#Plaque Buildup

[shinestardentalcare]

If you are looking to fix your crooked teeth, you may be considering traditional braces or Invisalign. Invisalign is a form of orthodontics and is a newer way to straighten teeth. Utilizing new scanning technology, dentists non-invasively scan your teeth to create a set of aligners to slowly adjust your teeth to the optimal position.

[harmeet-saggi]

Understanding Cholesterol: The Good, The Bad, And The Heart-Health

Cholesterol is a buzzword in the world of health, but do you really understand what it is and how it affects your body? In this comprehensive guide, we'll dive deep into the intricacies of cholesterol, exploring the good, the bad, and how to maintain heart-healthy levels. By the end of this article, you'll have a clear understanding of cholesterol and how to make informed choices for a healthier life.

Know more

[vaidyaslaboratory]

High Cholesterol: Causes, Symptoms, and Treatment

High cholesterol is a prevalent yet silent enemy that has become a global health concern. It plays a critical role in heart disease and can lead to serious complications if left uncontrolled. But what exactly is cholesterol, and why does it become a problem? In this comprehensive guide for cholesterol, we will explore the types of cholesterol, its causes, symptoms, and effective treatment measures to control and maintain healthy cholesterol levels.

Types of Cholesterol (LDL & HDL)

Cholesterol is a fatty substance required for building cell walls and hormones. There are two main types:

LDL (Low-Density Lipoprotein): Often known as 'bad cholesterol', high levels of LDL can cause plaque buildup in arteries, leading to heart diseases.

HDL (High-Density Lipoprotein): Termed as 'good cholesterol', HDL removes excess cholesterol from the blood, lowering the risk of heart problems.

What Are the Causes of High Cholesterol?

High cholesterol levels can result from a combination of factors:

Cause of LDL Cholesterol: High intake of saturated fats, lack of exercise, obesity, smoking, and genetics can increase LDL levels.

Causes of High HDL Cholesterol: Regular exercise, a healthy diet rich in omega-3, and moderate alcohol consumption can elevate HDL, which is generally considered beneficial.

What Are the Symptoms of High Cholesterol?

High cholesterol usually has no overt symptoms, making regular cholesterol tests vital for early detection. However, in severe cases, symptoms of related conditions like chest pain or stroke may occur.

Treatment for Cholesterol

Cholesterol treatment involves a multifaceted approach:

Lifestyle Changes: Adopting a heart-healthy diet, engaging in regular exercise, and quitting smoking.

Medication: Statins and other cholesterol-lowering drugs may be prescribed.

Monitoring: Regular check-ups and cholesterol tests to ensure that the treatment is effective.

How to Control Cholesterol Level?

Controlling cholesterol goes beyond medication:

Dietary Choices: Reducing saturated fats, trans fats, and increasing fiber intake.

Exercise: Regular physical activities like walking, cycling, or swimming.

Avoiding Tobacco and Alcohol: These substances can adversely affect cholesterol levels.

How to Maintain Cholesterol Level?

Maintenance requires a lifelong commitment:

Continued Healthy Habits: Maintaining a balanced diet, regular exercise, and stress management.

Regular Screening: Frequent cholesterol checks, especially if there is a family history of heart disease.

High cholesterol is a silent threat that requires awareness and active management. Understanding the types of cholesterol, recognizing the causes, being vigilant about the symptoms, and adopting effective treatments are key to controlling and maintaining healthy cholesterol levels. Embrace a heart-friendly lifestyle today and consult healthcare professionals like Dr. Vaidya's Laboratory for personalized advice and cholesterol tests tailored to your needs.

[raendragon]

[what-the-fuck-khr]

GOOD NEWS EVERYBODY IM BACK I HAVE ANSWERS so we looked at my teeth etc and I’m not gonna die of sepsis bc despite all the shit my toothache caused me there’s no infection. so what was it, Bronwyn? good question!

wisdom teeth

[kirstielol]

melly had her yearly vet checkup this morning ❤️ she's always so good at the vet, she's such a friendly cat ❤️❤️ she goes back next wednesday for a full teeth cleaning though. even though we supplement her food with "dental" crunchies. the vet said she must have something genetic with her teeth, seems like every year she's got buildup and needs them cleaned. but other than that, she seems healthy! got her blood taken too so we'll hear if anything's up with that, but seems unlikely she has anything wrong besides her teeth.

