Toothpaste and Your Dental Work

Toothpaste and Your Dental Work

Very often patients ask me about what toothpaste they should use.  Seldom, however, am I asked about the best technique for cleaning teeth, when brushing should be done, how often they should brush, or for how long.

The subject of tooth cleansers can be confusing.  There are pastes, powders, cavity-fighting and gum-protecting formulas, as well as whitening varieties.  Most toothpastes use some form of mild abrasive to clean teeth, while others rely on enzymes to lift the stains out of your teeth. Some are foaming and some are not.  Most contain fluoride, while others don’t.

While I do have a personal favorite toothpaste, I honestly believe that an effective job of cleaning can be accomplished with the vast majority of toothpastes available on the market.  Why are there so many out there?  In a word: marketing.  I’m pretty sure toothpaste companies have discovered that if a toothpaste has the word “whitening” on it, they are likely to sell more than if it is omitted — even if the whitening benefit is small.

Some people have even taken to the idea that almost anything will work to clean your teeth.  Even soap.  Here is a short video I ran across recently that discusses this, and also why you may not want to wash your mouth out with soap.  I tend to agree that you should use the right product for the correct purpose.

 Click on the toothbrushes below to view the VIDEO:

For the curious, here is an earlier posting that answers some of the other questions discussed above, including how often you should brush.

Tooth Infection Kills Unemployed Man

Tooth Infection Kills Unemployed Man

Following is a reprinted article that outlines a real, but ultimately preventable, tragedy.  As you will see from the attached video, some people scarcely believe that a tooth infection can produce such severe consequences.

From Medscape Medical News

by Laird Harrison, Freelance Writer for Medscape

September 9, 2011 — An unemployed man died last week because he couldn’t afford treatment for his infected third molar, according to news reports.

Citing physicians and family remembers, Cincinnati’s WLWT television station said the infection killed 24-year-old Kyle Willis when it spread from his tooth to his brain.

Dentists advised Willis, the nephew of funk bass player Bootsy Collins, to have the tooth extracted 2 weeks earlier, but Willis had no insurance and decided to wait, according to the report.

“He should have gone to the dentist to take care of the toothache, and it wouldn’t have escalated to this. It’s a lesson learned by all,” said Willis’ aunt, Patti Collins.

Suffering from headaches and swelling, Willis later visited an emergency department, where he got prescriptions for antibiotics and analgesics.

He could only afford 1 of the prescriptions and chose the pain medicine. Willis felt better, but swelling in his brain killed him.

Willis’ fate recalls the widely publicized 2007 death of 12-year-old Maryland boy Deamonte Driver, whose tooth infection also spread to his brain. Driver’s mother had trouble finding a dentist who would treat him for what she could pay. Physicians estimated that they had spent $250,000 trying to save him from an infection that could have been prevented by a simple extraction.

The Patient Protection and Affordable Care Act of 2010 expanded dental care subsidies for children of indigent families but has no provisions to pay for adult dental care. Many states have never offered adult dental benefits for Medicaid patients, and others have eliminated these benefits in recent years as revenues have shrunk in the recession.

Although Ohio does offer such benefits, Willis’ family had recently lost its benefits, according to ABC News.

In April, the Kaiser Family Foundation reported that 33% of people surveyed skipped dental care or dental checkups because they could not afford them.

Dentists who operate free clinics for the underserved say they are often overwhelmed by the demand.

Willis leaves behind a 6-year-old daughter. Family members are organizing funds for Willis’ funeral expenses and for his daughter’s college education. Donations may be made to: Kyle Willis Memorial Fund, 604 Ohio Pike, Cincinnati, Ohio 45245-2141.