Black Triangles: Is It Time to Stop Flossing?

The chances are that if you grew up in the US you have been well instructed in the art of brushing and flossing. I have seen people in braces struggling to thread floss around the wires and elastics of the appliances and older folks who could not stitch a button on a coat be instructed to floss around their last upper molar!

Even perfect flossing and brushing can only remove 40 percent of plaque from your mouth. This is because there is a plaque component in saliva (you can’t floss this) and also on your tongue and skin of your mouth. This is why mouth rinsing makes so much sense and why xylitol makes Zellies Complete Mouth Care System amazing. Adequate amounts (6-10 grams) of xylitol daily helps make plaque slippery so the rinses can better wash your teeth. Using this system should remove 98% of plaque from your mouth – twice as much as flossing!

The problem with over-brushing or constant flossing is that it has the potential to do damage to your teeth and gums. If you beat down your gums with wooden points, brushes and floss, don’t expect them to grow back again. The pretty pink gums between your teeth will disappear – and the empty space will be a black triangle between your teeth. If you have gum recession, consider a better system to clean your mouth. Think about giving yourself a flossing holiday and your teeth may become less sensitive in a matter of days.

How much gum repair you get will depend on other factors that revolve around how well you brush them and also your body’s ability to heal. This will depend on your general health, diet, lifestyle, age, etc. You can help yourself by taking supplements and probiotics and pay attention to your diet. To help heal gums, check you have enough protein in your diet, and if possible consume some organic whole milk yogurt and cheeses every day. Xylitol can be dissolved in water as a drink to sip during the morning and this will help make your gums more comfortable and give them the best chance to heal.

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For more information, please visit all of Dr. Ellie’s web-sites:

Dr. E Oral Health Coaching – articles, resources and videos to help you learn more
Zellies.com – learn more & order your Zellies Xylitol & the Complete Mouth Care System
Dr. Ellie.com – a great resource for learning more about oral health & Dr. Ellie

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About the Author Ultimate Oral Health

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44 comments
kevin says March 9, 2013

I’ve never understood the notion of taking “probiotics”, except in short-term emergency situations.

Unless I’m mistaken, the various (often proprietary) strains of bacteria that come in capsules or in yogurt are benign, but are not strains that naturally thrive in the human gut. That is you can force a population of such bacteria by eating supplements or yogurt containing them, but they’ll quickly die off if you don’t constantly replenish. You can’t load up and expect a colony to take hold.

Is there a lot of unambiguous science supporting this notion of loading the gut with possibly-friendly strangers? I can see there being a theory of providing some competition for candidiasis and other yeast and bacteria that multiply in unbalanced fashion, but is it proven that that occurs?

Or is there an approach that promotes resurgence of naturally gut-occurring benign bacteria?

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    Ultimate Oral Health says April 18, 2013

    I think there will be a lot more science to show the benefits of probiotics by 2014. The human microbiome project will be further along by then and some of the latest results will have been analyzed. This project takes a fascinating look at the bacteria that compose our bodies: http://www.genome.gov/27549144

    I agree that we don’t know which probiotics work and which do not. It is just like toothpaste! Ha!

    I will try to write a blog post with regard to probiotics and oral health. The main fact is that a good digestion allows you to absorb minerals better into your bloodstream and then this results in an improved quality of body fluids (that bathe your tissues). Body fluids drain via the salivary glands into your mouth. So yes, what you eat and digest will have an effect on your mouth – not just topically but systemically ( after circulating around your body!).

    It is interesting that xylitol ( seen by the digestion as fiber) breaks down to form butyrate – and promotes a healthy digestion. This in turn may help you absorb more calcium and may promote saliva with more calcium that can better heal your teeth. The circle is complete!

    Reply
      Karena says May 29, 2013

      I don’t know if you listen to Science Friday on NPR, but here is a link to an interview that they did with Jeffrey Gordon, a professor of pathology and immunology at the Washington University School of Medicine in St. Louis.

      http://www.npr.org/2011/10/28/141800414/does-probiotic-yogurt-really-affect-digestion – “They confirmed what we saw at the level of gene expression and told us that, yes, in fact, a small number of bacteria ingested can affect the properties of a gut community.” It was a very interesting interview – it certainly gave me some insight as to how these probiotics actually function.

