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Bad breath, always the first thing you think about when right before you open your mouth.Silence ‘Does my breath smell bad? I can’t tell, it must smell bad…’ You breathe, you sniff, and still you just can’t tell. That moment of doubt can ruin a social situation by flooding you with insecurity. So what do you do?

  • Although caused by many things, the top reasons your breath may not be as fresh usually is from a few common problems. Such as:  poor oral hygiene, diet and nutrition, or some health problems such as dry mouth, acid reflux or debris from post nasal drip and respiratory tract infections.
  • To keep your bad breath under control try to avoid garlic and onions. These types of foods can stay in your system for up to 72 hours after your consumed them.  Cigarettes, coffee and other odor inducing foods can hang out on the back of your tongue and between your teeth as well. Be sure to brush and floss after you eat and follow with a good mouth rinse. Maintaining a well balanced diet and keeping hydrated as well can help reducing bad breath as well.
  • Be sure you actually have bad breath, check with a friend if you really aren’t sure, or if you are able to, run some floss through your teeth and smell. If your floss is discolored or has a bad odor there is a good chance your breath is smelling the same. Interestingly enough there is a small percentage of the population who believe they have bad breath when they do not and patients who are obsessed with their breath. These people are categorized as being either halitophobic’s or pseudo-halitosis patients.
  • Keep in mind that although gum, breath mints and some mouth rinses are short term quick fixes if you have chronic bad breath or halitosis be sure to see your dentist and evaluate what can be causing it.
Breaking paradigms: a new definition for halitosis in the context of pseudo-halitosis and halitophobia; D. Falcao, C. Vieira, R. Batista de Amorim
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Fotolia_21448390_XS-199x300Okay, I understand getting to the dentist when you have an emergency can sometimes be hard. And, yes I realize that it’s awfully tempting to try and fix the problem yourself. But, there are just some things you should not do at home. This brings us to this weeks blog post. The WORST home remedies for dental problems. Putting garlic against a sore tooth…. Besides making you smell bad, garlic is very potent and can irritate or burn soft tissues around the tooth causing even more pain and sensitivity. Shaving down a sharp tooth with tools from around the house… Besides the fact that you are putting something that has seen more dirty surfaces than I’d care to mention directly into your mouth, you are putting yourself at risk for damaging the tooth more or slipping and causing damage to your cheeks and gums. Using crazy glue to fix a broken natural tooth... Yes, I know people say the same stuff that’s in super glue is the same stuff used to seal battlefield wounds, and they’d be correct. However, the stuff used to seal battlefield wounds are made specifically to seal battlefield wounds. Using superglue to fix a tooth most likely will result in 1: You super gluing your finger to your lip, cheek, tooth or some variation of the aforementioned. Or 2: Pain from a tooth with a freshly injured dental nerve being assaulted by a brand of material that was not meant to see the inside of your mouth or to fix broken teeth. Trust me, its not pretty…. Whitening your teeth with lemon juice and baking soda… This one, although its gotten a lot of popularity throughout the years, is just not healthy for your teeth. Mixing an abrasive and an acid together and then scrubbing it on your teeth can cause abrasion to your gums while also removing and/or damaging the enamel on your teeth. And lastly, searching through your medicine cabinet and finding a left over prescription from those wisdom teeth you (or someone you know) had extracted about ten years ago… Its not a mystery that taking old, expired or another persons prescription medications is a bad idea. Taking one or two remaining capsules of an antibiotic is not only ineffective, it can also help promote bacterial resistance to antibiotics. Also, taking prescription medications that were not prescribed to you can put you right in the middle of an adverse or even allergic reaction to a drug that no one knows you are taking. So if you are having a problem call your dentist or doctor first before resorting to whats left over in the medicine cabinet. Also, whenever you are prescribed medication once you have finished the prescription if there are any tablets remaining they should be disposed of. So, I’m not saying there are not some things that you can do at home in a pinch to get you by until you can see your dentist. But, in an emergency situation, first and foremost, call your dentist and see when they can see you for an appointment and tell them your emergency. Your dentist will suggest the best way to get you comfortable and safely treated!]]>

