Over the Counter
The Dental Resource Advisor shares his professional insight on today's over the counter products!
1. I recommend the "ORAL-B" line of tooth brushes
Size 40 Large
Oral B products can be reached at http://www.oralb.com
2. Collis curve
Designed by dentist George Collis. Both outside and inside bristles are arched 90 degrees to reach into the gum line easily. Very useful for those people who have periodontal problems, hard to reach areas, or limited dexterity. This brush is only available through your dentist
3. "End-Tuff" brush
Basically a brush with only a few bristle tufts at the very end. Excellent for back molar teeth where access is difficult and with single teeth that are crowded.
4. "Proxy" brush
Basically a miniature baby bottle brush used to clean in between teeth. Brush is replaceable. Brush tips come in different sizes but we only recommend the very small cylinder style. Excellent toothbrush used around braces.
Currently no available automated toothbrush is substantially better than a conventional manual brush But personally Ive noticed that patient compliance is better with an automated toothbrush thus making them more beneficial. Most all manufactures of automated brushes do not recommend their product for those patients that require antibiotic premeditation before routine dental work For those that still desire an automated tooth brush I recommend the" interplak".
Recent reports by an independent testing agency showed that sonic and ultrasonic toothbrushes did not outperform the conventional manual tooth brush. Claims that these brushes removed plaque 4-6 mm beyond bristle tips could not be confirmed. However patient compliance seems to be higher which makes the product more beneficial. Most all manufactures of sonic and ultrasonic brushes do not recommend their product for those patients that require antibiotic premeditation before routine dental work. For those that still desire a sonic toothbrush I recommend the" sonicare".
Simply the best dental floss. From the maker of "gor-tex" this floss slides easily between teeth without tearing or shredding. Is about 2-3 times the price of regular dental floss but well worth it.
Strips of floss about 2 feet long. The middle 6 inches are surrounded by soft compressible foam about 3 mm in diameter. Excellent for cleaning between teeth around crowns, and under bridgework.
Lightly waxed floss comes in different flavors; any generic brand will do.
Warning! Tarter control tooth pastes are causing mouth sores and peeling of the mouth lining in a small percentages of individuals. If you have persistent mouth sores, inside of your cheeks feel sore and rough, or notices a sloughing of your inside cheek please discontinue use of there tooth pastes and see your dentist for a follow up.
Ages 20-65. I recommend "colgate total"; its unique formula continues to work even after you stop brushing. Yes, even after you eat or drink. In fact, Colgate Total®; is the first and only toothpaste to receive the ADA Seal of acceptance for protection against plaque, gingivitis, and cavities. It's revolutionary because no other toothpaste made in the United States contains the antibacterial ingredient Triclosan.
Ages under 20. Any fluoride containing tooth paste is good whether its is sodium fluoride, monoflurophosphate, or stannous fluoride, although stannous fluoride has a shorter shelf life.
Ages over 65. Change in age often brings with it: a demise in the the immune system, change in the amount and consistency of saliva, diet alterations, change in the micro flora of the mouth, and a loss of digital dexterity With these changes often comes an increase in dental decay and periodontal ( gum) disease. I recommend "colgate total" tooth paste supplemented with a high fluoride tooth paste such as "prevident" (by prescription only) later in the day.
I recommend both "Rembrandt" and "Pearl Drops" Both do a somewhat effective job to promote teeth whiting although not nearly as effective as bleaching.
For people with intermittent sensitivity to: cold, touch, air, any brand of desensitizing tooth paste that contains potassium nitrate will do. I recommend, "sensodyne". It takes about two weeks of continued use until effective. If discontinued the sensitivity will return.
Fluoride rinses are basically useless, dont waste your money.
Mostly effective short term: a breath mint may be a better choice. The exception is "Listerine" which has shown clinically to have some antibacterial action.Also "Peridex" (chlorohexidine) is the most effective long acting antibacterial mouth wash but is available only by prescription.
"Stain-Away" is the superior denture cleaner of choice Expect to pay more and it may not be available in all stores However, a good stiff denture brush is still the best! Other commercial cleansers do a somewhat effective job.
"Stain-Away Plus" is available at most major drug store chains such as: Eckerd, Kroger, Phar-Mor, Osco, Savon, Rite Aid, and Walgreens. Contact Stain Away Plus at 1-800-USA-1525 or write to Regent Labs Inc., Dept. net , 700 West Hillsboro Blvd. #2-206, Deerfield Beach, Fl 3341.
When maximum denture retention is needed due to: poor fit, old denture, or chronic soreness a denture paste is best I recommend "Polygrip". When the denture fits fairly well and only a small additional amount of retention is need, a powder will do. I recommend " fast-teeth".
