In light of the social distancing measures and the need to conserve medical supplies amid the COVID-19 pandemic, the American Dental Association has recommended that dentists temporarily focus on treating only those dental emergencies that pose a significant risk to life or cause severe pain. This directive implies that routine and cosmetic dental procedures are currently suspended. Consequently, individuals are encouraged to enhance their at-home oral care routines to maintain dental health until regular dental services resume. We sought advice from dental professionals to outline practical steps you can take to safeguard your smile during this period.
Elevate Your Brushing Habits
While you may already be accustomed to brushing your teeth with fluoride toothpaste twice daily, the absence of regular professional dental cleanings means you should now pay closer attention to both the quality and duration of your brushing sessions, aiming for at least two minutes each time. Furthermore, it's important to consider that, although no direct link between dental health and the pandemic has been scientifically established, Dr. Victoria Veytsman, a cosmetic dentist based in New York City, points out, “The COVID-19 virus is present in saliva, and the mouth and nose serve as primary entry points to the lungs. Therefore, if your oral hygiene has been subpar, now is the ideal time to make improvements.” She also highlights that maintaining good oral care is particularly vital at night, when bacteria can accumulate over extended periods. Dr. Veytsman recommends disinfecting your toothbrush with peroxide before and after each use, and, of course, avoiding sharing it with others in your household.
Additional brushing tips include considering a switch to an electric toothbrush, as suggested by Dr. Arielle Scherz, a dentist in Atlanta. Electric toothbrushes often provide more thorough cleaning and come with built-in timers that encourage longer brushing sessions. For those prone to cavities, Dr. Matt Nejad, a cosmetic dentist in Beverly Hills, California, advises consulting with your dental provider to determine if prescription-strength fluoride toothpaste could help maintain the integrity of your enamel.
Effectively Clean Interdental Spaces
Recent debates have questioned the efficacy of flossing in preventing cavities and gingivitis, but dental professionals agree that now is not the time to neglect this practice. Ensure you floss correctly by holding the floss taut, sliding it along the sides of each tooth, and gently guiding it all the way down to your gums. An even more effective alternative is to use a water flosser, such as the Waterpik. Dr. Nejad notes, “Several studies have shown that the combination of water flossing and brushing is more effective than brushing and flossing alone.” However, if you don't have access to a water flosser, regular flossing is still beneficial. “Both methods, when performed consistently and correctly, can significantly reduce the risk of cavities,” he emphasizes.
Exercise Caution with Mouthwash
Mouthwash is another crucial component of oral hygiene, according to the dentists we consulted. While alcohol-based mouthwashes are effective, a study by BiodMed Research International suggests that alcohol-free options may be gentler on dental restorations. Dr. Nejad recommends a peroxide-based mouthwash for its mild whitening properties. Colgate Peroxyl meets these criteria.
Related: Understanding Dental Anxiety and How to Overcome It
Temporarily Ignore Minor Tooth Chips
“While a chipped tooth can be distressing, it generally does not qualify as a dental emergency,” explains Dr. Scherz. If you notice a small chip, you can likely wait until dental services resume to address it. However, if you experience pain, contact your dentist, who may be able to address any nerve-related issues. Otherwise, simply keep the affected area clean, advises Dr. Jennifer Jablow, a dentist in New York City. She also warns, “Never attempt to reattach a chipped piece with Krazy Glue—it is toxic.”
Chew with Care
Dentists recommend avoiding hard and chewy foods, such as ice, peanut brittle, and Starbursts, to protect your teeth and dental work. If you find yourself habitually chewing on pen caps or your nails, make a conscious effort to stop, as this habit is akin to touching your face, which is discouraged in the fight against COVID-19. Breaking this habit can be challenging, but Dr. Nejad offers two strategies: “You can apply a bitter varnish, like Stop the Bite, to the pen cap or your nails, or find an alternative to chew on, such as sugar-free gum.”
This advice is particularly important for individuals with crowns, bridges, implants, and other dental work. Now is the time to handle your dental investments with extra care. If any part becomes dislodged, contact your dentist to determine if an emergency visit is necessary.
Make Use of Your Night Guard
“Given the current global stress levels, those who tend to grind their teeth are more likely to do so,” observes Dr. Brian Harris, a cosmetic dentist in Phoenix. If you have a night guard, use it. If not, some dentists believe that over-the-counter night guard kits can be a temporary solution, while others, like Dr. Nejad, caution that these generic guards may not fit properly and could cause more harm than good. Instead, he suggests, “If you have a retainer, bleaching tray, or Invisalign, you could wear that.”
Be Wary of Stain Removal
The extra time at home might tempt you to try a new whitening kit, but Dr. Rick Mars, a dentist in Miami, advises against it. “If complications arise from these DIY treatments, you may struggle to find a dentist who can address the issues,” he warns. Instead, focus on preventing new stains by brushing with a gentle whitening toothpaste after consuming staining foods like soy sauce or red wine. Dr. Harris recommends using a toothpaste that is mild enough to avoid enamel wear or sensitivity, avoiding overly strong whitening formulas.
Maintain Your Aligners
For those undergoing aligner treatment, continue wearing your aligners as instructed by Dr. Mars. Contact your dentist for guidance on how to proceed with your treatment schedule. If you are due for a new set of aligners, check with your dentist about the possibility of having them mailed to you or discuss the best course of action. “The key is to keep wearing your aligners,” he emphasizes.
