Local Dental Care - Child Orthodontics

The Making Of An Awesome, Most Excellent Smile

A winning smile is awesome! It's a very special part of your face. Your teeth are a big part of your smile. Keeping them in good shape helps your smile.

Taking care of your teeth is your job. Make it a habit. Here are some tips to follow for keeping your teeth, gums, and all parts of your mouth healthy. These give your mouth something to really smile about!

• Brush your teeth in the morning and at night with a fluoride toothpaste. There may be times you don't feel like it, but good brushing habits can save you from lots of problems later.
• Cavities are caused by a sticky film containing germs. It's called plaque and it coats your teeth. Plaque is nasty and needs to be brushed away at least twice a day. So if you go to bed without brushing your teeth, get up and brush! Or, if you forget to brush before going to school in the morning, rinse your mouth with water. Brush your teeth as soon as you get home.
• If you don't, you're in for a plaque attack, and that causes cavities!
• Use a tongue scraper or brush your tongue, too. Swish with water after brushing to rinse your mouth. If you're 12 years old or older, you can use a mouth rinse, too. Be careful not to swallow it. Don't swallow any toothpaste either. It's good for your teeth but not good in your tummy.
• Use dental floss or an interdental cleaner (special picks, brushes, or sticks) to clean between teeth every day. Plaque gets between teeth, too. Cleaning between your teeth removes plaque and trapped food particles your toothbrush might not get. Do it as part of your bedtime routine. Fighting tooth decay is your job.
• See your dentist twice a year for check-ups and cleanings. They have special tools that can get your teeth really clean. Think of your dentist and dental hygienist as your healthy teeth team. They like helping to keep your smile in good shape!
• Clean your teeth after snacks, even if it only means "swishing" out with water. Even healthy snacks like fruits and vegetables leave food particles and natural sugar in your teeth. Don't eat too many sweets. When you do eat sweets, brush your teeth as soon as possible. Cavity-causing germs love sweets. They start attacking your teeth right away.
• Wear a mouth protector when participating in sports. They can save your teeth from getting chipped, broken, or knocked out.
• Stay away from all tobacco products including cigarettes, cigars, and smokeless tobacco. Tobacco is very bad for your teeth, gums, lips, and mouth. Yuck! It can stain your teeth, give you sores that really hurt, and make you very sick. It's a bad habit for your whole body.

Follow these steps to an awesome smile.

• Brush teeth in the morning and at night.
• Floss every day.
• Rinse or brush after snacks.
• See your dentist for check-ups and cleanings twice a year.
• Wear a mouth protector for sports activities.
• Stay away from tobacco.

You're in charge of your teeth. Brush them. Floss them. Build strong, healthy teeth with healthy foods. Follow good health habits. You are sure to make and keep an awesome, most excellent smile!

Discover what pediatric dentistry can do for your child's smile.

by Brian J. Gray, DDS, MAGD, FICO

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Management of Injury to Children's Permanent Teeth

Recent studies indicate that 25% of Americans between the ages of 6 and 50 years have experienced traumatic injury to permanent teeth. Ninety percent of traumatized teeth involve the upper incisors. The focus of contemporary treatment of dental traumatic injuries is conservative management of the affected tissues to maximize their excellent healing potential in children. The most important element in this process is the reduction of the time interval between the traumatic episode and the dental treatment. Dental treatment should therefore be sought immediately. It is for this reason that public information on dental trauma management is so critical, particularly in the following three areas.

Coronal Fractures -- Broken Crowns of Teeth

The predominant treatment goal in tooth crown fractures includes protecting the underlying pulp (nerve tissue) within the tooth from bacterial contamination and infection. Additional goals include keeping the adjacent teeth from moving into the space created by the missing tooth portion and restoring the esthetic appearance and function of the traumatized tooth.

Dental treatment of crown fractures involves the following steps. The affected teeth and surrounding soft tissues are cleansed with an antibacterial mouthwash and the exposed dental hard tissues are protected with either an applied protective medicament or an adhesive resin material. These measures provide a seal against bacterial penetration into the porous tooth structure and subsequent infection of the underlying pulp. A resin (plastic) restoration of the lost tooth portion is placed for esthetics and function. In cases where the missing tooth fragment can be found, it can be reattached to the remaining tooth portion with dental adhesives. The treated teeth are then monitored post-operatively for signs of possible infection over a period of several months to a year.

Tooth Displacement Injury -- Loosened or Dislodged Teeth

The predominant treatment goal for displaced teeth focuses on protecting the supporting tissue known as the periodontal ligament from bacterial invasion and subsequent infection resulting from the injury. This tissue surrounds the root of the affected tooth and has the primary function of attaching the tooth to the bone.

Dental treatment includes stabilizing the excessively loosened or displaced tooth by means of short-term splinting. The splinting device consists of an orthodontic brace wire attached to the affected tooth and adjacent teeth with resin adhesive for a one to two-week period. Additional treatment may include esthetic restoration of tooth portions damaged by the injury as previously mentioned, and post-treatment monitoring for signs of healing.

Tooth Avulsion -- Teeth That Have Been Knocked Out

Treatment goals for knocked-out teeth are focused on enhancing periodontal ligament survival. The critical variable is the length of time that the tooth has been out of the mouth without any means of providing hydration and nutrition to the periodontal ligament cells attached to the avulsed root surface. This time length is known as Extra-Oral-Dry-Time (EODT). If the EODT is less than one hour, the chances for periodontal ligament survival is quite good, provided the appropriate management is started immediately.

Dental treatment of avulsion involves minimizing the EODT by immediately replacing the tooth back into the socket or immediately placing it in a transport/storage solution to hydrate and nourish the periodontal ligament cells still attached to the root. The most readily available transport media is cool milk. Special tissue culture fluids are even better, but generally are available only from a dentist, drug stores, or school health clinics. On-site tooth avulsion management includes the following:

1) Rinse the knocked-out tooth under tap water only if there is dirt.

2) Replant the tooth in its socket and keep it held in position, or place it in milk (or culture fluid, if available).

3) Immediately take the child to a pediatric dentist who will stabilize the tooth with splinting devices previously mentioned and provide the necessary treatment of the pulp and the periodontal ligament.

The more we can do to enhance the excellent healing potential of the traumatized tissues in children, the better the outcome.

By Clifton O. Dummett, Jr., DDS

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.