The different types of cleanings at the Boutique

At Boutique we offer two different types of cleanings-a prophylaxis and a scaling and root planing cleaning (SRP). It is really important for you as a patient to understand the difference in these two types of cleanings because it will help you have a better understanding of your overall oral health.

Our most frequently completed type of cleaning is called a “prophy” or a prophylaxis cleaning. This type of cleaning is performed on patients who have healthy gums. Healthy gums are described as salmon pink in color, flat in appearance and do not bleed when probed, brushed or flossed. Prophys are usually completed two times per year and are considered preventive because they help prevent gum disease.

If you are in need of a deep cleaning, Mckenzie will preform a cleaning called a scaling and root planning (SRP). These patients will have bleeding and swollen gums, red gum tissue and probing depths that are greater than 5 millimeters and radiographic bone loss.

In order to determine which type of cleaning you will need, schedule an appointment with McKenzie and she will access your overall oral health.

Hi, guys. McKenzie here, the hygienist at the Boutique. The most frequently completed dental cleanings are regular cleanings or what we as hygienists call prophies or a deep cleaning or what we call scaling, root planing or SRP. It’s really important for you, the patient, to understand the difference in these two cleanings because that will help you have a better understanding of your overall oral health.

Regular cleanings are usually completed on patients who have healthy gums. So, healthy gums are usually described as salmon pink in color, flat in appearance, and do not bleed when probed, brushed or flossed. And these patients usually have probing depths or gum measurements between one and three millimeters. Prophies or regular cleanings are usually completed two times per year and are considered preventive in nature because they help prevent periodontal or gum disease. Additionally, a regular cleaning cleans all of the tissues above the gums and only about three millimeters below the gums.

However, when gum disease or periodontal disease is present, a prophy is no longer needed. After a diagnosis of periodontal disease, a scaling and root planing or a deep cleaning is now needed to control the disease rather than prevent it. Some common signs of periodontal disease include bleeding and swollen gums, bright red gum tissue, probing depths that are greater than five millimeters, and radiographic bone loss, which we can see on X-rays. X-rays also give us some insight into what type of deposits are underneath the gums. If calculus or tartar deposits are evident on X-rays, it is likely that a deep cleaning will be needed. For this reason, X-rays and a periodontal exam by a hygienist are necessary to determine what type of cleaning a patient will need.

If you’ve been experiencing bleeding gums, painful gums when brushing or flossing, or if it’s been longer than six months since your last dental cleaning, give our office a call and we’ll be happy to get you on the schedule.

To Vape or Not To Vape

Adult Female Vaping With An E Cigarette

The Effects of Vaping on Your Oral Health

Recently, vaping has grown increasingly popular with patients of all ages, but especially among young adults and teenagers. Vaping companies advertise a healthier option than smoking cigarettes. However, there has not been much research into the true safety of vaping over cigarettes.

Vaping liquids contain nicotine, which is one of the harmful ingredients in cigarettes.Nicotine impairs the function of the immune system – the main fighter against bacteria in the mouth that cause periodontal disease. Nicotine use has been consistently linked to moderate and advanced stages of periodontal disease. Contrary to popular belief or advertisement,nicotine is present in higher percentage levels in vape liquids than in cigarettes. Consistent vaping of these high nicotine levels could cause the development of gingivitis and periodontal disease. Symptoms of gum disease are bad breath, bleeding gums, and gingival inflammation.

In addition to immune system surpresence, nicotine consumption can also increase bacteria counts in the mouth. Studies show that teeth that had been exposed to e-cigarette aerosol had more bacteria present on their surface than those that had not. This is likely caused by a reduction in blood flow and circulation due to nicotine ingestion. Bacteria is the main irritant or cause of gingivitis and periodontal disease. When the number of bad bacteria grow to excessive levels, it becomes difficult for the patient to return the mouth to a low bacteria level.