[jupitercl0uds]

actually remembered to brush my teeth today im so proud of myself

[who-is-the-barest-of-them-all]

Heyy, how is your week going?

My week involved my car wing mirror being taken off the ONE night she was parked on street (which wasn't my choice) and going to the dentist for the first time since I was around 10 🫠 and that costing me £90 because I am not an NHS patient.

All in all, I need some time to recover (and it's only bloody Thursday)

[leefi]

itchy tooth all day. constant runny nose & cough continuing on 5 days after I recovered from my cold. ears feeling plugged/high-pressure and popping (then getting replugged again) over the past week. haven’t heard things around me properly in days. I’m about to bite into someone

[carcarrot]

got a bad grade in teeth

[violentdevotion]

I found out today that corsodyl mouthwash can cause toothstaining and ive been using it since late April, so the sudden and random marks on my teeth aren't so random after all

[mariyanaa]

7 Foods For Healthy Teeth and Gums. Click here to remove Dental plague naturally

[swampgallows]

Now we know how COVID attacks your heart

Even patients with mild COVID symptoms could face a higher risk of developing heart disease and stroke

By Sanjay Mishra Nov 07, 2023 04:08 PM 5 min. read

Scientists have noticed that COVID-19 can trigger serious cardiovascular problems, especially among older people who have a buildup of fatty material in their blood vessels. But now a new study has revealed why and shown that SARS-CoV-2, the virus that causes COVID-19, directly infects the arteries of the heart.

The study also found that the virus can survive and grow inside the cells that form plaque—the buildup of fat-filled cells that narrow and stiffen the arteries leading to atherosclerosis. If the plaque breaks, it can block blood flow and cause a heart attack or a stroke. The SARS-CoV-2 infection makes the situation worse by inflaming the plaque and increasing the chance that it breaks free.

This can explain long-term cardiovascular effects seen in some, if not all, COVID-19 patients.

SARS-CoV-2 virus has already been found to infect many organs outside the respiratory system. But until now it hadn't been shown to attack the arteries.

"No one was really looking if there was a direct effect of the virus on the arterial wall," says Chiara Giannarelli, a cardiologist at NYU Langone Health, in New York, who led the study. Giannarelli noted that her team detected viral RNA—the genetic material in the virus—in the coronary arteries. “You would not expect to see [this] several months after recovering from COVID.”

Mounting evidence now shows that SARS-CoV-2 is not only a respiratory virus, but it can also affect the heart and many other organ systems, says Ziyad Al-Aly, a clinical epidemiologist at Washington University in St. Louis. Al-Aly's research has shown that the risk of developing heart and cardiovascular diseases, including heart failure, stroke, irregular heart rhythms, cardiac arrest, and blood clots increases two to five times within a year of COVID-19, even when the person wasn't hospitalized.

"This important study links, for the first time, directly the SARS-CoV-2 virus with atherosclerotic plaque inflammation," says Charalambos Antoniades, chair of cardiovascular medicine at the University of Oxford, United Kingdom.

Virus triggers the inflammation in plaque

A recent study of more than 800,000 people led by Fabio Angeli, a cardiologist at University of Insubria in Varese, Italy, has shown that COVID-19 patients develop high blood pressure twice as often as others. More worrying is that the risk of cardiac diseases can also rise for patients who suffered only mild COVID symptoms.

"I saw a patient who now has a defibrillator, and she didn't even have a severe [COVID] illness," says Bernard Gersh, a cardiologist at Mayo Clinic, Rochester, Minnesota.

Wondering whether the cardiovascular damage during COVID was due to the virus directly attacking the blood vessels, the NYU team analyzed autopsied tissue from the coronary arteries and plaque of older people who had died from COVID-19. They found the virus was present in the arteries regardless of whether the fatty plaques were big or small.

"The original finding in this study is that the virus was convincingly found in the plaque in the coronary artery," says Juan Carlos Kaski, a cardiovascular specialist at St George's, University of London, who was not involved in the study.

