Pediatric Dentists - Sheboygan
1313 N Taylor Dr,
Sheboygan, WI 53081-3090
(920) 452-7336

Click To View...

Posts for tag: tooth decay

By Just Kids Dental SC
December 19, 2018
Category: Dental Procedures
Tags: tooth decay   fluoride  
TopicalFluorideAddsExtraProtectionagainstToothDecay

Protecting a child's primary (“baby”) teeth from tooth decay should be a top priority. If one is lost prematurely due to decay, it could cause the permanent tooth to misalign when it comes in.

The basic prevention strategy for every child is daily brushing and flossing and regular dental visits. But children at higher risk for decay may need more:  additional fluoride applied to teeth enamel during office visits.

This natural mineral has been shown to strengthen enamel, teeth's protective layer against decay, especially during its early development. Enamel is composed of calcium and phosphate minerals interwoven to form a crystalline structure called hydroxyapatite. Fluoride joins with this structure and changes it to fluorapatite, which is more resistant to mouth acid than the original structure.

We mostly receive fluoride through fluoridated drinking water and dental care products like toothpaste. Topical fluoride takes it a step further with a stronger dose than found in either of these sources. It can be applied with a foam, varnish or gel using an isolation tray (foam or gel) or painted onto the enamel (varnish or gel).

But does topical fluoride effectively reduce the occurrence of decay? Research indicates yes: a recent review of 28 studies involving over 9,000 children found an average 28% reduction in decayed teeth in children who underwent topical fluoride treatments.

There is, though, one potential side effect: children who swallow the fluoride substance can become sick and experience headache, stomach pain or vomiting. This can be avoided with proper precautions when applying it; the American Dental Association also recommends using only varnish for children younger than 6 years. It's also recommended that children receiving gel or foam not eat or drink at least thirty minutes after the treatment (those who receive the varnish aren't restricted in this way).

Topical fluoride is most effective as part of an overall prevention strategy. Besides daily hygiene and regular dental visits, you can also help reduce your child's decay risk by limiting the amount of sugar in their diet. Sealants, which are applied to the nooks and grooves of teeth where plaque can build up, may also help.

If you would like more information on fluoride gels and other clinical treatments to prevent tooth decay, please contact us or schedule an appointment for a consultation.

By Just Kids Dental SC
February 18, 2018
Category: Oral Health
Tags: tooth decay  
AlthoughaChallengeChronicallyIllChildrenNeedToothDecayPrevention

Families of children with chronic conditions face many challenges. One that often takes a back seat to other pressing needs is the prevention of tooth decay. But although difficult, it still deserves caregivers’ attention because of the dental disease’s potential long-term impact on oral health.

Chronically ill children are often at higher risk for tooth decay, most commonly due to challenges in practicing effective oral hygiene. Some conditions create severe physical, mental or behavioral impairments in children’s ability to brush and floss: for example, they may have a heightened gag reflex to toothpaste in their mouth or they may not be able to physically perform these tasks on their own.

Some children may be taking medications that inhibit salivary flow as a side effect. Saliva is critical for disease prevention because it both neutralizes mouth acid (which can erode tooth enamel) and is a first line of defense against disease-causing bacteria. And a child’s diet, while designed to support treatment of their chronic condition, may conversely not be the best for supporting their dental health.

It’s best if caregivers and their dentists develop a strategy for decay prevention, which should include the following:

  • Regular dental visits beginning at Age One. Besides monitoring dental health, dental visits also provide cleanings and other preventive measures like topical fluoride or sealants;
  • Brushing and flossing support. Depending on a child’s physical and mental capacities, caregivers (or an older sibling) may need to model brushing and flossing, or perform the tasks for the child;
  • Medication and diet changes. If medications are causing dry mouth, caregivers can speak to their physicians about possible alternatives; likewise, they should see if modifications can be made to their diet to better support dental health.
  • Boosting salivary flow. It’s especially important with children who have dry mouth to drink more water or use aids (like xylitol gum or candies) to boost salivary flow.

Although it requires extra effort and time to give attention to a chronically ill child’s dental health, it’s well worth it. By working to prevent tooth decay early in life, these children will be more likely to enjoy good dental health in the future.

If you would like more information on dental care for children with special needs, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor article “Managing Tooth Decay in Children with Chronic Diseases.”

By Just Kids Dental SC
November 12, 2017
Category: Oral Health
Tags: tooth decay  
TakeTheseMeasurestoLowerYourChildsToothDecayRisk

As a parent you’re always on the lookout for dangers to your toddler’s well-being: sharp corners on furniture, uneven walks or the occasional stomach bug. But a situation could be brewing in their mouth you might not be aware of until it’s become a full-blown problem.

The silent danger is tooth decay, which could be developing as early as infancy. Undiagnosed and untreated, it could ultimately cause premature loss of primary (“baby”) teeth with adverse effects on the eruption of incoming permanent teeth.

Tooth decay arises from certain strains of mouth bacteria, often passed down from parent to child. These bacteria produce acid as a byproduct after feeding on carbohydrates (especially sugars). The more food available, the more acid they produce. This wreaks havoc on tooth enamel, the teeth’s outer protective covering by softening and dissolving its mineral content. This gives decay an opening to infect the interior of a tooth.

