Here is Why You Need a Pediatric Dentist for Your Child

As a pediatric dentist office, we understand that pediatric dentistry is vital to the overall health and well-being of all infants, children, and young adults. We are dedicated to the oral health of children from infancy, through the toddler, pre-teens, and teenage years. Pediatric dentists have to go through an extra two to three years of specialized training after they finish dental school, which makes them highly qualified to address all your child's oral health care needs.

Unfortunately, tooth decay is the most common disease found in children and adolescents nationwide, and most go untreated due a lack of awareness or financial reasons. Many parents aren't aware that dental problems usually begin very early in life. For instance, dental caries is a serious condition caused by a child breastfeeding, thumb sucking, using a bottle or a sippy cup for too long. Unfortunately, many parents are unaware that their child is even suffering from any form of dental decay because in the early stages, the decay, is often times not visible without dental x-rays. Another problem that goes unnoticed is about  40% of children that are two to three years old have inflammation of their gum tissues. Instead of regular visits to a pediatric dentist, most children see a dentist only when they are forced to by a toothache, at which point they require more extensive treatment or even the removal of one or more teeth.

Preventative Dentistry For Infants, Children, And Adolescents
The earlier your child visits a pediatric dentist, the better the chances of preventing short and long term problems that can affect things like chewing, biting, speech and appearance. Dental issues identified early on and treated in childhood and adolescence can make a substantial difference in a lifetime of good dental health. Dentists believe that infants, children, and adolescents need more of a focus on preventative care, more so than adults do. Pediatric dentists recommend that, in addition to regular dental checkups, parents should use a wide range of preventative oral care measures at home in order to avoid tooth decay. Monitoring your child's diet, for instance, is one those preventative measures. Most cavities in children are caused by a lack of consistent brushing & flossing and a diet usually high in sugary foods.

Additionally, diets high in carbohydrates and sugars cause children to have thicker saliva, which in turn produces an acid that creates bacteria, causing cavities.  Thinner saliva can wash away food quickly. You should discourage your child from eating sugary foods like candy and fruit roll-ups that are low in nutritional value and avoid sugary juices or sports drinks as well.  It is important that you initiate a well-balanced diet for your child that consists of meat, fish, eggs, vegetables, fruit, dairy products and cereals low in sugar, so that their teeth develop appropriately. This will also positively affect the healthy gum tissue surrounding the teeth.

Preventative care is only one part of maintaining your child's overall oral health care. The American Academy of Pediatric Dentistry recommends parents have their children visit a pediatric dentist every six months, beginning with their first birthday. Routine visits will start your child on a lifetime of good dental health habits.

Family Dentist  >  Dentist

Learn How Invisalign® Aligners Are Created

The Invisalign process starts with an examination at our offices. There are very few circumstances where this product is not recommended to straighten teeth, but we want to make sure you are not one of those few individuals. Typically this is a very short visit, during which we will also make sure that you have no underlying issues that could delay or hamper the straightening process. Once we determine that you are a good fit for moving forward, the next step we will take is to get all the records we need to make the Invisalign aligners. One important point to note is that Invisalign® does not work with children since their teeth are still growing and developing. This product is for teens and adults who have already gotten their full set of adult teeth.

During the first stage, we will take a lot of measurements, x-rays, dental impressions of your teeth, and photographs. The objective is to provide the lab with an ideal scenario of what your teeth look like, and the only way to do that is to give them detailed measurements. Fundamentally the dental impressions are so that a replica of your teeth can be made using 3D modeling. This is where the technicians at Invisalign® take over.

The technicians at the company will scan your dental impressions and using these will create a 3D model of your teeth on their computer. Having it on the computer is extremely useful since it allows us, the dentist, to view them remotely. You can also view them as the patient. On this 3D model, the technicians gradually move the teeth into position, mimicking the exact pattern the aligners will follow in moving your teeth into position. From our perspective, we can make adjustments, giving the technicians instructions on tweaking the movements so that it is exactly how we want the teeth to move. This gives us much more control over the process and gets your teeth into exactly the position that we want them to be.

