Dental Questions: Flossing around implants

Dental implants are a new and exiting technology that has changed the way dentistry is practiced. The ability to add single teeth (or spans of teeth) back to the mouth in a non-removable fashion is a miracle for many patients. However, implants must be maintained with the same hygiene routines as natural teeth, if not more rigorously. Flossing is a particularly important step, as it directly targets the leading cause of implant failure. 

A dental implant is essentially a titanium screw that is placed beneath the gums and into the jaw bone. A crown is either cemented or screwed on to the implant, allowing the gum tissue to heal around it and create the appearance of a natural tooth. While the bones will eventually integrate with the titanium in the screw, the gums never truly "attach" to the sides of the implant crown. The result is a deeper pocket than a natural tooth, with much more potential for food collection and inflammation. Flossing is an essential part of cleaning the sides of the implant and removing irritants and plaque from its pockets. Much like the progression of natural gum disease, unclean implants can develop gum irritation and accelerated bone loss. When used correctly, floss reaches areas that the toothbrush cannot reach and keeps inflammation to a minimum. Don't worry- the floss won't damage the implant crown or the screw underneath!

Implants are an investment that begs to be protected. Regular brushing, flossing and dental cleanings are the only way to ensure your new teeth for many years to come. If you have any more questions about cleaning implants, brushing your teeth or using dental floss, please give our office a call!

Dental Questions: Why do my gums bleed when I floss?

An example of proper flossing technique.

Gums bleeding while flossing is a frequently recorded complaint at every dental office. Many patients are turned off from flossing as it becomes painful, messy and inconvenient. However, it is important to understand that your gums are probably bleeding because you need to floss more often. 

Plaque accumulates in the spaces between teeth because toothbrushes do a poor job of reaching these areas. As plaque settles at/below the gum line, the tissues there become inflamed, thin and ulcerated. As you floss, you are both eliminating the plaque and bacteria from these areas and temporarily aggravating the  gum tissue (hence the bleeding). Over time, the absence of buildup will allow the gums to heal and rethicken, stopping the bleeding. 

A knee-jerk response to bleeding on flossing is to floss less often or less vigorously. While you may be physically cutting the gums with floss, a proper technique will avoid this. Make sure you thread the floss in between the teeth and move it up the side of each tooth at each contact. Try to "cup" the floss around the teeth and allow it to go slightly below the gum line. This will maximize effectiveness and minimize gingival inflammation. If you would like to know more about flossing, oral hygiene or dental cleanings, please contact our office!

How To Floss

While flossing is mostly foolproof, there are a few pointers to keep in mind. Floss is primarily used to remove plaque from the interdental space. For it to work efficiently, floss needs to contact the tooth, hug it, slide down below the gum level and be brought back up. In each space, make sure to clean both the more forward and more backward tooth. In contrast, flossing without contacting the teeth only removes stuck food and doesn't impart the full benefit. If you're short on time or juggling a busy schedule, consider keeping a pack of flossers in your car for the morning commute.  Remember to use floss daily, along with brushing twice a day with fluoride toothpaste!

For a quick refresher on all our homecare information, here's a short video our office put together: 

Dental Questions: Are water flossers a good substitute for dental floss?

Water flossers (commonly known as “Waterpiks,” though that is a name brand) are typically marketed as being a convenient replacement for traditional dental floss. However, they can’t remove plaque and bacteria as thoroughly or completely as threaded floss. Overall, no product rivals the benefits of getting a physical object between the teeth and mechanically removing buildup. Still, a water flosser can be a great addition to your existing home care regimen. They are particularly good at removing packed-in food that your toothbrush can’t dislodge. Patients with gum disease will typically see the most benefit from a water flosser. The lowered height of gingival tissue allows the water to more effectively penetrate the periodontal space and remove debris.