Combine inadequate hygiene practices (especially brushing) with poor dietary habits, and you have the conditions for a perfect disease storm in your child’s mouth. That’s why you should begin oral hygiene as soon as you notice their first teeth. Wiping them with a clean, wet cloth is sufficient in the beginning, but you should start daily brushing (with fluoridated toothpaste to strengthen young enamel) by their first birthday.

You should also practice good dietary habits. For example, avoid giving an infant or toddler a bottle filled with juice, milk or formula to sleep with through the night — the constant sipping bathes the mouth in sugars bacteria feed on. Instead, use plain water. You should also focus on nutrition from the get-go to help build overall good health as well as strong teeth and gums.

As an added measure, begin regular dental visits by their first birthday. A checkup and cleaning every six months will help us detect early tooth decay and lessen its impact. We can also provide sealants and topical fluoride to give added protection against decay.

Catching and treating decay early before it gets too far is the best way to prevent early tooth loss. Your child’s future dental health might depend on it.

If you would like more information on your child’s dental care, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Taking the Stress out of Dentistry for Kids.”

By Just Kids Dental SC
January 07, 2017
Category: Oral Health
Tags: tooth decay   toothache  
HeresWhattoDoifYourChildhasaToothache

What should you do if your child complains about a toothache? Before calling our office, try first to learn what you can about the toothache.

You should first ask them where exactly the pain is coming from — one particular tooth or a generalized, dull ache. Also try to find out, as best they can tell you, when they first noticed the pain. Try then to look at the tooth or area where they indicate the pain is coming from: since tooth decay is a prime cause for tooth pain, you should look for any obvious signs of it like brown spots or cavities. You should also look at the gums around the teeth for any redness or swelling, a sign of an abscess or periodontal (gum) disease.

If you notice any of these signs, the pain persists for more than a day, or it has kept the child awake during the night, you should have us examine them as soon as possible. If you notice facial swelling or they’re running a fever, please call and we will see them immediately. If it’s definitely tooth decay, it won’t go away on its own. The longer we wait to treat it, the worse its effects in the mouth.

In the meantime, you should also try to alleviate the pain as best you can. If when looking in the mouth you noticed food debris (like a piece of hard candy) wedged between the teeth, try to gently remove it with dental floss. Give them ibuprofen or acetaminophen in an appropriate dosage for their age to relieve pain, or apply an ice pack on and off for about 5 minutes at a time to the outside of their jaw.

If any of these remedies stops the pain within an hour, you can wait until the next day to call for an appointment. If the pain persists, though, then an abscess could be developing — you should call that day to see us.

Regardless of when the pain stops, or whether you see any abnormal signs, it’s still important your child see us for an accurate diagnosis. Their toothache maybe trying to tell you something’s wrong — and the earlier a problem is found and treated, the better the outcome.

If you would like more information on dental problems in young children, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “A Child’s Toothache.”

By Just Kids Dental SC
July 25, 2016
Category: Oral Health
Tags: tooth decay  
ToFightToothDecayReduceBADfactorsPromoteSAFEOnes

Humanity has been waging war against tooth decay for millennia — with this relentless opponent often getting the better of us.

Over the last century, however, significant treatment advances have turned the tide of battle in our favor. Perhaps the greatest of these advancements is our deeper grasp of the disease process — new understandings that have altered our treatment strategy. Rather than wait for cavities to occur and then repair the damage, we now focus on stopping the damage from occurring in the first place.

Prevention starts by reducing factors that contribute to tooth decay. We can signify these detrimental factors with the acronym BAD:

Bad Bacteria. Millions of bacteria inhabit our mouths at any one time, but only a few strains produce the acid that causes decay. We want to reduce their population by removing dental plaque (where they feed and grow) through daily brushing and flossing, and, at a minimum, semi-annual office cleanings.

Absence of Saliva. This important fluid neutralizes acid and strengthens tooth enamel. Some people, however, suffer from reduced saliva flow. We want to find the cause (for example, a side effect of certain prescription drugs) and then improve saliva flow.

Dietary Habits. A diet heavy in sugar and acid (particularly sodas and soft drinks) gives bacteria a ready food source and increases the mouth’s acidic level. Chronic high acid levels in particular are often too great for normal saliva flow to overcome and neutralize. Reducing the amount and frequency of these food items creates a healthier oral environment.

Reducing BAD factors is only half of our prevention focus. We also want to promote SAFE factors that enhance tooth health and strength: Sealants, especially for children, that shield tooth surfaces from decay; Antimicrobial rinses that target and rid the mouth of acid-producing bacteria and give healthy bacteria room to develop; Fluoride, a proven enamel-strengthening chemical available in dental products, many drinking water systems and as a topical application in dental offices; and an Effective diet that’s rich in nutrients and low in sugar and acid as already mentioned.

Keeping the focus on reducing BAD factors and promoting SAFE factors will greatly increase your chances of personally winning the war against tooth decay.

If you would like more information on the prevention and treatment of tooth decay, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Tooth Decay: How to Assess Your Risk.”



Archive: