A child with a chronic illness or condition often requires a lot of focus on care for their special needs. Other aspects of their health can often take a back seat — too often including dental care.
Proper dental care can be a challenge for special needs children if they have diminished physical, intellectual or behavioral capacities. Children with autism or attention deficit disorders may not be able or willing to perform tasks like brushing and flossing. Other conditions could make them intolerant to toothpaste in the mouth, or create an inability to keep their mouths open or to spit.
Some chronic conditions also seem predisposed to dental defects. For example, enamel hypoplasia, a lack of sufficient tooth enamel, is common with Down, Treacher-Collins or Turner Syndromes, and can greatly increase the risk of tooth decay.
But even though difficult, effective dental care isn't impossible. It begins with your dental provider.
Pediatric dentists are often excellent in this regard: they often have the training and experience to treat children with chronic conditions. Whoever you choose must be able to partner with you in caring for your child's dental needs.
Daily hygiene is also a critical factor. Your goal should be the same as with any child — to teach them to brush and floss for themselves. Depending on their condition, however, you may need to assist them for a longer term, perhaps permanently. But it is imperative — daily hygiene is their best defense against oral diseases.
You should also consider their medication and how it may impact their dental health. Antidepressants, antihistamines or drugs that assist with breathing function can cause mouth dryness. This, as well as drugs with sugar or acid compounds, can increase risk for dental disease. If they must take these types of medications, try to give them at mealtime to reduce their effect in the mouth.
Above all, pursue the same professional dental care as you would for any other child. Keep up regular dental visits beginning around their first birthday for cleanings and preventive measures like topical fluoride or sealants. By taking these measures you'll help ensure their dental health won't suffer.
If you would like more information on dental care for special needs 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 “Managing Tooth Decay in Children with Chronic Diseases.”
When is the best time to floss your teeth: Morning? Bedtime? How about: whenever and wherever the moment feels right?
For Cam Newton, award-winning NFL quarterback for the Carolina Panthers, the answer is clearly the latter. During the third quarter of the 2016 season-opener between his team and the Denver Broncos, TV cameras focused on Newton as he sat on the bench. The 2015 MVP was clearly seen stretching a string of dental floss between his index fingers and taking care of some dental hygiene business… and thereby creating a minor storm on the internet.
Inappropriate? We don't think so. As dentists, we're always happy when someone comes along to remind people how important it is to floss. And when that person has a million-dollar smile like Cam Newton's — so much the better.
Of course, there has been a lot of discussion lately about flossing. News outlets have gleefully reported that there's a lack of hard evidence at present to show that flossing is effective. But we would like to point out that, as the saying goes, “Absence of evidence is not evidence of absence.” There are a number of reasons why health care organizations like the American Dental Association (ADA) still firmly recommend daily flossing. Here are a few:
- It's well established that when plaque is allowed to build up on teeth, tooth decay and gum disease are bound to follow.
- A tooth brush does a good job of cleaning most tooth surfaces, but it can't reach into spaces between teeth.
- Cleaning between teeth (interdental cleaning) has been shown to remove plaque and food debris from these hard-to-reach spaces.
- Dental floss isn't the only method for interdental cleaning… but it is recognized by dentists as the best way, and is an excellent method for doing this at home — or anywhere else!
Whether you use dental floss or another type of interdental cleaner is up to you. But the ADA stands by its recommendations for maintaining good oral health: Brush twice a day for two minutes with fluoride toothpaste; visit your dentist regularly for professional cleanings and checkups; and clean between teeth once a day with an interdental cleaner like floss. It doesn't matter if you do it in your own home, or on the sidelines of an NFL game… as long as you do it!
You would love to replace your missing teeth with dental implants. And for good reason — they're the best way to restore life-like, functional teeth. But there's one problem — implants and fixed bridgework (the next, best option) are financially out of your reach.
There's another viable option, though, that might fit your budget — removable partial dentures (RPDs). Similar to full dentures, RPDs replace only the missing teeth in a dental arch. And they're much less expensive than implants or bridgework.
RPDs are custom made to fit an individual patient and their particular missing teeth locations. Their frameworks are usually made of vitallium, a strong but lightweight metal alloy. With vitallium, the frame can be made thin enough not to be noticeable but still conduct sensation.
A pink resin or plastic that mimics gum tissue covers the frame, to which we attach prosthetic (false) teeth made of porcelain, glass-filled resin or plastic to precisely match the missing teeth locations. The RPD is held in place with small metal clasps that fit around remaining natural teeth.
