Thursday, April 16, 2009

After scaling/root planning, my teeth are very sensitive and one dentist told me to use a toothpaste with?

flouride, another said, no, because flouride sheds the enamel and will make them more sensitive, another said sensydine, another said no, it doesn%26#039;t work, another said...anyway, I am getting lots of contradictory information. So, please, what toothpaste is the best to keep bacteria away, to help relieve sensitvity and does not do any further damage to the teeth as the root planning already scraped off cementum and potential enamel.


Oh, And Dr. Sam, what is with the Slurpees? Do they actually numb?

After scaling/root planning, my teeth are very sensitive and one dentist told me to use a toothpaste with?
Fluoride increases the decay resistance of teeth, a bit like rustproofing.


Running from the outside surface of your tooth to the pulp (or %26quot;nerve%26quot;) in the middle are micotubules. During scaling of the root surface, the cleaning action of the scaler (ultrasonic) will remove hardened plaque from your teeth, and cause exposure and pressure changes within the microtubules, causing some pain. Sensodyne contains potassium nitrate which has a soothing effect on the pulp. You may only have to use it for a week or so after cleaning before your teeth settle down.


Any fluoride toothpaste will work to help remove the plaque from your teeth. It%26#039;s the mechanical action of regular brushing which is the most important factor in reducing bacterial buildup.


Electric/battery toothbrushes that oscillate back-and -forth are every bit as effective as manual brushing.Most people find them easier to use, and therefore do a better job.


And mouthwashes are mostly a waste of time (e.g. Listerine), unless they contain chlorhexidine (e.g. Savacol, Rivacol). But good brushing and flossing will be more than enough for most of us.
Reply:use sensodyne w/o fluoride. dr sam im not but anything cold will numb your gums
Reply:I%26#039;m a dentist.





Any dentist who tells you that fluoride sheds enamel should have not only his license, but his doctoral degree summarily revoked. Fluoride not only does not %26quot;shed enamel%26quot;, it strengthens it and makes it less prone to damage from bacterial acids. Only in excess (which, as far as I know, is impossible for adults) can it be harmful to the enamel.





Sensodyne toothpaste works for some, and not others. If it does for you, go ahead and use it. To be honest, toothpastes are one in the same as far as I%26#039;m concerned...as long as they have fluoride in them.





Toothpastes, believe it or not, contain (again, as far as I know) only one thing that hampers bacterial propogation: fluoride. And that is just a quasi function of fluoride, not its intended purpose. Keeping bacteria away from your teeth is accomplished mechanically (from brushing), not chemotherapeutically. Toothpaste is little more than a paste containing fluoride, abrasives, and a material that makes it form suds when agitated. Beyond that, it is the bristles of your tooth brush (and your floss) rubbing back and forth across your teeth that dislodge the bacterial plaque from your teeth and prevent decay. Toothpaste%26#039;s abrasives merely improve the efficiency of the brush%26#039;s work. It also serves as a vehicle to deliver fluoride to your teeth.



Philosophy

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