Preventative Treatments

Brushing & Teeth Cleaning

Family & Specialist Dental Practice in Twickenham

Daily teeth cleaning and cleaning between your teeth is important because it removes plaque. If the plaque isn’t removed, it continues to build up, feeding on the food debris left behind and causing tooth decay and gum disease.

How can plaque cause decay?

When you eat food containing sugars and starches, the bacteria in plaque produce acids, which attack tooth enamel.  The stickiness of the plaque keeps these acids in contact with teeth.  After this happens many times, the tooth enamel can break down forming a hole or cavity.

How can plaque cause gum disease?

Plaque can harden into something called calculus another name for it is ‘tartar’.  As calculus forms near the gumline, the plaque underneath releases poisons causing the gums to become irritated and inflamed.  The gums begin to pull away from the teeth and the gaps become infected.

If gum disease is not treated promptly, the bone supporting the teeth is destroyed and healthy teeth may be lost.  Gum disease is the biggest cause of tooth loss in adults and can lead to dentures, bridges or implants. 

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Michaela Fullalove profile picture
Michaela Fullalove
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I cannot rate Lucia Palladino highly enough. I’ve had hygienist treatments with Lucia for the last 8 months or so and in that short period of time, the treatment has been so successful, I may be the first person ever to say I wanted to give my hygienist a hug!
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Carole Vine profile picture
Carole Vine
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Saw hygienist Namra, she was very thorough, yet patient with me as I am anxious. Very happy with treatment and care received.
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adey g profile picture
adey g
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I’ve been a patient here for many years and have complete trust in the team for their skills, range of services and attention to detail. I have moved a long way away from the surgery but have never considered changing dentists. Also a special mention to Molly on the reception desk. Molly is so friendly, attentive and always gives everyone a warm welcome. I have observed that she goes out of her way for everyone to make sure their needs and queries are met. In a wold where service is being more and more dehumanised, Molly does the exact opposite, and provides such a genuine, authentic human experience for everyone ..
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Caroline Miles profile picture
Caroline Miles
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I’ve just finished a course of dental treatment with Kirrit Johal and really pleased with the results. I’ve been with Claremont for over 20 years and have always found the front staff, nurses, and the dentists to be very friendly and professional. Highly recommended. 😊
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H B
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Very friendly and helpful staff
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Ben W profile picture
Ben W
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Love Claremont practice, the dentists and hygienists are all excellent. I broke my tooth just after Christmas and they were able to arrange an emergency appointment to fix it. The admin is well managed with regular appointment reminders. The best thing of all is that they take NHS appointments. 100% recommend.
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John Glover profile picture
John Glover
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Don’t normally do this sort of thing - let alone for a trip to the dentist - but wanted to sing the praises for my hygienist Lucia today. Great job - and without the usual discomfort. Won’t go as far as saying I look forward to my next visit - but I know it’ll be fine with this hygienist.
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Patrick Kidner profile picture
Patrick Kidner
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Very efficient treatment by Ayshath (Hygienist) followed by routine examination with Dr. Johal. Happy to escape so lightly!

How can I prevent gum disease?

It is important to remove plaque and food debris from around your teeth, as this will stop your gums from swelling and becoming infected.  If you leave plaque on your teeth it can develop into tartar, which can only be removed by the dentist or hygienist.  It is important to keep up your regular appointments so

that your teeth can have a thorough cleaning if they need it.

How do I know if I have gum disease?

Gum disease (gingivitis) will show itself as red, swollen gums that bleed when brushed or flossed.  Many people are alarmed when they notice this bleeding and will then brush more gently, if at all.  It is important that you continue to clean regularly and firmly in order to fight the condition.

Which type of toothbrush should I use?

Your dentist or dental hygienist will be able to recommend a toothbrush to you.  However, adults should choose a small to medium size brush with soft to medium multi-tufted, round-ended nylon bristles or ‘filaments’.  The head should be small enough to get into all parts of the mouth: especially the back of the mouth where cleaning can be difficult.  Children need to use smaller brushes but with the same type of filaments.

You can now get more specialised toothbrushes.  For instance, people with
sensitive teeth can now use softer bristled brushes.  There are also smaller headed toothbrushes for those people with crooked or irregular teeth.  Some people find it difficult to hold a toothbrush, for example because they have Parkinson’s disease or a physical disability.  There are now toothbrushes, which have large handles and angled heads to make them easier to use.

How often should I change my toothbrush?

Worn-out toothbrushes cannot clean your teeth properly and may damage your gums.  It is important to change your toothbrush every two to three months or sooner if the filaments become worn.  When filaments become splayed, they do not clean properly.

How should I brush?

Brushing removes plaque and food particles from the inner, outer and biting surfaces of your teeth.

Here is one method of removing plaque:

  • Place the head of your toothbrush against your teeth and angle against the gumline.  Move the brush in small circular movements, several times, on all the surfaces of each individual tooth.
  • Brush the outer surfaces of each tooth, upper and lower, keeping the bristles angled against the gumline.
  • Use the same method on the inside surfaces of all your teeth.
  • Brush the chewing surfaces of the teeth.
  • To clean the inside surfaces of the front teeth, tilt the brush vertically and make several small circular strokes with the toe (the front part) of the brush.
  • Brushing your tongue will help freshen your breath and will clean your mouth by removing bacteria.

How often should I brush my teeth?

Be sure to brush thoroughly with a fluoride toothpaste at least twice a day, more often if your dentist recommends it.  If you keep getting discomfort or bleeding after brushing go to see your dentist about it.

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