brushingteethEver look on the back of the toothpaste box and wonder, what exactly is xanthan gum and why the heck is it in my toothpaste? Well wonder no more, as we go through how to decode the toothpaste label… On every drug facts label you find a listing of active ingredients and inactive ingredients, as well as what its used for, any warnings for the product and directions for uses. Active Ingredients: This is the part of the toothpaste that makes its use effective. In the case of most toothpastes the active ingredient is usually for anti-plaque, anti-cavity, anti-gingivitis as well as including ingredients to help prevent tooth sensitivity. So in this portion you will normally see your fluorides such as sodium fluoride, stannous fluoride or sodium monofluorophosphate. You may also see potassium nitrate, triclosan, pyrophosphates or zinc salts as well as a myriad of other ingredients. Inactive Ingredients: This portion includes the ingredients that make the toothpaste standup to being on the shelf as well as completing the nuts and bolts function of general toothpaste use. So these ingredients stop the paste from drying out, keep it at a good pH, stop microbial growth, make them thick enough for use and help them become foamy when used. They also include flavoring agents, abrasives and whitening agents. So in this section, which in my opinion is the most confusing you’ll see these types of ingredients:

  • Propylene glycol, glycerol, and polyethylene glycol to help keep toothpaste moist
  • Carageenan, cellulose and xanthan gum to thicken and hold all the ingredients together
  • Sodium benzoate and methyl paraben to keep toothpaste from decaying and to prevent microbial growth
  • Sodium lauryl sulphate and cocoadmidopropyl betaine to make toothpaste foam thereby helping loosening and removing plaque from the tooth surface.
  • sodium saccharin, xylitol, sorbitol, sodium cyclamate to flavor the toothpaste.
  • Buffering agents to make it a pH favorable for the oral environment.
  • And, you may see silicas, dicalcium phosphate dihydrate or aluminum oxide which are abrasives which help remove plaque and bacteria as well.
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basic-home-careAfter years in the dental office, I can tell you that it’s very rare to find a patient who goes more than 3 years without a cavity. Knowing that home care is one of the most important aspects of maintaining a healthy mouth, my partners and I set out on creating a home care regimen that’s relatively easy and will provide the results we are hoping to achieve, a decrease in cavities and improvement in overall oral health. The final breakthrough of my home care routine recommendations came while reading Dr. Ellie Phillips book Kiss Your Dentist Goodbye. During our daily care routine, we are mainly focusing on removing and repairing the damage we’ve already done during the day. Removing plaque mostly and strengthening enamel. However, Dr. Ellie’s book brings up a great point, we aren’t focusing on improving the overall environment of the mouth, more specifically saliva makeup. Combining both rationales, ours which focuses on mechanics and repair, and Dr. Ellie’s which focuses on reducing the saliva’s acidity and creating a healthier environment in the mouth, we created Frangella Dental’s basic home care regimen:

Part 1: Prepare & Clean

This portion of your home care focuses on the mechanical aspect of cleaning your mouth.  The first step is to prepare the right oral environment.  You can do this by using an oral rinse that creates a less acidic pH in your mouth. The product we recommend is CloSYS. We also recommend investing in a good electric tooth brush. Our favorite is the Sonicare tooth brush.  Find floss that works best for you. I generally recommend unwaxed tape varieties of floss as opposed to the rope type. The brand I recommend the most is Glide.

Part 2: Sanitize & Disinfect

Directly after brushing and flossing your teeth, the next step is to rinse with an antibacterial rinse. Our favorite product on the market is Listerine. After brushing your teeth, be sure to sanitize your tooth brush, you can do this by rinsing your brush in Listerine, then rinsing with water and allowing to air dry. Also, always store your toothbrush away from open toilets as well.

Part 3: Strengthen & Repair

This portion of home care helps keep your enamel strong and healthy. At night, as the last step of your home care, you should rinse with a fluoride rinse. We recommend ACT Total Care fluoride rinse. After you have rinsed with the fluoride rinse, do not rinse with water. Also, throughout the day, to give added protection, you can chew xylitol gum or use other 100% xylitol products.  You want to aim for about 6-10 grams a day of xylitol to get the best anticavity effects of this sugar substitute. To see all of Frangella Dental’s recommeded home care products, click here.]]>

Fotolia_5327278_XS-resized-600Being a dentist and being surrounded by a lot of dentists, I’ve had the opportunity to try a lot of dental products over the years and learn the opinions of my friends, family and colleagues about these same products. I decided to compile a list of my absolute favorite, tried and true, dental products on the market. Of course I’m always open to try something new, so if you have any favorites, please let us know!

Toothbrush: Sonicare

This toothbrush’s sonic motion and handy timer really make a difference in your smile. It’s the best home care tool in my opinion.

