If you're a parent, raising kids can be a great adventure. It can also rev up your stress meter in a heartbeat. One area in particular can give you heartburn: your child's lack of enthusiasm for visiting the dentist.
Dental anxiety in varying degrees in children isn't uncommon. At times, it can be difficult for everyone involved for a child to receive the dental care they need if they're in an upset or agitated state. Fortunately, though, there are things you can do to minimize your child's dental anxiety.
First, start regular dental visits as early as possible, usually around their first birthday. Children who begin seeing the dentist earlier rather than later are more apt to find the sights, sounds and other experiences of a dental office a routine part of life.
You might also consider using a pediatric dentist for your child. Pediatric dentists specialize in child dental care, and have specific training and experience interacting with children. Pediatric dental offices are also usually “kid friendly” with toys, videos, books and interior decorations that children find appealing.
Your attitude and demeanor during a dental visit can also have an effect on your child. Children in general take their cues for how to feel from their caregivers. If you're nervous and tense while with them at the dentist, they may take that as a sign they should feel the same way. In contrast, if you're calm and relaxed, it may help them to be calm and relaxed.
Along the same lines, your attitude and level of commitment to dental care, both at home and at the dentist, will rub off on them. The best way to do that is by setting the example: not only as you brush and floss every day, but during your own dental visits. Take them with you: If they see you're not anxious about your care, it may improve their own feelings about their care.
The main goal is to try to make your child's overall dental experience as positive and pleasant as possible. The benefits of this can extend far beyond the present moment into their adult lives.
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.”
A half million people are diagnosed every year with oral cancer. While other cancers are more prevalent, oral cancer is among the most dangerous with only a fifty percent five-year survival rate.
A major reason for this low rate is because this fast growing cancer is difficult to detect early — diagnosis comes far too often after the disease has already well advanced. In an effort to detect cancer earlier many dentists visually screen for oral abnormalities during checkups, especially patients over fifty, tobacco or heavy alcohol users, patients with a family history of cancer or a medical history of exposure to the sexually transmitted human papilloma virus, HPV-16.
If they detect an abnormality, the dentist often refers the patient to an oral surgeon or other specialist for a possible biopsy. In this procedure the surgeon removes a sample of the abnormal tissue, which is then examined microscopically for cancer cells. A biopsy remains the most effective way to diagnose oral cancer.
Because of the disease's aggressive nature, many dentists lean to the side of caution when referring patients for biopsy. As a result 90% of oral biopsies reveal no cancer. Reducing the number of biopsy referrals is highly desirable, especially for the patient undergoing the procedure. Tissue samples tend to be large to ensure complete detection of any cancer cells. Depending on the size and location of the sample, there may be a risk for loss of function or disfigurement.
A new screening tool using a sample of a patient's saliva could help reduce the number of biopsy referrals. Besides DNA, saliva also contains dormant genes called biomarkers that activate in response to the presence of a specific disease. This particular saliva test identifies those biomarkers for oral cancer if they're present.
A sample with a low score of biomarkers indicates no cancer present (with a statistical confidence of 99%). A medium or high score indicates cancer may be present, but only a biopsy can determine for sure. Using this test, dentists might be able to reduce the number of biopsy referrals and instead be able to employ watchful waiting in certain cases. Because of its simplicity and non-invasiveness, saliva screening could help identify oral cancer earlier.
Root canal treatments are an essential part of dental care — countless teeth with deep decay would be lost each year without it. Now, this traditional dental care procedure is advancing to a new level of precision through lasers.
Root canal treatments have a simple goal: access a tooth's infected pulp and root canals, clean out the infected tissue and fill the empty pulp chamber and canals with a special filling. Once filled, the access is sealed and a porcelain crown later placed for additional protection against re-infection.
In the traditional procedure, we perform these steps manually with a dental drill and hand instruments. We may also need to remove a good portion of tooth structure, both healthy and infected tissue. A laser, on the other hand, is a highly focused beam of light with the ability to interact with healthy and infected tissues differently: destroying infected tissue while having no effect on nearby healthy tissue. The end result: we may be able to remove less healthy tissue with lasers than with the conventional procedure.
