Periodontal Disease

Periodontal disease is an infectious process classified according to how much damage has been done to the structures surrounding the teeth, namely the gingiva (gums) and bone. It is an infection in your mouth. It can happen anytime, around your teeth, affecting some or many of your teeth to varying degrees. There are genetic predisposing factors to periodontal disease, and our immune systems play a role in gum health, but it is usually related to how well you are able to keep your teeth clean through proper oral self-care. The better you clean your teeth to remove all the plaque bacteria, the less likely you will be to develop periodontal disease.

Progress of the Disease

The bacteria that cause this disease first cause the gum tissue to become inflamed and pull away from the teeth. As the problem becomes more serious, the bone that supports the teeth also becomes infected and begins to break down and dissolve. The teeth then become loose. Once the bone disappears, it is extremely hard, if not impossible, for new bone to be rebuilt. The damage is permanent and your teeth, the surrounding bone, and your general health will be compromised.

Periodontal disease is classified into several types. The mildest form of this infection will show up in red and swollen gum tissue that bleeds easily. There is seldom any pain involved at this stage. You may also notice that your breath becomes offensive and you feel the need to use mouthwash. Our sense of smell does become immune to the same odor, so we can lose our ability to detect our own offensive, diseased breath. As the disease progresses, the gum tissue becomes more red and swollen, more bleeding can be seen, and the teeth begin to become loose. This tooth mobility is a sign that there is a severe problem. There may still be no pain at this advanced stage. As more and more bone is lost and more teeth become involved in the infection, it becomes harder to treat. At this point, many times, the management of your problem will involve periodontal surgical procedures. If this is the case, you may be referred to a periodontist (gum specialist) for further treatment. Most of the time, periodontal disease starts and continues because of neglect. Brushing and flossing of teeth are not being done effectively on a daily basis. You may have been neglectful in getting your teeth checked and cleaned within the time frame intervals you need. Once we have diagnosed the disease, we will inform you of the problem and suggest treatment. If treatment is not completed, however, the disease will continue to progress. Unfortunately, the disease is quite invisible to most people until severe and possible irreversible damage has occurred.

Solution

If it has been diagnosed in the early stages and has not progressed to bone loss, a proper cleaning (prophylaxis) will solve the problem. Scaling and root planing over multiple appointments may be needed for more advanced cases. In the most advanced cases, periodontal surgery and tooth loss are inevitable. You will receive an estimate of fees for the recommended treatment.

Periodontal disease is a condition that must be treated quickly. We believe that if the infection is aggressively treated in its early stages, conservative periodontal treatment may be possible and effective. Although we do not automatically rule out periodontal surgical intervention, we hope you can either avoid it or reduce the amount you will need.

Successful treatment of your periodontal problem will depend on several factors. But the most important of these is your ability to perform excellent oral self-care—brushing, flossing, and the use of periodontal aids—on a routine, daily basis. Without this, periodontal treatment will fail, and the disease will return. 

10 Holiday Foods and Drinks Dentists Won't Touch

 

The holiday season, which unofficially starts with Halloween and ends on New Year’s Day, is the time when everyone likes to cut loose, put inhibitions aside, and eat and drink, well, whatever looks good. The reckless consumption of cakes, candies, pies, beverages (alcoholic and otherwise), meats, and sides carries with it a number of potential health risks — and some of these are dental, because many of these sweet and savory delights can do some serious damage to our teeth. The mixture of sticky candies, sugary sweets, and acidic alcohols and sodas is something out of a dentist’s nightmare. By knowing which foods to eat in moderation, which to chew carefully, and which to simply stay away from, you can avoid that emergency crown replacement and protect yourself from cavities.

