Archive:

By Pediatric Dentistry of Kendall
September 19, 2014
Category: Dental Procedures
Tags: chipped tooth   bonding  
BondingAGoodChoiceforRepairingDamagedorChippedTeethinYoungsters

Imagine this: your active, adventurous child — or adolescent — loves high-risk contact sports like hockey or football, and while playing breaks a front tooth. After an emergency trip to our office, we recommend bonding as a good choice for this repair.

“What is bonding?” you ask. Here's what you need to know. In a bonding procedure, a composite resin restoration material is attached (bonded) to the broken tooth, and it looks as good as new.

Composite resin restorations are tooth-colored filling materials composed of a special plastic-based matrix for strength, with glass filler for aesthetics and translucence. The combination looks just like a natural tooth. The composite resin material is physically bonded to the remaining healthy tooth structure. First the natural tooth enamel or dentin must be etched so that the composite resin can attach and actually join to the tooth. In the end it will function as one and look exactly like a tooth.

Composites can be placed directly on the teeth in our office, quite easily, and they are relatively inexpensive. They look natural and can be matched to your child's natural tooth. They require little to no tooth reduction. Bonded composite resin restorations are the best choice for children and teenagers because their teeth and jaws are still growing and developing. What's more, they are still active in their sports and could need further restorations.

Composite resin restorations may need to be replaced with more permanent restorations after your child is fully grown. The bonded resin restorations may wear over time, and may stain and dull somewhat with age. When your child has completed growth, more permanent restorations such as porcelain veneers or crowns may be necessary.

By the way, a custom-made mouthguard might have prevented injury in the first place and certainly should be considered in the future.

If your child has chipped or damaged a tooth, contact us today to schedule an appointment or to discuss your questions about bonding and a protective mouthguard. You can also learn more by reading the Dear Doctor magazine article “Repairing Chipped Teeth.”

By Pediatric Dentistry of Kendall
September 04, 2014
Category: Oral Health
OliviaNewton-JohnLearnedHealthyOralHabitsFromMom

Olivia Newton-John, now in her early 60's, is still a fresh-faced picture of health — with a radiant smile to match. How does she do it? She does it with healthy habits learned from her German-born mother, Irene.

“I love greens, and as many organic vegetables as possible,” Olivia recently told Dear Doctor magazine. “From spinach to salads to beets — pretty much any and all greens!”

Olivia credits her mom with instilling her lifelong love of healthy foods. Irene used dark bread rather than white bread for sandwiches and even made her own yogurt — which she used as a topping on baked fruit for dessert.

“Growing up, my mum really taught us some great eating habits,” Olivia told the magazine. “When I was a girl in school, all of my friends would have cakes and cookies and fun foods but my mum was all about teaching us to eat healthy foods and to be very aware of what we were putting into our bodies. At the time I was annoyed about it, but looking back now I thank her for teaching me at an early age to eat healthily.”

Irene paid particular attention to her children's oral health. “My mum always made us brush and floss after every meal so, once again, like the foods we ate, she taught us early about the importance of great dental hygiene,” said Olivia, who has an older brother and sister.

As a mom herself, Olivia passed those healthy habits down to her daughter, Chloe.

“I always insisted on regular dental checkups and limited sugar, especially in soft drinks — they were never in our fridge,” she said.

Parents do play an important role in developing healthy oral habits from the very beginning, starting with proper tooth-brushing techniques. By age 2, a brushing routine should be established using a smear of fluoride toothpaste. For older toddlers, parents can use a child's size soft toothbrush with water and a pea-sized amount of fluoride toothpaste. Children need help brushing until at least age 6, when they can generally take over brushing by themselves and also learn to floss.

The point of a good daily oral hygiene routine is to remove the film of bacteria that collects daily along the gum line, and in the nooks and crannies of teeth. Effective daily removal of this biofilm will do more to prevent tooth decay and promote lifelong dental health than anything else.

If you would like to learn more about preventing tooth decay or teaching your child to brush and floss correctly, please contact us or schedule an appointment for a consultation. If you would like to read Dear Doctor's entire interview with Olivia Newton-John, please see “Olivia Newton-John.” Dear Doctor also has more on “How to Help Your Child Develop the Best Habits for Oral Health.”

By Pediatric Dentistry of Kendall
August 20, 2014
Category: Oral Health
WhyBabyTeethNeedBabying

Even though they eventually fall out, primary (baby) teeth play several vital roles in your child's development. Among other things, they serve as important guides for the developing permanent teeth that will replace them. If any are lost prematurely, the remaining baby teeth start to shift, migrating forward, decreasing the space necessary for the permanent teeth to erupt into their proper positions. This could result in a need for future orthodontics that may have been unnecessary. So it's important to keep primary teeth healthy and in place until they are ready to come out naturally.

Signs & Symptoms of Teething

Primary (baby) teeth typically begin emerging between six and nine months, though as early as three or as late as 12 months can occur. Usually, but not necessarily, the two lower front teeth appear first. All 20 primary teeth are generally in by the age of three.

