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If you suffer from dental anxiety, we understand that paying a visit to our office can seem like a nearly impossible mission. Regardless of what the root of that anxiety might be, we’re here to tell you that at A R Periodontics, you have no need to be nervous. Our office is dedicated to making your dental experience as comfortable and stress-free as possible.

One of the best things to do if you experience dental anxiety is call our office in advance to let us know. By notifying us in advance, you give us the opportunity to provide you with the dental care you need in the way you need it.

We can prescribe a relaxation medication for you. During your appointment, we can provide a little bit of laughing gas to put you more at ease, teach you some behavioral techniques for relaxation, and make sure you’re never in the dark about what’s happening.

If dental anxiety makes you feel embarrassed, please be assured that you’re not alone. Studies show that as much as 75% of adults suffer some degree of dental anxiety! It might be helpful to remember that your doctor’s goal is the same as yours: We are here to keep your oral health in check so you can be your healthiest self. We certainly don’t want to make you uncomfortable in the process.

If you have any questions about other ways in which we can accommodate you during your visits, please don’t hesitate to contact our Livingston office!

By no stretch is it rare for your gums to hurt during and after flossing. Even some bleeding is to be expected. This is especially true if you have not flossed in a long time. However, if your gums do indeed hurt when you floss, and unbearably so, there are some things you can do.

Be Gentle

Perhaps the most obvious way to combat gum soreness and bleeding is to be gentle. One of the most common occurrences of these gum problems is over-aggressive flossing. In other words, if you are too rough on your gums while flossing, either because you are out of practice or because you are in a hurry, soreness and hurting is to be expected. Instead, try taking your time and be gentle. Also, if you are just starting out, be patient and consistent, your gums will become more conditioned over time.

Use an Alternative Method

If being consistent and gentle does not work, there are other alternative methods of flossing that you can try. You can also try a water floss machine, or what is sometimes called a water pick. The device essentially shoots water into the crevasses between your teeth, and in other areas of your mouth, in order to dislodge food and plaque. These oral instruments also come with different attachments that allow you to reach many of the hard to see and reach areas of your mouth. And lastly, you can always buy floss that is not as abrasive to your gums. There is floss that comes with soft and gentle coatings that will do less harm to your gums while they are adjusting to the good oral hygiene habit you are creating.

Flossing is one of the easiest parts of oral hygiene to overlook. When you first start out, it is common that you may want to stop because of the pain it can initially cause. However, if you try one, or all, of the above mentioned methods, you will give yourself the best chance of being success with your flossing, and it won't hurt as much.

For more flossing tips, schedule an appointment at our Livingston office and askDr. Rothstein or a member of our team!

No, we don’t mean the latest foamy offering from your favorite microbrewery. When you’re thirsty, one of the best options available is literally at your fingertips—tap water, straight from your faucet. It might not be the most adventurous choice, but drinking a tall glass of fresh tap water is refreshing in so many healthy ways.

Physical Health

Water conveniently available at home is much more than a convenience. We need to keep hydrated, because our bodies are made to run on water. To name just a few of its benefits, water provides nutrients to organs and cells, eliminates waste, regulates our temperature, and protects our joints and delicate tissues. Dr. Rothstein and our Livingston team will tell you all about the importance of proper hydration when it comes to your mouth, gums, and teeth, but here are a few highlights:

• We need to be hydrated to produce enough saliva. Saliva, which is more than 90% water, helps prevent cavities and protect enamel by both washing away bacteria and balancing acids in the mouth which can cause decay.
• Tooth enamel is so strong because it’s made of calcium and phosphate. These minerals are leached from our enamel by both bacteria-produced acids and dietary acids. Saliva also contains calcium and phosphate, and, with fluoride, restores these minerals in our enamel, leaving teeth stronger and less likely to develop cavities.
• As a bonus, a quick rinse with water when you can’t brush after eating is a great way to remove food particles left behand—especially healthy when you’ve had sugary or acidic foods.

Ecological Health

If you want to reduce waste, one of the easiest ways to do so is to use tap water instead of bottled water.

• Bottled water has a carbon footprint. It takes energy (and additional water) to create plastic and glass bottles, to label them, and to transport them. Water piped into your home from local sources? No bottles, labels, or long road trips necessary.
• Water bottles should be recycled. Unfortunately, many cities don’t offer, or have stopped offering, recycling. Plastic and glass empties end up in landfills, littering our neighborhoods, or in our waters.

Budget Health

Getting your daily hydration from bottles can add up quickly.

• Bottled water can cost hundreds of times as much as tap water. While local water prices vary, the average gallon of tap water costs less than a penny. No matter what kind of sale your local store is offering, bottled water will never be the bargain tap water is.
• When you buy many small bottles instead of a few larger ones, or choose more expensive “designer” water, your costs can mount up even more.
• When you need to bring water with you for work, sports, or other activities, consider filling a reusable bottle with water from home.

