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Current Topics

Daily homecare routines vary from patient to patient. Therefore, at your cleaning appointment, we will go over what is the best home routine for you. However, in general, we recommend patients brush twice a day for five minutes (each time) and floss once a day. Often, we find that patients have not been instructed to floss correctly, so we are more than happy to personally go over proper flossing technique with you. When flossing, the floss is gently snapped between the contact area and then is wrapped around the tooth (making a 'C' shape around the tooth). The floss is moved up and down scrapping the surface of the tooth. This is done 4 to 5 times. The floss should slide under the gums between the teeth. This is repeated on the adjacent tooth. This should be performed around every tooth and even on the back side of the last teeth.

We strongly believe that fluoride is necessary for heathy teeth. If your drinking water comes from the tap, (in the Metro Denver area), then it is fluoridated. Bottled water will have fluoride listed on the bottle if it is present. Fluoride has many benefits: it helps with sensitivity, reduces the incidence of decay, and it remineralizes the tooth. We apply fluoride to the teeth after a cleaning. Patients with a high rate of decay, we will recommend fluoride for daily home use.

We have taught many of our patients how to toothpick. Flossing is helpful, but for some patients the floss does not go as deep into the pockets as necessary, which is why we have them toothpicking. When toothpicking you should trace along where the gum and tooth meet. Between the teeth you should make a little circle. This helps break up the bacteria that lie in the sulcus around the teeth. This should be done once or twice a day depending on the severity of your case. We would be more than happy to show you personally how to toothpick. Toothpicking is a great method to improve the periodontal status of a patient's mouth. We have seen fantastic results with toothpicking. 

Diet plays a large role in oral health. High sugar consumption can lead to tooth decay, which is why I recommend monitoring your sugar intake. For example, when drinking tea or coffee, do not add sugar. If you drink soda, limit yourself to one serving a day and drink it with a meal. Sipping on soda all day can be detrimental to your teeth. Abstaining from soda is more prudent. Limit the amount of candy you are eating. Again, this is something that has a lot of sugar and should be monitored. If a patient has a high decay rate then we will most likely suggest fluoride and changing habits or lifestyles. Eat balanced and healthy meals, breakfast is the most important, this will greatly reduce the chances of decay. You will be healthier.

Fluoride Varnish.

We feel that today's' patients have become complacent and even think that they are invincible to tooth decay. The truth is that they could be at more risk than ever before. Our society is consuming more sugar than they have in the past. The incidences of tooth decay, obesity, and diabetes are increasing at alarming rates in our population. Most of my patients are at moderate to high risk of tooth decay and I strongly recommend professionally applied topical fluoride. Topical fluoride can be applied as gels, foams, rinses, or the newer varnishes. Fluoride varnish is a safe higher dose of fluoride and it is painted onto the teeth with a brush. The fluoride varnish sticks to the teeth and little is swallowed so very few patients experience nausea. The patient should not brush or use mouth rinse that has alcohol in it for 4-6 hours. The patient can drink water and eat immediately after the application. Professionally applied fluoride varnish is one step in the prevention of decay. Also, it protects expensive existing dental work from recurrent decay. In addition, fluoride varnish helps with tooth sensitivity.


"Optimal Dentistry" in my mind is "no dentistry" or "preventive dentistry". I would like to illustrate this with my son's mouth. He has been my patient since birth and this is what you would expect for a dentist's son.

The previous images show healthy teeth and gums. None of the teeth have fillings and are decay free! His dental treatment was the following:

1. Routine dental visits from when he was born.
2. Sealants on both baby teeth and adult teeth.
3. Routine fluoride treatments.
4. Good daily home hygiene.
5. Good nutrition habits. Very little soda pop or candy.
6. 3rd molars removed before orthodontic treatment.
7. Orthodontic treatment, 2 years.
8. Equilibration.


Digital Radiographs are great. Less radiation. No waiting. Can be e-mailed or burned on a CD. No chemicals to hurt the environment. We have been using this technology for several years and would not go back to X-ray film.

Cough drop warning!

We have had several patients that have been decay free for years and then suddenly they have numerous teeth with decay. When we interviewed these patients we found that they had recently started a habit of sucking on cough drops. These patients usually are older and started sucking on cough drops because their mouth or throat was dry. Many of these patients were taking medications that have a side effect of decreasing their salivary flow. Most of these patients did not realize that cough drops are mostly sugar and prolonged daily use would cause decay just like candy. This innocuous inexpensive home remedy has resulted in disastrous tooth decay problems. Many of these patients are retired and on a fixed income and expensive dental bills are an unexpected financial hardship. So, please avoid using cough drops. There are other solutions for dry mouth other than cough drops. Please discuss this with me at your appointment.