Many products are available to help ease the pain of a toothache. These products only work for dental nerve pain or "pulp "pain. This type of pain arises from: decay, lost filling, lost crown, or a fractured tooth. The active ingredient is either 20% benzocaine liquid or Eugenol ( oil of cloves). Eugenol is far superior. Eugenol needs to be reapplied every two hour or as needed. This is only an emergency measure and should be followed with a visit to your dentist.
There are two excellent products that are extremely useful: "Dentemp" or "Tempanol". These kits are a liquid powder that when mixed can be placed into or onto a tooth. If it is a loose crown these can be placed into the crown and then the crown can be reinserted onto the tooth with biting pressure. There is usually a reason why a tooth breaks, filling comes loose, or a crown comes off, see your dentist immediately
Advil ( Ibuprophen) in 200 mg tabs is the over the counter drug of choice for pain. For severe pain an adult can take a prescription dose up to 800 mg every six hours (thats four 200 mg tabs). Ibuprophen should not be used in patients who have shown hypersensitivity to this drug, or in individuals who have shown sensitivity to aspirin and other nonsteroidal anti-inflammatory agents.
For children use "Pedia-care" or "childrens liquid Motrin", both are liquids and follow direction on the box. Besides being an effective pain killer ibuprophen is an extremely effective fever reducer. Use these medications short term till you can see a dentist.
Avoid triggering foods: often nuts, chocolate, acidic fruits. Avoid trauma: toothbrush trauma, cheek biting, etc.. Avoid Sodium Lauryl Sulfate often found in most toothpastes. Both Biotene and Rembrandt canker-free toothpastes are free of sodium lauryl sulfate and are available in most drug stores.
Avoid the" tarter- control" toothpastes. For relief, cleanse the area with " Listerine" and then rinse your mouth with an mixture (mixed 50/50) of elixir of "Benadryl" and "Kaopectate" and then apply either "Zilactin B" or "Orabase B" or by prescription is "Aphthasol" If persists for more than 14 days see your dentist.
Use only lip balm that has a SPF of at least 15. The lip is a common site for sun induced cancer.
Many sugarless gums and candies take the chemical structure of sugar, sucrose, fructose, glucose, manitose, ribose and replace part of it with an alcohol radical, thus manitol, ribitol etc. While these are technically sugar free they are not necessary decay free. Be sure to check the label. The only true sugar free candies or gums containing either Nutrasweet or Xylitol. Xylitol while not seen yet in a lot of products has the added benefit of being both sugar free and a antibacterial agent. Xylitol gums have been used in European school lunch programs and have had impressive results in significantly reducing tooth decay in children
Be advised that while carbonated drinks may contain Nutrasweet they are still harmful for teeth. Carbonated drinks contain carbonic acid, and long-term excess uses can literally cause teeth to dissolve.
A dry mouth can be occurring for a variety of reasons; loss of saliva gland function, a change in saliva consistency, medications for hypertension, depression, congestion and systemic diseases such as lupus, diabetes, and Siogrens syndrome.
While it is often difficult to get, relief here is a list of things you can try:
Dentist and parents have had no convenient way to determine fluoride levels in their drinking water to tailor amounts of supplemental fluoride other than to contact local water departments. Often times water supplies may come from a variety of sources and the fluoride concentration may vary according to the time of day. Most local water departments will perform a fluoride analysis if water samples are brought to them
A home fluoride analysis kit is now available for $11.00 from: Omni products 1550 N Florida Mango Road, Suite 1 West Palm Beach Fl. 33409 or by calling 1-800-445-3386. The kit is complete with postage paid mailer, report, and educational materials Results are reported in ppm ( parts per million ) so parents can track their childs fluoride uptake..
Includes tube of Cavit for temporary filling, dental stick and examination mirror, oil of cloves for toothache pain, cotton tipped applicators, aspirin, cotton rolls and balls, sterile gauze pads, toothbrush and toothpaste and an emergency dental manual all for $15.95.
Call CAMPMOR at 1-800-226-7667. Ask for item 80502-A.
A superior orthodontic appliance cleaner is made from the same people that make the denture cleaner " stain-away" It is available in most major drug store chains such as: Eckerd, Kroger, Phar-mor, Osco, Savon, Rite Aid, and Walgreens. Or call 1-800-USA-1525. The product is also available from Regent Labs inc., Dept.net, 700 West Hillsboro Blvd. #2-206, Deerfield Beach Fl. 33441
©1998, Jeffrey Kohlhardt DDS,
1204 Cottonwood Street, Suite 4