With summer winding down, parents are turning their attention to their kids' upcoming school year. August is often a busy time for families rushing to buy school supplies and fresh sets of clothes and shoes. Although hectic, these last few weeks before school starts are also ideal for focusing on dental health.
As you prepare for the school year, be sure to include these dental health items on your to-do list.
Make a dental appointment. Start the school year off right with a dental cleaning and checkup. Along with daily hygiene, dental visits are key to disease prevention and optimal oral health. Make those appointments early, though: Most dentists report an upsurge in patient visits this time of year.
And if you haven't already, set up an orthodontic evaluation: Having an orthodontist examine your child around age 6 could uncover an emerging bite problem. Early intervention might prevent the need for more costly future orthodontic treatments.
Plan for healthy school snacking. While kids are home on summer break, it's probably easier to keep an eye on the quality of their snacks. But being away from your watchful gaze at school means your children may encounter snacks that are not quite up to your tooth-healthy standards.
Even though schools adhere to federal nutrition standards for food provided on school property, many dentists don't believe they go far enough. Your kids' classmates can also be a source of unhealthy snack choices, so plan ahead to provide your kids an array of snacks to carry to school that they like and that support healthy teeth and a healthy body.
Get a custom mouthguard for your student athlete. If your child is going to play football, basketball or some other contact sport, make sure they have dental protection. A hard impact to the face can cause significant dental damage that's costly to treat, but a mouthguard worn during play can protect the teeth and gums by cushioning the blow.
You can purchase retail mouthguards at your local sporting goods store. Your best option, though, is a mouthguard custom-made by your dentist based on your child's individual mouth measurements. Although more expensive, custom mouthguards offer superior protection, and they're more comfortable to wear.
When the school bell rings, you want your kids as prepared as possible. Make sure their teeth and gums are ready too. If you would like more information about best practices for your child's dental care, please contact us or schedule an appointment for a consultation. To learn more, read the Dear Doctor magazine articles “Snacking at School” and “Athletic Mouthguards.”
True or false: there’s no cause for concern about tooth decay until your child’s permanent teeth erupt.
False—decayed primary teeth can lead to potentially serious consequences later in life.
Although “baby” teeth last only a few years, they’re essential to future dental health because they act as placeholders and guides for the incoming permanent teeth. If they’re lost prematurely due to decay, other teeth may drift into the empty space intended for the emerging permanent tooth. Because of this, inadequate space will crowd the out of proper alignment.
And because they have thinner enamel than permanent teeth, primary teeth are more susceptible to decay. Once decay sets in, it can spread rapidly in a matter of months.
Fortunately, we may be able to prevent this from happening to your child’s primary teeth with a few simple guidelines. It all begins with understanding the underlying causes of tooth decay.
Tooth decay begins with bacteria: As a result of their digestion, these microorganisms secrete acid that at high levels can erode tooth enamel. The higher the population of bacteria in the mouth, the higher the acidity and potential threat to the teeth.
The first objective then in preventing decay is to remove dental plaque, the thin film of bacteria and food particles on tooth surfaces, through daily brushing and flossing. And because bacteria feed on sugar as a primary food source, you should reduce your child’s sugar consumption by restricting it to only meal times and not sending your child to bed with a bottle filled with a sugary liquid (including formula or breast milk).
To help boost your child’s protection, we can also apply sealants and fluoride to teeth to help protect and strengthen their enamel from acid attack. Because we’ll also monitor for signs of decay, it’s important to begin regular dental visits beginning around age one. If we do detect decay, we can then treat it and make every effort to preserve your child’s primary teeth until they’ve completed their normal life cycle.
By taking these steps, we can help make sure your child’s early teeth go the distance. Their current and future dental health will certainly benefit.
If you would like more information on prevention and treatment of tooth decay, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Do Babies Get Tooth Decay?”
Tooth decay is a destructive oral disease, which along with periodontal (gum) disease is most responsible for tooth loss. And as you age, your disease risk goes up.
One form of decay older people often experience is root cavities. Unlike those occurring in the visible crown, root cavities often occur below the gum line and are especially destructive to tooth structure.
That's because, unlike the crown protected by ultra-hard enamel, the roots are covered by a thin, mineralized material called cementum. Although cementum offers some protection, it can't compare with the decay-resistant capacity of enamel.
The roots also depend on gum coverage for protection. But unfortunately, the gums can shrink back or recede, usually due to gum disease or over-aggressive brushing, and expose some of the root surface. With only the cementum to protect them, the roots can become highly susceptible to decay. If a cavity forms here, it can rapidly advance into the tooth's interior, the pulp, weakening the tooth and increasing its risk of loss.
To stop the decay, we must treat root cavities much like we do with crown cavities: by removing any decayed structure and then filling the cavity. But root cavities are often more difficult to access depending on how far below the gum line they extend. We may need to perform minor gum surgery to expose the cavity to treat it.