The Daily Meal asked nine dentists and dental professionals to give us their lists of holiday foods and beverages they won’t touch. Our experts include: Fountain of Youth Dental in San Antonio led by Chris Cappetta, D.D.S.; Bill Crutchfield, D.D.S. from OBC in Chantilly, Virginia Ira Handschuh, D.D.S. from The Dental Design Center in White Plains, New York; Brandi Dupont, D.M.D., chief dental officer at Community Health Alliance in Reno, Nevada; Victoria Veytsman, D.D.S. in New York City; Hugh Flax D.D.S. in Atlanta; Samantha Sacchetti, D.M.D. in Chicago; Kami Hoss, D.D.S. in Chula Vista, California; Melissa Thompson, D.D.S. in Woburn, Massachusetts; and Harold Katz, D.D.S, founder of The California Breath Clinics and developer of the TheraBreath line of premium oral care products.

There was a general consensus among all of these dental professionals that sugar, acids, alcohol, and sticky foods can do the most damage to your teeth and gums. Acidic foods like citrus, sour candies, or tea can wear away tooth enamel and lead to greater tooth sensitivity and a higher risk of fracture; beverages like eggnog contain the “triple threat” of sugar, alcohol, and dairy. Also worth noting is that some foods affect certain age groups differently. Adults need to worry about fracturing a crown or a bridge, but they are less likely to suffer from tooth decay than someone under the age of 18.

Here are the holiday foods and drinks dentists won’t touch. 

Bourbon and Other Spirits

Bourbon might be a tasty addition to eggnog, but it can wreak havoc on your mouth. Dr. Harold Katz says alcohol such as bourbon “makes the mouth very dry, which then creates an environment prime for gum disease, tooth decay, and bad breath.”

Candy Canes

These iconic holiday treats are better left as a Christmas tree decoration. Candy canes and other hard candies are notoriously bad for teeth because they are packed with sugar and can also cause chipped or broken teeth, Dr. Bill Crutchfield warns.

Citrus Fruits

Citrus fruits are associated with numerous health benefits, but, sadly, many of those don’t apply to dental health. “Acidic foods such as limes, oranges and other citruses can erode enamel over time, causing sensitive and weak teeth,” Dr. Kami Hoss notes.

Coffee

“High caffeine drinks cause reduced salivary flow. Saliva assists in removing food particles and unwanted sugars from the mouth. If salivary flow decreases, then sugar and food remain on the teeth and gums leading to an increased risk of problems,” notes Dr. Ira Handschuh says.

Corn on the Cob

Corn is nutritious, but eating it off the cob can be tricky. “This is a difficult food to eat because biting into it can cause you to crack a filling or loosen sealant you may have in your mouth. Not to mention it's terrible to get out of braces or retainers, and can damage orthodontic wires. A better way to eat corn is off the cob, since you'll have a better chance of avoiding gum disease,” Fountain of Youth Dental points out.

Dots and Jujubes

“These are great for decorating gingerbread houses, awful for your teeth,” Dr. Samantha Sacchetti explains. “Similar to the hard, sticky candy that you have option to suck on, you have really no option but to chew them. The excessive chewing it takes for these things (longer if they're from a stale gingerbread house) also can lead to some temporomandibular joint (TMJ) pain. For a candy that doesn't even taste that good, it's just not worth it to me.”

Dried fruit

Dried fruit is a plentiful source of fiber and nutrients, but these common holiday munchies might increase your risk of getting a cavity. “Although dried fruit may be a better option to snack on than a cookie, dried fruit is still full of sugar that will get in your teeth and cause decay,” notes Fountain of Youth Dental.

EggNog

Eggnog is one of the worst holiday beverages for your dental health because it contains sugar, alcohol (sometimes), and dairy. “Dairy proteins are easily converted to odorous sulfur compounds by oral bacteria. Sugar feeds the bacteria and alcohol creates a dry mouth, which is an ideal environment for the bugs to multiply. Eggnog is terrible,” Katz says.

Fruitcake

If you’re looking for an excuse to avoid eating fruitcake this Christmas, here it is. The sticky and sweet nature of fruitcakes “can cause tooth decay and if you have weak teeth or crowns these foods can actually cause them to dislodge,” Dr. Hugh Flax warns.

