Thursday, April 30, 2015

Periodontal Disease in Kids

Periodontal disease is a growing problem among children, particularly those at the onset of puberty. Periodontal disease, sometimes referred to as gum disease, is a serious problem that can affect one's overall health and contribute to gum, bone, and tooth loss.  

What Types of Periodontal Disease Are Common in Children?

During puberty, abrupt hormonal changes cause increased circulation to the gums, which may cause them to become more sensitive to food particles or inadequate oral hygiene. Three types of periodontal disease are common:
  • Chronic gingivitis is the most common gum disease in children. Easily avoided through brushing, flossing, and regular dental visits, chronic gingivitis can cause red and swollen gums. Sometimes the gums may bleed, particularly when flossing. If left untreated, it can progress to more serious forms of periodontal disease.
  • Aggressive periodontitis is most commonly found in teens and young adults. The condition generally affects the first molars and incisors and is characterized by a loss of alveolar bone.
  • Generalized aggressive periodontitis usually begins around puberty and is characterized by heavy plaque and calculus (tartar) build-up. If not treated, tooth loss may result.

Advice for Parents

Parents are important role models when it comes to the importance of oral hygiene and care.  By taking excellent care of your own teeth, you show your children the importance of keeping a healthy mouth.  In addition, we recommend:
  • Looking at your child's gums and teeth for evidence of bleeding and swelling. Gums that have a bright red appearance or are visibly pulling away from the teeth are evidence of periodontal disease 
  • Encouraging an oral care routine that involves twice daily brushing and flossing early. This will pay off as your child becomes more independent and these practices remain habits
  • Ensuring that your child visits a kids' dentist twice each year for a routine cleaning (or prophylaxis) and evaluation. This type of cleaning removes calculus (tartar) and plaque at the gum line, which can lead to gum irritation and gingivitis, thus preventing periodontal disease. 
Your kids' dentist is your partner in oral health. Make certain you contact the office right away if you suspect your child may have the beginning signs of gum disease. Caught early, gum disease is highly treatable and permanent damage can be avoided.

Thursday, April 16, 2015

Using Teeth as Tools Can Have Costly Consequences

When people think of their children’s dental health, they only think of brushing and flossing. However, protecting teeth from damage is an important part of dental health. Many people do not realize that using teeth as tools can severely damage their teeth.  

Using Teeth as Tools

Kids discover early that their teeth can also be used as a tool. Tough-to-open potato chip bags, hanging pieces of string, hard-to-open caps, and even stubborn yogurt containers can quickly be addressed by kids using their teeth. Their teeth are always accessible and convenient. However, teeth should never be used as tools. Unfortunately, once kids begin using their teeth as a tool, it becomes a habit and the practice is hard to stop. 

Potential for Damage

Using teeth as tools can have painful consequences for children. In fact, using teeth in the wrong way as a child can cause issues that will plague them into adulthood.  
  • Chips and Cracks: When used incorrectly, teeth can easily become chipped, requiring repair by your kids' dentist
  • Grooves: If teeth are frequently used as tools, grooves may develop in the enamel
  • Breaks: In severe circumstances, teeth can break when used incorrectly, resulting in pain and/or a costly repair 
  • TMJ (Temporal Mandibular Joint): Using teeth as tools can cause them to wear incorrectly and harm the alignment of the jaw. This poor alignment can cause issues with a person’s Temporal Mandibular Joint (TMJ) and result in Temporal Mandibular Dysfunction (TMD), a serious jaw disorder that can result in tightness, pain, and headaches. 
If your children frequently use their teeth as tools, ask your kids’ dentist to look for signs of damage. 

Lead by Example

Children mirror their parents’ behavior. Chances are that if you use your teeth as tools, your children will too. Lead by example and take time to get the correct tool to complete your tasks instead of your teeth.  
For additional information on dental health and how to protect the health of your children’s teeth, come talk to us at Playtime Dental.

Thursday, April 9, 2015

Whitening Toothpaste: Does the ADA Seal of Acceptance Matter?

