If you are truly struggling and need actual dental care, try searching for a local dental school near you. Many will take patients for cheap or free, with the caveat that a dental student will be performing the treatment.
Otherwise, brush at least twice a day and floss. Do not re-use strands of floss, like with those convenient plastic picks. You’ll just be transferring bacteria to each crevice after it’s been used.
Get a water pick (whatever it’s called) - I heard those are great but I don’t have one myself.
Every dentist I’ve had disliked water piks. I had one for a while. Had.
Any particular reason why?
Also, in my area, most dentists will allow you to pay over time (like a year+…).
And there are FREE programs like this:
Niagara’s Mobile Dental Clinic
Ask around - you may be surprised.
… Wait, don’t reuse dental floss? Oh no. I thought the point was only to loosen gunk!
My yearly dental works always cost a fortune, but my teeth are great now, since:
- I got an electric brush and floss sticks;
- I now drink coffee without sugar (you’ll get used to it pretty quickly);
- I almost completely stopped drinking sugary drinks (mostly bubbly water now, boycotting evil companies and being poor help).
Point one is key! I will add to it, floss of any sort is great. And for my mouth ‘interdental brushes’ do just a little bit more, so the combination has become a key part of my dental routine.
As someone from the Netherlands, where cavities get checked twice a year and filled for a few euros a month, this is actually wild to read.
Do people here overpay insurance that much? Or is this just a business in some other countries? Or is it something else entirely?
Brush, floss and mouthwash. Stay clear of gum and soda.
Based on recent research, mouthwash is now in question in my books.
We aimed to assess if daily usage of Listerine Cool Mint influenced the composition of the pharyngeal microbiome… Listerine use was associated with an increased abundance of common oral opportunistic bacteria previously reported to be enriched in periodontal diseases, oesophageal and colorectal cancer, and systemic diseases. These findings suggest that the regular use of Listerine mouthwash should be carefully considered.
Basically, it differentially kills good bacteria, leaving more of the bad kind.
https://www.microbiologyresearch.org/content/journal/jmm/10.1099/jmm.0.001830
Mouthwash has never been a question in mine. Brush, floss, and genetics. Mouthwash is for suckers.
What about sugar-free gum?
It’s not the sugar, it’s the abrasive.
Totally true which is why I only chew abrasive free.
The gum itself is abrasive. Think worn tire grooves in an old road surface.
Isn’t xylitol gum recommended though? Maybe I’m using the wrong term.
Your teeth only have so much enamel. Chewing gum rapidly wears that down.
Waterflossers are better than nothing. Best is floss to get the stuff wedged at the contact, then interdental brushes to get the stuff under the contact - these must be snug, otherwise you’re not effectively using them.
Soft and small toothbrush, preferably an electric with a pressure sensor. The counter oscillating Crest/Oral B type is probably the most affordable. Don’t need to get the top model. Some only time 2 minutes instead of 30s, so I’d recommend counting to 30 seconds (properly! Not rushing!) and do a quarter of your mouth at a time. Point at the gumline a little when you brush, approximately 45 degrees. You must push your lips and tongue out of the way. Do an extra minute after you’re done with 2 minutes. Do this at least twice daily, consider a third time during the day, and you must not skip the one just before you sleep. Do not consume anything but water after this and prior to sleep. Do not get a midnight snack.
Use neutrafluor/prevident 5000 toothpaste, or clinpro 5000. Extra fluoride means extra protection from acid challenges. Use neutrafluor mouthwash if you must use a m/w during the day. Do not rinse the paste off your teeth.
Eliminate where possible from your diet anything sour, tart, or fizzy. That includes soda water and citrus and ACV. Eliminate where possible sweet things, including fruit - especially dried fruit.
Rinse with plain water after eating and drinking.
Common triggers of heartburn are foods that may be fried, fatty, and or spicy. Some people are triggered by dairy or lactose, or eating too late before lying down.
Treat your heartburn by prevention, not relievers. If you experience any symptom relating to heartburn, rinse thoroughly with plain water. Do this too if you vomit for any reason.
If you have dry mouth, try Xylimelts or the new range Freshmelts (this doesn’t seem toxic to dogs). You can wear these during your sleep. Also treat the origin of your dry mouth.
…I’m sure I have other tips… But these are the most common ones I make to my patients.
Brush, floss, no sugar
You forgot genetics.
Sadly genetics are not things you can do to maintain your teeth. You have them or you don’t have them. But regardless of your base genetics, regular flossing, regular brushing, and no sugar in your diet will give you the best dental hygiene you can hope for
hunt down people with genetically good teeth and steal their genome
Get a Sonicare toothbrush
This was a game changer for my gums and not brushing too hard. Wish I had known about Sonic Cares sooner!
