Oral Hygiene

Oral Hygiene

While brushing the cheek side (buccal) surfaces of your teeth, position the brush at a 45-degree angle where your gums and teeth meet. Gently move the brush in a side to side motion followed by a sweep away from the gum to remove the plaque. Use light pressure, ideally holding your elbow up and parallel with the floor. Second, brush the tongue side (lingual) surfaces of the teeth by moving side to side and up and down where necessary such as the backs of the upper and lower front teeth, follow this with a sweep away from the gum to remove the plaque. Next, clean the biting (occlusal) surfaces of your teeth. To do this use short, gentle strokes. Change the position of the brush as often as necessary to reach and clean all surfaces. If you have any pain while brushing or have any questions about how to brush properly, please be sure to contact our office.

How to Floss

Periodontal (gum) disease usually appears between the teeth where your toothbrush cannot reach. Flossing is a very effective way to remove plaque from those surfaces. However, it is important to develop the proper technique. The following instructions will help you, but remember it takes time and practice and we recommend clinical instruction in our office.
Start with a piece of floss about 18″ long. Lightly wrap most of the floss around the middle finger of one hand. Wrap the rest of the floss around the middle finger of the other hand.

To clean between the upper teeth, hold the floss tightly between the thumb and forefinger (pointer finger) of each hand. Gently insert the floss tightly between the teeth. Do not force the floss or try to snap it in to place. Bring the floss just below the gum line then curve it into a C-shape against each tooth. Slide it into the space between the gum and the tooth until you feel light resistance. Remember there are two tooth surfaces that need to be cleaned in each interproximal space. Continue to floss each side of all the teeth. Be careful not to cut the gum tissue between the teeth. If the floss becomes worn or frayed, roll (wrap) the floss off the left hand finger and onto the right hand finger to get a fresh section.

How to Proxybrush

Use a proxybrush to clean between teeth. Use it by cleaning each individual tooth with an “in and out” motion while ensuring that the bristles are under the “gum” as you clean the teeth. Use the proxybrush from the tongue side (lingual) and the cheek side (buccal) of the teeth.

How to Use a WaterPik

Use a waterpik after all brushing techniques. Never use prior to any brushing, flossing or proxybrushing. This should be your final step prior to using flouride treatment.

Caring for Sensitive Teeth

Sometimes after dental treatment, teeth are sensitive to hot and cold. This should not last long, but will improve only if the mouth is kept clean. If the mouth is not kept clean the sensitivity will remain and could become more severe. Fluoride (Gel-kam and Prevident) can be applied to reduce sensitivity following periodontal treatment. These products can be prescribed by a dental professional.

Choosing Oral Hygiene Products

Your dentist, periodontist, or hygienist is the best person to help you select the appropriate productsto use to reduce the bacterial levels in your mouth.
We recommend ADA approved toothpastes such as Crest, Colgate, and Colgate fluoride (Gel-Kam &Prevident) www.colgate.com.
Fluoride toothpastes and mouth rinses, if used in conjunction with brushing and flossing, can reduce tooth decay as much as 40%. Remember, these products are not recommended for children under six years of age.


OraCare’s Active Ingredient, Activated Chlorine Dioxide, Kills Bacteria! Xylitol also aids in the control of bacterial growth.


Activated Chlorine Dioxide is able to kill bacteria through oxidation. Oxidation in very simple terms is the loss of an electron. This loss causes an interruption in several cellular processes, begins breaking down the molecular bonds, resulting in breaking up the cell entirely. Since Chlorine Dioxide is able to kill the bacteria as a whole, very quickly, it also allows for what many scientist’s refer to as a “clean kill,” meaning that there are no left over unwanted organic compounds. Since it is so quick acting against the enzymatic function of the bacterial cell it also does not allow the bacteria to mutate to a resistant form. This allows a patient to continue to use a product containing ClO2 for a long time, with superior results.

