Hygiene
There are different techniques you may utilize to maintain or reach your optimal oral health.

At our discretion we recommend the following procedures to our patients.




Professional Prophylaxis – Referred to, many times as a "prophy" or "cleaning". A professional "cleaning" by the Hygienist or Dentist should be periodically done to maintain optimal oral health for adults as well as children. The length of time between your cleaning visits is determined by our patients and the Doctor together. Most commonly recommended is every 6 months, but this may vary from 3 months to 1-year visits, depending on your oral health.

Fluoride – Two types of fluoride exist. They are topical and systemic.

TOPICAL fluoride is concentrated to about 1% or said another way, contains approximately 10,000 PPM (which stands for parts per million). TOPICAL fluoride is absorbed by the tooth directly to more mineralized and decay resistant. TOPICAL fluoride comes as a gel or rinse; it is not supposed to be swallowed. If swallowing occurs, an upset stomach usually results. A TOPICAL fluoride treatment is recommended every 6 months for children up to the age of 14-16. This treatment can and should be performed in addition to fluoride tablets, which the Doctor may prescribe for your child, or fluoridated water. The Doctor may also recommend topical fluoride treatment for Adult patients who are experiencing excessive decay or tooth and/or root sensitivity.

SYSTEMIC fluoride is often done as a fluoride supplement in the form of a pill which come in flavors pleasing to children and there are no side effects such as an upset stomach. Systemic fluoride is helpful in the development of teeth as the mineralization of the crown and roots are forming (this being the enamel and dentin). Therefore causing the teeth to be stronger and hold up better over their entire lifetime. Systemic fluoride is also sometimes added to the water in many towns and cities (fluoridated water) in which case the fluoride pill is not necessary. Therefore we do not recommend prescription fluoride tablets in conjunction with fluoridated water. We do recommend that dosage be followed as directed, that being:

.25mg for ages 0-3 years
.50mg for ages 3-6 years
1mg for ages 6-14 years
None after age 14 years.

Bedford borough water is fluoridated and Everett borough water is not fluoridated.

Sealants – A sealant is a technique used to prevent decay from occurring in the natural groove anatomy of permanent teeth. A sealant is a resin based or plastic material that is placed in a flowable form then cured with a high intensity curing light. The sealed surface inhibits bacterial growth and the smooth surface makes it easier to keep the teeth clean and because sealants release fluoride they further mineralize tooth structure preventing decay.











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