There are multiple negative effects of vaping on your teeth and oral tissues. In addition to predisposing patients to gum disease or periodontitis, vaping can also play a major causation role in xerostomia (dry mouth). Propylene glycol (PG), which is found in almost all e-cigarette liquids, is a cause of dry mouth. PG is a hygroscopic compound, meaning it draws or absorbs moisture from its surroundings. Chronic xerostomia can be associated with bad breath, mouth sores, and tooth decay.

There are also multiple oral lesions that may be caused as a result of smoking or vaping nicotine containing products. One of the most common lesions is nicotine stomatitis, which is characterized by red pinpoint type lesions in the roof of the mouth and back of the throat.

Additionally, vaping places patients at similar risk of developing oral cancer as smoking traditional cigarettes because it causes chronic changes in the oral tissues. When tissues are constantly altered from their natural state, it can cause irreversible cell damage which may transform healthy cells into cancerous cells. Not all abnormal lesions are cancer, but it is important to know the signs of abnormal changes in the oral tissues. Common signs of abnormal cell changes are the development of ulcers, red and white patches, and lumps or bumps that are not a part of the normal anatomy.

There are over 3,500 new cases of oral cancer per year, and 4 out of 5 people who are diagnosed are not aware of the signs and symptoms. If vaping is a part of your everyday life,seeing your dentist and hygienist twice yearly for an oral cancer screening is paramount! However, in between your visits, about once per month, you should complete an at home screening on yourself. The main areas of examination include the roof of the mouth, the throat region, the floor of the mouth, the sides of the tongue, and the cheeks and gums.If you notice any ulcers or lesions, monitor the area for 2 weeks. After two weeks, if the lesion is still present and is not healing, call your dentist immediately.

Electric toothbrush vs. Manual- Which is better?

Electric And Classic Toothbrush On A Blue Background

During your twice yearly dental cleaning appointment, your hygienist will customize a daily homecare routine for you and suggest products that he or she believes will most benefit you. Daily oral hygiene always includes brushing and flossing; the use of an oral rinse or mouthwash could also be encouraged if necessary. Personal daily oral hygiene requires the following sequence of procedures at least twice daily: Use dental floss first to remove plaque (bacteria) from in between the teeth, toothbrushing following flossing to remove adhering plaque from tooth surfaces. Brushing and flossing are essential in the removal of the harmful bacteria that cause dental decay and periodontal disease (gum disease).

Toothbrushes fall into two main categories– manual or electric. Manual toothbrushes are hand activated. All motion and power are created by the movement of the brush with your hand. While manual brushes are an acceptable way to remove plaque, bacteria, and debris from the oral cavity, they are not the most efficient. Without proper technique and adequate time, patients struggle to remove all bacteria and debris from their oral cavity. Electric toothbrushes take the guesswork out of toothbrushing. Electric or power toothbrushes move at speeds and motions that cannot be duplicated by manual brushes.

Electric toothbrushes operate at varying speeds (10,000-40,000 RPMs) depending on the manufacturer and type of brush. Brushes also come with a variety of brush head movements. “Rotating oscillating action toothbrushes have been shown to be the most effective powered toothbrushes for reducing plaque and gingivitis” (Wilkins). Electric toothbrushes have enough power to do all the work of brushing themselves. When using an electric brush, it is important to follow your hygienist’s recommendations for brushing methods. Improper use of an electric brush does have some adverse effects. Using too much pressure or movement can contribute to gum recession. Fortunately, most electric brushes have built-in sensors to let you know when you are brushing too hard. Just like manual brushing, electric brushing should be performed for a minimum of two minutes, two times per day. Most electric brushes come pre-programmed with a timer!

How to properly use an electric toothbrush–

  • Place brush on tooth with a 45 degree angle TOWARDS the gum tissue
  • Gently and slowly move brush along tooth surface
  • Repeat this method for all tooth surfaces (cheek side, tongue side, and chewing surface)
  • Allow brush to complete timed cycle before stopping