Lasers are also helpful with softening and precisely molding the filling material within each canal's particular shape. And, early reports seem to indicate a higher degree of comfort for patients (less drill noise and need for anesthesia), less bleeding and faster recovery times than the conventional approach.
But as a tool for root canal treatments, lasers do have a couple of disadvantages. While light travels in a straight line, root canals are rarely straight — conventional instruments with curved designs usually accommodate odd canal shapes better than a laser. Lasers can also raise temperatures within a tooth that can damage healthy tissue, both within the pulp and outward into the dentin.
Still, lasers for root canal treatments appear promising with some dentists using a combination of lasers and manual techniques to garner benefits from both approaches. While you won't see lasers replacing the traditional root canal treatment anytime soon, the future looks bright for more efficient ways to treat deep tooth decay.
Some moviegoers have been known to crunch popcorn, bite their fingers or grab their neighbor’s hands during the intense scenes of a thriller. But for one fan, the on-screen action in the new superhero film Black Panther led to a different reaction.
Sophia Robb, an 18-year-old Californian, had to make an emergency visit to the orthodontic office because she snapped the steel wire on her retainer while watching a battle scene featuring her Hollywood crush, Michael B. Jordan. Her jaw-clenching mishap went viral and even prompted an unexpected reply from the actor himself!
Meanwhile, Sophia got her retainer fixed pronto—which was exactly the right thing to do. The retention phase is a very important part of orthodontic treatment: If you don’t wear a retainer, the beautiful new smile you’re enjoying could become crooked again. That’s because if the teeth are not held in their new positions, they will naturally begin to drift back into their former locations—and you may have to start treatment all over again…
While it’s much more common to lose a removable retainer than to damage one, it is possible for even sturdy retainers to wear out or break. This includes traditional plastic-and-wire types (also called Hawley retainers), clear plastic retainers that are molded to fit your teeth (sometimes called Essix retainers), and bonded retainers: the kind that consists of a wire that’s permanently attached to the back side of your teeth. So whichever kind you use, do what Sophia did if you feel that anything is amiss—have it looked at right away!
When Black Panther co-star Michael B. Jordan heard about the retainer mishap, he sent a message to the teen: “Since I feel partly responsible for breaking your retainers let me know if I can replace them.” His young fan was grateful for the offer—but even more thrilled to have a celebrity twitter follower.
If you have questions about orthodontic retainers, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “The Importance of Orthodontic Retainers” and “Bonded Retainers.”
If a pain you’ve been feeling goes away, you might believe the problem that caused it is gone too. But that doesn’t mean it has, especially with a tooth. An excruciating toothache that suddenly stops should still be examined. Here’s why.
Tooth decay often works its way into a tooth’s innermost layer, the pulp, which contains bundles of nerves and other tissue. The infection attacks the nerves, which send pain signals to the brain. As the infection persists, though, the nerves will eventually die and will no longer be capable of sending pain signals — hence the “mysterious” end of your toothache.
Although the pain has stopped, the infection is very much active in the tooth and will continue to work its way through the root canals to the jaw. And ultimately, the pain will return as the infection invades the bone.
But there’s good news: a tooth in this condition can be saved with a procedure known as root canal therapy. We drill a small hole in the tooth to access the pulp, usually through the biting surface of back teeth or in the rear in front teeth. Once inside the pulp chamber, we clean out the infected and dead tissue. We then fill the empty pulp chamber and the root canals with a special filling and seal the access hole. In a few weeks the tooth receives a life-like crown to further protect it from re-infection and fracture years later.
A straightforward root canal treatment can be performed by a general dentist. If there are complications like a complex root canal network, however, then the skills and specialized equipment of an endodontist (a specialist in root canals) may be needed.
A root canal treatment resolves the real cause of a toothache that suddenly stopped, as well as puts an end to future pain and infection related to the tooth. More importantly, it can save your tooth and add many more years to its life.
If you would like more information on tooth pain, 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 Severe Toothache.”
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