May
I had the pleasure of meeting this young lady earlier this week. She came in for a cavity which happens to be between her two molars. She was a little bummed out about her cavity. Her most recent x-ray showed many more small cavities we decided to watch because they are still in the enamel. This is how the conversation went,
I said: “I am going to take care of this cavity for you, but flossing will help you prevent or at least slow down all these small cavities” – assumed that she does not floss daily based on the x-rays in front of me.
“I do floss! I floss three times a day!” She protested.
“Really? Three times? When do you floss?” I can tell that she was telling the truth.
“When I get up in the morning before breakfast, after lunch, and after dance. I don’t know what else I can do?” she sounded defeated.
“When is your dance class? Before or after dinner?” I asked.
“Before dinner” she replied.
There lied the problem. She might have used the right tool, but she used it at the wrong time! Assume that she finished dinner at 8pm, food particles were left in her mouth, between her teeth overnight. Food were flossed out when she got up in the morning, then she had breakfast. Out of the 24 hours a day, she probably had only a maximum of 4-6 hours of “food free time”. As we all know, food particles – especially processed sugars, when left uncleaned in the mouth – will likely to cause a drop in the pH and cause cavities.
I actually told her to FLOSS LESS. Floss once a day, before going to bed, after brushing, and then rinse out. If she is really keen, floss the second time AFTER BREAKFAST. She will fare better than flossing 3 times a day at the wrong time.
Flossing more never hurts. Just in this case, flossing less at the right time is way better!
Alan Ko, DMD, studied Biology at Washington University in St. Louis (BA Magna Cum Laude), Dentistry at the University of Pennsylvania (DMD Magna Cum Laude, Dean’s Scholarship recipient, Louis I. Grossman Award in Endodontics, and Academy of General Dentistry Award Recipient), did his residency at Brigham and Women’s Hospital (BWH)/Harvard Medical School (General Practice Residency and Clinical Instructor Massachusetts General Hospital), was a guest lecturer at Harvard School of Dental Medicine, and Massachusetts General Hospital (General Practice Residency). Dr. Ko’s clinical focuses are craniofacial development in children, sleep/airway dentistry, TMD and occlusion, regenerative oral surgery, and reconstructive restorative/prosthetic dentistry, including Invisalign and dental implants. He is a member of the American Dental Association and Massachusetts Dental Society and has been named as Boston’s Top Dentists since 2012.
Brittany Bressler, DMD, attended the University of New Hampshire-Durham (magna cum laude, studying psychology and pre-dental studies). Then, she attended Tufts University School of Dental Medicine in Boston, MA (Doctorate in Dental Medicine). At Tufts, she was the Vice President of the local chapter of the American Association of Women Dentists. Dr. Bressler has been named one of Boston Magazine’s Top Dentists for the last four years.
Saeed Kashefi, DMD, FAGD, attended Harvard University (Bachelor of Liberal Arts in Literature and Creative Writing, cum laude), the Southern Illinois University School of Dental Medicine (doctorate, cum laude: He also won the JR Schmidt Fixed Prosthodontics Award), and the BWH/ Harvard-Wide General Practice Residency Program in Hospital Dentistry (residency and fellowship). He stayed on the BWH staff before taking over as clinician attending at the Massachusetts General Hospital, where he served for 16 years. Dr. Kashefi was also the Clinical Instructor at Harvard Medical School and Harvard School of Dental Medicine during this time. He is a Fellow of the American Association of Hospital Dentists and Academy of General Dentistry.
Cristina Hantavis MS, CCC-SLP, is a licensed and certified Speech and Language Pathologist with extensive training in orofacial myology. She believes that oral health is deeply connected to our general health and takes a holistic approach that targets the whole body by working with the muscles of the face and mouth. Cristina previously worked in private and elementary school settings with children experiencing moderate to severe cognitive, linguistic, and behavioral challenges. She uses this experience to help children facing such issues in her current role.
David Goodman, DMD (retired), joined our practice in 1984. Our office was founded in 1975 by Dr. Carl DiGregorio, and since partnering with him, Dr. Goodman has been devoted to delivering exceptional dental care to Milford families. Although he retired in 2021, our practice still carries his philosophy of treating patients as whole people beyond just their teeth.