Hot Chocolate

There’s nothing more appropriate for a cold winter morning than a steaming cup of hot cocoa with a plump marshmallow floating right in the middle. Unfortunately, “hot cocoa’s high sugar content can lead to tooth decay, and the high dairy content may lead to bad breath,” Katz notes.

By: Michael Serrur, The Daily Meal
http://www.foxnews.com/health/2016/11/10/10-holiday-foods-and-drinks-dentists-wont-touch.html

If you have questions or would like to schedule an appointment, please contact Omni Dental Group at one of our three office locations listed below:

North Austin on Hymeadow Drive: (512) 250-5012
Central Austin on Jollyville Road: (512) 346-8424
South Austin on William Cannon: (512) 445-5811

12 Things Your Dentist Knows About You Just By Looking In Your Mouth

While cavities and plaque build-up may be what's on your mind before a teeth cleaning, your dentist is looking for a whole lot more. "The mouth is the window to the body," says David Silverstrom, DDS, of The Silverstone Group in Livingston, NJ. "Often, diseases like cancer, anemia and diabetes will first be identified by the dentist in a regular examination, and this saves lives." And it's not just diseases- dentist can discover everything from your bad habits to your favorite beverages simply by asking you to say, "Ahh!"


1. You flossed right before your appointment—and that's the only time.
Sorry, but you can't fool your dentist into thinking you floss daily by doing so the night before or morning of your visit. "The gums of people who only floss right before a visit are bleeding or look damaged," says Timothy Stirneman, DDS, of All Smiles Dental in Algonquin, IL, "whereas, healthy gums are nice and tight and pink," he says. Kenneth Wong, DDS, of Santa Monica adds, "When patients floss right before coming for a cleaning, I can see the slices where the floss cut at the gum because they were overzealous."
2. You're pregnant.
"Nearly 40% of women will develop gingivitis during their pregnancy," says Glen Stephenson, DMD, of Prevention Dental in Boise, ID. "This is caused by increased progesterone, which facilitates the growth of bacteria, causing gingivitis. Some women will develop a deep red lump on their gums called a pregnancy tumor or pyogenic granuloma." (This type of tumor is completely benign and will go away after the pregnancy is over.) Stirneman adds that most women are typically pretty far along before their gums start bleeding, so it's not as though a dentist will magically "discover" that a patient is pregnant.

3. You bite your nails.
Without looking at your hands, a dentist may be able to detect this habit. "Signs include chips and cracking of the teeth, plus wear and tear on the teeth from the constant stress on them," says Keith Arbeitman, DDS, of Arbeitman & Shein in New York City. "This can cause your teeth to become uneven and lead to jaw pain and discomfort." Kyle Stanley, DDS, of Helm, Nejad, Stanley in Beverly Hills adds, "Patients that bite their nails using their front teeth usually have leveled off, flat front teeth. The nails themselves are not what cause the damage, but rather the contact that occurs between the top and bottom teeth," he says.
4. You used to suck your thumb.
"Most children that suck their thumbs or a finger have no long-term effects from the habit," says Stephenson. "However, those who did so past the age of seven or eight may show significant changes to their bite or the position of their teeth. Much of that can be corrected through orthodontic treatment, but some telltale signs can remain." Alice Lee, DDS, of Montefiore Medical Center in Bronx, NY, adds, "We can sometimes see protruding front teeth, and this can impact how kids' jaws are coming together and growing and can also impact their speech."
5. Your bad breath may mean something.
"General bad breath can be categorized as halitosis," says Arbeitman. But dentists are also trained to identify "fruity" smells and "fishy" smells, which can mean numerous things. " 'Fruity' breath could indicate uncontrolled diabetes or a dietary fast that has gone too far, while 'fishy' breath could be a sign of kidney or liver failure," he explains. If the smell is "very foul," says Arbeitman, it could be anything from gastroesophageal reflux (GERD) to an underlying lung abscess and bronchitis to a tonsil stone. Timothy Chase, DMD, of SmilesNY in New York City, adds, "The first thing the dentist should do is rule out the odor coming from the teeth and gums. After that, he should recommend that the patient see an ENT to rule out sinus issues, and a GI doc to rule out reflux issues."
6. You may have an eating disorder.
"Many patients are surprised that their dentist is the first one to ask about eating disorders," says Chase, "but bulimia exhibits a very distinct pattern of tooth wear that your dentist can easily identify." Stephenson notes that, "This erosion happens almost exclusively on the tongue-side of the front teeth and can contribute to increased cavities." But Silverstrom is quick to point out that acid erosion on the back of a patient's teeth does not always indicate an eating disorder. He says other possibilities include acid reflux and the use of antidepressants or mood-elevating drugs, both of which reduce the amount of saliva in the mouth, thereby upping the odds of acid damage.
7. You have a sinus infection.
"Often patients will call saying that they need a root canal," explains Ira Handschuh, DDS, of The Dental Design Center in NY, "when in fact it's actually a sinus infection and not a tooth problem at all." The reason, he explains, is because the roots of the top teeth are positioned in the same area as the floor of the sinuses. And both sinus infections and toothaches can show symptoms of pressure. "A simple home test is to have a patient bend over to touch their toes. If the pressure or pain increases just by doing this, the pain is most likely not tooth-related and he should see his ENT or primary care physician before coming to the dentist," he advises.

