I Brush My Teeth But Still Get Cavities – Why?

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Saying that you have good oral hygiene habits doesn’t necessarily mean the same thing to a dentist. Make sure that your “good” oral hygiene routine also meets your dentist’s standards.

Why Do I Have Cavities

It’s not uncommon for a patient to be shocked when their dentist tells them they have a cavity. It’s frustrating because not only do they rarely get cavities, but they brush and floss regularly. So how is it possible to get a cavity when you have good oral hygiene habits?

If you find yourself in this situation, we understand how frustrated you feel. At The Dental Anesthesia Center, we value our patient relationships, making it our priority to deliver the gentle dental care that you deserve from sedation dentists in St. Louis.

I cannot say enough wonderful things about The Dental Anesthesia Center and Dr. Thoms. My 7-year-old, who has autism, recently had dental work done here and the experience exceeded expectations. The staff was incredibly kind, patient, and understanding of his needs. They took the time to make him and us feel comfortable, never rushed, and explained everything. I am so grateful for this office and the team that made my son's dental care possible. I would recommend The Dental Anesthesia Center and Dr Thoms to any parent, especially those with children who have special needs. They truly go above and beyond. ❤️
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Very patient with elderly patients. Very good experience.
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My son has been a patient of Dr Michael Hoffman since he was 5 years old. He is now 21 years old. My son has diagnosis of autism spectrum disorder and therefore I am cautious of who I select as a treatment provider. Dr. Hoffman’s office is professional, kind and I know they have his best interest at heart. I highly recommend Dr. Hoffman and staff to anyone seeking dental care.
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Super experience. Gentle and empathetic. All round care is great. Staff are wonderful.
Response from the owner:Thank you for your kind review! We’re so glad you had a great experience with our team.
We are forever grateful for Dr Hoffman and his wonderful staff for having the vision of how to get necessary dental work done for patients who are dealing with autism and cannot tolerate it without dental anesthesia. We have been taking our adult daughter there once a year for the last four years. Thanks to Dr Hoffman’s vast knowledge and expertise, our daughter has been able to get wisdom teeth removed, cavities filled, teeth cleaned and detailed X-rays to know exactly what needed done. The Dental Anesthesia Center is a great service to the community. Thank you so much for helping us.
Response from the owner:hank you so much for your thoughtful review and kind words about our team! We truly appreciate your trust in us and are honored to provide care in a way that helps make dental treatment more comfortable and accessible for all patients. Your feedback means a great deal to our entire staff.

What is Good Oral Hygiene?

Saying that you have good oral hygiene habits don’t necessarily mean the same thing to a dentist. You may brush your teeth twice a day and assume that is good oral health. While brushing your teeth is obviously necessary, there is definitely more to it.

Good oral hygiene includes these five essential habits:

  • Brush teeth at least twice a day
  • Floss at least once a day
  • Avoid sugary drinks and snacks
  • Drink plenty of water with meals
  • Get dental checkups twice a year

In addition to the basics, there are several other things you should do or avoid to prevent cavities. For instance, how regularly do you go to the dentist for checkups and teeth cleanings? Less than once or twice a year? How about your drinking habits? Some eating and drinking habits can have an immediate effect on our teeth. Do you sip on soda all day long at work? If so, bacteria is growing and causing damage; therefore, brushing twice a day is likely not enough.

How Do Cavities Form?

Our teeth are made up of minerals. When we eat or drink sugary or starchy foods, bacteria in the plaque on our teeth begin producing acid. This acid eats away at the enamel. When the pH in our mouths becomes more acidic, our teeth start losing the natural minerals on our teeth.

When these acids erode the enamel, a cavity, or hole, begins to form. Tooth decay can affect all layers of a tooth. It can take years for a cavity to develop in the solid outer layer of the enamel. However, a cavity forms more quickly as the middle and innermost layers of tooth decay. It can eventually erode to the root, which can cause severe pain and sensitivity.

How to Prevent Cavities

We’re glad you brush your teeth twice a day – that’s a good habit. However, if you’re lacking in some of these other areas, you may be told you have a cavity at your next dental visit. Make sure that your “good” oral hygiene routine also meets your dentist’s standards. Regular brushing, especially after meals, and flossing once a day, are the best combination. Further, avoid sugary and starchy foods that linger on your teeth and cause bacteria to multiply. Finally, get to the dentist at least twice a year for a routine checkup and cleaning.

If you continue to have issues with your teeth, you might have an underlying condition that needs to be identified and addressed. Be sure to discuss this with your dentist at your next visit!

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The first two board-certified Dentist Anesthesiologists in the state of Missouri.

Updated: August 15, 2024

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