The NYU team found that in the arteries, the virus predominantly colonized the white blood cells called macrophages. Macrophages are immune cells that are mobilized to fight off an infection, but these same cells also absorb excess fats—including cholesterol from blood. When microphages load too much fat, they change into foam cells, which can increase plaque formation.

To confirm that the virus was indeed infecting and growing in the cells of the blood vessels, scientists obtained arterial and plaque cells—including macrophages and foam cells—from healthy volunteers. Then they grew these cells in the lab in petri dishes and infected them with SARS-CoV-2.

Giannarelli found that although virus infected macrophages at a higher rate than other arterial cells, it did not replicate in them to form new infectious particles. But when the macrophages had become loaded with cholesterol and transformed into foam cells, the virus could grow, replicate, and survive longer.

"We found that the virus tended to persist longer in foam cells," says Giannarelli. That suggests that foam cells might act as a reservoir of SARS-CoV-2. Since more fatty buildup would mean a greater number of foam cells, plaque can increase the persistence of the virus or the severity of COVID-19.

Scientists found that when macrophages and foam cells were infected with SARS-CoV-2 they released a surge of small proteins known as cytokines, which signal the immune system to mount a response against a bacterial or viral infection. In arteries, however, cytokines boost inflammation and formation of even more plaque.

"We saw that there was a degree of inflammation [caused] by the virus that could aggravate atherosclerosis and cardiovascular events," says Giannarelli.

These findings also confirm previous reports that measuring inflammation in the blood vessel wall can diagnose the extent of long-term cardiovascular complications after COVID-19, says Antoniades.

"What this study has found is that plaque rupture can be accelerated and magnified by the presence of the virus," says Kaski.

Understanding heart diseases after COVID

While this new research clearly shows that SARS-CoV-2 can infect, grow, and persist in the macrophages of plaques and arterial cells, more studies are needed to fully understand the many ways COVID-19 can alter cardiac health.

"The NYU study identifies one potential mechanism, especially the viral reservoir, to explain the possible effects" says Gersh. "But It's not going to be the only mechanism."

This study only analyzed 27 samples from eight elderly deceased patients, all of whom already had coronary artery disease and were infected with the original strains of virus. So, the results of this study do not necessarily apply to younger people without coronary artery disease; or to new variants of the virus, which cause somewhat milder disease, says Angeli.

"We do not know if this will happen in people who have been vaccinated," says Kaski. "There are lots of unknowns."

It is also not clear whether and to what extent the high inflammatory reaction observed in the arteries of patients within six months after the infection, as shown in the new study, will last long-enough to trigger new plaque formation. "New studies are needed to show the time-course of the resolution of vascular inflammation after the infection," says Antoniades.

COVID patients should watch for any new incidence of shortness of breath with exertion, chest discomfort, usually with exertion, palpitations, loss of consciousness; and talk to their physician about possible heart disease.

[nenelonomh]

oral hygiene

perhaps since i am a bit younger than most of the people on this app, or since my nana had owned a kindergarten, i am so aware of the importance of hygiene and health practices. i feel that everyone has put simple things like this on the back burner, since covid, since the internet's takeover.

i remember, when i was younger (2015/16ish) (note: i clearly wasn't in kindergarden at the time, but this is when the memories are from), the halls of my nanas kindergarten were lined with posters that encouraged parents to look after their child's health. current kindergartens, and parents--perhaps due to technology and widespread knowledge-- prioritize other things. it's about time we took responsibility of our own health again.

oral hygiene is the practice of keeping your mouth clean and disease-free. it involves brushing and flossing your teeth as well as visiting your dentist regularly for dental x-rays, exams and cleanings.

brushing your teeth: ✩ use fluoride toothpaste to protect your teeth from decay (cavities). fluoride strengthens the tooth's hard outer surface (enamel). ✩ angle the bristles toward the gumline to clean between the gums and teeth. ✩ brush gently using small, circular motions. avoid scrubbing back and forth too hard. ✩ brush all sides of each tooth, including your tongue. ✩ replace your toothbrush when the bristles become worn.

