As a parent, you have plenty of questions about your child’s health. One we hear quite often is when dental care should begin for a child.
The short answer is when their first tooth comes in, usually at six months to a year of age: that’s when you should begin brushing at home. But there’s also the matter of when to begin your child’s regular dental visits: we recommend the first visit around the child’s first birthday. Here are 4 reasons why this is the right time to start.
Prevention. First and foremost, starting visits at age one gives your child the best start for preventing tooth decay through cleanings, topical fluoride or, in some cases, sealants. Preventive care for primary teeth may not seem that important since they’ll eventually give way to the permanent teeth. But primary teeth also serve as guides for the next teeth’s ultimate position in the mouth — if a primary tooth is lost prematurely, it could affect your child’s bite in later years.
Development. Early dental visits give us a chance to keep an eye on bite and jaw development. If we notice a developing malocclusion (bad bite) or conditions favorable for it, we can refer you to an orthodontist for consultation or interventional therapy to reduce the possibility or extent of future treatment.
Support. Your child’s regular dental visits can also help you as a parent. We can advise you on all aspects of dental care, including brushing and flossing techniques, nutrition dos and don’ts, and how to handle situations like late thumb sucking.
Familiarization. Dental visits starting at age one will help your child become familiar and comfortable with visiting the dentist that might be more difficult to achieve if they’re older. Dental visit anxiety is a major reason why many people don’t maintain regular visits later in life. Children who come to realize that dental visits are a normal, even pleasant experience are more likely to continue the practice into adulthood.
Caring for your child’s teeth is just as important as other aspects of their health. Getting an early start can head off brewing problems now and set the course for healthy teeth and gums tomorrow.
If you would like more information on pediatric 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 “Age One Dental Visit.”
Dental implants are by far the best way to replace missing teeth. But they do more than improve your smile: they can restore your ability to eat, chew and talk properly, especially if the teeth replaced are in the back of your mouth. What’s more, they can improve the entire look of your face by restoring facial height and cheek support lost because of the missing teeth.
There is, however, one obstacle to overcome before receiving dental implants — a lack of sufficient bone at the implant site. Bone loss usually occurs when teeth have been missing for some time. This is because when we chew the forces generated by the teeth stimulate continual bone growth to make up for older bone that has dissolved (resorbed). This stimulation doesn’t occur after teeth are lost, which slows the rate of bone growth. Over time the amount of healthy bone diminishes.
Without enough bone for support, implants can’t be placed properly. Fortunately, some of the bone can be regenerated through techniques that place bone grafting material at the site to stimulate and serve as a scaffold for new bone.Â The new bone will eventually replace the graft.
For missing upper back teeth with bone loss, we can take advantage of facial anatomy to grow the bone needed for implants. This area of the face is where the maxillary sinuses, air spaces lined with a tissue membrane, are located on either side just above the upper jaw. After determining their exact size and location through detailed x-ray imaging, we can surgically access the area inside the mouth just above the missing teeth.
The sinus cavity is an area where bone growth can occur by placing a bone graft between the floor of the sinus and the sinus membrane. Sometimes bone growth enhancers are used to stimulate and speed up regeneration. The procedure can usually be performed with local anesthesia (much like a routine tooth filling), with only mild discomfort afterward for a few days managed by an anti-inflammatory drug like ibuprofen and a decongestant for sinus swelling.
After six to seven months, we re-evaluate the area to see if sufficient bone has returned for implant surgery. If so, you will be well on your way to achieving a new look and better function through dental implants.
If you would like more information on building new bone through sinus surgery, 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 “Sinus Surgery.”
While a relatively minor health issue, cracked mouth corners (medically known as angular cheilitis) can certainly be irritating. Fortunately, you don't have to live with it—we can help reduce the discomfort and even make it less likely to happen in the future.
Angular cheilitis is most characterized by redness and fissures (or cracks) in the skin at the corners of the lips. It commonly happens in younger ages (children to younger adults) because of drooling or complications from wearing braces. Older adults can also develop cracked mouth corners due to wrinkling around the mouth. The immediate causes are usually localized to the mouth and lip region, but it can sometimes arise from systemic conditions.
A case of angular cheilitis can also become infected, usually with a strain of yeast known as “candida albicans,” which then intensifies inflammation and discomfort. This is usually due to interaction between saliva and the open fissures, helped along by people's tendency to habitually lick these cracks (hence the other name for cracked mouth corners, perleche, from the French “to lick”).