      Reply
      Ultimate Oral Health says June 4, 2013

      This was a good review of probiotics – but remember the study was funded by Dannon yogurt! Personally I expect an organic yogurt provides far more benefit – but it is all good news – and I have recommended yogurt as beneficial for a very long time. Thanks for sending this link.

      Reply
      lspacetraveler says June 2, 2013

      I don’t know if you ever listen to NPR, but this was a great interview with Jeffrey Gordon, a professor of pathology and immunology at the Washington University School of Medicine in St. Louis, that gave some insight as to how probiotics actually work in/(with!) your digestive system: http://www.npr.org/2011/10/28/141800414/does-probiotic-yogurt-really-affect-digestion – it explains how “. . . yes, in fact, a small number of bacteria ingested can affect the properties of a gut community.”

      Reply
      Ultimate Oral Health says June 3, 2013

      Thanks – that is a very interesting link. We will be learning more and more about the importance of healthy bacteria and the balancing these communities in the future. I am afraid we will look back on recent history and wonder how doctors and dentist could have exhibited so little concern for this vital component of health.

      Reply
    Gem says April 30, 2015

    Try get a hold of a live kefir culture to ferment your own milk into a yoghurt drink (great in smoothies). It contains stronger bacteria than over the counter probiotics, which have been shown to colonise the gut and also have an effect on moods and the brain because of the gut-brain connection.

    Reply
kevin says March 9, 2013

Another question…

Well, I’ve got a few black triangles.
I’ve had extensive orthodontistry, including having my jaw cut and stretched, to correct a lifelong profound overbite that was wearing the fronts off my lower teeth and the backs off my uppers. So now I have upper and lower retainers to wear every night.

Could these be part of why my gums are thinning? The gums seem to have stopped receding from my teeth in the past few years, but where they wrap the roots of teeth and the bone, my gums have gone from being a relatively thick, gently undulating layer, to being a thin skin stretched over the teeth and bones … sort of gaunt looking.

My body and face are nowhere near being thin, and while I eat stuff I shouldn’t (desserts), I also eat lots of veggies and fruit and high-quality protein (beef, chicken, fish, eggs, lamb, pork), but where I used to get food occasionally stuck between teeth, I now get things trapped between a cheek and the hollow rippling gum spaces between teeth. When my tongue fails to dislodge something, I have to poke a finger in alongside my upper or lower gums to hook out a soft pea or chunk of apple or piece of peanut.

I’ve been taking well over ten grams per day of Xylitol, in the form of hard and tablet candies since reading your book a couple of months ago. I also seem to have developed a comical obsession with testing the pH of my saliva and of things that go into my mouth… and then my saliva once again after eating/drinking whatever food or treat. The mouth seems to be ph 7.2 to 7.4 most of the time.

So, is it possible to ever regain some of the mass of my gums? Thin, though they be, they seem pink and healthy otherwise, and I no longer have pockets near teeth to concern my hygienist and her graduated probe. Oh… I’m nearly 60, and male if that makes a difference.

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    Ultimate Oral Health says May 10, 2013

    I am sorry it has taken me a while to reply to your question – but perhaps it is good – because by now you will have been using xylitol and my system for over a month. I hope you have continued to see improvements. In some cases people have seen their gums grow back quite well. Please let us know how you are doing.Check that when you brush you stimulate the circulation in your gums – on the outside of your teeth and on the inside. You’ll need a good toothbrush for this! Nutrition is also very important for gum health – so that nutrients can travel in the blood supply to the gums – to supply healthy anti-oxidants and other nutrients to help heal gum tissue.

    Reply
Ash says May 18, 2013

Dr Ellie, just a quick question

From your replies to some of your posts you mention ‘gums grow back’, is this really the case, it seems to contradict everything dentists say about gum recession being irreversible?

