EXPERT
Dr. Deedreea Rich, D.D.S.
Dentist
Dr. Deedreea Rich is a Dentist practicing in Newport Beach, CA. Dr. Rich specializes in preventing, diagnosing, and treating diseases and conditions associated with the mouth and overall dental health. Dentists are trained to carry out such treatment as professional cleaning, restorative, prosthodontic, and endodontic procedures, and performing examinations, among many others.
Dr. Deedreea Rich, D.D.S.
- Newport Beach, CA
- Accepting new patients
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How can I make my gums stronger naturally?
Hello!
I love your question. At 23, you have youth on your side for a great beginning to healthy, strong gums for your lifetime. I'm sure you do a good job brushing your teeth. READ MORE
Hello!
I love your question. At 23, you have youth on your side for a great beginning to healthy, strong gums for your lifetime. I'm sure you do a good job brushing your teeth. However, I find that most people have never been shown how to clean UNDER the gum line...where harmful plaque also resides. Overlooking this can begin a chronic, low grade inflammation that gradually breaks down the gum tissue fibers...and then the bone which holds your teeth. For example, picture how our fingernails lay over our nail beds - we need to clean under the nail, right? Your gum tissue is like that and also like a turtle neck collar around each tooth. A technique that I have found most effective for many of my patients involves angling the bristles of your brush at a 45-degree angle to the tooth to reach about 1mm under the gum. This helps to keep the gums tight, pink (not red), and strong. Also, cleaning between the teeth with floss beneath your gums is essential. Several liquid rinses that have genuinely helpful ingredients (w/none that are irritating or of little benefit like those at the stores) may be part of your
recommended protocol. Also, having a balanced bite is a big part of healthy gums, because the gums help protect the teeth. If your bite is not balanced (like the imbalance of 4 tires on a car cause the tires to wear faster and unevenly), then the teeth can begin to get crowded, chip, strain the gum & bone support in a continual and ever-increasing way.
Every mouth is different, as is your chemistry, pH, dental genetics, nutrition, etc. It would be good to see your dentist and ask for an evaluation of your occlusion (bite alignment) and ask your hygienist or dentist to show you how to clean under the 1 mm of gum tissue.
To Your Excellent Dental Health,
Dr. Rich
I love your question. At 23, you have youth on your side for a great beginning to healthy, strong gums for your lifetime. I'm sure you do a good job brushing your teeth. However, I find that most people have never been shown how to clean UNDER the gum line...where harmful plaque also resides. Overlooking this can begin a chronic, low grade inflammation that gradually breaks down the gum tissue fibers...and then the bone which holds your teeth. For example, picture how our fingernails lay over our nail beds - we need to clean under the nail, right? Your gum tissue is like that and also like a turtle neck collar around each tooth. A technique that I have found most effective for many of my patients involves angling the bristles of your brush at a 45-degree angle to the tooth to reach about 1mm under the gum. This helps to keep the gums tight, pink (not red), and strong. Also, cleaning between the teeth with floss beneath your gums is essential. Several liquid rinses that have genuinely helpful ingredients (w/none that are irritating or of little benefit like those at the stores) may be part of your
recommended protocol. Also, having a balanced bite is a big part of healthy gums, because the gums help protect the teeth. If your bite is not balanced (like the imbalance of 4 tires on a car cause the tires to wear faster and unevenly), then the teeth can begin to get crowded, chip, strain the gum & bone support in a continual and ever-increasing way.
Every mouth is different, as is your chemistry, pH, dental genetics, nutrition, etc. It would be good to see your dentist and ask for an evaluation of your occlusion (bite alignment) and ask your hygienist or dentist to show you how to clean under the 1 mm of gum tissue.
To Your Excellent Dental Health,
Dr. Rich
Can crowns cause gum disease?
Good question! If your tooth is broken down enough to require a crown, then a crown may be the most conservative treatment. First, the contours of a crown are very important. They READ MORE
Good question! If your tooth is broken down enough to require a crown, then a crown may be the most conservative treatment.
First, the contours of a crown are very important. They must be anatomically correct in that they mimic what nature has provided. That is, a crown that has slender contours with well fitting margins and snug contacts with adjacent teeth will contribute to good gum health. However, if a crown is bulky at the gumline, the gum tissue can become irritated and puffy. Analogy would be like a stretched rubber band will weaken & finally break. Second, if margins are not well sealed, then "leakage" in time occurs around the gumline, contributing to inflammation of the gum and eventually the bone, as well as re-decay of the tooth beneath the crown. Third, if the contacts between teeth are not snug, thereby, allowing food to trap between teeth regularly, we have another irritant to gum and bone fibers, even if you are a diligent flosser. Those factors plus plaque can cause gum disease. So design and structure are important, as well as, fourth, the balance of your bite. A faulty bite can exacerbate gum or bone breakdown.
Contrarily, if your crown has slender contours, well fitted margins, snug contacts between adjacent teeth, and properly balanced bite, good hygiene to effectively remove plaque daily, your crown and gum and bone support can remain healthy and free of disease. Pending your good home dental care and regular visits to the hygienist and annual Dr. exams your crown can last for many, many years with excellent gum and bone tissue health.
First, the contours of a crown are very important. They must be anatomically correct in that they mimic what nature has provided. That is, a crown that has slender contours with well fitting margins and snug contacts with adjacent teeth will contribute to good gum health. However, if a crown is bulky at the gumline, the gum tissue can become irritated and puffy. Analogy would be like a stretched rubber band will weaken & finally break. Second, if margins are not well sealed, then "leakage" in time occurs around the gumline, contributing to inflammation of the gum and eventually the bone, as well as re-decay of the tooth beneath the crown. Third, if the contacts between teeth are not snug, thereby, allowing food to trap between teeth regularly, we have another irritant to gum and bone fibers, even if you are a diligent flosser. Those factors plus plaque can cause gum disease. So design and structure are important, as well as, fourth, the balance of your bite. A faulty bite can exacerbate gum or bone breakdown.
Contrarily, if your crown has slender contours, well fitted margins, snug contacts between adjacent teeth, and properly balanced bite, good hygiene to effectively remove plaque daily, your crown and gum and bone support can remain healthy and free of disease. Pending your good home dental care and regular visits to the hygienist and annual Dr. exams your crown can last for many, many years with excellent gum and bone tissue health.
