Toddler's Dentistry

To prevent tooth decay and periodontal diseases, tooth brushing and flossing are needed daily to remove harmful plaque from your child’s teeth.

Look for a toothbrush that bears the ADA seal. They have been shown to be safe and effective for their intended use. The advertising claims for these products have been reviewed by the American Dental Association and the claims are accurate and not misleading.

Ask your Dentist to recommend a toothbrush for your child. Children need smaller brushes, specially designed for them. Generally, a brush with soft, end-rounded or polished bristles is recommended, since it is less likely to injure gum tissue.

Check your child’s toothbrush often and replace it when it is worn out. Bent or frayed bristles will not clean plaque from your child’s teeth and they can damage gums. The ADA recommends replacing toothbrushes every 3 months.

Brushing removes plaque from the inner, outer, and chewing surfaces or the teeth. Select a fluoride toothpaste with the seal of the ADA.

Children under six years of age should clean their teeth with a pea-sized amount of fluoride toothpaste after every meal and at bedtime.

1. Holding the toothbrush bristles at a 45-degree angle against the gum line, move the brush back and forth with short strokes half a tooth wide in a gentle, scrubbing motion.

2. Brush the outer surfaces of all teeth in the upper and lower jaws. Repeat the same method on the inside surfaces and chewing surfaces of all the teeth.

3. Finish by brushing the tongue to help freshen breath and remove bacteria.

4. Use about 18 inches of floss, wind most of it around the middle fingers of both hands. Hold the floss tightly between the thumbs and forefingers. Use a gentle, sawing motion to guide the floss between the teeth.

5. Curve the floss into a C shape and slide it into the space between the gum and the tooth until you feel resistance. Now, gently scrape the floss, in and up and down motion, against the side of the tooth.

6. Repeat this procedure on each tooth. Don’t forget the backs of the last four teeth.

Flossing removes plaque that hides between the teeth and under the gum line, areas where a toothbrush cannot reach. Supervising your child while he or she brushes and flosses will ensure that a proper job is done.

Why Remove Wisdom Teeth?

Extraction of third molars can protect the overall health of the mouth. It is generally recommended when the following conditions occur:

-Wisdom teeth only partially erupt. This leaves an opening for bacteria to enter around the tooth and cause an infection. Pain, swelling, jaw stiffness, and general illness can result.

-Impacted wisdom teeth may continue growing without enough room, damaging adjacent teeth.

-A fluid-filled sac (cyst) or tumor forms, destroying surrounding structures such as bone or tooth roots.

When to Remove Wisdom Teeth?

People between the ages of 16 and 19 should have their wisdom teeth evaluated. If they need to be removed, it should be considered before age 20 when generally fewer complications occur. At a younger age, tooth roots are not fully developed, the surrounding bone is softer, and there is less chance of damaging nearby nerves or other structures. There is also less surgical risk and healing is generally faster. Extractions of wisdom teeth may be performed by a general dentist. If your dentist anticipates any special care will be needed, he or she may refer you to an oral or maxillofacial surgeon. An oral or maxillofacial surgeon is a dentist who specializes in surgery and the removal of wisdom teeth.

Crowns

What is a Crown?

Crowns are made of metal, ceramic, or a combination of the two and require very high temperatures in converting the carved was representation into the finished product. Crowns are fitted to a model of your mouth that is made at the time the teeth are prepared in your mouth. The crown is shaped and fitted to this model in the laboratory before the dentist tries it in your mouth. This process ensures that the crown will have a fit and appearance that will last for many years.

When are Crowns Needed?

When a tooth is fractured, severely damaged by decay, or has a large old filing, a crown (also called a cap) is often placed. A crown strengthens the tooth, protects the remaining tooth structure and can improve appearance.

The location of the tooth, the intensity of the bite, and your requirements as a patient are some of the factors used in deciding which type of crown is best for you.

Root Canals

Endodontic treatment can safely and comfortably save a tooth that otherwise would have to be removed. In fact, root canal therapy is successful approximately 95% of the time. Remember, a healthy restored tooth is always better than an artificial one.

Why couldn't you just remove the tooth?

The choice is yours, but there are many disadvantages to losing a tooth. When a tooth is removed and not replaced, the teeth next to the empty space begin to shift from their normal position. This may cause teeth to become crooked or crowded, which decreases chewing and biting efficiency. Crowded or crooked teeth may be more prone to dental disease because they are harder to keep clean than properly aligned teeth. As a result, other teeth may be lost if the missing tooth is not replaced.

A replacement tooth (an implant or a bridge) is usually more expensive than Endodontic treatment and involves more extensive dental procedures on adjacent teeth.