Dental Health

Getting the recommended amount of fluoride in your diet is one of the single best things you can do for your dental health. Fortunately, many communities make this easy for us by providing fluoridated drinking water.

• Fluoride works with the calcium and phosphate in your saliva to create stronger enamel, so cavities can’t form as easily when your teeth are exposed to plaque and food particles.
• Fluoride helps strengthen your child’s permanent teeth as they develop, and helps prevent cavities in both baby teeth and permanent teeth as children grow.
• If your community doesn’t offer fluoridated water, ask Dr. Rothstein for the best way to get the fluoride you need to protect your teeth.

For the good of your body, your planet, your wallet, and last, but most certainly not least, the health of your teeth and gums, consider a glass of water. So many benefits—and you have them all on tap!

Toothpaste ads are usually all about the teeth. Cavity-fighting benefits. Whiter smiles. Reducing tooth sensitivity. But lately, we’re also hearing a lot about toothpastes which are formulated to clean, renew, and repair our gums. Maybe it’s time to consider whether a tube of gum-healthy toothpaste should be your new main squeeze.

Gum Health Affects Our Overall Health

According to the CDC, almost half of all adults over the age of 30 suffer from gum disease—and the percentages get even higher with age. And, just like tooth decay, gum disease is most commonly caused by bacterial plaque.

Plaque is a biofilm made up of saliva and food particles and millions of bacteria. Within hours after we’ve brushed and flossed, this sticky substance starts forming again on teeth and around the gum line.

Gingivitis, or early gum disease, occurs when plaque around the gum line irritates gum tissue, causing inflammation. You’ve probably noticed some symptoms of inflammation if you’ve ever neglected your brushing and flossing routine for even a day or two. Gums become red, or swollen, or tender, or bleed easily.

Careful attention to brushing and flossing is essential to prevent gingivitis and to reverse early symptoms. That’s because, left untreated, gingivitis can lead to periodontitis, a serious gum disease.

The bacteria in plaque produce toxins, which our immune systems react to with inflammation. Over time, this inflammation response causes the breakdown of the bone and ligament tissue which hold our teeth in place. Once-snug gum tissue starts to pull away from the teeth, creating pockets around the teeth where more bacteria collect. This leads to infection and further loss of bone and tissue.

Infection, loose teeth, and lost teeth cause chronic pain, difficulty eating and speaking, and alterations in facial appearance. And it’s not just our oral health which can be affected by gum disease. Studies have found connections between gum disease and other inflammatory diseases like rheumatoid arthritis and cardiovascular disease, and between gum disease and medical conditions such as xerostomia (dry mouth) and diabetes.

How Toothpastes Can Help Prevent Gum Disease

We already know that dentists recommend fluoride toothpaste because fluoride prevents cavities. Fluoride bonds with the calcium and phosphate ions in our tooth enamel, repairing weak spots. Even better, this new bond is stronger and more cavity-resistant than enamel alone.

When it comes to preventing gum disease as well as fighting cavities, though, not all fluoride formulas are the same. The common go-to ingredient in gum-healthy toothpastes is stannous fluoride. Like the more commonly used sodium fluoride, stannous fluoride reduces the risk of cavities and strengthens tooth enamel. And more! Studies have shown that stannous fluoride:

• Has anti-microbial agents which reduce the number of gingivitis-causing bacteria
• Disrupts plaque formation
• Continues working to reduce plaque levels even after brushing.

Because inflammation caused by bacterial plaque buildup is the most common cause of gingivitis, it makes sense that toothpastes which reduce bacteria and plaque can also reduce gum inflammation and gingival bleeding when used regularly.

But Toothpaste Can’t Do It All!

No matter which paste you use, you still need to be proactive with your dental health.

• Brush at least two minutes, at least twice each day, to stop plaque buildup. And use proper technique. Angle the brush toward the gums to gently clean around and below the gum line.
• Floss at least once a day. Flossing really does remove plaque between teeth and near the gum line which your toothbrush won’t.
• Use a soft-bristled brush. It protects both delicate gum tissue and strong enamel from abrasion.
• Keep up with your regular professional cleanings.
• For specialized periodontal treatment, make an appointment at our Livingston periodontal office.

If you have sensitive, inflamed, or bleeding gums, or if you have any worries about your gum health, don’t take advice from a toothpaste carton.

Talk to Dr. Rothstein about the best toothpaste for your specific dental needs. Whether it’s a recommendation for a specific kind of toothpaste or rinse, prescription medication, or more advanced periodontal treatment such as deep cleaning procedures or gum surgery, we have the treatment options to help you keep your gums their healthiest!