8. You have a vitamin deficiency. "A deficiency of vitamins and minerals can cause many oral conditions, like burning tongue syndrome, tissue sloughing off, increased infections, delayed healing, bone infections, and easy-to-bleed gums," explains John P. Dougherty, DDS, MAGD, of Artistic Dental at the Biltmore in Phoenix, AZ. Stephenson adds, "Surprisingly, iron deficiencies show up in many ways in your mouth. It can give some patients severe sores in the corners of their mouth while others have changes in their tongues. Some may experience a painful burning sensation, or all the small papillae fall off their tongue leaving it glossy and smooth. Getting more iron will solve these problems.
9. You have diabetes. "Many times, imbalances in sugar will show a rapid change in the health of your gums, including increased swelling, bleeding, and sensitivity," says Handschuh. "In conjunction, the consistency of saliva may change, and there may be increased decay. These may all be signs of sugar levels that are out of control, so dentists can alert patients to see their doctor to check for diabetes."

10. You have a drinking problem. "Alcoholic patients are cavity-prone because alcohol tends to dry the mouth out," says David Tarica, DMD, of 34th Street Dental in New York City. "A dry mouth will lead to cavities, because saliva neutralizes the damage-causing acid in our mouths. In addition, alcoholics have 'chipmunk red cheeks,' and the smell alone is usually a giveaway."
11. You have oral cancer. "The first signs of oral cancer can be seen from the following: unexplained bleeding in the mouth, white, red, or speckled patches in the mouth, a change in the way your teeth fit together, swellings, thickenings, lumps or bumps or eroded areas on the lips, gums, or other areas inside the mouth," explains Michael Apa, DDS, of Rosenthal Apa Group in New York City. "An oral surgeon should be consulted for a biopsy of any suspicious tissue."
12. You love Gatorade. You may know why you chipped your tooth, but Hugh Flax, DDS, of Flax Dental in Atlanta says that even though the cause may be apparent, "there could be underlying factors that weakened the tooth and made it susceptible to being chipped in the first place." He explains that teeth can be softened by sodas and other sugary beverages over time, which may make a tooth more susceptible to chipping. Energy drinks, which tend to be even more acidic than soft drinks, may cause even more damage to tooth enamel, he says.


