Posts for: February, 2014
A habit can be defined as a recurrent, mostly unconscious pattern of behavior that is acquired through frequent repetition. However, there is much more to a habit than meets the eye. A major influence on children's positive behaviors and habits are those in their environment, namely parents, siblings and peers.
Luckily, proper oral hygiene is actually one of the easier habits to instill in children. Beginning when children are toddlers and continuing into their teenage years, you can influence them to institute lifetime oral healthcare habits.
Here are a few tips to get you started:
- Teach your Children How to Brush Properly. Starting at age two, when there are more teeth in your child's mouth, you should help your child establish a brushing routine. For toddlers, use a child's size soft toothbrush with water and a pea-sized amount of fluoride toothpaste. Children should be helped with brushing until at least age the age of six, at which point they will have developed enough dexterity.
- Encourage your Children to Stop Sucking Thumbs and Pacifiers by Age Three. Most children drop this habit on their own between the ages of two and four. However, problems can occur when sucking habits are allowed to go on too long, including jaw development issues and buck teeth. If you are having problems helping your child to modify his or her sucking habits, we are happy to offer you some advice and creative strategies.
- Set an Example of Healthy Eating Habits. A diet rich in sugar encourages the growth of acidogenic (acid-producing) bacteria, which cause tooth decay. Always choose water over sugary beverages, and encourage your children to do the same. When it comes to sweets, avoid sugary snacks between meals, and instead, snack on better options like fruits, vegetables and wheat crackers. Remember, if your children see you making these healthy decisions from an early age, they are likely to mimic your behaviors.
Pre-Teens and Teenagers:
- Get your Children Professional Custom-Fitted Mouthguards. These devices not only protect your children's teeth, but also the jawbones, jaw joints and soft tissues of the lip, cheeks, gums and tongue. A mouthguard made specifically for your child using a model of his or her teeth offers greater protection than an over-the-counter model.
- Warn your Teens about Oral Piercings. Tongue piercing and lip bolts create many risks for teeth and the tissues that surround them. Resulting tooth problems include chipping, sensitivity, and pain. Periodontal problems include gum recession, inflammation, infection, and bone loss. Make sure that your teen is aware of these risks.
If you would like more information about oral healthcare for your children, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “How to Help your Child Develop the Best Habits for Oral Health.”
When you or a family member takes a traumatic hit to the mouth, what should you do? Besides immediate first aid, your next action will depend on the extent of damage to any teeth. What you do and when you do it may even determine whether an injured tooth is eventually saved or lost.
If a tooth has been completely knocked out, you have about five minutes to replace the tooth in the socket to give it the best chance of reattachment and long-term survival. While we can certainly perform this action in our office, getting to us within five minutes may not be possible. Fortunately, any person can perform this action on site (see the article linked below for basic instructions on replantation). If for some that's not possible, you should control bleeding at the tooth site with direct pressure, place the recovered tooth in milk or the patient's saliva, and see us as soon as possible.
If, however, the injured tooth has been obviously knocked out of line but not completely detached from its socket, you have a small cushion of time to seek dental treatment — but not much. For this degree of injury, you should see us within six hours of the incident. We will be able to determine the exact nature of the injury, and treat the condition by moving the teeth back into proper position and splinting them.
You have up to twelve hours for broken or chipped teeth still in their normal position. Try to locate and save any broken-off fragments — it may be possible to re-bond them to the teeth. Although it may not be as urgent as other situations, you should still seek treatment as soon as possible. A broken tooth could leave the inner pulp exposed — a situation that left untreated could lead to eventual tooth loss.
Traumatic injuries to the mouth can have serious consequences for your long-term dental health. With our consultation and treatment efforts, we can help you save an injured tooth.
If you would like more information on caring for dental injuries, 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 “The Field-Side Guide to Dental Injuries.”
Dental implants are one of the best tooth replacement systems available. But while they can rejuvenate patients’ smiles and potentially provide a lifetime of service, they require thorough planning and preparation before the implant is inserted.
The process begins with the assembling of your treatment team. Implants require the training and expertise of a number of professionals who collaborate during the process: a dental specialist, like an oral surgeon, periodontist or a general dentist trained in implant dentistry, who surgically installs the implant; a dental technician who fashions the permanent life-like crown that will attach to your particular implant; and a restorative dentist who begins and ends the process with you — from initial consultation and planning to the permanent crown attachment. You, the patient, are also part of the team — your input and informed choices are essential to a successful outcome.
Your restorative dentist will take the first steps to develop your treatment plan. It begins with both a dental examination and a general health assessment to determine your fitness for any surgery. The dental examination serves to evaluate the site where the proposed implant or implants will be placed, along with x-rays for assessing the quantity and quality of bone at the site. Next, the dentist will create study models of your mouth to assess bite, and possibly take photographs to guide decisions on the implant crown’s color and appearance. The last step may be the development of surgical guides to ensure accurate placement of the implants by the surgeon.
One of the biggest questions to answer at this stage is whether or not you have sufficient bone mass to support the implant. You may have experienced significant bone loss due to disease or from resorption (the dissolving of bone) because of tooth loss. Insufficient bone mass can be remedied with a bone graft placed within the site that stimulates bone growth, which if successful will provide enough bone to support the implant.
While this preparatory phase before implant placement can be very involved, it’s absolutely necessary for ultimate success. The careful planning and prep work performed by your implant team — and your own participation in the process — will ensure that you’ll be happy with your new implants and your new smile.
If you would like more information on dental implant options, 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 Implants.”
Your body’s organ systems are interlinked — what happens in one system may affect another. An example of this is the interrelationship between periodontal (gum) disease and cardiovascular disease (CVD).
Medicine has discovered a common link between these two different conditions — inflammation. A result of the body’s defense mechanisms, chronic inflammation is damaging to both your mouth and your heart. Inflammation can destroy the gum’s soft tissue and underlying bone and lead to tooth loss. In the cardiovascular system, inflammation can begin and accelerate the buildup of plaque within arterial blood vessels (atherosclerosis). This inhibits the flow of oxygenated blood to both the heart and brain, which sets the stage for a heart attack or stroke.
Gum disease begins with poor oral hygiene. When brushing and flossing aren’t performed on a regular basis, or not performed adequately, it allows a thin layer of bacterial plaque called biofilm to build up on the teeth. The bacteria cause infection in the soft tissues of the gum that triggers the chronic inflammation. Because it’s often unaccompanied by other signs of infection like fever, a patient may not even be aware of it. There’s evidence now that inflammation caused by moderate to severe gum disease can contribute to a similar response in blood vessels.
We can treat the gum disease and reduce or eliminate the inflammation. This first requires the removal of all plaque and calculus (harder deposits) on the teeth, down to the root level. It may require surgery to access these areas and to help regenerate some of the lost tissue and bone that support the teeth. It’s also important to institute proper oral hygiene — effective daily brushing and flossing, semi-annual office cleanings and checkups.
In a similar way, you should address signs of inflammation in your cardiovascular system, including blood pressure management and the control of LDL (bad) cholesterol. Because both gum disease and CVD share many of the same risk factors, you can positively impact both your oral and general health by eating more nutritional foods, engaging in regular exercise and quitting tobacco products.
Treating any symptom of inflammation is important to improving your total health. By bringing gum disease and its accompanying inflammation under control, you may in turn help your heart and blood vessels.
If you would like more information on the relationship between heart and gum diseases, 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 “The Link Between Heart & Gum Diseases.”