brush you choose, be sure that it fits comfortably in your mouth, reaches everywhere it needs to, and has a handle that is easy to grip. There are many bristle options available, so if you are an energetic brusher, or if you have sensitive gums, try a soft bristled brush for gentler brushing.

If you haven’t been exploring the floss aisle lately, there are now many varieties available to suit your particular needs. Besides the traditional floss, there are coated flosses for easy gliding between teeth that fit closely together, dental tape-style flosses to fit teeth with wider spacing, and even flosses designed just for braces that thread between the wires and brackets. Talk to Dr. Jeffery Spahr and Dr. Janna Spahr at your next cleaning for product suggestions if you think there’s an easier, more comfortable option out there for you.

• Technique

With proper technique, any toothbrush and floss you choose will do a fine job of removing plaque.

Brushing? There’s a tried and true method for success. Place the toothbrush at a 45° angle at the gum line. Be sure to brush the outside, inside, and chewing surface of each tooth thoroughly. Remember the expression, “Massage, don’t scrub.” Over-vigorous brushing can actually irritate gum tissue and damage enamel. An electric toothbrush should provide a continuous brushing motion without needing any pressure from the brusher. This might be the model for you if you have a too-vigorous approach to brushing, or sensitive teeth and gums. If you like your manual brush, again, give a soft-bristled brush a try!

As for flossing? That harmless-looking little string can cause gum damage if used too forcefully. You can accomplish the placement and cleaning power you need by easing the floss down to the gumline and flossing with gentle pressure against the tooth surface. If you have any questions about technique, remember—we are always happy to let you know the best cleaning methods for your specific needs.

• Timing

Of course, the best tools and the best technique in the world won’t be effective unless you put the right amount of time into brushing and flossing.

The standard rule is two minutes of brushing in the morning and two minutes at night. If you wear braces or have other special circumstances, we might recommend brushing after every meal. And if you brush after breakfast, give your teeth half an hour or so to remineralize. This natural process uses the calcium and phosphate ions in your saliva to strengthen tooth enamel after it’s been exposed to any acidic foods in your breakfast.

Thorough flossing can be accomplished in a few minutes, and might be needed only once a day. But again, depending on your individual needs, we might have other recommendations. Let’s review what works for you at your next visit—we can tailor suggestions for a brushing routine to your unique needs.

It’s a great idea to review your brushing habits periodically to make sure you are getting the most out of those minutes you spend cleaning your teeth. There won’t be a test at the end of this review, and you won’t get a gratifying grade or a gold star. What you will get is much more important—better checkups, fewer cavities, and healthy teeth and gums. Happy cleaning!

Hiking is a great way to appreciate the beauty of nature, to get away from the stresses of daily life, and, of course, to challenge yourself physically. While you’re packing away your sunscreen and your first aid kit, do your body another favor—take a minute to include some lightweight, dental-friendly items.

• Snacks

When you’re exerting yourself, snacks that provide quick energy on the go are a must. Granola, trail mix, energy bars, candy, dried fruit—these are the foods we think of as trail food, and we generally get that quick energy boost from the sugars and starches they contain. As it happens, Dr. Jeffery Spahr and Dr. Janna Spahr and our team strongly recommend you pick snack options other than sugary and starchy foods. Why? Because many sugars and starches provide oral bacteria the food they need to produce acids. These acids weaken enamel and damage our teeth. And these common trail foods often have the added “bonus” of sticking to the teeth, leaving acids even more opportunity to attack. Don’t give up the energy boost you need for a safe hike, but do yourself and your teeth a favor and look for the healthiest granola, energy bars, and gorp out there.

Other suggestions for trail treats that are also a treat for teeth? If you need a chocolate pick-me-up, try dark chocolate. Dark chocolate has more caffeine that milk chocolate and less sugar. (It has other health benefits as well that you might want to look up after your hike.) If you like nuts and seeds, take softer nuts, or sliced nuts—a good source of energy and not likely to provide as much stress on your teeth when you’re in the field. (Shell them beforehand—don’t ever use your teeth as a nutcracker!) Similarly, if you take seeds, leave the shells at home. If you like crackers, try whole grains. Looking for protein? How about a tuna pouch instead of chewy beef jerky?

• Hydrate

Water is always the go-to beverage. Pre-hydrate even before setting out, and have plenty on hand for your trek. Many hiking sources suggest two cups of fluids per hour of activity. (And in hot or humid weather or at high altitudes, you could need even more.) There are actually hiking water calculators online, which can give you a good estimate on how much you’ll need for your trip, taking into account your age, weight, level of activity, and other factors. Because water can get heavy, plan a lengthy hike around the availability of fountains or other clean water sources if necessary.

