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She brushes her teeth twice a day

Does she really need to include flossing?

Every time you bring your child in to visit the dentist for a checkup or a cleaning, you’re likely to be asked: “Has she been flossing regularly?” For a lot of parents and patients, the answer isn’t always yes. While you may make a point of having your child brush her teeth twice a day, as the American Dental Association (ADA) recommends, you might think flossing is not that important – it’s such a small area after all, right? WRONG!

If you are among this group, what you don’t realize is that this step plays an important role in dental health. Unlike a toothbrush, which cleans the tops and outer surfaces of the teeth and gums, floss is an interdental cleaner – it’s designed specifically to clean the tight spaces between the teeth and the gap between the base of the teeth and the gums. These are places that a toothbrush can’t reach. Even if you are having your child use antimicrobial mouthwash it can only kill the bacteria that form plaque, but it can’t remove the stubborn tartar and bits of food that can lodge in these places.

Evidence suggests that proper dental care, which includes regular flossing, can do more than keep your smile pretty and healthy. A healthy mouth can also help prevent much more serious diseases that may develop later in your child’s life, some of which can be life threatening!

But if you’re still not convinced that you should add flossing to your child’s daily routine, we’ve got a few more tips that will make a believer out of you!

  • Flossing and Brushing Are More Effective Than Brushing Alone
    If you’re like a lot of people, your first response to your child’s dentist’s flossing recommendation may be “She brushes her teeth, so she’s fine.” While brushing teeth twice a day will go a long way toward maintaining oral health, it’s not enough to achieve an optimal cleaning.

    A toothbrush works by physically to remove plaque, a sticky, bacteria-laden film, from teeth with its soft bristles. Toothpaste enhances the effect of the toothbrush, and fluoride toothpaste will help reduce the amount of bacteria in the mouth. But brushing has one big drawback: A toothbrush’s bristles can’t adequately clean between the teeth or under the gums.

    That’s where floss comes in. It’s a tool specifically made to remove tartar from the tight spaces between the teeth and under the gums. The ADA suggests that flossing before you brush also helps make brushing more effective: With less plaque caught between your teeth, the fluoride in toothpaste can get to more parts of your teeth. Think of floss and a toothbrush as a detail paintbrush and paint roller, respectively. You could paint your living room walls with just one of the tools, but using them together will provide a much more satisfactory result.

  • Flossing Protects Your Gums, Too
    Plaque and tartar buildup on the teeth where they meet the gums can lead to puffy, reddish inflammation called gingivitis. Yes, kids can get gingivitis too, not just adults.
  • It’s easier to understand the role that flossing can play in good oral hygiene by seeing how teeth are situated in the gums and jaw. At the root of this structure are the bones of the lower and upper jaws. The jaws anchor the teeth by their roots, and the bones and roots are covered by the soft, sensitive tissue of the gums.

    The places where the gums and teeth meet are where flossing plays its major role. Tiny particles of food can get lodged here, and plaque in this area will harden and accrete over time to form tartar, a thick deposit that only the dentist can remove with a scraper. Tartar buildup can lead to gingivitis: red, swollen gums that are the first stage of gum disease. If left unchecked, the bacteria-laden tartar and plaque can spread even deeper below the gum line, causing periodontitis: severe gum disease characterized by severe inflammation and eventual tooth and bone loss. And if that isn’t gross enough for you, just think of the bad breath!

    Floss can get into the space between the teeth and gums, removing much of the food and plaque that a toothbrush or mouthwash can’t move.

  • Flossing Can Save You Money
    In an era of rising health care costs and diminishing insurance benefits, it pays to take steps to reduce your medical expenses. And according to research by the Children’s Dental Health Project (CDHP), dental preventive care now can pay significant dividends down the road.

    For a report published in 2005, CDHP researchers studied the costs of dental care for children who had their first dental checkups before one year of age versus children who had their first visit to the dentist after that age. By their fifth birthdays, the children in the first group had overall dental care costs some 40 percent lower than their peers.

    Likewise, the researchers reported that in populations that statistically tend to rely on emergency room care instead of doctor visits, the cost for dental emergency visits can be as much as 10 times the cost of regular checkups over a given time period.

    One of the reasons for the cost savings from regular dental visits? Education that encourages patients to brush and floss daily. Professional dental tools and procedures are highly advanced, and can repair even severe medical problems. But ask any dentist what the most effective, cost-efficient tools are for protecting oral health, and you’re likely to receive a free toothbrush and box of floss.

  • Flossing Helps Prevent Other Diseases
    Flossing requires a lot of coordination and dexterity. (See proper technique below) If your kiddo is under the age of 10, she may need assistance or supervision, but get her in the habit of flossing every day for a lifetime of health benefits.

    Tooth and gum disease can have effects that go far beyond discolored teeth, discomfort or bad breath. Extensive research has shown that the bacteria that flourish in an unhealthy mouth can harm the rest of the body, leading to heart disease, diabetes and respiratory illness. This is such a significant issue that, in 2003, the Centers for Disease Control and Prevention (CDC) began calling for public health initiatives to address oral health as a step toward addressing these potentially life-threatening systemic diseases: conditions that affect multiple organs and body systems.

    In thinking about your child’s future health, keep in mind that heart disease is the leading cause of death in the United States, and more than 25 million Americans have diabetes, so if periodontal disease contributes to these systemic diseases, then a tool that helps improve oral health can play a major role in improving public health. Flossing only takes a few minutes every day, and adds little to the cost of toothpaste, toothbrushes and mouthwash. It’s a small, simple step that can have huge implications for your child’s long-term health!

  • Flossing Prevents Tartar Buildup
    Few parts of a regular dental visit are as uncomfortable as the scraping the dentist or hygienist must do to remove tartar. Tartar is a hard buildup of plaque that forms around the gum line. Once it’s there, it can’t be removed without professional help. But thanks to floss, health-conscious individuals have a powerful tool to fight this stubborn problem.

    Flossing allows you to remove the plaque that causes tartar while it’s in its early form: sticky, but soft and pliable. Since plaque doesn’t harden into tartar until it’s been undisturbed for a period of time, regular flossing can keep buildup from happening.

    A key to successfully fighting tartar is to combine flossing with brushing and by adding in an ADA-approved mouthwash, you take it a step further.

    Floss can remove the tartar from around the gums, but it’s not able to strengthen tooth enamel like fluoride toothpaste or mouthwash can. Studies suggest that combining these tools delivers a one-two punch of physical plaque removal (flossing and brushing) and chemical cleaning (toothpaste and mouthwash).

The Scoop on Mouthwash
Brushing and flossing get more buzz in discussions of oral care, but an ADA-approved antimicrobial mouthwash can also offer powerful protection for your mouth. Like toothpaste, mouthwash helps kill the bacteria that create plaque. It can get into the tight spaces between the teeth and gums, especially after flossing to clean plaque and food particles from those areas. While it can’t physically scrub the teeth and gums like brushing or flossing, mouthwash that contains fluoride can strengthen tooth enamel, helping prevent cavities.

Proper Flossing Technique
Pull out about 18 inches of floss, wrapping the ends around your fingertips for better control. Gently slide the floss between your teeth, being careful not to jam it into your sensitive gums. Curve the floss around each tooth and rub it up and down to scrape away plaque. Avoid sawing motions with the floss — that can hurt your gums. When you’re done, throw away the used floss. It can fray during use and collect bacteria. Rinse with mouthwash and brush your teeth.

Hopefully we have convinced you!
Flossing is a major part of a healthy mouth – and a healthy body. Helping your child develop the habit of daily flossing while she is young, will be a practice that lasts her entire lifetime.


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