Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S

Brushing the tooth is a component and parcel of our each day routine. It isn’t solely important to brush, but additionally to brush methodically and observe the etiquettes of brushing the tooth and rinsing of mouth in order to keep up optimum oral, dental and gum well being. It’s also important to forestall gum and tooth problems in the long term. So, it must be a holistic and complete observe fairly than a formality finished unconsciously or in a semi-awaken state.

Within the timeline of evolution, the strategies and supplies have modified, however the observe of brushing is handed on.

Ayurveda has not solely defined ‘danta dhavana’ vis-à-vis ‘brushing of tooth’ however has additionally personalized the toothbrushes in response to one’s prakriti and want. The reason has a contact of each ‘preventive’ and ‘healing’ perspective and is a science by itself.

Have you ever brushed or cleansed in between your tooth?

All of us brush. We might also assume that we have now brushed correctly. However we’re not positive how far and the way higher we have now reached these small areas between the tooth and removed the meals particles or dust sitting therein. Cleansing in between the tooth could be very a lot important for optimum and complete oral well being.

Flossing is a technique of cleansing ‘in between the tooth’ utilizing instruments referred to as ‘dental floss’.

What’s dental floss?

Dental floss is a wire of skinny filaments. It’s utilized in ‘interdental cleansing’ i.e. to scrub in between the tooth. It removes meals and dental plaque current in between the tooth. Floss reaches all these locations the place a toothbrush can’t attain. It’s a necessary a part of oral cleaning and helps in sustaining oral well being.

Its use is alleged to forestall gingivitis and plaque buildup in and in between the tooth. In response to the American Dental Affiliation, flossing removes about 80% plaques and in addition advantages these with orthodontic units. Nonetheless, there may be restricted scientific proof to indicate the scientific advantages of flossing as an adjunct to common tooth brushing.

What number of instances ought to one floss?

It’s endorsed to be finished a minimum of as soon as each day. It may be finished both earlier than or after brushing. Flossing will assist the toothpaste to achieve in between the tooth.

What does flossing do?

Flossing cleans the areas in between the tooth, removes the meals particles caught therein. This in flip reduces the variety of micro organism and plaque within the mouth. If the meals particles will not be dislodged by common flossing, it might entice micro organism and therefore an infection. Plaques then again, if not eliminated once in a while, contribute to cavities and gum ailments.

Improper flossing could cause potential injury to the tooth and gums. So, understanding the right method of flossing is essential.

Steps for correct flossing

Dental floss shall be damaged off to about 18-24 inches size.

Wind the floss correctly round each your center fingers. Many of the floss ought to be wound leaving solely 1-2 inches of floss for cleansing the areas between the tooth.

Now, place the floss in between two tooth by holding it taut together with your index fingers and thumbs.

Gently glide the floss up and down in between the tooth, rubbing it in opposition to either side of every tooth.

See that the floss doesn’t contact the gums whereas flossing. This may trigger scratches or bruising of gums.

Instantly when the floss reaches the gums, curve it on the base of the tooth in order to type a ‘C’ form. With this, you’ll take the floss into the house between your gums and tooth.

The identical steps shall be repeated as you progress from tooth to tooth. Be sure that to make use of a brand new, clear part of floss with every tooth.

How a lot time is required to floss the tooth?

One ought to take about 10-Quarter-hour roughly to floss the tooth.

Flossing with Braces

Flossing with braces on shall take extra time than flossing with out them.

Waxed floss shall be chosen for this methodology of flossing. There can be much less possibilities that these flosses get torn and caught within the braces.

Waterpik or a floss threader are options for waxed floss in these having braces.

These carrying braces must do the beneath stated (as beneficial by American Affiliation of Orthodontists and Mayo Clinic) –

–         Steer clear of sugar wealthy and starchy meals and drinks since these meals are accountable for formation of plaques
–         Brush tooth after each meal
–         Rinse the mouth totally
–         Use fluoride rinse
–         Floss often

Preferrred instruments for flossing with braces are floss threader, waxed floss, water flosser, these carrying braces and interdental flossing brushes.

Varieties of Dental Floss

There are various sorts of dental floss. The kind of floss one makes use of will depend on one’s preferences, house in between the tooth and if one is utilizing braces or bridges. Some floss can be utilized simply in wider areas between the tooth. The opposite kinds of floss are simpler for use when there are tighter areas in between the tooth.