HOT TIP: if you get bored with, or struggle to remember brushing your teeth, consider swapping to a minter (or other pleasantly flavoured) toothpaste. this will encourage you to continue the habit, since it is more enjoyable.

flossing your teeth: ✩ plaque can build up between teeth, leading to gum irritation and gingivitis. ✩ floss daily to remove plaque from these areas. ✩ if plaque hardens into tartar, only a dentist or dental hygienist can remove it.

replacing your toothbrush: ✩ as you use your toothbrush, the bristles gradually wear down. bent or frayed bristles lose their stiffness and effectiveness in cleaning your teeth. ✩ over time, your toothbrush accumulates bacteria from your mouth. bacterial growth on an old toothbrush can contribute to oral infections and bad breath. ✩ you should replace your toothbrush when you notice that the bristles have become worn, or every 3-4 months to prevent the buildup of harmful bacteria.

storing your toothbrush: ✩ before and after brushing, thoroughly rinse the bristles of your toothbrush under hot tap water. this helps remove toothpaste residue, debris, and any airborne bacteria or dust particles. ✩ after rinsing, tap the handle of your toothbrush against the edge of the sink to shake off excess water. this promotes faster air drying and prevents bacterial growth. ✩ store your toothbrush in a cup or holder. keep the bristles up and the handle down. this allows excess water to drain away from the bristles, preventing bacteria buildup. ✩ place the cup or holder in a well-ventilated area, such as a counter or shelf. avoid storing it in a dark, enclosed space like a drawer or cabinet. allowing your toothbrush to air dry completely helps prevent bacterial growth. ✩ avoid cross-contamination by keeping your toothbrush separate from your housemates, or family members.

electric toothbrushes: ✩ some may choose to use electric toothbrushes, where you only replace the head of the toothbrush. electric toothbrushes use oscillating, rotating, or sonic movements to clean teeth and gums more thoroughly. many models have built-in timers to ensure you brush for the recommended 2 minutes. most electric toothbrushes are rechargeable, reducing waste from disposable batteries. ✩ personally, i prefer to use a regular toothbrush, since i feel it does a better job cleaning my mouth. often electric toothbrushes require you to take longer to brush your teeth.

eating choices: eating choices play a significant role in maintaining good oral health. first and foremost, consuming sugary foods and drinks can lead to increased acid production in the mouth. this acid can erode tooth enamel, making your teeth more susceptible to decay. it's essential to limit your intake of sugary snacks and beverages to protect your oral health.

frequent snacking, especially on sugary and acidic drinks throughout the day can harm your teeth. aim for regular meals rather than constant snacking to give your teeth time to recover between eating episodes.

staying hydration is crucial for overall health, including oral health. dry mouth (which is called xerostomia) can increase the risk of cavities and gum disease. salvia helps neutralize acids and wash away food particles, so drink plenty of water to keep your mouth moist.

remember to maintain a balanced diet, rich in vitamins and minerals. it is essential for healthy teeth and gums. nutrients like calcium, vitamin D, vitamin C, and phosphorus contribute to strong teeth and support gum health. include dairy products, leafy greens, fruits, and lean proteins in your diet.

to conclude: remember that good oral health allows you to enjoy life by speaking clearly, tasting, chewing, and showing your feelings through facial expressions like smiling!

further reading: ✩ What’s the Most Sanitary Way to Store Your Toothbrush? • Brilliant Oral Care✩The Best Way to Store Your Toothbrush & the Mistakes You May be Making | Gentle Dental (interdent.com)✩Whatever You Do, Don't Store Your Toothbrush Here - CNET✩Why Should You Replace Your Toothbrush? And When? – Mouth Watchers✩How Often Should You Change Your Toothbrush? Healthy Etiquette (healthline.com)✩When To Change Your Toothbrush | Colgate®✩Oral Hygiene | National Institute of Dental and Craniofacial Research (nih.gov)✩Oral Hygiene: Best Practices & Instructions for Good Routine (clevelandclinic.org)

i hope this post was helpful!

