Big Red Tooth

Do I need to see the dentist when I am pregnant?

June 25, 2014adminUncategorized0

YES YES YES. For some reason women think that because they are pregnant they do not need to visit the dentist. It is quite the opposite. It is during this time that the most damage can be done to your teeth without you knowing it. It is very common for pregnant women to complain of bleeding gums during their pregnancy. This is the first sign that you must visit your dentist asap. Gingivitis is more prevalent while women are pregnant. The general oral hygiene of most women suffers during this time because they are concentrating on their developing baby and there is such a massive shift in their body that they tend to neglect their mouths. Bleeding gums is aggravated further by the change of hormones during pregnancy. This is known as pregnancy gingivitis. Some expecting mothers out of fear of bleeding avoid proper brushing or flossing. This further worsens the situation.

The unavoidable consequence of inadequate oral hygiene is an increase in dental plaque which leads to dental decay. Cavities will rapidly develop. Often women will come to me for a dental check up, after having their baby. I will find numerous teeth that are severely decayed and extensive restorative dental treatment is then required. It is far better to prevent this from happening. I recommend seeing your dentist at the beginning of your pregnancy and every 3 months thereafter for a scaling and polishing and a quick look over of the mouth (without xrays) till you have had your baby. 8 weeks after your baby’s birth you should come in for a full routine dental checkup with full xrays. If any fillings are required they may be completed at this appointment.

Dental treatment is possible during pregnancy however. Most dental procedures can be completed while you are pregnant. It is not in your interest, nor your baby’s interests to leave underlying infection in the mouth. Especially if you are in any sort of pain, rather see your dentist early on so the problem can be diagnosed and treated. There is a large amount of research that supports the notion that bacteria from the mouth can enter the bloodstream and affect your unborn baby. Do not neglect your mouth during your pregnancy. Visit your dentist and take responsibility for the things you have complete control over during your pregnancy. Excellent oral hygiene is the first step. Be Proactive! See your dentist today.


What is preventative dentistry?

June 25, 2014adminUncategorized0

The days of false teeth and dentures are in the past. It is now expected to retain all your natural teeth throughout your lifetime, and every measure is taken to prevent the loss/extraction of an adult tooth. The care and awareness of the mouth and teeth needs to start from birth. Children who have a healthy, cavity free primary dentition, usually have a strong, healthy adult dentition with fewer problems. One of the key elements in maintaining healthy teeth starts with good preventive strategies. It is important to find a dentist that practices preventative dentistry and focuses on the prevention of dental decay.

Does your dentist practice preventative dentistry measures?

Birth – 1 year of age

During the first year of your baby’s life is an exciting time of learning and experiencing the world. Your baby will encounter new sensory experiences every day. From birth you must clean your baby’s gums and sulci (the space where milk collects between the cheek and the gums) and the tongue. Using a soft piece of gauze in the mouth in conjunction with a xylotol based (fluoride free) age appropriate toothpaste to clean the mouth twice daily will reduce the risk of Candida infection (thrush) and will reduce the amount of bacteria living in the mouth. At 6 months of age (or when the first tooth appears) it is time to move onto a natural rubber finger brush. Massage your baby’s gums and brush their newly erupted teeth with Xylotol based toothpaste.

Why Xylotol?

Frequent eating of foods high in sugars and starches promotes tooth decay. Xylitol may reduce the risk of tooth decay if used whilst maintaining a low sugar diet. Many large-scale clinical studies have shown it to have long-lasting dental benefits. Over 25 years of clinical testing confirms that Xylitol is the best sweetener for teeth, which has led to official endorsements by dental associations in Finland, Norway, Sweden, England, Ireland, Estonia and the Netherlands of products containing high levels of this sweetener. A toothpaste containing Xylotol is one of the proven methods of reducing acidity in the mouth and reducing the incidence of dental decay.

What’s next?

Your child’s first visit to their dentist should coincide with their first birthday. Do not expect too much from your child at this stage, however it is an important time for your pediatric dentist to educate you about the dos and don’ts of taking care of your child’s teeth. Let your baby play in the dental chair, spend time getting to know their new dentist and become familiar with the dental setup at the practice. Every positive experience at the dental surgery will reinforce a good relationship with their dentist and build trust.

At one year of age it is time to bid farewell to your baby’s nighttime feeding habits. At this age, infants no longer require any milk for additional nutrition, as their nutritional needs should be met in full with solid meals during the day. Milk bottles after one year of age serve only as a pacifier and this habit is extremely difficult to break. Milk bottles/breast feeding before bed or during sleep time will wreak havoc on your child’s immature, newly erupted teeth. Nursing bottle caries occurs in infants who are left to suck on a milk bottle/breast fed throughout the night. Sugary drinks (fruit juice, honey sweetened tea) given in a bottle/sippy cup will also result in rampant decay of your infant’s teeth. Give only water at night. Never dip your baby’s pacifier in honey or any other sweetener.

