Phone: 910-778-8485 fax: 910-778-8477

2980 Ray Road Spring Lake NC 28390 Near Overhills Schools

Vincent Vissichelli, DMD

Board Certified Pediatric Dentist

Specializing in the treatment of infants, children, teens and special needs patients.

Patient Forms

Gingivitis and bleeding gums and inflamation – OH MY!

Gingivitis is inflammation of the gums that we often see as bleeding during brushing and
flossing.  It is the mildest form of periodontal disease that is reversible.

It is important to angle your toothbrush to remove the plaque close to and under the gums.  Once you remove the plaque consistently you can cure gingivitis.


What type of moutguard is right for you?

1.  Stock –  Least expensive – Readily available in most sporting goods stores – Often bulky and uncomfortable – May interfere with breathing and speech – Must be held in position by
clenching the teeth together – May not stay in place in mouth

2.  Boil and Bite – Slightly better fit – Readily available in most sporting goods stores – May not stay in place in mouth – May interfere with speech

3.  Custom-made – Best fitting – Most protective – Stays in place in mouth – More expensive – Requires visit to dental clinic – Vacuum formed using a cast of the mouth

Evolution of Mouth Protection in Sports

Year Event
1913 boxing 1st sport to introduce mouth protection
1960 Nat’l Fed State H.S. Assns mandates face guards for high school football
1962 Nat’l Alliance Football Rules Cmt mandates mouthguards for high school football
1974 Football Rules Cmt of NCAA mandates mouthguards for college football
1976 College hockey mandates mouthguard use
1983 Nat’l Academy for Sports Dentistry established
1990 NCAA mandates mouthguards be a visible color

4 reasons to wear a mouthguard when playing sports


1.   Reduce the chance of teeth being knocked out, chipped or fractured.
2.   Protect the lips, cheeks, and tongue from being cut or bruised by the teeth.
3.   Protect against jaw fractures by absorbing energy from traumatic blows to the chin,
preventing upward & backward movement of the lower jaw.

4.   May protect against brain concussions by cushioning shock from a blow to the jaw and preventing transmission of the shock through the TMJ to the skull


Play hard but play smart!
Protect yourself and your children with a mouthguard.

What are those inactive ingredients in toothpaste?

The inactive ingredients in toothpaste provide stability and esthetics. These ingredients include  binders, surfactants, buffering agents, humectants (glycerin and sorbitol), preservatives, sweeteners,flavorings, and dyes.

Humectants are added to retain moisture so that the toothpaste does not dry out.

Binders (Xanthan gum, carboxymethyl cellulose (CMC) carbomers, carrageenan,
and synthetic cellulose) provide texture and determine how thick the toothpaste is.

Buffers (Trisodium phosphate, sodium citrate and Pyrophosphates) work in the toothpaste to keep the pH constant.

Flavoring and sweeteners – peppermint, saccharin, and
xylitol – none of which promote dental decay.

Surfactants (Sodium lauryl sulfate, poloxamer) create the foaming commonly associated with toothpaste. They aid in the cleaning process by helping to loosen plaque and debris and provide stability for the flavoring system.

Color (titanium dioxide, dyes, pigment, mica)  for esthetics.


Toothpaste- stain control and whitening

Stains can be classified as surface stains or below the enamel surface.  Toothpaste primarily work against surface stains. Bleaching products that contain hydrogen peroxide (i.e., whitening strips) or carbamide peroxide (i.e., dental office bleaching trays) address both below the enamel surface stains and surface stain.

Most toothpastes contain mild abrasives that help clean stain particles from the tooth surface, controlling surface stains with home care. While toothpaste abrasives are desirable to keep stains off teeth, they are designed to not wear down the tooth enamel over time with repeated brushing.  The abrasives in toothpaste are silica, aluminum oxide, calcium carbonate, and dicalcium phosphate dihydrate.

Some of the chemical agents in toothpaste that remove the surface stain also help to control calculas – sodium pyrophosphate, sodium tripolyphosphate, and sodium hexametaphosphate.

What is calculus or tartar when it comes to teeth?

Calculus or tartar in tooth language is not a math class; it is calcified plaque: a hard yellowish deposit on the teeth, consisting of organic secretions and food particles deposited in various salts, such as calcium carbonate.

It first builds up behind the lower front teeth.

Once calculus forms it will not brush off and should be removed by your dentist or dental hygienist.

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