By: Elizabeth Jenkins, Prevention
http://www.prevention.com/health/what-your-dentist-knows-about-your-health

 

If you have questions or would like to schedule an appointment, please contact Omni Dental Group at one of our three office locations listed below:

North Austin on Hymeadow Drive: (512) 250-5012
Central Austin on Jollyville Road: (512) 346-8424
South Austin on William Cannon: (512) 445-5811

How often should you brush your teeth? Oral hygiene 'dos and don'ts' explained by expert

Are we brushing our teeth frequently and for long enough? The British Dental Association has outlined the routine we should all get in to.

It's a habit which has been drummed into us from an early age, but the recent news flossing your teeth could be a waste of time has put the spotlight on oral hygiene.
When it comes to looking after our teeth, there are certain pieces of wisdom which we've incorporated into our routines.
But in the wake of the news about flossing, when it comes to oral hygiene, how much does your average person know about what we should be doing - and which habits do we need to ditch?
For example, how many of us know how long we SHOULD brush or teeth for and how often? And what are we doing wrong?
MirrorOnline spoke to the British Dental Association’s scientific adviser, Professor Damien Walmsley, who kindly put together this definitive list of "dos and don'ts."

How often?

"The best way to prevent tooth decay is to brush teeth twice daily with a fluoride toothpaste to remove plaque, limit the frequency, and amount of sugary food and drinks consumed in your diet, and see the dentist regularly.

 

Don'ts'

• Brush for long enough – research indicates that people only brush for 45 seconds
• Rinse the mouth after brushing – fluoride helps to prevent, control and even stop tooth decay – but rinsing the mouth out dilutes the concentration of fluoride, so SPIT, don’t rinse.
• Brush too soon after eating – as enamel on teeth is softened after eating especially with sugary foods – it’s best to wait an hour before brushing which allows the tooth to harden up more.
• Use a hard bristle toothbrush as this can damage the soft tissues in the gums.
• Don't brush too hard – the bristles should lightly sweep the tooth.

 

'Dos'

• Brush for at least two minutes, twice daily, with a fluoridated toothpaste
• Brush last thing at night and at least on one other occasion
• Use a small headed toothbrush with medium bristles.
• Put a pea-sized blob of fluoride toothpaste on your toothbrush.
• Brush along the gum line as well as the teeth themselves
• Brush all surfaces of the teeth, including the outer, inner and chewing surfaces as well as the hard-to-reach back teeth and areas around fillings, crowns or other restorations.

If you have spaces between teeth, it is best to clean these with an interdental or single-tufted brush. Where the spaces between teeth are too tight to fit such a brush, use dental floss or tape
If you are unsure about the effectiveness of brushing, use disclosing tablets after brushing to highlight any areas you may have missed.
There is good evidence that a small-headed counter oscillating electric toothbrush helps in removing dental plaque but they must be used correctly and your dentist or hygienist will advise.

Plaque

Plaque is a sticky film of bacteria that covers your teeth and gums. It develops constantly and you clean it off every day when you brush your teeth. Certain harmful oral bacteria feed on the sugars you eat to create acids that destroy the tooth enamel.
Cavities are a bacterial infection created by acids, that cause your teeth to experience a hole in them.
The more sugar you eat, the more acid you will create in your mouth, and the more acidic attacks your teeth are exposed to, the higher the risk of developing tooth decay.

By: Zahra Mulroy, Mirror
http://www.mirror.co.uk/lifestyle/health/how-often-should-you-brush-8637066

If you have questions or would like to schedule an appointment, please contact Omni Dental Group at one of our three office locations listed below:

North Austin on Hymeadow Drive: (512) 250-5012
Central Austin on Jollyville Road: (512) 346-8424
South Austin on William Cannon: (512) 445-5811

Tips For Oral Hygiene

A better, more confident you begins every morning and ends every evening if you stick with a consistent oral hygiene routine. This, in addition to regular dentist office visits, helps develop not only strong teeth and gums, but also overall good health. You'll feel good, look great, avoid unnecessary bills, and experience an improvement in many of your day-to-day social interactions. It's easy once you understand the basic routines required to maintain good dental hygiene. Get started with some basic dental education and a thorough awareness of the steps that should and should not be taken toward great, long-term oral health.

