Posts for: January, 2018
Tooth enamel erosion is a serious issue for many children that can result in permanent impairment of oral health. The problem isn’t just bacterial acid that causes tooth decay — it’s also the high acid content of sodas, energy and sports drinks widely popular among children and teenagers today.
Enamel is made of the strongest substance in the human body, which enables it to shield the inner layers of the teeth from disease and other environmental factors. Its chief nemesis, though, is acid: when enamel interacts with high concentrations of acid for a prolonged time, its mineral content will begin to soften and dissolve, a process known as de-mineralization. Saliva is the enamel’s main protection against acid with the ability to neutralize (or buffer) acid and restore some of the enamel’s mineral content, usually within thirty minutes to an hour after we eat.
The high acid content of many popular beverages, however, can overwhelm saliva’s buffering ability, especially if a person is sipping for an extended time on an acidic drink. This kind of exposure is different from acid produced by bacteria that causes tooth decay: bacterial acid tends to concentrate in specific areas of the teeth, while the constant wash from acidic beverages will have a more generalized eroding effect on teeth.
This level of enamel loss is irreversible, which can leave a tooth in peril of decay and ultimate loss — and increase long-term dental care and costs. The best strategy is to have your child stop or significantly curtail drinking highly acidic beverages. Rather than drink sports beverages for hydration, substitute water, nature’s hydrator. Milk can also be a viable beverage substitute.
If you do allow some acidic beverages, try to limit them to mealtimes and discourage extended sipping. Look for drinks with added calcium as this can reduce the beverage’s erosive potential. The goal is to reduce the amount and duration beverage acid is in contact with tooth enamel.
Making these changes will help greatly to protect your child’s tooth enamel, and give saliva a chance to do its job protecting it. Your efforts will also increase your child’s chances of better dental health in the future.
If you would like more information on dental erosion, please contact us today to schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Dental Erosion.”
Like the rest of their bodies, children’s teeth and mouth are on a rapid development track. By the time they’re young adults, they will have had two sets of teeth, extensive bone growth and a noticeable change in their features. The natural process is truly amazing.
But dental disease can easily derail their development, with tooth decay the most common problem children encounter. More than at any other time of life, preventive dental care is a top priority.
True preventive care for your child includes the entire mouth, not just the teeth. Our main focus, of course, is to head off tooth decay before it develops, including the application of topical fluoride or sealants when appropriate. But we also monitor bite development and provide protection against sports injuries or other forms of trauma with customized mouth guards.
You also have a part to play in your child’s preventive dental care. It begins when your child’s first teeth begin to emerge in the mouth — the point when you should begin brushing them. You can also reduce the risk of dental disease by providing a nutritious diet that’s high in fresh fruits and vegetables and low in sugar, especially between-meal snacks.
You should also start regular dental visits around their first birthday. This is not only the best time to begin professional care, but your child will also have an easier time at this age becoming comfortable with visiting the dentist than waiting until they’re older.
Taking care of your child’s teeth is a working partnership between you and us: we provide the professional care your child needs to develop properly, while you look to their daily hygiene and nutrition, which is just as important for your child’s healthy development. Through our partnership, we can ensure your child is getting the very best start toward a lifetime of healthy teeth and gums.
Protecting a child's primary (“baby”) teeth from tooth decay should be a top priority. If one is lost prematurely due to decay, it could cause the permanent tooth to misalign when it comes in.
The basic prevention strategy for every child is daily brushing and flossing and regular dental visits. But children at higher risk for decay may need more: Â additional fluoride applied to teeth enamel during office visits.
This natural mineral has been shown to strengthen enamel, teeth's protective layer against decay, especially during its early development. Enamel is composed of calcium and phosphate minerals interwoven to form a crystalline structure called hydroxyapatite. Fluoride joins with this structure and changes it to fluorapatite, which is more resistant to mouth acid than the original structure.
We mostly receive fluoride through fluoridated drinking water and dental care products like toothpaste. Topical fluoride takes it a step further with a stronger dose than found in either of these sources. It can be applied with a foam, varnish or gel using an isolation tray (foam or gel) or painted onto the enamel (varnish or gel).
But does topical fluoride effectively reduce the occurrence of decay? Research indicates yes: a recent review of 28 studies involving over 9,000 children found an average 28% reduction in decayed teeth in children who underwent topical fluoride treatments.
There is, though, one potential side effect: children who swallow the fluoride substance can become sick and experience headache, stomach pain or vomiting. This can be avoided with proper precautions when applying it; the American Dental Association also recommends using only varnish for children younger than 6 years. It's also recommended that children receiving gel or foam not eat or drink at least thirty minutes after the treatment (those who receive the varnish aren't restricted in this way).
Topical fluoride is most effective as part of an overall prevention strategy. Besides daily hygiene and regular dental visits, you can also help reduce your child's decay risk by limiting the amount of sugar in their diet. Sealants, which are applied to the nooks and grooves of teeth where plaque can build up, may also help.