OraCare not only has Activated Chlorine Dioxide, it also contains Xylitol, which plays an important role in starving bacteria that causes both cavities and periodontal disease. Xylitol as a sugar alcohol works similarly in the metabolism cycle in both Streptococcus mutans (cavity causing bacteria) and Porphyromonasgingivalis(periodontal disease causing bacteria). It fills the slot that is normally taken up by their food source. By blocking this sector, the metabolism is blocked entirely, and the bacterium essentially starves to death. Xylitol also has the added benefit of promoting the production of collagen.

OraCare’s active ingredient, Chlorine Dioxide, was tested at the University of Iowa College of Dentistry on inhibition of bacterial growth. Active Chlorine Dioxide was found to not only inhibit the growth but killed the microbes of all bacterial species tested in the MIC in vitro assay: Lactobacillus acidophilus, Pseudomonas aeruginosa, Proteus mirabilis, Streptococcus mutans, Prevotella intermedia, Porphyromonasgingivalis, Treponema denticola, Tannerella forsythia, Treponema socranskii, and Aggregatibacteractinomycetemcomitans. In addition, Activated Chlorine Dioxide inhibited the growth of Candida albicans.

Activated Chlorine Dioxide was the first defense against Anthrax attacks.

When the news first broke in October 2001 about anthrax-contaminated letters intentionally sent through the U.S. mail, the attacks set in motion an extensive effort to destroy anthrax contamination. Despite years of experience neutralizing hazardous waste sites, cleanup operators and personnel had never encountered this type or scale of biological contamination in very public areas.

A clear solution was to use some sort of chemical agent to decontaminate the buildings that were affected. There was an obvious need for an agent that was strong enough to remove the anthrax spores and to be versatile enough to reach all spaces. Chlorine Dioxide was chosen because of it’s effectiveness against anthrax! While other chemicals were used in some different attacks, Activated Chlorine Dioxide was the primary weapon used against the anthrax spores.

In 2001, this was the first time that this type of remediation was used, and is not the guideline for any additional remediation with areas that may have been contaminated with anthrax . While no one chemical, or chemical family, will ever be the only alternative, the effectiveness of Activated Chlorine Dioxide has demonstrated that chlorinated disinfectants and antimicrobials provide a critical defense against biological attacks of this type.

Activated Chlorine Dioxide is the best system for preventing Legionnaires’ Disease.

In the dental community there are certain bacteria’s that cause serious problems, one of these is Legionnaires’ Disease bacteria (legionellosis). Many dental providers think that Legionnaires’ is rare, when in reality most cases simply go undetected. Most commonly people are exposed when they breathe in a mist or vapor, both of which are common occurrences in a dental practice. Legionella live in fresh water, but only in very rare cases does it cause illness, due to preventative measures taken by water treatment systems. However, this bacteria can easily grow in man-made water sources if water is not properly maintained (dental lines, hot tubs, large air conditioning systems). Certain patients are at a higher risk, just being over the age of 50 increases your chances significantly. Legionella is typically controlled with Activated Chlorine Dioxide and is universally accepted as a very effective way to prevent Legionnaires’ Disease. ClO2 is effective against many microorganisms and is able able to disinfect with a shorter contact time. Activated Chlorine Dioxide has been successfully used for years in Europe to control Legionella in institutional water systems.

OraCare’s Main Ingredient, Activated Chlorine Dioxide, Has Been Proven to Eliminate Fungi.

In general, a fungal cell is slightly more complicated than other cell types. This is because their systems that give them energy to live are located deep within the cell, making them more resistant to traditional disinfectants. Activated Chlorine Dioxide as a gas is able to penetrate deeper into the protective barrier surrounding these systems causing them to leak. This disruption in the protective layer makes the cell no longer be able to run the functions to keep them alive and they essentially die. ClO2 is an EPA registered biocide and has been used in different industries for the removal of fungi or mold.
Activated Chlorine Dioxide plays a vital role in eliminating Oral yeast Infections quickly!

Results after rinsing with OraCare

Activated Chlorine Dioxide has been frequently described as “the best fungal eliminator known to man.” Mold/fungi is recognized as a serious threat to buildings, and food but what about the mouth? Dental providers frequently see patients that have fungal infections (Thrush), especially in those who are immune compromised. A common area to see these infections is the buccal mucosa, and yeast can also be found in dental plaque. Activated Chlorine Dioxide has been used throughout time to eliminate fungi in other areas and we are now utilizing this product in the mouth.

A little more background…
Many industries use Activated Chlorine Dioxide to eliminate fungi. In fact, Activated Chlorine Dioxide was used to clean up mold after Hurricane Katrina.
In 2005, Activated Chlorine Dioxide was used to eradicate mold and mildew from homes flooded by Hurricane Katrina in New Orleans, Louisiana. Activated Chlorine Dioxide is a powerful antimicrobial compound effective against a broad range of both gram-positive and gram-negative organisms as well as yeasts and molds, and is an effective disinfectant even at low concentrations.

Activated Chlorine Dioxide has the GREAT ability to Break Up Biofilm.

Biofilm also known as dental plaque is a colony of bacteria that forms the “fuzzy’ feeling on your teeth throughout the day. This aggregate of microorganisms happens on a daily basis, and if it goes undisturbed, it can mature into the harder to remove calculus or tartar. Leaving biofilm on the teeth has been linked to both caries (cavities) and periodontal disease (gum diseases).

How does Activated Chlorine Dioxide break up Biofilm?

Chlorine Dioxide, OraCare’s active ingredient, remains gaseous in a solution. The Activated Chlorine Dioxide molecule is powerful and has the ability to go through the entire system. Activated Chlorine Dioxide can penetrate the slime layers of bacteria because it easily dissolves, even in hydrocarbons and emulsions. Activated Chlorine Dioxide oxidizes the polysaccharide matrix that keeps the Biofilm together. During this reaction Activated Chlorine Dioxide is reduced to chlorite ions. These ions are divided up into pieces of Biofilm that remain steady. When the Biofilm starts to grow again, an acid environment is formed and the chlorite ions are transformed into Chlorine Dioxide. This Chlorine Dioxide removes the remaining Biofilm.

OraCare’s Active Ingredient Activated Chlorine Dioxide Neutralizes Volatile Sulfur Compounds (VSC).

Why are Volatile Sulfur Compounds important?

Bacteria just like every other living organism must consume food, and therefore must also excrete waste. The waste that follows is usually the main cause of an individual’s bad breath problem, this waste is referred to as Volatile Sulfur Compounds. Although bacteria is well known to cause periodontal disease and peri-implantitis, the volatile sulfur compounds produced (VSCs), in the oral cavity are responsible for oral malodor and can have toxic effects on host tissue.
Another challenging part of getting rid of bad breath is the location of the highest volume of these bacteria and subsequent VSC’s. They are typically located on the back of the tongue, but can also be present in periodontal pockets, and in between teeth. For patients and providers alike, they can be quite difficult to even access to begin to remove. Activated Chlorine Dioxide utilizes a gas in the mouth, so it is able to penetrate all the nooks and crannies where the bacteria and VSC’s like to harbor.

You can’t eliminate bad breath unless you remove VCS’s.

Most bad breath comes from the bacteria in our oral cavity. It is the perfect incubator for bacteria. However, just killing bacteria does not eliminate bad breath. To truly eliminate bad breath you must kill bacteria plus the toxins that bacteria generate called Volatile Sulfur Compounds (VSC). The rotten egg smell (hydrogen sulfide) and the barnyard smell (methyl mercaptan) are caused by VSC’s. Most bad breath solutions deal only with the bacteria and do nothing to reduce VSC’s.



OraCare is one of the very few products that reduces both bacteria and bacterial toxins (VSC) that cause 98% of bad breath.

According to University Studies, Chlorine Dioxide, OraCare’s active ingredient, is the best product available for eliminating Volatile Sulfur Compounds (VSC).

OraCare beats all competitors in eliminating VSC’s in University of Iowa Study

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