Thanks

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    Ultimate Oral Health says May 29, 2013

    To give a recommendation or guess at an outcome, I’d need to know why did the gums receded -and what caused the problems? Sometimes it is trauma, sometimes aggressive orthodontic work, and sometimes from an infection such as periodontal disease and associated bone loss.I have seen some rapid repair when the problem was from trauma ( like over-flossing or use of baking soda). Things were better as soon as the trauma was stopped and a good regimen implemented. Repair may take longer and be less likely if orthodontic work caused the problems ( it depends if there is a place for the gums to grow back). If you have periodontal disease, the return to normal may take longer and it will depend on how much your gums have been damaged and how much loss has occurred. The first thing is to stop the cause ( which is usually infection or trauma) and then work on keeping the mouth really healthy for a period of about 6 months. If you are getting repair – this is a very good sign! You need to think about diet, nutrition, how you brush etc. etc.

    Dentists have never promoted that cavities can heal themselves – but they do. Few periodontists believe you can stop periodontal disease – but you can. The most important thing is to first stop the disease process – because then healing can occur. The best way to stop the disease is with xylitol. If you don’t stop the disease, you cannot heal a cavity. If you don’t stop the disease – you will not get periodontal disease to go away.

    The steps are 1) STOP the disease 2) PREVENT new disease from occurring and 3) support the REVERSAL of the problems – which may take some time. You cannot jump to the last step – and this is why you need xylitol. I hope this explains why there is this contradiction from those who do not understand the use of xylitol. It is because they know of no way to STOP or PREVENT the disease process.

    Reply
Gale Springsteen says June 1, 2013

Thank you so much for your dental regimen. I can’t tell you how long and how many products I have tried, but still pockets and quarterly deep cleanings. I’ve only been using your system (along with your Xylitol products) for a couple of weeks, but can already tell a difference. I’ve made an appointment to get my teeth cleaned in September, so giving it plenty of time. I have two questions. First is how do you feel about using an oral irrigator? I use Hydrofloss. Also, instead of a probiotic, I eat a lot of fermented food. Your thoughts would be much appreciated. Thank you once again for your knowledge.

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    Ultimate Oral Health says June 3, 2013

    Hi Gale, I am so glad this system has been helpful! I used to recommend irrigation, but there are situations where I suggest people stop using it. I think this has a use for people with braces, or if you have trouble brushing your teeth because of a disability or arthritis etc. On the other hand, I suspect it may interfere with some degree of gum healing. I personally recommend patients STOP using any kind of hydro-floss when they are trying to get their pocketing to reduce from 4 mm to 1mm. At this end stage of the healing process ( going from good gum health to ultimate gum health) I believe you achieve better results with rinsing alone.

    Nutrition is essential for gum health. The nutrients will be absorbed by the blood and circulated to “heal” your gums. You must brush your gums – on the outside and inside of the teeth – massage them to stimulate circulation – this is very important! For ultimate nutrition, I believe we must consider 3 things:
    #1) our choice of foods ( diet – supplements as need)
    #2) digestion – do we have enough digestive enzymes? ( they can be enhanced by specific foods: pineapple, papaya)
    #3) how good is our absorption and digestive health? ( may be enhanced by fermented foods, and probiotics)

    I think fermented foods are excellent and should be included in everyone’s diet.On the other hand, probiotics and/or fermented foods provide “seeds” of healthy bacteria that we need to absorb the nutrients from out food. I think once in a while it may be useful to “add” a few extra “seeds” just to ensure we are giving our bodies what they need to flourish. I usually recommend Garden of Life Raw Probiotics – and recently they have come out with an oral health probiotic variety which may be good for you. Please give us feedback when you return to the dentist in September!

    Reply
      Gem says April 30, 2015

      This is great to know! We use Garden of Life products from time to time and I have been looking for a good oral specific probiotic!

      Reply
Ashleigh says August 7, 2013

Hello

I was wondering if you could help me. I had braces for just under 2 years and when they were taken off my teeth started to move again so it was put back on within 4 months for a further 4 months. It has now been off for 3 months and i have noticed dark triangles on my bottom front teeth. It is very annoying as i wanted to make my teeth look better.