Some typical signs of teething include: irritability, gum swelling, gnawing, drooling (due to increased saliva production), chin (facial) rash (due to excessive drooling), disrupted sleeping patterns, ear rubbing, and decreased appetite. Symptoms generally start about four days before a tooth emerges, are most intense during the week when the tooth breaks through the gum, and subside about three days following the event.

You may notice small, bluish, translucent “eruption cysts” on your baby's gum where a tooth is breaking through; sometimes blood mixes with the fluid in a cyst, at which point it's called an eruption hematoma. Both generally disappear on their own when the tooth erupts and pops them.

Suggestions for Soothing

To help keep your teething baby as comfortable as possible, try the following:

  • A chilled rubber teething ring, pacifier, or cold wet washcloth
  • Gentle gum massage using a clean finger
  • Cold foods like popsicles when your child is old enough (just be careful about feeding him or her too much sugar, which can cause decay even in newly emerging/emerged teeth)
  • Over-the-counter pain medication such as ibuprofen or acetaminophen in the appropriate dosage

The onset of teething is the perfect time to begin focusing on your child's pediatric dental care. Even though baby teeth eventually fall out, the quality of their care will have a direct and long-lasting impact on the health of the permanent teeth that follow.

If you would like more information about baby teething, 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 “Teething Troubles.”

By Pediatric Dentistry of Kendall
August 05, 2014
Category: Oral Health
TelevisionHostNancyODellProvidesAdviceforNewMothers

When her daughter Ashby was born in 2007, Nancy O'Dell was overjoyed; but she found the experience of pregnancy to be anxiety-provoking. O'Dell is host of the popular entertainment news show Entertainment Tonight.

After her baby was born she compiled her memories and thoughts into a book for first-time pregnant mothers. The book, “Full of Life: Mom to Mom Tips I Wish Someone Had Told Me When I Was Pregnant,” covers a wide range of topics — including oral health during pregnancy.

“While my dental health has always been relatively normal, pregnancy did cause me some concern about my teeth and gums. With my dentist's advice and treatment, the few problems I had were minimized,” O'Dell told Dear Doctor magazine. An example of her experience is a craving for milk that started at about the time the baby's teeth began to form. She felt that her body was telling her to consume more calcium.

As often happens with pregnant mothers, she developed sensitive gums and was diagnosed with “pregnancy gingivitis,” the result of hormonal changes that increase blood flow to the gums.

“I love to smile,” said O'Dell, “and smiles are so important to set people at ease, like when you walk into a room of people you don't know. When you genuinely smile you're able to dissolve that natural wall that exists between strangers.”

Contact us today to schedule an appointment to discuss your questions about dental health during pregnancy. You can also learn more by reading the Dear Doctor magazine article “Nancy O'Dell.”

MouthguardsareYourBestProtectionAgainstSports-RelatedDentalInjuries

Whether you are a serious or “weekend” athlete, you know the importance of protecting yourself against injury. While looking after your joints, ligaments and bones may garner most of your attention, you shouldn't neglect looking after your teeth and mouth as well. In fact, there are more than 600,000 emergency room visits each year for sports-related dental injuries. A knocked out tooth could eventually cost you $10,000 to $20,000 in dental treatment during your lifetime.

The best protection is really quite simple — wear a properly-fitted athletic mouthguard. Researchers estimate that mouthguards may prevent more than 200,000 dental injuries annually. Be aware, though — not all mouthguards are alike or provide the same level of protection.

Mouthguards generally fall into three types. Stock mouthguards are the least expensive of the three, and also the least effective at protection. They come in limited sizes and can't be customized to the wearer. “Bite and Boil” mouthguards are made of thermoplastic that becomes pliable when heated (as when boiled in water). In this state the mouthguard can be pressed into the wearer's teeth, which hardens to that fit once the thermoplastic cools. However, the fit isn't exact and they don't always cover the back teeth. Also during the heat of competition, the mouthguard softens and loses some of its stability and protection.

While more expensive than the other two types, a custom-fitted mouthguard made by a dentist provides the best level of protection. Made of a tear-resistant material, they are more comfortable to wear than the other types and cover more of the interior of the wearer's mouth.

A properly fitted and worn mouthguard protects the mouth and jaw area in a number of ways. It cushions the soft tissue of the lips and gums from cuts and abrasions caused by contact with sharp teeth surfaces after an impact. It absorbs and distributes forces generated in an impact that can cause tooth loss or even jaw fracture, and also cushions the jaw joint (TMJ) to reduce the likelihood of dislocation or other trauma.

A custom-fitted mouthguard can cost hundreds of dollars, but that price is relatively small compared with the physical, emotional and financial price you'll pay for an injury. This investment in your oral health is well worth it.

If you would like more information on the use of athletic mouthguards, contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Athletic Mouthguards.”





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