Everybody loves a bright white smile, and there are a variety of products and procedures available to help you improve the look of yours. 

Many people are satisfied with the sparkle they get from daily brushing and regular cleanings at your dentist’s clinic, but if you decide you would like to go beyond this to make your smile look brighter, you should investigate all of your whitening options.

Start by speaking with your dentist. He or she can tell you whether whitening procedures would be effective for you. Whiteners may not correct all types of discoloration. For example, yellow-ish hued teeth will probably bleach well, brownish-colored teeth may bleach less well, and grayish-hued teeth may not bleach well at all. If you have had bonding or tooth-colored fillings placed in your front teeth the whitener will not affect the color of these materials, and they will stand out in your newly whitened smile. You may want to investigate other options, like porcelain veneers or dental bonding.

If you are a candidate for whitening there are several ways to whiten your smile:

•	In-office bleaching. This procedure is called chairside bleaching and usually requires only one office visit. The dentist will apply either a protective gel to your gums or a rubber shield to protect the oral soft tissues. A bleaching agent is then applied to the teeth, and a special light may be used. Lasers have been used during tooth whitening procedures to enhance the action of the whitening agent.

•	At-home bleaching. Peroxide-containing whiteners actually bleach the tooth enamel. They typically come in a gel and are placed in a specially made bleaching trays. Usage regimens vary. There are potential side effects, such as increased sensitivity or gum irritation. Speak with your dentist if you have any concerns.

•	Whitening toothpastes. All toothpastes help remove surface stain through the action of mild abrasives. "Whitening" toothpastes have special chemical or polishing agents that provide additional stain removal effectiveness. Unlike bleaches, these products do not change the color of teeth because they can only remove stains on the surface.


Whitening / Bleaching

Bad breath isn't just an indication of what you eat. Apart from being a turn off for people who come in contact with you, it could also hint at health problems.

Here are 5 reasons that cause bad breath and ways to overcome the same.

1) Unhealthy Teeth And Gums - Most of the bad breath and halitosis problems result due to unhealthy teeth and gums. Basically, people who don't take care of their dental hygiene are prone to the problem. 
Solution - Clean your teeth and rinse your mouth properly to get rid of the annoying rotten egg stench.

2) Lack Of Hydration - If you are not drinking enough water, you can have bad breath. Saliva washes away smell causing bacteria. But not having enough water will lead to lesser saliva, which will lead to dead and rotting cells that will stink. 
Solution - Drink atleast 8-10 glasses of water daily, at regular intervals.

3) Allergies - Nose and asthma related allergies are one of the leading causes of bad breath. 
Solution - Make sure that you get rid of the allergies via proper care. Also, hydrate more when you have any allergy, like sinus problems or tonsil infection, it helps in clearing allergies out.

4) Eating the wrong stuff - Garlic, uncooked onion and too many spices can also lead to bad breath. 
Solution - Use moderate spices and always rinse your mouth after each meal. Also, avoid foods that are high in sugar as they promote more bacteria. 

5) Acid Reflux - If getting gaseous feeling in the pit of your stomach is a common problem for you, then you might have bad breath too. Heartburn, indigestion and acid reflux are common causes of bad breath. 
Solution - Avoid foods that can cause a reflux and try light eating. It will take care of other health problems too.

If you have any questions on improving oral and dental hygiene, please click on 'Consult Privately.

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Bad Breath - 5 Reasons You Might Suffer From It And What Can You Do About It

Why it's more important to brush your teeth in the night than in the morning

Most people wake up every morning and stumble to wash their teeth first thing. Do you believe that brushing your teeth in the morning is sufficient to keep your mouth healthy?

While it is important to brush your teeth in the morning for good oral hygiene, what goes on in your mouth all night is even more important. Brushing your teeth once a day is barely enough to maintain perfect oral hygiene. By brushing twice a day you can make the difference.

Do you know why it can be important to brush at night since you are only about to sleep?

Here are a few things that brushing before bed does.

1. Reduces acid build up

Everyone has acid being constantly produced in their mouths. The saliva secreted contains calcium which neutralizes the acid being built up. At night the saliva secretion slows down which allows the acids to get accumulated. The acids keep corroding the teeth all night. When you brush your teeth, the fluoride present in the toothpaste stimulates saliva secretion. So by brushing before bed you ensure that the saliva secretion does not fall drastically. In the process you prevent your teeth from getting corroded.

2. Reduce bacterial multiplication

The saliva in our mouth not only neutralizes the acid it reduces bacteria from multiplying as well. During the reduced saliva production, as you sleep, the bacteria in your mouth multiply manifold and attack your teeth and gums. This is why keeping your saliva secretion regular by brushing before bed is of utmost importance.

3. Reduce the decay of food particles

After you have your dinner just rinsing your mouth is not enough. Tiny food particles that get stuck in your teeth rot overnight. It is best to go to bed with a clean mouth rather than a mouth with tiny decaying food particles.

No matter how much of a task it might seem like, brushing at night is as important, if not more important, than brushing in the morning.

If you would like to consult with me privately, please click on 'consult'.

Is it More Important to Brush Your Teeth in the Night Than in the Morning?

Mouthwash has become an essential ingredient of one's oral hygiene kit. Though not a substitute for flossing or brushing, it offers additional oral protection. Due to a host of ingredients, such as alcohol,
Chlorhexidine, cetylpyridinium chloride, menthol, methyl salicylate, fluoride, antibacterial enzymes, hydrogen peroxide, essential oils, zinc chloride and other herbs and "natural" ingredients mouthwash has a number of benefits.

Alcohol is the basic ingredient in all of them. While fluoride protects against decay, chlorhexidine protects against gum diseases. Hydrogen peroxide produces a mild bleaching effect. Herbs and essential oils produce a freshening effect.