Oral hygiene benefits

Daily cleaning of your teeth, gums, and tongue, combined with annual check-ups helps ward off harmful bacteria and microbes that may cause tooth decay, bleeding gums, and oral infections. Proper oral hygiene is also important in helping you stay healthy, especially if you have risk factors such as diabetes and heart problems. Plus, oral hygiene elevates your sense of self-esteem. This is especially true for teenagers and adults who frequently interact with others at work or in social situations. Maintaining proper oral hygiene ensures that you won’t experience embarrassing conditions, such as plaque, tartar, and bad breath. It also lowers the need to treat dental problems that could otherwise be inexpensively prevented. For example, according to Kaiser Health News reports, dental costs make up approximately 20 percent of a child’s total health care expenses, and the costs are escalating rapidly.

Oral hygiene for kids

Enforcing good oral hygiene habits early in a child’s life is essential for his overall well-being. According to a 2007 Centers for Disease Control and Prevention (CDC), the number of cavities in children between the ages of two and five has escalated by 15 percent. Proper oral hygiene habits must start as early as the child begins to bottle feed. This is when babies are prone to tooth decay if they are given a bottle filled with sugary liquids, like milk or juice, when put to bed. While baby teeth should be cleaned using a washcloth, young babies should eventually have their teeth and tongues brushed using soft brushes. It is important for parents to teach children the proper way to brush their teeth with fluoride toothpaste, to take them for regular dental check-ups, and to serve foods that will help strengthen teeth. These include milk, cheese, and vegetables.

Oral hygiene for adults

Many adults experience significant dental problems that could be prevented through basic oral hygiene practices, like regular dentist appointments. For example, in 2009 alone, CDC data indicated that only 62 percent of adults surveyed had visited the dentist. To maintain optimal oral health, adults should brush their teeth at least twice a day, preferably after each meal and before going to bed. Flossing is also an essential part of an adult’s daily oral hygiene regimen. Regular brushing and flossing can prevent unpleasant conditions, such as plaque and bad odor. However, over-brushing or flossing may result in mouth bruises and bleeding, which can lead to infections. Adults should visit their dentist regularly for routine check-ups and before using over-the-counter medication.

Oral hygiene facts

Poor oral hygiene can increase your chances of developing heart disease. Professional teeth cleanings will reduce the bacteria that cause inflammation and eventually lead to heart disease (Veterans General Hospital in Taipei).
According to the American Dental Hygienists Association:

• A major cause of tooth loss in children is cavities; while periodontal (gum) disease is the leading cause of tooth loss in adults.
• Eating healthy snacks such as celery, carrots, or apples help clear away food loosely trapped in-between teeth.
• The leading oral health problem for infants is baby bottle tooth decay, which can be caused when babies are given a bottle filled with sugary liquids, like milk or juice, when put to bed.

Oral hygiene statistics

According to the Centers for Disease Control and Prevention:

• Roughly 78 percent of Americans have had at least one cavity by age 17.
• 80 percent of the U.S. population has some form of periodontal (gum) disease.
• In 2007, Americans made about 500 million visits to dentists and spent an estimated $98.6 billion on dental services.
• Between 2005-2008, 16 percent of children ages 6-19 and 23 percent of adults 20-64 had untreated cavities.
• Dental fluorosis (overexposure to fluoride) is higher in adolescents than in adults and highest among those aged 12–15.
• Most adults show signs of periodontal or gingival diseases. Severe periodontal disease affects approximately 14 percent of adults aged 45-54.
• 23 percent of 65-74 year olds have severe periodontal disease
• Men are more likely than women to have more severe dental diseases.
• Oral cancer occurs twice as frequently in men as women.
• Three out of four patients don’t change their toothbrush as often as is recommended. Toothbrushes should be changed every two to three months and after illnesses.