But as with any form of tooth decay, the best strategy is to prevent root cavities in the first place. Your first line of defense is a daily hygiene habit of brushing and flossing to remove dental plaque, the main cause for tooth decay. You should also visit your dentist at least twice a year (or more, if recommended) for more thorough cleanings and checkups. Your dentist can also recommend or prescribe preventive rinses, or apply fluoride to at-risk tooth surfaces to strengthen them.
You should also be on the lookout for any signs of gum disease. If you see swollen, reddened or bleeding gums, see your dentist as soon as possible. Stopping possible gum recession will further reduce your risk of root cavities.
If you would like more information on the prevention and treatment of tooth decay, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Root Cavities: Tooth Decay Near the Gum Line Affects Many Older Adults.”
Boston Bruins defenseman Zdeno Chara had a rough Stanley Cup final against the St. Louis Blues this past June. Not only did the Bruins ultimately lose the championship, but Chara took a deflected puck shot to the face in Game Four that broke his jaw.
With the NHL season now over, the 42-year-old Bruins captain continues to mend from his injury that required extensive treatment. His experience highlights how jaw fractures and related dental damage are an unfortunate hazard in hockey—not only for pros like Chara, but also for an estimated half million U.S. amateurs, many in youth leagues.
Ice hockey isn't the only sport with this injury potential: Basketball, football (now gearing up with summer training) and even baseball players are also at risk. That's why appropriate protective gear like helmets and face shields are key to preventing injury.
For any contact sport, that protection should also include a mouthguard to absorb hard contact forces that could damage the mouth, teeth and gums. The best guards (and the most comfortable fit) are custom-made by a dentist based on impressions made of the individual's mouth.
But even with adequate protection, an injury can still happen. Here's what you should do if your child has an injury to their jaw, mouth or teeth.
Recognize signs of a broken jaw. A broken jaw can result in severe pain, swelling, difficulty speaking, numbness in the chin or lower lip or the teeth not seeming to fit together properly. You may also notice bleeding in the mouth, as well as bruising under the tongue or a cut in the ear canal resulting from jawbone movement during the fracture. Get immediate medical attention if you notice any of these signs.
Take quick action for a knocked-out tooth. A tooth knocked completely out of its socket is a severe dental injury. But you may be able to ultimately save the tooth by promptly taking the following steps: (1) find the tooth and pick it up without touching the root end, (2) rinse it off, (3) place it back in its socket with firm pressure, and (4) see a dentist as soon as possible.
Seek dental care. Besides the injuries already mentioned, you should also see a dentist for any moderate to severe trauma to the mouth, teeth and gums. Leading the list: any injury that results in tooth chipping, looseness or movement out of alignment.
Even a top athlete like Zdeno Chara isn't immune to injury. Take steps then to protect your amateur athlete from a dental or facial injury.
If you would like more information about dealing with sports-related dental injuries, please contact us or schedule an appointment for a consultation. To learn more, read the Dear Doctor magazine articles “Athletic Mouthguards” and “The Field-Side Guide to Dental Injuries.”
While pregnancy is an exciting time for expectant mothers, it can pose extra health challenges. This is especially true regarding dental health.
Because of hormonal changes that naturally occur during pregnancy, your teeth and gums are at higher risk for dental disease. These changes can increase cravings for carbohydrates, particularly sugar. Increased sugar consumption feeds bacteria found in dental plaque, which is most responsible for tooth decay and periodontal (gum) disease.
Hormonal changes can also make your gums more susceptible to infection. Conditions may be favorable for a form of gum disease called pregnancy gingivitis, which can begin as an infection in the surface layers of the gums. But like other forms of gum disease, pregnancy gingivitis can advance below the gum line and lead to serious health consequences.
Because of this "pregnancy effect" on your teeth and gums, there are some things to which you should pay heed while you're expecting. First and foremost, keep up a daily regimen of brushing and flossing to remove accumulated dental plaque. You should also control your sugar intake to minimize bacterial growth that can cause disease.
It's also important for you to continue regular dental visits during your pregnancy. Your dentist will monitor your dental health and initiate treatment if you begin to show signs of disease. Besides professional cleanings, your dentist may also prescribe antibacterial mouthrinses to combat bacteria.
As far as dental procedures, essential treatments like fillings, root canals or extractions are usually considered safe to perform during pregnancy. But elective treatments of a cosmetic nature are best postponed until after your baby's delivery.
One last tip: because of the higher risk of tooth decay or gum disease, be on the lookout for any abnormal signs in your mouth. This includes spots on the teeth, tooth pain or swollen, reddened or bleeding gums. If you see any of these signs, see your dentist as soon as possible.
Your teeth and gums are indeed at risk for disease during pregnancy. But daily hygiene, regular dental care and attention to signs of disease can help keep that danger at bay.
If you would like more information on prenatal dental care, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Dental Care During Pregnancy.”
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