❤️ nene

[frenchkisstheabyss]

7 Psychopaths: Seonghwa

x Summary: You are X, a seasoned assassin, and your boss has just assigned you an unusual task. You have two weeks to gather six men for a top-secret mission that requires their unique brand of psychopathy. The trick is, you've got romantic history with all of them.

A detail that might make this a walk in the park or the fight of your life. Time to find out...

x Pairing: assassin!seonghwa x assassin!chubby!fem!reader

x Genre: angst/crime au/smut

x Word Count: 1.8k-ish

x Warnings: fingering, unprotected sex, some moments of deep/hard sex w/ scratching, sex in the desert cause danger is fun, pet names (baby), Hwa likes to talk dirty, fire, side character death via said fire, blood, teeth pulling w/ pliers, mini-explosion, a punch gets thrown, a lil enemies to lovers, strong language, tried to cover it all but lmk if anything's missing!

x A/N: This is #4 in a series of 6 stories featuring two members from TXT, two from ATEEZ, and two from Stray Kids. They all follow the same theme and can be read chronologically or you can jump around. I support the chaos.

Previous Psychopath: Wooyoung | Next Psychopath: Soobin | OR Start From The Beginning

The average adult has 32 teeth. 28 if they’ve had their wisdom teeth taken out. Seonghwa shoves a pair of pliers into the mouth of the man he has tied up in the trunk of a car, clamping the metal jaws around the first molar on the right side. The man’s screams are agonizing, his wrists and ankles fighting against the frayed rope as the root tears out of place. Seonghwa holds it in the red glow of the taillights, ignoring the blood soaked cries of his present company.

“You really should brush your teeth more'' he frowns, noting the plaque buildup on the bloody tooth before tossing it aside. “Don’t worry though. Once I’m done you won’t have any left to brush.” Seonghwa grabs him by the neck, shoving the pliers into his mouth as a mixture of spit and blood drips down the man’s chin. Gripping the next tooth in line, he rips it out much easier than the last and the screaming continues. 2 down, 30 to go.

If they were somewhere in the city Seonghwa might've done something to quiet him down. Duct tape his mouth shut. Shove a sock in there. But this is the desert, the absolute middle of nowhere, during a time when even the sun has abandoned them. There are no people for miles in either direction and any encounter with the other living creatures that stalk the desert night is sure to end in this man's death. Make no mistake. He will die either way but first, there’s business to attend to.

“You have the misfortune of having a lot of teeth,” Seonghwa grins, waving the pliers around with tooth number 4 wedged between metal, “Fortunately, I don’t have a lot of time so why don’t you tell me what I wanna know and we can go our separate ways.” “You…you’re gonna let me go?” the man blubbers, tears streaming down his cheeks. “Of course, I will.” A lie. “Don’t fuck with me, man!” “I’m not fucking with you.” Another lie. Seonghwa takes a seat on the edge of the open trunk, patting the man on the shoulder like they’re two old friends grabbing a beer. “I’ll let you go. I always keep my word.” The final lie. The biggest lie of them all. 

But it works. In seconds the man confesses to Seonghwa, a sinner in search of forgiveness. He answers every question without pause. Spills the details of who hired him for the job that led to their paths crossing. Hell, he even starts in on his troubled childhood, going on about his mommy issues until Seonghwa can’t stomach his voice anymore. “Alright, well, thanks for that,” Seonghwa sings, hopping up and tossing the pliers into the trunk before walking out of view. “Hey! Where are you going?” the man shouts, wiggling towards the edge of the trunk.

Idling a safe distance away is Seonghwa’s car, soft white headlights illuminating the horizon as classical music flows from the radio almost too lightly to be heard. He pops the trunk, retrieving a 5 gallon gas canister. “Calm down, I’m coming back,” Seonghwa huffs, dragging himself back to the other car. The man’s eyes widen when he sees the canister, what little color is left in his pale skin drains to nothing. “No! You can’t do that! You gave me your word! You’re fucking crazy.”

Seonghwa digs a lighter out of his back pocket, flicking the top off of the canister with his thumb, “I know.”