The best way to treat angular cheilitis is with a series of applications of oral or topical antifungal medication. These may also be combined with steroid ointments that help retard redness and inflammation. If the infection involves the inside of the mouth, you may also need to use an antibacterial rinse until it clears up.
There are also things you can do to minimize future occurrences. Be sure to have missing teeth replaced or loose dentures refitted, and stay vigilant with daily brushing and flossing. You might also consult with a dermatologist about ways to treat wrinkling around the mouth. And easing those wrinkles could not only minimize your chances of developing angular cheilitis, but also give you a more youthful appearance.
Cracked mouth corners can be unnerving. But with a few simple steps we can help relieve any current discomfort and help you reduce the chances of another occurrence.
If you would like more information on cracked mouth corners and other oral irritations, 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 “Cracked Corners of the Mouth.”
Howie Mandel, one of America’s premier television personalities, rarely takes it easy. Whether performing a standup comedy gig or shooting episodes of America’s Got Talent or Deal or No Deal, Mandel gives it all he’s got. And that intense drive isn’t reserved only for his career pursuits–he also brings his A-game to boosting his dental health.
Mandel is up front about his various dental issues, including multiple root canal treatments and the crowns on his two damaged front teeth. But he’s most jazzed about keeping his teeth clean (yep, he brushes and flosses daily) and visiting his dentist regularly for cleanings and checkups.
To say Howie Mandel is keen on taking care of his teeth and gums is an understatement. And you can be, too: Just five minutes a day could keep your smile healthy and attractive for a lifetime.
You’ll be using that time—less than one percent of your 1,440 daily minutes—brushing and flossing to remove dental plaque buildup. This sticky, bacterial film is the main cause of tooth decay and gum disease. Daily hygiene drastically reduces your risk for these tooth-damaging diseases.
But just because these tasks don’t take long, that’s not saying it’s a quick once-over for your teeth: You want to be as thorough as possible. Any leftover plaque can interact with saliva and become a calcified form known as calculus (tartar). Calculus triggers infection just as much as softer plaque—and you can’t dislodge it with brushing and flossing.
When you brush, then, be sure to go over all tooth areas, including biting surfaces and the gum line. A thorough brushing should take about two minutes. And don’t forget to floss! Your toothbrush can’t adequately reach areas between teeth, but flossing can. If you find regular flossing too difficult, try using a floss threader. If that is still problematic, an oral irrigator is a device that loosens and flushes away plaque with a pressurized water stream.
To fully close the gate against plaque, see us at least every six months. Even with the most diligent efforts, you might still miss some plaque and calculus. We can remove those lingering deposits, as well as let you know how well you’re succeeding with your daily hygiene habit.
Few people could keep up with Howie Mandel and his whirlwind career schedule, but you can certainly emulate his commitment to everyday dental care—and your teeth and gums will be the healthier for it.
If you would like more information about daily dental care, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Daily Oral Hygiene: Easy Habits for Maintaining Oral Health” and “10 Tips for Daily Oral Care at Home.”
You’ve been concerned for some time about your child’s bite, so you’ve visited an orthodontist for an evaluation. Even though your child is quite young and still with primary teeth, the orthodontist recommends they begin wearing a retainer device, with the possibility of braces in a few years.
That may at first sound like an overly extensive treatment plan. For certain bite problems, however, undergoing an early stage of orthodontic treatment could reduce or even eliminate the need for more advanced and costly treatment later.
An example of such a problem is a crossbite, also known as an underbite. With this type of malocclusion (bad bite) the lower front teeth bite in front of the upper front teeth rather than behind them as in a normal bite relationship. Because the teeth and jaws are still in development (including the primary teeth, which are preparing the path for the permanent teeth erupting later), wearing a retainer device could exert just enough pressure to influence the teeth toward a better alignment.
In essence, the goal of early orthodontic treatment is to intercept a bite problem ahead of time and prevent it from becoming a more serious one later. If early treatment isn’t undertaken or delayed until after the eruption of the permanent teeth, it will be much more difficult, if not impossible, to correct the malocclusion. Even if the initial treatment doesn’t correct the problem it could at least lessen its severity so that future treatment like braces or clear aligners can correct it with less difficulty and cost.
By getting an early start on bite problems, you’ll increase the chances your child will achieve an optimum bite when they reach adulthood. Not only will this enhance their appearance, it will greatly benefit their overall health and mouth function. In these cases, early orthodontic treatment could make all the difference in the world.
If you would like more information on orthodontic treatment for children, please contact us to schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Preventative & Cost Saving Orthodontics.”
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