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Teens and Gum Disease

February 7th, 2024

You have a lot going on. School. Sports. Activities. Family. Friends. Teens lead busy lives and have busy schedules, so you need to budget your time and energy. One thing you don’t want to spend any of your time and energy on? Dealing with gum disease.

Gum disease most often begins as a reaction to plaque and tartar. The bacteria in plaque produce acids which irritate gum tissue, causing inflammation, swelling, and bleeding. This is gingivitis, the early stage of gum disease.

Left untreated, early gum disease can become periodontitis. Periodontitis is a serious gum infection which can cause receding gums, loose teeth, and even tooth and bone loss.

We usually think about gum disease as something that only older adults worry about. But the unfortunate fact is that children and teens are also at risk for gum disease—and the teen years bring special risks. Why?

  • Braces

The teen years are the most common years for orthodontic treatment. Wearing traditional or lingual braces can make removing plaque from around brackets and wires, between the teeth, and near the gum line more challenging, and gum disease can be the result. When you’ve been working so hard to create a healthy attractive smile, you don’t want to delay your orthodontic progress to treat gum disease.

  • Less-than-Nutritious Snacking

When you have after school commitments like sports practices, play rehearsals, or work, you probably carry a snack to give you the energy you need until dinner. Popular snacks like energy drinks, chips, or candy bars are common go-to choices, but they contain acids, simple carbs, and sugars which are bad for both gums and tooth enamel.

  • Hormones

Increased hormone levels during puberty can make the gums more sensitive and more easily irritated.

  • Your Busy Life

Maybe you’re not getting enough sleep. Or eating as well as you could. Or you’re feeling anxious. Lack of sleep, poor nutrition, and stress can affect your body’s immune system and your ability to fight off infection. And if you’re also not brushing and flossing regularly, your gum health can really suffer.

How do you know if you have gum disease? Good question! Sometimes the early stages of gum disease aren’t obvious. Perhaps you’ve noticed changes in your gums, such as:

  • Redness
  • Swelling
  • Soreness
  • Bleeding
  • Bad breath even after brushing

Any of these changes can be symptoms of gum disease and are a good reason to give our Dallas office a call, since time is important when treating gum disease.

Caught early, gingivitis is usually very treatable—in fact, you can often reverse early gingivitis by paying more attention to your daily dental hygiene. If gingivitis is more advanced, or if periodontitis develops, you need professional dental care to prevent serious damage to your gums, teeth, and bone.

Preventing gum disease from ever developing is always best, though, so let’s look at what you can do to keep gum disease from becoming a problem.

  • Keep Up with Healthy Dental Habits

Even though you’re leading a busy life, take time for your dental care. Brushing twice a day for at least two minutes per session and flossing once a day take just a bit of your time and are the best way to keep your gums healthy. If you wear braces or have a tendency toward cavities and gum disease, Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani might recommend brushing or flossing more often.

  • Use the Right Tools

Using the right tools makes a big difference. You should always choose a toothbrush with soft bristles to protect your delicate gum tissue—especially if it’s extra sensitive. Too-harsh brushing can damage even your super-hard tooth enamel, so you can imagine what it can do to your gums! Change out your brush every three to four months when it starts to get frayed and worn.

If you wear braces, ask Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani to recommend the best kind of floss to clean between your teeth and around your brackets and wires. The right tools will make flossing a lot easier, and will help you keep your gums healthy and your orthodontic treatment on track.

  • No Matter How Busy You Are, Treat Yourself Well

Watch your diet. Drinking water to hydrate is a healthy (and inexpensive) alternative to sugary and acidic drinks. When you know you have after-school commitments, pack yourself a healthy snack. After snacking, it’s a good idea to rinse with water when you can’t brush to remove any food particles sticking around your teeth and gums.

And even though your schedule is demanding, caring for your mind and body should be a priority. If you have difficulties with sleep or stress, or questions about a nutritious diet, talk to your doctor for some valuable tips to make your daily life healthier and more enjoyable.

