Local Dental Care - Pediatric Dentistry General Anesthesia

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.

Dental Health Care: Discolored Primary Teeth

Discoloration of the primary (baby) incisors (front teeth) is most often noticed by parents. This discoloration may be extrinsic or intrinsic. Tooth brushing or a professional cleaning can remove extrinsic discolorations or stains. Intrinsic discoloration occurs within the tooth structure.

Some apple juices and grape juice may cause staining. This type of stain can usually be brushed off the teeth at home. If your child has a tendency to stain, try diluting the juice with water. Once the enamel begins to break down, the staining may be more difficult to remove because it is deep down in the tiny holes created by break down of the enamel. This could progress on to decay. If the teeth appear to be a dull, white color in some spots, discontinue juices completely or dilute the juice with water. Juice is twenty times more decay-causing than milk. Juices should be limited to mealtime only.

Liquid and chewable medicines have a high sugar content and most are colored with dye. A light yellow-brown film may cover the teeth. This occurs most often on the bottom front teeth. Bedtime tooth brushing is especially important when your child is taking liquid or chewable medicine. Tetracycline is the only antibiotic that could cause damage to the developing permanent teeth if given before eight years of age.

Iron in chewable or liquid vitamins may cause staining of the grooves of the primary (baby) molars. This is difficult to remove, but overall is harmless.

You must brush your child's teeth until six years of age. Bedtime brushing is the most important time of day. Staining may occur if plaque remains on teeth for a long period of time. Plaque is made up of cells from the inside of the mouth, bacteria, and food residues. Teeth may appear to be discolored, but a thorough brushing may remove this stain. Do not use toothpaste until two years of age. Baking soda toothpaste seems to be best for stain removal.

Bacteria called chromogenic (colored) bacteria may cause a dark green or brown stain on the teeth. This stain is usually along the gum line. These bacteria are harmless and will one day just disappear. We do not know why they grow in some mouths and not others. A professional cleaning is usually necessary to remove this stain.

Intrinsic discoloration cannot be removed by cleaning the teeth. This occurs because the enamel on the primary teeth did not form in the usual manner. This may be inherited from one or both parents. It does not necessarily mean that the primary teeth will be more susceptible to decay or that the permanent teeth will have the same appearance.

Trauma to a primary incisor (front tooth) may cause discoloration. If the blood vessels deep inside the tooth break, the blood may be absorbed into the tiny tubes that travel from the inside of the tooth to the outer enamel layer. This is similar to a black and blue mark on the skin. Enamel is translucent, so you can see the evidence of the damage. This may resolve without treatment, but your pediatric dentist should be consulted. A procedure to remove the tissue from the inside of the tooth (pulpectomy) may be necessary.

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.