People tell me they dont look that bad but im worried they are getting worse due to my teeth moving slightly during the day. I wear my retainer ever night (told by my orthodntist) and even sometimes during the day.

I was wondering will these pockets continue to get worse due to the teeth moving and will my gums grow back if i use this regime?

I have had problems with stomach ulcers in the past and do take tablets to control the acid in my stomach.

Your advise would be greatly apprecaited

Reply
    Ultimate Oral Health says August 20, 2013

    I am not an orthodontist, but I am a Pediatric Specialist and part of this training included orthodontics. I personally believe our training was limited and gave me enough knowledge for simple tooth movement, but not as much knowledge as an orthodontist would have. I refer patients to an orthodontic specialist because an expert should have understanding about possible problems ( like the ones you describe). Moving teeth appears simpler than it is, and an expert understands the dangers of changing tooth position too quickly or with too much force. I wonder what your orthodontist says?

    Assuming that he is OK with the tooth positions and does not feel any damage has been done, I’d suggest you definitely use this system to help your gums and teeth. They are obviously stressed and need the help that regular use of Zellies and this system can offer. I don’t know why you have stomach ulcers but I think you may want to talk to your doctor about possibly using probiotics, changing your diet, and consider every aspect of good nutrition for your gum health. If your digestion is bad, you will not absorb the nutrients your gums need to heal ( gums heal mainly from the inside out – so good nutrition is vital for you).

    Reply
Linda says August 8, 2013

Is the ACT fluoride with the leaf picture and “fluoride rinse” the same as the ACT fluoride with the snake picture and “fluoride mouthwash”?

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    Ultimate Oral Health says August 15, 2013

    Thank you for your question. Recently new ACT formulations have been added to the marketplace and (as you have noticed) the label and ingredient listing of the “old” one has changed. To add confusion, the ACT manufacturer added a new larger-size bottle – which may appear a better price – but the concentration in this larger bottle is 0.02% (not 0.05% of the “old” one).

    When new products come along, don’t believe claims of being “new and improved” or hope they are better, or a better deal. During the past 25 years I have been so happy with the results patients experience using the “original” products, I don’t recommend any change to other formulations. I have seen cavities repair, sensitivity disappear, gum disease, recession, and periodontal pockets improve or reverse. Bad breath is eliminated, teeth strengthen, appear whiter, and most the amazing fact is that the results are sustainable – maintained year after year, often with ongoing improvement.

    At the start of my career I tried many products in a search to cure cavities and gum disease – but with the results people get from using the Zellies Complete Mouth Care System, I recommend sticking to using the original formulations whenever possible!

    Reply
Sandie says October 5, 2013

Hello,

I am about to start with your system and can get all of the products from Amazon UK apart from Closys mouthwash.

Retardex is recommended which has now been renamed Ultradex. I have noticed that it contains sodium bicarbonate. Please could you let me know your thoughts on this.

With many thanks
Sandie

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    Ultimate Oral Health says October 5, 2013

    Hi Sandie,

    In other countries people do the best they can with products available. Ultradex should be fine – but we need feedback to tell us the long-term outcomes after years of using these slightly different products. We encourage Facebook and Blog friends to keep in touch and let us know how your “interpretation” of the system is working over the long term.

    Trial and error was how this system came together many years ago. As a new dentist, I wanted to figure out why some patients had good teeth but others did not. I asked a lot of questions about the products people used to clean their teeth and noticed a trend. People who used original Crest (Cavity Protection) toothpaste always had good teeth. A dilute fluoride rinse added a healthy shine to teeth. After observing these things repeatedly, I discovered there was a detailed chemical profile of oral care products. Gradually I realized that this Complete Mouth Care System of products could help patients eliminate sensitivity, reverse cavities, and halt or prevent gum disease.