What if you feel the need for more than water? If you are getting a good workout, you’re probably losing electrolytes. Generally, sports drinks aren’t on the dental menu. They tend to be loaded with sugar and carbs—good for energy, bad for teeth. Sports drinks can be as acidic and hard on your enamel as sodas. But if you need those electrolytes on a long hike, don’t feel guilty. There are many options—choose the healthiest one for you and your workout level.

• Be prepared!

While you are probably already packing a mini-first aid kit for long hikes, think about a lightweight dental emergency kit as well. These are readily available online and in outdoors stores, and usually contain supplies like cotton balls, dental floss, oral pain relievers, even temporary fillings, in a lightweight bag.

And once your hike is done? Rehydrate, and don’t forget to treat your teeth to a good brushing and flossing when you get home.

Got all that? Great! Now, go take a hike!

Probably because, for many kids, molars do get more cavities. So let’s answer two better questions: Why do molars get more cavities? And, how can we help prevent them?

It’s the Pits. (And Fissures.)

The reason molars are so useful—and more likely to develop cavities—is because of their shape. Unlike our front teeth, which are used to bite through foods, molars are used to grind and chew. That’s why they are so much larger, with a flat surface on top. Well, not exactly flat.

When you look at a molar, you’ll notice that the top isn’t really smooth at all. It’s covered with little indentations known as pits and longer grooves called fissures. These irregular features both trap food particles and make it more difficult for bristles to clean them away. Cavities in molar surfaces are so common that they even have a specific name: “pit and fissure cavities.”

But molar biology does not mean tooth decay is inevitable! There are steps you can take to protect your children’s molars as they grow, while you’re providing them with dental strategies that will keep their adult molars healthy and cavity-free.

Preventing Pit and Fissure Cavities

• Don’t Just Brush—Brush Effectively

The first step in preventing any kind of cavity is brushing properly. Your child should be brushing at least two minutes, at least twice each day. And while the time we spend brushing is important, technique is also key.

When you’re showing your child how to brush, be sure that the tops of molars, upper and lower, get brushed thoroughly, with special emphasis on cleaning pits and fissures. Make sure the toothbrush is small enough to fit your child’s mouth comfortably and reach all the tooth surfaces. Replace worn-down brushes or electric toothbrush heads after three to four months when they no longer clean as effectively.

Your child will probably need adult supervision from toddler years through the early years of grade school to learn how to brush properly. This is time well spent, as your child learns cavity-preventing brushing techniques which will last a lifetime.

• Eat a Tooth-Healthy Diet

Plaque bacteria use the sugars in our food to make acids. These acids break down the mineral strength of tooth enamel and eventually lead to cavities. And because pits and fissures are great hiding places for bacteria and food particles (especially sticky ones), molars are even more at risk for cavities. Limiting sugary, sticky foods like sweet treats and simple carbs helps reduce that risk.

Acidic foods like flavored juices, sour candies, sodas, and power drinks also weaken enamel and can leave teeth more vulnerable to decay. Help your child avoid cavities by limiting acidic foods and drinks, making them part of a balanced meal, and/or rinsing with water after eating.

• Use Fluoride Toothpaste

Fluoride toothpaste not only reduces the risk of cavities, it also helps strengthen enamel that has been weakened by bacterial and dietary acids. Win-win!

• Ask About Sealants

Sealants are invisible, safe coatings which protect molars by preventing food and bacteria from getting trapped in their uneven surfaces. The top of the molar is first treated with an etching solution to allow the sealant to bond tightly to the tooth, a thin coat of sealant is painted on, and then it’s hardened under a curing light. That’s all there is to it.

Sealants are often recommended when children’s permanent molars first erupt, when they are especially at risk for cavities. Sealants can last from three to five years (or even longer), and studies have shown a dramatic reduction in cavities for patients who use sealants compared to patients with untreated teeth. Depending on your child’s individual needs, Dr. Jeffery Spahr and Dr. Janna Spahr might recommend a sealant for baby molars as well.

• Regular Exams and Cleanings

It might be hard for you to tell if your child’s molars have been affected by sticky plaque, or sugary foods, or acidic drinks, or inadequate brushing, or any other potential cavity-causers. It’s not a difficult job for Dr. Jeffery Spahr and Dr. Janna Spahr, though! Through regular checkups and cleanings at our Lincoln, NE office, we will discover any conditions that might lead to cavities, and, if necessary, treat small cavities before they lead to more serious decay.

Statistically, childhood molars have a greater chance of developing cavities than incisors and canines. Help your child beat the odds by understanding why these teeth are at risk and by working with your dental team to give your child years of healthy teeth now and a future filled with beautiful smiles!