Oral hygiene greatly affects overall long-term health, and promotes a more confident you. When it comes to dental care, prevention through daily cleaning and regular visits to the dentist’s office is better not only for your health, but for your budget. That's why it's important for parents to play a key role in reinforcing smart oral hygiene habits. Kids are likely to follow in the footsteps of those who set positive examples and will carry those healthy habits through their own adult lives. Remember, whatever your age, it’s never too late to take a serious stand in keeping your teeth healthy and your smile confident.

Source: Humana
https://www.humana.com/learning-center/health-and-wellbeing/healthy-living/tips-for-oral-hygiene
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If you have questions or would like to schedule an appointment, please contact Omni Dental Group at one of our three office locations listed below:

North Austin on Hymeadow Drive:  (512) 250-5012
Central Austin on Jollyville Road:  (512) 346-8424
South Austin on William Cannon:  (512) 445-5811

Should You Get A Tongue-Scraper?

A tongue scraper is an oral hygiene product that removes bacteria, food debris, fungi, toxins, and dead cells from the surface of the tongue.

When we sleep, our digestive system remains awake, removing toxins from our body by depositing them onto the surface of our tongue. If we do not scrape away these toxins, they get reabsorbed by the body and can lead to respiratory difficulties, digestive problems, and a compromised immune system.

Dental research has concluded that a tongue scraper is more effective at removing toxins and bacteria from the tongue than a toothbrush. Although brushing and flossing will loosen and move debris around, they do not actually remove the bacteria. Almost half of our oral bacteria live on and in the deep crevices of our tongue; the scraping action of a tongue scraper collects these toxic tongue coatings (which can range in color from clear, white, yellow, or green) and removes them from the body. However, still remain strict on continuing with the rest of your dental care routine, The bacteria that causes tartar to build up still remains your teeth and under your gums. Left untreated, this can lead to gum disease, receding gums, and loose teeth that can ultimately fall out.

What is a tongue scraper?
It is a long, thin, flat piece of metal that is bent in a "U" shape 

How to use a tongue-scraper
You should use a tongue-scraper on a regular basis, in the morning and on an empty stomach. 
1. Stand in front of a mirror
2. Hold the two ends of the scraper in both hands
3. Stick out your tongue
4. Place the scraper as far back on your tongue as possible
5. With firm but gentle pressure, scrape the surface of your tongue in one long stroke
6. Rinse the scraper and repeat until your tongue feels clean and is free of coating (usually 5 to 10 times) 

Why do I need one?
1. Lessen halitosis
Bad breath can have a negative impact on a person's life, relationships, and self-esteem. Given that most bad breath comes from the bacteria at the back of the tongue (an area that's difficult to reach with a toothbrush), clinical studies have shown that tongue scraping significantly reduces and removes oral bacteria from the crevices of all areas on the tongue.

2. Experience the flavors of your food
Proper digestion begins with taste and salivation. If you do not take steps to remove toxic mucus on the tongue, your taste buds can become blocked. This may lead to false cravings or an inability to recognize the taste of food. Removing build-up from the surface of your tongue will open up its pores and better expose your taste buds, allow for greater enjoyment of food flavors, and help your body digest and assimilate food.

3. Boost your immunity
The tongue is part of the first line of defense in your immune system. Scraping your tongue prevents toxins from being reabsorbed into your body and boosts overall immune function.

4. Improve your dental health
This oral hygiene product promotes general tooth and gum health and removes bacteria and toxins responsible for periodontal problems, plaque build-up, tooth decay, loss of teeth, gum infections, and gum recession.

5. Improve your digestive health
Given that digestion begins with taste, it is important to remove any toxins that may obstruct optimal functioning. Scraping also activates saliva production and promotes agni (the body's digestive fire) to help with digestion throughout the day.

Where do I buy one?
Tongue scrapers and inexpensive and can be found at most health food stores as well as online. Choose a stainless steel scraper because they are easier to clean. Another dental tip, the side of a metal spoon can also be effective.

http://www.mindbodygreen.com/0-12028/5-reasons-why-everyone-needs-a-tongue-scraper.html