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First word, first step, first day of school—these firsts are milestones every parent celebrates. And one of the earliest and most precious milestones is your baby’s first real smile! 

Keep that smile beaming and healthy from infancy to young adulthood with the help of dental milestones. These breakthrough events mark significant stages in oral development, and are a great guide to understanding, protecting, and supporting your child’s path to adult oral health.

• First Tooth

Baby’s first tooth often arrives around the age of six months. And this is the time to start cavity prevention, with twice daily gentle brushing with a soft-bristled, child-sized toothbrush. Talk to Dr. Timm or your child's pediatrician to learn how and when to brush and how much and what kind of toothpaste to use.

By the age of three, toddlers typically have all of their 20 baby teeth, and these little teeth are essential to children’s health. They help kids chew and eat, assist speech development and pronunciation, and act as placeholders so adult teeth can erupt in the proper place. Keep your child’s baby teeth their healthiest by partnering with the dental team at Blue Spruce Dental in Michigan Center, MI.

• First Visit to the Dentist

Once that first tooth has come in, or around age one, it’s time to bring your little one to the dentist for a first visit. Your dentist will do a careful exam to see if your child’s teeth and jaws are developing as they should, check the health of the teeth, and answer your questions about brushing, flossing, toothpaste, teething, pacifiers, thumb-sucking, or any other concerns. 

Early visits are important. They allow you and your child to establish a “dental home”: a place where the dental team is familiar and comforting, and where regular preventative care will help keep young smiles their healthiest.

• First Lost Tooth/First Permanent Tooth

Around age six, most children start to lose baby teeth, typically in the order in which they arrived. Losing a baby tooth is a big step for children and might be a bit scary. You can celebrate this milestone with a visit from the Tooth Fairy, or a certificate, or a new toothbrush in your child’s favorite color. 

As the permanent teeth come in, continue to encourage twice daily brushing and flossing, and consider proactive treatment with dental sealants. Even when children have learned to brush properly, and brush twice each day, it can be hard for kids to remove all the plaque and food particles from the grooved chewing surfaces on top of molars. That’s why molars are much more vulnerable to decay than any other teeth. 

Around the time your child’s first permanent molars erupt, the team at Blue Spruce Dental might suggest sealants. Sealants protect the chewing surfaces of the molars from food particle and plaque buildup. This safe and invisible protective coating, usually a plastic resin, is applied in the office and typically lasts from three to five years. 

• First Orthodontic Visit

Dentists and orthodontists recommend an orthodontic examination by age seven (or earlier, if you have any concerns). At this point, children have a mix of primary and permanent teeth, allowing an orthodontist to assess tooth spacing and alignment and the way the jaws fit together. 

Your orthodontist might find no issues with your child’s teeth or bite. Or, perhaps, follow-up appointments might be scheduled to determine if and when future treatment is advisable. Sometimes, because some problems can be treated more easily when your child is young, early intervention with a fixed or removeable appliance is recommended right away. 

Having an orthodontic plan in place helps ensure that children benefit from the most effective and timely treatment at any stage of their development.

• Orthodontic Treatment

Orthodontic treatment commonly begins in early adolescence (ten to 14) when most or all of the permanent teeth have erupted. The facial and jaw bones are still growing in preteens and young teens, which makes it easier to reposition teeth and guide jaw alignment.

More treatment options are available than ever before—and today’s braces, clear aligners, smaller and more comfortable appliances, and even 3D technology make treating malocclusions and misalignments more efficient than ever before.

A healthy bite and properly aligned teeth are a foundation of lasting oral health. Orthodontic treatment helps prevent decay, gum disease, jaw pain, and even early tooth loss. And, of course, the value of your child’s increased self-confidence is impossible to overestimate!

• Wisdom Teeth

Wisdom teeth, or third molars, generally start to erupt in the late teens or early twenties and often have a harmful effect on oral health.

Erupting or impacted wisdom teeth can push neighboring teeth out of position, damage adjacent tooth roots, and cause inflammation and infection in gum and bone around the wisdom tooth. For these reasons, preventative extraction is often recommended. 

If your teen shows any symptoms of erupting or impacted wisdom teeth—irritated, swollen, or bleeding gums, bad breath, jaw pain or swelling—a visit to the dentist is in order.

As parents, you do your best to guide your child’s journey from infancy to healthy adulthood. Each dental milestone marks a new stage in your child’s oral health journey, and new ways for you to encourage and protect that oral health. Use these milestones to set your child up for a lifetime of good dental habits—and a lifetime of healthy smiles!

Toddlers are notoriously balky about strangers. But their first dental visit should not be cause for fear and tears. Nor should you assume that getting your toddler to Blue Spruce Dental is going to involve a full-blown tantrum or Mafia-style bribery. “Honey, don’t worry. We’ll go get ice cream after…” sort of defeats the purpose of making that first dental appointment.

