Posts for: September, 2018

By Iris L. Shields, DDS
September 27, 2018
Category: Oral Health
Tags: teething  
EaseYourChildsTeethingDiscomfortwiththeseTips

Although it’s a natural part of dental development, teething is no picnic for your baby. This process in which each of their twenty primary teeth gradually erupt through the gums usually begins around their sixth to ninth month and may not end until around age three.

These periodic tooth eruptions can cause your baby to bite, gnaw, drool or rub their ears. Teething can also disrupt sleeping patterns, decrease appetite and cause gum swelling and pain that can turn your otherwise happy baby into an unhappy one.

Managing these teething episodes is one of the most common topics parents bring up with their dentists. Since teething is supposed to happen, there’s no need for medical intervention unless the child is also experiencing diarrhea, rashes, fever or prolonged irritability associated with teething episodes. In most cases, the best you can do is to make your child more comfortable. Here are a few things to help you do just that.

Provide cold items for gnawing. Rubber teething rings, wet wash cloths or pacifiers that have been chilled can give your child something to gnaw on and ease the pressure of sore gums while the chilled temperatures help numb pain. Be sure, though, that the items aren’t frozen because extremely cold temperatures can burn the skin.

Gum massage. You can massage your child’s gums with one of your fingers during a teething episode to counteract the throbbing pressure coming from the erupting tooth. Just be sure your finger is clean and don’t use any numbing agents unless advised by your dentist or pediatrician.

OTC medication. You can ease mild to moderate teething pain with over-the-counter pain relievers like acetaminophen or ibuprofen in dosages appropriate for your child’s age. But don’t apply rubbing alcohol to the gums or massage in any pain reliever—both practices can burn the skin. And, as mentioned before, only apply numbing agents like Benzocaine with the advice and supervision of a healthcare professional.

Besides these practices, be sure to keep up regular dental checkups to monitor the teething process and ensure all is going normally. And remember: though it may seem harrowing at times, the teething process won’t last forever.

If you would like more information on easing the effects of teething, 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 “Teething Troubles: How to Help Keep Your Baby Comfortable.”


By Iris L. Shields, DDS
September 17, 2018
Category: Oral Health
Tags: oral health  
ANewSchoolYearANewBeginning

Like a second New Year’s Day, the month of September offers its own chance to make a brand new start: It’s back-to-school season! This can be an exhilarating time—a chance to meet new friends, face new challenges and set new goals. It’s also a great time to get started on the things that can keep your children healthy all year long…like a routine visit to the dental office.

Preventive dental visits are one of the most important ways to help keep a smile in top condition—not just for kids, but for people of any age. They are also one of the best values in health care, because so much can be accomplished in such a short time. What exactly happens at a routine visit? Here’s a brief run-down:

  • A professional teeth cleaning clears sticky plaque and hardened tartar from places where your brush can’t reach. These deposits can harbor the bacteria that cause tooth decay and gum disease, and removing them helps prevent more serious problems from getting started.
  • A complete dental exam involves a check for cavities, but it’s also much more: It includes screening for gum disease, oral cancer, and other potential maladies. X-rays or other diagnostic tests may be performed at this time; any changes can be observed, and the need for preventive or restorative treatments can be evaluated.
  • The growth and development of children’s teeth is carefully monitored, from the first baby teeth to the third molars. If orthodontic work or wisdom teeth removal could benefit your child, this is a great time to discuss it.  Adults may also benefit from ongoing evaluation for gum recession and other potential issues.
  • Keeping your teeth and gums healthy also depends on how you take care of them at home. A routine office visit is a great opportunity to “brush up” on proper techniques for tooth brushing and flossing, and to ask any questions you may have about oral hygiene.

So if you have youngsters starting a new school year—or if you’re looking to make a fresh start toward good oral health yourself—make it a point to stop in to the dental office for a routine visit this season!

If you would like more information about maintaining good oral health, please contact us or schedule an appointment. You can learn more by reading the Dear Doctor magazine articles “Top 10 Oral Health Tips For Children” and “Dental Hygiene Visit: A True Value in Dental Healthcare.”


By Iris L. Shields, DDS
September 07, 2018
Category: Dental Procedures
Tags: retainer  
ABondedRetainerMightWorkforYouafterOrthodonticTreatment

If you want to keep that new smile after orthodontic treatment, you’ll need to wear a retainer for awhile. Teeth have a tendency to “rebound” to their old positions and a retainer prevents that from happening.

Most people are familiar with the standard removable retainer. But there’s another option: a bonded retainer. While performing the same function as a removable one, the bonded retainer differs in one important aspect—it’s fixed in place and can’t be removed except by a dentist. It’s especially useful for certain bite repairs like the closure of the gap between the front teeth.

If you’re thinking this retainer sounds a lot like the braces just removed, it’s not. The main part of a bonded retainer is a thin metal wire that we bond with a dental composite material across the back of the affected teeth. While you can definitely feel it with your tongue it can’t be seen by others, which is an advantage over many removable retainers.

The fixed nature of bonded retainers also creates a couple of advantages, especially for younger patients. There’s no compliance issue as with removable retainers—the patient doesn’t have the option of taking it out. That also means it can’t be lost, a frequent and costly occurrence with the removable variety.

But a bonded retainer does have some drawbacks. For one, the wire and composite material make it more difficult to floss. There’s also a possibility of breakage from high biting forces, which if that should occur must be immediately repaired to avoid the teeth rebounding. But while removable retainers have their downsides, it’s much easier with them to keep the teeth clean of plaque—you simply take the appliance out to brush and floss.

With your dentist’s help you can weigh the pros and cons of both types of retainers and decide which is best for you or your child. Whichever one you choose, wearing a retainer will help protect that hard-earned smile for years to come.

If you would like more information on protecting your bite after orthodontic treatment, 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 “Bonded Retainers: What are the Pros and Cons?




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