    I’ll agree there other factors influence oral health (diet, how often you snack or drink,etc.) but I believe home care may be the main influencing factor for tooth health long term. I beg patients not to be trapped by marketing claims and to always ask if someone suggests you switch to a new product ( even if it is your dentist or hygienist)…..1) ” do you use this product (and for how long) ….2) “does it work?”

    Reply
      Sandie says October 9, 2013

      Dear Dr Ellie,

      Thank you for your reply.

      I am seeing the hygienist in November so am going to start your system slowly as you suggested to someone else.
      I have two root canal fillings and will have to make my mind up if they fail in the future whether to have them redone or to have implants. My dentist did the root fillings herself and said she would not do them a second time because she hasn’t got the specialised equipment so would refer me but it would cost
      more. I have heard that if they are redone a second time there is more chance of them failing.

      I will have to make up my mind whether to pay a lot of money for a second root filling and risk that failing and wasting money or just going ahead with an implant.

      Please could you let me know your thoughts on having implants.

      With many thanks
      Sandie

      Reply
Julie says December 18, 2013

Dear Dr. Ellie,

I have some spaces between my back molars that get a LOT of food stuck between them. I feel it there an want to floss several times a day to get it out. After reading your blogs, I wonder if I am making things worse. Should I just leave the food there more often? It doesn’t seem right to do that, either, but I don’t want to damage my gums by flossing too much. Last time my pockets were measured, there were a couple 4’s but everything else was less.

I have been focusing a lot on xylitol and diet and brushing already and have been using parts of your system…although I’m on and off with the mouthwashes. I am 37 with no cavities or gum disease. The hygienist did mention that perhaps my gums were a little more irritable due to breastfeeding. (??)

Thank you,
Julie

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Steven says March 12, 2014

Hi Doc!

When you say massage the gums, can I use my fingers to massage them? If so, how many minutes per day should I aim for?

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Ron Shultz says March 23, 2014

Dr. Ellie,

My dental team says nothing can be done about black triangles…that gum and bone grafting will not have enough circulation or sticking power to remain in place. They say bonding and veneers can’t be made to cover the problem, nor are they conducive to cleaning. All the dentists with whom I have spoken say widening crowns would look terrible and they would be very temporary due to the cleaning issue. A couple of dentists I’ve seen say I should wait for technology to advance to where we are able to grow gums. One dentist even said the only solution would be to have a false pink strip put over the triangle to simulate the look of healthy gum. That sounds like an extremely poor way to treat the issue. Please tell me your advice.

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    Ultimate Oral Health says March 24, 2014

    Now everyone has told you the situation is hopeless – why not try my suggestions? I have no idea how old you are, how healthy or unhealthy you are, or how severe your gum recession is – but the first thing I’d suggest is for you to decide what you think caused this problem. Maybe it is years of chronic gum disease, bleaching, use of baking soda, mouth breathing, smoking, excess acidity in the mouth, GERD etc. etc.etc. If the cause of the problems was in the past, then that is great – but if you are drinking soda – that needs to stop if you want results!

    I’ll assume you are living a healthy life, have a great diet, and are committed to using my complete system ( I suggest that you order a kit from http://www.Zellies.com and ensure you have the correct products at the start). For at least a month or two I suggest you supplement your diet with a great whole-food vitamin/mineral supplement and also a digestive Probiotic suitable for your gender and age. I like Garden of Life brand – and suggest you take these for at least 2 months. The idea is to improve the absorption of nutrients from your gut, which in turn will support your immune system, and the immune system will send healing “ingredients” around your body to your gums. This is why you need to massage the circulation in your gums ( see below). Gums heal from the inside out – not by flossing them. You really should try to stop flossing for this 2 months period – to give your gums a chance to heal.

    It is very important to massage your gums with a toothbrush – make small circles right up on the gums – above the teeth. You have to stimulate circulation in your gums ( or else blood does not flow – and gums cannot heal). An electric brush is OK once a day – but before bed put some personal effort to this with a nice manual brush – working to massage all around the gums on the inside and outside of your teeth. Please take some photos for yourself – and let us know what you see happening in 8-10 weeks on this system. I believe that many others would be interested to hear feedback. Best wishes to you on your journey – how cool would it be to go back to your dental team and amaze them?

