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Mouthguards protect our oral health. They shield our teeth and mouths from injury during sporting activities, prevent damage from tooth grinding, and help treat sleep apnea. But sometimes, these hardworking tools need some TLC of their own. Read on to learn how to keep your appliance its sparkling, healthy best!

Mouthguard Buildup

You might notice after a few months of use that your guard is stained with white spots or a discolored film. Or that there are gritty patches on its smooth surface. Or you might suddenly notice an unpleasant odor.

If you’re wondering what’s happened to your once-pristine mouthguard, let’s break down the source of these stains, deposits, and odors.

• Plaque is a mix of food particles, bacteria, and saliva which sticks to tooth enamel. If it’s not removed, plaque can harden into tartar. And, just like plaque and tartar stick to your enamel, plaque and tartar can transfer from the teeth and stick to your guard, leaving white spots or a discolored film.
• Mineral deposits are another source of white spots and gritty buildup. Calcium and phosphate are two of the minerals found in saliva. They replace the calcium and phosphate minerals which have been stripped from tooth enamel by acidic foods or the acids created by plaque bacteria. And while these minerals are vital for enamel health, they’re not doing your mouthguard any favors! As saliva dries on your appliance, it leaves behind a residue of these white gritty minerals.
• When food particles and plaque build up on teeth, they cause bad breath. When food particles and plaque build up on appliances, they cause an unpleasant odor.

Removing Retainer Buildup

How do we break down this buildup? There are some simple ways to reduce or remove plaque, tartar, and mineral accumulation when you’re taking care of your mouthguard:

• Rinse off your guard as soon as you remove it from your mouth.
• Clean your mouthguard every time you wear it with a soft-bristled toothbrush. Because even non-abrasive toothpastes can be hard on appliances, ask Dr. Kerry Olszewski which toothpaste—if any—is best.
• Regular deeper cleaning helps reduce the chance of buildup. Your dental team in Mill Creek General Dentistry in Mill Creek can suggest effective ways to get your guard its cleanest, with recommendations like a white vinegar/water soak or an over-the-counter cleaning product made for appliances. Deep clean weekly or monthly as needed.
• Use cool or lukewarm water to clean or soak, because hot water can warp mouthguards.
• Don’t forget to clean your case regularly, as it can also harbor plaque, minerals, germs, and food particles.

Prevention is best!

Of course, the very best way to reduce mouthguard buildup is to prevent it from accumulating in the first place.

• Keep your teeth clean. When your brushing and flossing is on point, you’ll really reduce the amount of food particles and bacteria which transfer to your appliance.
• If you can’t brush right away, rinsing with water after eating or drinking helps remove food particles and acids from the teeth. Water is also safe to drink with your appliance in place. Which leads us to . . .
• Mouthguards aren’t meant for meals or beverages. Eating solid foods can damage a guard. Food particles stick to appliances. Clear plastic appliances which fit over the teeth can stain. And, because they fit closely over the teeth, these guards can trap foods and beverages next to your teeth, exposing your enamel to sugars and acids over a longer period. Place your guard in its case, enjoy your meal, and brush and floss as directed before your replace the appliance in your mouth.

A clean appliance is a healthy appliance! Keep your mouthguard—and your teeth and gums—in the best of health with simple, daily TLC.

If you need oral surgery, Dr. Kerry Olszewski and our team will use our expertise and training to ensure that you have the best possible surgical outcome. And we want to make sure you have the best possible outcome for your recovery as well. Here are a few of the most common aftercare suggestions for making your healing as comfortable and rapid as possible.

• Reduce Swelling

Ice packs or cold compresses can reduce swelling. We’ll instruct you how to use them if needed, and when to call our Mill Creek office if swelling persists.

• Reduce Bleeding

Some amount of bleeding is normal after many types of oral surgery. We might give you gauze pads to apply to the area, with instructions on how much pressure to apply and how long to apply it. We will also let you know what to do if the bleeding continues longer than expected.

• Reduce Pain or Discomfort

If you have some pain after surgery, over-the-counter pain relievers such as ibuprofen might be all that you need. We can recommend those which are best for you. If you need a prescription for pain medication, be sure to take it as directed and always let us know in advance if you have any allergies or other reactions to medications.

• Recovery-friendly Diet

Take it easy for the first few days after oral surgery. Liquids and soft foods are best for several days following surgery. We will let you know what type of diet is indicated and how long you should follow it depending on your particular procedure. We might, for example, recommend that you avoid alcohol and tobacco, spicy, crunchy, and chewy foods, and hot foods or beverages for several days or several weeks.

• Take Antibiotics If Needed

If you have been prescribed an antibiotic, be sure to take it as directed. If you have any allergies to antibiotics, let us know in advance.

