General Dentistry Honolulu, HI

Understanding and Preventing Bad Breath:

Bad breath, or halitosis, can be an uncomfortable issue. It often occurs due to microbial deposits on the back of the tongue, which can be reduced by simply brushing the tongue. Common causes of bad breath include:

• Reduced saliva flow during sleep
• Certain foods
• Poor oral hygiene
• Gum disease
• Dental issues
• Dry mouth
• Tobacco use
• Dieting
• Dehydration, hunger, missed meals
• Medical conditions

Prevent bad breath by:

• Practicing good oral hygiene (brushing, flossing, tongue cleaning)
• Regular dental check-ups
• Quitting tobacco
• Staying hydrated
• Using recommended mouthwash/rinses

Consult Dr. Azuma, Honolulu’s top dentist, if bad breath persists, as they can identify and treat the cause or refer you to a physician if necessary.

Maintaining Good Oral Health:

Plaque, a sticky film of bacteria, food debris, and saliva, is the root of dental issues, including tooth decay and gum disease. Regular brushing, flossing, and dental aids are crucial for control.

• Toothbrushing: Brush at least twice daily with a soft-bristle brush and ADA-approved toothpaste. Angle at 45 degrees to the gums, using a circular motion. Don’t forget your tongue! Electric toothbrushes work well too.
• Flossing: Daily flossing is essential for cleaning between teeth and under the gumline. Use about 12-16 inches of dental floss and gently curve it around each tooth.
• Rinsing: Rinse with water after brushing and after meals if unable to brush. Consult your dentist for suitable mouthwash options.”

Amalgam fillings, made with copper, silver, tin, zinc, and mercury, have been used safely for over a century. Reputable organizations, including the ADA and FDA, affirm their safety. Studies haven’t found links to health issues.

Mercury, while toxic at high levels, is inactive and safe in amalgam fillings. Allergies to these fillings are rare.

Alternative fillings like composite, porcelain, and gold are available. Discuss these options with your dentist for the best choice.

You should have your teeth checked and cleaned at least twice a year, or as recommended by your dentist. These visits are crucial for preventing dental issues and maintaining your oral health. During these appointments, your dentist will:

• Review your medical history to understand your overall health and dental well-being.
• Examine diagnostic x-rays to detect decay, tumors, cysts, and bone loss.
• Screen for oral cancer in various areas of your mouth and throat.
• Evaluate gum health and check for signs of gum disease.
• Inspect all tooth surfaces for decay using special instruments.
• Examine existing dental restorations like fillings and crowns.
• Remove hardened plaque (tartar) from above and below the gum line.
• Eliminate plaque, a film of bacteria, debris, and saliva.
• Polish teeth to remove stains and remaining plaque.
• Offer oral hygiene recommendations and suggest dental aids.
• Discuss dietary habits and their impact on dental health.

Your dental exam and cleaning are more than cavity checks and teeth polishing. We’re dedicated to providing you with comprehensive care to ensure your oral health. Regular check-ups and cleanings are essential for your well-being.

Did you know that four out of five people have periodontal disease without realizing it? This condition often goes unnoticed in its early stages as it’s typically painless, unlike tooth decay. Regular dental check-ups and periodontal examinations are vital for early detection.

Periodontal disease begins with the presence of plaque, a sticky film of bacteria, food debris, and saliva left on teeth and gums. These bacteria produce toxins that inflame gums and gradually erode bone. Proper and regular brushing and flossing prevent plaque buildup.

Several factors may increase the risk of periodontal disease:

• Smoking or tobacco use, which encourages plaque formation.
• Tooth or appliance issues like ill-fitting bridges, crowded teeth, or defective fillings.
• Certain medications that reduce saliva, making it easier for plaque to adhere.
• Hormonal changes during pregnancy, puberty, or with oral contraceptives.
• Systemic diseases like diabetes or HIV/AIDS.
• Genetics can also play a role, particularly for those with a family history of tooth loss.

Watch for signs and symptoms:

• Red or swollen gums, which should be neither.
• Bleeding gums, even during vigorous brushing or flossing.
• Persistent bad breath caused by oral bacteria.
• New spacing between teeth due to bone loss.
• Loose teeth resulting from bone loss or weakened periodontal fibers.
• Pus around teeth and gums indicates infection.
• Receding gums, indicating gum loss around a tooth.

Tenderness or discomfort due to plaque, calculus, or bacteria irritation.
Maintain good oral hygiene, a balanced diet, and regular dental visits to reduce your risk of periodontal disease. Your oral health is worth it!

Using dental floss is essential because it helps remove plaque and food particles from between teeth, preventing cavities and gum disease.

How to floss properly:

• Take 12-16 inches (30-40cm) of dental floss and wrap it around your middle fingers, leaving about 2 inches (5cm) of floss between the hands.
• Using your thumbs and forefingers to guide the floss, gently insert the floss between teeth using a sawing motion.
• Curve the floss into a “C” shape around each tooth and under the gumline.  Gently move the floss up and down, cleaning the side of each tooth.

Floss holders are recommended if you have difficulty using conventional floss.

Daily flossing will help you keep a healthy, beautiful smile for life! Contact Dr. Azuma, Honolulu’s top dentist, for more tips!