These five tips will make your toddler’s trip to see Dr. Timm as fun as a stop at an amusement park.

1. Before you make a dental appointment for your child, take him or her on a ride-along to one of your dental appointments. Let your son or daughter experience the office and get the lay of the land. Toddlers don’t like surprises. But if your little one is already familiar with the big chair that goes up and down, the next time he or she will have no problem taking a seat.

2. About the big dental chair … well, it’s really an amusement park ride. See how it goes up and down? Toddlers love games, and turning the trip to the dentist into a game is among the oldest (and most successful) tricks in the parent playbook.

3. Positive reinforcement is a good thing. That's why Dr. Timm and our staff hand out cool toothbrushes or stickers to children after their appointment. A fun-colored toothbrush with a suction bottom is a good incentive to come back for another cleaning.

4. Timing is everything. Don’t take your child to the dentist an hour before the daily nap. Make the appointment with your child’s schedule in mind. This increases the chances of success.

5. A few days before the scheduled appointment, start reading your toddler bedtimes stories about what happens at the dentist. Dora the Explorer’s Show Me Your Smile, written by Christine Ricci, is a popular dental story that your child might relate to.

Cancer has become a common word, and it seems like there is new research about it every day. We know antioxidants are important. We know some cancers are more treatable than others. We know some lifestyles and habits contribute to our cancer risk.

Smoking increases our risk of cancer, as does walking through a radioactive power plant. But there is a direct link to oral cancer that you many may not know about—the link between HPV (Human Papilloma Virus) and oral cancer.

This may come as a shock because it has been almost a taboo subject for some time. A person with HPV is at an extremely high risk of developing oral cancer. In fact, smoking is now second to HPV in causing oral cancer!

According to the Oral Cancer Foundation, “The human papilloma virus, particularly version 16, has now been shown to be sexually transmitted between partners, and is conclusively implicated in the increasing incidence of young non-smoking oral cancer patients. This is the same virus that is the causative agent, along with other versions of the virus, in more than 90% of all cervical cancers. It is the foundation's belief, based on recent revelations in peer reviewed published data in the last few years, that in people under the age of 50, HPV16 may even be replacing tobacco as the primary causative agent in the initiation of the disease process.” [http://www.oralcancerfoundation.org/facts/]

There is a test and a vaccine for HPV; please discuss it with your physician.

There are some devices that help detect oral cancer in its earliest forms. We all know that the survival rate for someone with cancer depends greatly on what stage the cancer is diagnosed. Talk to Dr. Timm if you have any concerns.

Please be aware and remember that when it comes to your own health, knowledge is power. When you have the knowledge to make an informed decision, you can make positive changes in your life. The mouth is an entry point for your body. Care for your mouth and it will care for you!

Water picks, sometimes called “oral irrigators,” make an excellent addition to your regular home care regimen of brushing and flossing. Especially helpful to those who suffer from periodontal disease and those patients of ours undergoing orthodontic treatment with full-bracketed braces, water picks use powerful tiny bursts of water to dislodge food scraps, bacteria, and other debris nestled in the crevices of your mouth. Children undergoing orthodontic treatment may find using a water pick is beneficial if their toothbrush bristles tend to get caught on their wires or brackets.

When you use a water pick, you’re not only dislodging any particles or debris and bacteria you might have missed when brushing, you are also gently massaging the gums, which helps promote blood flow in the gums and keeps them healthy. While water picks are an excellent addition to your daily fight against gingivitis and other periodontal diseases, they are incapable of fully removing plaque, which is why Dr. Timm and our team at Blue Spruce Dental want to remind you to keep brushing and flossing every day.

If you have sensitive teeth or gums and find it uncomfortable to floss daily, water picks are a good alternative to reduce discomfort while effectively cleaning between teeth. Diabetics sometimes prefer water picks to flossing because they don't cause bleeding of the gums, which can be a problem with floss. If you have a permanent bridge, crowns, or other dental restoration, you may find that a water pick helps you keep the area around the restorations clean.

So how do you choose the right water pick?

Water picks are available for home or portable use. The home versions tend to be larger and use standard electrical outlets, while portable models use batteries. Aside from the size difference, they work in the same manner, both using pulsating water streams. A more crucial difference between water picks is the ability to adjust the pressure. Most home models will let you choose from several pressure settings, depending on how sensitive your teeth and gums are. Most portable models have only one pressure setting. If you want to use mouthwash or a dental rinse in your water pick, check the label first; some models suggest using water only.

Please give us a call at our Michigan Center, MI office if you have any questions about water picks, or ask Dr. Timm during your next visit!