Under talked about are the various kinds of dental floss –

1.    Dental tape – is broader, will be useful in these having braces, gaps or massive areas in between the tooth
2.    Normal floss – is a skinny, nylon strand, utilized in tooth that are crowded or nearer collectively
3.    Tremendous flosses – is a floss threader which might work with braces, bridges and gaps.

–         Electrical flosser or water flosser – this makes use of water and stress to take away plaque and meals from in between the tooth. Water flossers will also be utilized in these having braces.
–         Disposable floss picks – can be utilized to floss the tooth behind the mouth that are tough to achieve

What can occur if one doesn’t floss?

–         Plaques together with micro organism in it will not be eliminated. On this case, these micro organism begin feeding on the sugar and particles of meals which stay in between the tooth after consuming.
–         These micro organism which feed on the meals, launch an acid.
–         This acid eats away the enamel and causes cavities.
–         The unremoved plaque can get hardened into calculus / tartar. This tartar collects on the gumline, finally giving rise to gingivitis and gum illness.

When ought to one floss?

One can floss at no matter time is snug for them to take action. Some folks could desire flossing within the morning and others do it at bedtime. In each circumstances it’s to keep up oral hygiene.

Brush first or floss first?

It may be finished both method and it’s good so long as one makes positive to scrub all tooth totally and observe oral hygiene in a great way, every day. However in response to a examine in 2018, it’s higher to floss the tooth first after which brush the tooth than doing the opposite method round i.e. brushing first after which flossing the tooth.

It is because floss lifts the meals particles and plaques caught in between the tooth whereas brushing which is finished after flossing would take away these particles from the mouth. The meals particles and plaque stay within the mouth if one brushes first and floss afterwards. Then again, brushing a second would improve fluoride focus in between the tooth. This would scale back the chance of tooth decay by strengthening the enamel.

In response to the American Dental Affiliation, one ought to floss a minimum of as soon as in a day and brush a minimum of twice a day.

Limitation for flossing

Flossing ought to be finished inside limitations. One mustn’t floss an excessive amount of. Making use of an excessive amount of stress whereas flossing or flossing vigorously can injury the gums and tooth. Flossing must be finished greater than as soon as in a day, particularly after meals.

Instruments wanted for interdental cleansing (options to flossing)

–         Waxed / unwaxed dental floss
–         Pre-threaded flossers
–         Water flossers
–         Wood or plastic picks
–         Powdered air flossers
–         Dental tape
–         Tiny flossing brushes or proxy brushes

Any of those could also be used however not with out the opinion of the dentist. It may be personalized as per your like and which you need to use often.

Examine – Flossing is related to improved oral well being in older adults

Learn – Efficacy of Flossing and Mouth-rinsing Regimens on Plaque and Gingivitis: A randomized scientific trial

Learn – New examine suggests the perfect sequence for eradicating plaque – Flossing earlier than brushing could scale back dental plaque and assist maximize the advantages of cavity preventing fluoride

Flossing Ayurveda Understanding

There are various issues which concentrate on the ‘oral well being and hygiene’ which have been defined within the context of ‘dinacharya – each day routine’ however there is no such thing as a routine which immediately factors out in the direction of the reason of flossing in Ayurveda.

However after we deeply see in between the traces, the beneath talked about actions of each day routine explains flossing –

–         Danta Dhawana – brushing of tooth – Ayurveda has beneficial amassing the twigs of the crops / bushes like Nimba – Azadirachta indica (Neem) and so on. and chewing them. We have to bear in mind that there have been no brushes within the olden days. Once you chew a twig, the fibres get separated and assume the type of a brush, forming the bristles. These fibres serve the aim of the floss since they enter in between the tooth and cleanse therein. So, Danta Dhawana is ‘two in a single’ – brushing together with flossing strategies.

–         Kavala – mouthwash – serves the aim of waterpik or water flossers

Together with achamana – water sipping, jihwa hirlekhana – tongue cleansing / scraping and gandusha – mouth / throat gargle and pratisarana – software of medicinal pastes within the oral cavity – danta dhawana and kavala contribute in the direction of complete oral well being care protocol as an element and parcel of each day routine.