Once we are satisfied with the movement, and final position of the teeth, the technicians will get the go ahead to fabricate the aligners. This is a critical element of Invisalign. Each patient gets a unique, individualized plan based on their specific teeth. The aligners are then built to move the teeth exactly in keeping with this plan and based on a gradual pressure movement basis. Over the course of your treatment, each new set of aligners will be offset by around 1/10mm per tray. What this means is the tray will gradually force your teeth to be straighter by 1/10th of a millimeter. Once the aligner fits your teeth perfectly, they are to be worn for two weeks and then you will move on to the next aligner that once again, moves your teeth.

It is important to wear the aligners at least 20 hours a day. Since the plan is based on the gradual movement of the teeth and tied to a very tight timeline, not wearing the aligners for sufficient amounts of time can result in the teeth not moving enough and the new aligners not fitting well at all. By following the treatment plan, you will have straight teeth in no time.

Orthodontist  >  Braces

Historical Teeth Whitening and Modern Day Solutions

People have been interested in teeth whitening for most of recorded history and some even before that. Today’s Hollywood culture, with gleaming smiles and perfect teeth, have made an entire industry out of whitening teeth by building off of people's innate desire to look the best that they can. To that end having a pearly white smile, that oozes confidence, has become the virtual Holy Grail of anyone wanting to look their best. 

Believe it or not the desire to have white teeth actually started some really important trends, like tooth brushing. The first tooth cleaning and whitening devices, called chew sticks, can be historically traced back to 3000 BC, and ironically are still being used in some parts of the world today. The Chinese came up with an innovative way to replace the chew sticks by making a brush of bristles. The bristles came from the back of the Siberian hogs and were particularly coarse. This, as one can imagine, evolved into toothbrush of today. They were not, however, very popular with the Europeans who preferred to keep their teeth clean and white using the adopted Roman custom of picking. Hence, toothpicks stuck around. 

Modern technology has certainly improved and today, teeth whitening is safe and comfortable. As with many medical, and non-medical, procedures there are a plethora of swirling myths and urban legends that have developed around the simple task of teeth whitening. When you get your teeth whitened at our clinic, you are in the hands of a medically trained professional performing a task that is in no way dangerous. We bleach the enamel of the teeth so that they are a more pleasing shade of white.  Some patients even take custom fitted whitening trays and complete their treatment at home, given how straightforward it is. Since we can also answer any questions and take care of all your dental needs, we recommend a dentist-supervised teeth whitening instead of an over-the-counter solution.

Here are the questions we get the most of about teeth whitening: 

Will whitening my teeth lead to damaged enamel? 
There had been quite a lot of concern about this, so the short answer is no. In fact, the Journal of American Dentistry recently published a study on this very subject. What they concluded was that there is no connection between a person using a teeth whitening product and their enamel wearing out, so this one is an urban legend that is simply not true. 

Is the teeth whitening process painful? 
Again, the short answer to this question is no. There is no pain associated with teeth whitening. Most patients will experience an increased level of sensitivity in their teeth after a treatment. This is due to the proximity of the whitening chemicals to the soft and sensitive tissue of the gums. However, this sensitivity should last no more than twenty-four hours after the procedure and will never progress to pain. Knowing that excessive use of whiteners, or incorrectly fitted trays can increase this sensitivity is one major reason why we always recommend coming to see us for your teeth whitening.

What To Expect Immediately After Getting Braces

Now that your braces are fitted, you are on the way to a more confident, radiant smile. Getting your teeth adjusted is a big step which takes time and a level of commitment. At this point, you will have come very far and have probably learned more about your teeth than you ever thought possible. Over the course of a number of appointments, we will have measured your mouth, given you x-rays, and discussed your treatment at some length. Some of the things we will have discussed are the steps involved, caring for your new orthodontic appliances, the adjustment phase of the treatment, follow-ups, and a number of other important aspects of getting braces. For most people, this wealth of information, can be slightly overwhelming and can leave you with questions after you are done with your fitting appointment. To help with this, we will give you a packet of information for you to read.  Additionally, we are always available to answer a question over the phone or during one of your routine follow-up visits. 