• Protect the Wound

Do NOT use straws, smoke, or suck on foods. Avoid spitting.  Part of the healing process can involve the formation of a clot over the surgical site which protects the wound. If the clot is dislodged by suction or spitting, it can prolong your recovery time, or even lead to a potentially serious condition called “dry socket.”

• Maintain Oral Hygiene

Depending on your surgery, we might recommend that you avoid rinsing your mouth for 24 hours, use salt water rinses when appropriate, and keep away from the surgical site when brushing. It’s important to keep your mouth clean, carefully and gently.

• Take it Easy!

Rest the day of your surgery and keep your activities light in the days following.

These are general guidelines for recovery. If you have oral surgery scheduled, we will supply you with instructions for your specific procedure, and can tailor your aftercare to fit any individual needs. Our goal is to make sure that both your surgery and your recovery are as comfortable as possible.

At Mill Creek General Dentistry, we have patients coming in asking us why a taste of ice cream or a sip of coffee becomes a painful experience, or why brushing or flossing makes them wince or cringe. The answer, usually, is sensitive teeth. Tooth sensitivity typically occurs when the underlying dentin layer of the tooth is exposed in the oral cavity, and most people experience tooth sensitivity at some point in their lives.

So, why do people experience sensitivity and how do you know if tooth sensitivity is something to be worried about? The most common cause of the sensitivity is exposure of the dentin, which is the layer surrounding the tooth’s nerve. Contributors to tooth sensitivity include teeth whitening and dental work such as fillings, periodontal treatment, and the placement or adjustment of braces. These are temporary and should be of no concern.

Permanent hypersensitivity, however, may require treatment at Mill Creek General Dentistry. The first step is to determine the cause, and that begins with a visit to our Mill Creek office.

The reasons your teeth may become sensitive vary, but possible causes include:

• Tooth decay (cavities) near the gum line
• Cracked or fractured teeth
• Fillings that are worn
• Gum (periodontal) disease, or recession of the gums
• Worn tooth enamel
• Brushing too hard
• Consuming acidic foods

Dr. Kerry Olszewski and our team at Mill Creek General Dentistry want you to know that sensitive teeth can be treated, and the type of treatment will depend on what is causing the sensitivity. Dr. Kerry Olszewski may suggest one the following treatments:

• Desensitizing toothpaste, which contains ingredients that seal off the microtubules inside the exposed dentin to reduce tooth sensitivity
• Fluoride gel, which strengthens compromised tooth enamel, helps prevent tooth decay, and decreases hypersensitivity of the teeth
• A crown, inlay, or bonding, which is used to treat tooth decay and prevents sensitivity
• A surgical gum graft. If gum tissue has been lost from the root, this procedure will protect the root and reduce sensitivity.
• Root canal: If you are experiencing severe and persistent sensitivity which cannot be treated by other means, Dr. Kerry Olszewski may recommend you undergo a root canal to eliminate the problem.

If you are experiencing tooth sensitivity, give us a call today so that Dr. Kerry Olszewski can provide you with some much-needed relief!

Water picks, sometimes called “oral irrigators,” make an excellent addition to your regular home care regimen of brushing and flossing. Especially helpful to those who suffer from periodontal disease and those patients of ours undergoing orthodontic treatment with full-bracketed braces, water picks use powerful tiny bursts of water to dislodge food scraps, bacteria, and other debris nestled in the crevices of your mouth. Children undergoing orthodontic treatment may find using a water pick is beneficial if their toothbrush bristles tend to get caught on their wires or brackets.

When you use a water pick, you’re not only dislodging any particles or debris and bacteria you might have missed when brushing, you are also gently massaging the gums, which helps promote blood flow in the gums and keeps them healthy. While water picks are an excellent addition to your daily fight against gingivitis and other periodontal diseases, they are incapable of fully removing plaque, which is why Dr. Kerry Olszewski and our team at Mill Creek General Dentistry want to remind you to keep brushing and flossing every day.

If you have sensitive teeth or gums and find it uncomfortable to floss daily, water picks are a good alternative to reduce discomfort while effectively cleaning between teeth. Diabetics sometimes prefer water picks to flossing because they don't cause bleeding of the gums, which can be a problem with floss. If you have a permanent bridge, crowns, or other dental restoration, you may find that a water pick helps you keep the area around the restorations clean.

So how do you choose the right water pick?

Water picks are available for home or portable use. The home versions tend to be larger and use standard electrical outlets, while portable models use batteries. Aside from the size difference, they work in the same manner, both using pulsating water streams. A more crucial difference between water picks is the ability to adjust the pressure. Most home models will let you choose from several pressure settings, depending on how sensitive your teeth and gums are. Most portable models have only one pressure setting. If you want to use mouthwash or a dental rinse in your water pick, check the label first; some models suggest using water only.

Please give us a call at our Mill Creek office if you have any questions about water picks, or ask Dr. Kerry Olszewski during your next visit!