RPDs are designed to minimize movement and avoid undue pressure on the gum ridges, which could accelerate underlying bone loss. In certain situations, though, the location of some missing teeth could complicate matters. If you're missing a tooth in the back where the appliance coverage ends, the RPD may not be as stable.
The solution, ironically, could be a dental implant placed strategically at the end of the RPD, where it connects securely with the appliance. You would only need one or two implants, which won't dramatically increase costs.
One thing to remember with an RPD: they tend to accumulate bacterial plaque, the trigger for both tooth decay and periodontal (gum) disease. That's why it's important to practice daily effective hygiene by cleaning the RPD and your remaining teeth and gums, as well as taking the RPD out at night.
A well-maintained RPD could last for many years. With this appliance you can still have functional teeth and a winning smile, even without implants.
If you would like more information on removable dentures, 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 “Removable Partial Dentures: Still a Viable Tooth-Replacement Alternative.”
Say goodbye to coffee stains and enjoy a fresh, brilliant smile again.
Whether you’ve been using whitening toothpaste and it just isn’t doing the trick or you are looking to give your smile a serious refresher, there has never been a better time to talk to our Hampton, NH, family dentist Dr. Harbpinder Shevchenko about the wonders of professional teeth whitening.
If you’ve ever wanted to whiten your smile but worry about some of those do-it-yourself whitening tricks or commercial whitening stripes, then turning to our professional whitening experts in Hampton, NH, can certainly help give you the results you want safely. No other whitening treatment will give you the same immediate results as in-office teeth whitening.
The secret lies in the whitening gel. Whitening gels contain different percentages of hydrogen peroxide. At-home whitening gels that you can pick up from your local drugstore will contain a very small amount of peroxide, while the whitening gels used by our Hampton, NH, cosmetic dentist will contain a much higher concentration of peroxide, which means more incredible results at a shorter amount of time.
Who should consider professional teeth whitening?
Someone who has yellowing, stained teeth caused by foods and drinks is the perfect candidate for teeth whitening. Whether you want whiter results fast or you want to improve your smile’s vibrancy before a big event or special occasion, in-office whitening is the way to do it.
Before you get teeth whitening we will want to sit down with you for a consultation. We want to guarantee that your smile is healthy enough for cosmetic dentistry. We will also ask you questions about your treatment goals to make sure that teeth whitening is truly the best option.
It’s important for patients to know that professional teeth whitening will brighten natural teeth but will not work on dental work like crowns or fillings. If you have teeth sensitivity, talk to us about ways to prevent sensitivity from getting worse during and after your whitening session.
Smiles By The Sea Family Dentistry in Hampton, NH, has been helping countless people achieve beautiful, healthy smiles and you could be next.
If we could go back in time, we all probably have a few things we wish we could change. Recently, Dr. Travis Stork, emergency room physician and host of the syndicated TV show The Doctors, shared one of his do-over dreams with Dear Doctor magazine: “If I [could have] gone back and told myself as a teenager what to do, I would have worn a mouthguard, not only to protect my teeth but also to help potentially reduce risk of concussion.”
What prompted this wish? The fact that as a teenage basketball player, Stork received an elbow to the mouth that caused his two front teeth to be knocked out of place. The teeth were put back in position, but they soon became darker and began to hurt. Eventually, both were successfully restored with dental crowns. Still, it was a painful (and costly) injury — and one that could have been avoided.
You might not realize it, but when it comes to dental injuries, basketball ranks among the riskier sports. Yet it’s far from the only one. In fact, according to the American Dental Association (ADA), there are some two dozen others — including baseball, hockey, surfing and bicycling — that carry a heightened risk of dental injury. Whenever you’re playing those sports, the ADA recommends you wear a high-quality mouth guard.
Mouthguards have come a long way since they were introduced as protective equipment for boxers in the early 1900’s. Today, three different types are widely available: stock “off-the-shelf” types that come in just a few sizes; mouth-formed “boil-and-bite” types that you adapt to the general contours of your mouth; and custom-made high-quality mouthguards that are made just for you at the dental office.
Of all three types, the dentist-made mouthguards are consistently found to be the most comfortable and best-fitting, and the ones that offer your teeth the greatest protection. What’s more, recent studies suggest that custom-fabricated mouthguards can provide an additional defense against concussion — in fact, they are twice as effective as the other types. That’s why you’ll see more and more professional athletes (and plenty of amateurs as well) sporting custom-made mouthguards at games and practices.
“I would have saved myself a lot of dental heartache if I had worn a mouthguard,” noted Dr. Stork. So take his advice: Wear a mouthguard whenever you play sports — unless you’d like to meet him (or one of his medical colleagues) in a professional capacity…
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