2 -3 years old

By the time your child reaches 2 years of age, they should be familiar and completely comfortable with their dentist. They should feel happy to sit alone in the dental chair and experience having their teeth polished and inspected by their dentist. Children should visit their dentist every 5 months throughout their childhood. At approximately 2 ½ year of age, you should initiate a flossing routine. Flossing the teeth should be done every night after brushing. If practiced regularly, it will setup a lifelong habit of flossing for your child.

Fissure sealants

The fissures are the grooves present on the top surface of molar teeth. These run deep within the tooth’s structure and their full depth cannot be penetrated during brushing by toothbrush bristles. For this reason, your pediatric dentist will place sealants to close up these fissures. This prevents dental decay occurring in the fissures- one of the most common sites of dental decay in children’s teeth. Fissure sealants can be placed as early as 2 ½ years of age, if your child is compliant and relaxed in the dental chair.

Brushing

It is essential to brush your child’s teeth in the morning and at night. Regular removal of plaque from the teeth is the only way you will effectively prevent dental decay. If your child puts up a fight when it is time to brush teeth, nothing sends the message home faster than a dental check up, cleaning and a chat with the dentist. Your pediatric dentist has many tricks up their sleeves when trying to convince and teach children the importance of brushing. Once again, a good relationship between your child and their dentist will prove highly beneficial when trying to motivate and improvement in their brushing habits.

Diet

Many thousands of years ago, dental decay did not exist. The reason for this lies in the diet of prehistoric man. Early man had a diet high in raw fruits and vegetables and a relatively low protein content. Food was also very fibrous with zero refined carbohydrates and very low sugar content. They drank only water.

Minor dietary changes will make a great impact on the health of your child’s mouth. Fruit juice is extremely acidic and destructive. Children should drink only water. Limit the intake of refined carbohydrates like potato crisps, bread, muffins, cake, and cookies. Do not allow unhealthy between meal snacking. Give only sugar free between mean snacks. Steer clear of sticky sweets like fizzers, toffees and suckers.

Prevention is better than cure

Above all else, develop a trusting, positive relationship with your dentist. If you and your child trust your dentist and visit regularly, the road ahead will be a smooth, cavity-free journey.

Teething

June 25, 2014adminUncategorized0

There are many myths associated with teething which date back to the dark ages. Babies are protected by their own natural immunity that was transferred to them through their mother’s placenta and this immunity lasts until approximately 6 months of age. A large majority of babies are also breast fed up until 6 months of age and gain immunity through the breast milk. So at 6 months there is a sudden drop in these forms of natural immunity and protective antibodies, which increases risk for infection. Coincidentally it is at around 6 months of age that the first teeth usually appear. For this reason it is doubtful that teething causes symptoms (like fussiness, diarrhea, runny nose and fever) but in actual fact these common symptoms are not related to teething at all and just coincidentally appear at the same time as emerging teeth. In addition the increased stress associated with teething could make your child more vulnerable to infection right before a new tooth appears.

I advise parents to keep a watch for vomiting and listless behavioral patterns, as these are almost always a sign that the problem is not teething. Keep a close eye on the behavior of your baby.  If your baby starts vomiting and has a fever for an extended period of time, exceeding 38 degrees Celsius you must contact your doctor. Teething should not require emergency care. If there is any concern that something other than teething may be causing symptoms, contact your health-care provider. The only signs that should be associated with teething are restlessness, increased salivation and fist/hand chewing.

Teething remedies

I am a firm believer in Baltic Amber bead teething necklaces. Amber beads release Succinic acid, which is then absorbed into the body when kept in constant close contact with the skin. The long-term exposure to Succinic acid reduces inflammation that in turn eases the pain and discomfort stemming from the chronic oral inflammation of the mouth during teething and boosts immunity and the body’s ability to fight infection during this susceptible period. It works with the body to support the immune system, restore health, and reduce infection as well as pain. I recommend that this necklace be worn from 2 months of age, every day. At night, secure the necklace around the ankle of your baby with their sock so it does not present as a choking hazard.

I also recommend a visit to your homeopath. A homeopathic teething remedy and immune supporting remedy (like Oscillococcinum) taken from early on, in combination with teething beads has shown very effective results in alleviating teething pain and other illness accompanying the teething period.

Give your baby something fibrous to chew on like a cold carrot stick/apple slice. Natural rubber teething rings chilled in the fridge are also effective. Their gums are itchy so help them out by massaging the gums with a natural rubber finger brush combined with a Xylotol based toothpaste.

Do not give your child teething biscuits/rusks as these are high in sugar and promote plaque accumulation. Do not give your child any sugary drinks (fruit juice, sweetened tea etc) in their bottle. This may pacify your child short term, but the long-term damage and addiction to sugar is irreversible.

And finally is not helpful to apply commercial teething gels as these topical preparations have little to no effect- the child swallows most of the gel and continuous application is impractical and may lead to sensitivity to benzocaine.

Teething is a time when your child needs above all else, love and support.