    Reply
Yvette says May 8, 2014

I really want to begin your teeth cleaning system but I am worried about one thing. I use a sensitivity toothpaste. If I use a regular toothpaste, then after a few days I get horrible tooth pain when I have even the slightest temperature fluctuations to my teeth. So I am scared to stop using a sensitivity toothpaste. I have confidence that using your teeth cleaning system will, in the long run, help me with the tooth sensitivity problem. But I don’t think I can handle the pain and discomfort of stopping the sensitivity toothpaste until I get to that point. Is there any way to remain on a sensitivity toothpaste with this system and still get the same results?

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    Ultimate Oral Health says May 9, 2014

    First i’d suggest you start using Zellies after everything you eat and drink. (Try to keep drinks to meals.
    Next experiment by rinsing with ACT during the day. Then start using Closys before you brush with Crest Cavity Protection paste, and rinse the paste off with ACT. Finally add in the Listerine step – and let us know how this worked! Stop flossing for a few days until your teeth feel better!

    Reply
stewartos says November 10, 2014

Thanks for your honest evaluation of oral health. My question is whether using flouride might actually prevent re-mineralization. Since it creates a hard layer on the teeth, I would certainly expect it to. This same issue is usually the complaint against the presence of glycerine in toothpaste.
I’ve been told by one dentist that the flouride itself actually re-mineralizes teeth, but I certainly wouldn’t trust that. I haven’t been able to find much on this question anywhere on the web. Thank you.

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    Ultimate Oral Health says December 4, 2014

    Studies show that regular exposure to dilute fluoride helps tooth enamel repair and re-mineralize – helping a tooth to become harder and stronger. If you have deep decay – fluoride alone will not work – but it may when it is combined with xylitol. Xylitol helps control bacteria that may lie deeper inside the tooth. Xylitol also helps re-mineralize at a deeper level inside the tooth.

    I never recommend strong fluoride and I never recommend fluoride used alone. If your teeth need re-mineralizing then use a dilute fluoride rinse ( like ACT) but in conjunction with xylitol mints or gum during the day – ideally after every meal, snack and drink.

    Reply
arie says May 6, 2015

Hello I know this is an old post, I hope someone can help me with my problem.
I had braces done in my early teenager, I at that time did not know much about ortho procedure, my aunt took me to a dentist to get my braces done but this dentist is not specialist.

I had to switch dentist for some reason, and new dentist told me the old dentist didn’t do a good job with my bottom and had cause my gum to expose.

Again at that time I did not know any better, I was very young.

Now at 35 I realized that my gum had receeded because of bad job done with my braces.

Can I regrow my gum in this case? The space in between my lower teeth are very obvious (triangle).

Please help. I am desperate.

I do not want to loose my teeth which I already have a few crown, due to lack of knowledge from my parents. I grew up in Asia and I am now paying for this. I am very depressed.

note: I am currently breastfeeding so I am nervous about taking all kind of different supplements.

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    Ultimate Oral Health says May 15, 2015

    Many people have found instant help by reading my book – or at least by trying these products and xylitol. This is the perfect time to change your oral health and also the oral health of your baby! Here is a link to my website for you to read more: LINK

    Reply
Flo says September 6, 2015

I have very dry mouth will this treatment help

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    Ultimate Oral Health says September 25, 2015

    Absolutely! Zellie’s mints or gum will help – especially if you have about 5 a day at the end of meals – or whenever your mouth is dry!

    Reply
Luhar says June 15, 2016

When you say flossing holiday, do you mean to replace flossing with xylitol consumption? For how long? Should we eventually resume flossing and how often should we do it? I’m not sure if I have gum recession or just triangular shaped teeth cause I have no pockets on my bottom teeth but I have a small ones on my top row even though I floss both sides with equal force.