Bleeding

Your dentist will place a gauze pack on the extraction site to limit bleeding and confine the blood while clotting takes place. This gauze pack should be left in place for 30 to 45 minutes after you leave the dentist’s office. Do not chew on the pack. As you replace the gauze pack from time to time, moisten it before placing in your mouth. There may be some bleeding or oozing after the pack is removed. If so, follow this procedure:

1) Fold a piece of clean gauze into a pad, thick enough to bite on. Dampen the pad and place it directly on the extraction site.

2) Apply moderate pressure by closing the teeth firmly over the pad. Maintain this pressure for about 30 minutes. If the pad becomes blood soaked, replace it with a clean one as necessary.

3) Do not suck on the extraction site.

A slight amount of blood may leak at the extraction site until a clot forms. However, if heavy bleeding continues, call your dentist. (Remember, though, that a lot of saliva and a little blood can look like a lot of bleeding)

Teeth Cleansing

You would probably never dream of not bathing your body but give less thought to not brushing or flossing your teeth. When you have braces, it is incredibly important that you give as much attention to cleaning the braces as you do to cleaning the rest of your body.

The bands or bonded brackets on braces create small nooks and crannies where food and plaque (an invisible file of bacteria) can hide. If plaque is allowed to remain on the teeth for a long time, it can increase the likelihood of tooth decay. This same process can also cause permanent white lines and spots as enamel is dissolved by the acids.

Because of these problems, it is essential to brush after every meal and snack. You should also clean between your teeth and around each bracket daily. Brushing removes the food and plaque that forms on your teeth. When you brush, use a brush with soft and rounded bristles or a special orthodontic brush and also, use fluoride toothpaste. Look for the American Dental Association’s Seal of Acceptance. The Seal is awarded to products that have proven to be effective.

How should I brush?

A number of different tooth brushing methods are acceptable. Whichever method you use, take the time to brush thoroughly. Here’s an example of a method:

- Place a soft-bristled brush at a 45-degree angle against the gums.

- Move the brush back and forth in short strokes with a gentle scrubbing motion.

- Brush the inner, then outer, and finally the chewing surfaces of the teeth.

- Use the “toe” of the brush to reach the inner front tooth surfaces.

- Brush your tongue to help freshen your breath.

After brushing, rinse well. Then closely inspect your teeth and braces in a well-lighted mirror. You may have to brush and rinse several times before your teeth are clean.

Is flossing possible with braces?

Yes! But it can be a little tricky while wearing braces. A floss threader can help you slip the flow between the braces or under the arch-wire.

- Once the floss is in place, hold it between your forefingers, about an inch apart.

- Using a gentle sawing motion, guide the floss between your teeth. Do not snap it in place.

- When the floss reaches the gum-line, cure it against the tooth and gently slide it into the space between the gum and tooth.

- When you feel resistance, gently rub the side of the tooth moving the floss away from the gum.

- Rinse your teeth to wash away food or other particles that you removed with the floss.

Are there other products that can help me clean my mouth?

There are several dental aids that can be helpful. Specially shaped brushes, the other interdental cleaners and oral irrigating devices can often help clean some of those hard-to-reach areas. After brushing prior to bedtime, an ADA accepted fluoride mouth-rinse should be used for added protection of the enamel surfaces of the teeth.

Interdental Cleaners

Interdental cleaning devices with the ADA Seal of Acceptance are specially shaped brushes or other implements that help remove plaque. They are usually made of wood, plastic or rubber and shaped to help clean between the teeth. They can be particularly useful for people who wear braces or who have trouble handling floss. Discuss the proper use of these devices with your dentist to avoid injuring your gums.

Oral Irrigators

These devices create a focused stream of water to remove particles of food from the surfaces around and between the teeth. They are useful for cleaning hard-to-reach areas and may reduce gingivitis. They are especially helpful for people who have braces. Your dentist will tell you if you can benefit from using this device and provide instruction on proper use. Look for devices bearing the ADA Seal of Acceptance.

Fluoride Mouth Rinse

Fluoride with the ADA Seal of Acceptance provides extra protection for your teeth. Is an element that combines with tooth enamel, strengthening it against decay. Fluoride can even repair microscopic cavities by helping mineral incorporate into the teeth. You may want to discuss with your dentist the need for additional fluoride products such as non-prescription mouth rinses for children in your family over the age of 6.

Dental aids can play an important role in cleaning those hard-to-reach areas, but your diligence in daily cleaning is really the key to good oral health. By watching your diet, practicing good oral hygiene and following your dentist instructions, you can be assured that your orthodontic treatment will be a success. Remember, it is even more important that you visit your general dentist every six months for routine cleanings and examination while you have braces.

Enamel Reshaping

What is Enamel Reshaping?