Benefits of using a mouthwash

1. Reduces formation of tartar and plaque.
2. Protects from oral problems like gingivitis and periodontal disease, especially if it contains cetylpyridinium or essential oils. Chlorhexidine is also effective in protecting plaque formation and gingivitis.
3. Kills bacteria in the mouth and prevents cavities or decay, especially if it contains fluoride.
4. Mouthwash, to some extent, covers up bad breath due to oral hygiene or oral disease and produces a fresher breath.
5. Certain mouthwashes containing cetylpyridinium chloride and zinc chloride produce a better breath freshening effect.
6. Helps manage dry mouth, especially if containing biotene.

Types of Mouthwash

1. Cosmetic
2. Therapeutic

The cosmetic one is usually for freshening up the breath and is not regulated by the FDA. The therapeutic ones contain active ingredients aimed at addressing one of the issues like plaque formation, bad breath, dry mouth, or decay. They kill bacteria, reduce plaque, fight gingivitis, and control decay. They are not a substitute for brushing or flossing but supplement these two very well. These are approved by FDA and are proven in terms of safety and efficacy. Rinses with zinc chloride are effective against bad breath, those with fluoride are useful in people who are cavity-prone, and chlorhexidine helps prevent gum disease.

Choosing a mouthwash: This depends on the oral health condition, and it is always advisable that the dentist prescribes the right rinse for you.

When and how to use mouthwash: When you are done with your brushing and flossing, rinse your mouth with a capful of the mouthwash liquid. Swish it around your mouth for about 30 seconds and spit it out. Avoid brushing, drinking water, or rinsing your mouth after using a mouthwash for about 15 to 20 minutes. This will give sufficient time for the active ingredients in the mouthwash (especially if it is a therapeutic one) to act in the mouth. Brushing after mouthwash removes all the effect of the rinse.

Mouthwash: All You Need to Know About it

Basics That Beat Bad Breath

Bad breath is embarrassing. It inconveniences you and everyone around you. It affects your life in more ways than you might be aware of. It is crucial that you give due care to your oral health well in time to save difficult procedures and unbearable decay in time. Here are a few ways how you can do that:

1. Brushing Twice: This is the first and the most important. The reasons of odour in the mouth are mainly gum disease, tooth decay, and cavities. You should brush your teeth twice, once right after you wake up and just before you go to bed.

2. Tongue Cleaning and Flossing: It’s not just brushing, you need to clean your tongue too. This is the area where harmful bacteria are present. To avoid odour and mouth diseases, ensure that you have a tongue cleaner and that you clean your tongue every time you brush your teeth. Also remove the in-betweens of the teeth with a flossing thread. It ensures complete deposit free oral hygiene.

3. No to Mints: Avoid using mints and gums to disguise the odour in your breath. They are temporary disguises and do more harm than good. They have sugar which stays back in your mouth and spoils your oral health, drastically. If you have to choose ones which are free of sugar.

4. Drink Ample Water: If your mouth is dry, it is a bad sign. Saliva has the important enzymes which help kill bacteria. If your mouth is dry, bacteria are increasing. So, drink water. Ensure you drink at least eight glasses of water in a day.

5. Rinse After Every Meal: Always wash the insides of your mouth well, after eating anything, esp. chocolates and other sugary foods. A good swirl with water inside your mouth will get rid of the food lodged in corners.

6. Pick The Right Fruits: Certain fruits and vegetables are very good for oral health. Juicy and crunchy Vitamin C rich fruits like bell peppers, broccoli, berries and apple have a cleansing effect on your teeth.

If you would like to consult with me privately, please click on 'Consult'.

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6 Effective Basics That Beat BAD Breath

Did you know that your tooth brush could be home of over a million bacteria including the flu virus, E coli, staph and yeast fungus? But, can your tooth brush really make you fall ill? Luckily, our immune system ensures that toothbrushes do not make us ill. However, in rare cases, the bacteria on a toothbrush can get past our defenses.

The problem lies in how a toothbrush is stored. The bathroom is humid and moist making it the best place for bacteria to multiply. Storing a toothbrush near the toilet further adds to the problem. Here are a few tips to make your toothbrush healthier.

Wash your hands before and after brushing. Also rinse your toothbrush well before putting toothpaste on it. Using hot water is better than cold water.
Change your toothbrush every three months or whenever the bristles are worn out; whichever comes first. In addition, also change your toothbrush after recovering from any illness. If you use an electric toothbrush, change the head every 3-4 months. Children s brushes need to be changed more often than adult s toothbrushes.
Do not share a toothbrush and avoid storing toothbrushes together. If the bristles touch each other, germs could move from one toothbrush to the other.
Toothbrush caps may not be as good an idea as they seem as it traps moisture inside and does not allow the brush to dry properly. Instead, keep your brush submerged in hydrogen peroxide or any alcohol based mouthwash.
Do not store your toothbrush horizontally. Your toothbrush should always be stored vertically with the brush side on top.
When travelling, if you use a toothbrush cap, allow the brush to dry completely before putting the cap on.
Store your toothbrush away from the toilet and away from the sink such that it cannot get contaminated form water that splashes when you wash your hands or face.
If possible, store your toothbrush in your medicine cabinet.
Always put the cover down before flushing the toilet. This will reduce the number of air borne bacteria that can attach themselves to your toothbrush,
Along with your toothbrush also clean out your toothbrush holder regularly.
Do not try sterilizing your toothbrush in a microwave. Toothbrushes are not designed to withstand extreme temperatures and hence this could damage your toothbrush.
Use a mouthwash after brushing to rinse out any bacteria that may be left behind form your teeth or your toothbrush.

Can Your Toothbrush Make You Ill?

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Dr. Vidisha Tayade

Dr. Saurabh Sharma

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