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Can children be at risk for periodontal disease?

October 19th, 2022

You want to check all the boxes when you consider your child’s dental health. You make sure your child brushes twice daily to avoid cavities. You’ve made a plan for an orthodontic checkup just in case braces are needed. You insist on a mouthguard for dental protection during sports. One thing you might not have considered? Protecting your child from gum disease.

We often think about gum disease, or periodontitis, as an adult problem. In fact, children and teens can suffer from gingivitis and other gum disease as well. There are several possible reasons your child might develop gum disease:

  • Poor dental hygiene

Two minutes of brushing twice a day is the recommended amount of time to remove the bacteria and plaque that cause gingivitis (early gum disease). Flossing is also essential for removing bacteria and plaque from hard-to-reach areas around the teeth.

  • Puberty

The hormones that cause puberty can also lead to gums that become irritated more easily when exposed to plaque. This is a time to be especially proactive with dental health.

  • Medical conditions

Medical conditions such as diabetes can bring an increased risk of gum disease. Be sure to give us a complete picture of your child’s health, and we will let you know if there are potential complications for your child’s gums and teeth and how we can respond to and prevent them.

  • Periodontal diseases

More serious periodontal diseases, while relatively uncommon, can affect children and teens as well as adults. Aggressive periodontitis, for example, results in connective and bone tissue loss around the affected teeth, leading to loose teeth and even tooth loss. Let David Jones know if you have a family history of gum disease, as that might be a factor in your child’s dental health, and tell us if you have noticed any symptoms of gum disease.

How can we help our children prevent gum disease? Here are some symptoms you should never ignore:

  • Bleeding gums
  • Redness or puffiness in the gums
  • Gums that are pulling away, or receding, from the teeth
  • Bad breath even after brushing

The best treatment for childhood gum disease is prevention. Careful brushing and flossing and regular visits to our Naperville, Illinois office for a professional cleaning will stop gingivitis from developing and from becoming a more serious form of gum disease. We will take care to look for any signs of gum problems, and have suggestions for you if your child is at greater risk for periodontitis. Together, we can encourage gentle and proactive gum care, and check off one more goal accomplished on your child’s path to lifelong dental health!

Wrong Time/Wrong Place?

October 12th, 2022

In a perfectly predictable world, your child’s teeth would come in—and fall out—right on schedule, right in place. But life isn’t perfectly predictable, and teeth can erupt—or fail to erupt—in their own time and in unexpected places. Let’s look at a few of the ways your child’s teething development can differ from “typical” schedules.

  • Leaving So Soon?

Sometimes a baby tooth is lost early because of injury or decay. And baby teeth are important for more than creating an adorable smile. These little teeth help your child with eating, speech, and jaw development. And they serve another purpose as well—they are essential place holders for your child’s adult teeth.

When a baby tooth is lost too early, the neighboring teeth can drift into the open space. Adult teeth waiting to arrive will tend to erupt in any space left available, whether it’s the right space or not. This can lead to bite problems and misaligned and/or crooked teeth. Depending on your child’s age, and which and how many teeth are affected, your dentist might recommend a space maintainer.

Fixed space maintainers are attached to the lost tooth’s neighboring teeth to keep them in place. Removeable space maintainers resemble retainers, and are usually recommended for older children. Both fixed and removable appliances serve to keep the baby teeth spaced apart just as they should be, preventing neighboring teeth from shifting to fill the empty spot, and making sure there’s enough room for the adult tooth to arrive right on schedule and right where it belongs.

  • Hangers-On

Losing baby teeth too early isn’t the only punctuality problem that can arise with little teeth—sometimes baby teeth don’t seem to realize when they’ve worn out their welcome.

The roots of baby teeth are much smaller than those of adult teeth. When a permanent tooth starts to erupt, it pushes against the root of the baby tooth above it. This pressure breaks down the root of the primary tooth, leaving the tooth loose and just waiting to fall out.

Sometimes primary roots don’t dissolve, though, which means the permanent teeth will erupt beside those lingering baby teeth. The result is a double row of teeth. Because all these teeth in one small jaw can cause crowding and misalignment, it’s a good idea to schedule a visit with David Jones when you see two sets of teeth where only one is welcome! This is especially true for older children, when the molars start erupting.

