Thursday, April 17, 2014

Q&A With Dr. Brian Nový

We caught up Dr. Brian Nový of the DentaQuest Institute to get the answers to some of our questions about how to determine and prevent risk.

1.    What do you think of the Justin Bieber toothbrush?
A.    “Is it ADA approved?  Then I like it.”  The ADA seal tells you the toothbrush is effective.
2.    Do you see any signs my mouth is acidic?
A.    Acidic mouths are more prone to certain diseases like caries.  Basic mouths are more prone to form tartar.
3.    Do you floss?
A.    Some people don’t need to floss.  This honest discussion improves rapport with the dentist.  They will tell you if you are one of the lucky ones to don’t need to floss… although those people aren’t as common as you’d hope.
4.    What toothpaste is best?
A.    Choose your toothpaste based on flavor.  If you like the flavor, you’re more likely to use it.  Also look for a toothpaste with the ADA Seal of Acceptance.  This means the toothpaste does what it says on the box.  If it doesn’t have the ADA seal, the claims on the box have not been evaluated by independent dental researchers who are on the ADA Council of Scientific Affairs. 
5.    Which toothbrush do you use?
A.    Many people think dentists would use an expensive electric brush, but you may be surprised to find that they use the same brush they give you after an appointment.  That’s not just a goody bag…. It contains products your oral health team thinks would benefit you best. Sometimes you get the same brush the dentist uses, other times they may recommend a specially shaped brush or even a power toothbrush.
6.    Tell me about the candy that doesn’t cause cavities.
A.     Candy containing xylitol actually fights cavities and changes the bacteria that grow in your mouth.  Now there’s a taffy for you to eat right after you brush that fights cavities.  
7.    Can I brush less?
A.     Brushing your teeth may seem tedious and inconvenient.  Your oral health team can help you find ways that make it easier for everyone.  They can tailor your oral hygiene routine to fit your unique needs. 
8.    Do I qualify for the no flossing policy?
A.     When patients bring up questions like flossing, it tells the oral health team, “This patient deserves special attention.” It may surprise you learn some recent research indicates that flossing isn’t for everyone.  This relates to the new trend in dentistry which is to practice evidence based dentistry.
9.    Why do I have cavities?
A.     Cavities are a disease that can be difficult to stop once it’s begun.  New therapies are being designed to stop the infection that causes tooth decay, and sometimes the dentist can remineralize the teeth rather than fill them. 
10. Can you put a protective coating on my teeth so I won’t get cavities?
A.     There are special varnishes that can be applied after a cleaning to help prevent cavities.  Varnishes with calcium, phosphate, protein, fluoride, and chlorhexidine allow your dentist to help your mouth remain healthy.  They can be reapplied more frequently if you need extra protection.