Brush and floss
One super easy thing to help a little is swish some water in your mouth after you east/drink. If you’re gonna drink something sugary or acidic, do it quickly, don’t sip it.
i find toothpaste and mouthwash miserable, and this is the advice i got from my dentist as well. Plus getting fluoride pills to suck on to make up for not getting flouride from the toothpaste.
Personally I find them a lot more tolerable if I make sure everything is bubblegum flavor instead of mint so it doesn’t burn.
Cut out soft-drinks in general.
They are not only packed full of sugar, but some very popular ones contain phosphoric acid. If you had to invent an combination of edible ingredients designed to damage tooth enamel, you couldn’t do worse. The fact that this is a diet-friendly option is almost a side-benefit. It’s that bad.
Brush and floss just like your dentist tells you. Also use a real mouthwash, like Listerine.
See comment above, but basically, I question whether mouthwash is all that, based on recent research: https://www.microbiologyresearch.org/content/journal/jmm/10.1099/jmm.0.001830
If you do exactly what your dentist tells you, you should be coming in every 6 months for a checkup…
And your point?
Fine. Don’t brush and floss every day. Don’t visit the dentist often. It’s your call. It’s your teeth.
Between genetics and laziness, most people need a cleaning every 6 months.
If you don’t think you do, then don’t. Last I checked the dentist isn’t your mom or dad.
Gotta get the mouthwash with fluorine; not all kinds of Listerine have it.
Watch YouTube videos on how to brush and floss.
I am absolutely taking the L here since I’ve apparently been brushing my teeth wrong for most of my life.
I’ll never get flossing right so water picking has been the next best thing.
I currently spend a 1-2k a year at the dentist, which imo, isn’t that bad. But probably way less had I learned proper brushing and had better flossing habits.
Flossing and brushing like everyone said, but toothpaste matters I used to swear by the Sensidine with “Novamin” (Calcium sodium phosphosilicate), from what I understand it can actually repair minor damage (e.g. prevent a soft spot from becoming a cavity). Sadly last I checked there was some patient in the US preventing it from being sold here. I brought back a decent bit when I moved back from the UK, but its all gone now. Amazon.co.uk or Boots.co.uk may ship it (but then it becomes legally questionable, I don’t know how close stuff like that is watched for at customs).
You can get dental work for cheap or free by reaching out to dental schools near you. They always need patients for their students.
Disclaimer: I’m a psych nurse not a dental professional, but I’m commenting because my patients are a high-risk demographic for dental disease for a bunch of different reasons including poverty, decreased self-care, and medication side effects (particularly dry mouth and teeth grinding but I’ll get to that) so these are the tips I give to my patients.
Brushing and flossing, obvs. I’m not going to elaborate on this one too much because there’s plenty of actual experts on this that you can find that will explain the ideal techniques much better than I ever could.
Chewing gum and tic tacs / mints that have xylitol (and NO real sugar) in them because xylitol is particularly known to stimulate your salivary glands. Normally we associate increased moisture with bacterial growth, but your saliva is actually slightly antimicrobial and an important part of your oral immune system, so the dryer your mouth is the more hospitable it actually is to bacteria. So while you don’t want to be drooling everywhere, you do want to make sure your mouth is nice and wet most of the time. Both stimulant medications (often given for ADHD) and antidepressants can cause dry mouth.
BUT if you’re straight up eating the xylitol it can have an osmotic laxative effect (pulls water into your gut and makes your shit watery, pretty much all fake sugars do that) so you definitely want to select a xylitol product you can suck on or chew on for an extended period (as opposed to just eating and immediately swallowing like gummy bears or something) to maximize salivary stimulation with the least laxative effect.
It also helps to practice breathing through your nose (which has the added benefit of reducing anxiety), and they even make little sticker thingies to help your mouth stay shut while you sleep. Speaking of which, if you grind your teeth, you’ll also want to wear a mouthguard while you sleep. Grinding your teeth can be caused by a lot of different things but the two biggest things I see are anxiety and certain medications (particularly stimulants and antipsychotics).
And lastly this is kind of anecdotal but the biggest thing that helped my oral hygiene was having to mask at work during the pandemic because I could smell my breath all the time. I had never really been good about routine oral hygiene before that, but I started having to brush my teeth before I left the house every single day to be able to tolerate wearing a mask, and for a while I was even brushing my teeth after lunch, but eventually to save time I switched to mouthwash then I’d head back out on the floor while chewing a sugar free xylitol gum behind my mask.