Adjusting to new braces does take a few days. This initial period can be the most uncomfortable, but the discomfort will fade quickly. During the first few days, your mouth will need to get used to the idea of a foreign substance in the mouth that takes up more space than just your teeth. You could also have some level of pain, which is easily controlled by over the counter medication. This adjustment typically lasts no more than a day or two, and while nobody ever fully gets used to braces, pretty soon your mouth will accept the presence of the braces and they will not bother you at all. 

In order to feel more comfortable we recommend that you use over the counter Tylenol to control the pain, and advise staying away from Ibuprofen. Tylenol contains acetaminophen, usually recommended for pregnant women and children because it is a safer pain reliever. On the other hand, Ibuprofen can slow down the movement of the teeth, which interferes with the treatment, and hence we advise against taking it while wearing braces. Ibuprofen makes up the major ingredient in medications like Advil and Motrin so avoid these as well. You can also feel better by using a cool compress to help ease any swelling.

Immediately after having braces placed you should eat soft foods in order to avoid irritation.  After that, there are some dietary restrictions that come with braces. This is necessary because braces can become damaged or lose if you eat very hard foods or have to chomp down with a great deal of pressure. Ice cubes, popcorn, and sticky candy can all cause this damage, and you will need to avoid these until your treatment is complete. Part of your reading material will include a complete list of foods that you need to avoid, and we always recommend calling us to confirm if you are uncertain about a certain type of food.

Teeth Whitening Products and What You Need to Know Before Using Them

In our dentist office, we speak with a lot of patients about teeth whitening. Many people want to know what products they should try and if they are safe.  It is extremely popular to have bright, white teeth right now so it is understandable that the curiosity level is so high.  It is, however, important to note that with any trend comes a lot of misleading advertising that doesn’t paint the full picture.  While marketing companies have done a great job of bringing awareness to these products, you should be an informed consumer. 

A Warning:
One in twenty-five people that use store-bought teeth whitening products report experiencing some level of pain or discomfort afterwards.  This can be mild and go away with an aspirin, or severe and require follow-up dental care. This is partially why we recommend using products and solutions administered by a dentist.  We can help to prevent much of these problems. 

When you look at products in the store, there are several kinds to choose from.  Whitening toothpaste is by far the easiest to use because you were brushing your teeth anyway.  This is a good way to brighten your smile, but it won’t produce dramatic results.  In fact, most people are fairly disappointed. We do, however, recommend using this after having a professional teeth whitening procedure because it can help your teeth to stay white for a longer period of time. 

Another option, to consider, is whitening strips.  These look like a piece of tape that you apply to your teeth after brushing them.  With the strips securely in place, the solution can start to whiten your teeth.  The biggest challenge with strips is that they can easily slide off, so people find them difficult to use throughout the day, decreasing the chance of sticking with the treatment. 

You can also purchase whitening trays at the store.  This solution carries the greatest level of risk for discomfort because the trays are designed to fit everyone.  This means that they fit no one perfectly.  With that in mind, the solution can easily leak out of the trays and onto your gums, causing irritation.  Anytime that bleach comes in contact with your gums, it will create some level of discomfort.  As a dentist, we can create customized whitening trays so that there is no leakage and teeth can be whitened safely without these risks. 

If you decide to buy whitening products at the store, know that you may be disappointed.  They do work but not as well as a professional procedure so the results are not as dramatic.  This leads many people to use the products repeatedly and expose their teeth to sensitivity and their gums to discomfort. Overuse is the primary reason that so many people report discomfort after using store-bought products.  While it may be tempting to use them over and over again - this is not wise.  Instead, if you don’t like the results, schedule a dentist appointment. 

Invisalign Can Straighten Your Teeth and After You Will Need a Retainer

As a modern procedure, Invisalign® has brought the promise of beautiful, straight teeth to millions of adults around the world. Once stifled by the perceived stigma of wearing braces or afraid of being ridiculed for a mouth full of metal, today adults can have their teeth straightened without any such fears. The virtually invisible system of aligners can work while you are at work, taking care of the kids, or even celebrating the holidays with your family, and nobody will be any the wiser. Additionally, unlike regular braces, you can remove the Invisalign® aligners at any time meaning that there are virtually no restrictions on what you may or may not eat while undergoing the treatment. Simply remove the aligner, eat to your heart’s desire and put it back, keeping it in place for at least 20 – 22 hours per day. 