  • No-Shows

When a tooth fails to erupt at all, it’s called an embedded tooth. When a tooth is blocked from erupting, it’s called an impacted tooth. Factors like the jaw size, tooth size, genetics, trauma, and medical conditions can affect eruption.

There’s no perfect eruption schedule for every child. Even typical eruption charts provide a range of several months to several years during which baby teeth arrive, baby teeth are lost, and adult teeth appear.  But any time you have any concerns about your child’s tooth development, talk to David Jones to see whether the situation will correct itself in time or whether treatment is recommended.

If the unpredictable occurs in your child’s teething schedule, working proactively with our Naperville, Illinois  dental team is the best way to create a lifetime of predictably happy, healthy smiles.

What should I use to clean my baby’s teeth?

September 28th, 2022

You might think babies don’t need to brush their teeth, especially when they don’t have any. But by starting good habits like brushing when your child is young, you can lay the foundation for them to continue those good habits into adulthood.

When do I start?

The best time to start brushing your baby’s teeth is before he or she has any. Develop the habit of wiping your baby’s gums with a wet, soft washcloth or gauze every day. There is no need to use toothpaste, just wrap the gauze or cloth around your finger, moisten it with a little water, and gently rub it over the gums.

This helps your little one get used to brushing while it eliminates bacteria in the mouth that can harm emerging teeth. You don’t need to apply a lot of pressure or even take very long: just a quick, gentle rub over the gums will do it.

What do I use?

When your child’s teeth begin to come in, you will need to switch from a cloth to a baby toothbrush. Find one that has a grip big enough for your hand, but a head that is small enough to maneuver easily in your infant’s mouth.

You don’t need to use any toothpaste until your son or daughter is about a year old. Even then, though, you’ll want to use just a tiny amount: about the size of a grain of rice. When your toddler is about two years old, you can use a pea-sized amount.

By around six years of age, your child will probably rinse and spit without your help. At that point, you may want to introduce a child-friendly fluoride mouthwash.

How do I do it?

Your child probably won’t be able to brush his or her teeth alone until about the age of five or six. This means that you will need to do it. To brush your child’s teeth, gently use the brush over all the teeth and gums, even areas where the teeth have not come in yet.

As your child grows and becomes more independent, you can allow him or her to hold the toothbrush while you guide your child’s progress. Make sure you talk to your child while you are brushing, and explain why you brush: what you are doing and how you are doing it.

In addition to regular visits with David Jones, instilling good oral health habits in your child early on will ensure a lifetime of good dental health.

Fluoride Use in Adolescents

September 21st, 2022

Fluoride is a mineral that plays an essential role in oral health. In fact, the significant reduction in American tooth decay in recent decades can be attributed to a greater availability of fluoride in public water supplies, toothpaste, and other resources. When it comes in contact with the teeth, fluoride helps protect the enamel from acid and plaque bacteria. In some cases, it can even reverse tooth decay in its earliest stages.

Despite the benefits of fluoride, tooth decay is still common, especially among teenagers. The Centers for Disease Control reports that cavities can be found in more than half of young teens and two-thirds of older teens over age 16. Many of those teens are deficient in fluoride, either due to a lack of public water fluoridation or the use of bottled water. So how can parents ensure their teens are getting the fluoride they need to facilitate strong, healthy teeth?

Monitor Fluoride Exposure

David Jones and our team at Small Smiles LLC recommend you start by measuring your teen’s fluoride exposure. Make sure you purchase fluoridated toothpaste for your household, and find out if your tap water is fluoridated. If your teen primarily consumes bottled water, examine the bottle to determine whether fluoride has been added. The majority of bottled waters are not supplemented with fluoride, but those that are will be clearly labeled.

Fluoride Supplementation

David Jones may recommend topical fluoride treatments at routine dental exams. These treatments are painless for your teen and may help establish stronger enamel that is more resistant to plaque and tooth decay. If you have a public water supply that is non-fluoridated, we may recommend fluoride supplementation between visits. These can be administered as drops, tablets, or vitamins.

Keep in mind that fluoride is most important for children and teens under the age of 16. Be proactive about your teen’s oral health by speaking with us about your family’s fluoride needs at your next dental visit.

For more information about fluoride, or to schedule an appointment with David Jones, please give us a call at our convenient Naperville, Illinois office!