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You want to check all the boxes when you consider your child’s dental health. You make sure your child brushes twice daily to avoid cavities. You’ve made a plan for an orthodontic checkup just in case braces are needed. You insist on a mouthguard for dental protection during sports. One thing you might not have considered? Protecting your child from gum disease.

We often think about gum disease, or periodontitis, as an adult problem. In fact, children and teens can suffer from gingivitis and other gum disease as well. There are several possible reasons your child might develop gum disease:

• Poor dental hygiene

Two minutes of brushing twice a day is the recommended amount of time to remove the bacteria and plaque that cause gingivitis (early gum disease). Flossing is also essential for removing bacteria and plaque from hard-to-reach areas around the teeth.

• Puberty

The hormones that cause puberty can also lead to gums that become irritated more easily when exposed to plaque. This is a time to be especially proactive with dental health.

• Medical conditions

Medical conditions such as diabetes can bring an increased risk of gum disease. Be sure to give us a complete picture of your child’s health, and we will let you know if there are potential complications for your child’s gums and teeth and how we can respond to and prevent them.

• Periodontal diseases

More serious periodontal diseases, while relatively uncommon, can affect children and teens as well as adults. Aggressive periodontitis, for example, results in connective and bone tissue loss around the affected teeth, leading to loose teeth and even tooth loss. Let Dr. Timm know if you have a family history of gum disease, as that might be a factor in your child’s dental health, and tell us if you have noticed any symptoms of gum disease.

How can we help our children prevent gum disease? Here are some symptoms you should never ignore:

• Bleeding gums
• Redness or puffiness in the gums
• Gums that are pulling away, or receding, from the teeth
• Bad breath even after brushing

The best treatment for childhood gum disease is prevention. Careful brushing and flossing and regular visits to our Michigan Center, MI office for a professional cleaning will stop gingivitis from developing and from becoming a more serious form of gum disease. We will take care to look for any signs of gum problems, and have suggestions for you if your child is at greater risk for periodontitis. Together, we can encourage gentle and proactive gum care, and check off one more goal accomplished on your child’s path to lifelong dental health!

There is no substitution for a natural healthy tooth. Dental fillings are intended to replace tooth structure and restore a tooth damaged by decay (a cavity) back to its normal function and shape. Silver (amalgam) and tooth-colored (composite) fillings last a long time, though they can develop decay when the integrity is compromised by open margins, fracture, or recurrent decay. In this blog, we discuss the signs and symptoms that indicate your filling may need to be replaced in order to prevent further complications.

Amalgam fillings are made of an alloy (mixed metals) that expands and contracts. They have no bonding properties, and so to place an amalgam filling, the hole in the tooth may need to be larger. Because of these two factors, fractures frequently occur. There are three types of cracks that are commonly associated. Craze lines are superficial with no treatment needed. Fractures extend along other parts of the tooth and may require a filling replacement or crown. Cracks extend toward the root and can require a root canal and crown or, if too severe, extraction.

A filing needs to be sealed to the tooth. If the seal between the tooth and the filling breaks down, food debris and bacteria can seep down under the filling and cause recurrent decay. If the decay is treated early, replacing the filling is adequate. If not, a crown and even a root canal may be needed. The biggest mistake you can make is waiting to do something about a broken or unsealed filling until it is painful. Doing this will only make the treatment more involved and often times more expensive.

Regular dental exams and X-rays are used to evaluate dental fillings. You will not be able to tell on your own when your fillings start to fail. Just as a car mechanic will change the oil, correct your alignment, or change your tires, a dental checkup will help you identify small concerns to fix as you go in order to avoid a critical emergency.

Pay attention to any bite or temperature sensitivity in teeth that have fillings. This can be an indicator for some of the problems listed above. You know your teeth better than anyone. Your observations are most valuable when evaluating a filling for replacement. If replacement is needed, know you are doing what is best to prevent future dental calamities and make an appointment to see Dr. Timm.

X-rays have been a function of dental healthcare for a long time. That in and of itself should be good news, because it means we've had plenty of time to improve them. While there is always some risk in exposure to radiation, dental X-ray exposure has decreased significantly due to all the advances in technology. So there’s risk, but X-rays are quite safe.

Think of X-rays as you would about a car. Automobiles these days have all kinds of technology to make them as safe as possible. There's still a chance that you’ll suffer an accident. Would you stop using a car because of that risk? When it comes to dental X-rays, Dr. Timm and our team believe the positives clearly outweigh the negatives.

X-rays can be done digitally or with film. For film, X-rays require different exposures at different speeds to produce the image. Digital X-rays have software that automatically adjusts the exposure and produces the X-ray in a digital file. Since they substantially reduce your exposure to radiation, digital X-rays are the current standard in dental offices.

In addition to digital X-rays, lead aprons are an essential piece of X-ray safety. They help protect internal organs from X-rays by acting as a shield. They usually come with a thyroid collar as well, since that is one of the most vulnerable areas to X-rays in the body. Lead aprons can absorb up to 95% of any scatter rays that result from an X-ray. Not bad, right?

Although dental X-rays involve some radiation exposure (not all of it can be eliminated), so does everyday life. Getting too much sun, for example, can be dangerous. The truth is, we accumulate radiation in our bodies over a lifetime, so it’s worthwhile to be aware and avoid as much unnecessary exposure as possible. When it comes to your dental health, though, getting an X-ray — especially when your doctor says you need it — offers more benefits than risks.

Ask us about the type of dental X-rays we use during your next visit to our Michigan Center, MI office!

Did you know that there are certain foods you can eat which help to clean your teeth? We call them "detergent foods." In dentistry we look at the impact of food in three ways: the kind of food, how often it is eaten, and when it is eaten. Detergent foods should be the last piece of food you consume during a meal for best results. Think of them as the closest you can get to brushing your teeth.

A healthy diet is important for oral health as well as overall health, but here are some particular foods that can help clean your teeth and mouth:

• Carrots
• Apples
• Celery sticks
• Popcorn
• Cucumbers
• Pears
• Lettuce
• Cheese

As you can see, detergent foods are usually foods that are firm and crisp. They act like scrubbers on and around your teeth and gums and bring your mouth's pH back to 7.0, which is optimal.

Which foods are the worst for your teeth?

Cookies, cakes, breads, chips, crackers, soft drinks, dried fruit, and candies (what many people’s diets are full of) provide carbohydrates (sugar) to the bacteria in your mouth causing an acidic environment and increasing the chance of cavities and decay. These foods are sticky and don't rinse easily from your mouth. Avoid letting these foods sit on your teeth after eating them.

It also depends on how often you consume these foods throughout the day. For example, if you drink soft drinks, it's best to have it all in one sitting instead of sipping it all throughout the day. Doing so causes the perfect environment in your mouth for bacteria to flourish and your saliva never gets the chance to neutralize its pH.

This is where detergent foods can come into play. When you're about to finish your meal, have an apple, celery stick, or carrot. It will act like a "natural toothbrush." Also, try to make these detergent foods the basis for snacks you have throughout the day.

Always remember, these foods are not a replacement for brushing and flossing. You still need good dental hygiene regardless of what you're eating! For more tips and tricks for ideal oral health, ask Dr. Timm the next time you visit our Michigan Center, MI office!