You awaken from your slumber like a sweet baby angel to the gentle sound of orchestral music. The surface beneath you is the softest you’ve slept on in days and the blanket wrapped around you must be made of some luxurious fur because regular cotton could never feel this lush. You sit up, yawning, eyelashes fluttering, and wait for your vision to adjust. As the sleep wears off you suddenly notice how dry your throat is. Then there’s the pain. You bring your hand up to the side of your neck, touching the tender spot where you were injected with something, and it all comes back to you.

Woo. Seonghwa. They did this. Where are you? The driver’s side door swings open just as the pieces shift back into place. Nearby screams muffled by the crackling of a raging fire draw you in like a moth to a flame. There’s thumping inside the trunk of the other car. You’re too concerned about if you’re next to care who’s in there. “You’re up!” Seonghwa cheers, hopping into the car and turning to check the backseat where you’ve been passed out for hours. “How’s it going, baby?” “‘Baby’, my ass!” you shout, punching him in the face. You hate to hit something so pretty but he deserved it.

“You fucking drugged me!” Seonghwa holds his nose, tapping his foot to distract from the pain, “I did it for your own good.” “For my own good? You set me up. Where’s Woo? Son of a bitch.” Blinded by your anger, you storm out of the car, charging barefoot through the desert with the blanket still around you. Seonghwa chases after you, his head tilted back to avoid a nosebleed, “You can’t just walk around out here. You’re gonna get hurt!” “I’ll get hurt?” you scoff, turning back to launch another hit in his direction.

Seonghwa grabs you by the wrist, bringing an arm around your waist to hold you to him, “Look at me and tell me you think I’d ever bring harm to you.” The aching in your neck tells you not to trust him again but your heart won’t let you forget your shared history. All of the times he’s put his life on the line to protect you before. Whatever he’s done, there must be a reason. It better be a good one. Seonghwa lets out a sigh of relief as he senses your body has begun to relax. The fire behind him has doubled in size, making it impossible to ignore.

“Who’s in the trunk?” you ask, kissing the bridge of his nose right where your punch landed. It takes everything in him not to blush. “Someone that did want to hurt you but don’t worry. I hurt him first.” “What did he want with me?” “You’re joking, right?” he laughs, “There’s a trail of corpses behind you in the name of a mission no one knows anything about. They’re coming for you. You have to stop.” This was bound to happen. An occupational hazard. When you run around fucking shit up you draw attention to yourself and it’s never the good kind.

This is the life you signed up for though. Turning back isn’t an option. “You know I can’t do that.” “Yes you can,” he says, the pain in his voice undeniable, “I’ll keep them off of you as long as I can but once they get to me—” You kiss him, letting the blanket fall to your feet as you cup his face. “Don’t talk like that, Hwa. I won’t let them touch you. I promise.” The kiss heats up rapidly. The knowledge that you still care for each other deeply drives you into a breathless frenzy.

You tear at each other’s clothes. His hands traverse your curves, massaging your ass and thighs. Your stomach. Your breasts. Your everything. Before you know it you’re laid out over the pile of clothes, his tongue rolling across your nipple as he parts your thighs to stroke your pussy. Your throat might be dry but your pussy’s delectably wet. Seonghwa dips a finger into you, humming against a mouthful of your breast as he taps his thumb at your clit. The finger inside of you curls in just the right way to make your hips stutter.

“Mmm, is my girl ready for another one?” You shake your head, nails raking up and down his back, “Two. I want two more.” “Anything for you” he smiles, feeding his fingers into you one by one. He moves his wrist in slow circles, giving you that satisfying fullness in your belly, all the while stretching you in preparation for the cock he can tell you want so badly. You reach down to stroke his length and it jumps for you like an overexcited puppy happy to see its owner. You are its owner. No amount of time apart will change that. You’re the only woman who's ever been able to get him hard as steel and you know it.

“No more fingers. I want you to fill me up” you whisper, tugging at his hair. Seonghwa picks up the pace, fingering you faster just to hear you scream his name. Your hips raise off of the ground, walls locked around his fingers. He wiggles them free, using the hand dripping with your arousal to stroke himself as he aligns with your entrance. He comes up to kiss you, pushing into you until he bottoms out, turning you into a giggling mess.