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    Ultimate Oral Health says June 16, 2016

    Dentists have generally focused on “mechanically’ cleaning teeth for the past 50+ years. They recommend various techniques that center around flossing, brushing and professional cleanings. I recommend a focus on diet and nutrition and the use of xylitol to feed good bacteria in the mouth. I believe we should protect teeth from the assault of acidity. Xylitol does this and also helps to nurture “healthy biofilm” – a protective layer that naturally covers teeth and gums.
    Many people are too aggressive in their approach to oral care – thinking they will succeed by “cleaning” and “flossing”. Unfortunately this approach can be detrimental and often ends up with gum recession. I want people to shift their emphasis from mechanical flossing and brushing to something that is kind and gentle to the mouth: xylitol and a few specific mouth care products that I have found greatly improve mouth health.

    Reply
Paul says July 22, 2016

Dr. Ellie,

In regards to taking a flossing holiday, or stopping altogether:

Even after using xylitol throughout the day and the complete mouth care system morning and night, I find that if I floss, it still cleans food (or plaque?) from between my teeth – evidence found on the floss.

Is it safe to stop flossing and leave the food or whatever the substance is there, assuming that the xylitol will prevent it from staying longterm, and the complete mouth care system will disinfect it?

It feels a little funny allowing something to stay there I guess, but if it’s safe and the best route to improve gum recession, I’m all in.

At any rate, I just wanted to confirm it’s okay. Please advise.

Thanks!

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    Ultimate Oral Health says August 20, 2016

    I’m not against flossing – but I do not believe you can improve your mouth health with floss. When people are told to floss more – they need more help than floss! In your case, I’d suggest you floss at the toothpaste step of the Complete Mouth Care System. This way you will be pushing a tiny amount of toothpaste between your teeth – which has a benefit. Go in and out between the teeth – and try not to crash down into the gums…..Then you can add a little more toothpaste and brush again…before you finish up with Listerine and ACT. I think you will like the way this feels 🙂

    Reply
John says August 24, 2016

Dr. Ellie,

I have fairly minor gum recession on a few teeth. It doesn’t really bother me, but one area in particular does. I have some recession on one of my teeth that’s right next to my two front teeth. It has caused a very small black triangle (but towards the “top” of the tooth, going down, if that makes sense). I know for a fact this was due to overly aggressive brushing in that area. I have stopped this, and have been doing oil pulling with virgin coconut oil for the past week (and going to add liquid COQ10 to the mix). I have also been trying to massage my gums in that area every night before bed.

I essentially just want to reverse the recession enough so that the gums grow “down” along my top teeth to close this small gap. I have a super healthy diet (eat tons of lean protein, kale, broccoli, etc.), exercise, drink tons of water…my only vice is 1-2 cigarettes per day (but I always brush right after, for the most part). Do you think I have a decent shot to close this gap naturally? I’d rather not use bonding (which I’ve done on another tooth, but that was a different story) to close the gap, and it’s really small.

Thanks very much!

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John says August 24, 2016

Hi Dr. Ellie,

I have some fairly minor gum recession around one of my top teeth (a tooth right next to my two front teeth). I know for a fact it was due to brushing too harshly (and even too often!) with my electronic toothbrush. It’s not that severe where I have pain or sensitivity, but it has created a small black triangle between my front tooth and this side tooth. I have started to brush only twice a day (sometimes I do three times, I can’t help it), have been oil pulling with virgin coconut oil, and have not been flossing between those two particular teeth. I have also been massaging the gums in this area with one of those soft rubber pics before bed, and am going to add liquid COQ10 to my coconut oil mix. Since the recession is fairly minor (you don’t see the bone of the tooth, but the tooth does look bigger than it used to), do you think if I keep doing all of this that I have a decent shot of closing the small black triangle? I have some bonding between other teeth to close a similar triangle (and it looks ok), but would prefer not to do that here too.

Thanks!