Floss: Glide

Whenever I buy floss, I tend to lean towards an unwaxed tape variety rather than a rope. Glide is great b/c its easy to manuever between teeth and doesn’t shred easily.

Regular Toothpaste: Crest Original (with sodium fluoride)

Crest is a great product. I like the flavor of the paste and usually prefer sodium fluoride in my toothpaste as opposed to stannous fluoride. When I’m looking to buy a regular toothpaste I usually stick to the Crest Original.

Toothpaste for Sensitive Teeth: Sensodyne Isoactive

For patients that are long time users of toothpaste for sensitive teeth, this new product is a great change from the dull chalky tasting toothpastes that have been on the market. I tried this product about 6 months ago and use it from time to time when my teeth become hot & cold sensitive. It forms a refreshing foam that leaves you with a great taste and more comfortable teeth as well.

Whitening Toothpaste: Crest 3d White

When brushing your teeth in between whitenings to keep that beautiful fresh smile I like to use this Crest 3d White. It’s Crest, which has a great line of whitening products, and also has a great taste and is very effective in maintaining a bright smile.

Antibacterial Mouthwash: Listerine and Closys

An antibacterial mouthwash is crucial to home care. The hard part is sorting through all the options and finding whats right for you. My top two picks are: CloSys and Listerine. I love CloSys because although it has a mild flavor, it is a great tool to kill bacteria that can lead to periodontal disease and also it is less acidic than many of the rinses on the market. My other top pick is Listerine. In my opinion Listerine is hands down the most effective antibacterial rinse on the market. My morning routine usually includes a quick rinse with CloSys then a thorough brushing & flossing followed by a rinse with Listerine.

Fluoride Mouthwash: ACT Total Care

I always rinse with ACT right before bed. It has a great flavor (my favorite is the green one), probably the best tasting of all the mouthrinses I’ve tried, and is very effective in helping remineralize and strengthen enamel. Another great product worth trying.

100% Xylitol Gum: Epic (epicdental.com)

Xylitol is a great sugarfree product that is important to home care. I usually opt for 100% Zylitol chewing gum (right now I’m addicted to Epic cinnamon flavor). The only downfall is the chewing gum doesn’t keep its flavor for that long.  But on the upside, even after only chewing it for a short amount of time, my mouth feels really fresh and clean afterwards. And it’s a great way of delivering Xylitol, which is the only sugar substitute that studies have shown that has cavity fighting properties.]]>

If you find your self doing the sniff test or constantly popping a piece of gum or a breath mint to hide your bad breath then you are probably one of the 80 million people that suffers from halitosis or chronic bad breath.bad-breath There are many causes to bad breath but the biggies are:

1.Poor Oral Hygiene

If you haven’t seen the inside of a dental office in about two-three years, have no idea what floss is or how to use it, and your toothbrush is about as old as you are then you probably fall into this category. Brushing, flossing and regular dental visits are key to removing the plaque, bacteria and debris from your teeth. Your bad breath is being caused by the breakdown and decay of this debris and also from the wastes from the bacteria in your mouth. To prevent this make sure to always brush and floss after you eat and to visit your dentist every 6 months to remove any remaining plaque or calculus your brush and floss can’t reach.

2.Dry mouth (xerostomia)

Dry mouth can be caused by many things, medical problems, medications you may be taking, mouth breathing, or radiation treatment. Saliva is a very important part of your mouths natural way to keep itself clean. Your saliva is constantly washing away food particles and bacteria in your mouth. If you have dry mouth this can allow the bacteria in your mouth to overgrow and food particles to remain and decay causing bad breath. To resolve this the first step is to find out what the cause of your dry mouth is. You should contact your dentist to come up with a good solution to keep your mouth clean.

3.Diet and Nutrition

Another common cause of bad breath is due to your eating habits. Eating spicy foods, coffee, smoking, or eating onions and garlic can cause you to have bad breath for up to 72 hours after ingestion. Also, certain diets such as the Atkins or carb free diets can cause ketosis which gives your breath a sweet smell. Also, fasting and hunger can cause bad breath as well. The only solution to these problems is simply to eat a healthy well balanced diet and if you have an important event its probably a good idea to avoid onions and garlic for about a day or two beforehand. So most importantly, to keep your breath fresh and pleasant its important to brush and floss regularly, see your dentist every six months, keep hydrated, and maintain a healthy and well balanced diet.]]>