With so much going on in your active life, gum problems are problems you really don’t need. Make room in your schedule now for careful daily brushing and flossing, a healthy lifestyle, and regular visits to Dallas Dental Arts, and you’ll be living that active life with a beautiful, healthy smile!

Can You Repair Your Tooth Enamel?

January 31st, 2024

There are lots of ads out there for toothpastes that claim to repair damaged tooth enamel.

Can you treat cavities and tooth decay at home? Well, mostly, no, you can’t.

Can you strengthen your enamel at home? Very possibly—in some circumstances. Let us explain!

Cavities and tooth decay start forming when the enamel on the tooth’s surface breaks down. To discover what causes this breakdown, we need to see how chemistry works with our biology.

Tooth enamel is mainly made from calcium and phosphate ions. These minerals combine to form hydroxyapatite, crystals which make up around 95% of our enamel. Hydroxyapatite crystals are so strong that tooth enamel is the hardest part of our bodies. What can weaken a substance this strong?

Acids. Acidic foods and drinks, as well as acids created by the bacteria in plaque, strip away calcium and phosphate ions in enamel, weakening the surface of the tooth. This is a process called demineralization, and it’s the first stage of tooth decay. Left alone, weak spots will become bigger and deeper until they form cavities.

And tooth enamel, unlike the rest of your body, isn’t living tissue. It can’t regenerate. Once bacteria and acids have created a deep enough cavity, only Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani can repair it by removing decay and filling the tooth.

Wait, this sounds a lot more like “No, you can’t repair your enamel” and much less like “It’s possible to strengthen your enamel.” But we’re not through!

Demineralization doesn’t equal cavities—yet. Careful attention to your habits and your diet can make a difference in whether your enamel continues to weaken or becomes stronger.

Our body’s first defense against demineralization is saliva. Calcium and phosphate ions in saliva bathe the teeth throughout the day, restoring the minerals which have been lost. This is called remineralization. Saliva also helps neutralize acids from the foods we eat. But with a diet heavy in acids, or a lot of plaque buildup, saliva just can’t keep up with the damage.

That’s where “enamel-repair” toothpastes come in. Toothpastes are available that contain hydroxyapatite to restore calcium and phosphates to weakened enamel. But for many of the most common enamel-repair toothpastes, the not-so-secret secret to their effectiveness is fluoride.

Dentists recommend fluoride toothpastes for several very good reasons. Fluoride is attracted to the minerals in tooth enamel and bonds with them. Once bonded, fluoride attracts the calcium and phosphate ions in saliva, helping restore lost minerals to the enamel. Even better, when fluoride bonds with the calcium and phosphate in our enamel, fluorapatite is created. This is a crystal even stronger and more acid-resistant than hydroxyapatite.

If you’re concerned about the strength of your enamel, and especially if you notice any signs of acidic erosion, talk to our Dallas dental team right away. Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani can:

  • Recommend over-the-counter toothpastes or professional fluoride applications to help reverse early demineralization
  • Provide dental bonding, a crown, or a veneer to protect a tooth with serious erosion
  • Treat a cavity caused by more advanced tooth decay.

Keeping your enamel healthy at home can take many forms. By careful brushing and flossing to remove plaque, by watching the acids in your diet, by making sure you’re properly hydrated, and by using fluoride toothpaste, you can both reduce the risk of demineralization and help restore weak spots in your tooth enamel.

So, can enamel-repair toothpastes effectively repair your teeth? Yes, they can be effective—if demineralization is in its early stages and if you make them a regular part of your daily dental routine.

Cleaning Your Baby’s Teeth

January 25th, 2024

In the eyes of most parents, nothing is cuter than their baby’s smile. Did you know your little one’s smile (that is, his or her oral health) actually plays a huge role in determining the child’s overall well-being? In order to keep your youngster healthy and smiling, you need to know when and how to take care of those tiny teeth.

Baby teeth aren’t just temporaries that will fall out eventually. They help your baby chew and talk, and they reserve space in the jaw for permanent teeth later on. Since they’re so important, the right time to start dental care is only a few days after your infant is born.

Take a soft, wet washcloth or piece of gauze and gently wipe your baby’s gums. The earlier you begin, the more accustomed your child will become to a daily dental hygiene routine.