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    Ultimate Oral Health says September 12, 2016

    Mouth health is the combination of basic science (protecting teeth from low pH- acidity) with repair provided by our body systems. I suggest xylitol after every drink, meal and snack (even water) to protect teeth and gums from any potential damage from mouth acidity. Your immune system will provide “tools” for repair – and our immune system is related with colon and digestive health. You may want to add some probiotics, fiber and pre-biotic foods, pineapple (bromelain) and antioxidant-rich foods, vit K2 etc….Basically consider a diet that assists wound healing and this will help heal your gums.

    Reply
Zerrah says June 15, 2018

The dentist has noticed that I have potential cavities forming between my teeth, and told me the culprit is not flossing enough. I plan to start your system today…however, my teeth are close together, so I doubt rinsing would get between all my teeth. Would you recommend flossing in this situation, or is flossing overrated?

Reply
    Ultimate Oral Health says July 5, 2018

    Cavities and gum disease are symptoms of different types of bacterial mouth infections. If you had an infected finger, I doubt the doctor would recommend a length of string to clean the problem infection!
    Flossing was an idea from back long ago before we realized about the bacteria that cause mouth infections. People, in my opinion, often do more harm than good when they floss.
    As your teeth get smoother and shinier – you will find less food sticks to your teeth – and that rinsing with water at then end of meals, and having maybe a piece of Zellie’s gum will be all you need to avoid flossing.
    Remember that you need good toothbrushes to massage the gums around your teeth. I recommend the Mouth Watcher’s brushes sold at: http://www.Zellie‘s.com

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Rosie says September 5, 2018

I have periodontal disease which is now under control, thanks to your system.

I have a very healthy mouth and did not need a cleaning at my last dental visit (which I only need every 12 months for the first time in my life).

I have black triangles which I would like to do something about. There is a new technique called bioclear which has just arrived in the UK from America which uses a flowable composite to fill these unsightly gaps. Would you suggest I look into this in more detail or should I wait and see if I can further improve the look of my teeth with your system which I have followed faithfully for 3 years?

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    Ultimate Oral Health says September 6, 2018

    Black triangles appear when the gum height shrinks down the roots of your teeth. This tissue can grow back – but the speed and completeness of its return depends on several things.
    Perhaps the MOST important contributor is digestive health and the completeness of your nutrition. It must be adequate to support your immune system.
    You can do research and find out the best foods and supplements for immune health – but I ususally recommend including a product called Tangy Tangerine as a very complete, high vitamin C supplement with no artificial sweeteners and made from food-derived sources.
    A course of digestive probiotics ( look for ones specifically for colon health) can be a good idea and, of course, make sure you have about 80% vegetables at every meal – especially green leafy ones.
    If you do these things – and eat a generally healthy diet, then this will give your immune system the power to help rebuild your gums.
    The immune system sends help via the blood. This means you must massage your gums above (or below) these black triangle areas – on the inside and outside of your GUMS. This gum massage is best with a good toothbrush. Make little circles and use a not-to-soft brush (like the MouthWatchers brush). This massage brings a nice flow of blood to the gums that will supply the healing nutrients to the black triangle areas. Then healing can occur from the inside of your adjacent gum area!
    You also need to consider your sinus health. If you have sinus problems or allergies – use a xylitol nasal spray (not a sinus mediciine which can also contribute to gum recession). Use the xylitol nasal spray with two squirts in each nostril as you finish cleaning your teeth (with my system, of course!) – morning and night.
    You don’t want to damage the growth in this black triangle area so avoid flossing or “picking” at the empty spaces. This is like picking at a scab – and we all know if you do that, the wound never heals! So leave this area alone as much as possible. You can “clean” these interproximal gum areas with the mouth rinses that are a part of my system.
    When you support healing in this way, you’ll normally see improvements in about six months. Sometimes it may take longer – even a couple of years. For people with health problems like diabetes, arthritis and other conditions caused by a general bodily imbalance, healing will be slower – but it will occur to some extent if you do these three things.
    Please let me know how it goes. I would not recommend “filling in the gaps” – because this will definitely mean that your gums will never heal. Why not give this a really good effort for at least a year. I’d love you to take some photos and mark your progress in a journal – it would help other people to develop confidence for similar problems!

    Reply
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