Enamel reshaping is a process of contouring natural teeth to improve their over all appearance. When teeth are slightly crowded or uneven, or when eyeteeth appear too long, enamel reshaping may be used to correct the flaw. This more conservative process cannot solve all problems though. Crowded teeth may need braces. If so, your dentist may provide treatment, or, refer you to a specialist in orthodontics.

How is Enamel Reshaping Done?

Enamel reshaping involves modifying teeth by removing or contouring enamel to create harmony and balance in the mouth. Enamel reshaping, which is often combined with bonding, is usually quick and painless. No anesthesia is necessary when reshaping enamel, and the results can be seen immediately. It should be approached with caution, however, because enamel cannot be replaced.

Aftercare

After an enamel reshaping procedure, it is common to experience the following:

- You may experience some sensitivity

- You may feel a little rough for a while

- Avoid tea, coffee, and tobacco products

- Floss, brush, and regular visits to the dentist are recommended

Parental Responsibility

With your help, in combination with their own efforts and regular professional care, your daughters and sons can grow up cavity-free and keep their teeth all their lives.

It's not difficult to help your child maintain a healthy smile. Here are a few tips for good oral health:

- Make sure your child gets the fluoride needed for decay-resistant teeth. Ask your dentist how this should be done.

 

- Brush and floss your child's teeth daily until the child can be taught to do this alone. Then encourage him or her to brush and floss.

- Take your child to see the dentist regularly, beginning at six months of age.

- Put only water in your child's nap time or bedtime bottle.

- Start cleaning your child's mouth daily.

- Start brushing as soon as the first tooth erupts.

In-home Bleaching

With in-home bleaching, the dentist makes an impression for a model of the teeth, fabricates a custom-fitted tray and prescribes a bleaching agent that comes in the form of a bleaching gel. The gel is placed in the custom-fitted tray and worn up to two hours daily or at night for about two weeks. The amount of time the custom-fitted tray is worn and the duration may vary according to a person’s individual need and the recommendations of the dentist. The dentist will monitor the entire process of in-home bleaching to assure its effectiveness and safety.

Over the counter products that are self-administered are not recommended, although they may appear to cost less. Bleaching treatment should be done under the supervision of a dentist following a proper exam and diagnosis. Whiteners with the ADA Seal of Acceptance have proven to be safe and effective.

Fluoride Supplements

The most effective way for your child to get fluoride’s protection is by drinking water containing the right amount of the mineral… about one part fluoride per million parts water. This is of special benefit to children, because fluoride is incorporated into enamel as teeth form. Children who, from birth, drink water containing fluoride have up to 40% fewer cavities. Many of them remain cavity-free through their teens.

Fluoride is one of the most effective elements for preventing tooth decay. This mineral combines with tooth enamel to strengthen it against decay. Fluoride may also actually reverse microscopic cavities by enhancing the process by which minerals, including calcium, are incorporated into the teeth.

Even though your regular water supply may be fluoridated, it is still important to discuss with your dentist any additional fluoride needs your child may have. Look for fluoride toothpastes and over-the-counter fluoride mouth rinses that carry the ADA seal. They have been proven safe and effective for their intended use. The advertising claims for these products have been reviewed by the ADA so the claims are accurate and not misleading.

Your dentist may recommend various ways to get fluoride protection, including:

- Drinking fluoridated water at school.

- Taking prescribed fluoride tablets or drops.

- Brushing with a pea-sized amount of fluoride toothpaste after age two.

- Using a fluoride mouth rinse for children over age six.

Baby Bottle Tooth Decay

 

What is Baby Bottle Tooth Decay?

 

Baby bottle tooth decay is a form of decay than can destroy the teeth of an infant or young child. The teeth most likely to be damaged are the upper front teeth. These teeth are critical to you child’s smile. Other teeth may also be affected by this condition.

 

What Causes Baby Bottle Tooth Decay?

Baby Bottle Tooth Decay is caused by frequent and long exposure of a child’s teeth to liquids containing sugars. Milk, formula, fruit juices, and other sweetened liquids help to create this problem. The sugar in these liquids is used as an energy source by the bacteria in plaque.

Plaque is a thin, almost invisible film of bacteria and by-products that constantly form on everyone’s teeth. In the decay process, the bacteria produce acids which attach tooth enamel. The length of time these liquids are in contact with the teeth is critical. Longer and frequent exposures allow greater damage to occur.

Offering your child a bottle containing these liquids many times a day, as a pacifier, isn’t a good idea. Allowing your child to fall asleep with a bottle during naps or at night can cause serious harm and damage to your child’s teeth. During sleep, the flow of saliva decreases. This allows the liquids in the nursing bottle to pool around your child’s teeth for long periods of time.