As with any treatment, Invisalign® only works if you make sure to follow up after the treatment is completed. The aligning of teeth involves moving the teeth from what they perceive to be the natural spot. While we may find the placement and size of the teeth to be unnatural and, even ugly, the mouth has placed them in a particular spot because that's where the body believes the teeth should go. Once the Invisalign treatment is complete, it is imperative to continue wearing a retainer to ensure that the mouth does not start to move back into the previous structure. The retainer’s job is to prevent nature from undoing all the work you did to have that perfect smile. You will need to decide, however, if you are more comfortable with a permanent retainer or would prefer one that can come out when you are not actively using it. 

The removable retainer: The removable retainer is designed to come out of your mouth and go back in, to ensure that you are exerting pressure on the teeth to hold them in place. Typically you would have the retainer in your mouth at night and remove it during the day. For some patients, they may need to have a retainer in for more than just the night. Unfortunately, a removable retainer’s best feature, its removability, is also its greatest weakness as it is easy for someone to fall out of the habit of putting on the retainer.  This can ultimately cause the teeth start to move. Also, removable retainers are not as effective as permanent ones.  On the other hand, removable retainers do make it easier to eat, brush your teeth, and floss effectively. 

The permanent retainer: The permanent retainer works the same as the temporary retainer except that it is installed by your dentist or orthodontist and is never removed. For people who do not want the hassle of having to remember their retainer this is a far more effective solution. It is also a more efficient solution in terms of holding the teeth in place since it is permanent and adjusted for maximum impact. A permanent retainer has one major disadvantage when it comes to flossing, requiring the patient to learn how to floss around the retainer. However, the advantages of a permanent retainer far outweigh the disadvantage of having to learn a different way of flossing. This is why many Invisalign® dentists recommend permanent retainers or a combination of permanent and removable retainers.  

We can discuss your options during a consultation in order to determine what the best option for you will be. 

Learn How Popular Dental Implants Are and Why

For over 3 million Americans dental implants have proven to be the best and most effective way to address serious dental challenges like a loss of teeth. The number of people who are seeking out this form of treatment is growing every year, and last year almost half a million patients chose to get dental implants. Despite the fact that this form of treatment has been around for a long time, it is only now starting to be accepted as a mainstream medical correction versus the long-held perception that dental implants were strictly for cosmetic application. As the education of consumers, doctors, and insurance carriers continues to improve, more people will be able to get back a beautiful smile with the help of implants.

This procedure has been perfected but is not new.  They have been around for a very long time. An interesting fact is that ancient Mayan women would have bone implanted into their gums to simulate teeth. This is the first known dental implant surgery with records of such type of procedures dating back to 600 AD. Modern medicine has made implants much safer and less intrusive, giving rise to a larger number of people chose to replace their teeth with implants rather than less permanent solutions. 

Dental implants are a much more permanent solution to tooth loss than traditional bridges or dentures. Since the implant is placed directly into the gum there is a level of permanence that you cannot achieve with a traditional bridge. Additionally because of the fact that the implant is put into the jawbone, the titanium screw acts like a naturally occurring root. This holds the tooth in place and you do not ever have to worry about misplacing an implant. With over 25% of senior citizens losing all of their natural teeth, implants provide a safe, long-term solution to tooth loss. 

There is definitely an expense associated with dental implants. Since they have been viewed, and still are in some circles, as a purely cosmetic procedure the cost of dental implants is still relatively high. However, as more people become aware of implants and the permanence of the solution they offer, insurance companies are starting to realize the benefit of paying for them. Even if not through a direct pay system, patients can get their insurance to cover some or all of the cost of the procedure through an allowance granted to them for a traditional denture or bridge. That money can be put towards an implant. 

Getting dental implants takes time and a certain level of commitment. They are made to fit exactly into your specific mouth. To accomplish this, we will need to get the right measurements, take several impressions of your mouth, build a mold that fits your mouth & mimics your teeth structure, and then ultimately place the implant into your mouth. All of these require you to be at our dentist’s office on an outpatient basis, so you should be prepared to take some time off for your appointments.  To find out what your exact timeline would look like, give us a call.