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Medical Forum / General / Dentistry / October 2005

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bad hygienist advise?

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Hans - 25 Sep 2005 15:21 GMT
Hi,

I've had 2 hygienists and they both tell me that you should use toothpicks,
not floss. The way to use the toothpicks is to push them very very firmly
between teeht.

They say toothpicks are better because it does clean deeper.

I prefer floss because toothpicks flatten the gums so i'd get more gaps.

1. Want i want to know: are toothpicks really necessary if you floss?
2. What is a good alternative?
3. Do these "flattened gums" gaps go away when i stop toothpicking?
Joel M. Eichen - 25 Sep 2005 15:42 GMT
>Hi,
>
>I've had 2 hygienists and they both tell me that you should use toothpicks,
>not floss. The way to use the toothpicks is to push them very very firmly
>between teeht.

Generally tooth picks are excellent for hors d'oeuvres as I hate when
people put their grubby little fingers on my food.

Joel

>They say toothpicks are better because it does clean deeper.

Hah!

Back to O.H. school for them. Use a Stim-U-Dent if you must .... its
balsa wood.

>I prefer floss because toothpicks flatten the gums so i'd get more gaps.
>
>1. Want i want to know: are toothpicks really necessary if you floss?

Nope and they are contraindicated, unless Marty recommends them!

>2. What is a good alternative?

Stim-U-Dent.

>3. Do these "flattened gums" gaps go away when i stop toothpicking?
Hans - 25 Sep 2005 16:00 GMT
Joel thx,

What i mean by toothpicks are stim-u-dents are those contra-indicated too?

> Hi,
>
[quoted text clipped - 9 lines]
> 2. What is a good alternative?
> 3. Do these "flattened gums" gaps go away when i stop toothpicking?
Stovepipe - 25 Sep 2005 19:45 GMT
> Joel thx,
>
> What i mean by toothpicks are stim-u-dents are those contra-indicated too?

Another suggestion: Pro-Dentec make a plastic variety that can be bent
to reach all the interdental spaces easily. Your dentist has to order
them. You want to stick with that or the StumUDent as regular toothpics
will scratch the tooth as they go through.

Personally, I still want my patients to use dental floss at least
morning and night.

HTH
SP

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letsconnect - 26 Sep 2005 00:51 GMT
> Personally, I still want my patients to use dental floss at least
> morning and night.
> --

I thought the same thing until yesterday (well, not morning and night,
but once a day - if you consider the biology behind it), when I had a
look at the research on this topic on PubMed. It would appear that
interdental brushes (and stimu-dents, which not everyone likes) are
actually more effective than floss, as well as having higher patient
acceptance and compliance. At the same time, we have this ironic
situation whereby TePe products (arguably the leaders in easy-to-use
interdental brushes) are really hard to get hold of. One would expect
the price to drop dramatically if they were pushed instead of floss,
and widely available.

Weird.
Stovepipe - 01 Oct 2005 20:26 GMT
> > Personally, I still want my patients to use dental floss at least
> > morning and night.
[quoted text clipped - 12 lines]
>
> Weird.

I'm looking for 'em since I read this. Thanks
SP
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letsconnect - 02 Oct 2005 21:22 GMT
> I'm looking for 'em since I read this. Thanks
> SP

Swedish company I think (go to http://www.tepe.se/ -
products>interdental brushes), though some websites sell them for
personal use in the US (e.g.
http://www.dentist.net/tepe-interdental-brush.asp). The distributor for
Canada is
TePe Oral Health Care, Inc., USA
Tel: +1 (562) 981-7007    
tepe@tepeinc.com
Fax: +1 (562) 981-7009
George Chatzipetros - 02 Oct 2005 23:18 GMT
That's certainly strange. I find TePe very easily both in Greece and
the UK (perhaps because they are a european company). They are THE
interdental brushes as far as I'm concerned).

George
Stovepipe - 03 Oct 2005 05:51 GMT
> That's certainly strange. I find TePe very easily both in Greece and
> the UK (perhaps because they are a european company). They are THE
> interdental brushes as far as I'm concerned).
>
> George

Well... maybe I'll pick some up when I'm smuggling atomic mouse traps
into Britain.

Maybe they have a quota or the wood is considered endangered over here.
Who knows? You can get a good turtle stew and turtle steaks in the Caman
Islands, but practically no where else. On Grand Cayman they have turtle
farms: swimming pool sized nurseries where they are shifted from one to
the next as they grow. Eventually they are let go into the ocean. Maybe
the same thing is true about the trees they make those TePe's from.

Then again, maybe not....

Cheers George, have a good week

SP
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letsconnect - 03 Oct 2005 16:31 GMT
SP - just in case there's any confusion, the TePe brushes aren't
actually made of wood - see image here: http://tinyurl.com/cxn29

> > That's certainly strange. I find TePe very easily both in Greece and
> > the UK (perhaps because they are a european company). They are THE
[quoted text clipped - 17 lines]
>
> SP
Stovepipe - 03 Oct 2005 05:51 GMT
> > I'm looking for 'em since I read this. Thanks
> > SP
[quoted text clipped - 8 lines]
> tepe@tepeinc.com
> Fax: +1 (562) 981-7009

This is excellent! Thanks loads!

SP
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