Local Dental Care - Rhode Island Pediatric Dental Emergencies

Smart Snacking Helps Prevent Tooth Decay

Wouldn't it be great to know that you could enjoy candy, especially chocolate, without feeling guilty about the damage it could do to your teeth? Here is some information that will ease that guilt!

The bacteria that cause tooth decay must have food to create the acid necessary to break down your tooth's enamel. There are many factors that may contribute to tooth decay, but the length of time that food residues remain in contact with your teeth is probably the most important. What is the food made of and how often is it eaten?

Sugar is not so bad as we once thought because it can be cleared from the mouth by saliva very quickly. How fast foods clear from the mouth is an important consideration in snack selection. If food remains on a tooth for more than twenty minutes, the decay-causing bacteria can use the food to make enough acid to begin breakdown of the enamel. A little bit now and a little bit later, over and over again, will eventually result in a cavity.

Saliva plays a big part in removing food residues from teeth after you have eaten. Foods that are cleared completely from the mouth in less than twenty minutes are considered to be better snacks in terms of decay. Some foods are easily removed by saliva. White bread, raisins, apples, bananas, hot fudge sundaes, and chocolate ordinarily clear from teeth in one minute! Gummy bears and fruit roll ups clear within minutes. Like chewing gum, they stimulate the production of saliva too. A high flow of saliva helps to clear foods and keeps the oral environment less acidic.

Starches such as salted crackers, cookies, salted chips, and other foods that you may find stick to your teeth are foods to avoid unless you can brush soon after eating. Foods that remain on the tooth surface longer than twenty minutes should be avoided.

Look for sugarless gum sweetened with xylitol. Xylitol has been shown to reduce decay.

Juices should be saved for mealtime. If you read the side of a juice carton, you will find that it contains 100% sugar. Constant exposure of baby teeth to juices will cause decay. A piece of fruit would be a better choice.

The combination of acid and sugar in soft drinks will cause enamel breakdown. Read the label on a soft drink. You will find phosphoric acid and sugar. Lemon drinks and eating lemons often will cause enamel erosion (break down).

Combining fat and protein makes for a great snack for a child. Peanut butter is a good example of this combo. When the teeth are developing and erupting (coming in), foods high in calcium and phosphorus should be a big part of a child's diet. Cheese, milk, yogurt, broccoli with cheese, and fish are some foods high in calcium and phosphorus.

When the permanent teeth first erupt, the enamel is not completely calcified (hardened). The final phase of calcification occurs in the mouth. Milk, not juices and soft drinks, should be flowing over those brand new incisors (front teeth).

Now for the best news of all -- chocolate does not cause decay! The tannins in chocolate make the bacteria stick together instead of on the tooth surface. Chocolate is a source of magnesium and protein. A little plain chocolate will satisfy hunger longer and will clear from the teeth in less than a minute. Chocolate is a snack that both you and your teeth will love!

by Jane A. Soxman, 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.

A Kid's Dentist Explains Dental Visits

Parents often feel helpless when a son or daughter is fearful or apprehensive regarding a trip to the pediatric dentist. Talk with your dentist about your concerns. A partnership must exist between the parent and the dentist. Your own attitudes and understanding of what will occur during each visit will greatly influence the outcome of your child's visit. The following information will assist you in helping your child toward a comfortable and successful visit to the dentist.

Schedule a morning appointment. Children are more rested in the morning, and morning appointments usually have less waiting time. If your child is in school, he or she may worry all day about the appointment and will be tired after school.

Do not promise an expensive present if your child is well-behaved. Your little one may assume that he is about to do something very difficult. A surprise waiting to be given just after the visit may be more appropriate. Do not tell your child to be brave or that nothing will hurt. The idea that seeing the dentist requires being brave or that something might hurt may have never occurred to the child.

During any waiting time, sit close beside your child and read him a story. This not only provides distraction, but also places a child in a more relaxed frame of mind. Free play should be avoided.

If your child is scheduled for restorations (fillings), say as little as possible regarding the events of the visit. Your tone of voice and body language could accidentally create a sense of fear or apprehension in an unsuspecting child. The parent who is more comfortable with dental treatment should do the talking. Allow your dentist to use his or her experience to determine how much your child should be told just prior to the procedure.

If local anesthesia (a shot to numb the teeth) is to be used, do not discuss this issue with your child before the visit. The most feared part of the visit is usually the injection. In some cases, the use of local anesthesia may not be necessary. Do not attempt to predict what your dentist will do. If your child asks about the need for a shot, answer saying that you do not know. Most injections are performed painlessly with the child unaware of the occurrence. A child who comes to the office already intensely worried about the shot is much more difficult to calm.

Your expectations of your child's ability to cooperate for a dental procedure must be age-appropriate. By four years of age, an emotionally and physically healthy child should be able to separate from his parent for an examination and possibly treatment. Dentists have varying opinions as to whether or not a parent should be present for treatment. Some parents are reluctant to separate from the child, and others prefer not to accompany the child for treatment. Parents should agree with the philosophy of their kid's dentist.

Only one parent should accompany the child for the visit. The parent who is more comfortable with dental visits should be the choice. Consistency is very important. The dentist, child, and parent function as a team. The rules must stay the same. If the visit went well with Dad, he should be the parent who accompanies the child for every visit. Apprehensive or fearful children generally do better with Dad. Mom may be a little more emotional and more anxious regarding the treatment. However, this is not always the case. You are the expert for your child's emotional well-being. You should decide who would be the better choice for this particular experience.

If you are present for treatment, you should be the kid's dentist silent partner. You may pat your child or offer some words of support or praise, but remain calm and quiet. Do not repeat the dentist's requests of your child and do not raise your voice at any time. The dentist will manage the behavior. The dentist's attention should not be divided between you and your child, and your child's attention should not be divided between you and the dentist. A minor operation is being performed. The kid's dentist must concentrate not only on the procedure but also on managing your child's behavior. Try not to distract him or her.

Some children will attempt to manipulate their parents during treatment. If your child is crying, listen to the sound of the crying. Compensatory crying often occurs. The child is not in discomfort, but is just coping by crying. Parents may become the court of appeals. The child constantly attempts to delay treatment by reaching out for a hug. If both you and your dentist believe your child is capable of undergoing treatment, you must provide tough love at this time. If your child will not cooperate with you present, your dentist may ask you to leave the treatment room. Leave your car keys with your little one, so he knows you are not leaving the office. Assure him that you will be close by.

If you do not plan to be present during treatment, separate from your child in the reception room and not after she is seated in the dental chair.

Parental love must permit children to move toward independence. A parent's permitting his or her child, age four or older, to undergo treatment without the parent present sends two messages. First, "It is ok. I really do not need to be right beside you for this." Secondly, "You can do it! I have confidence in you." This child has been given a sense of empowerment.

The limitations and strengths of each child must be recognized. By sharing with your dentist in the proper preparation and guidance, both you and your child can begin to look forward to that next dental visit!

By Jane A. Soxman, 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.