Babies that are put to bed with a bottle may be at greater risk for developing cavities. Milk, juice, and any other drinks that contain sugar instigate tooth decay while the child sleeps.

If your baby must go to bed with something, a bottle of water is the healthiest option. Remember to wipe your little one’s gums after each feeding, whether it’s formula from a bottle or breast milk.

As soon as your infant’s first tooth comes in, it’s time to start brushing! Twice a day, take a small amount of toothpaste (about the size of a grain of rice) and brush your son or daughter’s teeth gently in circular motions. As soon as your toddler has multiple teeth that touch one another, floss up and down the sides of the teeth to remove any plaque between them or below the gumline.

Babies’ teeth are prone to cavities and gingivitis, so you’ll want to be on the lookout for telltale signs. Check regularly for red, swollen gums, because this may be an indication of developing gum disease. Discoloration, white spots, or small pits in the teeth can signal a forming cavity.

As long as you follow these simple guidelines and schedule regular dental checkups with Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani at our Dallas office, you can help to ensure your baby has a healthy mouth. There is nothing more rewarding than seeing your happy baby’s healthy smile.

Let’s Talk About Fluoride

January 17th, 2024

So much of parenting is a balancing act. Making sure your child has enough play time and enough nap time. Crafting meals that are both healthy and appealing. Making sure every dental product you use is both effective and safe.

While Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team can’t recommend the perfect bedtime story, or tell you why your child just won’t go for that delicious steamed broccoli, we are more than happy to discuss the very best ways to promote healthy, strong teeth. Should fluoride toothpaste be part of your child’s dental routine? For many good reasons, the answer is yes.

Why Fluoride is Important

Our enamel is the strongest substance in our bodies, with the highest concentration of minerals, but it is not indestructible. The bacteria that live in our mouths create acids which attack our enamel. Weakened enamel leads to cavities. Fluoride is a mineral that makes the enamel surface more resistant to these acids, and can actually help our enamel repair itself in a process called “remineralization.” Fluoride helps prevent cavities and makes teeth stronger, and those are benefits that will last your child a lifetime.

Can There Be Too Much of a Good Thing?

Fluorosis is a condition that can sometimes develop when a child has been exposed to too much fluoride while the adult teeth are developing below the gum line. (Around the age of eight, children’s teeth have finished forming and are not at risk.) Fluorosis is not a disease, and doesn’t harm teeth, but can lead to faint streaks in the enamel. While this streaking is usually white and subtle, it can sometimes be darker and more noticeable. Teeth discolored by fluorosis can be treated cosmetically, but prevention is always the best option.

Finding the Perfect Balance

Talk to us about using fluoride toothpaste when your baby’s first teeth start arriving. If a very young child is at risk for tooth decay, we might recommend early use of fluoride toothpaste. And for these small children, younger than the age of three, a small smear of paste (about the size of a grain of rice) is sufficient if needed. Swallowing fluoride products increases the risk of fluorosis, so make sure to use a very small amount of paste.

Because young children can’t understand the concept of rinsing and spitting, you always want to make sure the amount of toothpaste you use is age-appropriate even as they get older.  From ages three to six, a pea-sized dab of toothpaste is enough. Children should not use fluoride rinses or supplements unless recommended, and should be monitored to make sure they spit out fluoride toothpaste or rinses after brushing.

Most drinking water already has natural levels of fluoride, which normally aren’t a problem. If you are concerned about high fluoride levels in your local water, talk to us. If your water has higher levels of fluoride than normal, you can minimize consumption when your baby is young by breastfeeding, using non-fluoridated water for mixing with formula powder or concentrate, or buying prepared formula. If your child is a toddler, don’t add fluoride rinses or supplements unless they are recommended by a dental or medical professional.

Talk to us during your visit to our Dallas office about protecting your child’s teeth. We are happy to help you find just the right amount of fluoride to keep young smiles stronger and more resistant to tooth decay. Healthy teeth in a beautiful smile—that’s a perfect balance!

2100 Ross Ave Suite 960
Dallas, TX 75201
(214) 999-0110

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