While plenty of toothpaste manufacturers use the term “whitening” quite loosely, many toothpastes don't actually do much to whiten the teeth. So don't venture on out to the supermarket and pick up any old container of toothpaste that is touted for its whitening capabilities and think that it will make your teeth as white as snow.

Thankfully, you don't have to conduct hours of research to figure out which toothpastes are legitimate whiteners. The American Dental Association has done the work for you. Check out the ADA Seal of Acceptance program to find out which toothpastes really have polishing and chemical agents that will make your teeth nice and white. The ADA has invested significant time, effort and resources into studying all of the toothpastes on the market to find out which really remove surface stains.

The ADA's Seal of Acceptance program is the result of two decades worth of monitoring various tooth-whitening products. This market has absolutely exploded in recent years, so it is quite helpful to have a watchdog group oversee all of the activity to determine which toothpastes really live up to their claims. Plenty of toothpastes do not have the ability to gently polish or provide chemical chelation or other non-bleaching actions that whiten teeth. Only opt for those that are recommended by your dentist and carry the ADA Seal of Acceptance.

In a nutshell, the term “whitening” means a process that makes teeth look whiter. Toothpastes use either bleach or non-bleaching agents to accomplish this. Bleach alters the natural color of teeth with peroxide, which removes surface stains as well as stains that have settled deeply into the teeth. Non-bleaching agents cause a chemical or physical action that removes the surface stains along teeth.


Whitening products can be distributed by dentists for use at home, applied by dentists in a dental office or bought over the counter. It is prudent to wait for a one-on-one consultation with your kids' dentist before you choose your children's whitening toothpaste. The same is true for adult patients. A dentist's input is especially valuable to patients who have egregiously dark stains, crowns and fillings. The dentist will advise whether bleaching is appropriate and will also help determine a properly sequenced treatment plan.

Thursday, April 2, 2015

Nitrous Oxide Sedation

What Is Nitrous Oxide?

Nitrous oxide is a type of sedative gas often used at the dentist's office. It is more commonly known as "laughing gas" because of the giggles that sometimes result from its use. It is a colorless and odorless gas that is administered through a small mask worn over the nose. Nitrous oxide is mixed with oxygen in order to keep the effects of the gas mild and so it can be used for longer durations of time in a safe manner. 
Nitrous oxide is used to help patients relax in the dental chair. After about 30 seconds of breathing the nitrous oxide and oxygen mixture, the sedative and pain-relieving effects will set in.  Peak affects are reached in less than five minutes. One of the major benefits of using nitrous oxide is how quickly it takes effect and wears off. Slight lightheadedness and the giggles are common when a patient is under nitrous oxide sedation. It reduces pain and induces an all-encompassing pleasurable feeling in the body. 

Why Use Nitrous Oxide in Children?

Many adults have fears of going to the dentist and so do most children. Nitrous oxide is a great tool that many kids' dentists will likely recommend. Because of its relaxing and calming effect on patients, nitrous oxide is perfect for children who are afraid of dental procedures. It is also ideal for children with sensitive teeth, and it does increase the pain threshold of a person, little or big. Many children have sensitive gag reflexes that make completing dental procedures difficult, but the use of nitrous oxide usually minimizes the gag reflex. Mixing nitrous oxide with oxygen, which is always done in any medical/dental setting, makes it safe for long periods of time. This can make longer procedures much more bearable for young children. The amount of nitrous oxide the child is receiving can be altered very easily by the dentist if an adjustment is needed. 

What to Expect and How to Prepare

Before a dental visit that requires the use of nitrous oxide sedation, it is best to eat just a light meal, no less than 2 hours before the procedure. During the procedure, the child will remain fully conscious. The effects of nitrous oxide wear off very quickly once 100% oxygen is administered at the end of the procedure. Within a few minutes, the child will have no lasting effects from the gas.  Some kids get so relaxed that they behave like they normally would after they wake from a good night’s sleep.
For further questions about using nitrous oxide for your child’s dentist appointment, call Playtime Dental and we will be more than happy to answer any more questions or concerns you might have!