Fairfax Medical Center
10721 Main Street, Suite 2200
Fairfax, Virginia 22030
Phone:(703) 352-3900


Patient Education
Partners for Better Oral Hygiene
Prophylaxis Home Care

Who are the partners?
Dental health begins with good oral hygiene. This requires professional care and guidance provided by Dr. Ortega, combined with proper care at home by you.  That's the partnership.  When you follow a recommended home care routine and have regular professional care, you will be able to maintain healthier teeth and gums.

Why you need a prophylaxis (professional cleaning).
Professional cleaning removes plaque, calculus (tartar), and stain from the teeth.  The cleaning may be done by Dr. Ortega, a licensed professional who performs prophylaxis (professional cleaning) in the dental office and provides education in proper care of the teeth and gums.

What is plaque?
Plaque is a sticky film that constantly forms on all areas of your teeth.  It is composed of bacteria, by-products of bacteria, and your saliva.  Plaque bacteria use sugar and other carbohydrates to grow and to form acids which attack tooth enamel and can cause cavities.  Plaque that builds up along the gumline and between teeth in hard to reach places can be harmful.  The bacteria in plaque produce toxins that can irritate the gums causing them to turn red, swell and bleed­the signs typically associated with gingivitis. Recognizing gingivitis is important because it is reversible.  Unnoticed, ignored or simply not taken care of, gingivitis can sometimes progress to a more advanced stage of gum disease called periodontitis. It is easy to see why brushing and cleaning between teeth with floss or other interdental cleaners to remove plaque is essential to keep your teeth and gums healthy.

What is calculus (tartar)?
Minerals in saliva combine with plaque at the tooth surface and harden into a rough, unsightly deposit called calculus (tartar).  Calculus, which is mostly mineral, provides a rough surface that makes thorough plaque removal more difficult.  Your toothbrush and floss can't remove calculus once it has formed.  Calculus can only be removed during a regular dental prophylaxis.

What a prophylaxis (professional cleaning) does that you can't do for yourself?
A prophylaxis is a scaling and polishing procedure performed to remove normal plaque, calculus and stains.  While the main objective of the prophylaxis is to help prevent gum disease, it can also improve the appearance of your teeth by making them look clean and bright.  Scaling is performed using instruments to remove calculus from the teeth.  Polishing with a special paste by means of a motorized instrument removes remaining plaque and surface stains caused by various foods, beverages and tobacco.  Polished tooth surfaces make it more difficult for plaque and debris to accumulate.

How to get the most from your home care routine.
You can help improve your oral hygiene by making plaque and calculus (tartar) control part of your daily routine.
Proper brushing helps remove plaque from the outer, inner, and chewing surfaces of your teeth.  An accepted method for proper brushing is shown below.  Dr. Ortega may suggest another.
Flossing thoroughly helps remove plaque and debris from between the teeth, especially in hard-to-reach areas at and slightly under the gumline.  A suggested flossing technique is shown below.

Between office visits, use a fluoride toothpaste that reduces tartar formation and protects against cavities.

For Better Results, Brush and Floss Properly

Brush 1
Brush 2
Brush 3
Brush 4
Brush 5
Brush 6

How to brush

1. For thorough but gentle
    cleaning, use a soft
    toothbrush.

2. Hold your brush at a 45°
    angle.  Begin by brushing the
    outside of the front teeth.  Use
    gentle, half-tooth wide, back
    and forth strokes.

3. Next, brush the outside back
    teeth, starting along the
    gumline.

4. Inside back teeth.  Use short,
    angled brush strokes.

5. Inside front teeth.  Tilt the
    brush vertically, use an
    up-and-down motion.

6. Chewing surfaces.  Hold the
    brush flat. Use a gentle
    motion.

Floss 1
Floss 2
Floss 3
Floss 4

How to floss

1. Wind 18" of floss around your
    two middle fingers.

2. Gently guide the floss
    between teeth.

3. To remove plaque and debris,
    gently move the floss up and
    down against the tooth.*

4. As you move from tooth to
    tooth, use a fresh section of
    floss each time.

*  Or use another interdental cleaning device.


Dental Cosmetix
Cosmetic & Comprehensive Dentistry
10721 Main Street, Suite 2200
Fairfax, Virginia 22030
Phone: (703) 352-3900
DrOrtega@DentalCosmetix.com