Watching you has him falling in love all over again. “Fuck, I love it when you’re like this,” he says, lifting one of your legs up and pounding into you. Each thrust is so perfectly angled to please you that you can't even steady your hands enough to touch him. In fact, nothing about you is steady. Your entire body reacts to his, obeying commands without a word spoken. “Ooh, your little pussy’s pulsing. Ready to cum for me already?” he teases, bouncing you on his cock. “Yes. Yes. Yes. Yes…” your voice trails off, nails digging deeper into his shoulders as you crack under pressure.

Seonghwa pins you down harder, slowing down to feel every moment of your release. He may have his sadistic side but his heart never softens more than when he sees you happy. And knowing that he’s the reason why? It gets him every time. He cuddles you as you come down, only peeling his body away from yours when the sudden combustion of a gas tank startles the two of you. “Aww, isn’t that romantic?” he beams. “Romantic?” “Like fireworks.” You roll your eyes, scooching over to lay your head on his chest, “Sure. Let’s go with that.”

Despite the circumstances, laying here with him is the most peaceful night you’ve had since this all began. It feels almost normal enough to pretend you don't have the weight of the world on your shoulders. Seonghwa disrupts the delusion. Someone has to do it. “Nothing I say will make you back out of this mission, will it?” You sigh, drawing hearts in the sweat that slicks his chest, “No. I have to do this, with or without you and Woo, but I’d prefer with.” Seonghwa hugs you, kissing you on the forehead, “Then ‘with’ it is.”

[ms-demeanor]

how do you factor brushing your teeth into the "letting yourself fall asleep while doing stuff" strategy?

Well let's preface this with the fact that I'm kind of a disaster:

I brush my teeth in the morning.

Sometimes I'll brush my teeth right after dinner (and I'm usually finishing dinner at like 10pm) and then I'll be up for another few hours and I just. Like. Try not to sweat it? I probably brush my teeth around 10-12 times a week, which is less than the recommended twice a day but honestly for me is a pretty significant improvement over where I was in, like, 2013. Getting to daily tooth brushing was a significant achievement that I had to start using an activity tracking app for. Washing my face daily is still a struggle. I am *not* great at being what a lot of people seem to consider "normal" or "functional" but I'm getting by and I'm getting better.

Ideally in a perfect world where brushing my teeth wasn't going to mean that I'd be awake for another three hours I'd brush my teeth right before tucking myself into bed in my PJs with the lights off.

But it *is* going to mean that so I brush my teeth and floss when it's not going to impact that and fall asleep in a bright room with my glasses and jeans on.

And TBH it's working out. I've got pretty fucky teeth anyway (double row of wisdom teeth, teeth when i was a couple weeks old, had all my adult teeth by the time I was seven, have had something like eight root canals and have a shitload of crowns) so it's hard to say if this has had an impact on my dental health (had a lot of those crowns and root canals when I was brushing and flossing twice daily because my parents made me as a kid) but since my last "i haven't been to the dentist in nine years and my damaged tooth broke in half during the first month of covid" fiasco I've been brushing every morning and flossing mostly every morning and getting in extra brushing and flossing when I can, I haven't had any further cavities or other issues past treating what nine years of neglect did (it's been 3 years of being pretty okay and they don't tell me that i need to floss more at the dentist so i consider that a success).

At one point a dentist told me that plaque buildup starts after about 24 hours of the bacteria in your mouth being undisturbed and that the 2x daily recommendation is to make sure you don't go 24 hours without shaking the little fuckers up. I don't actually know if that's accurate, but it has helped me to be more regular about brushing my teeth (look; depression and adhd is a bad combo and there were some rough years there) and also helped me to be more regular about brushing my dog's teeth.

So anyway please don't follow my example please do what your dentist tells you to do but also yeah if you're having sleep issues it may be more important for you to get sleep than to get up and brush your teeth right away. Brush in the mornings for sure, try to do it every day, use a toothpaste with fluoride and floss or use a waterpik to get below the gumline; then try to get in another brushing when you can, ideally at least one other time a day.

But you don't have to brush exactly twelve hours apart or right before you go to bed, and if you're eating and drinking after you brush your teeth but before you go to bed it isn't ideal but it also isn't a disaster.