oral hygiene instructions


Periodontal disease is the major cause of adult tooth loss. Replacing lost teeth is the most expensive form of dental treatment. By investing you time in daily plaque removal, you may be avoid thousands of dollars dental treatment. It takes only 10-15 minutes a day to thoroughly clean your mouth of harmful bacteria.


Rinse vigorously for at least 30 seconds to dislodge plaque and food particles. Use oral rinse recommended by Dr. Naval.


This is an effective way to clean teeth surfaces in between your teeth ad slightly under the gumline. You can dip the bristles in an oral rinse or toothpaste as recommended. Use the proxybrush from the tongue side (lingual) and the cheek side (buccal) of the teeth. Please visit this website for instructional video and ordering.


Gum (Periodontal) disease usually begin between the teeth and beneath the gum line. Like the interdental brushes, this is an effective way to reach these areas. The following instructions will help you, but remember it takes time and practice and we recommend clinical instruction in our office. Start with a piece of floss about 18" long. Lightly wrap most of the floss around the middle finger of one hand. Wrap the rest of the floss around the middle finger of the other hand.

To clean between the upper teeth, hold the floss tightly between the thumb and forefinger (pointer finger) of each hand. Gently insert the floss tightly between the teeth. Do not force the floss or try to snap it in to place. Bring the floss just below the gum line then curve it into a C-shape against each tooth. Slide it into the space between the gum and the tooth until you feel light resistance. Remember there are two tooth surfaces that need to be cleaned in each interproximal space. Continue to floss each side of all the teeth. Be careful not to cut the gum tissue between the teeth. As the floss becomes soiled, roll (wrap) the floss off the left hand finger and onto the right hand finger to get a fresh section. Never move floss up and down on the tooth.


Clinical instruction is recommended prior to beginning this technique. While brushing the cheek side (buccal) surfaces of your teeth, position the brush at a 45-degree angle where your gums and teeth meet. Gently move the brush in a jiggling motion (side to side motion with no horizontal movement) followed by a sweep away from the gum to remove the plaque. Use light pressure, ideally holding your elbow up and parallel with the floor. Second, you will brush the tongue side (lingual) surfaces of the teeth by holding the toothbrush straight up and down, jiggling up and down, followed by a sweep away from the gum to remove the plaque. Next you will clean the biting occlusal surfaces of your teeth. To do this use short, gentle strokes. Change the position of the brush as often as necessary to reach and clean all surfaces. We highly recommend the Sonicare electric toothbrush available in our office and select stores. ( www.usa.philips.com). If you have any pain while brushing or have any questions about how to brush properly, please be sure to contact our office.


Use a waterpik AFTER all brushing techniques. Never use prior to any brushing, flossing or proxybrushing. This should be your final step prior to using fluoride treatment.


Sometimes after dental treatment, teeth are sensitive to hot and cold. This should not last long, but will improve only if the mouth is kept clean. If the mouth is not kept clean the sensitivity will remain and could become more severe. Fluoride (Gel-kam, Sensodyne, Prevident) can be applied to reduce sensitivity following periodontal treatment. These products can be prescribed by a dental professional.


Your periodontist is the best person to help you select the appropriate toothpastes and oral rinses to use to reduce the bacterial levels in your mouth.