 

Prevention

Sometimes parents do not realize that a baby’s teeth are susceptible to decay as soon as they appear in the mouth. By the time decay is noticed, it may be too late to save the child’s teeth. You can prevent this from happening to your child’s teeth by learning how to protect them:

• After each feeding, wipe the child’s teeth and gums with a damp washcloth or gauze pad, to remove plaque. Begin brushing your child’s teeth as soon as the first tooth erupts. Remember to continue cleaning and massaging the child’s gums in all other areas that remain toothless. Flossing should begin when all primary teeth have erupted, usually by age
• Never allow your child fall asleep with a bottle containing milk, formula, fruit juices or sweetened liquid.
• If your child needs a comforter between regular feedings, at night, or during naps, fill a nursing bottle with cool water or give the child a clean pacifier recommended by your dentist or pediatrician. Never give your child a pacifier dipped in any sweetened liquid.
• Avoid filling your child’s nursing bottle with any liquids such as sugar water, sweetened gelatin, and soft drinks.
• Make sure your child gets the fluoride needed for decay-resistant teeth. If you are not sure that your local water supply contains the right amount of fluoride, ask your dentist about fluoride supplements.
• Start dental visits between six and twelve months of age. Make appointments regularly. If you suspect that your child has a dental problem, take the child to see a dentist as soon as possible.

Bridges

What is a Bridge?

A bridge is a replacement tooth that is supported and attached by a crown on either side of the space. The two side teeth or (anchor teeth) are prepared to provide support the bridge).

Taking Care of Your Bridge

A bridge is made of very strong materials, but nothing as strong as natural tooth structure. If normal care and precautions and care are taken, a bridge can last for many years.

- Brush and floss with great care to clean where the crowns meet the tooth.

- Flossing must be accomplished underneath the bridge on a daily basis.

- Avoid eating or chewing on hard objects, food, or ice.

- Make regular visits to your dentist to evaluate the condition of the crowns.

When are Bridges Needed?

To replace a missing tooth with a conventional three-unit bridge, teeth adjacent to the gap are prepared. The custom-made bridge is fitted and adjusted, appearance immediately after a tooth is lost. When a tooth is not replaced, the remaining teeth can drift out of position, this can lead to cavities and gum disease.

Aftercare

1. Must clean “under” as well as around the bridge
2. There are special tools to aid in cleaning
3. Floss once, and brush twice daily
4. Avoid chewing on hard objects, food and ice
5. Limit snacks

Prevention

Preventive dentistry is a lifelong commitment. Regularly scheduled preventative treatments can save you time and money while helping you avoid complicated and uncomfortable dental procedures. Preventive dentistry includes periodic examinations, cleanings, sealants and fluoride treatments.

WHITENING

This is the procedure of making teeth whiter, and therefore more attractive. Our office uses several methods: Custom Trays with Professional strength whitening gel, Pre-filled Disposable tray whitening and Touch-up Kits for those patients with trays of their own. 

The tray method involves having impressions taken from which laboratory fabricated custom vinyl trays are made. A Carbamide peroxide  or  Hydrogen peroxide gel is placed in these trays and the trays with gel are worn for a minimum of 30 minutes. The entire process takes 1-2 weeks of daily use. Three different strengths of gel may be used, however the higher the strength the greater the likelihood of reactions or tooth sensitivity. The tray method is recommended for badly stained teeth, such as tetracycline staining, and it may take several months of use to see significant color improvement. For maintenance of whitened teeth the trays should be used every several months.

We recommend discussing your individual needs with Dr. Gina Ostrand or the hygienist prior to purchasing other over-the counter products so the product that is best for your situation is chosen and you reach your cosmetic goals.

NEW! FOR OUR ESTABLISHED PATIENTS: You may now preview all of our office tested and approved Whitening products through our Venus Smile Store link. This enables you to purchase PROFESSIONAL STRENGTH products directly online whenever you need them and have them delivered right to your doorstep. You can also take advantage of SPECIAL PROMOTIONS and DISCOUNTS.

VENEERS

Veneers are a dental procedure in which a covering is placed over the outside (visible area) of the tooth. Veneers are usually only done to the part of the teeth that are visible when talking or smiling. The procedure can be direct or indirect.

The direct technique usually involves placing composite resin on the outside of the tooth using bonding. This method is usually referred to as bonding.

The indirect technique usually involves two appointments because the veneers will be fabricated at a dental laboratory. At the first appointment the teeth are prepared, impressions taken, and the teeth are given a temporary covering. In two weeks the veneers are back from the laboratory, the temporaries are removed and the veneers are bonded to the teeth. The laboratory fabricated veneers are usually made using porcelain or pressed ceramic, and are very aesthetic.

The advantage of veneers versus crowns is that much less tooth material is removed, and the procedure is generally less uncomfortable. Veneers are recommended for teeth that have large fillings or little tooth structure.